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 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.

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.

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