Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.

The 1980s have witnessed a dramatic increase in homelessness among impoverished and dependent persons, particularly in major metropolitan areas. In this in-depth study, Carol, L.M. Caton and her colleagues synthesize the available information on this alarming trend, providing a comprehensive discussion of the causes and historical antecedents of homelessness and answering such questions as: Who are the homeless and what are their day-to-day lives like? What can be done to help the homeless and ensure that society meets its responsibility to them? How many homeless are there and why are their numbers increasing? In addressing these questions Homeless in America describes various public and private shelter programs and, utilizing a unique scientific approach, discusses social and economic policy innovations aimed at independent living. The result is an invaluable resource for students in the social sciences, medicine, law, public policy, and social work, as well as for mental health professionals.

Describes the nature of homelessness, its multiple causes, and its demographic, economic, sociological, and social policy antecedents. Finding the origins of the problem to be social and political rather than economic, Wright (human relations, Tulane) outlines remedies based on existing and modified

There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.

Learn how to better address the needs of the homeless The causes of homelessness are complex and varied. Homelessness in America provides an overview of the state of research on the homeless population from an occupation and societal participation perspective. This important resource explores the systems of care in which homeless services are organized, the tailoring of services to meet the needs of diverse types of homeless, the newest trends in services, and crucial funding sources. Research is comprehensively examined from an occupation-based perspective, including studies on specific issues pertaining to various homeless populations. This in-depth discussion provides a vital understanding of homelessness using a client-centered and strengths-based approach in occupational therapy. Much of the research and writings of occupational therapists who work with homeless populations has been scattered throughout various diverse publications. Homelessness in America: Perspectives, Characterizations, and Considerations for Occupational Therapy gathers into one useful volume important insights, practical strategies, and valuable research into the many challenges concerning homelessness. Various effective interventions are discussed in depth. Several leading authorities explore current issues and offer illuminating case studies, extensive reference lists, and helpful tables of funding sources. Topics in Homelessness in America include: results of an Internet-based survey of assessment tools used with the homeless a critical examination of the assumptions of who becomes homelessand why typologies of homelessness current trends in service delivery federal organization and sources of funding for services exploratory study of occupational concerns and goals of homeless women with children study illustrating the value of the theory of Occupational Adaptation mother-toddler interactions in transitional housing the role of occupational therapy in the youth homelessness problem homeless youths' after-school and weekend time use guiding intervention by using the Model of Human Occupation (MOHO) productive role involvement at Project Employ study on life skills interventions with effective recommendations much more Homelessness in America is insightful, important reading for occupational therapy educators, students, practicing occupational therapists, program directors of services to the homeless, and policymakers.

The most accurate and comprehensive picture of homelessness to date, this study offers a powerful explanation of its causes, proposes short- and long-term solutions, and documents the striking contrasts between the homeless of the 1950s and 1960s and the contemporary homeless population, which is younger and contains more women, children, and blacks.

Using rich and detailed data, this groundbreaking book explains why homelessness has become a crisis in America and reveals the structural conditions that underlie it. In Homelessness Is a Housing Problem, Gregg Colburn and Clayton Page Aldern seek to explain the substantial regional variation in rates of homelessness in cities across the United States. In a departure from many analytical approaches, Colburn and Aldern shift their focus from the individual experiencing homelessness to the metropolitan area. Using accessible statistical analysis, they test a range of conventional beliefs about what drives the prevalence of homelessness in a given city—including mental illness, drug use, poverty, weather, generosity of public assistance, and low-income mobility—and find that none explain the regional variation observed across the country. Instead, housing market conditions, such as the cost and availability of rental housing, offer a far more convincing account. With rigor and clarity, Homelessness Is a Housing Problem explores U.S. cities' diverse experiences with housing precarity and offers policy solutions for unique regional contexts.