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Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems

Health Care and Public Service Use and Costs Before and After Provision of Housing for... ORIGINAL CONTRIBUTION Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems Mary E. Larimer, PhD Context Chronically homeless individuals with severe alcohol problems often have Daniel K. Malone, MPH multiple medical and psychiatric problems and use costly health and criminal justice services at high rates. Michelle D. Garner, MSW, PhD Objective To evaluate association of a “Housing First” intervention for chronically David C. Atkins, PhD homeless individuals with severe alcohol problems with health care use and costs. Bonnie Burlingham, MPH Design, Setting, and Participants Quasi-experimental design comparing 95 housed Heather S. Lonczak, PhD participants (with drinking permitted) with 39 wait-list control participants enrolled between November 2005 and March 2007 in Seattle, Washington. Kenneth Tanzer, BA Main Outcome Measures Use and cost of services (jail bookings, days incarcer- Joshua Ginzler, PhD ated, shelter and sobering center use, hospital-based medical services, publicly Seema L. Clifasefi, PhD funded alcohol and drug detoxification and treatment, emergency medical services, William G. Hobson, MA and Medicaid-funded services) for Housing First participants relative to wait-list controls. G. Alan Marlatt, PhD Results Housing First participants had total costs of $8 175 922 in the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems

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/lp/american-medical-association/health-care-and-public-service-use-and-costs-before-and-after-dZriuo4XGS
Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2009.414
pmid
19336710
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL CONTRIBUTION Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems Mary E. Larimer, PhD Context Chronically homeless individuals with severe alcohol problems often have Daniel K. Malone, MPH multiple medical and psychiatric problems and use costly health and criminal justice services at high rates. Michelle D. Garner, MSW, PhD Objective To evaluate association of a “Housing First” intervention for chronically David C. Atkins, PhD homeless individuals with severe alcohol problems with health care use and costs. Bonnie Burlingham, MPH Design, Setting, and Participants Quasi-experimental design comparing 95 housed Heather S. Lonczak, PhD participants (with drinking permitted) with 39 wait-list control participants enrolled between November 2005 and March 2007 in Seattle, Washington. Kenneth Tanzer, BA Main Outcome Measures Use and cost of services (jail bookings, days incarcer- Joshua Ginzler, PhD ated, shelter and sobering center use, hospital-based medical services, publicly Seema L. Clifasefi, PhD funded alcohol and drug detoxification and treatment, emergency medical services, William G. Hobson, MA and Medicaid-funded services) for Housing First participants relative to wait-list controls. G. Alan Marlatt, PhD Results Housing First participants had total costs of $8 175 922 in the

Journal

JAMAAmerican Medical Association

Published: Apr 1, 2009

References