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Permanent Supportive Housing With Housing First: Findings From a Community Guide Systematic Economic Review
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3 2022
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Source: Am J Prev Med. 62(3):e188-e201
[PDF-592.35 KB]
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Alternative Title:Am J Prev Med
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Description:Introduction:
The annual economic burden of chronic homelessness in the U.S. is estimated to be as high as $3.4 billion. The Permanent Supportive Housing with Housing First (Housing First) program, implemented to address the problem, has been shown to be effective. This paper examines the economic cost and benefit of Housing First programs.
Methods:
The search of peer-reviewed and gray literature from inception of databases through November 2019 yielded 20 evaluation studies of Housing First programs, 17 from the U.S. and 3 from Canada. All analyses were conducted during March 2019 through July 2020. Monetary values are reported in 2019 U.S. dollars.
Results:
Evidence from studies conducted in the U.S. was separated from those conducted in Canada. The median intervention cost per person per year for U.S. studies was $16,479 and for all studies, including those for Canada, it was $16,336. The median total benefit for the U.S. studies was $18,247 per person per year and $17,751 for all studies including those for Canada. The benefit-to-cost ratio for U.S. studies was 1.80:1, and for all studies including those for Canada it was 1.06:1.
Discussion:
The evidence from this review shows economic benefits exceed the cost of Housing First programs in the U.S. There were too few studies to determine cost–benefit in the Canadian context.
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Pubmed ID:34774389
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Pubmed Central ID:PMC8863642
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