title: Willingness of Housing First Participants to Consider Supported-Employment Services.
abstract: People who had a recent history of homelessness and had mental illness were studied to determine how many wished to be employed and were willing to accept supported-employment services and the factors associated with a decision to decline services.
  
  
  
  People (N=194) with mental illness receiving Housing First were assessed at three-month intervals over 24 months. Analyses determined variables that were associated with accepting or declining randomization to supported-employment services. A regression model was used to determine the odds of obtaining employment.
  
  
  
  Of the 133 (69%) participants who wanted work, 75 (56%) accepted and 58 (44%) declined randomization to services. Those who declined had lower odds of obtaining employment (OR=.42, p=.022), less education, and fewer arrests and had spent less time homeless.
  
  
  
  People with a recent history of homelessness who have a mental illness want work. People who declined randomization to supported-employment services had fewer barriers to employment but had reduced odds of obtaining employment.
authors.affiliation: The authors are with the Centre for Research on Inner City Health, St. Michael's Hospital, Toronto, Ontario, Canada (e-mail: daniel.poremski@mail.mcgill.ca ). Dr. Poremski is also with the Department of Psychiatry, Douglas Mental Health University Institute, Montreal, Quebec, Canada. Dr. Hwang is also with the Department of Medicine, University of Toronto, Toronto, Ontario.
authors.forename: Daniel
authors.initials: D
authors.lastname: Poremski
authors.affiliation: The authors are with the Centre for Research on Inner City Health, St. Michael's Hospital, Toronto, Ontario, Canada (e-mail: daniel.poremski@mail.mcgill.ca ). Dr. Poremski is also with the Department of Psychiatry, Douglas Mental Health University Institute, Montreal, Quebec, Canada. Dr. Hwang is also with the Department of Medicine, University of Toronto, Toronto, Ontario.
authors.forename: Stephen W
authors.initials: SW
authors.lastname: Hwang
mesh_terms: D000328:Adult; D000368:Aged; D002170:Canada; D016832:Employment, Supported; D005260:Female; D006703:Ill-Housed Persons / Q000523:psychology*; D006798:Housing; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D012050:Rehabilitation, Vocational