DIGITAL REPORT

Solutions to homelessness

Evaluation of the Housing First methodology in Spain

HOUSING FIRST IN SPAIN

Main
results

Housing retention

Main indicator of program success

Comparison group (CG)

100%
50%
0%

Experimental Group (EG)

100%
50%
0%
0 months
12 months
18 months
On the street

In a homeless shelter

Apartment provided by an NGO or agency

Accommodations for specific groups

In an apartment or house in property (parents/partner included)

In a rented room / guesthouse or similar

In a shack

Habitat Apartment (companion)

In an emergency shelter

In spaces not suitable for living

Pension paid by an NGO or agency

Occupied apartment

In a rented apartment or house

In an apartment / room provided free of charge

Elsewhere

96.06% of people in the Habitat program maintain their housing or self-sufficient housing 18 months later.
HOUSING FIRST IN DATA

Conclusions:

The main indicator of success of the program is that 96.06% of the people maintain their housing or self-sufficient housing 18 months later. housing or self-sufficient housing 18 months later.
This percentage is significantly higher than those found in the evaluation of programs also based on the Housing First model.
In the first evaluation, at 0 months, intimacy was the least valued aspect among the Habitat Group people (3.88 out of 7) and at 12 months the most valued aspect (3.88 out of 7). among the Habitat Group people (3.88 out of 7) and at 12 months the most valued (6.47 out of 7) . (6.47 out of 7).
In the first evaluation, at 0 months, intimacy was the least valued aspect among the Habitat Group people (3.88 out of 7) and at 12 months the most valued aspect (3.88 out of 7). among the Habitat Group people (3.88 out of 7) and at 12 months the most valued (6.47 out of 7) . (6.47 out of 7).
The Habitat Group requires significantly less Social Services resources as their stay in housing their stay in the home progresses compared to the traditional system of care group.
The Habitat Group reduced the use of social services at 18 months from 14% to 3%.
Nearly 89% of people in the Habitat Group feel not at all or not very lonely and abandoned, compared to 40% of the traditional care system group who feel abandoned, compared to 40% of the traditional care system group who feel quite lonely or very lonely and abandoned. very or very lonely and abandoned.
According to Friedman's test, a significant improvement was observed among the Habitat Group participants. Habitat Group participants.
The degree of satisfaction in terms of leisure and free time improves in the Habitat Group with respect to the traditional care system Group at different times. Habitat Group with respect to the traditional care system Group at the different moments of the measure. of the measure.
In the Habitat Group, there is also a positive effect on the way they use their free time.
The perception of victimization and discriminatory behaviors decreases significantly in the Habitat Group, which shows a high level of protection from the Program. significantly in the Habitat Group, which shows a high level of protection from the Program.
In the Habitat Group, the figures went from 59.5% at 0 months to 19 .6% at 18 months. 19.6% at 18 months.

Mental health improves almost 3 points in the Habitat Group compared to the traditional care system. of the traditional care system.

From 6.77 at 0 months to 3.41 at 18 months.

Pain, anxiety and depression are clearly reduced if housing is available. housing is available.

At the beginning of the evaluation, there were no statistically significant differences between the two groups. but the Habitat Group score improved at 12- and 18-month follow-ups. months.

The evaluation shows favorable differences in what are known as harm reduction strategies. harm reduction strategies.

Housing First provides support to all those who need it without making any preconditions such as absence of such as absence of drug use, acceptance of mental health treatment or motivation to change. for change.

Choice is also increasing in the Habitat Group thanks to individual and standardized housing. individual and standardized housing.

Housing First provides a sense of choice that facilitates engagement and increases housing stability. increases housing stability.

The Habitat model offers far superior benefits for users in terms of stability and quality of housing and personalized in terms of stability and quality of housing and personalized assistance.

Its advantages remain independent of other elements: what is decisive are the characteristics of the program. the characteristics of the program.

In adjusted terms, the difference in cost between Habitat and its alternatives would be just 2.38% after 12 months (€41.59 per month) and just 1.64% after 18 months (€28.12 per month). months (€28.12 per month)

The total adjusted average monthly cost at 18 months for the Experimental Group was 1,743.82 and 1,715.69 in the Comparison Group.

Habitat tends to reduce costs, while its alternatives increase them.

So much so that the (adjusted) cost increased in both groups, but to a lesser extent in the Habitat group ( +58.52% ) than in the control group ( +106.14% ). in the Habitat group (+58.52%) than in the control group (+106.14%).

Based on a scenario in which Habitat is articulated through the rental of public housing, the total final costs in equivalent adjusted terms would be 36.68% lower than in the case of public housing, the final total costs in equivalent adjusted terms would be 36.68% lower than its alternatives . alternatives.

While the monthly cost of the Habitat program would be €1,086.40, in the case of the traditional traditional care alternatives would reach €1,715.69 per month.

The savings generated by Habitat offset the program's cost overrun.

The Habitat program is cost-effective: a quality institutional response to which it is efficient to dedicate funding. efficient to dedicate funding to, with an important comparative advantage over other alternatives. alternatives.

20-OCT

International meeting "Housing First as a solution to homelessness in Spain".