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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

ASPE is a contributing partner of the new HHS-HUD Housing and Services Resource Center (HSRC). The HRSC implements a federally coordinated approach to providing resources, program guidance, training, and technical assistance to public housing authorities and housing providers; state Medicaid, disability, aging and behavioral health agencies; the aging and disability networks; homeless services organizations and networks; health care systems and providers; and tribal organizations. Visit the new HSRC webpage.

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HUD/HHS/VA Collaborative Initiative to Help End Chronic Homelessness: An Evaluation of an Initiative to Improve Coordination and Service Delivery of Homeless Services Networks

Introduction In 2003 the Department of Housing and Urban Development (HUD), the Department of Health and Human Services, and the Department of Veterans Affairs initiated a major service demonstration, the Collaborative Initiative to Help End Chronic Homelessness (CICH).

Lessons from the Workshops on Affordable Housing Plus Services Strategies for Low and Modest-Income Seniors

This report presents the findings from the workshops on "affordable housing plus services" (AHPS) strategies for lower income seniors. These workshops were held across the country to analyze the merits of AHPS strategies and the barriers to their more widespread diffusion. [29 PDF pages]

Evaluability Assessment of Discharge Planning and the Prevention of Homelessness

Contents Introduction Key Research Questions Methods Key Findings Key Study Design and Measurement Issues Alternative Research Designs

Implementation of Maternity Group Home Programs: Serving Pregnant and Parenting Teens in a Residential Setting

Contents Methodology and Research questions Key Findings Recommendations for Further Research Maternity group homes offer an innovative and intensive approach to addressing the needs of an extremely vulnerable population  teenage mothers and their children who have no other

Measures of Material Hardship

Content The Value of Hardship Measures Defining and Measuring Hardship Material Hardship Indexes Measuring Hardship Using the SIPP Unanswered Questions for Future Research  

Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States

U.S. Department of Health and Human Services   Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States Executive Summary

Core Performance Indicators for Homeless-Serving Programs Administered by the U.S. Department of Health and Human Services

Contents Characteristics of the Four Homeless-Serving Programs Analysis of Measures Derived from Homeless Administrative Data Systems (HADS) Potential Core Performance Measures For Homeless-Specific Service Programs Application of Sugges

Ending Chronic Homelessness: Strategies for Action

U.S. Department of Health and Human Services Tommy G. Thompson, [Former] Secretary Report from the Secretary's Work Group on Ending Chronic Homelessness