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.
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
Getting By offers an integrated, critical account of the federal laws and programs that most directly affect poor and low-income people in the United States-the unemployed, the underemployed, and the low-wage employed, whether working in or outside the home. The central aim is to provide a resource for individuals and groups trying to access benefits, secure rights and protections, and mobilize for economic justice. The topics covered include cash assistance, employment and labor rights, food assistance, health care, education, consumer and banking law, housing assistance, rights in public places, access to justice, and voting rights. This comprehensive volume is appropriate for law school and undergraduate courses, and is a vital resource for policy makers, journalists, and others interested in social welfare policy in the United States.
**American Journal of Nursing (AJN) Book of the Year Awards, 3rd Place in Community/Home Health Care, 2023** Master the knowledge and skills you need to succeed in community health nursing! Community/Public Health Nursing, 8th Edition discusses the nurse's role in population health promotion with a unique "upstream" preventive focus and a strong social justice approach, all in a concise, easy-to-read text. It shows how nurses can take an active role in social action and health policy — especially in caring for diverse and vulnerable population groups. This edition integrates the NCSBN Clinical Judgment Measurement Model to help you prepare for the Next Generation NCLEX®. Clinical examples and photo novellas show how nursing concepts apply to the real world. - Active Learning boxes test your knowledge of the content you've just read, helping provide clinical application and knowledge retention. - UNIQUE! Social justice approach promotes health for all people, emphasizing society's responsibility to protect all human life and ensure that all people have their basic needs met, such as adequate health protection. - UNIQUE! Veterans' Health chapter presents situations and considerations unique to the care of military veterans. - Genetics in Public Health boxes reflect increasing scientific evidence supporting the health benefits of using genetic tests and family health history to guide public health interventions. - UNIQUE! "Upstream" focus addresses contributing factors of poor health and promotes community efforts to address potential health problems before they occur. - Case studies present the theory, concepts, and application of the nursing process in practical and manageable examples. - UNIQUE! Photo novellas — stories in photograph form — show real-life clinical scenarios and highlight the application of important community/public health nursing roles. - Consistent pedagogy at the beginning of each chapter includes learning objectives, key terms and chapter outlines to help you locate important information and focus your study time. - Clinical Examples present snippets of real-life client situations. - Theoretical frameworks common to nursing and public health aid in the application of familiar and new theory bases to problems and challenges in the community. - Research Highlights introduce you to the growing amount of community/public health nursing research literature. - Ethical Insights boxes present situations of ethical dilemmas or considerations pertinent to select chapter topics. - NEW! Online case studies for the Next Generation NCLEX® Examination (NGN) provide you with the necessary tools to prepare for the NGN. - NEW! Overview of the NCSBN Clinical Judgment Measurement Model provides information on the latest recommendations to promote evidence-based client decisions. - NEW! Healthy People 2030 boxes highlight the most current national health care goals and objectives throughout the text.
Social Welfare Policy in a Changing World is an approachable and student-friendly text that links policy and practice and employs a critical analytic lens to U.S. social welfare policy. With particular attention to disparities based on class, race/ethnicity, ability, sexual orientation and gender, authors Shannon R. Lane, Elizabeth Palley, and Corey Shdaimah assess the impact of policies at the micro, meso, and macro levels.
This unique, problem-solving, case-based approach shows you how. You’ll encounter different case studies in every chapter—that explore concepts such as community assessments, public health policy, and surveillance. Step by step, you’ll develop the knowledge and skills you need to apply public health principles across a variety of health care settings, special populations, and scenarios.
Homeless Emergency Assistance and Rapid Transition to Housing - Defining 'Homeless' (US Department of Housing and Urban Development Regulation) (HUD) (2018 Edition) The Law Library presents the complete text of the Homeless Emergency Assistance and Rapid Transition to Housing - Defining 'Homeless' (US Department of Housing and Urban Development Regulation) (HUD) (2018 Edition). Updated as of May 29, 2018 The Homeless Emergency Assistance and Rapid Transition to Housing Act of 2009 (HEARTH Act), enacted into law on May 20, 2009, consolidates three of the separate homeless assistance programs administered by HUD under the McKinney-Vento Homeless Assistance Act into a single grant program, revises the Emergency Shelter Grants program and renames the program the Emergency Solutions Grants program, and creates the Rural Housing Stability program to replace the Rural Homelessness Grant program. The HEARTH Act also codifies in law the Continuum of Care planning process, long a part of HUD's application process to assist homeless persons by providing greater coordination in responding to their needs. This book contains: - The complete text of the Homeless Emergency Assistance and Rapid Transition to Housing - Defining 'Homeless' (US Department of Housing and Urban Development Regulation) (HUD) (2018 Edition) - A table of contents with the page number of each section
There is no single definition of the term "runaway youth" or "homeless youth". However, both groups of youth share the risk of not having adequate shelter and other provisions, and may engage in harmful behaviours while away from a permanent home. The precise number of homeless and runaway youth is unknown due to their residential mobility and overlap among the populations. Determining the number of these youth is further complicated by the lack of a standardised methodology for counting the population and inconsistent definitions of what it means to be homeless or a runaway. Estimates of the homeless youth exceed one million. Thus homelessness among adolescents and young adults is a major social concern in the United States. In this book, the authors cite research indicating that youth may be the single age group most at risk of becoming homeless, yet comparatively little research has been done in the past decade on this vulnerable population. After reviewing the characteristics of homeless youth, the authors review recent research findings on the homeless youth population and interventions developed to address their housing and service needs. These include interventions directed at youth themselves (education, employment, social skills training) as well as family-focused strategies. The authors conclude with future directions for both research and practice. This book consists of public documents which have been located, gathered, combined, reformatted, and enhanced with a subject index, selectively edited and bound to provide easy access.
The U.S. Department of Housing and Urban Development (HUD) is pleased totransmit to the U.S. Congress this 2017 report on Worst Case Housing Needs.This report-the 16th in a longstanding series-provides national data andanalysis of the critical problems facing low-income renting families. The reportdraws on data from the American Housing Survey (AHS), which is funded by HUDand conducted by the U.S. Census Bureau. The AHS has been conducted every2 years since 1973 and debuted a major redesign in 2015 that included a newnational and metropolitan area longitudinal sample. The AHS is a key source ofnational data on housing markets, conditions, and dynamics.Despite continued signs of a strengthening national economy, the report findsthat severe housing problems are on the rise. In 2015, 8.30 million householdshad worst case needs, up from 7.72 million in 2013 and approaching the recordhigh of 8.48 million in 2011. These households are defined as very low-incomerenters who do not receive government housing assistance and who paid morethan one-half of their income for rent, lived in severely inadequate conditions,or both. High rents in proportion to renter incomes remain dominant amonghouseholds with worst case needs, leaving these renters with substantial, unmetneed for affordable housing.The modest reduction in worst case needs observed in 2013 was not sustainedand worst case needs continued their upward trend. Specifically, severe housingproblems have grown 41 percent since the beginning of the Great Recessionin 2007 and 66 percent since 2001. Worst case needs continue to affect allsubgroups, whether defined by race and ethnicity, household structure, or locationwithin metropolitan areas or regions.Contributing most to the increase in worst case needs between 2013 and 2015was a notable shift from homeownership to renting. The magnitude of thissustained postrecession trend, along with other demographic factors, increasedthe number of very low-income renters and thereby played a major role in growingworst case needs between 2013 and 2015. Modest gains in household incomeswere met with rising rents, shrinking the supply of affordable rental housing stockin an increasingly competitive market. Even with the supply of more expensive unitsgrowing, higher-income renters occupy a growing share-43 percent-of the mostaffordable units. Only 62 affordable units are available per 100 very low-incomerenters, and only 38 units are available per 100 extremely low-income renters.This report also uses new AHS enhancements to explore the variation in worstcase needs and the distribution of housing assistance across a greater variety ofmarket geographies. These data show that, although 43.2 percent of very lowincomerenters had worst case needs nationally, local markets reflect a substantialdegree of variation beyond the longstanding trends observed across regions andtypes of metropolitan locations
