Domestic Violence Housing First Demonstration Evaluation
Project Dates
2016 – 2024
Stage of Project
Dissemination
Study Overview
The objective of this demonstration evaluation was to rigorously examine the Domestic Violence Housing First model, which provides housing-inclusive advocacy and flexible funding to help survivors achieve safe and stable housing. Over 400 people who survived DV and were homeless or unstably housed participated in a quasi-experimental, longitudinal evaluation study that followed them over two years after they sought services from one of five participating DV agencies. Careful attention was paid during recruitment efforts to ensure that all eligible survivors were invited to participate in the study. Participants were interviewed (in English or Spanish) shortly after seeking services (baseline), and at 6-, 12-, 18- and 24-month follow-up. Data were also collected from advocates and agency records.
The three pillars of the Domestic Violence Housing First model:
1. Housing-inclusive advocacy: A critical component of the model is that advocates focus on addressing needs identified by survivors rather than on needs pre-determined by the agencies. Advocates are also mobile, meeting survivors where it is safe and convenient for them, and advocacy continues for as long as survivors need support.
2. Flexible financial assistance: Many survivors need not only advocacy to obtain safe and stable housing, but also temporary financial assistance to support themselves and their families. Funds are therefore targeted to support survivors so they can rebuild their lives, including covering transportation, school supplies, uniforms and permits required for employment, as well as time-limited and flexible rental assistance.
3. Community engagement: Advocates proactively engage people in the community who can help support the safety, stability, and well-being of survivors. Advocates engage with health care professionals, law enforcement and the legal systems, educators and school administrators, religious and spiritual leaders, and others. The evaluation design allowed us to examine the first two pillars of the model: housing-inclusive advocacy and flexible funding (all of the agencies engaged actively with their communities). While all of the participating agencies reported using the DVHF model, they acknowledged that due to limited resources (e.g., staff turnover, limited funds) it was often the case that survivors received “what was available at the time.” Similar to programs around the country, they may or may not be able to meet all of survivors’ needs. This quasi- experimental design allowed us to examine the model in “real world” conditions.
Retention across all study participants was high across all time points, from 92 percent at the 6-month follow-up to 89 percent at the 24-month follow-up. Thirty participants did not receive any services or funding within the first six months from the recruiting agency, and were removed from analyses. Sixty-four percent of the remaining sample had received DVHF, and 36% had received services as usual (SAU).
Key Findings
Research Team
Unstably housed domestic violence survivors who received the Domestic Violence Housing First (DVHF) model – including housing-inclusive advocacy and/or flexible financial assistance – reported a number of positive changes at 6-, 12-, 18- and 24-months after seeking services.
Evidence indicates that the DVHF model is more effective than services as usual (SAU) in helping survivors achieve housing stability, safety, and improved mental health over twenty-four months.
Survivors who received DVHF also reported higher prosocial behaviors from their children compared to parents who received SAU. Positive change in these domains happened quickly (within the first 6 months after seeking services) and persisted across 12, 18, and 24 months. The model does not appear to be more effective than SAU in increasing financial stability, increasing quality of life, or reducing substance misuse. It also showed no impact on children’s school attendance, school performance, nor on their behavioral problems.
The DVHF model worked similarly across people from various race and ethnicity groups, as well as both urban and rural geographic service areas. For participants who had received DVHF, the extent to which they reported agencies engaging in trauma-informed practices was positively related to their housing stability and safety, and negatively related to their depression and alcohol misuse at both 6-months and 12-months follow-up
PI
Dr. Cris Sullivan
Co-PI
Dr. Gabriela López-Zerón
Team Members
Dr. Funmi Ayeni (RCGV)
Dr. Danielle Chiaramonte
Dr. Adam Farero
Dr. Aileen Fernandez
Dr. Mayra Guerrero
Dr. Yadira Guerrero
Dr. Cortney Simmons
Mackenzie Sprecher
…and many additional interviewers and research assistants across the years of the project.
Funders and Community Partners
This research was supported by a subcontract from the Washington State Coalition Against Domestic Violence, who received funding through a contract with the U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Planning and Evaluation (ASPE) in partnership with the Department of Justice’s Office for Victims of Crime [contract #HHSP233201600070C], and by a grant from the Washington State Coalition Against Domestic Violence, who received funding from The Bill & Melinda Gates Foundation [#OPP1117416]. Points of view do not necessarily represent the position or policies of the funders.
Publications
Sullivan, C. M., Sprecher, M., Guerrero, M., Fernandez, A., & Simmons, C. (2022). The use of children as a tactic of intimate partner violence and its impact on survivors’ mental health and well-being over time. Journal of Family Violence, Online First: https://doi.org/10.1007/s10896-022-00483-6
Chiaramonte, D., Clements, K.A.V., López-Zerón, G., Ayeni, O., Farero, A., Ma, W., & Sullivan, C.M. (2022). Examining contextual influences on the service needs of homeless and unstably housed domestic violence survivors. Journal of Community Psychology, 50, 1831-1853. http://doi.org/10.1002/jcop.22637
Engleton, J., Sullivan, C.M., & Hamdan, N. (2022). Race and criminal record related to housing instability among domestic violence survivors. Journal of Interpersonal Violence, 37, NP21400-NP21410. https://doi.org/10.1177/08862605211042626
Clements, K.A.V., Sprecher, M., Modica, S., Terrones, M., Gregory, K., & Sullivan, C.M. (2022). The use of children as a form of intimate partner violence and its relation to survivors’ mental health. Journal of Family Violence, 37, 1049–1055. https://doi.org/10.1007/s10896-021-00330-0
Chiaramonte, D., Simmons, C., Hamdan, N., Ayeni, O., López-Zerón, G., Farero, A., Sprecher, M., & Sullivan, C.M. (2022). The impact of COVID-19 on the safety, housing stability, and mental health of unstably housed domestic violence survivors. Journal of Community Psychology, 50(6), 2659-2681. https://doi.org/10.1002/jcop.22765
Sullivan, C. M., López-Zerón, G., Farero, A., Ayeni, O., Simmons, C., Chiaramonte, D., Guerrero, M., Hamdan, N., & Sprecher, M. (2022). Impact of the Domestic Violence Housing First model on survivors’ housing stability, safety and wellbeing: Six month findings. Journal of Family Violence. Online First: https://doi.org/10.1007/s10896-022-00381-x
Sullivan, C. M., Guerrero, M., Simmons, C., López-Zerón, G., Ayeni, O., Farero, A., Chiaramonte, D., & Sprecher, M. (2022). Impact of the Domestic Violence Housing First model on survivors’ housing stability, safety and wellbeing: Twelve month findings. Journal of Interpersonal Violence. Online First: https://doi.org/10.1177/08862605221119520
Farero, A., Sullivan, C. M., López-Zerón, G., Bowles, R., Sprecher, M., Chiaramonte, D., & Engleton, J. (2022). Development and validation of the Housing Instability Scale. Journal of Social Distress and Homelessness. Online First: https://doi.org/10.1080/10530789.2022.2127852
Sullivan, C.M., Chiaramonte, D., López-Zerón, G., Gregory, K., & Olsen, L. (2021). Evaluation in the real world: Decision points and rationales in creating a rigorous study designed to convey ecologically valid findings. American Journal of Community Psychology, 67, 447-455.
https://onlinelibrary.wiley.com/doi/10.1002/ajcp.12485
López-Zerón, G., Bilbao-Nieva, I., Sullivan, C.M., & Chiaramonte, D. (2021). Recognizing the multitude of housing barriers facing homeless and unstably housed survivors of intimate partner violence. Reconociendo la Multitud de Obstáculos Enfrentados por Sobrevivientes de Violencia de Pareja Sin Hogar o con Vivienda Inestable. Revista Interamericana de Psicologia/Interamerican Journal of Psychology, 55(2), e1569.
https://doi.org/10.30849/ripijp.v55i2.1569