Housing is one of the primary social determinants of health. Increasing access to housing for people experiencing homelessness improves health outcomes and reduces healthcare costs. If we want to live in a community that is physically and mentally healthy, we need a community that is housed.
Homelessness 101: Housing is Healthcare
Aubry Vonck • December 7, 2020
Homelessness 101: Housing is Healthcare
For years, the Coalition for the Homeless has championed the belief that housing is healthcare - but what does that mean?
Mental and Physical Benefits of a Home
When people have access to safe, affordable housing, their mental and physical health improves for many reasons:
- Protection from exposure to outdoor elements
- Stress levels reduce dramatically
- Access to preventative physical and mental healthcare
- Access to medication and proper medication storage
- More stable personal and sexual relationships
- Regular schedules mean more regular meals and nutrition
- Access to personal hygiene and sanitation
COVID-19 and Homelessness
In the context of the global pandemic, the belief that housing is healthcare has become even more critical. Without a safe and decent home, people cannot comply with recommendations on how to slow the spread of the virus. People experiencing homelessness also run a higher risk of contracting COVID and if they do, they have a high risk of complications or even death.
COVID-19 is not only a significant threat to those already experiencing homelessness; rises in unemployment, an unsteady economy, and the eviction moratorium currently scheduled to end at the end of 2020 mean that many in our community may be on the verge of homelessness.
And studies have shown that even housing instability (trouble paying rent or mortgage, overcrowding, moving frequently, staying with relatives, or spending the bulk of household income on housing) increases the odds of negative health outcomes. This type of housing instability can lead to depression, anxiety, poor health, and food insecurity.
Housing First Impact on Healthcare
The Coalition for the Homeless and The Way Home Continuum of Care believe that we can most effectively help people experiencing homelessness by following the Housing First approach. This approach prioritizes providing permanent housing to individuals experiencing homelessness. Housing First operates on the belief that only after receiving access to safe, secure housing can a person attend to other needs such as finding employment and stabilizing their life.
This also means that people can focus on attending to their mental or physical health issues. If we continue to prioritize a safe home for people experiencing homelessness, we remove many of the barriers they may have previously faced when attempting to access healthcare.
Medicaid Expansion
Supportive housing is a non-clinical driver of improved health outcomes. Due to the proven physical and mental health benefits of supportive services in permanent housing, Medicaid expansion allows nonprofits to create sustainability for these services by billing them to Medicaid.
To date, most states in the country have elected to expand Medicaid. Texas has yet to expand Medicaid, something many homeless advocates speak out against. Lack of expansion means valuable, available federal funds (perhaps as much as $5.4 billion) are not making their way into our communities. Far too many dollars are being left on the table that could be used to provide supportive housing for members of our community.
What We Can Do
In response to COVID-19, the City of Houston, Harris County, and the Coalition for the Homeless announced a joint, $65-million plan to serve 5,000 people experiencing homelessness over the next two years. The Community COVID Housing Program (CCHP) will work to limit the spread of COVID-19 by permanently housing people who are currently experiencing literal homelessness as well as those who may fall into homelessness as a result of the economic effects of the coronavirus.
Over the next two years, we look forward to housing more members of our community and therefore prioritizing their physical and mental well-being. We know that the key to a healthy region is a housed region. To learn more about the CCHP, visit our website.
Further Reading
Housing And Health: An Overview Of The Literature, Health Affairs
Housing is Health Care, National Health Care for the Homeless Council
Housing First, National Alliance to End Homelessness
Housing Instability, HealthyPeople.gov
To Improve Outcomes, Health Systems Invest In Affordable Housing, Health Affairs
Homelessness Initiatives: Advancing Access to Affordable Housing as a Means to Maximize Opportunities for Living Communities, Medicaid.gov
Linking Medicaid and Supportive Housing: Opportunities and On-the-Ground Examples, Kaiser Family Foundation
Medicaid expansion could bring Texas $5.4 billion in federal dollars, study says, The Houston Chronicle
Abbott say the homeless need mental health care. Advocates say Medicaid expansion would help., The Texas Tribune
Houston, Texas (February 24, 2026) – This week, the nonprofit Coalition for the Homeless of Houston/Harris County (CFTH) is leading the annual Point-in-Time Homeless Count & Survey (“PIT Count”) to determine the number of people experiencing homelessness across Houston and throughout Harris, Fort Bend, and Montgomery counties. “We may see a slight uptick in the number this year, but we have a plan,” said Kelly Young, President & CEO of CFTH. “With the support of the City of Houston, Harris County, and private funders, we have been piloting new interventions to shorten the length of time people in our region experience homelessness. With adequate funding, we look forward to expanding those interventions to help people regain lives of self-determination.” CFTH coordinates the Houston region’s public-private homeless response system, The Way Home . Through this collaboration, The Way Home partners have successfully housed over 36,000 people since 2012. CFTH will release the results of Houston’s 2026 PIT Count in the summer, following independent verification by an epidemiologist. These findings will provide insight into how factors such as increases in the cost of living and the end of federal pandemic relief funding have impacted homelessness in our region. More information about the 2026 Point-in-Time Homeless Count & Survey The PIT Count offers a snapshot of how many people are experiencing homelessness in our region on a single night. This year, the “night of record” is Monday, Feb. 23. CFTH determines the number of people staying in shelters on that night by pulling records electronically from the Homeless Management Information System (HMIS) . The unsheltered count will be conducted on the following days, from Tuesday, Feb. 24 to Thursday, Feb. 26. More than 400 volunteers and staff of local nonprofit service provider partners will canvass the three-county region to survey people living unsheltered, using an app on their mobile devices. Results from the 2026 PIT Count will help gauge the progress of The Way Home’s ongoing collaborative efforts. It will also help CFTH and partner homeless outreach teams understand geographic shifts and target their outreach throughout the year. The PIT Count illuminates specific programmatic gaps and provides additional information needed to allocate resources most efficiently. The PIT Count is a requirement of the U.S. Department of Housing & Urban Development (HUD) for the annual Continuum of Care (CoC) funding process. HUD furnishes the majority of funding for programs that provide housing and supportive services to people experiencing homelessness in the region. In 2024, HUD granted more than $71 million to the Houston area.
As lead agency to The Way Home Continuum of Care (CoC), CFTH is working with local governmental entities to advocate on behalf of people experiencing homelessness to ensure their needs are being considered as winter weather affects our region. We will make frequent updates as we receive information. Please check back often for the latest information. Last updated 02/01/2026 at 12:00 p.m.
While our system has helped thousands of people move from homelessness to housing, this year’s results highlight the need to broaden our approach.
