Change in Health Through Housing residents' use two years after move-in

What this dataset measures

Health Through Housing is the county's sales-tax program that turned hotels and apartment buildings into homes for chronically homeless people, and its dashboard and annual report are where its own plan says results are reported. The other agencies and operators are where results for the same people could also appear.

Geography

King County, Washington, United States

Unit of observation

One published (or unpublished) measure, or one report searched

Update cadence

Yearly, when the county publishes the next Health Through Housing annual report (June), and when the in-depth evaluation due by December 31, 2026 is published

Curator

FactHub Research Team

Saved analyses

Sources

1. King County DCHS, 2025 Health Through Housing Annual Report (June 2026) Housing, health care, ER, hospital and jail figures for 2025; read in full for drug use, overdose and death measures

   Retrieved November 11, 2026. Public record (King County government). Public record; figures restated, document linked

   Reliability: Government. Has a stake in this finding. Written by the county department that runs the program, which has an interest in showing it works. Health figures come from the department's own analysis of Medicaid claims and hospital emergency department data.

2. King County DCHS, Health Through Housing 2025 Dashboard Data Table Appendix (June 2026) Every table behind the 2025 dashboard (Tables 1-23); read in full

   Retrieved November 11, 2026. Public record (King County government). Public record; figures restated, document linked

   Reliability: Government. Has a stake in this finding. The text version of the program's own dashboard, prepared by the department's performance and evaluation team.

3. King County, Health Through Housing (HTH) dashboard Live dashboard tabs: Who We Serve, Housing Performance, Occupancy and Length of Stay, Healthcare Access, Health Outcomes, Criminal-Legal Outcomes, Supportive Services

   Retrieved November 11, 2026. Public record (King County government). Public record; figures restated, document linked

   Reliability: Government. Has a stake in this finding. The program's own public scorecard; the implementation plan names it as the place results are reported.

4. King County DCHS, Health Through Housing Annual Reports for 2022, 2023 and 2024 Earlier annual reports, read in full for drug use, overdose and death measures

   Retrieved November 11, 2026. Public record (King County government). Public record; figures restated, document linked

   Reliability: Government. Has a stake in this finding. Same publisher and method as the 2025 report.

5. King County, Initial Health through Housing Implementation Plan 2022-2028 The goals and draft performance measures the program promised to report

   Retrieved November 11, 2026. Public record (King County government). Public record; figures restated, document linked

   Reliability: Government. Has a stake in this finding. Adopted by the King County Council by ordinance; sets the program's goals and reporting.

6. King County, 2024 MIDD Behavioral Health Sales Tax Fund Annual Summary Report Outcomes for the county's supportive housing services program and its Oxford House sober-housing vouchers

   Retrieved November 11, 2026. Public record (King County government). Public record; figures restated, document linked

   Reliability: Government. Has a stake in this finding. Annual report of a separate county behavioral health sales tax run by the same department.

7. Public Health - Seattle & King County, King County Overdose Fatality Review 2024 and 2025 reports Countywide fatal overdoses among people living in permanent supportive housing

   Retrieved November 11, 2026. Public record (King County government). Public record; figures restated, document linked

   Reliability: Government. Written by the county health department's overdose review team from Medical Examiner records; not a housing program report.

8. King County Regional Homelessness Authority, 2025 program performance reports and system performance measures Housing measures the regional authority reports for supportive housing

   Retrieved November 11, 2026. Public record. Public record; figures restated, document linked

   Reliability: Government. Has a stake in this finding. The regional agency that funds and oversees much of the homelessness system reports on its own programs.

9. King County Council staff reports on Health Through Housing annual report motions 2023-0217, 2024-0225, 2025-0175 and 2026-0159 What the council was told about results

   Retrieved November 11, 2026. Public record (King County government). Public record; figures restated, document linked

   Reliability: Government. Written by council staff, summarizing the executive's reports.

10. City of Seattle Office of Housing, 2025 Housing Levy annual report Seattle's housing results reporting

    Retrieved November 11, 2026. Public record (City of Seattle). Public record; figures restated, document linked

    Reliability: Government. Has a stake in this finding. The city office that funds supportive housing reports on its own levy.

11. DESC annual reports 2024 and 2025; Plymouth Housing 2025 annual report What the two largest supportive housing operators report

    Retrieved November 11, 2026. All rights reserved (figures restated, documents linked). Public record; figures restated, document linked

    Reliability: Other. Has a stake in this finding. Nonprofit operators funded by the county and city, reporting on their own programs.

License: FactHub's selection, cleaning and combined tables are licensed under CC BY 4.0. Source data keeps the terms listed above (terms).

Limitations and reproducibility

Reproducible from public sources: Each published figure is printed in the 2025 annual report or the dashboard's data table appendix at the page or table given. 'Not published' means the measure appears nowhere in the 2025 dashboard (all tabs), the 18-page data table appendix or the 2022 to 2025 annual reports, including their endnotes, which we read in full and also searched for overdose, death, deceased, died, passed away, sobriety, abstinence, substance use and treatment.

• Not published means not in public reports. The county may track drug use, overdoses or deaths internally; the Medicaid claims and Medical Examiner records it already uses could show them.
• The emergency room, hospital and jail changes compare residents' use in the year before move-in with use one or two years after. There is no comparison group, so the figures show change, not what housing caused.
• The county's in-depth evaluation of the program is due by December 31, 2026 and was not published when we checked; it may add measures.
• Public Health - Seattle & King County separately counts fatal overdoses among everyone living in permanent supportive housing countywide; those counts are not broken out for Health Through Housing.
• Deaths appear only as a one-line count in the annual reports (15 residents who died while enrolled in 2024, 10 in 2025), placed in the discussion of emergency housing exits, with no cause, site or rate; it is unclear whether the count covers supportive housing residents.
• The hospital and ER changes cover only residents who agreed to share their identifying information in the county's homeless records (2025 annual report, endnote 55).
• Other places were checked by reading their latest public reports; the regional homelessness authority's interactive dashboard and Seattle's Human Services Department were not checked.