Articles for the Topic "Cost of Homelessness"

A Cost Analysis of San Diego County's REACH Program for Homeless Persons

2011-01-05T08:03:38

This study examined mental health service utilization and costs associated with the California Assembly Bill 2034 housing-first program for homeless persons in San Diego County: Reaching Out and Engaging to Achieve Consumer Health (REACH). (Authors)

A Multisite Study of Client Outcomes in Assertive Community Treatment

2011-01-05T08:47:18

This study examined outcomes of clients admitted to assertive community treatment (ACT) programs simultaneously implemented at six sites in northeastern Indiana. A total of 212 clients at risk for psychiatric rehospitalization were assessed upon admission and at six-months intervals for 18 months after admissions to ACT programs. Findings indicate that frequency of psychiatric hospitalization was reduced by one-third and the number of inpatients days by 50% after admissions to the program. Progressive improvements also occurred in quality of life as measured by both client and staff ratings (authors).

A Review of Case Management for People Who Are Homeless: Implications for Practice, Policy, and Research

2007-08-06T01:35:01

This paper discusses concepts, models and approaches to case management for people experiencing homelessness, including how these apply to various subgroups and specialty areas. It includes a literature review and recommendations on exemplary practices.

Assertive Outreach for Frequent Users of Psychiatric Hospitals: A Meta-Analysis

2011-01-03T07:14:39

A meta-analysis was conducted on nine studies of an assertive outreach model for frequent users of psychiatric hospitals. Four studies used experimental or quasi-experimental designs and five used pre-post designs. Findings at one-year follow-up were examined for retention in community mental health services, psychiatric inpatient days, quality of life, and client level of functioning. Eighty-four percent of assertive outreach clients were still receiving mental health services after one year, compared to 54% of controls. In two thirds of the programs, the mean annual rate of inpatient days declined by 50% or more. The overall experimental effect size for quality of life was negligible, although changes over time for assertive outreach clients were more encouraging. Similarly, improvement in level of functioning was found for assertive outreach clients. The study examining experimental differences in level of functioning obtained a nonsignificant moderate effect. (Authors)

Benefit-cost analysis of addiction treatment: methodological guidelines and empirical application using the DATCAP and ASI - Methods - Statistical Data Included

2011-01-03T07:44:33

This article addresses methodological and empirical gaps in the economic evaluation literature by developing systematic research guidelines and by then applying these guidelines to estimate the costs and economic benefits of addiction treatment at three outpatient drug-free programs in Philadelphia. (Authors)

Cost of Homelessness: Cost Analysis of Permanent Supportive Housing

2011-01-05T08:57:31

Permanent supportive housing appears to allow individuals significantly more efficient and appropriate service delivery with tangible cost savings. Perhaps not surprisingly, permanent supportive housing appears to improve quality of life for all involved.The study examined participants’ cost of care prior to and following their move into PSH. Phase One collected data from formerly homeless people living in the greater Portland area, Phase Two obtained data from formerly homeless people living in York County and Phase Three reviewed the other parts of the State of Maine. (Authors)

Cost of Rural Homelessness: Rural Permanent Supportive Housing Cost Analysis State of Maine

2010-04-20T01:23:19

This study provides information about permanent supportive housing as applied in a rural setting. In addition it compares the costs of other types of services commonly applied to homeless populations.

Cost-Effectiveness of Critical Time Intervention to Reduce Homelessness Among Persons with Mental Illness

2007-07-06T04:46:24

The authors investigated the cost-effectiveness of the Critical Time Intervention (CTI) program, a time-limited adaptation of intensive case management, by comparing housing outcomes and costs of two groups of men recruited from a psychiatric program in a shelter. The authors concluded that the CTI program is not only an effective method to reduce recurrent homelessness among persons with severe mental illness, but also represents a cost-effective alternative to the status quo.

Costs of Serving Homeless Individuals in Nine Cities: Chart Book

2007-04-06T11:59:00

This chart book presents estimates of the costs of serving homeless individuals in six alternative settings in nine cities. In addition to the estimates, this document includes: definitions for each of the six service settings for which estimates are presented, indicating the types of services generally reflected in the cost estimates; a description of how a single point estimate was calculated for each setting for each city; and a listing of the organizations that provided the estimates used. (Authors)

Crisis Indicator: Triage Tool for Homeless Adults in Crisis

2011-08-17T09:57:19

The triage tool, or crisis indicator, identifies homeless individuals in hospitals, clinics and jails who have continuing crises in their lives that create very high public costs.

Examination of the Costs of Homelessness and Issues Related to Determining the Cost-Effectiveness of Supportive Services and Housing in Washoe County, NV

2011-01-03T07:12:42

The scope of work for this project was to collect and analyze data related to homelessness, the costs of homelessness and the cost-effectiveness of permanent supportive housing. (Authors)

Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons with Severe Alcohol Problems

2009-06-16T10:56:58

"Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems." HRC is providing open access to this article.

Housing the Chronically Homeless: High Hopes, Complex Realities

2010-06-23T09:13:15

During the last decade, federal policy has concentrated on ending "chronic homelessness," a designation that applies to approximately 18% of the 671 888 persons identified as homeless on a single night in 2007. Few interventions have attracted more interest than an approach to permanent housing known as Housing First. Two articles in JAMA, one published in the April 1, 2009, issue and one in this issue, advance understanding of this housing approach and raise questions about where and to whom it should be applied. (Authors)

Public Service Reductions Associated with Placement of Homeless Persons with Severe Mental Illness in Supportive Housing

2007-12-03T11:14:39

This article documents the cost savings associated with public investment in supportive housing for persons who are homeless with severe disabilities, as demonstrated in the New York, NY Housing Study. Placement in supportive housing resulted in reductions in service use of $16,282 per housing unit per year.

Supportive Housing in Illinois: A Wise Investment

2011-01-05T09:35:10

This analysis focused on 177 supportive housing residents in Illinois and the impact of supportive housing on their use of expensive, primarily publicly-funded services. Analysis compared the 2 years before they entered supportive housing with the 2 years after. Data were collected on these residents from Medicaid, mental health hospitals, substance use treatment, prisons, and various county jails and hospitals. (Authors)

The Do-it-Yourself Cost-study Guide: Assessing Public Costs Before and After Permanent Supportive Housing: a Guide for State and Local Jurisdictions

2007-12-09T03:10:34

Most stakeholders interested in ending chronic homelessness are familiar with the recently published cost avoidance analysis conducted for the New York/New York Initiative hereafter, “NY/NY analysis.” The NY/NY analysis looked at the NY/NY Initiative, which placed homeless individuals with serious mental illness (SMI) in a variety of permanent supportive housing (PSH) arrangements, and helped them stay there. It examined three issues—changed use of public services, changed costs resulting from the changed use, and savings (whether PSH cost the same or less than pre-PSH use of public services). The Corporation for Supportive Housing (CSH) promoted the NY/NY analysis because it thought the results might provide powerful evidence of supportive housing’s ability to produce outcomes that policy makers want—reductions in inappropriate use of emergency public services, and their associated costs. The results fulfilled these hopes, showing significant savings. Together with evidence that PSH is able to attract and retain chronically homeless disabled people (Shern et al., 1997; Tsemberis and Eisenberg, 2000) and that the probable number of such people is small enough to be a feasible policy target (about 200,000 to 250,000 nationally), the NY/NY analysis has galvanized many cities and the country as a whole to adopt the goal of ending chronic homelessness. (Author)

Where We Sleep: Costs when Homeless and Housed in Los Angeles.

2011-01-03T07:38:29

The central question investigated in this study is the public costs for people in supportive housing compared to similar people that are homeless.The study encompasses 10,193 homeless individuals in Los Angeles County, 9,186 who experienced homelessness while receiving General Relief public assistance and 1,007 who exited homeless by entering supportive housing. (authors)