{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T08:56:18Z","timestamp":1785660978187,"version":"3.56.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:p>The authors examined the impact of a Housing First program on the use of specific health services, detoxification services, and criminal activity of long-term homeless individuals. The study sample consisted of eligible members of the inception cohort (18 enrollees) in the Single Adults Residential Assistance program (SARA) in Minneapolis, Minnesota. Analyses examined participant housing stability after enrollment in SARA and compared the use of a county medical center, detoxification programs, and criminal activity in the 2 years before and after enrollment in SARA. Only 1 of the 18 enrollees studied experienced homelessness during the 2-year follow-up after enrollment in SARA. There was a significant reduction in the amount of criminal activity in the 2-year period after SARA enrollment. The direction of association observed for other service uses remained consistent with expectations in existing literature, but were not statistically significant. Supportive housing for chronically homeless individuals may be successful at decreasing homelessness among this fragile population and may help reduce criminal activity.<\/jats:p>","DOI":"10.1177\/2150131910385248","type":"journal-article","created":{"date-parts":[[2011,2,3]],"date-time":"2011-02-03T19:53:33Z","timestamp":1296762813000},"page":"16-20","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":29,"title":["Impact of a Housing First Program on Health Utilization Outcomes Among Chronically Homeless Persons"],"prefix":"10.1177","volume":"2","author":[{"given":"Malini B.","family":"DeSilva","sequence":"first","affiliation":[{"name":"University of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Manworren","sequence":"additional","affiliation":[{"name":"Simpson Housing Services, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Targonski","sequence":"additional","affiliation":[{"name":"Mayo Health System Practice-Based Research Network, Rochester, MN, USA"},{"name":"Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,2,3]]},"reference":[{"key":"bibr1-2150131910385248","volume-title":"The Third Annual Homeless Assessment Report to Congress","year":"2008"},{"key":"bibr2-2150131910385248","volume-title":"Comprehensive Services to Meet Complex Needs","year":"2008"},{"key":"bibr3-2150131910385248","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.46.11.1245"},{"key":"bibr4-2150131910385248","doi-asserted-by":"publisher","DOI":"10.1177\/0885412207299653"},{"key":"bibr5-2150131910385248","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.25.101802.123036"},{"key":"bibr6-2150131910385248","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.2.153"},{"key":"bibr7-2150131910385248","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-007-0145-0"},{"key":"bibr8-2150131910385248","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199806113382406"},{"key":"bibr9-2150131910385248","volume-title":"Premature Mortality in Homeless Populations: A Review of the Literature","author":"O\u2019Connell JJ","year":"2005"},{"key":"bibr10-2150131910385248","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199408043310506"},{"key":"bibr11-2150131910385248","first-page":"229","volume":"164","author":"Hwang SW","year":"2001","journal-title":"Cmaj"},{"key":"bibr12-2150131910385248","volume-title":"Hunger and Homelessness Survey: A Status Report on Hunger and Homelessness in America\u2019s Cities","author":"O\u2019Neill B","year":"2008"},{"key":"bibr13-2150131910385248","unstructured":"Long Term Homelessness Among Individuals and Families in Minnesota in 2006. 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