Medical and emergency medical service use by people experiencing homelessness before and after placement in supportive housing
Results indicate that participants used fewer medical and emergency medical services after housing placement, with medical service use decreasing 25% and emergency medical service use decreasing 29%. The largest specific subservice decreases were for ER (61%), inpatient (56%), and psychiatric ER (41%) use. Post-housing charges were just over one million dollars less than pre-housing charges. Additional analyses (yet to be completed) will assess the nature of service use using diagnostic data for each service episode, evaluating how the nature of service use may have changed after placement, including a determination of the appropriateness of service use.
The findings of this study provide continued support for permanent supportive housing as an effective intervention to address homelessness. While the study did not include a control group, the consistency of its findings with studies conducted elsewhere continues to support the assertion that permanent supportive housing positively impacts communities through decreased use of critical services and decreased costs associated with this service use. The study also sheds light on the trajectories of health and mental health care as participants transition from states of homelessness to housing stability.
Learning Areas:Advocacy for health and health education
Public health or related public policy
Public health or related research
Discuss changes in medical and emergency medical service use by formerly homeless individuals after placement in permanent supportive housing.
Keyword(s): Homelessness, Evaluation
Qualified on the content I am responsible for because: I have conducted a number of studies evaluating the use of critical service systems by people who are homeless. I have published the results of these studies in professional, peer-reviewed journals and presented at professional conferences.
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.