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Stages of Change Model: A Proven Path to Housing Stability

At Upside, we help members navigate the complex journey to housing stability. Using the Stages of Change Model, we meet members where they are and guide them step by step toward lasting progress.

What is the Stages of Change Model?

The Stages of Change framework helps us assess a member’s readiness for action and tailor our support. Members move through these stages:

• Pre-contemplation: Members feel stuck, overwhelmed, or unsure how to start.
• Contemplation: They’re considering change but haven’t taken action yet.
• Preparation: They’re gathering documents and planning but need more time.
• Action: They’re actively seeking housing and making progress.
• Maintenance: They’ve achieved stability, and we help them maintain it.

Each stage requires a different approach. Members aren’t always ready to act right away. Our team helps them break down the process into manageable steps, ensuring they feel supported and empowered to move forward.

Motivational Interviewing: Moving Members Forward

A key part of our strategy is motivational interviewing (MI)—an evidence-based practice that helps members overcome uncertainty and build confidence. Instead of pushing change, we guide members through reflective conversations that highlight their strengths and promote self-directed action.

Quick Wins Build Momentum

For members, early success is critical. Securing an ID, scheduling an appointment, or finding a reference for a housing application may seem small, but these wins build momentum. Each step reduces anxiety and boosts motivation, helping members stay engaged and moving forward.

Why This Approach Works

Housing is a critical social determinant of health. Many members feel overwhelmed by the process, especially when facing barriers like limited resources, language challenges, or complex systems. We break it down into actionable steps, increasing the likelihood of success.

• Improves engagement: Members stay involved with a clear plan and steady progress.
• Reduces healthcare costs: Stable housing reduces emergency visits and improves health outcomes.
• Supports health plan goals: Whole-person care leads to better results.

Upside’s Stages of Change approach helps members achieve housing stability at their own pace. By focusing on small wins and personalized support, we improve outcomes while helping health plans meet critical benchmarks.