Annual Meeting Recordings are now available for purchase
299356
Creating a Medical Home through Housing First - Implementation and Outcomes
Monday, November 17, 2014
: 10:50 AM - 11:10 AM
Todd Gilmer, PhD
,
Department of Family and Preventive Medicine, UCSD, La Jolla, CA
This presentation focuses on a policy experiment being conducted in Los Angeles County (LAC), where the Department of Mental Health (DMH) has funded several models of integrated mental and physical health care (24 total programs). One of the models consists of using a housing first approach that combines supportive housing, assertive community treatment (ACT), and primary care (n=5). An implementation evaluation was conducted through interviews and observations conducted through site-visits to each program. Outcome data was entered into a web-based secure database developed for the project. A total of 465 adults with serious mental enrolled in the housing first programs. Days homeless decreased significantly, recovery measures showed significant improvement, but overall health measures were unchanged. These findings will be discussed in terms of challenges and solutions to providing integrated care for those who have experienced chronic homelessness and are now living in supportive housing.
Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Learning Objectives:
Describe a large-scale policy experiment occurring within the context of the Affordable Care Act.
Compare outcomes of integrated Housing First programs in comparison to other models of integrated care for people with mental illness.
Discuss the strengths and challenges that Housing First programs face when attempting to integrated care.
Keyword(s): Homelessness, Health Care Delivery
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have served as a clinician, administrator, and researcher of supportive housing programs over the last 10 years and am a co-investigator of 2 federally funded R01 from NIH focused on supportive housing.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
