Skip to main content

Advertisement

SpringerLink
Log in

Supportive Housing Approaches in the Collaborative Initiative to Help End Chronic Homelessness (CICH)

  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

Abstract

The Federal Collaborative Initiative to Help End Chronic Homelessness funded 11 sites to expand permanent housing and offer supportive services to persons experiencing chronic homelessness and suffering from mental and substance use disorders. This study examines qualitative data on how the projects used US Department of Housing and Urban Development funding and three housing approaches (scattered units, congregate/clustered, or a combination) for rapid placement of clients. Each housing approach called for adaptations by the services teams and property personnel in order to support clients with independent living skills, prevent housing loss, and promote their overall health in line with Initiative goals. Property personnel reported taking on new roles with clients and forming new collaborative arrangements with services teams. The authors discuss the lessons reported by sites that were associated with housing configuration, type of lease, and role of property personnel.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Locke G, Khadduri J, O'Hara A. Housing Models. In Dennis D, Locke G, Khadduir J (eds). Toward Understanding Homelessness, The 2007 National Symposium on Homelessness Research, U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Public Policy, Substance Abuse and Mental Health Services Administration, U.S. Department of Housing and Urban Development, Office of Policy Development and Research, September, 2007.

  2. Burt MR, Hedderson J, Zweig J, et al. Strategies for Reducing Chronic Street Homelessness: Final Report. U.S. Department of Housing and Urban Development, Washington, DC; Office of Policy Development and Research, 2004.

  3. National Alliance to End Homelessness. Housing First: A New Approach to Ending Homelessness. Available at: http://www.naeh.org/content/article/detail/1029/. Accessed April 14, 2007.

  4. Culhane D, Metruax S, Hadley T. Public Service Reduction Associated with Placement of Homeless Persons with Severe Mental Illness in Supportive Housing. Housing Policy Debate, 2002. Fannie Mae Foundation, 13(1):107–163.

    Google Scholar 

  5. Shern DL, Felton CJ, Hough R, et al. Housing outcomes for homeless adults with mental illness: results from the second-round McKinney program. Psychiatric Services.1997;48:239–241.

    CAS  PubMed  Google Scholar 

  6. Tsemberis S, Gulchur L, Nakae M. Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals with a Dual Diagnosis, American Journal of Public Health, 2004,94:651–656.

    Article  PubMed  Google Scholar 

  7. Tia E, Martinez,T, Burt, M. Impact of Permanent Supportive Housing on the Use of Acute Care Health Services by Homeless Adults. Psychiatric Services, 2006;57:992–999.

    Article  Google Scholar 

  8. Rosenheck R, Kasprow W, Frisman L, et al. Cost-effectiveness of Supported Housing for Homeless Persons with Mental Illness. Archives of General Psychiatry 2003;60:940–951.

    Article  PubMed  Google Scholar 

  9. Burt M, Pearson C, Montgomery A. Community-wide Strategies for Preventing Homelessness. The Journal of Primary Prevention, 2007;28:213–228.

    Article  PubMed  Google Scholar 

  10. Technical Assistance Collaborative. Research Brief on the Effectiveness of Permanent Supportive Housing. Available at: http://www.tac.org/docs . Accessed May 2, 2008.

  11. Rickards LD, McGraw SA, Araki L, et al. Collaborative Initiative to Help End Chronic Homelessness: introduction. Journal of Behavioral Health Services & Research.

  12. Collaborative Initiative to Help End Chronic Homelessness. Notice of Funding Availability. Federal Register, 2003;68(1):4019.

    Google Scholar 

  13. Corporation for Supportive Housing. Toolkit for Developing and Operating Supportive Housing. Available at: http://www.csh.org/toolkit2 . Accessed April 15, 2008.

  14. Kloos B, Zimmerman S, Scrimenti K, et al. Landlords as Partners for Promoting Success in Supported Housing: It Takes More than a Lease and a Key. Psychiatric Rehabilitation Journal 2002;25:235–244.

    PubMed  Google Scholar 

  15. Pearson CL, Locke G, Montgomery AE, et al. The Applicability of Housing First Models to Homeless with Serious Mental Illness: Final Report. U.S. Department of Housing and Urban Development, Washington, DC:Office of Policy Development and Research, 2007.

  16. Mares AS, Rosenheck RA. 12-Month Client Outcomes and Service Use in a Multi-site Project to End Chronic Homelessness. Journal of Behavioral Health Services & Research.

  17. ATLAS.ti. Qualitative data analysis software. In: Scientific Software Development GmbH.www.atlasti.com; 2002.

  18. Home Base, the Center for Common Concerns. Master Leasing: Key Concepts. Available at: http://www.homebaseccc.org/PDFs/TenYearPlannng/NAEH%20Master%20Leasing%20Key%20Concepts.pdf . Accessed August 6, 2008.

  19. McGraw SA, Larson MJ, Foster SE, et al. Adopting Best Practices: Lessons Learned in the Collaborative Initiative to Help End Chronic Homelessness (CICH). Journal of Behavioral Health Services & Research.

  20. Stefanic A, Tsemberis S. Housing First for Long-term Shelter Dwellers with Psychiatric Disabilities in a Suburban County: A Four-Year Study of Housing Access and Retention. The Journal of Primary Prevention, 2007;28:265–279.

    Article  Google Scholar 

  21. Corporation for Supportive Housing. Tools for Scattered Site Housing: Property Managers and Service Providers. Available at: http://documents.csh.org/documents/ctl/2004pmsp.pdf . Accessed April 16, 2008.

  22. O’Connell M, Rosenheck R, Kasprow W, et al. An Examination of Fulfilled Housing Preferences and Quality of Life among Homeless Persons with Mental Illness or Substance Abuse Disorders. Journal of Health Behavioral Services Research, 2006;33:354–65.

    Article  Google Scholar 

  23. New Freedom Commission on Mental Health. Subcommittee on Housing and Homelessness. Background Paper. DHHS Pub. No. (SMA)04-3884, Rockville, MD:2004

  24. Newman S, Goldman H. Putting Housing First, Making Housing Last: Housing Policy for Persons with Severe Mental Illness. Available at: www.fundamentalpolicy.org/display.aspsx?pointer=5076 . Accessed April 25, 2008.

  25. O’Hara A. Housing for People with Mental Illness: Update of a Report to the Presidents' New Freedom Commission. Psychiatric Services 2007;58:903–907.

    Article  Google Scholar 

  26. Wong YI, Hadley TR, Culhane DP, et al. Predicting Staying in or Leaving Permanent Supportive Housing That Services Homeless People with Serious Mental Illness: Final Report, U.S. Department of Housing and Urban Development, Washington, DC:Office of Policy Development and Research, 2006.

  27. Herman D, Conover S, Felix A, et al. Critical Time Intervention. The Journal of Primary Prevention, 2007;28:295–312.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

Recognition and appreciation to the members of the Policy Group that developed the Collaborative Initiative to Help End Chronic Homelessness: ICH: Philip F. Mangano and Mary Silveira; HHS: Walter Leginski, Jane Taylor, Michael J. English, Frances L. Randolph, Jean Hochron, and Lyman Van Nostrand; HUD: John Garrity, Mark Johnston, and Laura Hogshead; and VA: Pete Dougherty, Robert Rosenheck, and Al Taylor. Recognition and appreciation also to Megan Renfrew, Elizabeth Mason, and Emily Elstad of New England Research Institutes (NERI).

Author information

Author notes

  1. Marilyn Kresky-Wolff MPH, MSW

    Present address: Open Arms Housing, Inc, 57 “O” Street, N.W., Washington, DC, 20001, USA

Authors and Affiliations

  1. The CDM Group, Inc., 7500 Old Georgetown Road, Bethesda, MD, 20814, USA

    Marilyn Kresky-Wolff MPH, MSW & Robert W. O’Brien PhD

  2. Schneider Institutes for Health Policy, The Heller School, Brandeis University, 415 South Street, Waltham, MA, 02454-9110, USA

    Mary Jo Larson PhD, MPA

  3. New England Research Institutes, Inc, 9 Galen Street, Watertown, MA, 02472, USA

    Sarah A. McGraw PhD

Authors
  1. Marilyn Kresky-Wolff MPH, MSW
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mary Jo Larson PhD, MPA
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Robert W. O’Brien PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sarah A. McGraw PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Robert W. O’Brien PhD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kresky-Wolff, M., Larson, M.J., O’Brien, R.W. et al. Supportive Housing Approaches in the Collaborative Initiative to Help End Chronic Homelessness (CICH). J Behav Health Serv Res 37, 213–225 (2010). https://doi.org/10.1007/s11414-009-9206-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-009-9206-y

Keywords

Search

Navigation