Core Philosophy
What is the main belief behind Housing First?
That housing is a basic human right and should not be conditional on sobriety, employment, or participation in services.
What type of housing does Housing First prefer — congregate or scattered-site?
Scattered-site, whenever possible.
Why is client choice central to Housing First?
It promotes dignity and autonomy, increasing long-term stability.
What is the typical housing retention rate for Housing First programs?
Around 80–90% after one year.
What federal agency promotes Housing First for homeless services?
The U.S. Department of Housing and Urban Development (HUD).
Housing First prioritizes access to housing without requiring what?
Preconditions like treatment, income, or sobriety.
How soon should housing assistance be offered in a Housing First program?
As quickly as possible after engagement or identification.
What kind of goals are set in Housing First case management?
Client-driven goals rather than provider-imposed ones.
What does data show about sobriety rates in Housing First participants?
They often improve or remain stable without mandated treatment.
What is “Coordinated Entry” and how does it connect to Housing First?
A system to prioritize people for housing based on vulnerability, not compliance.
What is one assumption underlying Housing First?
People are more likely to succeed when they have a safe, stable place to live.
How does Housing First address substance use?
By offering harm reduction and engagement, not punishment.
What does “meeting people where they are” mean?
Adapting services to client readiness and capacity.
What is one measurable outcome improved by Housing First?
Reductions in emergency room visits, arrests, and shelter stays.
What is a key role of case managers in Housing First programs?
To build trust, provide resources, and support stability without coercion.
What is the difference between Housing First and “Housing Ready” approaches?
Housing First offers immediate housing; Housing Ready requires clients to meet conditions first.
What approach to services respects client choice and readiness?
Motivational interviewing and trauma-informed care.
What does “client-centered” mean in this context?
Services are guided by client goals and self-determination.
What cost savings have studies identified with Housing First?
Significant public cost reductions in healthcare, policing, and incarceration.
What is one major challenge to implementing Housing First fully?
Limited affordable housing stock or landlord engagement.
What type of support does Housing First offer after a person is housed?
Voluntary, person-centered, wraparound services.
How should a housing first program respond if a participant loses their housing?
Rapidly rehouse them — housing retention is a process, not a one-time success.
How does Housing First integrate racial equity?
By recognizing disproportionate impacts and ensuring equitable outcomes in housing access and retention.
Which populations have shown the most benefit from Housing First programs?
Chronically homeless individuals, veterans, and people with disabilities.
Who developed the Housing First model in the U.S.?
Dr. Sam Tsemberis and Pathways to Housing in the 1990s.