How To House The Homeless

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.

Little more than two decades ago, the 'Housing First' (HF) approach pioneered by Pathways to Housing, Inc. was a small but determined challenge to the burgeoning yet ineffective service system for homeless persons. Today, the success of HF has brought about paradigm-shifting systems change not only in the homeless 'industry' but in related service systems. This book employs conceptual frameworks drawn from theories of institutional change and innovation to explore the rise in homelessness in the US, the 'lineages' of responses to the problem, and the subsequent rise of HF.

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.

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.

Newspapers, television and films cast homeless shelters as places of desperation, sadness and sickness. However, over the last 25 years, homeless shelters have changed dramatically. Shelters have become more professional and sophisticated in addressing homelessness in their communities. They now do much more than provide a bed and a meal for the night — they offer different methods of intervention, different types of services and different forms of connection to the communities they serve. This book offers essays by experienced shelter managers who address the future of the homeless shelter in Canada. This diverse collection also includes a chapter by Dr. Sam Tsemberis, the father of the successful Housing First Model. There are contributions by leaders in the homelessness field from across Canada, who have been at the forefront of developing unique services for women, youth, Indigenous people, and families. The days of shelters serving to merely warehouse homeless people out of sight and mind are being replaced by specialized approaches that are reducing homelessness in Canada. The contributors have years of experience understanding the causes of and solutions to homelessness and the role that shelters can play in achieving their ultimate goal — the elimination of all forms of homelessness in Canada.

This report describes ten projects selected from a cross section of agencies involved with homelessness. The projects were selected to illustrate best practices or innovative approaches, transferable to other organizations, which have resulted in concrete, sustainable improvements in the lives of homeless persons in Canada. Selection criteria for choosing effective practices included: involvement & empowerment of homeless persons; provision of a safe & secure environment; and provision of a variety of services. The projects represents the various types of initiatives addressing homelessness (such as prevention, street outreach, shelter, rehabilitation, and supportive housing), different geographical regions, and different kinds of homeless served (women with children, youth, single men). Six of the projects are fully documented and include an executive summary, fact sheet, project history, client profile, management & financial information, and description of project philosophy & approach. The other four projects are documented in a more concise form.

A new way forward for sustainable quality of life in cities of all sizes Strong Towns: A Bottom-Up Revolution to Build American Prosperity is a book of forward-thinking ideas that breaks with modern wisdom to present a new vision of urban development in the United States. Presenting the foundational ideas of the Strong Towns movement he co-founded, Charles Marohn explains why cities of all sizes continue to struggle to meet their basic needs, and reveals the new paradigm that can solve this longstanding problem. Inside, you’ll learn why inducing growth and development has been the conventional response to urban financial struggles—and why it just doesn’t work. New development and high-risk investing don’t generate enough wealth to support itself, and cities continue to struggle. Read this book to find out how cities large and small can focus on bottom-up investments to minimize risk and maximize their ability to strengthen the community financially and improve citizens’ quality of life. Develop in-depth knowledge of the underlying logic behind the “traditional” search for never-ending urban growth Learn practical solutions for ameliorating financial struggles through low-risk investment and a grassroots focus Gain insights and tools that can stop the vicious cycle of budget shortfalls and unexpected downturns Become a part of the Strong Towns revolution by shifting the focus away from top-down growth toward rebuilding American prosperity Strong Towns acknowledges that there is a problem with the American approach to growth and shows community leaders a new way forward. The Strong Towns response is a revolution in how we assemble the places we live.