?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F22555%2F&rft.title=Effectiveness+of+the+supportive+housing+model+for+the+homeless+population+with+severe+mental+illness+in+the+United+States&rft.creator=Sadler%2C+Gary&rft.description=+++++Homeless+persons+diagnosed+with+severe+mental+illness+represent+approximately+a+quarter+of+the+homeless+population+in+the+United+States.+The+risk+of+deteriorating+health+is+increased+the+longer+a+person+with+severe+mental+illness+remains+on+the+streets.+Supportive+Housing+Model+(SHM)+was+introduced+in+the+early+1990%E2%80%99s+to+address+this+public+health+concern.+SHM+intended+to+provide+affordable+permanent+housing%2C+with+added+support+provided+by+case+managers%2C+social+workers%2C+and+various+treatment+providers+to+assist+residents+in+accessing+services+to+help+lengthen+their+time+away+from+homelessness.+This+thesis+is+a+critical+literature+of+peer+reviewed+articles+in+PUBMED%2C+Social+Work+Abstracts%2C+Social+Sciences+Abstracts+and+PsyCritiques+of+randomized+controlled+trials+published+between+the+years+1990+and+2014+in+the+United+States.+Systematic+and+meta-analyses+reviews+were+identified+and+included%2C+to+gain+an+additional+perspective+on+the+effectiveness+of+the+SHM+when+applied+to+homeless+persons+with+severe+mental+illness+in+the+United+States.%0D%0A+++++The+adaptation+of+the+SHM+with+the+homeless+population+diagnosed+with+severe+mental+illness+does+favor+improved+housing+retention%2C+based+on+the+findings+of+the+review.+Additionally%2C+consumers+have+a+strong+preference+for+the+SHM%2C+even+though+lifetime+substance+abuse+and+minority+status+are+strong+predictors+of+reducing+the+number+of+days+away+from+homelessness.+The+intensity+level+of+the+case+management+services+may+favorably+alter+the+housing+retention+rates+for+homeless+persons+with+severe+mental+illness%2C+substance+use+disorder+or+both%2C+which+may+result+in+additional+costs+as+intensity+level+is+heightened.+Future+policy+decisions+for+the+SHM+may+need+to+consider+the+effects+of+mental+illness%2C+substance+abuse%2C+declining+incomes%2C+housing+affordability%2C+availability+of+units%2C+intensity+level+of+case+management+services%2C+and+the+identification+of+continuous+funding+streams+to+effectively+address+this+public+health+concern.+The+low+number+of+randomized+controlled+trials+identified+in+this+literature+review+limits+the+conclusions.++++&rft.date=2014-09-29&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F22555%2F1%2FSadler_G_Thesis_FINAL_2014.pdf&rft.identifier=++Sadler%2C+Gary++(2014)+Effectiveness+of+the+supportive+housing+model+for+the+homeless+population+with+severe+mental+illness+in+the+United+States.++Master's+Thesis%2C+University+of+Pittsburgh.++++(Unpublished)++