Evaluation of Housing for Health Permanent Supportive Housing Program

Abstract

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Mental health change in the transition to permanent supportive housing: The role of housing and social networks

“…Given that 95% of the sample was stably housed at the 12‐month follow‐up, this may suggest that housing itself is a facilitator of positive changes in mental health symptomatology for formerly homeless adults. These findings are consistent with a recent PSH evaluation study of Los Angeles‐based adults experiencing homelessness with complex medical and behavioral conditions (Hunter et al, ) and two studies of Canadian‐based PSH residents that found mental health improved in housing (Chung et al, ; Gadermann et al, ). Housing may be associated with mental health improvements by virtue of a number of mediating factors, including a sense of security and stability.…”

“…Angeles-based adults experiencing homelessness with complex medical and behavioral conditions (Hunter et al, 2017) and two studies of Canadian-based PSH residents that found mental health improved in housing (Chung et al, 2018;Gadermann et al, 2015). Housing may be associated with mental health improvements by virtue of a number of mediating factors, including a sense of security and stability.…”

“…Yet little attention has been given to whether housing facilitates improvements in mental health. While a recent report (Hunter, Harvey, Briscombe, & Cefalu, ) and two studies (Chung et al, ; Gadermann et al, ) identified improvements in PSH residents’ mental health symptoms over time a gap remains in understanding the role of housing in residents’ mental health change. Moreover, research that has examined constructs related to mental health among PSH residents, such as substance use (Rhoades et al, a) and quality of life (Henwood, Matejkowski, Stefancic, & Lukens, ), have indicated that social networks are associated with these outcomes, and, as in the case of quality of life, may facilitate positive change (Henwood et al, ).…”

Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience

“…We found 19 studies assessing the cost and net cost of housing interventions. 30,41,45,[130][131][132][133][134][135][136][137][138][139][140][141][142][143][144][145] In some studies, permanent supportive housing interventions were associated with increased cost to the payers, and the costs of the interventions were only partially offset by savings in medical and social services as a result of the intervention. 30,41,[131][132][133][134]142 Six studies showed that these interventions saved payers money.…”

“…30,41,[131][132][133][134]142 Six studies showed that these interventions saved payers money. 135,137,139,141,144,145 Four of these studies, however, employed a pre-post design. 135,139,141,145 Moreover, 1 cost-utility analysis of PSH suggested that the provision of housing services was associated with increased costs and increased quality-adjusted life years, with an incremental cost-effectiveness ratio of US$62 493 per quality-adjusted life year.…”