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CSH FUSE: 20 Years of Breaking the Cycle of Homelessness

Twenty years ago, CSH developed the FUSE (Frequently Used Systems Engagement) model to deliver a transformative solution that aligns housing, health, and justice systems to provide supportive housing and coordinated care. With a proven track record of success, FUSE has become a national model for cross-sector collaboration and data-driven intervention.

For 20 years, CSH has partnered with communities across the country to identify people with complex needs who frequently cycle through emergency systems—such as shelters, hospitals, and jails—and connect them to the housing and services they need to break the cycle, achieve stability, and thrive.

This brief highlights 4 communities that have successfully implemented FUSE. Partners share their lessons learned and the lasting impact that FUSE has had on systems, residents, and communities.

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Supportive Housing Research Bibliography of Sources – 2002 to 2025

The growth of supportive housing over the last 30 years has been built on a foundation of research showing that it provides core benefits to people and communities. CSH compiled this list of selected literature on supportive housing from the last 20 years as a resource. Please review each source carefully to understand how to apply it to your work. Download a summary of outcomes in supportive housing including many of these listed sources by clicking here.

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The Evidence for Supportive Housing – Substance Use

Supportive housing is a model of affordable housing that is designed specifically for people who need services to recover and thrive in their community. It serves people who are facing complex physical and behavioral health challenges while also experiencing homelessness, institutionalization, and/or housing instability. People in supportive housing pay 30% of their income toward rent and are accountable to a lease with all of the rights and responsibilities of tenancy.

In dozens of studies across the country over the last 20 years, supportive housing has proven to be an effective intervention that improves housing stability, reduces the use of expensive crisis care, and improves outcomes even for individuals with complex needs. This brief highlights key evidence for communities to consider as they work to meet the housing and support needs of all individuals and families.

As with the population of people experiencing homelessness, many people in supportive housing are dealing with substance use disorder. The stability that supportive housing provides supports many tenants in accessing substance use treatment and reducing or eliminating their use. This brief highlights key evidence related to supportive housing and substance use.

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The Evidence for Supportive Housing

Supportive housing is a model of affordable housing that is designed specifically for people who need services to recover and thrive in their community. It serves people who are facing complex physical and behavioral health challenges while also experiencing homelessness, institutionalization, and/or housing instability. People in supportive housing pay 30% of their income toward rent and are accountable to a lease with all of the rights and responsibilities of tenancy.

In dozens of studies across the country over the last 20 years, supportive housing has proven to be an effective intervention that improves housing stability, reduces the use of expensive crisis care, and improves outcomes even for individuals with complex needs. This brief highlights key evidence for communities to consider as they work to meet the housing and support needs of all individuals and families.

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Key Results for Tenants in Supportive Housing

This guide outlines five essential outcomes every successful supportive housing program should target, drawn from the larger CSH Quality Supportive Housing Standards. The Quality Standards provides a roadmap for creating and operating supportive housing that will best
achieve meaningful results. CSH encourages organizations to know their baseline performance regarding these outcomes and set ambitious goals to drive ongoing progress.

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Health and Housing: A Guide to Key Outcomes and Data Tracking

This guide enhances understanding of the health conditions experienced by individuals navigating housing instability. Utilizing existing data elements monitored at the intersection of health and housing allows professionals to reduce the administrative burden associated with new data tracking mechanisms while streamlining operations to improve health outcomes.