Randomized trial of intensive housing placement and community transition services for episodic and recidivist homeless families.
| Autor: | Levitt AJ; Aaron J. Levitt, Lauren Pareti, Joe DeGenova, Anthony Hannigan, and Jennifer Gholston are with the Center for Urban Community Services (CUCS), New York, NY. Kristen Mitchell and Anne Heller are with the New York City Department of Homeless Services, New York, NY., Mitchell K, Pareti L, DeGenova J, Heller A, Hannigan A, Gholston J |
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| Jazyk: | angličtina |
| Zdroj: | American journal of public health [Am J Public Health] 2013 Dec; Vol. 103 Suppl 2, pp. S348-54. Date of Electronic Publication: 2013 Oct 22. |
| DOI: | 10.2105/AJPH.2013.301521 |
| Abstrakt: | Objectives: We compared Home to Stay, a pilot of intensive housing placement and community transition services for episodic and recidivist homeless families, with a standard services approach. Methods: Using intention-to-treat analyses, we conducted a modified randomized trial of 138 Home to Stay client families and a control group of 192 client families receiving standard shelter services. Results: Home to Stay clients exited shelter more quickly than clients in the control group (Cox regression, P < .001), more commonly exited shelter with housing subsidies (75% vs 56%), stayed out of shelter longer (Cox regression, P = .011), and spent fewer total days in shelter (376 days vs 449 days). Home to Stay performed best with clients who entered shelter within 180 days of the pilot's start date and had less impact on clients entering shelter before that time. Conclusions: Relative to standard services, Home to Stay services can accelerate exit from shelter and reduce return to shelter and total sheltered days for episodic and recidivist homeless families. Standard shelter services may be able to narrow this performance gap by incentivizing work with all episodic and recidivist homeless families. |
| Databáze: | MEDLINE |
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