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Brief Reports   |    
Development and Validation of a Housing First Fidelity Survey
Todd P. Gilmer, Ph.D.; Ana Stefancic, M.A.; Marisa Sklar, M.S.; Sam Tsemberis, Ph.D.
Psychiatric Services 2013; doi: 10.1176/appi.ps.201200500
View Author and Article Information

Dr. Gilmer is affiliated with the Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Dr., La Jolla, CA 92093 (e-mail: tgilmer@ucsd.edu). Ms. Stefancic and Dr. Tsemberis are with Pathways to Housing, Inc., and Ms. Stefancic is also with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, both in New York City. Ms. Sklar is with the San Diego State University–University of California, San Diego, Joint Doctoral Program in Clinical Psychology. The preliminary results of this study were presented at the Housing First Partners’ research conference, March 21–23, 2012, in New Orleans; the Academy Health annual research meeting, June 24–26, 2012, in Orlando, Florida; and the Agency for Healthcare Research and Quality annual conference, September 9–12, 2012, in Bethesda, Maryland.

Copyright © 2013 by the American Psychiatric Association

Abstract

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.

Abstract Teaser
Figures in this Article

Topics

housing ; philosophy
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Anchor for Jump
Table 1Factor analysis of survey items associated with fidelity to Housing First, by program domain
Table Footer Note

a Cronbach’s α=.72

Table Footer Note

b Cronbach’s α=.78

Table Footer Note

c Squared multiple correlation

Table Footer Note

d Kaiser-Meyer-Olkin statistic

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References

O’Hara  A:  Housing for people with mental illness: update of a report to the President’s New Freedom Commission.  Psychiatric Services 58:907–913, 2007
[CrossRef] | [PubMed]
 
Tsemberis  S;  Eisenberg  RF:  Pathways to housing: supported housing for street-dwelling homeless individuals with psychiatric disabilities.  Psychiatric Services 51:487–493, 2000
[CrossRef] | [PubMed]
 
Pearson  C;  Locke  G;  Montgomery  A  et al:  The Applicability of Housing First Models to Homeless Persons With Serious Mental Illness.   Washington, DC,  US Department of Housing and Urban Development, Office of Policy Development and Research, 2007
 
Metraux  S;  Marcus  SC;  Culhane  DP:  The New York-New York housing initiative and use of public shelters by persons with severe mental illness.  Psychiatric Services 54:67–71, 2003
[CrossRef] | [PubMed]
 
Shern  DL;  Felton  CJ;  Hough  RL  et al:  Housing outcomes for homeless adults with mental illness: results from the second-round McKinney program.  Psychiatric Services 48:239–241, 1997
[PubMed]
 
Tsemberis  S:  The Pathways Model to End Homelessness for People With Mental Illness and Addiction Manual .  Center City, Minn,  Hazelden, 2010
 
Scheffler  RM;  Adams  N:  Millionaires and mental health: Proposition 63 in California.  Health Affairs  (suppl Web exclusives):W5-212–W5-224, 2005
 
Gilmer  TP;  Stefancic  A;  Ettner  SL  et al:  Effect of full-service partnerships on homelessness, use and costs of mental health services, and quality of life among adults with serious mental illness.  Archives of General Psychiatry 67:645–652, 2010
[CrossRef] | [PubMed]
 
Cashin  C;  Scheffler  R;  Felton  M  et al:  Transformation of the California mental health system: stakeholder-driven planning as a transformational activity.  Psychiatric Services 59:1107–1114, 2008
[CrossRef] | [PubMed]
 
Nunnally  J;  Bernstein  I:  Psychometric Theory.   New York,  McGraw-Hill, 1994
 
Kaiser  H:  An index of factorial simplicity.  Psychometrika 39:31–36, 1974
[CrossRef]
 
Kaiser  H:  The varimax criterion for analytic rotation in factor analysis.  Psychometrika 23:187–200, 1958
[CrossRef]
 
Bentler  PM:  Comparative fit indexes in structural models.  Psychological Bulletin 107:238–246, 1990
[CrossRef] | [PubMed]
 
Steiger  J:  Structural model valuation and modification: an interval estimation approach.  Multivariate Behavioral Research 25:173–180, 1990
[CrossRef]
 
Cronbach  L:  Coefficient alpha and the internal structure of tests.  Psychometrika 16:297–334, 1951
[CrossRef]
 
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