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Effective Services for Substance Misuse and Homelessness in Scotland: Evidence from an International Review

DescriptionInternational rapid evidence review of services for homeless people with substance misuse problems that considers models of service delivery and outcome measurement within a Scottish context.
ISBN978 07559 71749
Official Print Publication DateJuly 2008
Website Publication DateJuly 25, 2008

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Nicholas Pleace, Centre for Housing Policy

ISBN 978 0 7559 7174 9 (Web only publication)
ISSN 0950 2254

This document is also available in pdf format (876k)

CONTENTS

Acknowledgements

Summary

1 Introduction

2 The Links Between Homelessness and Substance Misuse
Introduction
Substance misuse and the causation of homelessness
Changing ideas about substance misuse and homelessness
Evidence of more complex relationships between substance misuse and homelessness
Summary

3 Service responses to substance misuse and homelessness
Introduction
An overview of substance misuse services for homeless people
Joint working and case management models
Description
Evidence of effectiveness
Suitability for Scotland
Fixed-site detoxification services
Description
Evidence of effectiveness
Suitability for Scotland
Staircase, Continuum of Care and other transitional housing models
Description
Evidence of effectiveness
Suitability for Scotland
The Pathways Housing First model
Description
Evidence of effectiveness
Suitability for Scotland
Permanent supported housing
Description
Evidence of effectiveness
Suitability for Scotland
Preventative services
Description
Evidence of effectiveness
Suitability for Scotland
Summary

4 Measuring service outcomes
Introduction
Basic issues in outcome measurement
Developing service outcome measures
Measuring accommodation suitability and housing-related risks of homelessness
Substance misuse
Health and wellbeing
Economic inclusion
General wellbeing
Collecting outcome monitoring data
Programme fidelity, context and the trustworthiness of data
Summary

5 Conclusions and recommendations

Appendix 1: Research methods
Detail on searches conducted
Appendix 2: HSMAG draft outcome measures
Appendix 3: Example outcome measure

Bibliography

The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.

This report is available on the Scottish Government Social Research website only
www.scotland.gov.uk/socialresearch.