{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T03:08:46Z","timestamp":1775876926126,"version":"3.50.1"},"reference-count":11,"publisher":"American Public Health Association","issue":"S2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:p> The benefits of Pathways Housing First in addressing chronic homelessness for persons with severe mental illness have been well established. However, the implementation and effectiveness of such programs in rural areas has yet to be examined. We described the model\u2019s adaptations in Vermont, including the use of hybrid assertive community treatment\u2013intensive case management teams, which consisted of service coordinators with geographically based caseloads (staff\/client ratio of 1:20) and regional multidisciplinary specialists. The program\u2019s innovative and widespread inclusion of technology into operations facilitated efficiency and responsiveness, and a pilot telehealth initiative supplemented in-person client visits. The program achieved a housing retention rate of 85% over approximately 3 years, and consumers reported decreased time spent homeless, demonstrating that program adaptations and technological enhancements were successful. <\/jats:p>","DOI":"10.2105\/ajph.2013.301606","type":"journal-article","created":{"date-parts":[[2013,10,22]],"date-time":"2013-10-22T20:38:05Z","timestamp":1382474285000},"page":"S206-S209","source":"Crossref","is-referenced-by-count":34,"title":["Implementing Housing First in Rural Areas: Pathways Vermont"],"prefix":"10.2105","volume":"103","author":[{"given":"Ana","family":"Stefancic","sequence":"first","affiliation":[{"name":"Ana Stefancic and Sam Tsemberis are with Pathways to Housing, Inc., New York, NY. Hilary Melton and Rebeka Lawrence-Gomez are with Pathways to Housing Vermont, Burlington, VT. Benjamin Henwood is with University of Southern California, Los Angeles, CA. Soo-Min Shin is with New York University, New York, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin F.","family":"Henwood","sequence":"additional","affiliation":[{"name":"Ana Stefancic and Sam Tsemberis are with Pathways to Housing, Inc., New York, NY. Hilary Melton and Rebeka Lawrence-Gomez are with Pathways to Housing Vermont, Burlington, VT. Benjamin Henwood is with University of Southern California, Los Angeles, CA. Soo-Min Shin is with New York University, New York, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilary","family":"Melton","sequence":"additional","affiliation":[{"name":"Ana Stefancic and Sam Tsemberis are with Pathways to Housing, Inc., New York, NY. Hilary Melton and Rebeka Lawrence-Gomez are with Pathways to Housing Vermont, Burlington, VT. Benjamin Henwood is with University of Southern California, Los Angeles, CA. Soo-Min Shin is with New York University, New York, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soo-Min","family":"Shin","sequence":"additional","affiliation":[{"name":"Ana Stefancic and Sam Tsemberis are with Pathways to Housing, Inc., New York, NY. Hilary Melton and Rebeka Lawrence-Gomez are with Pathways to Housing Vermont, Burlington, VT. Benjamin Henwood is with University of Southern California, Los Angeles, CA. Soo-Min Shin is with New York University, New York, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebeka","family":"Lawrence-Gomez","sequence":"additional","affiliation":[{"name":"Ana Stefancic and Sam Tsemberis are with Pathways to Housing, Inc., New York, NY. Hilary Melton and Rebeka Lawrence-Gomez are with Pathways to Housing Vermont, Burlington, VT. Benjamin Henwood is with University of Southern California, Los Angeles, CA. Soo-Min Shin is with New York University, New York, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Tsemberis","sequence":"additional","affiliation":[{"name":"Ana Stefancic and Sam Tsemberis are with Pathways to Housing, Inc., New York, NY. Hilary Melton and Rebeka Lawrence-Gomez are with Pathways to Housing Vermont, Burlington, VT. Benjamin Henwood is with University of Southern California, Los Angeles, CA. Soo-Min Shin is with New York University, New York, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"bib1","volume-title":"Opening Doors: Federal Strategic Plan to Prevent and End Homelessness","author":"U.S. Interagency Council on Homelessness","year":"2010"},{"key":"bib2","volume-title":"Housing First: The Pathways Model to End Homelessness for People with Mental Illness and Addiction","author":"Tsemberis S","year":"2010"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.4.651"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2007.58.1.121"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1037\/h0095286"},{"key":"bib6","volume-title":"Developing Models of Good Practice in Meeting the Needs of Homeless Young People in Rural Areas. AHURI Positioning Paper No. 62","author":"Beer A","year":"2003"},{"issue":"2","key":"bib7","first-page":"138","volume":"42","author":"Forchuk C","year":"2010","journal-title":"Can J Nurs Res"},{"key":"bib8","author":"Nelson G","journal-title":"Evaluation and Program Planning"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1192\/apt.9.1.54"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300320"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1007\/s10935-007-0093-9"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2013.301606","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T23:19:14Z","timestamp":1652138354000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2013.301606"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12]]},"references-count":11,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["10.2105\/AJPH.2013.301606"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2013.301606","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12]]}}}