{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:49:11Z","timestamp":1791478151509,"version":"4.3.4"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000867","name":"Robert Wood Johnson Foundation","doi-asserted-by":"publisher","award":["79629"],"award-info":[{"award-number":["79629"]}],"id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Milbank Quarterly"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"box\" position=\"anchor\">\n                        <jats:caption>\n                          <jats:title>Policy Points<\/jats:title>\n                        <\/jats:caption>\n                        <jats:p>\n                          <jats:list list-type=\"bullet\">\n                            <jats:list-item>\n                              <jats:p>Initiatives that effectively bridge health care and housing sectors in serving people experiencing homelessness (PEH) shared four dimensions: success in matching client preferences with readily achievable options, maintaining intensive interaction, initiating outreach where clients are, and co\u2010locating health and housing services.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Analyses of accounts of those with firsthand experience implementing cross\u2010sector programs yielded valuable guidance on strategies for incorporating these dimensions.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Changes in policies associated with the new federal administration may pose new challenges but are unlikely to alter the relevance of accumulated experience in making use of available resources to effectively engage PEH in health care and housing services.<\/jats:p>\n                            <\/jats:list-item>\n                          <\/jats:list>\n                        <\/jats:p>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Cross\u2010sector collaborations among health care and housing services organizations promise more efficient use of resources and delivery of more coherent and effective services to people experiencing homelessness (PEH). This study analyzes challenges and strategies reported by those currently implementing cross\u2010sector programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were collected through in\u2010depth interviews with staff of health care and housing services at eight programs systematically selected to typify the scope and nature of cross\u2010sector collaborations in New Jersey. Respondents included administrators (\n                      <jats:italic>n<\/jats:italic>\n                      = 14) and frontline providers (\n                      <jats:italic>n<\/jats:italic>\n                      = 10). Questions focused on motivations to collaborate, approaches to sustaining partnerships and managing operations, mechanisms for financing services across sectors, and strategies for effectively engaging PEH in health care services. Interviews were audio\u2010recorded and inductively analyzed using standard qualitative techniques.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Collaborations were motivated by the impact of housing on health, the ineffectiveness and costs of attempting to address unmet health care needs in the absence of providing shelter, and the promise of harnessing resources from both sectors. Accounts of successful approaches for engaging PEH in health care services had four fundamentals in common: establishing rapport through matching client preferences with readily achievable options, maintaining intensive interaction, initiating outreach where clients are, and co\u2010locating health and housing services. Favored policies for promoting effective implementation included financing case management services through contract or capitation arrangements, resolving ambiguities in licensing regulations and reimbursement practices that impede co\u2010location of services, securing direct financing for delivery of nursing services at shelters, and providing greater support for frontline providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The programs\u2019 accumulated experiences in successfully implementing cross\u2010sector programs yielded valuable insights for other organizations seeking to mount similar initiatives and for creating a more hospitable policy environment for programs to succeed. Policies of the new federal administration may raise new challenges but are unlikely to diminish the importance of lessons for achieving effective cross\u2010sector collaboration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1468-0009.70056","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T06:59:54Z","timestamp":1758005994000},"page":"1135-1160","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Providing Health Care to People Experiencing Homelessness: Strategies and Challenges for Cross\u2010Sector Initiatives"],"prefix":"10.1111","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0645-3575","authenticated-orcid":false,"given":"MICHAEL J.","family":"YEDIDIA","sequence":"first","affiliation":[{"name":"Center for State Health Policy Institute for Health, Health Care Policy, and Aging Research, Rutgers University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0786-3258","authenticated-orcid":false,"given":"JOEL C.","family":"CANTOR","sequence":"additional","affiliation":[{"name":"Center for State Health Policy Institute for Health, Health Care Policy, and Aging Research, Rutgers University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,15]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Permanent Supportive Housing: Evaluating the Evidence for Improving Health Outcomes Among People Experiencing Chronic Homelessness","author":"National Academies of Sciences, Engineering, and Medicine","year":"2018"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/EVIDra2300123"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12857"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.focus.2022.100043"},{"issue":"6","key":"e_1_2_8_6_1","first-page":"684","article-title":"Care of people experiencing homelessness","volume":"106","author":"Lanham JS.","year":"2022","journal-title":"Am Fam Physician"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/EVIDra2300175"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0226306"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-019-1004-4"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301586"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874924001003010053"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2023.01049"},{"key":"e_1_2_8_13_1","unstructured":"SchulmanM WineyD SchneidermannM.Building cross\u2010sector collaboration between health care and homeless services: ground\u2010level insights from California.Center for Health Care Strategies.2025. 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