IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v31y2022is2p115-133.html
   My bibliography  Save this article

The effects of supported housing for individuals with mental disorders

Author

Listed:
  • Francisca Vargas Lopes
  • Pieter Bakx
  • Sam Harper
  • Bastian Ravesteijn
  • Tom Van Ourti

Abstract

Societies face the challenge of providing appropriate arrangements for individuals who need living support due to their mental disorders. We estimate the effects of eligibility to the Dutch supported housing program (Beschermd Wonen), which offers a structured living environment in the community as an intermediate alternative to independent housing and inpatient care. For this, we use exogenous variation in eligibility based on conditionally random assignment of applications to assessors, and the universe of applications to supported housing in the Netherlands, linked to rich administrative data. Supported housing eligibility increases the probability of moving into supported housing and decreases the use of home care, resulting in higher total care expenditures. This increase is primarily due to the costs of supported housing, but potentially also higher consumption of curative mental health care. Supported housing eligibility reduces the total personal income and income from work. Findings do also suggest lower participation in the labor market by the individuals granted eligibility, but the labor participation of their parents increases in the long‐run. Our study highlights the trade‐offs of access to supported housing for those at the margin of eligibility, informing the design of long‐term mental health care systems around the world.

Suggested Citation

  • Francisca Vargas Lopes & Pieter Bakx & Sam Harper & Bastian Ravesteijn & Tom Van Ourti, 2022. "The effects of supported housing for individuals with mental disorders," Health Economics, John Wiley & Sons, Ltd., vol. 31(S2), pages 115-133, October.
    • Handle: RePEc:wly:hlthec:v:31:y:2022:i:s2:p:115-133
    DOI: 10.1002/hec.4579
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4579
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hec.4579?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Gordon B. Dahl & Andreas Ravndal Kostøl & Magne Mogstad, 2014. "Family Welfare Cultures," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 129(4), pages 1711-1752.
    2. Will Dobbie & Jacob Goldin & Crystal S. Yang, 2018. "The Effects of Pretrial Detention on Conviction, Future Crime, and Employment: Evidence from Randomly Assigned Judges," American Economic Review, American Economic Association, vol. 108(2), pages 201-240, February.
    3. Nicole Maestas & Kathleen J. Mullen & Alexander Strand, 2013. "Does Disability Insurance Receipt Discourage Work? Using Examiner Assignment to Estimate Causal Effects of SSDI Receipt," American Economic Review, American Economic Association, vol. 103(5), pages 1797-1829, August.
    4. Susan L. Ettner & Richard G. Frank & Ronald C. Kessler, 1997. "The Impact of Psychiatric Disorders on Labor Market Outcomes," NBER Working Papers 5989, National Bureau of Economic Research, Inc.
    5. Angrist, J D & Imbens, G W & Krueger, A B, 1999. "Jackknife Instrumental Variables Estimation," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 14(1), pages 57-67, Jan.-Feb..
    6. Eriksen, Tine L. Mundbjerg & Gaulke, Amanda & Skipper, Niels & Svensson, Jannet, 2021. "The impact of childhood health shocks on parental labor supply," Journal of Health Economics, Elsevier, vol. 78(C).
    7. Peter McPherson & Joanna Krotofil & Helen Killaspy, 2018. "What Works? Toward a New Classification System for Mental Health Supported Accommodation Services: The Simple Taxonomy for Supported Accommodation (STAX-SA)," IJERPH, MDPI, vol. 15(2), pages 1-17, January.
    8. Carmichael, Fiona & Charles, Susan, 2003. "The opportunity costs of informal care: does gender matter?," Journal of Health Economics, Elsevier, vol. 22(5), pages 781-803, September.
    9. Bakx, Pieter & Wouterse, Bram & van Doorslaer, Eddy & Wong, Albert, 2020. "Better off at home? Effects of nursing home eligibility on costs, hospitalizations and survival," Journal of Health Economics, Elsevier, vol. 73(C).
    10. Kvist, Anette Primdal & Nielsen, Helena Skyt & Simonsen, Marianne, 2013. "The importance of children's ADHD for parents' relationship stability and labor supply," Social Science & Medicine, Elsevier, vol. 88(C), pages 30-38.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ezra Golberstein & Christoph Kronenberg, 2022. "Mental health economics—Social determinants and care‐use," Health Economics, John Wiley & Sons, Ltd., vol. 31(S2), pages 3-5, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Serrano-Alarcón, Manuel & Hernández-Pizarro, Helena & López-Casasnovas, Guillem & Nicodemo, Catia, 2022. "Effects of long-term care benefits on healthcare utilization in Catalonia," Journal of Health Economics, Elsevier, vol. 84(C).
    2. Manuel Serrano-Alarcón & Helena Hernández-Pizarro & Guillem López i Casasnovas & Catia Nicodemo, 2021. "The effect of Long-Term Care (LTC) benefits on healthcare use," Working Papers 2021-12, FEDEA.
    3. Bakx, Pieter & Wouterse, Bram & van Doorslaer, Eddy & Wong, Albert, 2020. "Better off at home? Effects of nursing home eligibility on costs, hospitalizations and survival," Journal of Health Economics, Elsevier, vol. 73(C).
    4. Sofia Amaral & Gordon B. Dahl & Victoria Endl-Geyer & Timo Hener & Helmut Rainer, 2023. "Deterrence or Backlash? Arrests and the Dynamics of Domestic Violence," NBER Working Papers 30855, National Bureau of Economic Research, Inc.
    5. John Eric Humphries & Nicholas Mader & Daniel Tannenbaum & Winnie van Dijk, 2019. "Does Eviction Cause Poverty? Quasi-Experimental Evidence from Cook County, IL," CESifo Working Paper Series 7800, CESifo.
    6. Bhuller, Manudeep & Dahl, Gordon B & Løken, Katrine V. & Mogstad, Magne, 2018. "Incarceration Spillovers in Criminal and Family Networks," Discussion Paper Series in Economics 15/2018, Norwegian School of Economics, Department of Economics.
    7. Anna Mikusheva & Liyang Sun, 2023. "Weak Identification with Many Instruments," Papers 2308.09535, arXiv.org, revised Jan 2024.
    8. Manudeep Bhuller & Gordon B. Dahl & Katrine V. Løken & Magne Mogstad, 2020. "Incarceration, Recidivism, and Employment," Journal of Political Economy, University of Chicago Press, vol. 128(4), pages 1269-1324.
    9. Lim, Dennis & Wang, Wenjie & Zhang, Yichong, 2024. "A conditional linear combination test with many weak instruments," Journal of Econometrics, Elsevier, vol. 238(2).
    10. Dennis Lim & Wenjie Wang & Yichong Zhang, 2022. "A Conditional Linear Combination Test with Many Weak Instruments," Papers 2207.11137, arXiv.org, revised Apr 2023.
    11. Thomas M. Eisenbach & David O. Lucca & Robert M. Townsend, 2022. "Resource Allocation in Bank Supervision: Trade‐Offs and Outcomes," Journal of Finance, American Finance Association, vol. 77(3), pages 1685-1736, June.
    12. Manu Navjeevan, 2023. "An Identification and Dimensionality Robust Test for Instrumental Variables Models," Papers 2311.14892, arXiv.org.
    13. Michelle Yin & Garima Siwach & Dajun Lin, 2023. "Vocational Rehabilitation Services and Labor Market Outcomes for Transition‐Age Youth with Disabilities in Maine," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 42(1), pages 166-197, January.
    14. Jiayi Wen & Haili Huang, 2023. "Parental Health Penalty on Adult Children's Employment: Gender Difference and Long-Term Consequence," Papers 2308.13156, arXiv.org.
    15. Bolhaar, Jonneke & Ketel, Nadine & van der Klaauw, Bas, 2020. "Caseworker's discretion and the effectiveness of welfare-to-work programs," Journal of Public Economics, Elsevier, vol. 183(C).
    16. Robert Collinson & John Eric Humphries & Nicholas Mader & Davin Reed & Daniel Tannenbaum & Winnie van Dijk, 2024. "Eviction and Poverty in American Cities," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 139(1), pages 57-120.
    17. Patrick Gaulé, 2018. "Patents and the Success of Venture‐Capital Backed Startups: Using Examiner Assignment to Estimate Causal Effects," Journal of Industrial Economics, Wiley Blackwell, vol. 66(2), pages 350-376, June.
    18. Johannes W. Ligtenberg, 2023. "Inference in IV models with clustered dependence, many instruments and weak identification," Papers 2306.08559, arXiv.org, revised Mar 2024.
    19. Bhaven Sampat & Heidi L. Williams, 2019. "How Do Patents Affect Follow-On Innovation? Evidence from the Human Genome," American Economic Review, American Economic Association, vol. 109(1), pages 203-236, January.
    20. Sönke Hendrik Matthewes & Guglielmo Ventura, 2022. "On Track to Success? Returns to vocational education against different alternatives," CVER Research Papers 038, Centre for Vocational Education Research.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:31:y:2022:i:s2:p:115-133. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.