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 Book on Ending Homelessness provides insights for those in the industry, elected officials, policy makers, funders, public servants and the general public on the best ways to move from managing homelessness to ending homelessness. While ending homelessness may seem to be a whacky or even preposterous idea, Iain De Jong takes more than two decades of experience as an award winning industry leader to lay out how and why homelessness can be ended in very practical ways. This book will provoke and teach, serving as both inspiration and an instruction manual for those serious about combatting one of the most important social issues of our time. The book will reshape how you think about homelessness, as well as how strategies like sheltering, street outreach and day services all play a role in ending homelessness when operated with a housing-focused lens and the right service orientation. No doubt the book will reassure some that their thinking and actions regarding homelessness are bang on, while challenging others to think and respond differently in what they do and how they invest their money. Many of the ideas in the book elaborate upon ideas that Iain shares in his blog, keynote speeches and conference presentations, as well as the training series that Iain and his team have been offering for the past decade. If you are involved in homelessness issues or concerned about homelessness, this book is essential reading.

Chronically homeless individuals are those who spend long periods of time living on the street or other places not meant for human habitation, and who have one or more disabilities, frequently including mental illnesses and substance use disorders. In the 2014 Department of Housing and Urban Development (HUD) point-in-time count of people experiencing homelessness, over 84,000 individuals met the definition of chronically homeless, down from more than 120,000 in 2008. In part the decline is due to the federal governments plan, announced in 2002, to end chronic homelessness within 10 years. The target date has since been extended to 2017. Among the federal programs focused on ending chronic homelessness are the HUD Homelessness Assistance Grants, the HUD and Veterans Affairs Supported Housing Program (HUD-VASH), and several HUD demonstration programs. One of the reasons that federal programs have devoted resources to ending chronic homelessness is studies finding that individuals who experience it, particularly those with serious mental illness, use many expensive services often paid through public sources, including emergency room visits, inpatient hospitalisations, and law enforcement and jail time. Even emergency shelter resources can be costly. In addition to potential ethical reasons for ending chronic homelessness, doing so could reduce costs in providing assistance to this population. This book summarises the research surrounding permanent supportive housing (PSH) for chronically homeless individuals. In doing so, it attempts to examine the nuance in the research to determine where PSH could be considered successful and where gaps may remain. The book discusses what it means to be chronically homeless, the way in which assistance for chronically homeless individuals has evolved, and how federal programs target assistance to individuals experiencing chronic homelessness. In addition, it summarises the research regarding chronically homeless individuals who move into PSH.

Foreword by Nan Roman, President and CEO of the National Alliance to End Homelessness This book explains how to end the U.S. homelessness crisis by bringing together the best scholarship on the subject and sharing solutions that both local communities and national policy-makers can apply now. In the Midst of Plenty shifts understanding of homelessness away from individual disability to larger contexts of poverty, income inequality, housing affordability, and social exclusion. Homelessness experts Shinn and Khadduri provide guidance on how to end homelessness for people who experience it and how to prevent so many people from reaching the point where they have no alternative to sleeping on the street or in emergency shelters. The authors show that we know how to end homelessness—if we devote the necessary resources to doing so. In the Midst of Plenty: Homelessness and What to Do About It is an excellent resource for policy-makers, professionals in the homeless services system, and anyone else who wants to end homelessness. It also can serve as a text in undergraduate or masters courses in public policy, sociology, psychology, social work, urban studies, or housing policy. "The knowledgeable and thoughtful authors of this book—two brilliant women who know as much as anyone in the country about the nature of homelessness and its solutions—have done a great service by taking us on a journey through the history of homelessness, how our responses have changed, and how we can end it." —Nan Roman, President and CEO National Alliance to End Homelessness. "Shinn and Khadduri's new book is a thorough yet concise examination of what we know about the nature and causes of homelessness, and the crucial lessons learned. This critically important work provides a roadmap to restoring basic housing and income security as viable policy options, in the face of our daunting inequality divide that otherwise threatens millions with destitution and homelessness." —Dennis Culhane, Dana and Andrew Stone Professor of Social Policy, University of Pennsylvania "Marybeth Shinn and Jill Khadduri have combined their significant expertise to create an essential guide about the history of modern homelessness and to offer a clear path forward to end this American tragedy. Their policy recommendations on ending homelessness are culled from the best about what we know works." —Barbara Poppe, Executive Director US Interagency Council on Homeless, 2009-2014

This in-depth examination reviews fundamental changes of the past decade that have reduced homelessness in the United States and other Western democracies. Focusing on the last decade, Modern Homelessness: A Reference Handbook examines the issue in the United States and in other nations that have adopted new strategies to address homelessness—and achieved notable results in preventing and ending it. The handbook covers the unprecedented reductions first announced in 2007 and the crucial shifts in strategy and investment, and the results that brought them about. These fundamental changes are analyzed to identify the factors that proved most effective in altering the national and local dialogue and response relative to this daunting issue. In addition to a brief history of homelessness in contemporary times, the handbook examines key developments of the past decade in research, policy, housing models, and service delivery that have been shown to decrease homelessness. These include active partnership among the governments of the United States, Canada, England, Australia, New Zealand, and others that moved the discussion in a new direction. The story is brought up to date with a consideration of the effects of the 2008 economic crisis.