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Being familiar to and recognized by others as a resident in a neighborhood or community are sources of \u201cdistal support\u201d\u00a0that provide individuals with feelings of belonging to their community and are important to recovery from homelessness. We hypothesized that individuals engaged with Housing First (HF) programs would report more distal support than individuals engaged with traditional homeless services (treatment as usual, TAU), and that distal support would predict more community integration, growth\u2010related recovery, and achieved capabilities. We analyzed data collected from homeless services users (<jats:italic>n<\/jats:italic>\u2009=\u2009445) engaged with either HF or TAU in eight European countries. Measures included achieved capabilities, growth\u2010focused recovery, distal supports, and community integration. Serial mediation analyses confirmed our hypothesis that the effects of HF on growth\u2010related recovery and achieved capabilities are indirect, mediated by distal supports and community integration. Findings are discussed in relation to the importance of modeling the effects of HF on social and psychological outcomes as indirect and identifying important mediators that translate the effects of HF components on social and psychological outcomes. We also note the importance of case management activities that encourage clients to develop and sustain distal supports with others who live and work in their neighborhoods.<\/jats:p>","DOI":"10.1002\/ajcp.12733","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T10:19:56Z","timestamp":1704795596000},"page":"504-514","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Distal supports, capabilities, and growth\u2010focused recovery: A comparison of Housing First and the staircase continuum of care"],"prefix":"10.1002","volume":"73","author":[{"given":"Ronni Michelle","family":"Greenwood","sequence":"first","affiliation":[{"name":"Psychology Department University of Limerick Castletroy Co. Limerick Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Branagh R.","family":"O'Shaughnessy","sequence":"additional","affiliation":[{"name":"School of Social Work and Social Policy, Trinity College Dublin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel M.","family":"Manning","sequence":"additional","affiliation":[{"name":"Research and Innovation, Birmingham Community Healthcare NHS Foundation Trust, Trust Headquarters Birmingham England"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niamh","family":"Hogan","sequence":"additional","affiliation":[{"name":"Psychology Department University of Limerick Castletroy Co. 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