• Description

Health Starts at Home was a multi-partner collaboration to improve child and family health for low-income families experiencing housing instability. The Boston Foundation funded four entities, each a partnership of at least one health-care and one housing organization, to design and implement programs to improve service delivery and reduce housing instability for participating families. The evaluators—Health Resources in Action and Urban Institute—tracked changes in these families' housing status, economic well-being, health status and health-care use for the caregivers and enrolled children at baseline, six-month, and 12-month follow-up surveys. The goal of the evaluation was to determine whether improvements in housing stability (achieved through delivery of the four Health Starts at Home program interventions) were associated with improvements in health-related outcomes. Survey data was supplemented by administrative data from the Massachusetts Department of Housing and Community Development (DHCD) on the use of shelters and state rental assistance programs.