Table 2.
Means and standard deviations for specific items inquired about in phase 2 “user” interviews
| Item | Mean | SD | |
|---|---|---|---|
| |
Assertive community outreach directly to: |
|
|
| 1. |
• Potential consumers |
3.50 |
0.65 |
| 2. |
• Hospitals |
2.57 |
0.94 |
| 3. |
• Shelters |
3.64 |
0.63 |
| 4. |
• Interim housing programs |
2.07 |
1.07 |
| 5. |
• Government agencies |
2.43 |
0.76 |
| 6. |
Specific staff dedicated to outreach |
3.43 |
1.16 |
| |
Programs mainly target services towards: |
|
|
| 7. |
• Adults |
3.23 |
1.24 |
| 8. |
• Single individuals not attached to a family unit |
2.86 |
1.23 |
| 9. |
• Those who are chronically homeless |
3.79 |
0.60 |
| 10. |
• Those who have serious and persistent mental illness |
3.79 |
0.43 |
| 11. |
• Those who have a substance abuse disorder |
3.29 |
0.91 |
| 12. |
• Those who are actively using substances |
3.14 |
0.86 |
| 13. |
• Those who demonstrate a desire to move towards abstinence |
3.29 |
1.14 |
| 14. |
• Those who do not have a prior felony conviction |
1.79 |
1.25 |
| 15. |
• Those who have good credit and/or no convictions |
1.21 |
1.25 |
| |
New consumers are assessed for: |
|
|
| 16. |
• Housing readiness |
1.86 |
1.29 |
| 17. |
• Substance use |
2.71 |
1.07 |
| 18. |
• Mental health status |
2.93 |
0.92 |
| 19. |
• Physical health |
2.71 |
0.83 |
| 20. |
• Financial stability |
1.14 |
1.29 |
| 21. |
• Benefits and entitlements |
2.43 |
1.58 |
| 22. |
• New consumers submit to urinalysis |
0.36 |
0.84 |
| |
Consumers admitted on: |
|
|
| 23. |
1. First come, first serve basis |
1.92 |
1.19 |
| 24. |
2. Assessed need/vulnerability |
3.31 |
0.75 |
| 25. |
Consumers to have benefits upon admission |
0.93 |
1.21 |
| 26. |
Consumers to have insurance upon admission (i.e., Medicaid, Medicare) |
0.64 |
1.08 |
| 27. |
Consumers to agree to money management as a precondition for admission |
1.36 |
1.60 |
| 28. |
Consumers agree to representative payee ship |
1.14 |
1.29 |
| 29. |
Educate incoming consumers on the principles of Housing First |
3.14 |
0.66 |
| 30. |
Housing available in multiple neighborhoods or community areas |
3.14 |
1.10 |
| 31. |
Allow consumers to change housing location once housed |
2.00 |
1.18 |
| 32. |
Temporary housing available to consumers while waiting for permanent placement |
3.07 |
1.07 |
| 33. |
Private landlords for housing sites |
2.79 |
0.89 |
| 34. |
Staff dedicated to locating housing stock |
3.38 |
0.87 |
| 35. |
Staff dedicated to building relationships with property managers |
3.62 |
0.65 |
| 36. |
Consumers do not share living spaces such as bedrooms, living rooms, bathrooms, or kitchens |
2.71 |
1.44 |
| |
Housing property management to: |
|
|
| 37. |
• Allow consumers to use alcohol in unit |
2.85 |
1.52 |
| 38. |
• Allow consumers to use alcohol away from property |
3.57 |
0.76 |
| 39. |
• Allow consumers to use illegal drugs in unit |
1.85 |
1.77 |
| 40. |
• Allow consumers to use illegal drugs away from property |
2.92 |
1.55 |
| 41. |
• Allow consumers to be intoxicated on housing property |
3.00 |
1.04 |
| 42. |
• Prohibit consumer use of any substances in unit |
0.71 |
1.20 |
| 43. |
• Prohibit consumer use of any substances at any time, in or away from unit |
0.43 |
0.76 |
| 44. |
Housing does not have time limits other than those defined by the standard lease/occupancy agreement |
3.71 |
0.50 |
| 45. |
Housing lease is not tied to any type of service agreements |
2.86 |
1.23 |
| 46. |
All consumers have representative payees |
0.93 |
0.10 |
| 47. |
Consumer has a representative payee when has trouble managing money |
2.71 |
0.99 |
| 48. |
Emergency funds available to assist consumers in need |
3.14 |
0.86 |
| 49. |
Consumer as the lease holder |
2.79 |
1.22 |
| 50. |
Agency as the lease holder |
1.36 |
1.34 |
| |
Require regular housing inspection for: |
|
|
| 51. |
• Cleanliness |
2.93 |
0.92 |
| 52. |
• Contraband |
0.86 |
1.17 |
| 53. |
Consumers participate in regular urinalysis to detect substance use |
0.21 |
0.58 |
| 54. |
Directly place consumers into permanent housing situation (rather than interim or safe haven) |
3.07 |
1.14 |
| 55. |
Allow consumer choice in housing location |
2.93 |
0.92 |
| 56. |
Keep active drug and alcohol users separately housing from non-users |
1.21 |
1.12 |
| 57. |
Consumers to be assigned case managers |
4.00 |
0.00 |
| 58. |
Consumers to have regular contact with a case manager as a condition of housing |
1.93 |
1.54 |
| 59. |
Case manager contact occurs in-person |
3.50 |
0.67 |
| 60. |
Reduce the number of face-to-face meeting with a case manager as a consumer demonstrates a growing level of stability |
2.33 |
1.51 |
| |
Consumers to be able to define: |
|
|
| 61. |
• Case manager meeting agenda |
2.79 |
0.80 |
| 62. |
• Case manager meeting time, within reason |
2.71 |
0.61 |
| 63. |
• Case manager meeting location, within reason |
2.43 |
1.16 |
| 64. |
Have an ACT Team |
2.79 |
1.25 |
| 65. |
Intensive case management services |
3.00 |
0.96 |
| 66. |
Consumer chooses level of engagement in services |
3.21 |
0.70 |
| 67. |
Supportive services located on housing site |
2.23 |
1.36 |
| 68. |
Consumers allowed to refuse supportive services |
2.79 |
1.05 |
| 69. |
Staff utilize assertive engagement with consumers to make services attractive |
3.64 |
0.50 |
| |
Important that consumers with mental health issues: |
|
|
| 70. |
• See a mental health practitioner |
2.79 |
1.12 |
| 71. |
• Are compliant with psychiatric medication |
2.36 |
0.84 |
| |
Consumers with physical health issues: |
|
|
| 72. |
• See a health care practitioner |
3.07 |
0.62 |
| 73. |
• Are compliant with their medication prescribed for physical health problems |
2.57 |
0.94 |
| 74. |
Consumer choose their own goals |
3.79 |
0.43 |
| 75. |
Low-demand approach to serving consumers |
3.67 |
0.65 |
| 76. |
Stage-based/stage-wise substance abuse treatment |
2.38 |
0.96 |
| 77. |
Harm Reduction approach to serving consumers |
3.57 |
0.65 |
| 78. |
Educate consumers about harm reduction |
3.15 |
0.99 |
| 79. |
Assess consumers for discharge readiness |
3.08 |
0.95 |
| |
Terminate housing services based on: |
|
|
| 80. |
• Excessive pedestrian traffic in and out of unit |
1.21 |
0.80 |
| 81. |
• Having people stay in unit who are not on the lease |
2.00 |
1.41 |
| 82. |
• Keeping the unit in an unclean, hazardous state |
2.43 |
1.28 |
| 83. |
• Excessive noise |
1.79 |
1.18 |
| 84. |
• Threats of violence |
3.14 |
0.95 |
| 85. |
• Physical violence |
3.79 |
0.43 |
| 86. |
• Relapse |
0.14 |
0.36 |
| 87. |
• Alcohol use in room |
0.36 |
0.93 |
| 88. |
• Illegal substances in room |
1.50 |
1.65 |
| 89. |
• Any illegal activity in the room besides use of illegal substances |
2.31 |
1.44 |
| 90. |
• Nonpayment of rent |
2.29 |
1.33 |
| 91. |
Have formal eviction prevention protocol |
3.64 |
0.84 |
| 92. |
Continue providing services if housing is lost |
3.08 |
1.32 |
| 93. |
Work with consumers to prevent homelessness in preparation for eviction from housing |
3.86 |
0.36 |
| 94. |
Work with consumers to locate new housing if evicted |
3.57 |
0.65 |
| 95. |
Have a staff member dedicated to eviction and/or homelessness prevention |
2.07 |
1.90 |
| 96. |
Eviction and/or homeless prevention specialist is full-time |
2.30 |
1.70 |
| 97. |
Follow-up with consumers after voluntary discharge from housing/services |
2.71 |
1.14 |
| 98. |
Hold housing for consumers if they leave for short periods |
3.64 |
0.63 |
| 99. |
Continue case management services while housing is being held |
3.31 |
0.63 |
| 100. |
Minimum education qualifications for case managers |
3.00 |
0.88 |
| 101. |
Have an ethnically and culturally diverse staff |
3.86 |
0.36 |
| 102. |
Have formal protocol for hiring ethnically and culturally diverse staff |
3.07 |
1.07 |
| |
Have the following types of professionals at agency: |
|
|
| 103. |
• Psychiatrist or psychiatric nurse practitioner |
3.29 |
0.73 |
| 104. |
• Licensed mental health professional (e.g., social worker, psychologists, therapist, or counselor) |
3.00 |
1.04 |
| 105. |
• Certified substance abuse counselor |
2.36 |
1.22 |
| 106. |
• Vocational rehabilitation specialist |
2.36 |
0.84 |
| 107. |
• Medical doctor, nurse practitioner, or physician’s assistant |
2.57 |
1.16 |
| 108. |
• Nurse |
2.57 |
1.02 |
| 109. |
• Peer counselors |
2.86 |
1.23 |
| 110. |
24/7 availability of at least one staff member |
3.36 |
1.01 |
| 111. |
Case managers are accessible (via phone) outside of normal working hours |
2.07 |
1.27 |
| 112. |
Case manager offices located in separate location from housing |
1.54 |
1.61 |
| 113. |
Separate program staff who work with property management to enforce rules and regulations of housing if case manager offices are onsite |
3.00 |
1.00 |
| 114. |
Allow staff to have flexible working schedules |
2.93 |
0.83 |
| 115. |
Staff meet regularly with a supervisor |
3.64 |
0.50 |
| |
Important for staff to be trained in: |
|
|
| 116. |
• Motivational interviewing |
3.57 |
0.65 |
| 117. |
• Crisis intervention |
3.86 |
0.36 |
| 118. |
• Harm reduction |
3.64 |
0.63 |
| 119. |
• 12-step model |
1.93 |
0.10 |
| 120. |
• Stages-of-change treatment |
2.93 |
0.83 |
| 121. |
• Cultural sensitivity |
3.71 |
0.50 |
| 122. |
• Other_____________ |
n/a |
n/a |
| 123. |
• Interdisciplinary team meetings |
3.57 |
0.51 |
| 124. |
Program to engage in program evaluation or outcome measure activities |
3.71 |
0.50 |
| 125. |
Involve consumers in program decision making |
3.21 |
0.80 |
| |
Agency to be involved in Housing First policy discussions at: |
|
|
| 126. |
• Local level |
3.77 |
0.44 |
| 127. |
• State level |
3.46 |
0.66 |
| 128. |
• National level |
3.15 |
1.14 |
| 129. | Utilize housing retention score as an indicator of successful Housing First programming | 2.67 | 1.23 |