Off-campus Pacific University users: To download campus access theses and dissertations, please log into our proxy server with your PUNet ID and password.

Non-Pacific University users: Please talk to your librarian about requesting this thesis or dissertation through interlibrary loan.

Theses or dissertations that have a specific embargo period indicated below will not be available to anyone until the date indicated.

Date of Award


Degree Type

Dissertation (On-Campus Access Only)

Degree Name

Doctor of Psychology (PsyD)

Committee Chair

Jay C. Thomas, PhD, ABPP

Second Advisor

Jon Frew, PhD, ABPP

Third Advisor

Michel Hersen, PhD, ABPP


Homelessness is a transitory state affecting upwards of two million persons in the United States each year. In Cowlitz County, Washington Community House on Broadway (CHOB) is the only shelter that serves the homeless population at the present time. Needs analysis findings demonstrate the necessity of a Stepped Care Program for intervention with homeless clients affected by mental health, substance use, and co-occurring disorders. The development and implementation of a Stepped Care Program for such intervention is the subject of this dissertation.


The digital version of this project is currently unavailable to off-campus users; however, it may be requested via interlibrary loan by eligible borrowers from Pacific University Library. Pacific University Library is a free lender. (Library Use: NL)