Table 1.

Program Logic Model for Pathways Housing First Program

Domain/ Inputs	Theoretical Principles	Program Activities	Outcomes
			Immediate (0–6 months)	Medium-term (6–24 months)	Long-term (>2 years)
Housing/ Rent supplements	Housing choice and community integration	-Assess consumer housing preferences -Rapid housing procurement -Permanent housing -Obtain rent supplement -Assistance with furnishing housing -Typically scattered-site housing, but depends on consumer choice -Lease with private landlord	-Rapidly housed in place of choice -Reduced contact with non-supportive contacts - Development of new relationships with landlords and neighbours	-Increased housing stability -Reduced homelessness -Increased housing choice -Increased quality of housing -Increased housing satisfaction -Positive relationships with landlords, neighbours, and other community members	-Increased housing stability -Reduced homelessness -Maintenance of housing choice, quality, and satisfaction even if housing changes -Maintenance of relationships with landlords, neighbours, and other community members
Services/ ACT or ICM services	Separation of housing and services	-Mobile ACT outreach	-Development of working alliance with ACT staff	-Maintenance of working alliance with staff	-Maintenance of working alliance with staff -Increased community integration
	Services based on choice, recovery-orientation, and community integration	Service philosophy -Staff values of choice and recovery -Assertive engagement -Assess consumer interests (e.g., work, education, social, family) -Assist consumer in accessing public benefits and health services -Harm reduction -Individualized consumer-centered planning -Broad range of goals	-Increased participation in mental health treatment -Increased participation in substance use treatment -Increased access to public benefits and health services -Reduced use of hospital and emergency services -Reduced involvement in criminal justice system	-Maintenance of reduced use of hospital and emergency services and involvement in criminal justice system -Improved community functioning -Increased subjective quality of life -More positive consumer narratives - Development of future-focused orientation -Improved clinical outcomes (i.e., reduced psychiatric symptoms and substance use)	-Maintenance of reduced use of hospital and emergency services and involvement in criminal justice system -Maintenance of community functioning, subjective quality of life, and consumer narratives -Increased involvement in work or education
		Service array -Housing -Psychiatric services -Primary care -Social integration services
		Program structure -Weekly visits -Team meetings -Low consumer:staff ratio -Peer specialist