OBJECTIVES: Programs that use the Housing First model are being implemented throughout the United States and internationally. The authors describe the development and validation of a Housing First fidelity survey. METHODS: A 46-item survey was developed to measure fidelity across five domains: housing process and structure, separation of housing and services, service philosophy, service array, and team structure. The survey was administered to staff and clients of 93 supported-housing programs in California. Exploratory and confirmatory factor analyses were used to identify the items and model structure that best fit the data. RESULTS: Sixteen items were retained in a two-factor model, one related to approach to housing, separation of housing and services, and service philosophy and one related to service array and team structure. CONCLUSIONS: Our survey mapped program practices by using a common metric that captured variation in fidelity to Housing First across a large-scale implementation of supported-housing programs.
OBJECTIVES: Programs that use the Housing First model are being implemented throughout the United States and internationally. The authors describe the development and validation of a Housing First fidelity survey. METHODS: A 46-item survey was developed to measure fidelity across five domains: housing process and structure, separation of housing and services, service philosophy, service array, and team structure. The survey was administered to staff and clients of 93 supported-housing programs in California. Exploratory and confirmatory factor analyses were used to identify the items and model structure that best fit the data. RESULTS: Sixteen items were retained in a two-factor model, one related to approach to housing, separation of housing and services, and service philosophy and one related to service array and team structure. CONCLUSIONS: Our survey mapped program practices by using a common metric that captured variation in fidelity to Housing First across a large-scale implementation of supported-housing programs.
Authors: Stefan G Kertesz; Erika Laine Austin; Sally K Holmes; David E Pollio; Joseph E Schumacher; Bert White; Carol VanDeusen Lukas Journal: J Gen Intern Med Date: 2014-12 Impact factor: 5.128
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Authors: Erica Hua Fletcher; Sonya Gabrielian; Anthony W P Flynn; Jared M Greenberg; Sona Hovsepian; Rebecca S Oberman; Alexander S Young Journal: Health Serv Res Date: 2022-03-03 Impact factor: 3.402
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Authors: Susan E Collins; Silvi C Goldstein; Victorio L King; Victoria E Orfaly; Jingyan Gu; Alex Clark; Alexander Vess; Gary Lee; Emily M Taylor; Taurmini Fentress; Ashley K Braid; Seema L Clifasefi Journal: J Community Psychol Date: 2020-12-10