Download or read book Cost effectiveness Analysis of Emergency Shelter Spending and Housing Policies for the Homeless in the Greater Boston Area written by Kamenna Petrova Rindova and published by . This book was released on 1993 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Costs Associated with First Time Homelessness for Families and Individuals written by Brooke Spellman and published by DIANE Publishing. This book was released on 2010-10 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines costs associated with the use of homeless and mainstream service delivery systems by families and individuals experiencing homelessness for the first time in six study communities. Assigning costs to public programs is a first step toward developing measures of the value of public interventions compared to the public costs incurred by ignoring or avoiding the problems those interventions are intended to address. The study finds that the experience of homelessness is diverse and the associated costs vary tremendously depending on the pattern of homelessness and family or individual status. It is not, however, a study of either cost-effectiveness or quality of care, but rather a calculation of costs associated with homelessness. Illustrations.
Download or read book Long term Cost effectiveness of Housing First for Homeless People with Mental Illness written by Hannah Rochon and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Background. Homelessness has been expanding in Canada and internationally. It significantly increases mortality and thus is a public health concern. Housing First (HF), an approach that involves providing immediate access to permanent housing and individualized support services, is a key component of strategies to end homelessness. A two-year cost-effectiveness study found that HF resulted in significant cost-offsets but did not fully pay for itself.Objective. The objective of this project was to develop a simulation model to project HFs effects on costs and housing stability, from a societal perspective, compared to treatment-as-usual, over a ten-year horizon.Approach. A novel Excel-based platform, Discretely Integrated Condition Event (DICE), was used to build a Markov simulation model. Cost and outcome data were ascertained from the Montreal At Home/Chez Soi randomized controlled trial. Individuals were divided into eight subgroups based on need level, homelessness history, and intervention received. Nine possible housing states including street, shelters, psychiatric hospitalization, and prison, were defined. Daily transition probabilities between states were calculated by subgroup. Costs for healthcare, social, and justice services, and income were calculated for each housing state using generalized least squares regression. Days in stable housing was used as the outcome measure. One-way sensitivity analyses were conducted on the discount rate, the rate of “autonomization” for services provided by HF (i.e., the proportion of participants who after the second year need only the rent supplement, but not the support of a clinical support team), and the death rate obtained from outside sources. Results. Data from 425 (257 in the HF group and 168 in the TAU group) of the 463 individuals randomized at the beginning of the study were included for analysis. Results indicate that HF is both cost-saving and more effective than treatment as usual (TAU). Over ten years, HF participants averaged an additional 1,501 days in stable housing compared to TAU, while costing $26,527 less. Individuals who had a longer history of homelessness and higher need level had the largest cost savings. Savings stem from individuals in HF transitioning and staying in HF apartments at a higher rate. TAU groups tend to spend more time in expensive forms of unstable housing such as emergency housing and substance abuse treatment. Housing First continued to be more effective and less costly over plausible ranges of the parameters selected for sensitivity analyses. Conclusion. This model illustrates the differences in effectiveness of HF based on clients’ need level and homelessness history. Overall findings suggest long-term cost-effectiveness of HF is even greater than suggested by the two-year findings"--
Download or read book Dignity and Respect written by Boston (Mass.). Emergency Shelter Commission and published by . This book was released on 1987 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Homelessness Health and Human Needs written by Institute of Medicine and published by National Academies Press. This book was released on 1988-02-01 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
Download or read book Permanent Supportive Housing written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-07-11 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.
Download or read book Homelessness written by Alicia Puente Cackley and published by DIANE Publishing. This book was released on 2010-10 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Homeless Emerg. Assist. and Rapid Transition to Housing Act of 2009 (HEARTH Act) required this study of the appropriate admin. costs of HUD¿s Emerg. Shelter Grants Program (ESG) -- a formula-based program that supports services to homeless persons. This report discusses: (1) the types of admin. activities performed and admin. costs incurred under the ESG program, and the extent to which grant proceeds cover these admin. costs; (2) how the ESG program's allowance for admin. costs compares with admin. cost allowances for selected other targeted fed. homeless grant programs; and (3) how the nature or amount of admin. costs might be different under changes Congress made to the ESG program in the HEARTH Act. Tables and graphs.
Download or read book Homelessness written by U.s. Government Accountability Office and published by . This book was released on 2017-08-17 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Homeless Emergency Assistance and Rapid Transition to Housing Act of 2009 (HEARTH Act) directed GAO to study the appropriate administrative costs of the U.S. Department of Housing and Urban Development (HUD) Emergency Shelter Grants Program (ESG)-a widely used, formula-based program that supports services to persons experiencing homelessness. This report discusses (1) for selected recipients, the types of administrative activities performed and administrative costs incurred under the ESG program, and the extent to which grant proceeds cover these administrative costs; (2) how the ESG program's allowance for administrative costs compares with administrative cost allowances for selected other targeted federal homeless grant programs, plus selected other HUD formula-based grant programs; and (3) how the nature or amount of administrative costs might be different under changes Congress made to the ESG program in the HEARTH Act that expand the types of activities that may be funded. To address these issues, GAO reviewed relevant policies and documents, interviewed officials of HUD and other agencies, made site visits in four states, reviewed HUD and other available standards on eligible administrative costs for federal grants, and reviewed...
Download or read book Urban Research Monitor written by and published by . This book was released on 1998 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Rehousing Homeless Families in Massachusetts written by Laura Humm Delgado and published by . This book was released on 2010 with total page 101 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2009, three significant events related to family homelessness converged on the Massachusetts Department of Housing and Community Development (DHCD). First, the shelters for homeless families in Massachusetts were at capacity, and over 1,000 homeless families had been placed in hotels and motels across the state. Second, Article 87 of the Amendments to the Constitution transferred the Commonwealth's Emergency Assistance (EA) program to the Massachusetts Department of Housing and Community Development (DHCD), thereby designating DHCD to run the emergency shelter system for homeless families and individuals. Third, the United States Department of Housing and Urban Development granted Massachusetts $45 million to implement the Homelessness Prevention and Rapid Re-housing Program (HPRP), a part of the American Recovery and Reinvestment Act of 2009. With the newly acquired responsibility to run the EA program, put HPRP into practice, and rehouse the homeless families, especially those in hotels and motels, in Massachusetts, DHCD developed "the Architecture." The Architecture introduced a new policy model for how to address homelessness in Massachusetts through prevention, diversion, rehousing, and stabilization. It also provided the narrative for the HPRP Request for Responses that DHCD released July 3 1, 2009. This thesis is an analysis of how two "best practice" agencies in Massachusetts put the HPRP policy into practice using the Architecture developed by DHCD. Those two agencies are Metropolitan Boston Housing Partnership (MBHP) in Boston and the Central Massachusetts Housing Alliance (CMHA) in Worcester. The agencies' practices upon which this research focuses are rehousing and stabilization programs for homeless families, including landlord outreach and support. This thesis provides an analysis of how the agencies incorporate this new HPRP policy into existing practice while coping with the challenges and dilemmas they encounter along the way.
Download or read book Cost effective housing systems for disaster relief written by Abeles, Schwartz and Associates and published by . This book was released on 1976 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Massachusetts HomeBASE Program written by Ellen Elizabeth Ward and published by . This book was released on 2012 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Massachusetts is the only state in the US to maintain an emergency shelter entitlement for homeless families with its own dedicated line item in the state budget. However, in the last decade that line item has increased by 134%. In fiscal year 2011, Massachusetts spent more money on homeless services while at the same time serving more families through the Emergency Assistance (EA) system than ever before. In an attempt to rein in the cost and volume of participants in the system, the state underwent a major reform that culminated in the launch of a new program, HomeBASE, on August 1st, 2011. The program adopted a housing-first approach to serving families at imminent risk of homelessness that offered financial assistance for families to secure their own housing unit rather than entering an emergency shelter. This thesis looks at the implications of the housing-first policy shift and determines whether the program was able to achieve its intended goals: to reduce the cost and volume of the EA system. I find that the costs associated with offering 12-months of rental assistance are less than half of the average cost of serving a family in EA shelter. However, the savings are partially offset by the increase in demand for assistance when offering a housing subsidy instead of emergency shelter. To understand the reasons for the increased demand, I compare families enrolled in HomeBASE to EA shelter families from previous years to determine which, if any, factors contributed to demand. I find that HomeBASE did not attract a different population of families but merely more of the same. Using this analysis I make recommendations for how the state can modify the program using targeting tools and stabilization services to achieve its intended outcomes. These recommendations are relevant for other homeless policymakers and service providers as more and more programs adopt a housing-first approach to homelessness.
Download or read book Costs Associated with First Time Homelessness for Families and Individuals written by Jill Khadduri and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study measures costs associated with first-time homeless families and individuals incurred by homeless and mainstream service delivery systems in six study communities. Unaccompanied individuals were studied in Des Moines, Iowa; Houston, Texas; and Jacksonville, Florida. Families were studied in Houston, Texas; Kalamazoo, Michigan; Upstate South Carolina; and Washington, DC. Past research has primarily documented costs associated with homelessness for individuals with chronic patterns of homelessness or severe mental illness. Newer work has been published on the costs incurred within the homeless system for families experiencing first-time homelessness. This study provides additional findings that help to improve our understanding of homelessness and its associated costs. It presents ideas about opportunities for cost savings, and it advances an approach for measuring costs that, coupled with other evaluation methods, can help communities understand the cost-effectiveness of different homelessness interventions.
Download or read book Home and Healthy for Good written by Massachusetts Housing and Shelter Alliance and published by . This book was released on 2007 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Commonwealth of Massachusetts State Plan to End Family Homelessness written by Massachusetts. Policy Academy on Family Homelessness and published by . This book was released on 2006 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Housing First written by Deborah Padgett and published by Oxford University Press, USA. This book was released on 2016 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a unique portrayal of Housing First as a 'paradigm shift' in homeless services. Since 1992, this approach has spread nationally and internationally, changing systems and reversing the usual continuum of care. The success of Housing First has few parallels in social and human services.
Download or read book Homelessness written by and published by . This book was released on 1999 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:
