Evaluation of the "Housing First Program" in Patients With Severe Mental Disorders in France

As mental health care shifted from state psychiatric hospitals to the community in France and western countries, the mental health system became inevitably involved in housing as it strove to meet the broader psychosocial needs of consumers. Simultaneously, as many consumers found themselves unable to find stable living in the community and struggling with addictions, they became a significant subgroup within a larger homeless population, which has received increasing policy attention over the past three decades. There are two distinct service models for adults who have severe mental illness and are homeless: the residential continuum model and the Housing First model.

• Other: HOUSING FIRST PROGRAM

  Realization of a psychosocial organic evaluation and a citizen;

  • Support in the development and the maintenance of the housing;
  • Support in the diverse steps (administrative, judicial, financiers, etc.);
  • Support around addictions / alcohol;
  • Supportin the family and social relations, in the environment of the person -to favor the occupational integration, by prioritizing the insertion in ordinary environment(middle)
  • to favor the access and the preservation of the patient to the psychiatric and somatic care, to the devices and the departments favoring the social insertion and the integration.
• Other: traditional French services
  The person will not receive from intervention of the team of site, but the person can resort(turn) without limitation to all the range of services said " about "common law " set up in the direction of the persons homeless persons, as well as to every type of care. She can too reach the housing and\or the restoring, but this by means of the existing devices

• Experimental: Housing First Program
  Intervention: Other: HOUSING FIRST PROGRAM
• Active Comparator: traditional French services
  Intervention: Other: traditional French services

Inclusion Criteria:

• Of more than 18 years old;
• In regular situation according to the order of March 15th, 2010 taken for application of the article R.444-1 of code of the construction and the house;
• Whose administrative situation allows the access to social housing;
• In situation of absolute touring or precarious housing
• Presenting a diagnosis of schizophrenia or bipolar disorder according to the classification DSM-IV;
• Consuming psychoactive substances or not
• Not presenting disorders of the understanding and being capable of reading and of writing

Exclusion Criteria:

• Old under age 18;
• With dependent children, pregnant women (parturientes or breast-feeding) with realization of a pregnancy test and the implementation of a contraception adapted to the health, to the values and to the needs of each;
• Not answering the criteria of absolute touring or precarious housing