Grant Partners

The Health Starts at Home Initiative supports four partnerships that bring together housing and health care organizations to support work that demonstrates the positive effects of stable, affordable housing to children's health outcomes, identify promising new and existing models for collaboration that can be brought to scale, decrease health care costs, and decrease costs related to homelessness.  Families eligible for participation have children under the age of 12, and are experiencing housing instability.  The evaluation partners for Health Starts at Home, Health Resources in Action and the Urban Institute, are conducting both outcome and process evaluations to measure whether and how improved housing stability affects the health of children, as well as to document successes and challenges, and develop best practices for creating these types of health care and housing partnerships. 

Friends of Jewish Community Housing for the Elderly (JCHE) provides supportive, affordable, independent senior housing in Massachusetts, and owns 1,200 apartments that are home to 1,500 low-income older adults in Brighton, Newton, and Framingham.  In collaboration with the LeadingAge Center for Applied Research, JCHE will seek to demonstrate the effectiveness of affordable housing on the quality of life for the organization's seniors, as well as an impact on costs to the government and health care system.  It will include metro Boston seniors who are low- and moderate-income with similar demographics (income, age, ethnicity, risk profile) living in subsidized housing and receiving supportive services.  The provision of housing will be studied as an intervention at three levels, using Medicaid and Medicare utilization data:  1) housing without services, 2) housing with resident service coordination only, and 3) housing with significant service enrichment. 

Massachusetts Public Health Association (MPHA) is leading a newly formed Alliance for Community Health Integration ("the Alliance"), focused on how the health care system could more powerfully impact social determinants of health.  In its inaugural year, the Alliance will implement an aggressive, multi-faceted, multi-year strategy involving significant leadership from numerous organizational partners at the local and state levels.  It will conduct key informant interviews of local grasstops and grassroots leaders that are working to improve social determinants of health at the neighborhood level, to help test and refine the Alliance concept.  The Alliance will also conduct a rigorous policy and political landscape analysis to identify opportune windows over the coming years, and recommendations on framing and community strategies needed for successful campaigns. 

South Middlesex Opportunity Council (SMOC) provides housing and supportive services to disadvantaged, homeless, single adults in three regions of the state:  MetroWest/Framingham, Central Mass/Worcester, and the Merrimack Valley/Lowell.  SMOC will evaluate the impact of its Housing First program that recognizes an immediate and primary focus on helping clients access and sustain permanent housing, to test the hypothesis that stable housing leads to improved health outcomes, and ultimately, a reduction in health costs.  Three hundred clients will be placed into housing and evaluated as part of this project.  SMOC will identify those clients with the highest service needs at entry into shelter, and then follow them into and throughout their housing placement in order to measure their health outcomes at various points along the continuum of homelessness and housing.

Funding will support the On Solid Ground (OSG) Coalition, which is facilitated by Citizens' Housing and Planning Association (CHAPA), and includes advocacy organizations representing health, housing, education, employment, legal services, and faith-based communities, as well as research and philanthropic partners.  In the past year, OSG conducted gap analysis and research, publishing Observations and Findings from 31 Public Support Programs Available to Low-Income Families in Massachusetts, which identified the programmatic and administrative barriers faced by vulnerable residents of the state when they try to use such social service resources.  OSG plans to deepen its involvement, with key staff continuing to partner with the Foundation on Actions Labs and other convenings, attend hearings on Medicaid reform and related topics, and participate in coalitions that work on community benefit agreements, determination of need, Medicaid reform, and research initiatives in other states.  They will strive to increase funding and support for housing assistance and services as part of a coordinated strategy to address the social determinants of health.