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Housing insecurity continues to be a significant concern in the United States, especially with individuals with substance use and serious mental illness. The Housing First approach to providing permanent supportive housing for those with mental health diagnosis has been well studied and supported as it increased housing stability and removes barriers to attaining housing. With rising substance use, and a changing demographic of users, effective housing strategies need further attention. This rapid review assesses the impact of Housing First and Treatment First housing models on sustained housing stability and sobriety among participants. Relevant studies on PubMed and Scopus were reviewed and after duplicate articles were removed, the remaining 11 studies were assessed. Four studies found a decrease in substance use with abstinence only TAU, while three reported no change in substance use. Seven studies found that housing stability was higher among Housing First programs and only one study found better housing security among TAU. Through this rapid review it has become clear that further research is necessary to identify appropriate and effective housing programs to help increase housing stability and maintenance of sobriety for individuals with substance use disorders that are also experiencing homelessness.