Upgrading Housing-First Interventions in the Age of Fentanyl - Scorecard - MDSpire

Upgrading Housing-First Interventions in the Age of Fentanyl

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  • Karen Drexler

  • May 5, 2026

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Clinical Scorecard: Enhancing Housing-First Strategies Amidst the Fentanyl Crisis

At a Glance

CategoryDetail
Condition
Key MechanismsMedications for opioid use disorder (MOUD) reduce mortality risk; housing first strategies aim to provide stable housing to improve treatment readiness, though they have not demonstrated decreased mortality among PEH.
Target Population
Care Setting

Key Highlights

  • Housing first has not demonstrated improved substance abuse or mental health outcomes.

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

      • Monitor MOUD receipt and treatment engagement among PEH, particularly focusing on racial and ethnic minority groups.

      Risks

        Patient & Prescribing Data

        Veterans experiencing homelessness with opioid use disorder.

        Lowering barriers to mental health and SUD care can improve MOUD receipt and health outcomes.

        Clinical Best Practices

        • Develop structured supports to actively reduce overdose risk in housing first models.

        References

        Original Source(s)

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