Cost‐effectiveness of a ‘Housing First’ programme implemented in Spain: An evaluation based on a randomised controlled trial

In the last decades, Housing First model has become a feasible alternative to the traditional “staircase” systems in caring for the most vulnerable homeless people. The analysis that we present in this work is referred to Hábitat, a pioneering HF programme in Spain, which has been evaluated attendin...

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Detalles Bibliográficos
Autores: Martínez Cantos, José Luis, Martín Fernández, Juan Ángel
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/93844
Acceso en línea:https://hdl.handle.net/20.500.14352/93844
Access Level:acceso abierto
Palabra clave:Cost-effectiveness analysis
Homelessness
Housing first
Programme evaluation
Randomised controlled trial
Ciencias Sociales
63 Sociología
53 Ciencias Económicas
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spelling Cost‐effectiveness of a ‘Housing First’ programme implemented in Spain: An evaluation based on a randomised controlled trialMartínez Cantos, José LuisMartín Fernández, Juan ÁngelCost-effectiveness analysisHomelessnessHousing firstProgramme evaluationRandomised controlled trialCiencias Sociales63 Sociología53 Ciencias EconómicasIn the last decades, Housing First model has become a feasible alternative to the traditional “staircase” systems in caring for the most vulnerable homeless people. The analysis that we present in this work is referred to Hábitat, a pioneering HF programme in Spain, which has been evaluated attending to both costs and outcomes. A randomised controlled trial was carried out and the collected data was explored through a Cost‐Effectiveness Analysis (CEA), including the estimation of Incremental Cost‐Effectiveness Ratios (ICER) and acceptability thresholds of the programme's spending. The results highlight the capacity of the programme to significantly improve the participants' life satisfaction levels, reduce the number of homeless nights, and increase the rate of institutional coverage. Even though the programme involves significant short‐term expenditure on accommodation, positive effects in net terms are demonstrated supporting the usefulness and viability of HF model.Universidad Complutense de Madrid20232023-02-0520232023-02-05journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/93844reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/938442026-06-02T12:44:21Z
dc.title.none.fl_str_mv Cost‐effectiveness of a ‘Housing First’ programme implemented in Spain: An evaluation based on a randomised controlled trial
title Cost‐effectiveness of a ‘Housing First’ programme implemented in Spain: An evaluation based on a randomised controlled trial
spellingShingle Cost‐effectiveness of a ‘Housing First’ programme implemented in Spain: An evaluation based on a randomised controlled trial
Martínez Cantos, José Luis
Cost-effectiveness analysis
Homelessness
Housing first
Programme evaluation
Randomised controlled trial
Ciencias Sociales
63 Sociología
53 Ciencias Económicas
title_short Cost‐effectiveness of a ‘Housing First’ programme implemented in Spain: An evaluation based on a randomised controlled trial
title_full Cost‐effectiveness of a ‘Housing First’ programme implemented in Spain: An evaluation based on a randomised controlled trial
title_fullStr Cost‐effectiveness of a ‘Housing First’ programme implemented in Spain: An evaluation based on a randomised controlled trial
title_full_unstemmed Cost‐effectiveness of a ‘Housing First’ programme implemented in Spain: An evaluation based on a randomised controlled trial
title_sort Cost‐effectiveness of a ‘Housing First’ programme implemented in Spain: An evaluation based on a randomised controlled trial
dc.creator.none.fl_str_mv Martínez Cantos, José Luis
Martín Fernández, Juan Ángel
author Martínez Cantos, José Luis
author_facet Martínez Cantos, José Luis
Martín Fernández, Juan Ángel
author_role author
author2 Martín Fernández, Juan Ángel
author2_role author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv Cost-effectiveness analysis
Homelessness
Housing first
Programme evaluation
Randomised controlled trial
Ciencias Sociales
63 Sociología
53 Ciencias Económicas
topic Cost-effectiveness analysis
Homelessness
Housing first
Programme evaluation
Randomised controlled trial
Ciencias Sociales
63 Sociología
53 Ciencias Económicas
description In the last decades, Housing First model has become a feasible alternative to the traditional “staircase” systems in caring for the most vulnerable homeless people. The analysis that we present in this work is referred to Hábitat, a pioneering HF programme in Spain, which has been evaluated attending to both costs and outcomes. A randomised controlled trial was carried out and the collected data was explored through a Cost‐Effectiveness Analysis (CEA), including the estimation of Incremental Cost‐Effectiveness Ratios (ICER) and acceptability thresholds of the programme's spending. The results highlight the capacity of the programme to significantly improve the participants' life satisfaction levels, reduce the number of homeless nights, and increase the rate of institutional coverage. Even though the programme involves significant short‐term expenditure on accommodation, positive effects in net terms are demonstrated supporting the usefulness and viability of HF model.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-02-05
2023
2023-02-05
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/93844
url https://hdl.handle.net/20.500.14352/93844
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-ShareAlike 4.0 International
http://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-ShareAlike 4.0 International
http://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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