Changes in Health Care Utilization and Associated Costs After Supportive Housing Placement by an Urban Community Mental Health Center

Permanent supportive housing (PSH) for individuals experiencing homelessness and living with mental illness can reduce utilization of crisis care services and increase utilization of outpatient care, although the extent to which pre-housing utilization patterns influence post-housing utilization rem...

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Bibliographic Details
Published in:Community mental health journal 2023-11, Vol.59 (8), p.1578-1587
Main Authors: Williams, Joah L., Keaton, Kim, Phillips, Robbie W., Crossley, Aaron R., Glenn, James M., Gleason, Vivian L.
Format: Article
Language:English
Subjects:
Community and Environmental Psychology
Community mental health services
Crises
Emergency medical care
Health behavior
Health care expenditures
Health facilities
Health services utilization
Homeless people
Hospitalization
Housing
Housing costs
Intervention
Medicine
Medicine & Public Health
Mental disorders
Mental health
Original Paper
Outpatient treatment
Post traumatic stress disorder
Primary care
Psychiatry
Psychosis
Residential patterns
Tenants
Urban areas
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Summary:Permanent supportive housing (PSH) for individuals experiencing homelessness and living with mental illness can reduce utilization of crisis care services and increase utilization of outpatient care, although the extent to which pre-housing utilization patterns influence post-housing utilization remains unclear. Therefore, pre- and post-housing health service utilization was examined in 80 individuals living with a chronic mental illness who were and were not utilizing health care services in the years pre- and post-housing. Overall, the proportion of tenants utilizing outpatient services, including outpatient behavioral health services, increased from pre- to post-housing. Tenants who did not use outpatient behavioral health services prior to housing were disproportionately less likely than their peers to use those services after being housed. Among tenants who utilized crisis care services prior to being housed, reductions were observed in the number of crisis care visits. Results suggest PSH leads to changes in health care utilization and associated costs.
ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-023-01146-6