Introduction to Systems Change

CSH uses supportive housing solutions to help build healthy communities and promote the integration of public systems and coordinated care for individuals and families. This holistic approach of  improving lives of our most vulnerable people,  requires that we reach beyond the traditional housing resources and connect with public agencies and organizations providing funding streams and resources for housing and service needs.

System change is an evolving, iterative process that can take years, but CSH is expert at coordinating change on a faster timeline. We know that to best serve the men, women and families in most need, there must be a high degree of integration among service providers, property owners and managers, and the array of public agencies that fund these projects.


CSH's FUSE program is an especially important part of our systems change models. Communities spend billions of dollars on services that bounce vulnerable people between shelters, hospitals, jails, treatment programs, foster care and the streets. CSH's FUSE model works to solve this problem. FUSE increases housing stability and reduces multiple crisis service use--which means more effective use of public funds.

Public Housing Authorities

CSH assists Public Housing Agencies (PHAs) and their partners in creating housing solutions for people who are homeless and/or highly vulnerable in their communities.

Child Welfare Agencies

Despite the research that shows that families with a history of shelter involvement are at higher risk for child welfare involvement, child welfare and homeless assistance programs remain uncoordinated. Although a variety of services and resources may be available to these families, many times they are unaware, don't know  how to access or are afraid.

Criminal Justice

Many persons with mental health and substance use issues cycle between homelessness and incarceration for months or years at great public expense and with tragic human outcomes. CSH is working to improve the lives of tenants by making more efficient use of public resources and aligning and coordinating public and private resources and policies to create supportive housing.

Health Care

Frequent users’ hospital visits can account for disproportionate costs and time for emergency departments, contribute to emergency department overcrowding, and drain state and county health care resources. CSH is using supportive housing to address the needs of the health systems users by developing and demonstrating new models that replace a costly and ineffective cycle with ongoing, coordinated and multi-disciplinary care provided in more appropriate settings. CSH is also working to help supportive housing providers find more sustainable ways to finance the services component of their projects. Key to this will be increasing the partnership between state and local behavioral health agencies, Medicaid, Medicare and the managed care entities that are having an increasing role in health care financing.


See all CSH's Systems Change resources




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