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Strategies for Creating Integrated Supportive Housing for People with Disabilities showcases some of TAC's recent work with government officials and stakeholders in several states to design and implement comprehensive PSH initiatives, as well as profiles of projects with integrated PSH units.

TAC's PSH-related Work

PSH News & Updates

Permanent Supportive Housing

Permanent Supportive Housing (PSH) is a nationally recognized, proven and cost-effective solution to the needs of vulnerable people with disabilities who are homeless, institutionalized, or at greatest risk of these conditions. The PSH approach integrates permanent, affordable rental housing with the best practice community-based supportive services needed to help people who are homeless and/or have serious and long-term disabilities - such as mental illnesses, developmental disabilities, physical disabilities, substance use disorders, and chronic health conditions - access and maintain stable housing in the community.

Key components of PSH that facilitate successful housing tenure include:

  • Individually tailored and flexible supportive services that are voluntary, can be accessed 24 hours a day/7 days a week, and are not a condition of ongoing tenancy
  • Leases that are held by the tenants without limits on length of stay
  • Ongoing collaboration between service providers, property managers, and tenants to preserve tenancy and resolve crisis situations that may arise.

The evidence on PSH demonstrates that the housing preferences of homeless people and people with disabilities are consistent with the PSH model which provides independent housing that is integrated in the community; offering greater satisfaction and perceived choice to the individuals it serves. The expansion of PSH using innovative systems-level approaches such as those authorized in HUD's reformed Section 811 Program holds great promise for systematically expanding new integrated supportive housing opportunities in states and localities across the country.

Integrated supportive housing approaches are responsive to the community integration mandates within the 1999 U.S. Supreme Court's Olmstead decision, a landmark disability rights case which affirms the right of people with disabilities under the Americans with Disabilities Act (ADA) to live in the most integrated setting appropriate to their needs.

TAC Resources on Permanent Supportive Housing (PSH):

Permanent Supportive Housing: A Proven Solution to Homelessness

Taking Integrated Permanent Supportive Housing (PSH) to Scale: The Louisiana PSH Program

Leveraging Medicaid: A Guide to Using Medicaid Financing in Supportive Housing

Save Section 811 with the New Community Integration Paradigm

Olmstead & Supportive Housing: A Vision for the Future

Best Practice Principles for Achieving Civil Rights in Permanent Supportive Housing

Other PSH Resources:

SAMHSA's Permanent Supportive Housing (PSH) Evidence-Based Practice Toolkit