Study: How a ‘Housing First’ Approach Impacts Healthcare Access

An analysis from Denver shows that unhoused people receiving services based on a Housing First approach were more likely to access psychiatric care and had fewer emergency medical visits.

1 minute read

January 30, 2024, 9:00 AM PST

By Diana Ionescu @aworkoffiction


Aerial view of Denver, Colorado skyline at dusk.

Andrew / Adobe Stock

An analysis of supportive housing programs in Denver, Colorado reveals that a Housing First approach, which prioritizes placing unhoused people into housing before imposing other requirements, led to higher rates of doctor visits for mental health diagnoses and prescriptions and lower numbers of emergency room visits among participants.

An article by researchers Devlin Hanson and Sarah Gillespie in Health Affairs outlines part of their results. “Two years after assignment to the Housing First intervention, participants had an average of eight more office-based visits for psychiatric diagnoses, three more prescription medications, and six fewer emergency department visits than the control group.” The two groups had no statistically significant difference in mortality rates.

The authors see these results as an indicator that housing programs can also impact health care provision. “As policy makers seek increased funding to scale up effective ways to address the needs of populations experiencing chronic homelessness, our results provide evidence that supportive housing with a Housing First approach not only can provide a housing solution but also can facilitate engagement in needed health care services.”

Wednesday, January 24, 2024 in Health Affairs

portrait of professional woman

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching. Mary G., Urban Planner

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching.

Mary G., Urban Planner

Cover CM Credits, Earn Certificates, Push Your Career Forward

Logo for Planetizen Federal Action Tracker with black and white image of U.S. Capitol with water ripple overlay.

Planetizen Federal Action Tracker

A weekly monitor of how Trump’s orders and actions are impacting planners and planning in America.

June 11, 2025 - Diana Ionescu

Metrorail train pulling into newly opened subterranean station in Washington, D.C. with crowd on platform taking photos.

Congressman Proposes Bill to Rename DC Metro “Trump Train”

The Make Autorail Great Again Act would withhold federal funding to the system until the Washington Metropolitan Area Transit Authority (WMATA), rebrands as the Washington Metropolitan Authority for Greater Access (WMAGA).

June 2, 2025 - The Hill

Large crowd on street in San Francisco, California during Oktoberfest festival.

The Simple Legislative Tool Transforming Vacant Downtowns

In California, Michigan and Georgia, an easy win is bringing dollars — and delight — back to city centers.

June 2, 2025 - Robbie Silver

Man in teal shirt opening door to white microtransit shuttle with cactus graphics and making inviting gesture toward the camera.

Albuquerque’s Microtransit: A Planner’s Answer to Food Access Gaps

New microtransit vans in Albuquerque aim to close food access gaps by linking low-income areas to grocery stores, cutting travel times by 30 percent and offering planners a scalable model for equity-focused transit.

June 13 - U.S. Department Of Transportation

Group of people at table set ouf with picnic food on street during a neighborhood block party.

This City Will Pay You to Meet Your Neighbors

A North Kansas City grant program offers up to $400 for residents to throw neighborhood block parties.

June 13 - The Kansas City Star

Crowd gathered with protest signs on April 5, 2025 on steps of Minnesota state capitol protesting Trump cuts to social security and other federal programs.

Commentary: Our Silence Will Not Protect Us

Keeping our heads down and our language inoffensive is not the right response to the times we’re in. Solidarity and courage is.

June 13 - Shelterforce Magazine