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.

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 purpose of this study was to conduct a needs assessment of homeless children and explore possible solutions to better meet the needs of homeless children and reduce the risks of intergenerational homelessness in San Bernardino County.

In today's rapidly changing world, new social and human service problems emerge constantly, and in order to make good use of resources that are often limited, social service agencies must ensure that their services are truly needed. Needs assessments provide a baseline against which later results can be compared, and may also assist policy-makers in recognizing new trends or problems on the horizon. With so much hinging on their outcome, these assessments must be conducted both accurately and efficiently, and this pocket guide will give practitioners the ability to do so. Written by a group of social work scholars with a collective wealth of experience in conducting needs assessments at all levels, this practical guide will walk readers step by step through the process of selecting the right design to confidently conducting the assessment, meticulously analyzing data, and finally writing a cogent report. In addition, the authors explore the various approaches that can be used to assess the needs of a client or population group and the differences between large- and small-scale assessments. Later chapters in the book include discussions of emerging technologies in the field as well as abundant social work case examples. Social work graduate students, as well as social workers in the field who need to brush up on their skills, will find this book an invaluable aid.