Permanent Supportive Housing (PSH) programs in Virginia have proven that providing housing first for individuals that are homeless or at risk for homelessness, and have multiple barriers such as mental illness, co-occurring disorders, and chemical dependency, combined with personalized services has helped many individuals reclaim their lives. These services promote wellness, prevent and end experiences of homelessness, avoid unnecessary hospital admissions, and facilitate discharges from institutional facilities. A housing coordinator assists individuals in obtaining housing following the “housing first” principles. In general, individuals may receive intensive case management services to include transportation, linkages, and referrals to other services including primary health care services, job skills training, education services, assistance with obtaining benefits, and housing education.