Evidence map›Paper›PMID 35238030›Full record

ArticleHealth services research2022

Stakeholder perspectives on sustainment of Housing First in a VA permanent supportive housing program.

Erica Hua Fletcher, Sonya Gabrielian, Anthony W P Flynn, Jared M Greenberg, Sona Hovsepian, Rebecca S Oberman, Alexander S Young

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Erica Hua FletcherUCLA/VA Center of Excellence for Veteran Resilience and Recovery, UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, California, USA.ORCID 0000-0002-4233-5779
Sonya GabrielianUCLA/VA Center of Excellence for Veteran Resilience and Recovery, UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, California, USA.
Anthony W P FlynnHealth Services Implementation Unit, VA Greater Los Angeles, Mental Illness Research, Education, and Clinical Center, Los Angeles, California, USA.
Jared M GreenbergUCLA/VA Center of Excellence for Veteran Resilience and Recovery, UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, California, USA.
Sona HovsepianVA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
Rebecca S ObermanHealth Services Implementation Unit, VA Greater Los Angeles, Mental Illness Research, Education, and Clinical Center, Los Angeles, California, USA.
Alexander S YoungHealth Services Implementation Unit, VA Greater Los Angeles, Mental Illness Research, Education, and Clinical Center, Los Angeles, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the sustainment of Housing First (HF) implementation in a permanent supportive housing program for homeless-experienced veterans, 5 years after practice implementation. STUDY

settingFrom 2016 to 2017, primary data were collected from providers and veterans in the Department of Housing and Urban Development-VA Supportive Housing (HUD-VASH) program at Los Angeles. STUDY

designGuided by the integrated sustainability framework, we performed a mixed-methods study to evaluate the sustainment of HF, an evidence-based practice implemented to improve housing outcomes. To assess sustainment, we measured fidelity to HF in six of seven HUD-VASH teams. These data were integrated with qualitative interviews with providers and veterans who described perceived sustainment to HF and contextual factors that supported or impeded sustainment. DATA COLLECTION: Fidelity to HF at 5 years after practice implementation, as a proxy for sustainment, was quantified via surveys with HUD-VASH teams. HUD-VASH providers (n = 51) and 31 veterans participated in semi-structured interviews. Team-based template analyses were used to develop an emergent understanding of stakeholder perspectives on HF sustainment. PRINCIPAL

findingsOverall, HUD-VASH teams reported HF sustainment. The lowest fidelity scores were found in the domains of client-to-staff ratios, frequency of client-provider contact, and time to housing. Qualitative findings indicated that outer contextual factors (e.g., housing scarcity) and organizational factors (e.g., staff turnover) impacted HF sustainment. Providers identified changes in leadership and unmet resource needs as impediments to practice sustainment. All stakeholders identified positively with the HF practice and believed that the approach benefited veterans.

conclusionsThis snapshot of HF sustainment demonstrates that this practice can be sustained over time. However, strong leadership, organizational resources, and community partnerships are needed. Adaptations to HF in response to outer contextual factors and organizational capacity may result in practice sustainment while allowing for flexibility in service provision.

Indexed as

Ill-Housed PersonsVeteransEvidence-Based PracticeHousingHumansUnited StatesUnited States Department of Veterans AffairsfidelityhomelessnessHousing Firstqualitative methodssustainmentveterans

Identifiers

PMID35238030
PMCPMC8928030

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.