Implementing Housing First in rural areas: Pathways Vermont

A. Stefancic, B.F. Henwood, H. Melton, S.-M. Shin, R. Lawrence-Gomez and S. Tsemberis

American Journal of Public Health, 2013, vol. 103, issue S2, S206-S209

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.

Keywords: adolescent; adult; case management; female; homelessness; housing; human; male; medicine; Mental Disorders; middle aged; organization and management; patient care; rural population; telemedicine; United States; young adult; article; mental disease; telemedicine, Adolescent; Adult; Case Management; Female; Homeless Persons; Housing; Humans; Male; Medicine; Mental Disorders; Middle Aged; Patient Care Team; Rural Population; Telemedicine; Vermont; Young Adult, Adolescent; Adult; Case Management; Female; Homeless Persons; Housing; Humans; Male; Medicine; Mental Disorders; Middle Aged; Patient Care Team; Rural Population; Telemedicine; Vermont; Young Adult (search for similar items in EconPapers)
Date: 2013
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301606_9

DOI: 10.2105/AJPH.2013.301606

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