Abstract
ABSTRACT The Housing First (HF) strategies spread in countries in Europe, Australia, and Canada, comparing the effectiveness to traditional shelter for people experiencing homelessness (PEH). In Brazil, HF strategies were born for PEH with substance use disorders. This study compared Brazil's adoption of the HF model with international experiences. An integrative review was performed based on international peer-reviewed literature on HF for PEH available in Medline/PubMed, Virtual Health Library, PsycINFO, and Scielo. A search of HF strategies in Brazil was conducted to compare with the international strategies identified in the narrative review. Forty-five research articles were selected. The main findings and determinants of success of the HF strategies in the narrative review were on housing stability, quality of life, substance use, social connectedness, food safety, income and employment, intersectorality, financing cost synergies, and fidelity to the original model. The ten Brazilian HF strategies had similarities regarding the harm reduction strategy, housing stability, intersectoral policies, and strengthening social ties. Differences were in insertion in the labor market strategies, food safety, and fidelity to the original model. State policy is needed to rigorously address the urgent needs of PEH and evaluate their impact.
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