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October 15, 2007
 Begin at Home A Housing First Pilot Project for Chronically Homeless
Single Adults: One Year Outcomes
The report presents one-year outcomes for "Begin
at Home" (BAH), an assistance program in Seattle, Washington, that
places homeless individuals in permanent homes with vital medical, mental
health, and other support services instead of requiring them to first
stop drinking or taking drugs to earn their shelter. The collected data
included client, participant, and stakeholder feedback, evaluations, and
outcomes, including average use of acute care services and number of
incarcerations. A total of 20 BAH participants were studied from August
2006 to August 2007.
Participatory homeless alcoholics emergency room visits were 191 per
year before the BAH program and 50 per year after the BAH program. BAH
participants admissions to the local medical center were reduced from 57
in total during the year prior to admission to only 13 after. This
reduction represents a savings of nearly $1.2 million in hospital and
other related charges.
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