Permanent Supportive Housing

Permanent Supportive Housing

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-07-11

Total Pages: 227

ISBN-13: 0309477077

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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.


Permanent Supportive Housing

Permanent Supportive Housing

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-08-11

Total Pages: 227

ISBN-13: 0309477042

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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.


Sixty Miles Upriver

Sixty Miles Upriver

Author: Richard E. Ocejo

Publisher: Princeton University Press

Published: 2024-04-23

Total Pages: 288

ISBN-13: 0691211329

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"Newburgh, NY-a city of about 30,000 residents, located roughly sixty miles north of New York City in the Hudson River Valley-is a quintessential example of a small, under-resourced, majority-minority, post-industrial city that has struggled to transition into the service, technology, and knowledge-based economy. Like many other similarly sized cities throughout the American northeast and midwest, white flight and decades of disinvestment left it racially segregated, facing perennially high poverty and crime rates, and offering few opportunities for its predominantly minority residents. And yet, Newburgh is now home to a gentrifying historic district, including an attractive, amenity-filled commercial strip, and an influx of middle-class, creative professionals as residents. Scholarship in urban studies has yet to offer a satisfactory explanation for how small, rust-belt cities such as Newburgh are finding ways to reverse decades of decline. This book is a contribution to that end. Sixty Miles Upriver argues that Newburgh's recent revitalization was motivated not by downtown or waterfront redevelopment, government planning, or existing institutions and assets, but rather by one factor above all else: its proximity to New York City. Drawing on several years of observations of the development of Newburgh's communities and participation in community meetings and volunteer events, as well as over 140 interviews people of diverse backgrounds, Richard Ocejo offers a detailed account of a small city in transition, struggling through the contradictions of gentrification. Ocejo observes that small city gentrification typically results from middle-class urbanites fleeing larger cities like New York. But he argues that, unlike the white flight of previous generations, fear of racial minorities and urban decline are no longer the motivating factors. Instead, small city gentrifiers are driven out of larger cities as affordable, middle-income neighborhoods become scarcer, and they are attracted to cities like Newburgh precisely because of the "grit" and racial diversity that they identify with "authentic" urban life. By engaging with the effects that such transplants have had on the development of Newburgh, and examining the varying ways they navigate race, racial difference, and racialization in majority-minority cities to suit their needs and fulfill their aims, Sixty Miles Upriver helps us make sense of two key phenomena in today's spatial landscape: how gentrification unfolds outside of large cities and how it comes to be seen as good"--


Housing First

Housing First

Author: Deborah Padgett

Publisher: Oxford University Press, USA

Published: 2016

Total Pages: 249

ISBN-13: 019998980X

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This book provides a unique portrayal of Housing First as a 'paradigm shift' in homeless services. Since 1992, this approach has spread nationally and internationally, changing systems and reversing the usual continuum of care. The success of Housing First has few parallels in social and human services.


Housing First

Housing First

Author: Sam Tsemberis

Publisher: Hazelden Publishing

Published: 2015-10-27

Total Pages: 0

ISBN-13: 9781616496494

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As an evidence-based practice, Housing First has not only been proven to be successful in ending homelessness, but is also embraced as the most cost-effective solution. Today, the Housing First model is being implemented in hundreds of communities across the United States, Canada and Europe. As the model evolves one thing remains constant: Housing First ends homelessness. Housing First is simple: provide housing first, and then combine that housing with supportive treatment services in mental and physical health, substance abuse, education, and employment.Housing First details:solid, actionable information about the program's philosophy, operations, and administrationthe composition, staffing structures, and day-to-day operations of the clinical and support servicespractices in client assessment and engagementproperty management operationsthe best protocols for assisting clients with the search for housing, relationships with landlords, and the overall "settling in" processthe research evidence for the effectiveness of the Pathways modelThe Pathways model has been remarkably successful in ending chronic homelessness. Since its founding, housing retention rates have remained at 85 – 90 percent even among individuals who have not succeeded in other programs. Not only is Housing First effective at keeping people housed and working toward recovery, it has also proven to be incredibly cost-effective.


Strategies for Improving Homeless People's Access to Mainstream Benefits and Services

Strategies for Improving Homeless People's Access to Mainstream Benefits and Services

Author: Martha R. Burt

Publisher: DIANE Publishing

Published: 2010

Total Pages: 287

ISBN-13: 1437936814

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In 2000, HUD, in recognition that any solution to homelessness must emphasize housing, targeted its McKinney-Vento Act homeless competitive programs towards housing activities. This policy decision presumed that programs such as Medicaid, TANF and General Assistance could pick up the slack produced by the change. This study examines how 7 communities sought to improve homeless people¿s access to mainstream services following this shift away from funding services through the Supportive Housing Program. Provides communities with models and strategies that they can use. Highlights the limits of what even the most resourceful of communities can do to enhance service and benefit access by homeless families and individuals.


Communities in Action

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.