The impact of affordable housing with services strategies is largely untested. Although numerous approaches have been implemented across the country in a wide range of housing settings, there is a paucity of systematic or rigorous evaluation of their outcomes. Studies have found a high level of satisfaction with programs, increased use of services, increased sense of resident well-being, and positive impacts on property management (lower turnover, higher occupancy and improved maintenance of units). Some studies have also found improved health management and monitoring behavior. 

The LeadingAge Center for Applied Research and the Gerontology Institute at the University of Massachusetts Boston evaluated the Extended Care Career Ladder Initiative (ECCLI) project in Massachusetts.

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