A pilot study of the impact of housing first-supported housing for intensive users of medical hospitalization and sobering services.

Abstract:

OBJECTIVES:We examined changes in service use in a Housing First (HF) pilot program for adults who were homeless with medical illnesses and high prior acute-care use relative to a similar comparison group. METHODS:We used a 1-year pre-post comparison group design. The 29 participants and 31 comparison group members were adults who were homeless with inpatient claims of at least $10 000 or at least 60 sobering "sleep off" center contacts in the prior year. RESULTS:Participants showed a significantly greater reduction in emergency department and sobering center use relative to the comparison group. At a trend level, participants had greater reductions in hospital admissions and jail bookings. Reductions in estimated costs for participants and comparison group members were $62 504 and $25 925 per person per year-a difference of $36 579, far outweighing program costs of $18 600 per person per year. CONCLUSIONS:HF participants showed striking reductions in acute-care use relative to the comparison group, demonstrating that HF can be a successful model for people with complex medical conditions and high prior acute-care use. Despite notable methodological limitations, these findings could be used to inform a larger multisite study that would establish greater generalizability.

journal_name

Am J Public Health

authors

Srebnik D,Connor T,Sylla L

doi

10.2105/AJPH.2012.300867

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

316-21

issue

2

eissn

0090-0036

issn

1541-0048

journal_volume

103

pub_type

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