Special Communication

Sustainably Funding Street Psychiatry

JAMA Psychiatry 10.1001/jamapsychiatry.2025.4460

February 11, 2026 at 11:00 AM EST

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The need for outreach-informed psychiatric care continues to grow. Payment model reforms may enable practitioners to deliver evidence-based street psychiatry at scale. Successful programs and states demonstrate that the described reforms are likely feasible and effective. Patients experiencing unsheltered homelessness, some of whom have substantial psychiatric care needs, are likely to benefit greatly from improved reimbursement for these services.

Corresponding Author: Benjamin Land Gorman, BS, Harvard Medical School, 25 Shattuck St, Boston, MA 02115 (bgorman@hms.harvard.edu).

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