Housing First is an evidence-based, cost-effective approach to ending homelessness for the most vulnerable and chronically homeless individuals. The Housing First model prioritizes housing and then assists the Veteran with access to healthcare and other supports that promote stable housing and improved quality of life. The model does not try to determine who is “housing ready” or demand treatment prior to housing. Instead, treatment and other support services are wrapped around Veterans as they obtain and maintain permanent housing. Within the U.S. Department of Veterans Affairs (VA), the Housing First model is being implemented through the U.S. Department of Housing and Urban Development (HUD)-VA Supportive Housing (VASH) program. The program combines Housing Choice vouchers for Veterans to rent privately-owned housing, and support through VA case management services that include health care, mental health treatment, vocational assistance, and job development.
Goals & Objectives
In October 2012, VA made Housing First the official policy for the HUD-VASH program. The Center’s Model Implementation Framework (CMIF) was utilized to monitor and ensure fidelity of the initially funded sites while developing additional enhancements and guide recommendations for site expansion. Sites were selected based on their assessed potential for fully implementing all components the Housing First model. The Assertive Community Treatment (ACT) Teams funded at the Housing First model development sites were provided two initial trainings and technical assistance onsite and via semi-monthly telephone conferences.
In Fisal Year (FY) 2014, the Center provided consultation and guidance by conducting individual visits, biweekly conference calls, and individual phone calls with those sites initially designated as Housing First Model Development Programs. Eighteen (18) sites were reviewed in 15 networks by a consultative multi-disciplinary team. A trend analysis and educational needs assessment was conducted during the first quarter of FY 2015. This assessment was used to develop educational curriculum for FY 2015.
A demonstration project that compared a Housing First program offering immediate permanent housing without requiring treatment compliance, abstinence, or housing readiness with a treatment-first program for 177 homeless Veterans found that the Housing First initiative successfully reduced time to housing placement, from 235 to 35 days; housing retention rates were significantly higher among Housing First tenants; and emergency room use declined significantly among the Housing First cohort.
(For more information, download the abstract of the manuscript accepted for publication in the Journal of Community Psychology or the Housing Chronically Homeless Veterans presentation made at the 2012 NAEH conference.)
- Ann Elizabeth Montgomery, PhD / Ann.Montgomery2@va.gov for more information about the Housing First evaluation.
- Roger Casey, PhD / Roger.Casey@va.gov for more information about the Housing First model implementation process.
For more information, get the Housing First Implementation brief.*To search the entire VA.gov site, please use the search bar in the upper right corner of the webpage