CSH Publication

Frequent Users of Public Services:
Ending the institutional circuit - Changing systems to change lives

Prepared by the Corporation for Supportive Housing, with assistance from Ginny Shubert of Shubert Botein Policy Associates

Publication Date: December 2009 (PDF, 8 pages, 3.63 MB)

A growing body of research and practice provides ample evidence of the failure of existing, fragmented systems of care in meeting the needs of persons who repeatedly cycle through our shelter, correctional, and emergency health care systems.  These persons - often referred to as “frequent users” or “high utilizers” of public services - have complex health and behavioral health problems but do not have access to a coordinated system of care where their health issues can be successfully managed. This dynamic, coupled with a lack of stable housing, forces frequent users through a revolving door of multiple, costly crisis services and institutional settings.

In October 2008, CSH convened over 60 leaders from 25 different communities to share their unique perspectives and expertise regarding research as well as policy and program innovations to end the institutional circuit for frequent users of these systems. 

A result of this forum is concise, yet informative summary that can be used to help generate new discussion or deepen existing conversations in your communities about frequent users and the systems they touch. 

Download a Summary of this publication for free.

Additionally, a more comprehensive report provides many resources to help guide policy and program change.  Over a dozen programs and research efforts are documented in detail, including contacts for further information.  The report also includes policy recommendations and a guide for sectors on how to create systems change to help change people’s lives. 

Download the Full Report for free. (PDF, 78 pages, 2.07 MB)