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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.
In a recession, The homeless population begins to rise. This includes children and families, people suffering from mental illness, and those unable to find jobs or affordable housing. This deep-diving book explores the causes and effects of homelessness and what is being done to remedy the situation.
There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
This title provides a one-stop resource for understanding the crisis of homelessness in the United States. It covers risk factors for homelessness, societal attitudes about the homeless, and public and private resources designed to prevent homelessness and help those in need. There are a number of questions to be answered when addressing the subject of homelessness in the United States. What are the primary causes of homelessness? What are the economic and socioeconomic factors that have an impact on homeless people? What demographic trends can be identified in homeless populations? Is the U.S. addressing the needs and concerns of homeless people adequately? Where are the areas with the highest homeless populations? What can be done to help homeless people who live with mental illness and/or addiction problems? Homelessness in America: A Reference Handbook answers all of these questions and more. It thoroughly examines the history of homelessness in the U.S., shining a light on the key issues, events, policies, and attitudes that contribute to homelessness and shape the experience of being homeless. It places special emphasis on exploring the myriad problems that force people into homelessness, such as inadequate levels of affordable housing, struggles with substance abuse, and gaps in the U.S.' social welfare system. In addition, it explains why some demographic groups are at heightened risk of homelessness.
Baseline -- Evidence -- Individual -- Landscape -- Market -- Typology -- Response.
Chronically homeless individuals are those who spend long periods of time living on the street or other places not meant for human habitation, and who have one or more disabilities, frequently including mental illnesses and substance use disorders. In the 2014 Department of Housing and Urban Development (HUD) point-in-time count of people experiencing homelessness, over 84,000 individuals met the definition of chronically homeless, down from more than 120,000 in 2008. In part the decline is due to the federal governments plan, announced in 2002, to end chronic homelessness within 10 years. The target date has since been extended to 2017. Among the federal programs focused on ending chronic homelessness are the HUD Homelessness Assistance Grants, the HUD and Veterans Affairs Supported Housing Program (HUD-VASH), and several HUD demonstration programs. One of the reasons that federal programs have devoted resources to ending chronic homelessness is studies finding that individuals who experience it, particularly those with serious mental illness, use many expensive services often paid through public sources, including emergency room visits, inpatient hospitalisations, and law enforcement and jail time. Even emergency shelter resources can be costly. In addition to potential ethical reasons for ending chronic homelessness, doing so could reduce costs in providing assistance to this population. This book summarises the research surrounding permanent supportive housing (PSH) for chronically homeless individuals. In doing so, it attempts to examine the nuance in the research to determine where PSH could be considered successful and where gaps may remain. The book discusses what it means to be chronically homeless, the way in which assistance for chronically homeless individuals has evolved, and how federal programs target assistance to individuals experiencing chronic homelessness. In addition, it summarises the research regarding chronically homeless individuals who move into PSH.
The last thirty years have witnessed an urban renaissance in America. Major cities have managed to drive down the murder rate, improve the schools, restore the built environment, and revitalize their economies. Middle class families are putting down roots in neighborhoods once given up for dead. But solutions to homelessness have eluded even the most successful cities. While the South Bronx was once synonymous across the globe for “slum,” now, San Francisco and Los Angeles are just as internationally notorious for their homelessness crises. Indeed, the same cities with the worst homelessness crises rank among America’s most successful. One of the crisis’ more perplexing features is how cities that have met with so much success with respect to economic development, crime and public education have failed to even ease their homelessness crisis, much less end it. In Homelessness in America, Stephen Eide examines the history, governmental and private responses, and future prospects of this intractable challenge. The “chronic” nature of the challenge should be understood, he argues, by reference to American history and American ideals. The history of homelessness is bound up with industrialization and urbanization, the closing of the West, the Great Depression, and the post WWII decline and subsequent revival of great American cities. Though we’ve used different terms (“tramp” “hobo” “bum”) at other times, something like homelessness has always been with us and the debate over causes and solutions has always involved conflicts over fundamental values. After explaining why homelessness persists in America and correcting popular misconceptions about the issue, Eide offers concrete recommendations for how we can do better for the homeless population. Homelessness in America engages readers by answering the most common questions their audience brings to the topic and exploring other questions that are no less important for being not as commonly asked. Homelessness intersects with multiple other policy areas: education, urban development, criminal justice reform, mental health. By exploring the intersection of homelessness with so many other policy areas, this book aspires to provide a comprehensive account of the challenge.
Examines how Americans have fared in efforts to address the problem of homelessness, what we have learned, and what we need to do to end the problem and ensure that homelessness is not part of America's future. Examines the findings of detailed research on homelessness in urban, rural, and suburban communities and states. Draws conclusions and outlines future directions. Provides profiles of homelessness in each of the locations which examines the origins of homelessness and summarizes research from the mid-1980s to the present. Includes interviews with fed. gov't. officials, and state and local providers and advocates, and nat. advocates