HUD/HHS/VA Collaborative Initiative to Help End Chronic Homelessness: Preliminary Client Outcomes Report. Service use


Access to healthcare services and case management increased over the first 6 months as the proportion of participants who reported having a usual health care provider increased from 36% at baseline to 52% and 49% at 9 and 12-month follow-ups (Table 7). Other indicators of increased access to healthcare services included an increase in the average number of preventive procedures (from 7.4 at baseline to 8.4 at 9 and 12-months), and an increase in the average number of health behaviors discussed with a healthcare provider (from 3.3 at baseline to 3.9 at 12-month follow-up). The proportion of uninsured decreased from 21% at baseline to 12% at 6, 9 and 12-months thereafter.

Increasing proportions of clients also reported being visited by case managers in the community (45% at baseline to 71% and 67% at 9 and 12-months' follow-up), being provided money management assistance (19% at baseline to 31% at 12-months), and having contact with their landlords (70% at baseline to 75% at 12-months) (Table 7).

While no statistically significant change was found in the average number of outpatient medical services used over time, the average number of outpatient mental health visits increased from 3.5 at baseline to 4.1 at 3-months, and then declined to 2.9 at 12-months. The average number of substance use treatment visits declined from a peak of 5.0 at baseline to 2.9 at 9-months, and then increased modestly to 3.5 at 12-months.

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