Improving Health While Saving Money: Lessons Learned from a Supportive Housing Program for Young Adults with HIV
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The Bailey House Success Through Accessing Rental Assistance and Support (STARS) Program is a 20-unit scatter-site permanent supportive housing program for homeless or unstably housed HIV-positive young adults ages 18–24. A harm reduction and strength-based approach is utilized to connect HIV+ individuals with medical care and other services while ensuring housing stability. An intensive case management team provides support such as home visits, case monitoring, accompaniment to appointments, and referrals to health and social service resources within the community. This program evaluation used clinical data mining (CDM) to implement a Return-on-Investment (ROI) analysis of the STARS supportive housing program. The evaluation compared program costs to “services as usual” through the NYC shelter system. The STARS program served 27 individuals, achieving 25 successful outcomes, during 3 years. The program’s total value (savings relative to shelter costs) yielded a 1.32 ROI. The results support practice and policy advocacy initiatives promoting supportive housing and housing first initiatives as a viable method to reduce homelessness and as a structural intervention to improve health outcomes for young people with HIV.
KeywordsSupportive housing Housing first Cost-benefit analysis Young adults HIV Carter-Richmond Program evaluation
Compliance with Ethical Standards
The program was funded by the Office of Housing and Urban Development as a HOPWA SPNS Project No. NYH080026.
Conflict of Interest
Author A serves as the evaluation consultant for Bailey House, Inc.
Authors B and C serve as vice-presidents for Bailey House, Inc.
The University IRB ruled that the retrospective use of data gathered by the agency as part of a program evaluation “does not meet the definition of human subject research as defined by the federal regulations (45 CFR 46.102(d) (f)) and therefore no further IRB review or approval is required.”
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