Homelessness and Mental Health: Part 2

Published April 2021

The Psychiatric Services Editor’s Choice provides essential curated collections from recent issues of Psychiatric Services.  Each month, Editor Lisa Dixon and the Early Career Psychiatrist Advisory Committee offer a curated collection from the rich resource of articles published in the journal. Updates will focus on one area, summarizing for the researcher, clinician, and policy analyst the latest information and seminal research with links to specific content from Psychiatric Services.

This second installment of a double collection on homelessness and mental health focuses on the impact of housing interventions for individuals experiencing homelessness. Homelessness disproportionately affects vulnerable populations, including individuals with mental health conditions. This collection identifies evidence-based interventions that target homelessness and associated adverse outcomes. Articles examine Housing First, a recovery-oriented approach to housing that has been shown to improve quality of life and reduce service utilization for individuals experiencing homelessness, as well as combinations of Housing First paired with assertive community treatment (ACT) models for patients with serious mental illness. Additionally, the impact of supportive housing on mental health and social relationships, shared housing approaches, and factors associated with exiting housing are reviewed. Finally, the collection offers pieces that explore the importance of addressing the housing, mental health, and social needs of youths experiencing homelessness. Individuals experiencing homelessness and mental illness face unprecedented challenges that warrant evidence-based interventions to advance both the care and health of our patients and communities.

Please note that not all articles in this curated collection are available without a subscription. For access, learn about subscribing to Psychiatric Services.


Trajectories of Homeless Shelter Utilization in the At Home/Chez Soi Trial of Housing First
Cherry M. T. Chu, M.Sc., Erica E. M. Moodie, Ph.D., David L. Streiner, Ph.D., Eric A. Latimer, Ph.D.
2020, Volume 71, Issue 7, pp. 648–655

Cost-Effectiveness of Housing First With Assertive Community Treatment: Results From the Canadian At Home/Chez Soi Trial
Eric A. Latimer, Ph.D., Daniel Rabouin, M.Sc., Zhirong Cao, M.Sc., Angela Ly, M.H.A., Guido Powell, M.Sc., Tim Aubry, Ph.D., Jino Distasio, Ph.D., Stephen W. Hwang, M.D., M.P.H., Julian M. Somers, Ph.D., Ahmed M. Bayoumi, M.D., M.Sc., Craig Mitton, Ph.D., Erica E. M. Moodie, Ph.D., Paula N. Goering, R.N., Ph.D.
2020, Volume 71, Issue 10, pp. 1020–1030

Effects of Housing First on Employment and Income of Homeless Individuals: Results of a Randomized Trial
Daniel Poremski, Ph.D., Vicky Stergiopoulos, M.D., Erika Braithwaite, M.Sc., Jino Distasio, Ph.D., Rosane Nisenbaum, Ph.D., Eric Latimer, Ph.D.
2016, Volume 67, Issue 6, pp. 603–609

Associations of Housing First Configuration and Crime and Social Connectedness Among Persons With Chronic Homelessness Histories
Elizabeth Whittaker, B.A., B.Bus.Man., Paul Robert Flatau, M.Ec., Ph.D., Wendy Swift, Ph.D., Timothy A. Dobbins, B.Math., Ph.D., Lucinda Burns, M.P.H., Ph.D.
2016, Volume 67, Issue 10, pp. 1091–1097

Fidelity to the Housing First Model and Variation in Health Service Use Within Permanent Supportive Housing
Todd P. Gilmer, Ph.D., Ana Stefancic, Ph.D., M.A., Benjamin F. Henwood, Ph.D., M.S.W., Susan L. Ettner, Ph.D.
2015, Volume 66, Issue 12, pp. 1283–1289

Willingness of Housing First Participants to Consider Supported-Employment Services
Daniel Poremski, Ph.D., and Stephen W. Hwang, M.D., M.P.H.
2016, Volume 67, Issue 6, pp. 667–670

One-Year Outcomes of a Randomized Controlled Trial of Housing First With ACT in Five Canadian Cities
Tim Aubry, M.A., Ph.D., Sam Tsemberis, Ph.D., Carol E. Adair M.Sc., Ph.D., Scott Veldhuizen, M.A., David Streiner, Ph.D., Eric Latimer, Ph.D., Jitender Sareen, M.D., Michelle Patterson, Ph.D., Kathleen McGarvey, M.D., Brianna Kopp, M.P.H., Catharine Hume, M.H.Sc., Paula Goering, R.N., Ph.D.
2015, Volume 66, Issue 5, pp. 463–469

Housing Programs for Homeless Individuals With Mental Illness: Effects on Housing and Mental Health Outcomes
Elizabeth A. Benston, M.S.W., L.S.W.
2015, Volume 66, Issue 8, pp. 806–816

Life Changes Among Homeless Persons With Mental Illness: A Longitudinal Study of Housing First and Usual Treatment
Geoffrey Nelson, Ph.D., Michelle Patterson, Ph.D., Maritt Kirst, Ph.D., Eric Macnaughton, Ph.D., Corinne A. Isaak, M.Sc., Danielle Nolin, Ph.D., Christopher McAll, Ph.D., Vicky Stergiopoulos, M.D., M.H.Sc., Greg Townley, Ph.D., Timothy MacLeod, M.A., Myra Piat, Ph.D., Paula N. Goering, R.N., Ph.D.
2015, Volume 66, Issue 6, pp. 592–597

Impact of Supported Housing on Social Relationships Among Homeless Veterans
Maria J. O’Connell, Ph.D., Wesley J. Kasprow, Ph.D., M.P.H., Robert A. Rosenheck, M.D.
2017, Volume 68, Issue 2, pp. 203–206

Opening More Doors to End Homelessness Through a Shared Housing Approach
Molly Brown, Ph.D.
2016, Volume 67, Issue 10, p. 1161

Factors Associated With Premature Exits From Supported Housing
Sonya Gabrielian, M.D., M.P.H., Alaina V. Burns, M.D., M.P.H., Nupur Nanda, B.A., Gerhard Hellemann, Ph.D., Vincent Kane, M.S.W., Alexander S. Young, M.D., M.S.H.S.
2016, Volume 67, Issue 1, pp. 86–93

Addressing Intersecting Social and Mental Health Needs Among Transition-Age Homeless Youths: A Review of the Literature
Dominika A. Winiarski, Ph.D., Angela C. Glover, B.A., Dawn T. Bounds, Ph.D., P.M.H.N.P.-B.C., Niranjan S. Karnik, M.D., Ph.D.
2021, Volume 72, Issue 3, pp. 317–324

The Unique Needs of Homeless Youths With Mental Illness: Baseline Findings From a Housing First Trial
Nicole Kozloff, M.D., Vicky Stergiopoulos, M.D., M.H.Sc., Carol E. Adair, M.Sc., Ph.D., Amy H. Cheung, M.D., M.S., Vachan Misir, M.Sc., Greg Townley, Ph.D., Jimmy Bourque, Ph.D., Michael Krausz, M.D., Ph.D., Paula Goering, R.N., Ph.D.
2016, Volume 67, Issue 10, pp. 1083–1090

Fidelity of a Strengths-Based Intervention Used by Dutch Shelters for Homeless Young Adults
Manon A. M. Krabbenborg, M.Sc., Sandra N. Boersma, Ph.D., Mariëlle D. Beijersbergen, Ph.D., Richard J. Goscha, Ph.D., Judith R. L. M. Wolf, Ph.D.
2015, Volume 66, Issue 5, pp. 470–476

  • Was this Helpful ?
  • YesNo

Join our #MissionForBetter now

Sign up for our newsletter. We’ll let you know about new resources, education, and more.