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PrefaceHousing for Health (HFH), a division within the Los Angeles County Department of Health Services (DHS), was established to provide supportive housing to DHS patients with complex medical and behavioral health issues who were experiencing homelessness. HFH goals are to improve patients' health, reduce costs to the public health system, and demonstrate DHS's commitment to addressing homelessness within Los Angeles County. In August 2014, through the generous support of the Conrad N. Hilton Foundation, the RAND Corporation was selected to serve as the evaluator for the HFH permanent supportive housing (PSH) program. RAND conducted a formative evaluation to provide early feedback on program implementation and performed an outcome evaluation examining the effects of the PSH program on county service utilization and service costs. RAND also analyzed data from a survey on health functioning both at housing entry and a year later among a small convenience sample of HFH participants.This report includes an assessment of the program structure and program goals and identifies the effects of PSH on service utilization and cost expenditures from several county departments. In this report, we discuss recommendations regarding future programming and research. This report will be of interest to state and county governments serving populations that experience homelessness; health care organizations; clinical practitioners; homeless services advocacy organizations; health care researchers; social workers; and others responsible for providing individuals experiencing homelessness with supportive housing and related care. The research was conducted by RAND Health, a division of the RAND Corporation. A profile of RAND Health, abstracts of its publications, and ordering information can be...