Evidence
Health Aff (Millwood). 2024 Feb;43(2):200-208. doi: 10.1377/hlthaff.2023.01046.
ABSTRACT
Screening for housing instability has increased as health systems move toward value-based care, but evidence on how health care-based housing interventions affect patient outcomes comes mostly from interventions that address homelessness. In this mixed-methods evaluation of a primary care-based housing program in Boston, Massachusetts, for 1,139 patients with housing-related needs that extend beyond homelessness, we found associations between program participation and health care use. Patients enrolled in the program between October 2018 and March 2021 had 2.5 fewer primary care visits and 3.6 fewer outpatient visits per year compared with those who were not enrolled, including fewer social work, behavioral health, psychiatry, and urgent care visits. Patients in the program who obtained new housing reported mental and physical health benefits, and some expressed having stronger connections to their health care providers. Many patients attributed improvements in mental health to compassionate support provided by the program’s housing advocates. Health care-based housing interventions should address the needs of patients facing imminent housing crises. Such interventions hold promise for redressing health inequities and restoring dignity to the connections between historically marginalized patient populations and health care institutions.
PMID:38315923 | DOI:10.1377/hlthaff.2023.01046
Estimated reading time: 4 minute(s)
Latest: Psychiatryai.com #RAISR4D
Cool Evidence: Engaging Young People and Students in Real-World Evidence ☀️
Real-Time Evidence Search [Psychiatry]
AI Research
Primary Care-Based Housing Program Reduced Outpatient Visits; Patients Reported Mental And Physical Health Benefits
🌐 90 Days
VR Related Evidence Matrix
- Characteristics and Health Care Utilization of Patients With Housing Insecurity in the ED
- An emergency-department-initiated outreach program for patients with opioid use disorder is associated with an increase in agonist therapy and engagement in addictions care: a one-year cohort study
- Implementation of the Community Homes for Opportunity Program Among Community Mental Health Staff in Southwestern Ontario
- Text And Telephone Screening And Referral Improved Detection And Treatment Of Maternal Mental Health Conditions
- Contingency management for substance use disorders in the U.S. Veterans Health Administration: 2018-2022
- Reducing wait times and avoiding unnecessary use of high-cost mental health services through a Rapid Access and Stabilization Program: protocol for a program evaluation study
- Continuation of Pediatric Care after Transfer to Adult Care Among Autistic Youth Overlap of Pediatric and Adult Care
- Characteristics for Low, High and Very High Emergency Department Use for Mental Health Diagnoses from Health Records and Structured Interviews
- Multicomponent Co-Occurring Disorders Treatment and Wraparound Services for Individuals Experiencing Chronic Homelessness
- Association of socioeconomic deprivation with outcomes in critically ill adult patients: an observational prospective multicenter cohort study
- Complexity of patients with mental healthcare needs cared for by mental health clinical pharmacist practitioners in Veterans Affairs
- Individual and Interactive Effects of Housing and Neighborhood Quality on Mental Health in Hong Kong: A Retrospective Cohort Study
- The impact of policing and homelessness on violence experienced by women who sell sex in London: a modelling study
- Self-Pay Outpatient Mental Health Care for Children and Adolescents, by Socioeconomic Status
- Suicide Screening, Risk Assessment, and Lethal Means Counseling During Zero Suicide Implementation
- Housing cost burden and external causes of mortality: Variations across housing regimes in high-income countries, 2010-2020
- Perspectives from persons living with dementia and their caregivers on emergency department visits, care transitions, and outpatient follow-up: A qualitative study
- Monitoring Persons' Rights to Equal Care: Registered nurses' Experiences of Caring for People with Mental Ill-Health and Somatic Comorbidity in Psychiatric Outpatient Care
- Understanding the impact of a residential housing program for people living with HIV/AIDS: results from a realist evaluation
- Access to Mental Health and Substance Use Treatment in Comprehensive Primary Care Plus
- Pediatric Primary Care Clinicians' Perspectives on Telemedicine Use, 2020 Versus 2021
- Transition of care from post-acute services for the older adults in Quebec: a pilot impact evaluation
- A Digital Platform (Telepalliation) for Patients in Palliative Care and Their Relatives: Protocol for a Multimethod Randomized Controlled Trial
- Factors Associated with Delayed Care Among Women Veterans Actively Engaged in Primary Care
- Addressing social needs in oncology care: another research-to-practice gap
- Addressing social needs in oncology care: another research-to-practice gap
- Building bridges to outpatient treatment services for post-overdose care via paramedic buprenorphine field initiation
- Building bridges to outpatient treatment services for post-overdose care via paramedic buprenorphine field initiation
- Application of an opioid use disorder cascade of care in a large public health system
- Experiences in global mental health
- Substance-related poisoning hospitalizations and homelessness in Canada: a descriptive study
- The longitudinal mediating role of sleep in associations between COVID-19 stressors predicting mental and physical health outcomes among emerging adult college students
- The longitudinal mediating role of sleep in associations between COVID-19 stressors predicting mental and physical health outcomes among emerging adult college students
- Evaluating implementation of a community-focused patient navigation intervention at an NCI-designated cancer center using RE-AIM
- Improved follow-up care for gun violence survivors in the Trauma Quality of Life Clinic
- Connecting unstably housed veterans living in rural areas to health care: Perspectives from Health Care Navigators
- Patient and Therapist Perceptions of a Publicly Funded Internet-Based Cognitive Behavioral Therapy (iCBT) Program for Ontario Adults During the COVID-19 Pandemic: Qualitative Study
- Community-based Mental Health Services in Norway
- Holding the Guardrails on Involuntary Commitment
- Court-ordered inpatient psychiatric care in Switzerland. Length of stay and treatment outcome
- Access to primary eye care for people living with dementia: a call to action for primary care practitioners to 'think vision'
- Building Resilience through Intervention, Direct Guidance, and Empowerment (BRIDGE): A demonstration project to assist youth aging out of foster care in Poland
- Addressing Legal Needs as Violence Prevention: A National Survey of Legal Services Offered through Hospital-based Violence Intervention Programs
- Health care utilization, mental disorders and behavioural disorders among perpetrators of intimate partner homicide in 2000-2016: A registry-based case-control study from Sweden
- Social and Behavioral Barriers to Effective Care During the Transition to End-Stage Kidney Care
- Engagement in GI Behavioral Health Is Associated with Reduced Portal Messages, Phone Calls, and ED Visits
- Where do incarcerated trans women prefer to be housed and why? Adding nuanced understandings to a complex debate through the voices of formerly incarcerated trans women in Australia and the United States
- A Patient-Centered Multidisciplinary Medical HOME for Persons With Intellectual and Developmental Disabilities
- Answering the Call: Experiences of Implementing Antiracist Interventions in Health Care
- Managing Multiple Chronic Conditions during COVID-19 Among Patients with Social Health Risks
- Effectiveness of interventions to improve adherence to antidepressant medication in patients with depressive disorders: a cluster randomized controlled trial
- The Safety of Outpatient Health Care : Review of Electronic Health Records
- Lessons Learned from a Citywide Abandoned Housing Experiment
- Preferences for Postacute Care at Home vs Facilities
- "Good Care Is Slow Enough to Be Able to Pay Attention": Primary Care Time Scarcity and Patient Safety
- Colin Waterhouse: Prevention of future deaths report
- Use of Electronic Health Record-Based Measures to Assess Quality of Care for Pediatric Agitation
- Potential parental determinants of the pace of evidence-based practice change in children's mental health care
- Use of Electronic Health Record-Based Measures to Assess Quality of Care for Pediatric Agitation
- Licensure Policies May Help States Ensure Access To Opioid Use Disorder Medication In Specialty Addiction Treatment
- Chinese-Australian carers' perceived needs and preferences in planning to embed an iSupport for Dementia program in aged care services
- Chinese-Australian carers' perceived needs and preferences in planning to embed an iSupport for Dementia program in aged care services
- Barriers and facilitators to collaborative care implementation within the New York State Collaborative Care Medicaid Program
- Pharmacist-led telehealth deprescribing for people living with dementia and polypharmacy in primary care: A pilot study
Evidence Blueprint
Primary Care-Based Housing Program Reduced Outpatient Visits; Patients Reported Mental And Physical Health Benefits
☊ AI-Driven Related Evidence Nodes
(recent articles with at least 5 words in title)
More Evidence
Primary Care-Based Housing Program Reduced Outpatient Visits; Patients Reported Mental And Physical Health Benefits
🌐 365 Days
VR Related Evidence Matrix
- Encampment Clearings And Transitional Housing: A Qualitative Analysis Of Resident Perspectives
- "They are always focusing on the person who is doing the worst": Exploring how crisis shapes young people's pathways in and out of supportive housing in Vancouver, Canada
- Characteristics and Health Care Utilization of Patients With Housing Insecurity in the ED
- The CARES Program: Improving Viral Suppression and Retention in Care Through a Comprehensive Team-Based Approach to Care for People with HIV and Complex Psychosocial Needs
- Facilitating exit from encampments: combining low-barrier transitional housing with stabilizing treatment for substance related problems
- An emergency-department-initiated outreach program for patients with opioid use disorder is associated with an increase in agonist therapy and engagement in addictions care: a one-year cohort study
- Affordable housing through the Low-Income Housing Tax Credit program and opioid overdose emergency department visits
- Mortal Systemic Exclusion Yielded Steep Mortality-Rate Increases In People Experiencing Homelessness, 2011-20
- Medicaid Value-Based Payments and Health Care Use for Patients With Mental Illness
- Implementation of the Community Homes for Opportunity Program Among Community Mental Health Staff in Southwestern Ontario
- Risk factors for homelessness and housing instability in the first episode of mental illness: Initial findings from the AMONT study
- Social Risk Factors and Racial and Ethnic Disparities in Health Care Resource Utilization Among Medicare Advantage Beneficiaries With Psychiatric Disorders
- Text And Telephone Screening And Referral Improved Detection And Treatment Of Maternal Mental Health Conditions
- Contingency management for substance use disorders in the U.S. Veterans Health Administration: 2018-2022
- Using electronic health record metadata to predict housing instability amongst veterans
- Reducing wait times and avoiding unnecessary use of high-cost mental health services through a Rapid Access and Stabilization Program: protocol for a program evaluation study
- Transgender Women Experiencing Homelessness - National HIV Behavioral Surveillance Among Transgender Women, Seven Urban Areas, United States, 2019-2020
- Changes in Outpatient Health Care Use After COVID-19 Infection Among Veterans
- Perspectives and recommendations of opioid overdose survivors experiencing unsheltered homelessness on housing, overdose, and substance use treatment in Boston, MA
- Evaluating Medicaid Managed Care Network Adequacy Standards And Associations With Specialty Care Access For Children
- Continuation of Pediatric Care after Transfer to Adult Care Among Autistic Youth Overlap of Pediatric and Adult Care
- Characteristics for Low, High and Very High Emergency Department Use for Mental Health Diagnoses from Health Records and Structured Interviews
- Using alone at home: What's missing in housing-based responses to the overdose crisis?
- Multicomponent Co-Occurring Disorders Treatment and Wraparound Services for Individuals Experiencing Chronic Homelessness
- Learning from national implementation of the Veterans Affairs Clinical Resource Hub (CRH) program for improving access to care: protocol for a six year evaluation
- Clinical characteristics and healthcare utilisation associated with undiagnosed cognitive impairment in elderly patients with diabetes in a primary care setting: a population-based cohort study
- Choosing Or Losing In Behavioral Health: A Study Of Patients' Experiences Selecting Telehealth Versus In-Person Care
- Medicaid Costs and Utilization of Collaborative Versus Colocation Care for Patients With Depression
- Predictors and Consequences of Homelessness: Protocol for a Cohort Study Design Using Linked Routine Data
- Care Retention Among Veterans with Serious Mental Illness who were once lost-to-Veterans Health Administration care
- Comparative Effectiveness of Psychotherapy vs Antidepressants for Depression in Heart Failure: A Randomized Clinical Trial
- Referring Adolescent Primary Care Patients to Single-Session Interventions for Anxiety and Depression: Protocol for a Feasibility Study
- Evaluation of a Primary Care-Based Multidisciplinary Transition Clinic for Patients Newly Initiated on Buprenorphine in the Emergency Department
- Evaluation of a prison violence prevention program: impacts on violent and non-violent prison infractions
- Association of socioeconomic deprivation with outcomes in critically ill adult patients: an observational prospective multicenter cohort study
- Adherence to Patient-Reported Symptom Monitoring and Subsequent Clinical Interventions for Patients With Multiple Myeloma in Outpatient Care: Longitudinal Observational Study
- Evaluation of the Michigan Clinical Consultation and Care Program: An Evidence-Based Approach to Perinatal Mental Healthcare
- The impact of the COVID-19 pandemic on the rate of primary care visits for substance use among patients in Ontario, Canada
- Model Clinic to Increase Preventive Screenings Among Patients With Physical Disabilities: Protocol for a Mixed Methods Intervention Pilot Study
- The impact of community engagement as a public health intervention to support the mental well-being of single mothers and children living under housing insecure conditions - a rapid literature review
- Antidepressant Prescription Behavior Among Primary Care Clinician Providers After an Interprofessional Primary Care Psychiatric Training Program
- Implementing a peer-supported, integrated strategy for substance use disorder care in an outpatient infectious disease clinic is associated with improved patient outcomes
- Complexity of patients with mental healthcare needs cared for by mental health clinical pharmacist practitioners in Veterans Affairs
- Use of Telemedicine and Quality of Care Among Medicare Enrollees With Serious Mental Illness
- The impact of housing-price-related indices on suicide rates in Taiwan
- Housing hardship and maternal mental health among renter households with young children
- Individual and Interactive Effects of Housing and Neighborhood Quality on Mental Health in Hong Kong: A Retrospective Cohort Study
- The impact of policing and homelessness on violence experienced by women who sell sex in London: a modelling study
- Self-Pay Outpatient Mental Health Care for Children and Adolescents, by Socioeconomic Status
- A qualitative exploration of older people's lived experiences of homelessness and memory problems - stakeholder perspectives
- Adapting Behavioral Treatments for Primary Care Using a Theory-Based Framework: The Case of Adolescent Eating Disorders
- Impact of firearm injury in children and adolescents on health care costs and use within a family
- Measuring continuity of care for diabetes: which visits to include?
- Implementation of Remote Activity Sensing to Support a Rehabilitation Aftercare Program: Observational Mixed Methods Study With Patients and Health Care Professionals
- Suicide Screening, Risk Assessment, and Lethal Means Counseling During Zero Suicide Implementation
- Homelessness and associated factors over a 13-year period among psychiatric in-patients in Berlin, Germany: routine data analysis
- Prospective Associations of Childhood Housing Insecurity With Anxiety and Depression Symptoms During Childhood and Adulthood
- Care sequences leading to the diagnosis of Alzheimer's disease and related dementias: An analysis of electronic health records
- A nationwide study of COVID-19 impact on mental health-related presentations among children and adolescents to primary care practices in Australia
- A digital intake tool to avert outpatient visits in a FIT-based colorectal cancer screening population: study protocol of a multicentre, prospective non-randomized trial - the DIT-trial
- Lessening the Impact of Opioid Misuse at a Federally Qualified Health Center in New York: Outcomes of an Integrated Workforce Training Program
- Housing cost burden and external causes of mortality: Variations across housing regimes in high-income countries, 2010-2020
- Perspectives from persons living with dementia and their caregivers on emergency department visits, care transitions, and outpatient follow-up: A qualitative study
- Monitoring Persons' Rights to Equal Care: Registered nurses' Experiences of Caring for People with Mental Ill-Health and Somatic Comorbidity in Psychiatric Outpatient Care