SUMMARY OF RESEARCH
Homelessness is associated with poor health. A policy approach aiming to end homelessness across Europe and North America, the ‘Housing First’ (HF) model, provides rapid housing, not conditional on abstinence from substance use. We aimed to systematically review the evidence from randomized controlled trials for the effects of HF on health and well-being.
What this study adds
- There is good evidence to support the use of Housing First in
providing stable housing to homeless people.
- Housing First does not appear to cause an increase in
substance misuse, compared with treatment as usual.
- Housing First approaches do not appear to consistently
improve or harm health in the short-term, but long-term
impacts are unknown.
The conclusion is Housing First approaches successfully improve housing stability and may improve some aspects of health.