000			01613nam a22001577a 4500
999			_c518874 _d518874
008			211217b ||||| |||| 00| 0 eng d
100			_aLachaud, James et al _931107
245			_aHousing first and severe mental disorders: The challenge of exiting homelessness
260			_aThe Annals of the American Academy of Political and Social Science
300			_a693(1), Jan, 2021: p.178-192
520			_aWe examine the long-term housing trajectories of 543 program participants at the Toronto site of the At Home/Chez-Soi project, a randomized controlled trial of a Housing First (HF) intervention for adults with mental disorders. The average follow-up period for our study was 5.5 years. We find that the HF approach, which includes housing subsidies and support services, was strongly associated with rapid transitions to sustained housing (70.4 percent of HF participants vs. 27.9 percent of treatment as usual participants). Mood disorders with psychotic features and primary psychotic disorders were negatively associated with the rapid and sustained housing trajectory, and alcohol use disorders were positively associated with a rapid then declining housing trajectory. We argue that to understand the long-term impacts of housing programs, research needs to better explore comprehensive and personalized care to support individuals with severe mental disorders. – Reproduced
650			_aHousing first, Psychosis, Substance use, Exiting homelessness, Housing trajectory _928874
773			_aThe Annals of the American Academy of Political and Social Science
906			_aHOUSING
942			_cAR