Wikipedia source excerpts
Supportive housing is a combination of housing and services intended as a cost-effective way to help people live more stable, productive lives, and is an active "community services and funding" stream across the United States. It was developed by different professional academics and US governmental departments that supported housing.
Benefits of supportive housing for specific populations groups
Supportive housing proposes to be a comprehensive solution to a problem rather than a band-aid fix (such as a shelter). While many of those who stay in the shelter system remain in or return to the system for extended periods of time, a much higher percentage of those who are placed in supportive housing remain housed on a more permanent basis. This idea is also referred to as the Housing First model, an approach to combating chronic homelessness by providing homes upfront and offering help for illnesses and addictions. The concept turns the traditional model, which typically requires sobriety (or prerequisites that can be used for enhanced services before a person can get housing), upside down.
Research has shown that coupling permanent housing with supportive services is highly effective at maintaining housing stability, as well as helps improve health outcomes and decreases the use of publicly funded institutions. A review of the impact of these services found that they can improve health outcomes among chronically homeless individuals, including positive changes in self-reported mental health status, substance use, and overall well-being. In the Collaborative Initiative to Help End Chronic Homelessness (CICH), participants who had been homeless for an average of eight years were immediately placed into permanent housing. The CICH evaluation reported that 95% of those individuals were in independent housing after 12 months. A study of homeless people in New York City with serious mental illness found that providing supportive housing to the individuals directly resulted in a 60% decrease in emergency shelter use for clients, as well as decreases in the use of public medical and mental health services and city jails and state prisons. Another study in Seattle in 2009 found that moving "people with chronic alcoholism" into supportive housing resulted in a 33% decline in alcohol use for clients.
There is significant support for the contention that supportive housing also costs less than other systems where its tenant base may reside, such as jails, hospitals, mental health facilities, and even shelters. Research on the overall costs to the taxpayer of supportive housing has consistently found the costs to the taxpayer to be about the same or lower than the alternative of a chronically homeless person sleeping in a shelter. The CICH evaluation showed that average costs for healthcare and treatment were reduced by about half, which the largest decline associated with inpatient hospital care. The use of supportive housing has been shown to be cost-effective, resulting in reductions in the use of shelter, ambulance, police/jail, health care, emergency room, behavior health, and other service costs. For example, one 2016 report identified studies documenting that these services can reduce health care costs, emergency department visits, and length of stays in psychiatric hospitals. The Denver Housing First Collaborative documented that the annual cost of supportive housing for a chronically homeless individual was $13,400. However, the per-person reduction in public services recorded by the Denver Housing First Collaborative came to $15,773 per person per year, more than compensating for the annual supportive housing costs.
When paired with low-income housing (or mixed-income housing), government subsidies (such as section 8 or Housing choice vouchers) and other revenue generating operations, supportive housing residences are claimed by their supporters to be capable of supporting themselves and even turning a profit (which can be used for enhanced services and amenities for the residents by a non-profit organization). According to a 2007 study done by the National Alliance to End Homelessness, supportive housing helps tenants increase their incomes, work more, get arrested less, make more progress toward recovery, and become more active, valued and productive members of their communities.
Impact on neighborhoods
Supportive housing can help people facing health challenges to continue to live in the community. However, proposals for new housing projects often faced local opposition, largely based on fears regarding adverse effects on property values and crime rates, local businesses, and the quality of life in the surrounding neighborhood.
Further reading
AcademyHealth. (2016, July). Rapid Evidence Review: What Housing-related Services and Supports Improve Health Outcomes among Chronically Homeless Individuals?.
Bassuk, Ellen L.; Geller, Stephanie, The Role of Housing and Services in Ending Family Homelessness (2006). Housing Policy Debate 17(4): 781–806.
Braisby, D., Echlin, R., Hill, S. & Smith, H. (1984). Changing Futures: Housing and Support Services for People Discharged from Psychiatric Hospitals. London: King's Fund Project Paper.
Carling, P.J., Randolph, F.L., Blanch, A.K. & Ridgeway, P. (1988). A review of the research on housing and community integration for people with psychiatric disabilities. National Rehabilitation Information Center Quarterly, 1(3), 1–18. OCLC 33023067
Carling, P.J. (1993, May). Housing and supports for persons with mental illness: Emerging approaches to research and practice. Hospital and Community Psychiatry, 44(5): 439–449. PMID: 8509074; DOI: 10.1176/ps.44.5.439
Cuomo, A.M. (2014). HELP. All Things Possible: Setbacks and Successes in Politics and Life (pp. 80–136). NY, NY: Harper Collins Publishers. ISBN 0-062-30010-5, 9780062300102; OCLC 1199128524
Dilys Page. (1995, April). Whose services? Whose needs? Community Development Journal, 30(2), 217–235. DOI: 10.1093/cdj/30.2.217
Fitton, P. & Wilson, J. (1995). "A home of their own: Achieving supported housing". In: T. Philpot & L. Ward (Eds.), Changing Ideas and Services for People with Learning Disabilities. (pp. 43–54). Oxford: Butterworth-Heinemann, Ltd. ISBN 0-750-62248-2, 9780750622486; OCLC 1302619886
Friedman, Donna Haig, et al., Preventing Homelessness and Promoting Housing Stability: A Comparative Analysis Archived 2023-01-17 at the Wayback Machine, The Boston Foundation, June 2007.
Knisley, M. B. & Fleming, M. (1993, May). Implementing supported housing in state and local mental health systems. Hospital and Community Psychiatry, 44(5),456–460. PMID: 8509076 l DOI: 10.1176/ps.44.5.456
Lakin, K. C. & Racino, J.A. (1990). Formation of the Rehabilitation Research and Training Centers on Families and Community Living in US Education. Washington, DC: University of Minnesota and Syracuse University in conjunction with the RRTCS of the USA.
Livingston, J. & Srebnik, D. (1991, November). States' strategies for promoting supported housing for persons with psychiatric disabilities. Hospital and Community Psychiatry, 42(11), 1116–1119. PMID: 1743638; DOI: 10.1176/ps.42.11.1116
McCarroll, Christina, "Pathways to housing the homeless", The Christian Science Monitor, May 1, 2002
O’Flaherty, Brendan, Making room : the economics of homelessness, Cambridge, Mass. : Harvard University Press, 1996. ISBN 0-674-54342-4, 0-674-54343-2; OCLC 751331264
Quigley, John M.; Raphael, Steven, The Economics of Homelessness: The Evidence from North America Archived 2022-01-20 at the Wayback Machine, European Journal of Housing Policy 1(3), 2001, 323–336.
O'Hara, A. & Day, S. (2001, December). Olmstead and Supportive Housing: A Vision for the Future. Washington, DC: Center for Health Care Strategies and the Technical Assistance Collaborative. OCLC 50119357
Pynoos, J., Hollander-Feldman, P., & Ahrens, J. (2004). Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities. NY, NY: The Haworth Press. ISBN 0-203-05119-X; OCLC 1082212507
Racino, J. A. (1989, August). Selected Issues in Housing. Prepared for US conference distribution, Rehabilitation Research and Training Center on Community Integration, Syracuse University, Center on Human Policy.
Racino, J. (1999). "State policy in housing and support: Evaluation and policy analysis of state systems". In: Policy, Program Evaluation and Research in Disability: Community Support for All. (pp. 263–287). London: Haworth Press. ISBN 0-789-00598-0, 9780789005984; OCLC 301621888
Racino, J. (2014). "Housing and disability: Toward inclusive, equitable, and sustainable housing and communities". Public Administration and Disability: Community Services Administration in the US. NY, NY: CRC Press, Francis and Taylor. ISBN 1-466-57981-1, 9781466579811; OCLC 865641827
Ridgeway, P. & Zipple, A.M.(1990, April). "The paradigm shift in residential services: From the linear continuum to supported housing approaches." Special Issue: Supported Housing: New approaches to residential services. Psychosocial Rehabilitation. Boston, MA: Center for Psychiatric Rehabilitation, Sargent College of Allied Health Professions, Boston University. DOI: 10.1037/h0099479
Rogers, E.S., Farkas, M., Anthony, W., Kash, M., Harding, C., & Olschewski, A. (2009). Systematic Review of Supported Housing Literature 1993–2008. Boston, MA: Boston University Center for Psychiatric Rehabilitation.
Roncarati, Jill, Homeless, housed, and homeless again, Journal of the American Academy of Physician's Assistants (authorized for involuntary care by psychiatrists; active legal cases), June 2008. PMID: 18619107; DOI: 10.1097/01720610-200806000-00090
Sheehan, N. & Oakes, C. (2004). "Public policy initiatives addressing supportive housing: The experience of Connecticut". In: Pynoos, J., Holander-Feldman, P. & Ahrens, J. (Eds.), Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities. pp. 81–113). New York: Haworth Press. ISBN 0-203-05119-X; OCLC 1082212507
Surles, R.C. (1989). Supported Housing Implementation: A Report to the New York State Legislature. Albany, NY: New York State Office of Mental Health.
Taylor, S.J. (1987). A Policy Analysis of the Supported Housing Demonstration Project: Pittsburgh, PA. Syracuse, NY: Syracuse University, Center on Human Policy, Community Integration Project. OCLC 27721422
US Housing and Urban Development. (2010, July). Homeless Costs and Interventions: A Portrait of Homelessness in 2009; Low Income Housing Tax Credits' Boost Affordable Rental Housing Supplies; Snapshot of Worst Case Housing Needs in the US.