Housing First is at the foundation of an effective, evidence-based community response to ending homelessness.


Housing First is at the foundation of an effective, evidence-based community response to ending homelessness.

Housing First has been thoroughly studied as an effective approach to ending homelessness.

System leaders, advocates, policymakers, and community members are encouraged to review the following list, which demonstrates the overwhelming volume of research and data supporting Housing First. It includes the most significant domestic studies, international studies, and literature reviews on the issue.

Please note that this is not a comprehensive list of all Housing First studies.

Domestic Studies

  • A Multi-Site Comparison of Supported Housing for Chronically Homeless Adults: “Housing First” versus “Residential Treatment First” Click to view
  • AB2034 Program Experiences in Housing Homeless People with Serious Mental Illness Click to view
  • Association of Housing First Implementation and Key Outcomes Among Homeless Persons with Problematic Substance Use Click to view
  • Changes in Daily Substance Use among People Experiencing Homelessness and Mental Illness: 24-Month Outcomes Following Randomization to Housing First or Usual Care Click to view
  • Characterizing components of and attendance at resident‐driven Housing First programming in the context of community‐based participatory research Click to view
  • Coalition Lift Supportive Housing Pilot Project:  High Needs/High Utilizers Individuals Who Are Chronically Homeless Click to view
  • Consumer Preference Program for Individuals Who Are Homeless and Have Psychiatric Disabilities: A Drop-In Center and a Supported Housing Program Click to view
  • Examining Provider Perspectives within Housing First and Traditional Programs Click to view
  • Fidelity to the Housing First Model and Effectiveness of Permanent Supported Housing Programs in California Click to view
  • Frequent Users Service Enhancement ‘FUSE’ Initiative (Formerly Incarcerated) Click to view
  • Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons with Severe Alcohol Problems Click to view
  • Housing First Improves Adherence to Antipsychotic Medication among Formerly Homeless Adults with Schizophrenia: Results of a Randomized Controlled Trial Click to view
  • Housing Retention in Single-Site Housing First for Chronically Homeless Individuals with Severe Alcohol Problems Click to view
  • Impact of Permanent Supportive Housing on the Use of Acute Care Health Services by Homeless Adults Click to view
  • Implementing Housing First in Rural Areas: Pathways Vermont Click to view
  • Motivation to Change and Treatment Attendance as Predictors of Alcohol-Use Outcomes Among Project-Based Housing First Residents Click to view
  • Public Service Reductions Associated with Placement of Homeless Persons with Severe Mental Illness in Supportive Housing Click to view
  • Substance Use Outcomes Among Homeless Clients with Serious Mental Illness: Comparing Housing First with Treatment First Programs Click to view
  • The Family Options Study (Children and Families) Click to view
  • The Impact of Housing First and Peer Support on People Who Are Medically Vulnerable and Homeless (Physically Disabled) Click to view
  • Randomized Trial of the Effects of Housing Assistance on the Health and Risk Behaviors of Homeless and Unstably Housed People Living with HIV Click to view
  • The Preventive Effect of Housing First on Health Care Utilization and Costs Among Chronically Homeless Individuals Click to view
  • The Health Impact of Supportive Housing for HIV-Positive Homeless Patients: A Randomized Controlled Trial Click to view
  • Cost-effectiveness of supported housing for homeless persons with mental illness Click to view
  • Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care Click to view
  • Strategies for Sustaining Fidelity: A Multi-state Qualitative Analysis in Housing First Programs Click to view
  • Employment experiences of formerly homeless adults with serious mental illness in housing first versus treatment first supportive housing programs Click to view
  • A cost analysis of San Diego County’s REACH program for homeless persons Click to view
  • A Pilot Study of the Impact of Housing First–Supported Housing for Intensive Users of Medical Hospitalization and Sobering Services Click to view
  • Twelve-month client outcomes and service use in a multisite project for chronically homelessness in adults Click to view
  • Housing First for long-term shelter dwellers with psychiatric disabilities in a suburban county: a four-year study of housing access and retention Click to view

International Studies

  • Cost-effectiveness of Housing First Intervention With Intensive Case Management Compared With Treatment as Usual for Homeless Adults With Mental Illness Secondary Analysis of a Randomized Clinical Trial Click to view
  • Goals and Principles of Providers Working with People Experiencing Homelessness: A Comparison Between Housing First and Traditional Staircase Services in Eight European Countries Click to view
  • Housing First Europe: Final Report Click to view
  • Impact of a Housing First intervention on homeless Veterans with mental illness: a Canadian multisite randomized controlled trial Click to view
  • National Final Report: Cross-Site At Home/Chez Soi Project Click to view
  • Homelessness, housing instability and mental health: Making the connections Click to view
  • Effect of scattered-site housing using rent supplements and intensive case management on housing stability among homeless adults with mental illness: a randomized trial Click to view

Literature Reviews

  • Effects of Housing First Approaches on Health and Well-Being of Adults Who are Homeless or At Risk of Homelessness Click to view
  • Housing First Impact on Costs and Associated Cost Offsets: A Review of the Literature Click to view
  • Housing First: Ending Homelessness, Transforming Systems, and Changing Lives (book) Click to view
  • In the Midst of Plenty: Homelessness and What to Do About It Click to view
  • Permanent Supportive Housing Evaluating the Evidence for Improving Health Outcomes Among People Experiencing Chronic Homelessness Click to view
  • Permanent Supportive Housing: Assessing the Evidence Click to view

Sources: National Alliance to End Homelessness, “The SYSTEM Series“, August 9, 2022, and “Data Visualization: The Evidence on Housing First“, May 25, 2021

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Food Bank of Alaska

Thanksgiving Blessing


To download the Anchorage flyer, click here

For helpful turkey cooking and handling tips from the USDA, click here.

Each turkey costs approximately $22. A full meal for a family is about $37. Consider sponsoring a fund drive to raise dollars toward the purchase of Thanksgiving groceries.  You can give online or mail a gift to Food Bank of Alaska, 2192 Viking Dr., Anchorage, AK 99501.


To make a donation to an Anchorage Blessing site, click here.

National Housing & Homelessness Highlights

U.S. Interagency Council on Homelessness (USICH)


New Data Shows 11% Decline in Veteran Homelessness Since 2020—the Biggest Drop in 5+ Years

Today, the Department of Veterans Affairs (VA), the Department of Housing and Urban Development (HUD), and the U.S. Interagency Council on Homelessness (USICH) announced preliminary results of the 2022 Point-in-Time Count showing an 11% decline in veteran homelessness since early 2020—the last time a full count was conducted. This is the biggest drop in veteran homelessness in more than five years. 


The data show that on a single night in January 2022, there were 33,136 veterans who were experiencing homelessness in the United States—down from 37,252 in 2020. Overall, this represents a 55.3% reduction in veterans experiencing homelessness since 2010.


“Not only did we lower the number of veterans experiencing homelessness, but we made this progress during a global pandemic and economic crisis,” said USICH Executive Director Jeff Olivet. “This proves that, even under the most difficult circumstances, we can take care of each other and address homelessness.”


“One veteran experiencing homelessness will always be one too many, but the 2022 PIT Count shows that we are making real progress in the fight to end veteran homelessness,” said VA Secretary Denis McDonough, who serves as the chair of USICH. “There is still a long way to go, but under President Biden’s leadership, we at VA, HUD, and USICH will not stop until every veteran has a good, safe, stable home in this country they fought to defend.”


“All veterans deserve to have what they need to lead healthy, safe and successful lives—that starts with a place to call home,” said HUD Secretary Marcia Fudge. “The data released today shows we are closer than ever in ensuring that every veteran in America has a home and challenges us to ensure that every veteran—and every person in America—has a home.”


The 2022 PIT Count is the first full PIT Count since 2020, when the COVID-19 pandemic began. In 2021, many communities did not conduct unsheltered counts in order to stop or slow the spread of COVID-19, resulting in an incomplete picture of veteran homelessness in America.


Notably, the results from the PIT Count do not reflect the additional efforts launched by VA, HUD, and USICH in 2022, including VA’s goal to rehouse 38,000 veterans this year. Through September, VA has placed nearly 31,000 homeless veterans into permanent housing—putting VA on track to meet, or even exceed, its goal.


VA, USICH, and HUD are making progress using the evidence-based Housing First approach, which prioritizes getting a veteran into housing, then providing them with the wraparound support they need to stay housed—including health care, job training, legal and education assistance.


This progress has been made possible by the leadership of President Biden and the resources provided by Congress during the pandemic. With the passage of the American Rescue Plan, VA’s homeless programs received $481 million in additional funding to support veterans—including funding to expand the Shallow Subsidy Initiative, to expand the Supportive Services for Veteran Families Program to address legal barriers to housing, and to transform congregate transitional housing spaces into individual rooms with bathrooms. Overall, the American Rescue Plan provided more than $5 billion to help people experiencing or at risk of homelessness as well as more than $40 billion for housing provisions nationwide.


If you are a veteran experiencing or at risk of homelessness, call the National Call Center for Homeless Veterans at 877-4AID-VET (877-424-3838). Visit the VA Homeless Programs website to learn about housing initiatives and other programs for veterans exiting homelessness.

National Low Income Housing Coalition (NLIHC)

NLIHC’s 2023 Housing Policy Forum will offer participants an array of opportunities to engage with and learn from thought-leaders, tenant and community leaders, policy experts, researchers, affordable housing practitioners, and leaders from Capitol Hill who will discuss the state of the affordable housing crisis in America and its solutions. The forum will feature keynote addresses by acclaimed sociologist Matthew Desmond and The Revered Dr. William J. Barber II, a renowned scholar and social activist. The forum will also celebrate the launch of Desmond’s new book, Poverty, by America.  

Matthew Desmond is a professor of sociology at Princeton University and the author of four books, including Evicted: Poverty and Profit in the American City (2016), which won the Pulitzer Prize, the National Book Critics Circle Award, the Carnegie Medal, and the PEN / John Kenneth Galbraith Award for Nonfiction. The principal investigator at Princeton’s Eviction Lab, Desmond focuses his research on poverty, city life, housing insecurity, public policy, racial inequality, and ethnography in America. He is the recipient of a MacArthur “Genius” Fellowship, the American Bar Association’s Silver Gavel Award, and the William Julius Wilson Early Career Award. A contributing writer for the New York Times Magazine, Desmond was named by Politico in 2016 as one of the 50 people most influencing national political discourse.

The Reverend Dr. William J. Barber II is president and senior lecturer for the organization Repairers of the Breach, a co-chair of the Poor People’s Campaign, and a bishop with The Fellowship of Affirming Ministries. For more than a quarter century, he has pastored the Greenleaf Christian Church (Disciples of Christ) in Goldsboro, North Carolina, and he is the author of four books: We Are Called to Be a Movement; Revive Us Again: Vision and Action in Moral Organizing; The Third Reconstruction: Moral Mondays, Fusion Politics, and the Rise of a New Justice Movement; and Forward Together: A Moral Message for the Nation. Rev. Dr. Barber served as president of the North Carolina NAACP from 2006-2017 and served on the National NAACP Board of Directors from 2008-2020. A former Mel King Fellow at the Massachusetts Institute of Technology, he is currently visiting professor of public theology and activism at Union Theological Seminary and senior fellow at Auburn Seminary. Rev. Dr. Barber has received the MacArthur Foundation “Genius” Award, the Franklin D. Roosevelt Four Freedoms Award, the Martin Luther King, Jr. Center’s Beloved Community Award, and the Puffin Award. Signed copies of his latest book, We Are Called to Be a Movement, will be available for purchase at the forum.

Additional speakers will be announced in the coming weeks. Registration for the event will open on November 28, 2022.

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