Project Summary
With a grant from the the National Institute on Drug Abuse to the University of Colorado Anschutz Medical Campus, the Colorado Lab is supporting researchers at the School of Medicine (Principal Investigator: Joshua Barocas, MD) and across the country in the development and testing of models that simulate how housing-centered approaches and service-related interventions can improve health outcomes and reduce racial/ethnic disparities in HIV, overdose, and life expectancy among individuals experiencing homelessness in two cities where homelessness is at crisis levels—Denver, which has seen an increase in homelessness of more than 30% since 2022, and San Francisco, which has the highest prevalence of homelessness in the U.S.
This new project will grow the evidence base for solutions to the profound health effects related to the experience of homelessness. Compared to people in the U.S. who are stably housed, those who experience homelessness die on average 30 years earlier and have an increased risk of substance use disorders and HIV. While there are evidence-based solutions that improve health outcomes for people experiencing homelessness, they are not universally implemented.
This is a 5-year project that began in the fall of 2024.
Steps to Building Evidence
This study used group model building to simulate causal relationships among housing services, substance use treatment to understand homelessness transitions into stable housing. This analytic approach aligns with Step 4 of evidence building.
Actionability
This study is intended to enhance the best available evidence on how housing can contribute to or alleviate health outcomes such as overdose and mortality for individuals with and without HIV in the Denver metro area. The study will also test how service delivery programs, such as Pre-Exposure Prophylaxis (PrEP) when implemented at various parts of the housing continuum (e.g., unsheltered homelessness, transitional housing) affect mortality and other health outcomes. This information is intended paired with decision-maker expertise to inform budget requests.
Get Involved
For more information about working with the Colorado Lab, see Government and Community Partnerships or Research Partnerships.