The Community Health Improvement Process for Montgomery County, Maryland
Search
Advanced Search
Translate
Share|
spacer.gif Chicago Housing Health Partnership spacer.gif
 
Ranking Evidence-Based Practice
Description The Chicago Housing Health Partnership (CHHP) is a program coordinated by the AIDS Foundation of Chicago that seeks to reduce the hospitalization of chronically ill homeless individuals through case management. Chronically ill homeless individuals lack the permanent housing that is necessary to address their health needs and often rely on expensive, publically financed emergency room visits for primary care. CHHP case managers help provide housing through the Housing First model, an intervention strategy that seeks to place homeless individuals in stable housing immediately following the intervention rather than move them through a continuum of shelters and group houses before independent housing is provided. Case managers use existing housing resources to help secure permanent housing, either through federal or local funding. In addition to housing assistance, CHHP case managers help coordinate access to medical care and services. CHHP employs a tailored model of case management that recognizes the unique needs of their homeless clients (substance abuse history, sexuality, gender, etc....). Following its inception in 2003, CHHP has grown to include over 20 partners from the Chicago area.
Goal / Mission The goal of the Chicago Housing Health Partnership is to use tailored case management to place chronically medically ill homeless individuals in stable, long-term housing and facilitate access to medical services.
Results / Accomplishments The origins of the CHHP intervention model lie in an 18-month, randomized intervention trial conducted by the Cook County Bureau of Health. The trial recruited two groups of chronically ill homeless individuals from local hospitals, providing one group (n=201) with the experimental Housing First intervention and case management and the other group (n=204) with typical social services. After 18 months, the intervention group had fewer hospitalizations and emergency department visits (p=.03 and .007, respectively) than the usual care group. Following adjustment for baseline characteristics, the intervention group had lower rates of hospitalization, hospital days, and emergency department visits (rate reductions of 29% (p = .005), 29% (p= .01), and 24% (p = .03), respectively). The success of the trial led to the formation of the CHHP and the continued using of the Housing First intervention model to help address the health needs of the chronically ill homeless population.
Categories Economy / Homelessness
Health / Access to Health Services
Health / Other Chronic Diseases
Organization(s) AIDS Foundation of Chicago
Date of Publication May 2009
Date of Implementation Sep 2003
Geographic Type Urban
Location County: Cook
Primary Contact AIDS Foundation of Chicago
200 West Jackson Boulevard, Suite 2200,
Chicago, IL 60606

(312) 922-2322
afc_general@aidschicago.org
http://www.aidschicago.org/housing-home/chhp
For more details http://www.ncbi.nlm.nih.gov/pubmed/19417194
Target Audience Adults
Back to Promising Practices Home

 
 
Related Content
infoMONTGOMERY Resources
·  Diabetes Resources
·  Tuberculosis Resources
·  HIV/AIDS Resources
More
News
·  Maryland health: Seeing more than just blurred vision in your eye exam
·  Yoga May Help Ease High Blood Pressure, Study Finds
·  Well: Risks: Stress Tied to Heart Disease and Diabetes
More
Indicators
·  Age-Adjusted Death Rate due to DiabetesNew
·  Adults with Diabetes
·  Age-Adjusted ER Rate due to Uncontrolled Diabetes
More
Promising Practices
·  The Fortune Society
·  CDC COMMUNITY GUIDE: Diabetes Prevention and Control: Case Management Interventions to Improve Glycemic ControlCdc
·  GLIDE Housing
More
Initiative Centers
·  Community Benefits Reporting By Hospitals
·  Action Planning: Obesity
Local Reports
·  Maryland State Health Improvement Process: Montgomery County
·  Partnering Toward a Healthier Future--2007 Progress Report: Eliminating Health Disparities in Frederick, Montgomery and Prince George's Counties in Maryland
·  Center for Preventive Health Services, Maryland Department of Health and Mental Hygiene
More
National Reports
·  Recommended Community Strategies and Measurements to Prevent Obesity in the United States
Fact Sheets
·  2013 County Health Rankings: Summary of Key Findings for Montgomery County
·  Immunization Program Fact Sheet
Web Content
·  A Regional Portrait of Homelessness
Other Resources
·  Prevalence of Diagnosed Diabetes in Maryland Adults by County, 2002-2006 (Five-Year Average)
Work Group Documents
·  Health Management Associates: Accountable Care in the Safety Net