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The Comparative Effectiveness of Different Models of Permanent Supportive Housing on Problematic Substance Use, Depression, and Anxiety Symptoms over Time

Overview
Specialties Psychiatry
Psychology
Date 2021 May 3
PMID 33939448
Citations 1
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Abstract

Objectives: To compare the effectiveness of different models of permanent supportive housing (PSH), housing configuration, and service provision model on substance use, depression, and anxiety symptoms among residents over time.

Methods: Linear mixed model regression was used with 888 residents of PSH to investigate the relationship between supportive housing type, service model, and housing configuration and change in mental health and substance use at baseline, 6-, 12-, and 18-month follow-up.

Results: There were few significant differences in problematic substance use, depression, or anxiety symptoms among those in different PSH types, different housing configuration models, or different service provision models. Similarly, there were no significant differences in PSH type, housing configuration, or service delivery model among those with severe mental illness (SMI), substance use disorder (SUD), or those with dual diagnoses.

Conclusions: There is little evidence that different models of PSH result in differences in mental health and substance use outcomes. Future research should consider the number of services clients receive and critical periods in PSH residency in improving mental health and substance use outcomes. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Citing Articles

Placement into Scattered-Site or Place-Based Permanent Supportive Housing in Los Angeles County, CA, During the COVID-19 Pandemic.

Henwood B, Kuhn R, Gonzalez A, Chien J, Tu Y, Bluthenthal R Adm Policy Ment Health. 2024; 51(5):805-817.

PMID: 38483751 PMC: 11379792. DOI: 10.1007/s10488-024-01359-1.

References
1.
Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

2.
Watson D, Orwat J, Wagner D, Shuman V, Tolliver R . The Housing First Model (HFM) fidelity index: designing and testing a tool for measuring integrity of housing programs that serve active substance users. Subst Abuse Treat Prev Policy. 2013; 8:16. PMC: 3655861. DOI: 10.1186/1747-597X-8-16. View

3.
Tiderington E . Long-term effectiveness of housing and support services for homeless adults with mental illness. Lancet Psychiatry. 2019; 6(11):879-881. DOI: 10.1016/S2215-0366(19)30372-4. View

4.
Dickson-Gomez J, McAuliffe T, Obidoa C, Quinn K, Weeks M . The relationship between housing subsidies and supportive housing on neighborhood distress and housing satisfaction: does drug use make a difference?. Subst Abuse Treat Prev Policy. 2016; 11(1):20. PMC: 4884364. DOI: 10.1186/s13011-016-0064-3. View

5.
Dickson-Gomez J, Quinn K, Bendixen A, Johnson A, Nowicki K, Ko Ko T . Identifying variability in permanent supportive housing: A comparative effectiveness approach to measuring health outcomes. Am J Orthopsychiatry. 2017; 87(4):414-424. PMC: 5503781. DOI: 10.1037/ort0000232. View