Impact of Supportive Services on Aging in Place
Author Information
Author(s): Breunig Ian, Vandawalker Melissa, Groover Kimberly, Hoodin Derek
Primary Institution: Abt Global
Hypothesis
Does structured health and wellness support help older adults remain in HUD-assisted housing developments longer?
Conclusion
The IWISH model did not show significant effects on healthcare utilization or length of stay in housing during the first three years, but there are positive signs for longer-term impacts.
Supporting Evidence
- IWISH did not affect healthcare utilization or length of stay in housing during the first three years.
- Subgroup analyses showed IWISH reduced acute care service use for residents aged 62-64 and those 85 or older.
- Working individually with residents on health goals seemed to improve outcomes.
- Providing transitional care for residents returning home from a hospital or long-term care stay appeared beneficial.
Takeaway
The study looked at whether helping older people with health and wellness support lets them stay in their homes longer, but it didn't find clear evidence that it worked in the short term.
Methodology
A cluster-randomized controlled trial was conducted across properties in seven states, linking individual resident data with Medicare and Medicaid data.
Limitations
Outcomes were worse at properties that are isolated or lacking access to nutritional food.
Participant Demographics
Adults ages 62 and older, with subgroup analyses for those aged 62-64 and 85 or older.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website