Housing First: Lessons from the United States and Challenges for Australia

  title={Housing First: Lessons from the United States and Challenges for Australia},
  author={Stefan G. Kertesz and Guy Johnson},
  journal={Macroeconomics: Employment},
Efforts to end long-term homelessness have embraced a Housing First approach. Housing First emphasises rapid placement of clients into independent, permanent accommodation and eschews traditionally favoured requirements that clients demonstrate sobriety or success in treatment programs prior to being offered housing. Although housing retention rates are superior to those obtained from traditional programs, some claims made on behalf of the Housing First approach remain controversial. The… 
The role of housing policy in perpetuating conditional forms of homelessness support in the era of housing first: Evidence from Australia
Abstract Despite widespread enthusiasm for Housing First approaches to addressing homelessness, conditional models of support that require ‘housing readiness’ persist in many jurisdictions. Existing
‘I waited 12 months’: how does a lack of access to housing undermine Housing First?
Abstract Housing First is recognised internationally as effective in addressing homelessness, in particular for vulnerable cohorts, yet has been implemented internationally on only a limited basis.
An Exploration of the Factors contributing to Self-Sufficiency Post-Homelessness: A Detailed Look at Commonalities and Barriers
Housing First approaches such as Rapid Re-Housing allow those experiencing homelessness to obtain shelter and support efficiently, perhaps completing steps towards making the experience of
What are the impacts of living in social housing? New evidence from Australia
Abstract In this paper, we apply statistical matching methods to a national longitudinal dataset of Australians facing housing insecurity to estimate the impacts of social housing on employment,
Strategies for Sustaining Fidelity: A Multi-state Qualitative Analysis in Housing First Programs
The pursuit of pro-active community engagement to attract knowledgeable staff as well as increase local buy-in was considered pivotal at all three sites, underscoring the need to attend to the external setting aswell as to internal program operations.
From long-term homelessness to stable housing: investigating ‘liminality’
Abstract This paper uses the term ‘liminality’ to refer to the experience of feeling like an outsider when people are transitioning from one housing status (long-term homelessness) to another
Improving evaluation for social housing: methods and data
This paper highlights several important issues that if addressed could improve the methodology around cost-benefit analysis and social return on investment as used in the affordable and social
Conceptualizing an Interdisciplinary Collective Impact Approach to Examine and Intervene in the Chronic Cycle of Homelessness
The necessary capacity-building at the institution and community level for the model, the complementary strengths and contributions of each stakeholder discipline in the proposed model, and future goals for implementation to address homelessness in the Southern California region are described.
Visible Homelessness in a “Liveable City”: Municipal Responses to Homelessness in Melbourne
Despite considerable national and urban prosperity, significant numbers of Australians are homeless. How local governments engage with homelessness has significant implications for the homeless
Ending street homelessness: what works and why we don’t do it
\ Abstract_Vast human and financial resources have been spent in efforts to understand and address street homelessness. Yet, the problem persists. This think piece summarises the findings of a major


Housing First and the Risk of Failure
This commentary suggests that the 2013 VA report was problematic in the conceptualization of the matters it sought to address and in its science, and highlights challenges that must not be ignored.
Housing First for Homeless Persons with Active Addiction: Are We Overreaching?
It is suggested that the current research data are not sufficient to identify an optimal housing and rehabilitation approach for an important homeless subgroup and policymakers should be cautious about generalizing the results of available Housing First studies to persons with active addiction when they enter housing programs.
Policy Shift or Program Drift? Implementing Housing First in Australia
Providing secure, sustainable housing options for people experiencing chronic homelessness has posed an enduring challenge for policy-makers and practitioners alike. While Australian homelessness
VA's expansion of supportive housing: successes and challenges on the path toward Housing First.
The findings highlight the considerable practical challenges and innovative solutions arising from a large-scale effort to implement Housing First, with particular attention to the experiences of individuals at all levels within an organization.
Evaluation of the Melbourne street to home program: final report
This report examines the 24 month outcomes of the Melbourne Street to Home service. Melbourne Street to Home is designed to end chronic homelessness using a Housing First approach. The report found
Housing First for Long-Term Shelter Dwellers with Psychiatric Disabilities in a Suburban County: A Four-Year Study of Housing Access and Retention
Results highlight that providers new to Housing First must be aware of ways in which their practices may deviate from the essential features of Housing First, particularly with respect to enrolling eligible consumers on a first-come, first-served basis and separating clinical issues from tenant or housing responsibilities.
Exploring Transitions Within a Project-based Housing First Setting: Qualitative Evaluation and Practice Implications
Transitional periods are delineated, including moving into project-based HF, community-building, managing day-to-day, and transitions from project- based HF, to help health care policymakers and providers envision the role of project-Based HF in comprehensive public health efforts and to integrate lessons learned into their own clinical practice.
Implementing Housing First Across Sites and Over Time: Later Fidelity and Implementation Evaluation of a Pan-Canadian Multi-site Housing First Program for Homeless People with Mental Illness
Later fidelity and implementation of a five-site pan-Canadian Housing First research demonstration project revealed that staff expertise, partnerships with other services, and leadership facilitated implementation, while staff turnover, rehousing participants, participant isolation, and limited vocational/educational supports impeded implementation.
Long-Term Housing and Work Outcomes Among Treated Cocaine-Dependent Homeless Persons
The findings demonstrate a helpful role for addiction treatment and suggest the need for services to support housing of persons who reduce but do not eliminate all substance use.
Housing Programs for Homeless Individuals With Mental Illness: Effects on Housing and Mental Health Outcomes.
Pitfalls in the best available studies on permanent supportive housing programs in the United States limit the ability of research to inform the policy goal of ending chronic homelessness and demonstrate a need for further experimental research upon which to make funding and policy decisions.