This study examines the Fair Housing Initiatives Program (FHIP) from its inception in 1987 through 2006. The goals of this study are to create a history of FHIP, describe its grantees, analyze the types of grants awarded through the program, and analyze the outcomes of cases investigated by grant recipients, especially the comparison of the outcomes of cases referred by the grantees with those referred by others. It is useful to note the limitations of this study. It is primarily a process study of FHIP based on interviews with FHIP grantee organizations. Outcomes are reported based on cases that are referred to the U.S. Department of Housing and Urban Development (HUD). The study does not include reviews of cases not referred to HUD and does not assess the efficiency of FHIP or effects of the program.

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.