Choice Matters: Housing Models that May Promote Recovery for Individuals and Families Facing Opioid Use Disorder


The purpose of the Opioid Use Disorder, Housing Instability and Housing Options for Recovery project was to help ASPE and HUD describe the housing models available for individuals with Opioid Use Disorder (OUD) who experience housing instability or homelessness. This issue brief presents project findings from the literature and discussions with experts and community housing providers about housing models that can best serve people with OUD who also experience homelessness or housing instability. While people experiencing homelessness have no housing at all, those experiencing housing instability experience challenges such as having trouble paying rent, living in an overcrowded space, moving frequently, staying with relatives, or spending the bulk of the household income on housing. This brief aims to bridge these two provider worlds to foster development of programs that support both housing and OUD related needs.

This report was prepared under contract #HHSP233201600010I between HHS's ASPE/DALTCP and Abt Associates. For additional information about this subject, you can visit the DALTCP home page at or contact the ASPE Project Officer, Emily Rosenoff, at HHS/ASPE/DALTCP, Room 424E, H.H. Humphrey Building, 200 Independence Avenue, S.W., Washington, D.C. 20201;

DISCLAIMER: The opinions and views expressed in this report are those of the authors. They do not reflect the views of the Department of Health and Human Services, the contractor or any other funding organization. This report was completed and submitted on September 17, 2018.


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