Developing a Model of On Site Geriatric Care for People with Lived Experience of Homelessness

In an interactive workshop format, we propose to present our evaluation of the Flexible Housing Pool program of Chicago and Cook County (FHPCC). FHPCC expands the supply of permanent supportive housing (PSH) units and lowers eligibility barriers to PSH for high-risk individuals and families experiencing homelessness in the region. FHPCC’s innovative features comprise (1) a public escrow fund that collects contributions from regional government agencies, private foundations, and healthcare organizations; (2) a cross sector data-driven approach to identifying candidates with justice-involvement and chronic conditions that contribute to higher use of crisis systems; (3) deep partnership between housing and healthcare organizations to deliver comprehensive support services; and (4) a commitment to alleviate racial disparities in housing. Since 2019, FHPCC housed over 500 adults, youths, and families, 93% of whom remain in the program or graduated into independently supported stable housing as of 2022. When the pandemic and the response to it ushered an alarming rise in all-cause mortality among the region’s people experiencing homelessness – driven primarily by drug- and alcohol-related causes – clients housed in FHPCC was associated with a 30% reduction in the risk of premature death compared to matched controls. We also detected PSH-attributable reductions in the risk of jail registrations and hospital encounters. In an interactive format, we will share details around establishing, operating, and evaluating the FHPCC for jurisdictions seeking to replicate this successful program model.

Speaker: Dr. Van Yu, Chief Medical Officer, Janian Medical Care

Session Materials: 

Categories: Shelter Health, Street Medicine, Substance Use
Tags: 2023 National HCH Conference
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