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"Permanent Supportive Housing for Homeless People — Reframing the Debate." December 1, 2016

N Engl J Med 2016; 375:2115-2117. (article). 

Stefan G. Kertesz, M.D., Travis P. Baggett, M.D., M.P.H., James J. O’Connell, M.D., David S. Buck, M.D., M.P.H., and Margot B. Kushel, M.D.



"advocates for ending homelessness have increasingly turned to a financial argument, claiming that permanent supportive housing will deliver net cost savings to society."

  "we believe the cost-savings argument is problematic and that it would be better to reframe the discussion to focus primarily on the best way to meet this population’s needs."

  "Higher-quality randomized, controlled trials, however, haven’t demonstrated net cost savings."

  "Staking the future of Housing First on the expectation that it will save money could undermine efforts to deliver an effective intervention to the majority of the population it’s intended to serve."