Implementing Housing First in Rural Areas: Pathways Vermont.
| Autor: | Stefancic, Ana, Henwood, Benjamin F., Melton, Hilary, Soo-Min Shin, Lawrence-Gomez, Rebeka, Tsemberis, Sam |
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| Předmět: |
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 |
| Zdroj: | American Journal of Public Health; Dec2013 Supplement, Vol. 103 Issue S2, pS206-S209, 4p, 2 Diagrams, 1 Graph |
| Abstrakt: | 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. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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