Archive for Humane Exposures

Homelessness, ideals, and profit margins

Homeless

Homeless (Photo credit: Niklas)

Last month the Department of Housing and Urban Development made an announcement that slipped by mostly unnoticed in the holiday furor. The department reported that the number of homeless people in the U.S. declined slightly in 2012, a drop of 0.4 percent to 633,782. The numbers show a continuous five year trend during which the U.S. has reduced homelessness by 5.7 percent even as the poverty rate grew by 20 percent. It should be noted that this announcement is based on a count on a single night last January.

The editors over at Bloomberg seem confident that they have isolated the cause:

The solution, it seems, lies not in publicly sheltering the homeless for sustained periods but in ensuring that they quickly secure their own places to live.

This approach was first applied to the chronically homeless, who made up 16 percent of all cases in 2012. These individuals almost always have disabilities such as mental or physical health problems or addictions. As a result, they fare poorly in conventional homeless programs, which may require compliance with the rules of an emergency shelter — such as sobriety — before allowing them entrance to a transitional shelter. Further compliance, including treatment for substance abuse, for instance, may be required before they can qualify for permanent housing support.

The alternative strategy places the chronically homeless directly into permanent housing while also connecting them to services to address their other challenges. Most will need this support, at government expense, for life. Yet such comprehensive assistance is probably cheaper than leaving the chronically homeless on the streets, because they often end up in hospitals, detox centers or jails, all on the taxpayer’s dime. Those services cost the public $2,897 per individual per month, according to one study in Los Angeles County, versus $605 for supportive housing.

Once more we see the comparison between short-term expense and long-term savings thrown into sharp relief. There is certainly a lot of public money to be saved in finding more effective ways to combat homelessness, but it also brings up another chronic issue: service providers.

No matter what sort of program gets implemented, it all comes down to how efficiently it is done. Within the for-profit prison system we see justice take a sideline to occupancy quotas and profitability. When talking about homeless issues it is likewise important to remember that many of the service providers seeking public money would be out of business if the homeless problem got solved.

I started thinking about this after an interaction with a homeless blogger named Thomas Armstrong in our Google community about homelessness. Here are the paragraphs that stuck with me:

I am increasingly concerned, and am hearing that others’ concerns are increasing, about a lack of help for mentally ill people in Homeless World Sacramento.

There is a feeling that all the public agencies and nonprofits are shirking responsibility to help those who suffer most and are most in need of help. Instead, the homeless-help industry’s interest is turned near-entirely to getting disability incomes for veterans and chronically homeless persons, which sounds more laudable than it is. The reason vets and the chronically homeless are getting so much attention has everything to do with MONEY — that is so the charities can get buck from these homeless people in exchange for services and so that charities can do their crocodile-tears donations-seeking dance.

The state and county remain in fiscal trouble. It is known that services they provide or fund to help poor or mentally-ill people were among the first to be severely cut or ended in response to the budget crisis beginning three or four years ago. Advocates for the mentally ill and families that include a mentally ill member are not politically powerful.

Many seemingly laudable programs can develop tunnel-vision as they seek funding, becoming out of touch with the reality on the streets. Groups like this can often be identified by their avoidance of discussions about how often the new residents are followed up and/or assisted with in-place operators wanting to see them succeed. That they need homeless people in order to keep their doors open makes their operations deserving of scrutiny.

So, how do we make this arrangement more effective? Long-term solutions are certainly proving to be far more effective at getting people off the streets and into homes, but the human element is of grave concern.

What do you think? Is there a way to deploy funding into effective programs while ensuring that it is employed both strategically and effectively? It is a thorny problem and worthy of discussion, so please share your thoughts.

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Born, Not Raised garners a Gold Award in Nonfiction from Mom’s Choice

As we prepare for the start of 2013 Humane Exposures is proud to announce that our work has received a Mom’s Choice Award – Gold in nonfiction!

It is our sincerest hope that we are able to inspire many to become that “one good enough adult” in some child’s life: that single person whose support can make all the difference in the future when it counts the most.

The plight of our nation’s children is one that should be at the forefront of our minds in the coming year. Let us make 2013 the year when we quit squandering lives and tax dollars, the year when we enact fact-based strategies that prove far more effective than our current tactic of simply throwing people behind bars.

Born, Not Raised shows the effects of juvenile incarceration, while sharing a wealth of data showing how we can drastically improve the lot of children in the system. Take a look at the trailer for the book; it only takes two minutes of your time.

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New Homeless and Juvenile Justice Communities on Google

English: Google+ wordmark

English: Google+ wordmark (Photo credit: Wikipedia)

In the battle against homelessness we are always on the lookout for new tools. Anything that can help to generate discussion and hopefully action needs to be investigated, especially in the rapidly growing world of social media.

Information is vital. There are lots of hysterical and histrionic “facts” bandied about on these topics. The “tough on crime” stance is a great example of this. Harsher laws and penalties seem like a logical step to take in attempting to reduce crime, but the empirical evidence accumulated over the past decade or so shows that the opposite is true.

The sharing of actual facts and generation of productive discussion, and eventually action, is vital if we are going to fix those aspects of our society that are broken. With that in mind we are doing the best we can to mobilize the technology available in order to effect these changes.

Earlier this week Google debuted a new tool that looks very promising in this regard: Google+ Communities. Thought by many to be their version of the now familiar Facebook groups, the communities allow you to follow a topic rather than just friending an individual.

So today we debut our newest tools in the ongoing battle for reform: Homelessness in America and Juvenile Justice in America. These two public communities are open to any and all with an interest and hopefully will help us move the conversation forward on these important topics.

The evidence is there. In both of these cases there is a common thread – too much money is being spent to too little effect. While boatloads of cash are being funneled out of state and federal budgets in order to fight the problems, it is almost always being spent recklessly and with little result.

While millions are spent on incarceration, rehabilitative programs with proven effectiveness are sidelined, costing the state far more over the long run and doing little to reduce recidivism. Millions more are spent on short-term solutions for the homeless, but comparatively little on programs that will give them the skills they need to rejoin society and embrace a better life.

The cure is accurate and applied information, but info does nothing when no one is aware of it. Please join us in our new communities and be part of the solution.

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Youth in the Adult Criminal System (Infographic)

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Yuletide and Homeless Kids

1.6 Million Homeless American Children

The Mid-Winter holidays are coming soon. In a mere matter of weeks there will be celebrations of Christmas, Kwanzaa, Hanukkah, Yule, Festivus, and Solistice celebrations as well as many others. Almost all belief systems have a common thread: a celebration of light, goodwill and prosperity during the darkest part of the year.

While we sip cider and buttered rum, gather around the menora to light Hanukkah candles, or otherwise share the season with out fiends and relations, there are others who just want a place out of the bitter wind. Of those existing without a roof during this celebration of plenty, far too many of them are children.

While some children are nestled all snug in their beds, there are no visions of sugarplums dancing in the heads of their counterparts. Instead there is the shivering and fearful uncertainty of the child on the streets. (In case you have not noticed, it is cold out there!) To make matters worse, their numbers are increasing every day.

Pete Golis of the Press Democrat took notice of this in a recent column:

When I wrote last Christmas about homeless youngsters, there was hope that an improving economy might begin to reduce the number of young people at risk.

But workers on the front lines say the number of kids living on the street is getting bigger, not smaller. The most recent one-day survey counted 701 unaccompanied homeless youngsters in Sonoma County, plus 190 homeless families with children under 18.

The actual numbers are higher. There is simply no way for aid workers and volunteers to track all the young people being bounced from place to place, or all the young people who may be homeless at some time during the year.

At every agency that exists to help people in trouble, the story is the same: Hard times continue to grind away at job seekers and the people who rely on them for shelter and food.

How would you feel if one of your own children was sleeping under a bridge with cardboard for a blanket and one eye open out of fear? Consider it for a moment. No matter which seasonal holiday you adhere to, this is wrong and against the holiday spirit.

Lisa Fatu, a street outreach coordinator for Social Advocates for Youth, comments in the article about the effect of poverty on these populations. She points out that poverty also contributes to and exacerbates other causes of homelessness. Alcohol and drug addition, family violence and depression are frequent responses to deprivation. People “self medicate” or misdirect their anger a those around them when they feel boxed in. All these behaviors can combine with the current economy to put a family out of the streets.

I agree with Mr. Golis when he says:

At Christmastime or any time, it’s not acceptable that hundreds of kids are on the street. Children without a safe place to stay are more likely to be sick or injured, and more likely to be victims of a crime. They are more likely to fail in school, more likely to suffer depression and less likely to have friends.

The stabbing death last month of a 24-year-old homeless woman, Michela Anne Wooldridge, testifies to the risks young people face on the streets.

The realities of the street are harsh, especially for children. As we begin the yearly celebrations consider taking some time to help improve their lot. Mentoring and Big Brother programs are one way in which you can help. This is the time of life when kids develop the habits, skills, and reactions that will be with them for the rest of their lives. Embrace the generosity of the season and help give these young ones a chance at a better future.

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Special Federal Homeless Effort Coming to California

English: A homeless man in New York with the A...

A homeless man in New York with the American flag in the background. (Photo credit: Wikipedia)

According to the California Housing Finance Agency the number of homeless in California is almost equal to the number of people that live in the Central Valley city if Visalia.

To anyone who is paying attention, the number of people living on the streets has gotten out of hand. Their already sizable numbers have been swelled by victims of the housing implosion and the economic downturn. More faces every day join the ranks of those sleeping under bridges, in tents and worse.

Now some federal assistance is on the way. The Substance Abuse and Mental Health Services Administration, part of the U.S. Department of Health and Human Services, has chosen six states across the union to participate in their new “Policy Academy” program to help combat homelessness.

The Central Valley Business Times brings us some details about the program:

As part of the Policy Academy, California will receive technical assistance to reduce chronic homelessness. About one of every 280 Californians is homeless, according to an annual report to Congress.

“We must push forward with aggressive, forward-looking, coordinated programs to fight homelessness in the state and the country,” says Ms. Cappio. “We cannot look the other way. It affects so many of our most vulnerable residents.”

The Policy Academy will include a comparison with other programs and practices that have worked across the nation. The effort is intended to reduce fragmentation, increase community education and leadership, and provide a framework to best use available resources.

The approach seems laudable. The Policy Academy will focus on identifying how programs across the state and federal levels can be coordinated into a multidisciplinary assault on homelessness.

Various programs already exist, but they operate independently creating a scatter-shot approach to the issue. The Policy Academy will, if things go according to plan, allow efforts like the Affordable Care Act, CalFresh, CalWORKs and Medi-Cal funds to make more of an impact by working in a synergistic fashion.

The range of agencies runs from non-profits to law enforcement, including:

  • Mental Health Services Oversight & Accountability Commission
  • Department of State Hospitals
  • Department of Alcohol & Drug Programs
  • Department of Health Care Services
  • Health & Human Services Agency

We have often pointed out the complexity of these issues, and the need for coordinated, cross-disciplinary action. Let us hope that this is a step forward in that regard.

 

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Juvenile Health System Not Geared for Girls

Hypodermic syringe 3

Hypodermic syringe 3 (Photo credit: hitthatswitch)

There is a distinct intersection between two topics we focus on: incarcerated women and incarcerated juveniles. Each group has it’s own distinct issues, but young women in prison suffer the burden of both.

One troubling issue recently spotlighted by NPR is the state of health care for girls within the juvenile justice system. You see, the system is geared towards boys. Due to the simple differences in biology alone, this leaves vital needs unaddressed.

As the NPR piece states:

Girls in detention are “one of the most vulnerable and unfortunately invisible populations in the country,” says Catherine Pierce, a senior adviser at the federal government’s Office of Juvenile Justice and Delinquency Prevention.

Up to 90 percent of these girls have experienced physical, sexual or emotional abuse, Pierce says.

Their health statistics are particularly grim: 41 percent have signs of vaginal injury consistent with sexual assault; up to a third have been or are currently pregnant; 8 percent have had positive skin tests for tuberculosis; and 30 percent need glasses but don’t have them, according to research from the National Girls Health and Justice Institute.

Do we really need to discuss why it is important to get proper treatment for health issues related to sexual assault? Or pregnancy? How about this additional finding that puts another vital piece of information on the table (also from the NPR report):

[Psychologist Leslie] Acoca argues it’s worth it to make the time. Her research has yielded a surprising finding: Poor physical health seems to increase girls’ risk of recidivism. In other words, girls who have health problems are more likely to reoffend and end up back in the criminal justice system.

This is not only a matter of health; it is a matter of reducing repeat offenses. I would say that should be enough to prioritize it for anyone.

The NPR piece does offer one potential solution: a new screening questionaire. By taking detailed info about health problems specific to women, care can be improved drastically. In addition, incoming inmates who might not be forthcoming in a not-so-public verbal interview have a higher chance of reporting health issues on a printed questionaire.

Those working in the system call it untenable due to the lack of staffing. In response I would question how many of those few staff hours are dedicated to dealing with the fallout from unreported problems.

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Crossover Youth

prison

If you try to stay up to date on juvenile justice issues you may well have run across the term “crossover youth.” These are the young people who have had interactions with both the child welfare and juvenile justice systems.

It is a term I welcome because it shows an increased awareness of the inextricable links between abuse and neglect in a child’s early home life (the lack of “one good enough adult” to make a difference) and delinquency later in life.

Brian Goldstein makes some great arguments for an integrated approach that addresses this relationship. As a member of the Center on Juvenile and Criminal Justice (CJCJ)‘s policy team with an expertise on political trends in criminal justice reform, he is well suited to offer commentary.

In a recent column for the Juvenile Justice Information Exchange he offered the following:

The crossover population represents a unique challenge for both the child welfare and juvenile justice systems. A 2001 study by the Vera Institute of Justice found the likelihood of detention for foster youth awaiting trial for misdemeanors or minor felonies was 10 percent higher than non-foster care youth. Moreover, they frequently suffer amid a compartmentalization of system care and oversight. For example, juveniles who make contact with the justice system may lose access to welfare services and their respective case manager, resulting in a disruption to their therapeutic services.

The long-term consequences for crossover youth are significant with many suffering higher incidence of drug use and exacerbated mental illness. The aforementioned study of LA County also found that crossover youth have a higher recidivism rate than non-crossover youth, and more than 30 percent have new maltreatment referrals following their arrest. These young people may not only commit offenses as adults, but may well perpetuate the cycle of maltreatment as parents.

There is a big picture here, one we have tried to show you in our documentary and our books. So much hangs on the experiences of early life. This is why it is important to address the causes rather than just the symptoms. Fortunately the idea of a multidisciplinary approach to these issues seems to be taking root.

At Georgetown University’s Center for Juvenile Justice Reform they have developed The Crossover Youth Practice Model, a model currently in use at 11 jurisdictions across the United States.

One of the core features of the model is to encourage multi-agency collaboration across the child welfare and juvenile justice systems. Coordinated case management and supervision encourage family engagement, which is vital. This approach helps to impede the course so many children follow between the child welfare system and the juvenile justice system. Closer to home, California’s Sierra Health Foundation has been making similar multidisciplinary strides at the county level through their Positive Youth Justice Initiative.

This is not a buzzword. It is an idea that needs more attention.

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Empty Chairs at the Table

English: Chair

English: Chair (Photo credit: Wikipedia)

Today people around the country are sitting down to huge meals with their loved ones. It is a holiday based on family and feasting. Unfortunately there are empty chairs at many of these tables, chairs once occupied by the incarcerated.

Former inmate John Lash brings us an important holiday piece on the subject through the Juvenile Justice Information Exchange:

When I was on the inside, holidays weren’t so bad. Often the prisoners would come together and make meals, and guys would normally be a little nicer. We were all missing our families, and somehow that drew us together a little more than during the rest of the year. Somehow we were able to humanize one another a little more.

It’s only been since my release in December of 2009 that I have seen the other side of this story. For the families on the outside it is not a better time of year. When they gather around the table to eat a big meal and celebrate life there is a conspicuous absence. There is a gaping hole where their loved one should be.

I know it is depressing to think about during a festive season, but think how much more depressing it is to live it. We have far to many empty chairs at tables across the union, a fact attributable to our nation’s focus on retributive justice. Incarceration is less effective and more expensive than a more rehabilitative, restorative approach.

While a vast array of facts and research support this, Lash gives an inmate’s-eye-view of restorative justice and why it is so much more effective.

Restorative justice tells us that we are all part of the web of connection. These are the strands that connect us to everyone in our lives, starting with our families and friends and stretching out to strangers thousands of miles away. Crime, and the consequences of how crime is dealt with, do damage to this web. Damage to the web is what my family felt every time they gathered and I wasn’t there. It is also felt by the family of the man I killed. I believe that it is felt by all of us when we read the newspaper or turn on the television. We can tell that something is broken. Restorative justice seeks to repair these broken strands; to restore the web to strength and wholeness. Practitioners seek to repair it for everyone affected by crime. This includes victims, families, community members, and even the ones who commit the harmful act.

Is not in the spirit of the season to endorse this sort of stance? Incarceration, particularly at an early age, is often more a “crime school” than a deterrent. It is quite frequently a waste of lives, potential, and civic resources.

Take a moment this holiday and think about how you can help those who should be in the empty chairs. Rehabilitative strategies could have filled many of this season’s empty seats.

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Danielle Steel Comes Out About Helping the Homeless

Danielle Steel's signature

Danielle Steel's signature (Photo credit: Wikipedia)

Whether you read her stuff or not, I’m willing to bet you know the name Danielle Steel. Her amazing years of output have made her one of the top-selling authors of all time. Today we are going to take a look at a side of Danielle Steel that is far from the bodice-ripping imagery oft associated with her.

Unbeknownst to her fans, Steel has been leading a Batman-like double life since 1998. That was when she started her late-night forays into San Francisco’s homeless scene, driving a van full of supplies.

In Newsweek Magazine’s The Daily Beast she shares her reasoning, showing once more that the situation changes when you put a human face on it:

It’s easy to say “they should clean up and get a job.” When was the last time you hired a homeless person, or even stopped to help one? Homelessness is primarily a mental-health issue, of mentally ill people not receiving adequate treatment, and there are not enough in-patient facilities to house and treat them.

I carry the people I met on the streets in my memory forever. I never ask how they got there; it’s none of my business. They’re already in distress and pain; they don’t need to be humiliated, too. I remember the 21-year-old girl I met on my first night. She was sleeping on a piece of cardboard, under a thin tattered blanket, on a freezing cold night. She was undergoing chemotherapy for a brain tumor, and died a year later. I remember the woman who began life on the streets in a flowered silk dress and a string of fake pearls; she eventually lost all her teeth, one leg, and is now unrecognizable, but always kind and polite when I see her. There was the man in the pin-striped suit with shined shoes, who looked like your banker and was living in a sleeping bag on the library steps, while interviewing for jobs in Silicon Valley; he had lost his job as CFO, his marriage and his money. I remember the barefoot people on freezing nights, the ones in T shirts plastered to their bodies in the pouring rain, the pregnant girls suffering from malnutrition and the teenage boy I saw just before Christmas, sitting in a doorway in the driving rain. He was delirious from fever, with scabs all over his face, and had recently lost a leg. How can we turn away?

While many celebraties use their fame to draw attention to issues like these, Steel has actively fought to remain anonymous during her late night missions. Instead she poured her own significant finances into the effort.

What had its beginnings as one woman with a van grew, at it’s height, to a team of 11, including three off-duty police officers who helped to keep them out of dicey situations. At it’s most active point the group, now named Yo! Angel!, distributed 300 bags of food, long johns, ponchos, and teddy bears. The author estimates that each run cost $100,000 for a whopping $1.1 million each year, all of which she paid for out of her own pocket.

The author’s observation about homelessness and mental illness speaks directly to the need for therapeutic and substance abuse programs. So many of those on the streets suffer from these issues, most especially the chronic homeless.

As we move into this holiday which celebrates plenty, let us consider those who have nothing. It is our responsibility to our fellow humans that makes it imperative that we effect a major state change in the way that we handle this forgotten population. On both the state and the federal levels we must not falter in our push for more effective rehabilitation programs.

Not only is it in the spirit of the season, but it is also much more expensive in both lives and money if we do nothing.

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