Housing First as Healthcare How can housing first

Housing First as Healthcare How can housing first improve health? Benjamin Henwood, Ph. D, MSW April 30, 2018

Housing First

Creating a medical home for vulnerable populations HF Integrated Care Team Psychiatry Federally Qualified Health Center (FQHC) Primary Care Specialty Care Nursing Social Work Peer Specialist Substance Abuse Specialist Vocational Specialist Henwood, B. F. , Weinstein, L. C. , & Tsemberis, S. (2011). Creating a medical home for people experiencing homelessness and serious mental illness. Psychiatric Services, 62(5), 561 -2. Henwood, B. F. , Siantz, E. , Hrouda, D. , Innes-Gomberg, D. , & Gilmer, T. (2018). Integrated Primary Care in Assertive Community Treatment. Psychiatric Services. 69(2), 133 -35. ,

How can housing first improve health? 1. Healthcare e. g. HIV prevention, First breaks 2. Housing-sensitive conditions e. g. Depression, ADLs

Sleep • Healthy Brain Function and Emotional Well-Being • Physical Health • Daytime Performance and Safety Transitions to Housing Study (PI: Wenzel; NIDA - 1 R 01 DA 036345 -01 A 1) 12 month study of 421 adults - Number of nights people have problems sleeping - base=4. 2 nights; 3 m=3. 5 nights; 6 m=3. 3 nights; 12 m=3. 2 nights - % of people reporting that poor sleep has troubled them “much” or “very much” - base=52%; 3 m=42%; 6 m=42%; 12 m=37%

Sleep for young adults • • Healthy Brain Function and Emotional Well-Being Physical Health Daytime Performance and Safety Healthy Development Log My Life Study (NIMH - R 01 MH 110206) Patient-Reported Outcomes Measurement Information System (PROMIS ®) Sleep Disturbance measure (problems with sleep, difficulty falling asleep, whether sleep was refreshing, and sleep quality over the past 7 days) High sleep disturbance: Nationally representative sample LML sample (N=115) (aged 19 -32) (aged 18 -27) 29% 53%

Thank You Contact Information bhenwood@usc. edu