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Chronically homeless adults with severe mental illness are heavy users of costly inpatient and emergency psychiatric services. Full-service partnerships (FSPs) provide housing and engage clients in treatment.

A quasi-experimental, difference-in-difference design with a propensity score-matched control group was used to compare mental health service use and costs of FSP with public mental health services.

"Homeless individuals may spend years or even decades living on the streets and in shelters, cycling through emergency departments, inpatient and cri-sis facilities, jails, and mental health and substance use programs. Traditional housing placements often involve segregated and programs typically require individuals to transition from more to less restrictive living situations."

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