Table 2.

Fidelity to the Housing First Model among Full Service Partnerships Responding to the Housing First Fidelity Survey (N = 93)

Housing/Service Philosophy	High Fidelity (%)
Housing choice and structure
Fewer than 30% of participants live in emergency, short-term, transitional, or time-limited housing	73
At least 85% of participants live in scattered-site permanent supported housing	14
Separation of housing and services
Access to permanent housing requires only face-to-face visits with program staff and adhering to a standard lease	43
The majority of participants in permanent housing have a lease or occupancy agreement that specifies their rights and responsibilities of tenancy and which do not include provisions regarding adherence to medication, sobriety, or a treatment plans, or adherence to program rules such as curfews or restrictions on overnight guests	36
Service philosophy
Participants have the right to choose, modify, or refuse services and supports at any time	63
Participants with serious mental illness are not required to take medication and/or participate in treatment	67
Participants with substance use disorders are not required to participate in substance use treatment	81
Program follows a harm reduction approach to substance use	76

Service Array/Program Structure	High Fidelity (%)
Service array
Program provides three or more approaches to substance use intervention	69
Program provides opportunities for community-based employment	75
Program provides opportunities for supported education in the community	88
Program provides opportunities for community-based volunteering	93
Program provides three or more approaches to support participants with physical health issues	71
Program provides three core social integration services	71
Program structure
Program staff meets at least 4 days a week	41
Program meetings address four core functions	74