# Sam Tsemberis

Sam J. Tsemberis (born March 11, 1949, in Skoúra,Lakonia, Greece) is a Greek Canadian clinical and community psychology practitioner, and the founder and executive director of Pathways to Housing, a Housing First program for individuals with serious mental illnesses, long histories of homelessness, and often co-occurring substance abuse. He is also an Associate Clinical Professor in Psychiatry and Biobehavioral Sciences at the University of Los Angeles California.

## Pathway Housing First

Pathways to Housing is the organization that is credited with originating the Housing First model in America. Tsemberis and homeless consumers first developed a consumer-run drop–in center for people experiencing homelessness and mental illness. They then created the Pathways to Housing program, which came to be known as Housing First. They initially showed that the program was more effective in getting people off the streets and keeping them housed than the citywide average for programs funded under the same city-state agreement to provide housing for people with serious mental illnesses and chronic homelessness, then conducted a randomized controlled trial of the Pathways to Housing model in comparison to the dominant model which attempted to provide “appropriate” housing for individuals in treatment programs, and allow them to earn their way toward more autonomous settings via cooperation with service providers and success in treatment.
The Pathways model was substantially more successful (99 fewer days homeless in the first year for people randomly assigned to Pathways to Housing vs. the control group), and the greater success lasted for the full four years of the study. The model also proved more cost effective, in large part due to reductions in psychiatric hospital stays.
By 2010, the Federal Interagency Council on Homelessness advocated Housing First in its strategic plan asserted: “Housing First is a proven method of ending all types of homelessness and is the most effective approach to ending chronic homelessness.” The Mental Health Commission of Canada put the Housing First model to rigorous randomized trial in five Canadian cities and found that in the first year it more than doubled the time participants spent in stable housing relative to a control group and the model has spread to Europe.
According to the Pathways to Housing website, the model has been included in over 300 cities’ 10-year plans to end homelessness, and the model is credited with helping to reduce rates of homelessness among adults with serious mental illnesses. Indeed, a current problem is that everyone is jumping on the housing first bandwagon, whether they actually adhere to the core principles of consumer choice or not. Tsemberis is re-branding the model “Pathway Housing First” and has published a manual to try to help people who want to implement the model.
Tsemberis is the co-author with Drs. Deborah Padgett and Benjamin Henwood of the book Housing First: Ending Homelessness, Changing Systems and Transforming Lives (2016, Oxford University Press), which documents the rise of the approach and the evidence of its efficacy. In 2017, the book was awarded Honorable Mention in the Book Award category from the Society for Social Work and Research.
In 2018, Tsemberis visited Dublin to support the roll out of the Housing First initiative in Ireland. He was listed as one of the speakers at the 2019 Housing First Scotland Conference and the Mayor’s Summit on Homelessness in Amarillo, which took place in July 2019.

## Footnotes

* ↑ "Meet the outsider who accidentally solved chronic homelessness", Washington Post (retrieved May 18, 2015)
* ↑ "Sam Tsemberis". UCLA. Retrieved 7 August 2023.
* ↑ "Evidence-Based Treatment for Drug Dependence at the United States Veterans Administration Department of Veterans Affairs". Human Rights Watch. June 30, 2014. Retrieved 21 June 2019.
* ↑ Tsemberis et al. (2003).
* ↑ Tsemberis (1999).
* ↑ Gulcur et al. (2003).
* ↑ "The housing first checklist: A practical tool for assessing housing first in practice". United States Interagency Council on Homelessness. Archived from the original on 2013-05-25. Retrieved July 11, 2013.
* ↑ Goering et al. (2012).
* ↑ Nelson et al. (2013).
* ↑ "Pathways Housing First".
* ↑ Tsemberis (2010).
* ↑ OCLC 908250446
* ↑ "Housing First - Deborah Padgett, Benjamin Henwood, Sam Tsemberis". Oxford University Press. November 3, 2015. Retrieved August 16, 2024.
* ↑ "2017-SSWR-Awards.pdf" (PDF). SSWR Society for Social Work and Research. Retrieved August 16, 2024.
* ↑ "Minister targets 600 long-term homeless for housing". The Irish Times. September 22, 2018. Retrieved 25 April 2019.
* ↑ "Public health expert to speak at Housing First event". Scottish Housing News. April 18, 2018. Retrieved 7 May 2019.
* ↑ "Mayor Ginger Nelson to host Mayor's Summit on Homelessness". News Channel 10. Retrieved 2019-07-23.