Rural Homelessness: Better Collaboration by HHS and HUD Could Improve Delivery of Services in Rural Areas Page: 37 of 59
The following text was automatically extracted from the image on this page using optical character recognition software:
offering housing with supportive services resulted in fewer hospital days
and emergency room visits, which are publicly provided.41
Two completed demonstration projects-Collaborative Initiative to Help
End Chronic Homelessness (CICH) and Ending Chronic Homelessness
through Employment and Housing-and the existing HUD-VASH program
demonstrated key collaboration practices identified in our October 2005
report, such as defining roles and responsibilities and leveraging
resources. Under the CICH, HUD, HHS, and VA agreed on roles and
responsibilities and leveraged resources by allotting 3-year grants from
HHS and VA and up to 5-year grants from HUD to 11 communities.42
Similarly, Ending Chronic Homelessness through Employment and
Housing was a partnership between Labor and HUD in which, through a
cooperative agreement, HUD and Labor defined roles and responsibilities
and leveraged resources, also consistent with key collaboration
practices.' Since 2008, under the HUD VASH program, HUD has
designated more than 30,000 tenant-based Section 8 vouchers to public
housing authorities for veterans who are homeless and VA provided
funding for supportive services, including case management and clinical
41L. Sadowski, R. Kee, VanderWeele, et al, "Effect of a Housing and Case Management
Program on Emergency Department Visits and Hospitalizations Among Chronically Ill
Homeless Adults: A Randomized Trial," JAMA, vol. 30, no. 17, 1771-1778 (2009); and T.E.
Martinez and M.R. Burt, "Impact of Permanent Supportive Housing on the Use of Acute
Care Health Services by Homeless Adults," Psychiatric Services, vol. 57, no. 7, 992-999
42HUD, HHS, and VA (with the coordination of the Interagency Council) provided housing
and supportive services for individuals experiencing chronic homelessness in 11
communities through CICH. According to research studies in behavioral sciences, the CICH
demonstration project had positive outcomes due to the combination of resources
including federal funding and oversight, technical assistance, and opportunities for
meetings with other CICH communities. For more information, see M. Kresky-Wolff,
M.Larson, R. O'Brien, and S. McGraw, "Supportive Housing Approaches in the
Collaborative Initiative to Help End Chronic Homelessness (CICH)," The Journal of
Behavioral Health Services and Research, Vol. 37, No. 2 (2010).
eLabor and HUD offered permanent housing, supportive services, and employment
assistance to people who were chronically homeless. Martha Burt's study of the
demonstration project in Los Angeles, California, found that the project succeeded in its
goal of moving chronically homeless clients into permanent supportive housing and helping
them get and keep employment. Martha Burt, Urban Institute, Evaluation of LA's HOPE:
Ending Chronic Homelessness through Employment and Housing Final Report
(Washington, D.C., 2007).
GAO-10-724 Rural Homelessness
Here’s what’s next.
This report can be searched. Note: Results may vary based on the legibility of text within the document.
Tools / Downloads
Get a copy of this page or view the extracted text.
Citing and Sharing
Basic information for referencing this web page. We also provide extended guidance on usage rights, references, copying or embedding.
Reference the current page of this Report.
United States. Government Accountability Office. Rural Homelessness: Better Collaboration by HHS and HUD Could Improve Delivery of Services in Rural Areas, report, July 20, 2010; Washington D.C.. (https://digital.library.unt.edu/ark:/67531/metadc301393/m1/37/: accessed May 21, 2019), University of North Texas Libraries, Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.