Date of Award


Document Type



College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Lauren Valk Lawson


Jonnae Tillman


Background: Poor health is not only a major cause of homelessness but being homeless also worsens existing health issues. Effective interventions that address the unique needs of this population are a critical component of ending homelessness. A review of literature has revealed four evidence-based approaches that includes a Housing First approach, Trauma Informed Care (TIC), case management, and service integration as key priorities for homeless service providers. It is important for service organizations supporting this population to conduct program evaluations to ensure best practices are utilized in program implementation.

Objectives: The objective was to perform a formative evaluation guided by the RE-AIM theoretical framework which prioritizes evidence-based approaches.

Methods: A formative evaluation was completed with shelter program participants over a nine-month period using quantitative data and descriptive statistics. In addition, a quantitative staff survey was completed to measure Attitudes Related to Trauma Informed Care (ARTIC) which is a measurement of trauma-informed care attitudes for human/health service providers.

Results: The chart review included 93 shelter program participants using descriptive statistics to compare demographics to surrounding regions. Additionally, the evaluation measured case management goals including transition to housing services, coordination of healthcare, and exit to housing. Lastly, the staff survey (n=20) established an overall baseline and five subscale scores.

Implications: Program evaluation provides baseline measurements for future evaluations and recommendations to improve enhanced shelter program outcomes.