Evaluation of HUD’s Older Adults Home Modification Grant

This project is a three-year evaluation of the effectiveness of the Older Adults Home Modification Grant program administered by the U.S. Department of Housing and Urban Development’s (HUD) Office of Lead Hazard Control and Healthy Housing (OLHCHH). The evaluation has two main objectives: (1) to assess the grant implication process and (2) to understand the program’s impact on the health of seniors whose homes are modified. HUD’s Office of Policy and Research Development (PD&R) selected Healthy Housing Solutions in 2020 to conduct the evaluation.

The grantee evaluation will address how the grant was implemented, describe any challenges, barriers, and successes related to implementation, and analyze operational, financial, performance, and other grantee outcome data. The Solutions team will also conduct site visits to better understand the grantees’ unique challenges in implementation.

The evaluation will also track the impact of home modifications on the recipients. It measures changes in the recipients’ self-reported health and daily capacities, any reductions in at-home falls, hospitalizations, and emergency response calls, as well as whether their independence and ability to remain in their home changed over time. Evaluation data on residents’ outcomes will be compared to national survey data available for residential hazards and health outcomes through the U.S. Centers for Medicare and Medicaid Services Health Outcomes Survey (CMS HOS).