Executive Summary:

Homelessness comes at extreme individual and societal costs—many individuals experiencing homelessness suffer from debilitating conditions, while communities struggle to create integrated systems that address their complex needs, leading to the misallocated use of costly services. The University of Texas Health Science Center at Houston (UTHealth), National Health Care for the Homeless Council, The Salvation Army, and US Department of Veterans Affairs (VA) National Center on Homelessness among Veterans will partner to scale the VA’s evidence-based coordinated care solution for veterans experiencing homelessness (Homeless Patient Aligned Care Teams [H-PACT]) to all individuals experiencing homelessness across seven US cities (~25,000 individuals). We will integrate services into a one-stop-shop tailored by the local community to simultaneously address needs of this vulnerable population (e.g., healthcare) while transcending enumerable barriers. Our solution will improve the health and housing of individuals experiencing homelessness, reducing the financial and humanitarian burden of homelessness on communities in the US.