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Impact of Supported Housing on Clinical Outcomes

The Journal of Nervous and Mental DiseasePublished 1 January 2007
An‐Lin Cheng, Haiqun Lin, Wesley J. Kasprow, Robert A. Rosenheck
Citations89
SJR quartileQ3
SJR score0.59
SNIP0.52

TL;DR

A previous publication found HUD-VASH resulted in superior housing outcomes but yielded no benefits on clinical outcomes but reanalyzed data using multiple imputation statistical methods to account for the missing observations.

Abstract

In 1992, the US Department of Housing and Urban Development (HUD) and the US Department of Veterans Affairs (VA) established the HUD-VA Supported Housing (HUD-VASH) Program to provide integrated clinical and housing services to homeless veterans with psychiatric and/or substance abuse disorders at 19 sites. At four sites, 460 subjects were randomly assigned to one of the three groups: (1) HUD-VASH, with both Section 8 vouchers and intensive case management; (2) case management only; and (3) standard VA care. A previous publication found HUD-VASH resulted in superior housing outcomes but yielded no benefits on clinical outcomes. Since many participants missed prescheduled visits during the follow-up period and follow-up rates were quite different across the groups, we reanalyzed these data using multiple imputation statistical methods to account for the missing observations. Significant benefits were found for HUD-VASH in drug and alcohol abuse outcomes that had not previously been identified.

Keywords

Social SciencesHealth Professions