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Studies have shown positive housing retention and quality of life outcomes in moving on initiatives (MOIs). However, less is known about how movers’ health service use changes post-move. This paper aims to explore physical and mental health service use over time for participants in New York City’s MOI program.

This paper uses data collected at baseline, 12-months post move and 24-months post move to explore patterns in mental and physical health service use and their association with mental and physical health status for participants (N = 41). Health status was measured with the Medical Outcomes Study Short Form Survey Instrument.

Three mental health service use patterns emerged: service use at all time points, inconsistent service use across time points and no service use at any time point. Significant group differences in mental health were found at baseline and 12 months. Two physical health service use patterns emerged: service use at all three time points and inconsistent service use across time points. Significant group differences were found in mental health at 12  and 24 months.

This study showed that physical and mental health service use varied slightly over time for participants, with the majority of service use being for outpatient/non-acute care. The findings also point to possible relationships between service use and mental health status. Positive and negative implications of these findings are framed within the broader context of PSH and MOI goals.

Moving On initiatives (MOIs) provide opportunities for permanent supportive housing (PSH) residents to exit PSH services for mainstream housing. This study aims to better understand the factors that influence residents’ decisions on whether to leave or stay in these services.

This study examines ambivalence toward leaving PSH using interviews with 40 MOI participants. Data were analyzed using framework analysis.

“Pull factors” for staying in PSH included secure benefits, partial autonomy and being comfortable enough. Participants viewed PSH as their cheapest option and a protective force. They also described PSH as “semi-independence” and expressed concern with a lack of privacy, free movement and unwanted supervision.

To the best of the authors’ knowledge, this is the first study to consider residents’ motivations for staying in PSH when given the opportunity to leave. Implications for PSH service delivery and implementation of MOIs are discussed.