HUD/HHS/VA Collaborative Initiative to Help End Chronic Homelessness: Is System Integration Associated with Client Outcomes?. Changes in Service Use and Outcomes

06/15/2007

Of the six core services targeted for CICH clients, the proportion of these services received by individual clients, including both housing and healthcare services, increased from an average of 64% at baseline to 78-81% during the following 12 months (Table 2).

The average number of days housed in the previous 90 days increased dramatically from 18 at baseline, to 68 at the 3-month follow-up, and rose steadily thereafter to 83 at the 12 month follow-up (Table 2). Mean monthly public assistance income increased steadily from $316 at baseline to $478 one year later, a 50% increase. Significant improvements of modest magnitude were also observed in overall quality of life, mental health functioning, and reduced psychological distress. Alcohol and drug problems remained largely unchanged over time. Total quarterly health costs declined by 50%, from $6,832 at baseline to $3,376 at 12 months. A 54% decrease in mean inpatient costs ($5,776 to $2,677) accounted for nearly 90% of the overall decrease in quarterly health care costs during clients' first year in the program (Table 2).

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