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 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.

Longtime Urban Institute researcher Martha Burt and her co-authors provide an in-depth analysis of homelessness, exploring issues such as how many homeless people there are in America, where they are, why they became homeless, how long their homelessness lasts, the different ways programs in different communities are helping the homeless, and how policymakers have approached the problem. Finally, they consider what societies may be willing to do reduce the probability that their members will become homeless. c. Book News Inc.

"Extraordinarily affecting....A very important book....To read and remember the stories in this book, to take them to heart, is to be called as a witness." THE BOSTON GLOBE There is no safety net for the millions of heartbroken refugees from the American Dream, scattered helplessly in any city you can name. RACHEL AND HER CHILDREN is an unforgettable record for humanity, of the desperate voices of the men, women, and especially children, and their hourly struggle for survival, homeless in America.

Examines the policy of deinstitutionalization of the mentally ill and what can be done about it.