Health Care and Housing

Individuals experiencing chronic or persistent homelessness are often among the highest utilizers of costly emergency health care and other public systems of care. MHSA advocates for supportive services that allow for the stabilizing impact of housing for this vulnerable population.

The Community Support Program for People Experiencing Chronic Homelessness (CSPECH), an innovation of the Massachusetts Behavioral Health Partnership and MHSA, is a proven model of Medicaid reimbursement that can help fund tenant-based services for chronically homeless individuals. CSPECH has been recognized nationally as a model for supporting permanent supportive housing with Medicaid dollars. MHSA's advocacy through the Pay for Success initiative led to the expansion of CSPECH to additional managed care entities in Massachusetts, and as of December 2017, 490 individuals have been enrolled in CSPECH through Pay for Success.

Thanks to generous support from United Health Foundation, MHSA is partnering with Beacon Health Options/Massachusetts Behavioral Health Partnership (Beacon/MBHP) for Hospital to Housing (H to H), a new initiative aimed at identifying and linking adults experiencing homelessness who have serious mental illness and an established history of frequent behavioral health hospitalization to permanent supportive housing. Learn more about H to H.