Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Date of Award

Spring 2018

Document Type


Degree Name

Educational Specialist (EdS)


Department of Graduate Psychology


Eric William Cowan

Lennis G. Echterling

Angela Renee Staton


This paper includes a thorough survey of peer-reviewed journal articles regarding the delivery of mental health care services to homeless people, a gap analysis based on the literature, experiential observations from a mid-Atlantic agency for the homeless, and interviews with people experiencing homelessness. From this research, I propose a model of service delivery. I conclude that while deinstitutionalization in the 1980s led to community-based models of service delivery, the patchwork of approaches available now does not serve the needs of homeless persons with mental health problems. A best practice approach combines the concept of housing first with peer navigated, integrated community services in primary care, mental health counseling, and social support.

Included in

Counseling Commons