Exploring multidisciplinary working to prevent homelessness: findings from an evaluation of an integrated housing/health service Submitted to Prevention Research 2026

Homelessness is a significant public health issue that affects individuals, communities, and health systems. This evaluation explores an integrated service designed to support people with complex needs and reduce repeat homelessness. A mixed methods approach was used that included interviews with service users and practitioners, over thirty hours of observations, and analysis of routine data. The study followed a coproduced action research model to help shape ongoing service improvement. Findings show that service users valued the support, which helped them access GPs, manage money, and reach other essential services. Practitioners felt that the partnership agreement promoted information sharing and clear accountability. Key challenges were also identified, including limited involvement from health partners, duplication of support, and uncertainty about the scope of the service. The evaluation highlights the importance of multidisciplinary working for homelessness prevention. The service plays a vital role within the wider system but relies on consistent engagement from partners in both health and housing to achieve its aims.