Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.

Packaging supportive services with housing—a pressing issue for older adults The population of older adults is expected to explode in the coming years. Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities examines a crucial, complex, and often overlooked issue for policymakers and the public at large: older adults’ increasing needs for housing and supportive long-term care services. As baby boomers strive to help their parents make difficult decisions about their options, pressure mounts for policymakers to develop appropriate housing and services. This book brings together respected experts to discuss the answers to difficult questions about meeting the housing and support service needs of aging adults. Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities explores in-depth the tough issues pertaining to which populations are presently being served, what their needs are, and who is being left out. You’ll learn exactly what types of services are available, who is providing them, and how are they packaged. From residential care to assisted living to institutional care, this book addresses all facets of the complicated problems of providing availability to fulfill need. This important source presents insightful analysis of the total range of issues and the challenges to progress as well as offering specific recommendations to effectively offer housing and vital long-term care supportive services to older adults. Linking Housing and Services for Older Adults: Obstacles, Options, and Opportunities discusses in detail: the argument for increased development of supportive housing for older adults—and the barriers preventing it the issues related to providing a variety of housing and service options to the Medicaid population two case studies that illustrate how policies aimed at linking housing and services play out at the state and local level—and the need for strong leadership and the ability to develop key partnerships as vital aspects for success the interrelationship of factors regarding nursing home admission, the availability of subsidized housing, and Medicaid eligibility the need for care management to be holistic—including environmental care assessment, repair, and renovation management in addition to current long-term care settings creating affordable assisted living facilities for older persons receiving Medicaid services the successful components of the national Coming Home Program four case studies emphasizing different finance and regulatory approaches—providing lessons learned for developers, state agencies, and advocates of affordable assisted living This vital educational resource is also an essential reference for local, state, and national policymakers, housing officials, and long-term care providers.

This revised title II regulation integrates the Department of Justice's new regulatory provisions with the text of the existing title II regulation that was unchanged by the 2010 revisions. Includes a section for guidance and analysis.

Accessible and affordable housing can enable community living, maximize independence, and promote health for vulnerable populations. However, the United States faces a shortage of affordable and accessible housing for low-income older adults and individuals living with disabilities. This shortage is expected to grow over the coming years given the population shifts leading to greater numbers of older adults and of individuals living with disabilities. Housing is a social determinant of health and has direct effects on health outcomes, but this relationship has not been thoroughly investigated. In December 2016, the National Academies of Sciences, Engineering, and Medicine convened a public workshop to better understand the importance of affordable and accessible housing for older adults and people with disabilities, the barriers to providing this housing, the design principles for making housing accessible for these individuals, and the features of programs and policies that successfully provide affordable and accessible housing that supports community living for older adults and people with disabilities. This publication summarizes the presentations and discussions from the workshop.