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Housing First: An Ecological Approach to Promote Community Integration
 

Housing First: An Ecological Approach to Promote Community Integration

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Presentation by José Ornelas, Portugal, at the 2013 FEANTSA Research Conference, Alice Salomon Hochschule Berlin, 20th September 2013

Presentation by José Ornelas, Portugal, at the 2013 FEANTSA Research Conference, Alice Salomon Hochschule Berlin, 20th September 2013

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    Housing First: An Ecological Approach to Promote Community Integration Housing First: An Ecological Approach to Promote Community Integration Presentation Transcript

    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Housing First An ecological approach to promote community integration José Ornelas ISPA – Instituto Universitário Insert your logo here
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013  Community integration is the opportunity to live in the community and be valued for one’s uniqueness and abilities, like everyone else.  Community integration should result in community presence and participation. Salzer & Baron, 2006 Community integration
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Community integration Nelson, Kloos,& Ornelas, in press;Salzer & Baron, 2006; Ware, Hopper, Tuggenberg,Dickey,& Fisher, 2007;Wong & Solomon,2002
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Multidimensional concept:  Physical integration: access to resources and community activities)  Social integration: mainstreamed interactions  Psychological integration: sense of community belonging Wong & Solomon, 2002 Community integration
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Promotion of opportunities that facilitates community participation:  housing characteristics: mainstreamed environments  service characteristics: ecological & collaborative intervention Ornelas, 2008;Salzer & Baron, 2006; Yanos, Felton, Tsemberis,& Frye, 2007; Wong & Solomon,2002 Community integration & ecological approach
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Housing & community integration Individualized housing is associated with more engagement in meaningful activities in the neighborhood and sense of community belonging (Yanos et al., 2007) Housing in integrated neighborhoods and with access to diverse community resources, such as commerce and transports, was positively associated with levels of community integration (Hall, Nelson, & Fowler, 1987; Parkinson, Nelson, & Horgan, 1999; Segal & Aviram, 1978) Better quality of housing environment (apartment and neighborhood) is positively associated with the increase of housing stability, as well as psychological wellbeing and with community participation (Evans et al., 2000; Kloos & Shah, 2009; Nelson et al., 1998; Newman, et al., 1994; Wright & Kloos, 2007)
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013  Individualized and scattered site apartments in mainstream neighborhoods in Lisbon. Apartments are not in the same building or street.  Facilitate the access to services and resources that are available to the general population.  Facilitate the contact and relations with people that could be natural supports, like the neighbors. Casas Primeiro & community contexts
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Casas Primeiro ecological and collaborative intervention  focus on concrete problem resolution  support services provided in community contexts (access to community resources and services)  strengthening of social contacts and natural supports  collaborative relation between participants and staff: share decisions, mutual learning  collaboration with other community stakeholders
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Casas Primeiro: participants Between January 2011 to December 2012, 74 homeless people with mental health problems have used the Casas Primeiro’s program.  73% were male and 27% were female  80% have a diagnosis of schizophrenia and 29.7% also present a co-occurring substance abuse disorder  48.6% of the participants were homeless for more than six years and 6.7% for more than 16 years
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Methods  Instruments:  Community Integration Scale, developed by At Home/Chez Soi Project (2010)  Qualitative interview  45 participants were interviewed.
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Support dimensions 0% 20% 60% 80% 100%40% 91.8%Access to documents Access to social services and benefits 93.2% Support in legal issues 19.8% Contact with the families 41.9% Support in educational and employment projects 39.1% Access and follow-up to health services 93.2% Linking with community services 43.2% Housing management 72.9% Financial management 29.7% Personal care 44.6% Neighbors and landlords contacts 71.6%
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Physical integration 0% 50%10% 20% 30% 40% Gone to a library Participate in a community event Gone to meet people at a restaurant or coffee shop Participated in outside sports or recreation Attended a movie or concert 15.6% 26.7% 8.9% 46.7% 15.6% 6.7% Gone to a place of worship or participated in a spiritual ceremony Community activities done in the past month All listed activities had presented some level of participation
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Employment - training - education 26 participants involved in school, training, employment or other activities 0 1 3 92 4 5 6 7 8 Job Site training School Workshops Community Center Computer training University Employment Participants
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Physical integration  “Since I have my home everything became easier. I feel that I have better access to community resources because I have an address to give.”  “This house helped me to create job prospects, because I have added conditions and better ones. I feel more active and able to do further things…” (participants of “Casas Primeiro program”)
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Social integration Strongly disagree Disagree Neither Agree Strongly agree 31.1% 22.2%13.3% 15.6% 17.8% Knowing most of the people who live near me Strongly disagree Disagree Neither Agree Strongly agree 46.7% 15.6% 11.1% Interacting with the people who live near me 11.1% 15.6% Knowing mostof the people who live near me Interactingwith the people who live near me 33.4% reported they agree or strongly agree that they know most of their neighbours with only 22.2% of the participants reporting some kind of social interaction with them.
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013  “…my neighbors help me a lot, they’re always available and I have an excellent relationship with all of them. Sometimes I spend hours talking to them. I feel appreciated in this neighborhood…”  “…I get along with the neighbors and I know most of the people here. Whenever I meet them they usually speak to me and extend me sympathy since I moved here…”  “…I think I have a good relationship with my neighbors. In fact, some neighbors are friends, most of them are always willing to talk to me about everything: football, politics, etc. …” (participants of “Casas Primeiro program”) Social integration
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Psychological integration Strongly disagree Disagree Neither Agree Strongly agree 8.9% 4.4% 15.6% 28.9% 42.9% Feeling at home where I live Strongly disagree Disagree Neither Agree Strongly agree 20.0% 2.2% 22.2% 28.9% 26.7% Feeling like I belong to my local community Feeling at home where Ilive Feeling like I belong to my local community 71.1% of participants felt at home in their neighborhood The majority of participants (55.6%) felt they fit in and belong to their community
    • EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013  “…I really like living here. My work it's really near my home. I think I have a good relationship with everyone and I think also that no one has anything bad to say about me. Now I have a space that I may call home…”  “Ever since I moved to this home, I’ve felt a big difference in my life. I feel that it's easier to talk with other people without feeling shame. I feel that I am embedded in society without feeling an outcast. Now I am working and I can save some money, I have a better quality of life, I feel more autonomous, it’s as if a new life had begun for me…” (participant of “Casas Primeiro program”) Sense of belonging