Homelessness Housing And Harm Reduction

The purpose of this study was to investigate the effectiveness of innovative housing programs for persons who are homeless or at risk of homelessness and who use substances (e.g. drugs, alcohol or other substances). The research specifically examined which housing interventions and factors that incorporate a harm reduction approach best help this population access and maintain stable housing. Three research questions were addressed: 1. How effective are innovative or alternative residential housing programs for homeless people with substance use issues, especially those that incorporate high-tolerance or harm reduction into a supported living environment? 2. To what degree is secure and stable housing crucial to successful substance use treatment models? 3. Do harm reduction strategies, as part of supportive housing, enhance the stability and longevity of housing tenure for homeless people with substance use issues?

Little more than two decades ago, the 'Housing First' (HF) approach pioneered by Pathways to Housing, Inc. was a small but determined challenge to the burgeoning yet ineffective service system for homeless persons. Today, the success of HF has brought about paradigm-shifting systems change not only in the homeless 'industry' but in related service systems. This book employs conceptual frameworks drawn from theories of institutional change and innovation to explore the rise in homelessness in the US, the 'lineages' of responses to the problem, and the subsequent rise of HF.

"Brings together leading and emerging researchers to advance understanding of the complex relationships between homelessness and health. Covering a wide range of topics from youth homelessness to end-of-life care, contributors outline policy and practice recommendations to respond to this public health crisis."--Back cover.

Newspapers, television and films cast homeless shelters as places of desperation, sadness and sickness. However, over the last 25 years, homeless shelters have changed dramatically. Shelters have become more professional and sophisticated in addressing homelessness in their communities. They now do much more than provide a bed and a meal for the night — they offer different methods of intervention, different types of services and different forms of connection to the communities they serve. This book offers essays by experienced shelter managers who address the future of the homeless shelter in Canada. This diverse collection also includes a chapter by Dr. Sam Tsemberis, the father of the successful Housing First Model. There are contributions by leaders in the homelessness field from across Canada, who have been at the forefront of developing unique services for women, youth, Indigenous people, and families. The days of shelters serving to merely warehouse homeless people out of sight and mind are being replaced by specialized approaches that are reducing homelessness in Canada. The contributors have years of experience understanding the causes of and solutions to homelessness and the role that shelters can play in achieving their ultimate goal — the elimination of all forms of homelessness in Canada.

As an evidence-based practice, Housing First has not only been proven to be successful in ending homelessness, but is also embraced as the most cost-effective solution. Today, the Housing First model is being implemented in hundreds of communities across the United States, Canada and Europe. As the model evolves one thing remains constant: Housing First ends homelessness. Housing First is simple: provide housing first, and then combine that housing with supportive treatment services in mental and physical health, substance abuse, education, and employment.Housing First details:solid, actionable information about the program's philosophy, operations, and administrationthe composition, staffing structures, and day-to-day operations of the clinical and support servicespractices in client assessment and engagementproperty management operationsthe best protocols for assisting clients with the search for housing, relationships with landlords, and the overall "settling in" processthe research evidence for the effectiveness of the Pathways modelThe Pathways model has been remarkably successful in ending chronic homelessness. Since its founding, housing retention rates have remained at 85 – 90 percent even among individuals who have not succeeded in other programs. Not only is Housing First effective at keeping people housed and working toward recovery, it has also proven to be incredibly cost-effective.

A readerʼs guide is provided to assist readers in locating entries on related topics. It classifies entries into 14 general categories: Causes, Cities, Demography and Characteristics, Health issues, History, Housing, Legal issues, Advocacy and policy, Lifestyle issues, Organizations, Perceptions of homelessness, Populations, Research, Service systems and settings, World perspectives and issues.

How can ethnographic studies be generalized, in contrast to concentrating on the individual case? Noblit and Hare propose a new method for synthesizing from qualitative studies: meta-ethnography. After citing the criteria to be used in comparing qualitative research projects, the authors define the ways these can then be aggregated to create more cogent syntheses of research. Using examples from numerous studies ranging from ethnographic work in educational settings to the Mead-Freeman controversy over Samoan youth, Meta-Ethnography offers useful procedural advice from both comparative and cumulative analyses of qualitative data. This provocative volume will be read with interest by researchers and students in qualitative research methods, ethnography, education, sociology, and anthropology. "After defining metaphor and synthesis, these authors provide a step-by-step program that will allow the researcher to show similarity (reciprocal translation), difference (refutation), or similarity at a higher level (lines or argument synthesis) among sample studies....Contain(s) valuable strategies at a seldom-used level of analysis." --Contemporary Sociology "The authors made an important contribution by reframing how we think of ethnography comparison in a way that is compatible with the new developments in interpretive ethnography. Meta-Ethnography is well worth consulting for the problem definition it offers." --The Journal of Nervous and Mental Disease "This book had to be written and I am pleased it was. Someone needed to break the ice and offer a strategy for summarizing multiple ethnographic studies. Noblit and Hare have done a commendable job of giving the research community one approach for doing so. Further, no one else can now venture into this area of synthesizing qualitative studies without making references to and positioning themselves vis-a-vis this volume." -Educational Studies