{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:13:46Z","timestamp":1790208826507,"version":"4.1.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2010,12,30]],"date-time":"2010-12-30T00:00:00Z","timestamp":1293667200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:p>Housing First (HF) is an evidence-based practice that ends chronic homelessness for individuals with serious mental illness by providing immediate access to permanent independent housing and team-based community supports. Little is known about the health status of homeless individuals entering HF programs. Through a cross-sectional analysis, this paper reports on the chronic physical disease burden of people entering a newly established HF program and examines whether these individuals recognize and request support for ongoing health-related issues. The authors\u2019 evaluation confirmed significantly higher rates of chronic disease (60%) and fair\/poor self-reported health status (47%) than the general urban population of Philadelphia. The majority of clients reported they wanted to address both medical (67%) and mental health (68%) problems, but a much lower percentage reported wanting to reduce substance use (23%) or take psychiatric medications (25%). The authors conclude that formerly homeless entrants to HF programs have a high burden of chronic disease with complex health-related needs. Additionally, these individuals look to the program for health-related assistance. As the HF model is disseminated throughout the United States to end chronic homelessness, these findings support the development of flexible, integrated, person-centered health services within the HF service delivery system as a potentially effective method to address complex health needs.<\/jats:p>","DOI":"10.1177\/2150131910383580","type":"journal-article","created":{"date-parts":[[2010,12,30]],"date-time":"2010-12-30T22:08:26Z","timestamp":1293746906000},"page":"11-15","source":"Crossref","is-referenced-by-count":24,"title":["Moving From Street to Home: Health Status of Entrants to a Housing First Program"],"prefix":"10.1177","volume":"2","author":[{"given":"Lara Carson","family":"Weinstein","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin F.","family":"Henwood","sequence":"additional","affiliation":[{"name":"Pathways to Housing, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Matejkowski","sequence":"additional","affiliation":[{"name":"Treatment Research Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbie J.","family":"Santana","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2010,12,30]]},"reference":[{"key":"bibr1-2150131910383580","unstructured":"Homes and communities, community planning, and development: chronic homelessness. US Department of Housing and Urban Development. http:\/\/www.hud.gov\/offices\/cpd\/homeless\/chronic.cfm. Published 2009. Accessed May 10, 2010."},{"key":"bibr2-2150131910383580","unstructured":"Ending chronic homelessness: strategies for action. US Department of Health and Human Services. http:\/\/aspe.hhs.gov\/hsp\/homelessness\/strategies03\/. Published 2003. Accessed May 10, 2010."},{"key":"bibr3-2150131910383580","unstructured":"Pathways\u2019 Housing First program. NREPP: SAMHSA\u2019S national registry of evidence-based programs and practices. United States Department of Health and Human Services, Substance Abuse, and Mental Health Service Administration. http:\/\/www.nrepp.samhsa.gov\/listofprograms.asp?textsearch=housing+first&ShowHide=1&Sort=1. Updated February 18, 2010. 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US Department of Health and Human Services, Centers for Disease Control and Prevention. http:\/\/apps.nccd.cdc.gov\/BRFSS-SMART\/. Accessed July 26, 2010."},{"key":"bibr16-2150131910383580","unstructured":"Southeastern Pennsylvania household health survey, 2008. Public Health Management Corporation Community Health Data Base Web site. http:\/\/www.chdbdata.org\/. Accessed July 26, 2010."},{"key":"bibr17-2150131910383580","unstructured":"Centers for Disease Control and Prevention. Prevalence and trends data nationwide (States and DC). US Department of Health and Human Services, Centers for Disease Control and Prevention. http:\/\/apps.nccd.cdc.gov\/BRFSS\/index.asp. Accessed July 26, 2010."},{"key":"bibr18-2150131910383580","unstructured":"The Chronic Care Model. Improving Chronic Illness Care Web site. http:\/\/www.improvingchroniccare.org\/index.php?p=The_Chronic_Care_Model&s=2 2006-2010. 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