abstract: 'Objective: This paper examines how formerly homeless adults with serious

  mental illness living in Housing First (HF) and ``treatment first{''''}

  (TF) supportive housing programs experience employment. Research

  questions include: How do these individuals experience employment in the

  context of their mental health recovery? What do they perceive as the

  benefits of and obstacles to attaining employment? Are there

  programmatic differences in their employment experiences? Method: Case

  study analyses of data from a federally funded qualitative study were

  conducted of 40 individuals purposively sampled from HF and TF programs.

  Data were independently analyzed and consensually discussed to develop

  crass-case themes. Results: Three themes emerged: (a) the meaning of

  work, (b) working within the system, and (c) balancing treatment

  requirements and work. While none of the study participants had

  full-time jobs, more HF program clients had part-time employment than

  their TF counterparts. Of the 12 employed participants. all but 2 worked

  within their respective programs. Participants in both groups described

  similar benefits of obtaining employment. but TF program requirements

  inhibited job-seeking. Conclusions and Implications for Practice: These

  findings provide insight into the challenges of obtaining employment for

  formerly homeless individuals with serious mental illness residing in

  supportive housing. Despite the motivation to work, individual,

  structural. and organizational factors impeded employment. To address

  this problem. factors at each of these levels will need to be

  considered. Interventions such as supported employment offer promise to

  supportive housing programs committed to employment as a contributor to

  recovery.'
affiliation: 'Tiderington, E (Corresponding Author), Rutgers State Univ, Sch Social
  Work, New Brunswick, NJ 08901 USA.

  Tiderington, Emmy, Rutgers State Univ, Sch Social Work, New Brunswick, NJ 08901
  USA.

  Henwood, Benjamin F., Univ Southern Calif, Suzanne Dworak Peck Sch Social Work,
  Los Angeles, CA 90089 USA.

  Padgett, Deborah K., NYU, Silver Sch Social Work, New York, NY 10003 USA.

  Smith, Bikki Tran, Univ Chicago, Sch Social Serv Adm, Chicago, IL 60637 USA.'
author: Tiderington, Emmy and Henwood, Benjamin F. and Padgett, Deborah K. and Smith,
  Bikki Tran
author-email: emmy.tiderington@rutgers.edu
author_list:
- family: Tiderington
  given: Emmy
- family: Henwood
  given: Benjamin F.
- family: Padgett
  given: Deborah K.
- family: Smith
  given: Bikki Tran
da: '2023-09-28'
doi: 10.1037/prj0000391
eissn: 1559-3126
files: []
issn: 1095-158X
journal: PSYCHIATRIC REHABILITATION JOURNAL
keywords: employment; recovery; homeless; supportive housing; Housing First
keywords-plus: 'PSYCHIATRIC DISABILITIES; PEOPLE; INDIVIDUALS; RECOVERY; BARRIERS;

  HEALTH; WORK; SERVICES; QUALITY'
language: English
month: SEP
number: '3'
number-of-cited-references: '55'
orcid-numbers: Tiderington, Emmy/0000-0001-7934-0961
pages: 253-260
papis_id: 08a89ed796c3914b12a3d7685c987b91
ref: Tiderington2020employmentexperience
researcherid-numbers: Tiderington, Emmy/AAF-7137-2020
times-cited: '1'
title: Employment Experiences of Formerly Homeless Adults With Serious Mental Illness
  in Housing First Versus Treatment First Supportive Housing Programs
type: article
unique-id: WOS:000563033600010
usage-count-last-180-days: '0'
usage-count-since-2013: '11'
volume: '43'
web-of-science-categories: Psychiatry; Rehabilitation
year: '2020'