May 13, 2016
CREDIT WHERE IT'S DUE::
Why solving homelessness is stupidly easy (Jeff Spross, May 12, 2016, The Week)
It began in 1992 with a psychologist named Sam Tsemberis.Studying the issue from his perch at New York University, Tsemberis made a breakthrough that was basically taxonomic. He understood that there are two types of homeless: the temporary and the chronically homeless. The former, which make up the vast majority of the homeless population, are basically just down on their luck and can be helped by relatively straightforward government assistance. But the latter group, about 15 percent of the total population, are basically homeless because of deeper issues like substance abuse, trauma, or mental disorders.Tsemberis realized that forcing these people to jump through the hoops of testing and paperwork and rehabilitation programs before they could get a place to live was nuts. The chronic homeless more often face jail time and trips to the emergency room than the rest of the population. And homelessness is stressful: In a shelter, you can't even shut your door; if you can find a place to stay, you're often at the mercy of corrupt employers, irresponsible landlords, and abusive partners; there's no stable network of neighbors to rely upon for help looking after children. On top of it all, you can't even rest."I can sleep," one beneficiary of housing first policy in D.C. told The Washington Post. "Oh my goodness, I can sleep."So Tsemberis proposed just giving the chronically homeless a place to live unconditionally and then building on that foothold by offering other social support. He helped set up a few test runs of the policy, but no one really paid him any mind until several people working on homelessness in Utah got a key official to give his ideas a hearing. Lloyd Pendleton was the executive manager of the Mormon Church's Welfare Department and director of Utah's Task Force on Homelessness. And when he heard Tsemberis' idea, he was sold.Pendleton's backing from the Mormon Church gave him the legitimacy to get Utah's famously conservative state legislature to sign off on using funds to give people homes unconditionally. And his connections to the state's network of aid programs helped cobble together the money to run the program and to coordinate with the various rehabilitation programs and social support providers that would help the tenants with their other struggles.This is how housing first works in most places: The chronic homeless are identified, and money is put together to permanently subsidize them in an apartment or other living space. They usually have to cover 30 percent of the rent themselves, either with money from a job or another aid program. But the rest of the subsidy is permanent and unconditional. And once they have a stable place to live, they can start regular work healing mentally or kicking their addiction or whatever challenge they need to deal with.As a result, Utah's population of chronic homeless dropped 91 percent and is almost nonexistent today. Programs in other states have reported similar victories.Most even report that the program has saved them money on net: Providing the chronic homeless a long-term place to stay, no questions asked, intrinsically makes their lives more stable. So governments spend less on them in other forms of aid.
We all know where we're headed.The Bush administration substituted a much simpler idea -- an idea that happened to work. Whatever the cause of homelessness, the solution is ... a home.In 2002, Bush appointed a new national homeless policy czar, Philip Mangano. A former music agent imbued with the religious philosophy of St. Francis of Assisi, Mangano was seized by an idea pioneered by New York University psychiatrist Sam Tsemberis: "housing first."The "housing first" concept urges authorities to concentrate resources on the hardest cases -- to move them into housing immediately -- and only to worry about the other problems of the homeless after they first have a roof over their heads. A 2004 profile in The Atlantic nicely summarized Tsemberis' ideas: "Offer them (the homeless) the apartment first, he believes, and you don't need to spend years, and service dollars, winning their trust."Many old school homeless advocates resisted Mangano's approach. They were impelled by two main objections:1. They believed that homelessness was just the most extreme form of a problem faced by low-income people generally -- a lack of affordable housing for low-income people. Focusing resources on the nation's hardest cases would (these advocates feared) distract the federal government from the bigger project of subsidizing better housing for millions of people who did not literally live in the streets.2. By 2002, the nation had been worrying about homelessness for several decades. Countless programs from state and local agencies responded to some separate part of the problem; tens of thousands of people earned their livings in those state and local agencies, disposing of massive budgets. "Housing first" threatened to disrupt this vast industry. "Housing first" was comparatively cheap, for one thing: a homeless shelter might look squalid, but it cost a great deal to operate -- more, oftentimes, than a proper apartment with kitchen and bath. The transition to "housing first" threatened jobs and budgets across the country.There was only one counterargument to these objections: "Housing first" worked.
Posted by Orrin Judd at May 13, 2016 2:51 PM
