Cost-effectiveness of Housing First Intervention With Intensive Case Management Compared With Treatment as Usual for Homeless Adults With Mental Illness | Zendy

Éric Latimer | Zendy; Daniel Rabouin | Zendy; Zhirong Cao | Zendy; Angela Ly | Zendy; Guido Powell | Zendy; Carol E. Adair | Zendy; Jitender Sareen | Zendy; Julian M. Somers | Zendy; Vicky Stergiopoulos | Zendy; Andrew D. Pinto | Zendy; Erica E. M. Moodie | Zendy; Scott Veldhuizen | Zendy

Open Access

Cost-effectiveness of Housing First Intervention With Intensive Case Management Compared With Treatment as Usual for Homeless Adults With Mental Illness

Author(s) -

Éric Latimer,

Daniel Rabouin,

Zhirong Cao,

Angela Ly,

Guido Powell,

Carol E. Adair,

Jitender Sareen,

Julian M. Somers,

Vicky Stergiopoulos,

Andrew D. Pinto,

Erica E. M. Moodie,

Scott Veldhuizen

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.9782

Subject(s) - randomized controlled trial , medicine , housing first , intervention (counseling) , supportive housing , economic evaluation , mental illness , mental health , gerontology , psychiatry , demography , pathology , sociology

Key Points Question Is a Housing First intervention with Intensive Case Management for homeless people with mental illness cost-effective compared with treatment as usual? Findings In this economic evaluation study of data from the At Home/Chez Soi randomized clinical trial with 1198 initially homeless participants, the incremental cost-effectiveness ratio was $56.08 per additional day of stable housing. At $67 per day of stable housing, there was an 80% chance that the Housing First intervention with Intensive Case Management was cost-effective compared with treatment as usual. Meaning Expanding access to Housing First with Intensive Case Management appears to be warranted from an economic point of view.

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