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Do Federal Grants for Medication-Assisted Opioid Treatment Reduce Homelessness?

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  • Andrew Sullivan
  • Changwe Park

Abstract

The federal government awarded $115 million to local entities between 2015 and 2018 for medication-assisted treatment (MAT) programs to treat opioid use disorder. These programs integrate the use of medications with counseling and behavioral therapies to reduce withdrawal symptoms and other adverse, individual-level effects of opioid misuse. Mounting evidence shows the benefits of MAT interventions among individuals, but little is known of whether these programs have prosocial, community-level effects. We examine the effect of MAT programs on one such community-level outcome: homelessness. Our event study design shows that MAT grants did not have a discernable relationship to homelessness at the community level; and we argue that while MAT may be an effective approach to treating opioid use disorder among individuals, more must be done to scale up its effects of these programs on community-level outcomes like homelessness.

Suggested Citation

  • Andrew Sullivan & Changwe Park, 2022. "Do Federal Grants for Medication-Assisted Opioid Treatment Reduce Homelessness?," The ANNALS of the American Academy of Political and Social Science, , vol. 703(1), pages 285-302, September.
    • Handle: RePEc:sae:anname:v:703:y:2022:i:1:p:285-302
    DOI: 10.1177/00027162231156291
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    References listed on IDEAS

    as
    1. Andrew Sullivan & Saerim Kim & David Lee, 2023. "Applying organizational density to local public service performance: separating homeless service outcomes from outputs," Public Management Review, Taylor & Francis Journals, vol. 25(2), pages 262-285, February.
    2. Matthew C. Harris & Lawrence M. Kessler & Matthew N. Murray & Beth Glenn, 2020. "Prescription Opioids and Labor Market Pains: The Effect of Schedule II Opioids on Labor Force Participation and Unemployment," Journal of Human Resources, University of Wisconsin Press, vol. 55(4), pages 1319-1364.
    3. Rosanna Scutella & Guy Johnson, 2018. "Psychological distress and homeless duration," Housing Studies, Taylor & Francis Journals, vol. 33(3), pages 433-454, April.
    4. McVicar, Duncan & Moschion, Julie & van Ours, Jan C., 2015. "From substance use to homelessness or vice versa?," Social Science & Medicine, Elsevier, vol. 136, pages 89-98.
    5. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    6. Saerim Kim & Andrew A Sullivan, 2021. "Complementary policies for multidimensional problems: Does the low-income housing tax credit complement homeless services in the USA?," Urban Studies, Urban Studies Journal Limited, vol. 58(5), pages 903-921, April.
    7. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    8. William N. Evans & David C. Phillips & Krista Ruffini, 2021. "Policies To Reduce And Prevent Homelessness: What We Know And Gaps In The Research," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(3), pages 914-963, June.
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