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Homelessness & Housing

Stable, affordable, accessible housing represents a key determinant of health and well-being. ASPE conducts work on the intersection of housing and well-being including coordinating HHS's responses to homelessness. 

ASPE research identifies improved care coordination for older adults in affordable housing

ASPE-HUD research has shown that older adults in HUD-assisted housing include a large number of people with chronic health needs and/or high-risk individuals. In general, older adults receiving housing assistance report being in poorer health, having more chronic conditions, and experiencing a higher number of limitations in activities of daily living (ADL) than renters in unassisted housing. The Support and Services at Home (SASH) program in Vermont is a promising approach to providing support services and care coordination to older adults and individuals with disabilities, using affordable housing properties as a platform for service delivery. Under contract from HHS and HUD, RTI International conducted a mixed-methods evaluation of the SASH program. Below are select links to reports from the evaluation:


ASPE-HUD SASH Evaluation
•    SASH Evaluation Highlights from 2010-2016
•    SASH Evaluation Findings, 2010-2016

Topic Areas

Reports

Displaying 21 - 30 of 94. 10 per page. Page 3.

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Support and Services at Home (SASH) Evaluation: Evaluation of the First Four Years

February 28, 2017
This evaluation report describes the implementation and impacts of a program intended to improve health status and slow the growth of health care expenditures among older adults living in affordable housing properties. The Support and Services at Home (SASH) program connects participants with community-based services and promotes coordination of health care.

Picture of Housing and Health Part 2: Medicare and Medicaid Use Among Older Adults in HUD-Assisted Housing, Controlling for Confounding Factors

July 31, 2016
The report Picture of Housing and Health (released by ASPE in 2014), found high prevalence of chronic conditions and higher health care utilization for HUD-assisted Medicare beneficiaries compared to unassisted beneficiaries. This second report seeks to understand whether the characteristics of the sample could explain the higher utilization.

Family Interventions for Youth Experiencing or at Risk of Homelessness

July 25, 2016
Family conflict is a key driver of youth homelessness, and most programs serving youth experiencing homelessness use some form of family intervention to address conflict and help reconnect youth when appropriate.

Adolescent Well-Being after Experiencing Family Homelessness

July 5, 2016
New analysis of data from HUD's Family Options Study of adolescents’ experiences in shelter with their families and 20 months later shows that most adolescents continued to live with their families, and some continued to experience housing instability or live in overcrowded situations.

Health Coverage for Homeless and At-Risk Youth

April 11, 2016
This fact sheet explores eligibility for health care coverage, including through Medicaid and the Children’s Health Insurance Program (CHIP), for youth experiencing or at risk of homelessness. It provides information on subpopulations of youth who are likely to be eligible for health care coverage, which services are covered, and how to enroll.

Are Homeless Families Connected to the Social Safety Net?

April 4, 2016
New analysis of data from HUD's Family Options Study of families' experiences in shelter and 20 months later shows that families experiencing homelessness are generally connected to public benefits at similar rates to other families in deep poverty.

Support and Services at Home (SASH) Evaluation: Second Annual Report

December 31, 2015
This memorandum describes the ongoing implementation and impacts of a program the Support and Services at Home (SASH) program. The program is intended to improve health and decrease health care expenditures among elderly residents of affordable housing developments.

State Strategies for Coordinating Medicaid Services and Housing for Adults with Behavioral Health Conditions

March 31, 2015
This Issue Brief describes the strategies used by four states--Louisiana, Massachusetts, Tennessee, and Illinois--to improve the link between Medicaid and housing services for adult Medicaid beneficiaries with behavioral health conditions.

State Strategies for Improving Provider Collaboration and Care Coordination for Medicaid Beneficiaries with Behavioral Health Conditions

January 31, 2015
This Issue Brief highlights the efforts of four states--Illinois, Louisiana, Massachusetts, and Tennessee--to facilitate provider-level coordination for Medicaid beneficiaries with behavioral health disorders. It describes the financing strategies and specific mechanisms that states are using to improve care coordination.

Support and Services at Home (SASH) Evaluation: First Annual Report

August 31, 2014
September 2014   RTI International Abstract The Support and Services at Home (SASH) program in Vermont is a subcomponent of a larger Medicare demonstration--the Multi-payer Advanced Primary Care Pr