Archive for July 23rd, 2009

23rd July
2009
written by naehblog


Early last week, the staff at the Alliance had a messaging meeting where a staff member shared with us the frustrations of people he’s been meeting on the field. With the recession in high gear and people in dire need of help, why – advocates and providers asked – why were we not endorsing the rapid construction of temporary shelters?

And then I saw this article on my good friend Shannon’s change.org blog.

So I thought the timing was right to ask: Why Housing First?

But first: What is Housing First?

Housing First is a concept that was pioneered by Dr. Sam Tsemberis of the NYU School of Medicine and an organization in New York called Pathways to Housing.

The premise of the Housing First campaign is the housing is a basic human right and should not be denied to anyone, regardless of their habits or circumstances. Housing First prescribes providing the homeless permanent supportive housing – which includes supportive services coupled with permanent housing (not shelter). The supportive services address addiction, mental health, case management and the like, and provides stability for homeless individuals. These services increase the ability of homeless individuals to maintain permanent housing and achieve self-sufficiency.

It’s important to note that this approach is a significant departure from the traditional way the country approached homelessness before. In the old system, homelessness management was emphasized through shelter, mental health services, medical services, and the like before permanent housing was even considered an option. The premise of this old program was that homeless people had to “earn” permanent housing – an unintentionally patronizing framework. Housing First, as the name suggests, emphasizes housing first, coupled with services, bypassing shelter altogether.

Why Housing First?

Put simply: it works. Studies have shown that those communities who implement Housing First strategies have successfully helped people achieve self-sufficiency and get out of homelessness.

In May of this month, the Philadelphia Inquirer published a story about some of the successes the Housing First model has seen in the last few years:

“To cite two: 85 percent of formerly homeless adults have maintained a permanent home after five years in the organization Beyond Shelter’s housing-first program in Los Angeles. And in Pathways to Housing’s program for formerly homeless people with psychiatric disabilities in New York City, 88 percent have been able to maintain a permanent home, compared with only 47 percent of the residents in the city’s traditional program.”

In fact, between 2005 and 2007, the nation saw a nearly 30 percent decrease in the chronic homelessness population, much of which has been attributed to the Housing First approach.

Not only does it work, but it’s cost-effective for the chronically homeless population. While people tend to shy away from the Housing First model over claims of high overhead costs, it turns out to be much more cost-efficient in the long run that temporary shelter.

Consider the cost of the average chronically homeless person in an urban area – say, New York City. Between accessing government services, emergency care at hospitals, run-ins with law enforcement, incarceration, and the like – the cost of an average chronically homeless to the state is quite high. Higher, it turns out, than permanent supportive housing – which would not only provide the chronically homeless person the services he/she needs to better their well-being, but remove them from the streets altogether and place them in stable housing.

(I’ve cited this story before, but Malcolm Gladwell, of Blink, Tipping Point, and Outliers fame, wrote a story demonstrating just that called “Million Dollar Murray”.)

Housing First is a definitive, effective, and significant step for a systemic change in the way we approach homelessness – one that has been embraced by advocates and elected officials alike.

And that’s why Housing First.

For more about the Alliance’s take on Housing First – check out our website.