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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 41 - 50 of 110. 10 per page. Page 5.

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Health Coverage for Homeless and At-Risk Youth

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?

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

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.
ASPE Issue Brief

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

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.
ASPE Issue Brief

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

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

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 Ca

A Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing

This is one of two reports examining the use of Medicaid to cover services for individuals experiencing chronic homelessness, particularly in Permanent Supportive Housing (PSH). It provides a “how-to” guide on the various ways that Medicaid can cover such services, including the Medicaid authorities and new options provided under the Affordable Care Act.

Identifying and Serving LGBTQ Youth: Case Studies of Runaway and Homeless Youth Program Grantees

To better understand provider experiences serving lesbian, gay, bisexual, transgender and Questioning (LGBTQ) runaway and homeless youth, this study reports on case studies of four local agencies receiving grants from the Administration for Children and Family’s Runaway and Homeless Youth (RHY) Program.