Examines costs associated with the use of homeless and mainstream service delivery systems by families and individuals experiencing homelessness for the first time in six study communities. Assigning costs to public programs is a first step toward developing measures of the value of public interventions compared to the public costs incurred by ignoring or avoiding the problems those interventions are intended to address. The study finds that the experience of homelessness is diverse and the associated costs vary tremendously depending on the pattern of homelessness and family or individual status. It is not, however, a study of either cost-effectiveness or quality of care, but rather a calculation of costs associated with homelessness. Illustrations.
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.
Provides year-to-year trend info. that explores changes in the patterns of homelessness over time. Focuses on two types of national estimates of homelessness. Point-in-time estimates provide the total number of sheltered and un-sheltered homeless persons on a single-night in January. Also provides one-year estimates of the total sheltered population. The one-year estimates account for persons who used a homeless residential program at any time during a 12-month period. The report compares one-year estimates for 2007 and 2008. This report comes at a time of economic uncertainty and provides a few early indicators of how the economic downturn may be affecting the housing situation of low-income and vulnerable Americans. Illus.
This is a print on demand edition of a hard to find publication. Provides year-to-year trend information that explores changes in the patterns of homelessness over time. This year¿s Annual Assessment Report (AHAR) is delivered at a critical moment ¿- as the Federal government continues to shift its focus toward preventing homelessness and on the eve of the first-ever federal plan to end homelessness. The 2009 AHAR captures a large portion of the economic crisis in its reporting period. It provides real evidence that the economic downturn is impacting the housing stability of low-income and vulnerable Americans -- as we see a rise in family homelessness for the second consecutive year. This year¿s report allows for a comparative analysis of homelessness that spans three years ¿ 2007, 2008, and 2009.
Changing the Paradigm of Homelessness offers a comprehensive look at family housing distress related to the homelessness epidemic in the United States. This book explores the causes and consequences of this epidemic and proposes drastic changes in America’s historically ill-fated approach to family homelessness. By describing this crisis in detail, the authors enlighten readers to the scope of this issue, describe those impacted by it, and outline ways to shift public policies and public perceptions. The authors interweave scholarly concepts with insights of those who are currently or previously homeless, and, in doing so, they show the importance of academic knowledge influencing policy decisions and the ways in which these influences impact the lives of real persons. This book, then, uses pedagogy, policy, and pragmatism to critique the United States’ approach to family homelessness.
The Open Door: Homelessness and Severe Mental Illness in the Era of Community Treatment explains how and why homelessness among the mentally ill has persisted over the past 35 years, despite policy and program initiatives to end it. This ten-chapter book chronicles the unintended rise of homelessness in the wake of far-reaching post-World War II mental health care reforms, and highlights the key role of advocacy in spurring a governmental response to homelessness. The author provides a comprehensive, carefully documented "state of the science" on homelessness, reviews critical issues in managing severe mental illness in the community setting, and presents evidence of the effectiveness of service and housing interventions that have brought stability to the lives of many. Finally, the book reviews the role of homelessness prevention, a recovery orientation, and the promise of early treatment of psychotic disorders to facilitate greater social inclusion and community participation. In addition to providers of housing and services to the homeless mentally ill, this text will appeal to policymakers, mental health professionals, and students of public health and social sciences.
The Research Handbook on Homelessness presents a comprehensive account of the current knowledge and understanding of homelessness, the substantial challenges it presents and the latest developments in responding to the issue. Bringing together 54 of the worldÕs leading scholars in this field, this multidisciplinary Research Handbook acknowledges the increasing interest in homelessness across various academic disciplines and highlights the constant evolution of this issue, as well as the research methods that accompany it.
How to House the Homeless, editors Ingrid Gould Ellen and Brendan O'Flaherty propose that the answers entail rethinking how housing markets operate and developing more efficient interventions in existing service programs. The book critically reassesses where we are now, analyzes the most promising policies and programs going forward, and offers a new agenda for future research. How to House the Homeless makes clear the inextricable link between homelessness and housing policy. Contributor Jill Khadduri reviews the current residential services system and housing subsidy programs. For the chronically homeless, she argues, a combination of assisted housing approaches can reach the greatest number of people and, specifically, an expanded Housing Choice Voucher system structured by location, income, and housing type can more efficiently reach people at-risk of becoming homeless and reduce time spent homeless. Robert Rosenheck examines the options available to homeless people with mental health problems and reviews the cost-effectiveness of five service models: system integration, supported housing, clinical case management, benefits outreach, and supported employment. He finds that only programs that subsidize housing make a noticeable dent in homelessness, and that no one program shows significant benefits in multiple domains of life. Contributor Sam Tsemberis assesses the development and cost-effectiveness of the Housing First program, which serves mentally ill homeless people in more than four hundred cities. He asserts that the program's high housing retention rate and general effectiveness make it a viable candidate for replication across the country. Steven Raphael makes the case for a strong link between homelessness and local housing market regulations—which affect housing affordability—and shows that the problem is more prevalent in markets with stricter zoning laws. Finally, Brendan O'Flaherty bridges the theoretical gap between the worlds of public health and housing research, evaluating the pros and cons of subsidized housing programs and the economics at work in the rental housing market and home ownership. Ultimately, he suggests, the most viable strategies will serve as safety nets—"social insurance"—to reach people who are homeless now and to prevent homelessness in the future. It is crucial that the links between effective policy and the whole cycle of homelessness—life conditions, service systems, and housing markets—be made clear now. With a keen eye on the big picture of housing policy, How to House the Homeless shows what works and what doesn't in reducing the numbers of homeless and reaching those most at risk.
Foreword by Nan Roman, President and CEO of the National Alliance to End Homelessness This book explains how to end the U.S. homelessness crisis by bringing together the best scholarship on the subject and sharing solutions that both local communities and national policy-makers can apply now. In the Midst of Plenty shifts understanding of homelessness away from individual disability to larger contexts of poverty, income inequality, housing affordability, and social exclusion. Homelessness experts Shinn and Khadduri provide guidance on how to end homelessness for people who experience it and how to prevent so many people from reaching the point where they have no alternative to sleeping on the street or in emergency shelters. The authors show that we know how to end homelessness—if we devote the necessary resources to doing so. In the Midst of Plenty: Homelessness and What to Do About It is an excellent resource for policy-makers, professionals in the homeless services system, and anyone else who wants to end homelessness. It also can serve as a text in undergraduate or masters courses in public policy, sociology, psychology, social work, urban studies, or housing policy. "The knowledgeable and thoughtful authors of this book—two brilliant women who know as much as anyone in the country about the nature of homelessness and its solutions—have done a great service by taking us on a journey through the history of homelessness, how our responses have changed, and how we can end it." —Nan Roman, President and CEO National Alliance to End Homelessness. "Shinn and Khadduri's new book is a thorough yet concise examination of what we know about the nature and causes of homelessness, and the crucial lessons learned. This critically important work provides a roadmap to restoring basic housing and income security as viable policy options, in the face of our daunting inequality divide that otherwise threatens millions with destitution and homelessness." —Dennis Culhane, Dana and Andrew Stone Professor of Social Policy, University of Pennsylvania "Marybeth Shinn and Jill Khadduri have combined their significant expertise to create an essential guide about the history of modern homelessness and to offer a clear path forward to end this American tragedy. Their policy recommendations on ending homelessness are culled from the best about what we know works." —Barbara Poppe, Executive Director US Interagency Council on Homeless, 2009-2014
