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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.

Topic Areas

Reports

Displaying 31 - 40 of 111. 10 per page. Page 4.

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Factors Associated with Prolonged Youth Homelessness

Organizations can use their resources more efficiently to reduce and end prolonged youth homelessness if they know who they are trying to serve, and the issues that these youth face.This brief aims to summarize factors associated with prolonged episodes of homelessness among youth.

Interventions for Addressing Prolonged Youth Homelessness

This brief aims to arm service providers with information regarding available evidence about interventions to prevent or reduce prolonged youth homelessness, in order to support providers in using their resources as efficiently and effectively as possible.

Serious Mental Illness and Prolonged Youth Homelessness

Research about adults experiencing chronic homelessness shows a relationship with serious mental illness. This brief aims to explore whether this same intersection between prolonged homelessness and serious mental illness exists among youth.

Pretesting a Human Trafficking Screening Tool in the Child Welfare and Runaway and Homeless Youth Systems

This report summarizes findings from a study to develop and pre-test a human trafficking screening tool with 617 youth in runaway and homeless youth (RHY) and child welfare (CW) settings. The tool was found to be accessible, easy to administer, and effective in identifying trafficked youth in these settings, though additional research is needed.

Child and Partner Transitions among Families Experiencing Homelessness

New analysis of data from HUD's Family Options Study finds that about 30 percent of sheltered homeless families reported a separation from at least one family member. Family transitions continued in the following 20 months, with 10 percent of families experiencing new child separations and 8 percent reporting reunification with children who had not been with the family in shelter.

Well-Being of Young Children after Experiencing Homelessness

New analysis of data from HUD's Family Options Study shows that twenty months after staying in an emergency shelter with their families, young children scored worse in pre-reading skills and had higher rates of overall behavior problems and early development delays compared to national norms for children their age.

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

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.

Support and Services at Home (SASH) Evaluation: Highlights from the First Four Years Research Summary

This Research Summary describes the primary features of the SASH program and summarizes the main findings of the evaluation to date.  [7 PDF pages]

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

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

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.