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A randomized trial of permanent supportive housing for chronically homeless persons with high use of publicly funded services

Abstract

We found that the Permanent Supportive Housing program intervention was able to house 86 percent of chronically homeless adults randomized to the treatment group based on their high use of multiple systems who were randomized to the treatment group. On average, it took 2.5 months for participants randomized to housing to become housed and 70 percent moved at least once, demonstrating that PSH can be successful with high‐risk participants but requires time and flexibility.

By using a randomized controlled trial design, we found that those randomized to housing (versus usual care) had lower use of psychiatric emergency departments and shelters, but did not have large reductions in service use described in previous uncontrolled studies.

This work has been supported, in part, by the University of California Multicampus Research Programs and Initiatives grant MRP-19-600774.

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