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Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.
Using rich and detailed data, this groundbreaking book explains why homelessness has become a crisis in America and reveals the structural conditions that underlie it. In Homelessness Is a Housing Problem, Gregg Colburn and Clayton Page Aldern seek to explain the substantial regional variation in rates of homelessness in cities across the United States. In a departure from many analytical approaches, Colburn and Aldern shift their focus from the individual experiencing homelessness to the metropolitan area. Using accessible statistical analysis, they test a range of conventional beliefs about what drives the prevalence of homelessness in a given city—including mental illness, drug use, poverty, weather, generosity of public assistance, and low-income mobility—and find that none explain the regional variation observed across the country. Instead, housing market conditions, such as the cost and availability of rental housing, offer a far more convincing account. With rigor and clarity, Homelessness Is a Housing Problem explores U.S. cities' diverse experiences with housing precarity and offers policy solutions for unique regional contexts.
Baseline -- Evidence -- Individual -- Landscape -- Market -- Typology -- Response.
Homelessness had become a social problem that was primarily not about solving the nation's housing crisis. The pressing question becomes: How (and why) did homelessness become the social problem in its own right, one that was only tangentially related to the problem of inappropriate or insufficient housing? Why, when people demanded that something be done about homelessness, did they get specific policies and unintended outcomes? Cynthia Bogard is not content with the shorthand answers that rested on bias and ideology, such as "conservative politics bred conservative policies" or "American individualism precludes government investment in housing." This did not explain homelessness sufficiently, especially given all the advocacy and research that had occurred in the 1980s and 1990s. Examining these "claimsmaking activities," as constructionists call them, however, is a daunting task because the activities engaged in by people in the attempt to persuade others are fluid, subtle, and complicated as are the responses to these social actions. This raised a second set of issues that the author is concerned with: How can we adequately represent and sociologically examine this very complicated human activity of social problems construction? Who does the construction, and to what effect? Bogard's answer to these questions is a book that can be read in two ways and on multiple levels. For those who are interested in the story of the career of homelessness as a social problem in America's two "national" cities, the book should be read from the beginning through the conclusion as a straight narrative. The technical matter in the appendix can be ignored. But for those readers with an interest in social problems constructionism, however, this book is meant as a "cook-book" of sorts. Each chapter emphasizes a feature of constructionism, such as an important group of claims makers or an important aspect of the claims making process. The work highlights a major feature in advanced societies: the intersection of interests and claims. Social constructions may be real, but they are comprised of no less real social interests. The work marks a real departure and advance over the original formulations of construction theory in social research. Cynthia J. Bogard is associate professor of sociology at Hofstra University.