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Posts tagged homelessness
Evaluating Programs for the Homeless

May Contain Markup

Edited by Debra J. Rog

Complexity of Homelessness: Homelessness is a multifaceted issue involving various subgroups such as mentally ill individuals, families with children, and those with substance abuse problems. Understanding These complexities is crucial for effective interventions.

Mixed-Method Approaches: Estimating the number of homeless individuals requires mixed methods to produce reasonable estimates, as highlighted by David S. Cordray.

Evaluation Challenges: Evaluating programs for the homeless, such as those targeting substance abuse or mental health, involves significant methodological and practical challenges, including diverse evaluation designs and data collection issues.

Program Evaluations: The document reviews several large-scale national demonstration programs, emphasizing the importance of both individual and system-level evaluations to improve service delivery and policy implications.

Jossey-Bass, 1991, 94 pages

“You Have to Move!” The Cruel and Ineffective Criminalization of Unhoused People in Los Angeles

By Human Rights Watch

Adequate housing is an internationally protected human right. But the United States, which has been treating housing primarily as a commodity, is failing to protect this right for large numbers of people, with houselessness a pervasive problem. In the US city of Los Angeles, California, where the monetary value of property has risen to extreme heights while wages at the lower end of the economic spectrum have stagnated for decades, houselessness has exploded into public view. Policymakers addressing the issue publicly acknowledge the necessity of increased housing to solve houselessness, but their primary response on the ground has been criminalization of those without it. The criminalization of houselessness means treating people who live on the streets as criminals and directing resources towards arresting and citing them, institutionalizing them, removing them from visible public spaces, denying them basic services and sanitation, confiscating and destroying their property, and pressuring them into substandard shelter situations that share some characteristics with jails. Criminalization is expensive, but temporarily removes signs of houselessness and extreme poverty from the view of the housed public. Criminalization is ineffective because it punishes people for living in poverty while ignoring and even reaffirming the causes of that poverty embedded in the economic system and the incentives that drive housing development and underdevelopment. Criminalization is cruel. Criminalization effectively destroys lives and property based on race and economic class. It is a set of policies that prioritizes the needs and values of the wealthy, property owners, and business elites, at the expense of the rights of people living in poverty to an adequate standard of living. As a consequence of historical and present policies and practices that discriminate against Black and other BIPOC people, these groups receive the brunt of criminalization. Arrests and citations as the direct mode of criminalization have decreased substantially over the past several years in Los Angeles. But authorities use the threat of arrest to support the relentless taking and destruction of unhoused people’s property through sanitation “sweeps” and people’s removal from certain public spaces. Criminalization has simply taken a different primary form, though punitive criminal enforcement always looms.

Criminalization responds in destructive and ineffective ways to legitimize concerns about the impact of houselessness on individuals and their communities. Rather than improving conditions and leading towards a solution, criminalization diverts vast public resources into moving people from one place to another without addressing the underlying problem. In contrast to criminalization, housing solves houselessness. Policies that have proven effective include the development of affordable housing—with services for those who need them—preserving existing tenancies and providing government subsidies that help people maintain their housing. This report takes an in-depth look at houselessness in Los Angeles and at city policies towards unhoused people in recent years, with reference to historical practices. It looks at criminalization enforced by police and the sanitation department and explores how homeless services agencies and the interim housing and shelter systems sometimes support and cover for that criminalization. The report features the perspectives of people with lived experience on the streets and have directly experienced criminalization in all its forms. Human Rights Watch spoke to over 100 unhoused or formerly unhoused people, whose stories and insights inform every aspect of this report. The report features analysis of data obtained from various city agencies, including the Los Angeles Police Department (LAPD), Los Angeles Department of Sanitation (LASAN), Los Angeles Homeless Services Authority (LAHSA), and the Mayor’s office, that exposes the extent and futility of policies of criminalization. The report looks at the underlying causes of Los Angeles’ large scale houselessness, primarily the lack of affordable housing. It explains how racist policies over the decades have created a houselessness crisis in the Black community. The report also discusses the proven effectiveness of preserving and providing housing as a solution to houselessness, including examples of people who faced criminalization on the streets and whose lives have dramatically improved once housed. Finally, the report makes recommendations for policies that end criminalization and that move towards solving the crisis and realizing the international human right to housing in Los Angeles.

New York; HRW, 2024. 344p.

Exploring Homelessness Among People Living in Encampments and Associated Cost City Approaches to Encampments and What They Cost  

 By: Lauren Dunton,  Jill Khadduri,  Kimberly Burnett,  Nichole Fiore,  Will Yetvin 

The number of people experiencing unsheltered homelessness, defined in this report as living in a place not meant for human habitation, has grown to more than 200,000 in recent years. That increase is driven by individuals who are not experiencing chronic homelessness. While not all individuals experiencing unsheltered homelessness reside in encampments, encampments have become emblematic of the rise in unsheltered homelessness. In particular, the number of unsheltered homeless individuals has increased since 2016. The problem is most acute in major cities, on the west coast, and in markets that have seen major spikes in housing prices. Even cities with declining unsheltered populations face pressure to address visible encampments in their communities. Exploring Homelessness Among People Living in Encampments and Associated Costs was launched as a joint effort between The U.S. Department of Housing and Urban Development’s (HUD’s) Office of Policy Development and Research and the Office of the Assistant Secretary of Planning and Evaluation at the U.S. Department of Health and Human Services (HHS). This study is intended to help policymakers and practitioners understand the nature of encampments, strategies for responding to encampments, and the costs associated with those approaches. The study offers a literature review, summaries of the four study sites, and a comprehensive final report documenting the full scope of the costs associated with the responses to encampments in the included communities. Underscored throughout the report is an understanding that a complex set of factors around housing precarity have contributed to the growth of encampments. Unsheltered homelessness is the tragic result of the country’s affordable housing crisis that stems from a combination of increasing rates of deep poverty and a lack of deeply affordable housing. Due to the impacts of structural racism, the affordable housing crisis is especially dire for Blacks and Latinos who are overrepresented among the homeless population. Within the homelessness system, shortcomings in emergency shelter policies and practices, a sense of community and safety within encampments, and a desire for autonomy and privacy contribute to some people’s preferences for encampments over shelters. The report shows that the four study sites have coalesced around a strategy that involves clearance (removing structures and belongings from encampments) and closure (requiring that people leave encampments) with support (resource-intensive outreach to connect residents with services and to ensure every resident has a place to go upon closure). Although this is the dominant strategy, outreach workers in at least one city highlight that this strategy exacerbates the challenges of moving residents to shelters or permanent housing, which research shows is the most cost-effective and humane strategy, long-term. The report also indicates that responding to encampments is resource-intensive for local governments, costing cities between $1,672 and $6,208 per unsheltered individual per year and requiring coordination across government and non-governmental actors. Since HUD funding is largely not being used for encampment related activities, city governments cover the vast majority of these costs out of their own budgets. This study was conducted before the start of the COVID-19 pandemic, which has likely worsened homelessness rates, while simultaneously increasing the urgency for finding safe housing for residents of encampments. At the same time, many homeless shelters have reduced capacity to abide by social distancing protocols, limiting options for those experiencing homelessness and potentially forcing more people into unsheltered homelessness and encampments. Future research on the characteristics and costs of encampments should integrate the perspectives of people with lived experiences in encampments. Research should also examine the racial inequities between those who live in encampments, how encampment residents are treated under the law, and who receives supports to enter shelters or housing. Finally, future research should seek to incorporate a fuller accounting of the cost to cities, including additional municipal costs (for example, from police, fire, and health departments), and the costs associated with residents’ trauma when faced with clearance and closure of encampments. This fuller accounting of the costs of encampments should also be compared to the cost of employing a Housing First approach to residents of encampments. Overall, this report reveals that communities need more resources and guidance for addressing encampments through a focus on outreach, engagement, and connection to housing with services. Suggested solutions in the report include expanding the capacity to place people experiencing homelessness into shelters and permanent housing. This suggestion aligns with the Administration’s belief in a Housing First approach that invests in homelessness prevention, rental assistance, supportive housing, and services to ensure stable housing acts as a platform for people to access employment, seek medical care, obtain care for behavioral health conditions like mental illness or addiction, and support children. This study provides useful information to help the field better understand a growing yet under-researched segment of the homeless population—information that we will incorporate into this Administration’s holistic vision for reducing homelessness.

Washington, DC: U.S. Department of Housing and Urban Development 2020. 78p.

Submission to the UN Special Rapporteur on adequate housing and the UN Special Rapporteur on Extreme Poverty and Human Rights

By The International Drug Policy Consortium

The signing organisations (the International Drug Policy Consortium, Amnesty International, the Global Alliance against Traffic in Women, the Global Network of Sex Work Projects, the International Planned Parenthood Federation, and the Women and Harm Reduction International Network) welcome the initiative to prepare a report on the decriminalisation of poverty and homelessness, to be presented at the 56th session of the Human Rights Council in June-July 2024. We also welcome the background paper shared by consultation.

In order to ensure that the report creates effective and consistent standards for the decriminalisation of poverty and homelessness, we strongly encourage the Special Rapporteurs to include in the conclusions section explicit recommendations for the decriminalisation of drug use and possession of personal use, and of sex work, as the criminalisation of both activities is a major driver of contact between law enforcement and people living in poverty in public spaces, is discriminatory, and has harmful effects on the enjoyment of a broad range of human rights. This informal paper provides a number of key arguments supporting that inclusion.

London: International Drug Policy Consortium, 2024. 9p.

Higher Rates of Homelessness Are Associated With Increases in Mortality From Accidental Drug And Alcohol Poisonings

By W. David Bradford and Felipe Lozano-Rojas

Alcohol and drug overdoses have multiple complex causes. In this article we contribute to the literature that links homelessness, the most extreme form of housing disruption, to accidental SUD-related poisonings. Using plausibly exogenous variation from a state’s landlord-tenant policies that influence evictions, we estimated the causal impact of homelessness on SUD-related mortality. We found large effects of homelessness on SUD-related poisonings (for example, a 10 percent increase in homelessness led to a 3.2 percent increase in opioid poisonings in metropolitan areas). Our findings indicate that reducing local homelessness rates from the seventy-fifth to the fiftieth percentile levels could have saved more than 1,900 lives from opioid overdoses across all metropolitan localities in the final year of our study data. We conclude that strengthening the social safety net in terms of housing security could help curb the ongoing SUD-related poisoning epidemic in the US.

Health Affairs V. 43(2): February 2024