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9 Conclusions and Recommendations
Pages 135-140

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From page 135...
... This committee was charged to examine the connection between PSH and improved health outcomes, addressing the primary question, "To what extent have permanent supportive housing programs improved health outcomes and affected health care costs in people experiencing chronic homelessness? " This chapter offers the committee's overall conclusions about the evidence on the effect of PSH on health outcomes, as well as research and policy recommendations.
From page 136...
... The committee found no substantial published evidence that PSH improves health; however, PSH increases an individual's ability to remain housed and plausibly alleviates a number of conditions that negatively impact health. However, few randomized controlled trials or other methodologically rigorous studies have evaluated the role of PSH in producing improved health outcomes.
From page 137...
... Chapter 3 describes the current research and the concept of housing-sensitive conditions in more detail. Scaling Up PSH: Policy and Program Barriers As part of its charge, the committee was asked to identify the "key policy barriers and research gaps associated with developing programs to address the housing and health needs of homeless populations." While the committee found no substantial published evidence that PSH improves health, the intervention increases an individual's ability to remain housed and that plausibly alleviates a number of conditions that negatively impact health.
From page 138...
... RECOMMENDATIONS The committee developed the following recommendations based on its assessment of the evidence that it hopes will guide research and federal action on this issue. The recommendations flow from the specific questions posed to the committee in the statement of task, including research needs related to assessing PSH and health outcomes, the cost-effectiveness of PSH, and key policy and program barriers to bringing PSH and other housing models to scale to meet the needs of those experiencing chronic homelessness.
From page 139...
... Recommendation 4-1: Incorporating current recommendations on cost-effectiveness analysis in health and medicine (Sanders et al., 2016) , standardized approaches should be developed to conduct financial analyses of the cost-effectiveness of permanent supportive housing in improving health outcomes.
From page 140...
... Chronic homelessness and related health conditions are problems that require an appropriate multidimensional strategy and an ample menu of targeted interventions that are premised on a resolute commitment of resources. More precisely defined and focused research to refine the menu of needed interventions, and a materially increased supply of PSH are part of the multidimensional strategy.


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