Wednesday, April 27, 2016

The Amazingly Simple and Cost-Effective Way to End Homelessness — for Good

This is turning out to be far more effective than anyone imagined.  Note here that this a necessary solution for those who are clearly unemployable and just as obviously unable to navigate any of the services available.  If you have a basket of mental issues, there is no magic. So stop acting as it is these folks fault that they are part of the lower third of human functionality. 

What is startling is just how cost effective this has become.  That alone supports ongoing political support from all those folks truly embarrassed by the phenomena.  Something that works well enough and get the victims out from been underfoot.

Many of these folks have no real future, but now we have a way to provide a real present and that must be good enough.

The Amazingly Simple and Cost-Effective Way to End Homelessness — for Good

13th April 2016

Contributing Writer for Wake Up World

During a balmy 60ºF December morning, Rene Zepeda is driving a Volunteers of America minivan through Salt Lake City, Utah, looking for the homeless who may be camping by the railroad tracks or over by the river, sometimes in the foothills. Cold weather is on its way, so the van is packed with sleeping bags, thermal clothing, coats, sock, boots, hats, protein bars, nutrition drinks and canned goods. According to Rene, once the day is finished, everything will be gone. “I want to get them into homes,” he says. “I tell them, ‘I’m working for you. I want to get you out of the homeless situation.’”

Rene works for a program called Housing First. It has decreased the number of homeless by an extraordinary 72% — mainly by providing permanent free housing. Critics bemoan the expense, but once the numbers were thoroughly crunched, it was discovered the program actually costs the state far less than if people were left on the street. Moreover, in a nation where a large proportion of the homeless population are military veterans, adopting such a program is not only a social or financial imperative but a moral one.

The brutal reality of homelessness

One of the first people Rene comes across in his morning travels is William Miller, 63, who was diagnosed with liver cancer. For the last two nights, his home has been under a freeway viaduct. Vomiting as soon as he wakes in the morning, he also has gone through two sets of clothing due to diarrhea. Rene will take him to a free clinic so that he can get proper care.

Next is a camp by the railroad tracks, where a 57-year-old man and a 41-year-old woman live in a three-person tent covered with plastic tarps. Patrick has had several strokes this year and two tumors growing in his lung. He walks with a cane.

“My legs are going out. I’m sure it’s from camping out. We were living in the hills for two years,” he says. “My girlfriend, Charmaine, is talking about killing herself she’s in so much pain.” Charmaine is a heroin addict who suffers from diabetes, grand mal seizures, cirrhosis, and heart attacks. “When we lived in the foothills we both got bit by poisonous spiders,” she says, showing me a three-inch scar above her swollen right ankle. “The doctor tried to cut out the infection, but he accidentally cut my calf muscle.” [source]

As Rene is helping Charmaine into the van, Patrick asks if Rene could find her a subsidized apartment for the homeless. “If she comes back here she’ll die,” he says. “Especially with the cold weather coming.”

Rene says he will look into it.

Housing First provides stability for homeless people in a way that is far different from shelters and halfway houses. It gives access to permanent housing — unconditionally.

It began in Utah as a 10-year project to eliminate homelessness. State legislators were hesitant, but eventually embraced the idea. When the cost of emergency room visits, police intervention, shelters and halfway houses were taken into consideration, it was found that providing permanent housing was much more cost effective. Before Housing First, Utah was spending around $20,000 a year for each chronically homeless person. But with the program in full-swing, the state saves an impressive $8,000 per person. “We’ve saved millions with this,” said Gordon Walker, director of the state Housing and Community Development Division. Today, the project is close to eradicating homelessness in the state.

The brainchild is credited to Sam Tsemberis, a psychologist at New York University, who formulated the idea of ending homelessness through unconditional housing.

“Okay,” Tsemberis recalls thinking, “they’re schizophrenic, alcoholic, traumatized, brain damaged. What if we don’t make them pass any tests or fill out any forms? They aren’t any good at that stuff. Inability to pass tests and fill out forms was a large part of how they ended up homeless in the first place. Why not just give them a place to live and offer them free counseling and therapy, health care, and let them decide if they want to participate? Why not treat chronically homeless people as human beings and members of our community who have a basic right to housing and health care?” [source]

Tsemberis and his team, through their group Pathways to Housing, ran a test where they provided apartments for 242 chronically homeless people, no strings attached. They could do whatever they wanted — drink, take drugs, have mental breakdowns — as long as they didn’t hurt anyone. Services were provided if they wanted rehab, detox or medical care. But it was completely their choice.

The results were astonishing. After five years, 88% of the participants were still living in their apartments with minimal issue. A subsequent study showed the care of mentally ill homeless in New York City averaged $40,449 a year with emergency room visits, shelter and other expenses, and transferring those people off the street and into supportive housing saved around $16,282. Many cities and states around the nation have adopted similar programs, including Seattle and Portland, Maine, as well as Rhode Island and Illinois. Denver found that “emergency-service costs alone went down 73 percent for people put in Housing First, for a savings of $31,545 per person; detox visits went down 82 percent, for an additional savings of $8,732,” as stated by Mother Jones. And Medicine Hat in Alberta, Canada has had similar success after reaching a zero-homelessness goal late last year by providing permanent housing.

One chronically homeless woman in Utah needed a fair amount of convincing before moving into the housing. “She didn’t trust it, and she put her collection of stuff on the bed. Then for the next two weeks, she slept on the floor,” Walker said. “But once she realized that we weren’t going to take this from her, that she had a lock, she had a mailbox, she started to re-acclimatize.”

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