Article

Supportive housing cuts costs of caring for the chronically homeless.

JAMA The Journal of the American Medical Association (Impact Factor: 30.39). 07/2012; 308(1):17-9. DOI: 10.1001/jama.2012.7045
Source: PubMed
0 Followers
 · 
26 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: OBJECTIVE California's full-service partnerships (FSPs) provide a combination of subsidized permanent housing and multidisciplinary team-based services with a focus on rehabilitation and recovery. The goal of the study was to examine whether participation in FSPs is associated with changes in health service use and costs compared with usual care. METHODS A quasi-experimental, pre-post, intent-to-treat design with a propensity score-matched contemporaneous control group was used to compare health service use and costs among 10,231 FSP clients and 10,231 matched clients with serious mental illness who were receiving public mental health services in California from January 1, 2004, through June 30, 2010. RESULTS Among FSP participants, the mean annual number of mental health outpatient visits increased by 55.5, and annual mental health costs increased by $11,725 relative to the matched control group. Total service costs increased by $12,056. CONCLUSIONS Participation in an FSP was associated with increases in outpatient visits and their associated costs. As supportive housing programs are implemented nationally and on a large scale, these programs will likely need to be more effectively designed and targeted in order to achieve reductions in costly inpatient services.
    Psychiatric services (Washington, D.C.) 05/2014; 65(9). DOI:10.1176/appi.ps.201300380 · 1.99 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Supportive housing typically offers rental subsidies and individual intensive community-based case management and has become a predominant service model for homeless adults. Alternative case management models have not been adequately explored. This study evaluates satisfaction with a novel group-intensive peer support (GIPS) model of case management for the Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) program. A total of 95 HUD-VASH clients rated their satisfaction with services and responded to open-ended questions about what they liked best and least about the program. Quantitative and qualitative analyses compared clients who attended groups as part of the GIPS model and those who did not. No significant difference in satisfaction between group and non-group attenders were found. Clients reported what they liked best about the program was the staff; those who attended groups reported what they liked best was the social interaction and peer support. These findings suggest clients who attend groups for their primary source of case management may be as satisfied as those who receive only individual case management. GIPS offers a feasible and acceptable service model and should be further explored along with other alternative models of care in supportive housing services.
    Evaluation and program planning 12/2013; 43C:118-123. DOI:10.1016/j.evalprogplan.2013.12.004 · 0.89 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The benefit of adjusted antiplatelet therapy in patients with myocardial infarction after primary percutaneous coronary intervention is not well elucidated. We aimed to identify patients with high on treatment platelet reactivity and to gradually adjust antiplatelet therapy. We enrolled 133 acute myocardial infarction and 67 stable angina patients undergoing intracoronary stenting into our study. Maximal aggregation was determined with light transmission aggregometry. Aggregation >50% induced by 5μM ADP was indexed with high on-clopidogrel treatment platelet reactivity. In these cases 75mg clopidogrel was doubled and control test was performed. Patients effectively inhibited with 150mg clopidogrel were defined as clopidogrel pseudo non-responders. Patients with high platelet reactivity even on 150mg clopidogrel were considered as clopidogrel real non-responders and were switched to ticlopidine. Aggregations (5ADP; p=0.046) and the ratio of real non-responders (p=0.013) were significantly higher in the myocardial infarction group. Most real non-responders were effectively treated with switch of therapy. The ratio of pseudo non-responders also tended to be higher in myocardial infarction. Platelet reactivity remained constant during follow-up; however, a new appearance of high platelet reactivity was observed at 6 and at 12months. Patients with acute myocardial infarction undergoing percutaneous coronary intervention may benefit from prospective platelet function testing, because of higher platelet reactivity and much higher ratio of clopidogrel real non-response. Switch of therapy may effectively overcome clopidogrel non-response. A new appearance of high platelet reactivity with unknown clinical significance is observed in both groups among the patients on clopidogrel.
    Thrombosis Research 12/2013; DOI:10.1016/j.thromres.2013.11.029 · 2.43 Impact Factor