Integrating Health, Housing and Employment: A Mixed‐Methods Evaluation of the East Sussex Well‐Being and Employment Service.
Context: Homelessness is a significant public health issue associated with complex needs and poor health outcomes. The East Sussex Well‐being and Employment (ESWE) service was developed to provide holistic, person‐centred support for individuals at risk of or experiencing homelessness, integrating h...
| Publicado en: | Health & Social Care in the Community Vol. 2026; pp. 1 - 16 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
8/18/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196266861&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196266861 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: 8/18/2026 vid: 2026 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 196266861 196266861 196266861 10.1155/hsc/4094909 196266861 ppf: 1 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Integrating Health, Housing and Employment: A Mixed‐Methods Evaluation of the East Sussex Well‐Being and Employment Service. aug: au: Bird, Hayden Pereira-Vargas, Maria Luisa F. Baines, Darrin Gussy, Mark Knight, Holly Orton, Elizabeth Rees, Pam B., Lauren Sherar Clements, Kristen Varela-Mato, Veronica Porter, Marlene affil: Lincoln Institute for Rural and Coastal Health,, University of Lincoln,, Lincoln, Lincolnshire, UK, lincoln.ac.uk sug: subj: Health Care Delivery, Integrated Housing Employment Health Promotion Cost Effectiveness Analysis Holistic Care Patient Centered Care Homelessness Psychological Well-Being Human Multimethod Studies Thematic Analysis Mental Health Physical Fitness Social Isolation Life Style Confidence Interpersonal Relations Motivational Interviewing Goal-Setting Homeless Persons Support, Social Community Health Services Quality Improvement Program Evaluation Qualitative Studies Semi-Structured Interview Data Analysis Software Funding Source ab: Context: Homelessness is a significant public health issue associated with complex needs and poor health outcomes. The East Sussex Well‐being and Employment (ESWE) service was developed to provide holistic, person‐centred support for individuals at risk of or experiencing homelessness, integrating housing, health, well‐being and employability coaching. Methods: A mixed‐methods evaluation was conducted using the Consolidated Framework for Implementation Research (CFIR) to assess service effectiveness, fidelity, implementation and economic value. Data were collected from stakeholder and customer interviews, group discussions, surveys and administrative records. Thematic analysis and economic indicators were used to evaluate outcomes across four service pillars: mental and physical health, social isolation, lifestyle behaviours and employability. Results: The ESWE service demonstrated positive impacts across all outcome areas. Customers reported increased well‐being, confidence and social connectedness, with improved engagement in health and employment pathways. Housing and Well‐being Coordinators (HWCs) employed flexible, relationship‐based approaches using motivational interviewing and goal setting, although fidelity varied. Co‐location with housing officers and strong local integration were key implementation enablers. The economic evaluation, based on a 12‐month commissioner perspective, showed the service delivered value for money with stable workforce costs and outcome‐related indicators within accepted thresholds. Conclusion: The ESWE service is a promising model for integrated support that bridges gaps between housing and health systems. Its adaptable, customer‐centred approach improves well‐being while offering cost‐effective service delivery. Future refinement of outcome tracking and fidelity monitoring could enhance consistency and support scale‐up. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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