title: Implementation and Outcomes of Forensic Housing First Programs.
abstract: This mixed-method study used administrative data from 68 supportive housing programs and evaluative and qualitative site visit data from a subset of four forensic programs to (a) compare fidelity to the Housing First model and residential client outcomes between forensic and nonforensic programs and (b) investigate whether and how providers working in forensic programs can navigate competing Housing First principles and criminal justice mandates. Quantitative findings suggested that forensic programs were less likely to follow a harm reduction approach to substance use and clients in those programs were more likely to live in congregate settings. Qualitative findings suggested that an interplay of court involvement, limited resources, and risk environments influenced staff decisions regarding housing and treatment. Existing mental health and criminal justice collaborations necessitate adaptation to the Housing First model to accommodate client needs.
authors.affiliation: School of Social Work, University of Southern California, Montgomery Ross Fisher Building, Los Angeles, CA, 90089-0411, USA. liat.kriegel@gmail.com.
authors.forename: Liat S
authors.initials: LS
authors.lastname: Kriegel
authors.affiliation: School of Social Work, University of Southern California, Montgomery Ross Fisher Building, Los Angeles, CA, 90089-0411, USA.
authors.forename: Benjamin F
authors.initials: BF
authors.lastname: Henwood
authors.affiliation: Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, CA, 92093, USA.
authors.forename: Todd P
authors.initials: TP
authors.lastname: Gilmer
mesh_terms: D000328:Adult; D005260:Female; D006703:Ill-Housed Persons / Q000523:psychology*; D006798:Housing; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders; D008875:Middle Aged; D015397:Program Evaluation / Q000379:methods*; D036301:Qualitative Research; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Fidelity; Forensic mental health; Homelessness; Housing First; Serious mental illness