Housing Quality in a Randomized Controlled Trial of Housing First for Homeless Individuals with Mental Illness: Correlates and Associations with Outcomes.
Housing quality (HQ) is associated with mental health, and may mediate outcomes in housing interventions. However, studies of housing interventions rarely report HQ. The purpose of this study was to describe HQ in a multi-site randomized controlled trial of Housing First (HF) in five Canadian cities...
| Published in: | Journal of Urban Health Vol. 93; no. 4; pp. 682 - 698 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , |
| Format: | journal article |
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Springer Nature
Aug2016
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=117419327&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 117419327 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Aug2016 vid: 93 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 117419327 10.1007/s11524-016-0062-9 ppf: 682 ppct: 16 formats: fmt: @attributes: type: P size: 463KB tig: atl: Housing Quality in a Randomized Controlled Trial of Housing First for Homeless Individuals with Mental Illness: Correlates and Associations with Outcomes. aug: au: Adair, Carol Kopp, Brianna Distasio, Jino Hwang, Stephen Lavoie, Jennifer Veldhuizen, Scott Voronka, Jijian Kaufman, Andrew Somers, Julian LeBlanc, Stefanie Cote, Sonia Addorisio, Sindi Matte, Dominique Goering, Paula Adair, Carol E Hwang, Stephen W Kaufman, Andrew F Somers, Julian M LeBlanc, Stefanie R affil: Mental Health Commission of Canada , Ottawa Canada Institute of Urban Studies , University of Winnipeg , Winnipeg Canada Centre for Research on Inner City Health , St. Michael's Hospital , Toronto Canada Department of Criminology , Wilfrid Laurier University , Brantford Canada Centre for Addiction and Mental Health , Toronto Canada Department of Humanities, Social Science and Social Justice , University of Toronto , Toronto Canada Faculty of Health Sciences , Simon Fraser University , Burnaby Canada Centre de recherche et de développement en éducation , Université de Moncton , Moncton Canada At Home/Chez Soi Montreal Site , Montreal Canada At Home/Chez Soi Vancouver Site , Vancouver Canada At Home/Chez Soi Montreal Site , Douglas University Institute for Mental Health , Montreal Canada Mental Health Commission of Canada, Ottawa, Ontario, Canada Department of Psychiatry, the University of Calgary, Calgary, Alberta, Canada Department of Community Health Sciences, the University of Calgary, Calgary, Alberta, Canada Centre for Research on Inner City Health, St. Michael's Hospital, Toronto, Ontario, Canada Institute of Urban Studies, University of Winnipeg, Winnipeg, Manitoba, Canada Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada Centre de recherche et de développement en éducation, Université de Moncton, Moncton, New Brunswick, Canada su: Canada Housing satisfaction Quality of life Housing & health Public housing Homelessness Mental illness Housing Homeless persons Psychometrics Randomized controlled trials Psychology Comparative studies Research methodology Medical cooperation Regression analysis Research Evaluation research Standards sug: subj: Housing satisfaction Quality of life Housing & health Public housing Homelessness Mental illness Housing Homeless persons Psychometrics Randomized controlled trials Psychology Canada Other Community Housing Services Lessors of social housing projects Comparative studies Research methodology Medical cooperation Regression analysis Research Evaluation research Standards keyword: Housing quality Housing-related health research Public/private housing Standardized measures Housing quality Housing-related health research Public/private housing Standardized measures ab: Housing quality (HQ) is associated with mental health, and may mediate outcomes in housing interventions. However, studies of housing interventions rarely report HQ. The purpose of this study was to describe HQ in a multi-site randomized controlled trial of Housing First (HF) in five Canadian cities and to examine possible differences by treatment group (HF recipients and treatment-as-usual (TAU) participants who were able to find housing through other programs or on their own). We also examined the association between HQ and the primary trial outcome: housing stability. The performance of a new multi-dimensional standardized observer-rated housing quality scale (the OHQS) in a relatively large cross-site sample was also of interest. HQ was rated by trained research assistants for 204 HF participants and 228 TAU participants using the OHQS. General linear regression models were used to examine unit/building quality scores by group and site adjusting for other group differences, and as a predictor of housing stability outcomes after 24 months of follow-up. The OHQS was found to have good reliability and validity, but because most of the neighborhood subscale items were negatively correlated with the overall scale, only unit and building items were included in the total HQ score (possible scores ranging from 13.5 to 135). Unit/building HQ was significantly better for the HF group overall (91.2 (95 % CI = 89.6-92.9) vs. 88.3 (95 % CI = 86.1-90.5); p = .036), and in one site. HQ in the TAU group was much more variable than the HF group overall (W (mean) = 24.7; p < .001) and in four of five sites. Unit/building HQ scores were positively associated with housing stability: (73.4 (95 % CI 68.3-78.5) for those housed none of the time; 91.1 (95 % CI 89.2-93.0) for those housed some of the time; and 93.1 (95 % CI 91.4-94.9)) for those housed all of the time (F = 43.9 p < .001). This association held after adjusting for site, housing characteristics, participant ethnocultural status, community functioning, and social support. This study demonstrates that HQ can be as good or better, and less variable, in HF programs in Canada that systematically and predominantly source housing stock from the private sector compared to housing procured outside of an HF program. HQ is also an important predictor of housing stability outcomes. pubtype: Academic Journal doctype: journal article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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