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- Title
Implementing Housing First in Rural Areas: Pathways Vermont.
- Authors
Stefancic, Ana; Henwood, Benjamin F.; Melton, Hilary; Soo-Min Shin; Lawrence-Gomez, Rebeka; Tsemberis, Sam
- Abstract
The benefits of Pathways Housing First in addressing chronic homelessness for persons with severe mental illness have been well established. However, the implementation and effectiveness of such programs in rural areas has yet to be examined. We described the model's adaptations in Vermont, including the use of hybrid assertive community treatment-intensive case management teams, which consisted of service coordinators with geographically based caseloads (staff/client ratio of 1:20) and regional multidisciplinary specialists. The program's innovative and widespread inclusion of technology into operations facilitated efficiency and responsiveness, and a pilot telehealth initiative supplemented in-person client visits. The program achieved a housing retention rate of 85% over approximately 3 years, and consumers reported decreased time spent homeless, demonstrating that program adaptations and technological enhancements were successful. INSET: INNOVATION: TECHNOLOGY.
- Subjects
VERMONT; HOMELESSNESS; HEALTH care teams; HOUSING; INFORMATION technology; INTERVIEWING; LABOR demand; LONGITUDINAL method; PEOPLE with intellectual disabilities; REHABILITATION of people with mental illness; HEALTH outcome assessment; PATIENT compliance; POISSON distribution; RESEARCH evaluation; RESEARCH funding; RURAL conditions; TELEMEDICINE; EVIDENCE-based medicine; PROFESSIONAL practice; SOCIAL support; SOCIAL services case management; HUMAN services programs; PREVENTION
- Publication
American Journal of Public Health, 2013, Vol 103, Issue S2, pS206
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2013.301606