Supportive housing program for homeless families: Foster care outcomes and best practices

Lenz-Rashid, Sonja

doi:10.1016/j.childyouth.2017.07.012

Cited by 13 publications

(35 citation statements)

References 24 publications

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“…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.…”

Section: Permanent Supportive Housingmentioning

confidence: 99%

“…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.…”

Section: Permanent Supportive Housingmentioning

confidence: 99%

“…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. 136 Compared with usual care, PSH was found to be more costly to society (net cost Can$7868, 95% CI $4409 to $11 405).…”

Section: Permanent Supportive Housingmentioning

confidence: 99%

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

Pottie

Kendall²,

Aubry³

et al. 2020

CMAJ

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H omeless and vulnerably housed populations are heterogeneous 1 and continue to grow in numbers in urban and rural settings as forces of urbanization collide with gentrification and austerity policies. 2 Collectively, they face dangerous living conditions and marginalization within health care systems. 3 However, providers can improve the health of people who are homeless or vulnerably housed, most powerfully by following evidence-based initial steps, and working with communities and adopting anti-oppressive practices. 1,4,5 Broadly speaking, "homelessness" encompasses all individuals without stable, permanent and acceptable housing, or lacking the immediate prospect, means and ability of acquiring it. 6 Under such conditions, individuals and families face intersecting social, mental and physical health risks that significantly increase morbidity and mortality. 7,8 For example, people who are homeless and vulnerably housed experience a significantly higher prevalence of trauma, mental health conditions and substance use disorders than the general population. 7,9 Canadian research reports that people who experience homelessness face life expectancies as low as 42 years for men and 52 years for women. 7 A generation ago, homeless Canadians were largely middleaged, single men in large urban settings. 10 Today, the epidemiology has shifted to include higher proportions of women, youth, Indigenous people (Box 1), immigrants, older adults and people from rural communities. 13,14 For example, family homelessness (and therefore homelessness among dependent children and youth) is a substantial, yet hidden, part of the crisis. 15 In 2014, of the estimated 235 000 homeless people in Canada, 27.3% were women, 18.7% were youth, 6% were recent immigrants or migrants, and a growing number were veterans and seniors. 10

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Section: Permanent Supportive Housingmentioning

confidence: 99%

Section: Permanent Supportive Housingmentioning

confidence: 99%

Section: Permanent Supportive Housingmentioning

confidence: 99%

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

Pottie

Kendall²,

Aubry³

et al. 2020

CMAJ

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“…Logements permanents combinés avec support Nous avons recensé 19 études qui ont évalué le coût et le coût net des interventions axées sur le logement 30,41,45,[130][131][132][133][134][135][136][137][138][139][140][141][142][143][144][145] . Selon certaines, les interventions de type logement permanent combiné avec support (LPCS) ont été associées à une augmentation des coûts pour les payeurs, et les coûts des interventions n'ont été que partiellement compensés par les économies sur le plan des services médicaux et sociaux par suite des interventions 30,41,[131][132][133][134]142 .…”

Section: Répercussions Sur Le Rapport Coût-efficacité Et Les Ressourcesunclassified

“…Selon certaines, les interventions de type logement permanent combiné avec support (LPCS) ont été associées à une augmentation des coûts pour les payeurs, et les coûts des interventions n'ont été que partiellement compensés par les économies sur le plan des services médicaux et sociaux par suite des interventions 30,41,[131][132][133][134]142 . Six études ont montré que ces interventions avaient généré des économies pour les payeurs 135,137,139,141,144,145 . Quatre d'entre elles ont par contre appliqué un modèle « avant-après » 135,139,141,145 .…”

Section: Répercussions Sur Le Rapport Coût-efficacité Et Les Ressourcesunclassified

Lignes directrices de pratique clinique pour les personnes sans-abri, logées précairement, ou ayant connu l’itinérance

Pottie

Kendall²,

Aubry³

et al. 2020

CMAJ

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• L'évaluation des populations sans-abri ou logées précairement et les soins cliniques à leur intention devraient inclure des approches adaptées au sexe, à l'âge, aux origines autochtones, à l'ethnicité et aux antécédents de traumatismes subis, ainsi que la promotion d'une approche globale aux soins de santé primaires. • Les étapes initiales fortement recommandées pour soigner les populations sans-abri ou logées précairement sont l'accès à des logements permanents combinés avec support et le soutien au revenu.

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A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness

Moledina

Magwood

Agbata

et al. 2021

Campbell Systematic Reviews

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Background: Homelessness has emerged as a public health priority, with growing numbers of vulnerable populations despite advances in social welfare. In February 2020, the United Nations passed a historic resolution, identifying the need to adopt social-protection systems and ensure access to safe and affordable housing for all.The establishment of housing stability is a critical outcome that intersects with other social inequities. Prior research has shown that in comparison to the general population, people experiencing homelessness have higher rates of infectious diseases, chronic illnesses, and mental-health disorders, along with disproportionately poorer outcomes. Hence, there is an urgent need to identify effective interventions to improve the lives of people living with homelessness.Objectives: The objective of this systematic review is to identify, appraise, and synthesise the best available evidence on the benefits and cost-effectiveness of interventions to improve the health and social outcomes of people experiencing homelessness.Search Methods: In consultation with an information scientist, we searched nine bibliographic databases, including Medline, EMBASE, and Cochrane CENTRAL, from database inception to February 10, 2020 using keywords and MeSH terms. We conducted a focused grey literature search and consulted experts for additional studies.Selection Criteria: Teams of two reviewers independently screened studies against our inclusion criteria. We included randomised control trials (RCTs) and quasi-experimental studies conducted among populations experiencing homelessness in high-income countries. Eligible interventions included permanent supportive housing (PSH), income assistance, standard case management (SCM), peer support, mental health interventions such as assertive community treatment (ACT), intensive case management (ICM), critical time intervention (CTI) and injectable antipsychotics, and substance-use interventions, including supervised consumption facilities (SCFs), managed alcohol programmes and opioid

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Supportive housing program for homeless families: Foster care outcomes and best practices

Cited by 13 publications

References 24 publications

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

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

Lignes directrices de pratique clinique pour les personnes sans-abri, logées précairement, ou ayant connu l’itinérance

A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness

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