Table 1 Program Logic Model for Pathways Housing First Program
From: A randomized controlled trial of the effectiveness of Housing First in a small Canadian City
Domain/ Inputs | Theoretical Principles | Program Activities | Outcomes | ||
|---|---|---|---|---|---|
Immediate (0–6 months) | Medium-term (6–24 months) | Long-term (>2 years) | |||
Housing/ Rent supplements | Housing choice and community integration | -Assess consumer housing preferences -Rapid housing procurement -Permanent housing -Obtain rent supplement -Assistance with furnishing housing -Typically scattered-site housing, but depends on consumer choice -Lease with private landlord | -Rapidly housed in place of choice -Reduced contact with non-supportive contacts - Development of new relationships with landlords and neighbours | -Increased housing stability -Reduced homelessness -Increased housing choice -Increased quality of housing -Increased housing satisfaction -Positive relationships with landlords, neighbours, and other community members | -Increased housing stability -Reduced homelessness -Maintenance of housing choice, quality, and satisfaction even if housing changes -Maintenance of relationships with landlords, neighbours, and other community members |
Services/ ACT or ICM services | Separation of housing and services | -Mobile ACT outreach | -Development of working alliance with ACT staff | -Maintenance of working alliance with staff | -Maintenance of working alliance with staff -Increased community integration |
Services based on choice, recovery-orientation, and community integration | Service philosophy -Staff values of choice and recovery -Assertive engagement -Assess consumer interests (e.g., work, education, social, family) -Assist consumer in accessing public benefits and health services -Harm reduction -Individualized consumer-centered planning -Broad range of goals | -Increased participation in mental health treatment -Increased participation in substance use treatment -Increased access to public benefits and health services -Reduced use of hospital and emergency services -Reduced involvement in criminal justice system | -Maintenance of reduced use of hospital and emergency services and involvement in criminal justice system -Improved community functioning -Increased subjective quality of life -More positive consumer narratives - Development of future-focused orientation -Improved clinical outcomes (i.e., reduced psychiatric symptoms and substance use) | -Maintenance of reduced use of hospital and emergency services and involvement in criminal justice system -Maintenance of community functioning, subjective quality of life, and consumer narratives -Increased involvement in work or education | |
Service array -Housing -Psychiatric services -Primary care -Social integration services | |||||
Program structure -Weekly visits -Team meetings -Low consumer:staff ratio -Peer specialist | |||||