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              Evaluation of the Corporation for Supportive Housing’s Social Innovation Fund Initiative
      Back
                Homelessness among the chronically ill drives significantly higher health care costs and exacerbates chronic illnesses by increasing exposure to trauma and high-risk behaviors.The Corporation for Supportive Housing (CSH) led a five-year national demonstration to create and evaluate supportive housing for healthcare's highest need, highest cost beneficiaries experiencing homelessness. The evaluation examines the theory that when individuals with significant health costs experiencing homelessness have access to affordable housing and wraparound services, they will experience increased housing stability and improved health, and decrease the use of costly, crisis health care services.Participating sites provided affordable, stable housing and case management to improve connections to health care services, improve health outcomes, and reduce health care costs. Sites differed in terms of population size, type of jurisdiction, housing market, and policy landscape. A research team at New York University conducted an implementation evaluation that included site visits, a pre-post participant survey, a cost effectiveness study, and analyses of program impacts using a randomized controlled trial (RCT) design and intent to treat (ITT) analyses and a quasi-experimental design with a treatment on the treated (TOT) approach.Overall, the evaluation found that these programs can reduce utilization of shelters and costly health care in some populations, and these reductions can substantially offset program costs. The findings from the impact and cost analysis were mixed, but reflect the impact of variations in state and local regulations, services, and homeless populations.It is possible to develop and deliver a medically-oriented supportive housing program targeted at homeless individuals who are high utilizers of health care using a data-driven approach. CSH is working to increase access to supportive housing for high need populations and embed supportive housing as a health care solution.

      Full report
      

      Full Report
            CSH_Final_Report_brief_FINAL_022218_508.pdf
                  CSH_Final_Report_v1_081417_508.pdf
        Further information
    



      Program/Intervention
                        Supportive Housing/Medically Focused Case Management
  

      Intermediary(s)
                        Corporation for Supportive Housing
  

      AmeriCorps Program(s)
            Social Innovation Fund
  

      Age(s) Studied
            13-17 (Adolescent)
                  18-25 (Young adult)
                  26-55 (Adult)
                  55+ (Older adult)
  

      Outcome Category
            Housing
                  Access to care
  

      Study Type(s)
            Impact
  

      Study Design(s)
            Experimental (RCT)
  

      Level of Evidence
            Strong
  

      Researcher/Evaluator
                        New York University
  

      Published Year
                        2017
  

      Study Site Location (State)
            California Back to main content Sign up to hear about our latest news, events, and opportunities.
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