Promising practices for providing effective tenancy support services: a qualitative case study situated in the southeastern United States

Tenancy support services (TSS) allow homeless or institutionalized people with disabilities to obtain and maintain housing in community settings. In the United States, Medicaid is expanding to include coverage for these services. We conducted a comparison case study of two high performing North Carolina (NC) TSS provider agencies, augmented with the voices of key stakeholders in NC and experienced leaders in Louisiana, to explore promising practices for providing effective TSS. Through employing a Housing First philosophy, client centered service delivery, teams with specialized positions, a supportive environment for staff, and staff training TSS outcomes of increased housing, housing retention, improved health, social connection, and enhanced quality of life for residents were achieved. Study findings are intended to inform TSS agencies, state officials, and other stakeholders interested in effective TSS provision.

Duke Scholars

Author Mina Ruth Silberberg Family Medicine and Community Health, Community Health

Author Donna J. Biederman School of Nursing