Housing First | Humane Exposures Blog

Tag Archive for Housing First

Alan Waldman | November 15, 2013

In Canada, the Government’s Highly Successful Five-year Housing-first Strategy for the Homeless Has Just Been Extended Until 2019

Homeless person in a bus shelter at York and Wellington Streets, downtown Toronto, Ontario, Canada. (Photo credit: Wikipedia)

Experts on homelessness are giving the Canadian federal government credit for utilizing the right approach to helping some of the most vulnerable people in Canada. Ottawa just extended its Homelessness Partnering Strategy (HPS) until 2019 with $119 million per year in new funding.

Dr. Stephen Hwang, a scientist and homelessness researcher at Toronto’s St. Michael’s Hospital, said:

They are to be applauded for moving to a housing-first approach, which is evidence-based. It’s wonderful that the federal government decided to renew the federal homelessness initiative for another five years.

For the next half-decade, Employment and Social Development Canada will concentrate funding on programs that take the housing-first approach to mentally ill and addicted people living on the street. A $110 million, 2008 to 2013 research project led by the Mental Health Commission of Canada showed how getting the most visible and notorious homeless people into permanent housing first leads to greater success down the road treating addictions and mental illness and keeping people off the streets.

Toronto’s Streets to Homes program has moved about 4,000 people into their own apartments since 2005 using a housing-first model. Eighty% of Streets to Homes’ clients remained in their new homes at least 12 months. Edmonton’s housing-first initiatives cut that city’s street population by 20% between 2008 and 2010.

The government expects that 65% of funding to Canada’s 10 largest cities will be spent on housing-first projects. Smaller cities will have to come up with housing-first initiatives for about 40% of their funding and tural communities will have no housing-first requirement.

Since the launch of the HPS in 2007, the government has approved more than $745 million for projects to prevent and reduce homelessness across Canada.

A 2009 poll found that approximately one in nine Canadian adults, or close to three million people, reported that they have either experienced or come close to experiencing homelessness Rates were highest among respondents with income levels less than $40,000 a year (20%) and those 45 to 55 years of age (16%).

In 2010, the number of households on affordable-housing waiting lists was at an all-time high of 141,635 across Ontario, up almost 10% in a year.

Between 2007 and 2011, almost $55 million in federal homelessness funding was invested in 317 projects which directly focused on youth and young adults between 15 and 30 years of age.

Saskatoon Housing Initiatives Partnership is helping reduce, prevent and end youth homelessness in Saskatoon by administering HPS and investing more than $1 million per year into projects targeting street youngsters.

Covenant House Vancouver’s Crisis Shelter program provides street youth a safe place to stay, food, medical attention and the opportunity to develop a plan to move away from the streets and into a better life. In January 2010, 32 new beds opened, bringing shelter capacity to 54 beds. The expansion was funded in part by an $800,000 contribution from the Canadian government through HPS.

However, Catholic agencies that deal directly with mentally ill and addicted street people warn that HPS is no silver bullet, and that federal focus on it may neglect other useful tools in fighting homelessness.

At Good Shepherd Ministries in downtown Toronto, assistant executive director Aklilu Wendaferew looks forward to applying for HPS funding and believes that approach can work, but he warns against thinking we now have a cure for homelessness.

Wendaferew said:

Just relying on one single approach to the problem wouldn’t be wise. Depending on the circumstances, you may have to adopt a number of approaches. Mental health is an issue. Addiction is an issue. And poverty in general is a serious problem.

When the huge North American recession hit at the end of 2008, the numbers of people sleeping in Canadian shelters and dropping in for meals both spiked. This was not a mental health problem but was due mainly to loss of income and poverty.

Category: Homelessness, Humane Exposures | Tags: Canada, homelessness, Housing First, HPS, mental health, Ottawa, Saskatoon, Toronto

Alan Waldman | October 29, 2013

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The War Against the Homeless (Infographic)

Source: War Against the Homeless

Category: Humane Exposures | Tags: homeless, homelessness, Housing First, South Carolina, unsheltered homeless

Alan Waldman | October 18, 2013

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Performance-Improvement Clinics Help Communities Better Serve the Homeless by Coordinating Efforts of All the Area’s Homelessness Entities

English: Homeless man in New York 2008, Credit Crises. On any given night in USA, anywhere from 700,000 to 2 million people are homeless, according to estimates of the National Law Center on Homelessness and Poverty. (Photo credit: Wikipedia)

Today, in too many communities, a welter of well-intentioned public and nonprofit programs designed to reduce homeless function with competing services and fundraising. This results in unnecessary and unproductive duplication of activities and everyone fighting for the same diminishing dollars.

The National Alliance to End Homelessness (NAEH) offers performance-improvement clinics focused on creating a coordinated plan to reduce homelessness and determine the most appropriate governance structure to implement it.

Too often there is uncoordinated competition among a community’s agencies working in the areas of homelessness prevention, law enforcement, criminal justice, mental health, chemical dependency, hospitals, schools, veterans’ assistance, Medicaid and welfare. When they can all sit down together and work out an overall plan to engage the totality of their services for the same goal, they can save a lot of money and be much more effective, considerable experience has shown,

NAEH’s Center for Capacity Building offers 1.5-day clinics to help communities reduce homelessness and produce better outcomes. The clinics include group discussions, system design and modification planning sessions and presentations on best practices. Participants also receive hands-on technical assistance with data analysis and system assessment before the clinics, as well as follow-up support afterwards.

Jill Fox, Director of Programs and Evaluation for the Virginia Coalition to End Homelessness attended one of these Performance-Improvement Clinics in Richmond and reported:

The room was filled with leaders from private, public, and faith organizations from across the homeless-assistance spectrum. Leaders from local government, Departments of Social Services, mental health and substance abuse services, school-based service organizations, housing developers and homeless service providers all came ready to discuss homelessness in the region. Organizations specializing in populations including victims of domestic violence, veterans, children and families all had a seat at the table.

“When we recognize that no one organization can end a person’s homelessness, we understand that achieving our organizational missions depends on how effectively we work together.

“The data presented for the Richmond region suggested that programs with a ‘housing-first’ approach achieved better permanent housing outcomes and cost less than traditional shelter.

Next month, in the area surrounding Olympia, WA, the housing division of the state Department of Commerce is gathering a number of area agencies in an attempt to replicate the successes realized in other communities that have used these clinics to save money and greatly boost results.

In addition to conducting these clinics, NAEH is working with Congress on a number of pieces of legislation that will help the federal government meet it’s goals of significantly reducing homelessness and completely eliminating veterans’ homelessness within five years.

It wants Congress to provide $2.381 billion for the Homeless Assistance Grants program within HUD in fiscal year 2014 to further invest in proven “housing first’ programs. It also seeks $1.4 billion in the same fiscal year to end veterans’ homelessness by 2019. NAEC wants Congress to invest $75 million for new HUD-VA-supported housing vouchers for 11,000 chronically homeless veterans. Today, nearly half of all homeless veterans reside in California, Texas, New York or Florida.

NAEH also wants the feds to increase access to permanent, affordable housing for extremely low-income individuals and families by modernizing the Mortgage Interest Deduction and using savings to capitalize and fund the National Housing Trust Fund.

It also seeks to:

1) expand the use of innovative and evidence-based family intervention models to support family reunification;

2) build on existing investments in programs serving runaway and homeless youth;

3) improve crisis-response and early intervention approaches;

4) expand the reach and availability of transitional living programs to provide more youth with a stable housing foundation to act as a basis for achieving economic independence; and

5) expand data and research on the nature and extent of homelessness among unaccompanied youth, to improve outcomes for these vulnerable young people.

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Category: Homelessness | Tags: Congress, homelessness, Housing First, mental health, NAEH, National Alliance to End Homelessness, United States Department of Housing and Urban Development, Virginia Coalition

Alan Waldman | September 27, 2013

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“Housing First” Approach is Saving Money and Providing Homes for the Most Vulnerable Homeless People

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

In the early 1990s New York University School of Medicine prof Sam Tsemberis and the Gotham organization Pathways to Housing pioneered the “Housing First concept” which focuses on the chronically homeless, without requiring them to first give up alcohol or substance abuse.

Housing First is an alternative to a system of emergency shelter/transitional housing progression. Rather than moving homeless individuals from the streets to a public shelter, from a public shelter to a transitional housing program, and then to their own apartment in the community, Housing First moves the homeless individual or household immediately from the streets or homeless shelter into their own apartments.

Housing First, when supported by HUD, does not only offer housing but also provides wraparound case management services to the tenants. This provides stability for homeless individuals, increasing their success, accountability and self-sufficiency. The housing provided through government supported Housing First programs is permanent and “affordable,” meaning that tenants pay only 30% of their income towards rent.

With Obama Administration support (and 30% of HUD homelessness funds), Housing First resulted in an unprecedented 29.6% drop in the number of chronically homeless living on the streets (175,914 to 123,833 people)—from 2005 to 2007 alone. Today, Housing First programs successfully operate in New York City, San Francisco, Pittsburgh, Denver, Seattle, Philadelphia, Chicago, Atlanta, Los Angeles and smaller cities, such as Anchorage AK, Plattsburgh NY and Quincy MA.

Housing First is currently endorsed by the United States Interagency Council on Homelessness (USICH) as a “best practice” for governments and service-agencies to use in their fight to end chronic homelessness. These programs are all parts of the communities’10-year plans to end chronic homelessness, as advocated by USICH.

In Los Angeles County, the Home For Good project hopes to house all the area’s chronic homeless by 2016. Robert Harper and Charles Miller of Americorps make daily rounds of LA’s Skid Row seeking the most vulnerable homeless and working with other agencies to find them housing fast.

Harper declares:

A person is out here about to die and you tell them ‘Sign a waiting list and wait for a year? Come on, now. We’re known as the 90-day people.

When Home For Good case managers meet someone on the street, they create a vulnerability score from items like income, medical history, substance abuse and usual whereabouts. That info is computerized and made available to all participating agencies.

Considerable research has shown that the Housing First approach can save lots of money by keeping the chronically homeless out of jails, shelters and emergency rooms.

Housing First is now growing in popularity in Canada and is in many communities’ ten year plans to end homelessness. In Calgary, fewer than 1% of existing clients return to shelters or rough sleeping, there are 76% fewer days in jail and there is a 35% decline in police interactions This demonstrates improved quality of lives for those in the program, along with a huge cost savings on police, corrections and shelters

The Denver Housing First Collaborative, serving 200 chronically homeless, found a drop of 34.3% in emergency room visits, a 66% decline in inpatient costs, an 82% plummet in detox visits and a 76% reduction in incarceration days. Two years after entering the program, 77% of participants were still housed through it.

In Seattle, the Housing First program for alcoholics saved taxpayers more than $4 million in its first year. Thanks to Housing First, Boston was able to close some homeless shelters and reduce the number of beds in others.

The US Congress appropriated $25 million in the McKinney-Vento Homeless Assistance Grants for 2008 to show the effectiveness of Rapid Re-housing programs in reducing family homelessness. On May 20, 2009, President Obama signed the Homeless Emergency Assistance and Rapid Transition to Housing Act, which allows for the prevention of homelessness, rapid re-housing, consolidation of housing programs and new homeless categories.

The Housing First methodology is also being adapted to decreasing the larger segment of the homeless population, family homelessness, such as in the LA-based program Housing First for Homeless Families, which was established in 1988.

Dennis Culhane, a University of Pennsylvania homeless researcher, says:

There’s a lot of policy innovation going on around family homelessness, and it’s borrowing a page from the chronic handbook—the focus is on permanent housing and housing-first strategies.