The chronically homeless, especially those with substance use problems, represent a tremendous cost to states’ public health care, criminal justice, and other social welfare systems. Abstinence-based housing programs do not always prove effective in dealing with this population sector and sometimes fail to prevent substance abuse relapses (Culhane & Metraux, 2008). This week’s DRAM reviews a study about the cost-effectiveness of a housing program, Housing First, which does not require sobriety, allowing residents to drink in their rooms while still receiving food, shelter, healthcare, and substance abuse counseling (Larimer et al. 2009). Methods Researchers recruited participants by rank-ordering a list... Read more →