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Housing for vulnerable people: systematic review of the evidence on housing interventions for 'housing-vulnerable' adults and its relation to wellbeing
- Authors:
- CHAMBERS Duncan, et al
- Publisher:
- What Works Centre for Wellbeing
- Publication year:
- 2018
- Pagination:
- 154
- Place of publication:
- London
A systematic review to synthesise and examine the quality of evidence on how housing interventions can contribute to improving the lives of adults who are vulnerable to discrimination or exclusion in relation to the security of their housing tenure. Searches were conducted on six bibliographic databases and the websites of university departments. A call for evidence was also issued through the What Works Centre for Wellbeing. A total of 90 publications were included in the review, covering the areas of: Housing First and other interventions for homeless people with mental health problems; recovery housing; supported housing; housing interventions for ex-prisoners; and housing interventions for vulnerable young people. The results found a lack of evidence around measures related to community wellbeing and around cost-effectiveness of interventions. Only a small number of economic evaluations were included and their relevance to the UK varied. Using the synthesised evidence, the review provides a conceptual pathway to illustrate the links between housing and wellbeing for housing-vulnerable people from the initial offer of housing through to longer-term outcomes associated with different types of intervention. The pathway highlights key intermediate outcomes, and the barriers and facilitators that may influence those outcomes. Overall, the review did not find sufficient evidence to demonstrate a linear relationship between housing interventions for vulnerable people, improved housing and improved wellbeing for the individual or community. However, it reports that there is a high level of certainty that Housing First interventions can improve housing stability and measures of physical health in the short term. The review also identifies the need for further high quality evaluations of interventions implemented in the UK, as well as for well-designed economic evaluations. (Edited publisher abstract)