Évaluation économique du programme Housing First auprès de personnes itinérantes ayant des troubles de santé mentale : analyse après deux ans de suivi à Montréal dans le cadre du projet At Home / Chez Soi

Ce mémoire évalue l’efficacité de Housing First (HF) sur la stabilité résidentielle de personnes itinérantes ayant des troubles mentaux et son rapport coût-efficacité différentiel (RCED) sous une perspective sociétale. Une étude à répartition aléatoire (n=469) comparant HF avec les services usuels (SU) a été réalisée à Montréal, Canada. Des questionnaires ont été distribués à intervalles de 3- et 6- mois pendant 24 mois. Le temps passé en logement stable est passé de 6,44% à 62,21% pour les HF ayant des besoins élevés vs. 6,64% à 23,34% chez leurs homologues SU. Les pourcentages correspondants des participants ayant des besoins modérés sont de 12,13% à 79,58% pour HF vs. 6,45% à 34,01% pour SU. Le coût total des participants ayant des besoins élevés est de 73 301$/an pour HF vs. 64 715$/an pour SU (RCED=49,85$/jour); celui des participants ayant des besoins modérés est de 47 746$/an pour HF vs. 46 437$/an pour SU (RCED=3,65$/jour). Les diminutions de coûts associées à HF ont compensé une partie importante des coûts de l’intervention.

The role of perceived housing quality and perceived choice to recovery: An ecological perspective on a housing first program in Lisbon

This study explores, from an ecological perspective, the relationship between perceived housing quality and the perception of choice, and between perceived choice and recovery of 45 Housing First Lisbon participants. For this purpose, we used a quantitative method and applied three instruments that report perceived housing quality, perceived choice and severe mental illness recovery. The findings reveal a significant and positive association between perceived housing quality and perceived choice, and between perceived choice and recovery, with choice being predicted by housing quality and recovery predicted by choice. These results reinforce the scientific evidence regarding the success of housing first models as a consumer choice-driven intervention, addressing pertinent environmental factors that contribute to housing stability. The study demonstrates that recovery processes can be maximized through services that empower their consumers by allowing them to choose and control the priority and order of the support services received.

Social impact bond feasibility study AEIPS intervention

AEIPS is a Portuguese social organization promoting the integration of people with mental health illnesses and/or substance abuse in the community through the intervention model Housing First. The philosophy of Housing First aims at lifting people out of their homelessness status by providing instant access to individualized and permanent housing as well as support services. Housing First projects from all over the world have proved very positive results in terms of residential stability and community integration of its participants. This feasibility study evaluates the suitability of using a Social Impact Bond to fund the Housing First intervention of AEIPS in Portugal.

Savoirs d’expérience et savoirs professionnels : un projet expérimental dans le champ de la santé mentale

Cette thèse est une réflexion d’épistémologie sociale sur la construction des savoirs professionnels et expérientiels portant sur les problèmes de santé mentale ainsi qu’une exploration de leurs rapports à partir d’un projet de recherche montréalais. Ce projet fédéral de recherche et de démonstration visait à évaluer l’impact de l’approche Logement d’abord auprès de personnes avec des problèmes de santé mentale en situation d’itinérance. À Montréal, des pairs, avec une expérience vécue des réalités de la santé mentale et de l’itinérance, ont été impliqués dans le projet de recherche aux côtés d’intervenants, de gestionnaires et de chercheurs. Au fil des mois, leur présence a eu des effets contrastés, contribuant parfois à renforcer les barrières entre les savoirs et les hiérarchies professionnelles en présence dans le projet, et, à d’autres occasions, à les surmonter et entrer dans un processus de co-production de nouveaux savoirs et pratiques. L’analyse des rapports entre les savoirs en présence dans le projet souligne leur caractère complémentaire dans l’intervention publique dans le domaine des services sociaux et de la santé et les forces de l’approche expérimentale mise en oeuvre. La thèse offre également une contribution à la littérature sur la participation citoyenne en proposant une réflexion sur la capacité des citoyens à transformer les institutions publiques. Les données analysées sont issues d’un terrain de deux ans mêlant observations de la participation des pairs et une cinquantaine d’entretiens individuels et collectifs réalisés auprès de pairs aidants, intervenants, chefs d’équipe, psychiatres, gestionnaires et chercheurs.

Public service use by residents of Jackson Hinds Gardens before and after enrollment

Homelessness is associated with high use of public services such as health care and criminal justice services. Intervention designs to reverse homelessness have broadly fallen into two categories: either standard care which employs requisitely addressing the causes of homelessness, or housing first, which emphasizes provision of permanent housing without requisitely addressing the causes of homelessness. Multiple cities have recently commenced housing first interventions. Locally, Houston’s first housing first development is the Jackson Hinds Gardens project. The purpose of this study is to analyze the public service use of residents of housing first in Houston. Residents of Jackson Hinds Gardens who have been enrolled for at least 6 months were evaluated for public service use for an equal amount of time preceding and during their residence at Jackson Hinds. Resident interactions with county health services and criminal justice entities were determined by electronic database searches; these data were supplemented by life experience interview data. Service usage values pre- and post-enrollment at Jackson Hinds Gardens were compared by paired t-test analyses. We found that ER and inpatient usage decreased following enrollment in Jackson Hinds, although these reductions were not significant. In contrast, outpatient care and number of medications significantly increased following enrollment. These analyses inform on the effects of housing first in another major city, as well as informing the ethical considerations regarding housing first versus standard care. ^

Informal housing in the XXI century. Characteristics of the informal land and housing supply in Bogota during the first decade of the XXI century

This article characterizes the conditions of the informal land and housing supply during the first decade of the xxi century in Bogota, regarding magnitude and location of the informal urban growth (new occupations in the periphery and informal densification of consolidated areas), housing  conditions in recent occupations and the characteristics of the land market. The situation of the  last decade has been reconstructed based in aerial photography analysis, census data quantification  and data analysis from planning and control public entities. Results suggest that due to the relative  land scarcity in Bogotá, among other aspects, the informal market dynamics have experimented changes compared to previous decades, because the growth in consolidated urban areas becomes  more important than the informal urbanization of the peripheries, but at the same time informality  transcends the municipal perimeter to the neighboring municipalities.

Challenges facing housing affordability in Beijing in the Twenty-first century

Purpose – The purpose of this paper is analyse to what extent the high price had led to low levels of housing affordability in the period 2002-2006 in Beijing. Due to the importance of housing for local residents and the crucial position that real estate market in the Chinese economy is currently in, research into the housing affordability issues is now essential. It is important to consider the social circumstances that are predominantly related to both the standard of living and the national economy in Beijing.

Design/methodology/approach – The housing price to income ratio (PIR) method and Housing Affordability Index (HAI) model are used to measure housing affordability in Beijing. Then, the reasons for the high housing prices in Beijing are discussed and government homeownership-oriented policies to help citizen on housing issues are examined. Finally, future proposals which can contribute to ease the housing affordability problem are recommended.

Findings – The main findings in this research are that the PIR in the Beijing housing market (based on an average gross floor area of 60?m2) fluctuated between 6.69 and 9.12, respectively, between 2002 and 2006. Over the same period, the HAI was approximately 75 between 2002 and 2004, although decreasing sharply in 2005 (65.78) and 2006 (51.33). It appears that the Chinese government's new housing provision policies may be able to ease this affordability problem, especially with regards to the economic housing scheme.

Originality/value – China has experienced rapid growth in gross domestic product (GDP) with a substantial increase in house prices which have affected housing affordability for typical Beijing households. Since the housing reform in China commenced in 1998, Beijing residents, government officers and academics have been concerned about high housing prices in the city, which is considered beyond the buying capability of the ordinary residents. The results are designed to provide an insight into the level of housing affordability in Beijing and whether a trend exists.

Identifying the drivers behind housing preferences of first time owners

Purpose – The purpose of this paper is to provide a rare insight into the motivation behind first-time buyers when looking to purchase their first home. The factors driving demand preferences for detached housing are constantly changing and difficult to measure, and often deemed to be a complex bundle of attributes.

Design/methodology/approach – The research in this paper is based on interviews with purchasers at a series of locations across Melbourne, Australia, who were actively seeking to purchase a home for the first time. The data were analysed using factor analysis to identify the core decision criteria in a new house that were most sought after.

Findings – The findings in this paper confirmed that “financial” issues accounted for approximately 30 percent of the actual decision by first-time buyers to purchase housing, where decisions relating to the timing and choice of housing are dependent on “site-specific” factors.

Research limitations/implications – The research in this paper is aimed specifically at first time buyers only and the influencing factors behind their purchasing decisions.

Practical implications – The paper shows that, if consideration is given to the characteristics that first-time owners are looking for, providers of new housing would be better equipped to meet this demand and maximise construction efficiency.

Originality/value – In the paper the emphasis was placed on identifying and analysing the decision criteria behind first-time buyers, which provided an invaluable insight into their concept of a suitable residence. Rather than analysing sales transactions after they have been completed, this research considers aspects of new houses that first-time owners are actively searching for, prior to making their purchase.

Effects of budget cuts on cities : hearing before the Subcommittee on Housing and Community Development of the Committee on Banking, Finance, and Urban Affairs, House of Representatives, Ninety-seventh Congress, first session, December 15, 1981.

Mode of access: Internet.

Public housing operating subsidies : hearing before the Subcommittee on Housing and Community Development of the Committee on Banking, Finance, and Urban Affairs, House of Representatives, Ninety-seventh Congress, first session, October 29, 1981.

Item 1013-A, 1013-B (microfiche)

Community development block grant--small cities regulations : hearing before the Subcommittee on Housing and Community Development of the Committee on Banking, Finance, and Urban Affairs, House of Representatives, Ninety-seventh Congress, first session, December 11, 1981.

Item 1013-A, 1013-B (microfiche)

HUD guarantee of tax-exempt hospital financing : hearing before the Subcommittee on Housing and Community Development of the Committee on Banking, Finance, and Urban Affairs, House of Representatives, Ninety-sixth Congress, first session, May 17, 1979.

"Serial no. 96-21."