Chicago Housing Health Partnership

An Evidence-Based Practice

Description

The Chicago Housing Health Partnership (CHHP) is a program coordinated by the AIDS Foundation of Chicago that seeks to reduce the hospitalization of chronically ill homeless individuals through case management. Chronically ill homeless individuals lack the permanent housing that is necessary to address their health needs and often rely on expensive, publically financed emergency room visits for primary care. CHHP case managers help provide housing through the Housing First model, an intervention strategy that seeks to place homeless individuals in stable housing immediately following the intervention rather than move them through a continuum of shelters and group houses before independent housing is provided. Case managers use existing housing resources to help secure permanent housing, either through federal or local funding. In addition to housing assistance, CHHP case managers help coordinate access to medical care and services. CHHP employs a tailored model of case management that recognizes the unique needs of their homeless clients (substance abuse history, sexuality, gender, etc....). Following its inception in 2003, CHHP has grown to include over 20 partners from the Chicago area.

Goal / Mission

The goal of the Chicago Housing Health Partnership is to use tailored case management to place chronically medically ill homeless individuals in stable, long-term housing and facilitate access to medical services.

Results / Accomplishments

The origins of the CHHP intervention model lie in an 18-month, randomized intervention trial conducted by the Cook County Bureau of Health. The trial recruited two groups of chronically ill homeless individuals from local hospitals, providing one group (n=201) with the experimental Housing First intervention and case management and the other group (n=204) with typical social services. After 18 months, the intervention group had fewer hospitalizations and emergency department visits (p=.03 and .007, respectively) than the usual care group. Following adjustment for baseline characteristics, the intervention group had lower rates of hospitalization, hospital days, and emergency department visits (rate reductions of 29% (p = .005), 29% (p= .01), and 24% (p = .03), respectively). The success of the trial led to the formation of the CHHP and the continued using of the Housing First intervention model to help address the health needs of the chronically ill homeless population.

About this Promising Practice

Primary Contact
AIDS Foundation of Chicago
200 West Jackson Boulevard, Suite 2200,
Chicago, IL 60606
(312) 922-2322
afc_general@aidschicago.org
http://www.aidschicago.org/housing-home/chhp
Categories
Economy / Homelessness
Health / Access to Health Services
Health / Other Chronic Diseases
Organization(s)
AIDS Foundation of Chicago
Date of publication
May 2009
Date of implementation
Sep 2003
Geographic Type
Urban
Location
Cook
For more details
http://www.ncbi.nlm.nih.gov/pubmed/19417194
Target Audience
Adults

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