Homelessness in the United States: Difference between revisions

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===Causes===
===Causes===
The major causes of homelessness include:<ref name="USConferenceMayors2001"/><ref name="USConferenceMayors2005">United States Conference of Mayors, {{PDFlink|[http://www.usmayors.org/hungersurvey/2005/HH2005FINAL.pdf "US Conference of Mayors/Sodexho Hunger and Homelessness Survey: 2005"]|1.19&nbsp;MB}}, December 2005, "Main Causes of Homelessness", p.63-64. {{PDFlink|[http://www.mayors.org/uscm/news/press_releases/documents/hh2005_121905.pdf]|62.3&nbsp;KB}} [http://www.sodexhousa.com/press-releases/pr122005.asp]</ref><ref>Vanneman, Reeve, [http://www.bsos.umd.edu/socy/vanneman/socy498/causes.html "Main Causes of Homelessness"], University of Maryland</ref><ref name="Koegel1">Cf. Levinson, ''Encyclopedia of Homelessness'', article entry on ''Causes of Homelessness: Overview'' by Paul Koegel, pp.50-58.</ref>
The major causes of homelessness include:<ref name="USConferenceMayors2001"/><ref name="USConferenceMayors2005">United States Conference of Mayors, {{PDFlink|[http://www.usmayors.org/hungersurvey/2005/HH2005FINAL.pdf "US Conference of Mayors/Sodexho Hunger and Homelessness Survey: 2005"]|1.19&nbsp;MB}}, December 2005, "Main Causes of Homelessness", p.63-64. {{PDFlink|[http://www.mayors.org/uscm/news/press_releases/documents/hh2005_121905.pdf]|62.3&nbsp;KB}} [http://www.sodexhousa.com/press-releases/pr122005.asp]</ref><ref>Vanneman, Reeve, [http://www.bsos.umd.edu/socy/vanneman/socy498/causes.html "Main Causes of Homelessness"], University of Maryland</ref><ref name="Koegel1">Cf. Levinson, ''Encyclopedia of Homelessness'', article entry on ''Causes of Homelessness: Overview'' by Paul Koegel, pp. 50–58.</ref>


* The [[deinstitutionalization]] movement from the 1950s onwards in state [[mental health]] systems, to shift towards 'community-based' treatment of the mentally ill, as opposed to long-term commitment in [[mental institution|institutions]]. Many patients ultimately lost their rooms, didn't get proper community health support, and ended up in the streets.{{Citation needed|date=October 2009}}
* The [[deinstitutionalization]] movement from the 1950s onwards in state [[mental health]] systems, to shift towards 'community-based' treatment of the mentally ill, as opposed to long-term commitment in [[mental institution|institutions]]. Many patients ultimately lost their rooms, didn't get proper community health support, and ended up in the streets.{{Citation needed|date=October 2009}}
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===Other statistics===
===Other statistics===
Lifetime homeless prevalence measured in 1990 by Bruce Link and colleagues found 7.4% or 13.5 million people reported experiencing literal homelessness.<ref name="Link 1994">Link et al.,. 1994. Lifetime and Five-Year Prevalence of Homelessness in the United States. ''American Journal of Public Health'', Vol 84:12:1907-1912.</ref> These estimates were tabulated from telephone interviews and thus most likely excluded all currently homeless individuals.
Lifetime homeless prevalence measured in 1990 by Bruce Link and colleagues found 7.4% or 13.5 million people reported experiencing literal homelessness.<ref name="Link 1994">{{cite journal |author=Link BG, Susser E, Stueve A, Phelan J, Moore RE, Struening E |title=Lifetime and five-year prevalence of homelessness in the United States |journal=Am J Public Health |volume=84 |issue=12 |pages=1907–12 |year=1994 |month=December |pmid=7998628 |pmc=1615395 |url=http://www.ajph.org/cgi/pmidlookup?view=long&pmid=7998628}}</ref> These estimates were tabulated from telephone interviews and thus most likely excluded all currently homeless individuals.


Some estimates from various sources on the characteristics and number of homeless people:
Some estimates from various sources on the characteristics and number of homeless people:
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===1960s, 1970s===
===1960s, 1970s===
In the United States, during the late 1970s, the [[deinstitutionalization]] of patients from state psychiatric hospitals was a precipitating factor which seeded the homeless population, especially in urban areas such as New York City.<ref>Scherl D.J., Macht L.B., "Deinstitutionalization in the absence of consensus", Hospital and Community Psychiatry, 1979 Sep;30(9):599-604 [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstract&list_uids=223959&query_hl=2&itool=pubmed_docsum]</ref>
In the United States, during the late 1970s, the [[deinstitutionalization]] of patients from state psychiatric hospitals was a precipitating factor which seeded the homeless population, especially in urban areas such as New York City.<ref>{{cite journal |author=Scherl DJ, Macht LB |title=Deinstitutionalization in the absence of consensus |journal=Hosp Community Psychiatry |volume=30 |issue=9 |pages=599–604 |year=1979 |month=September |pmid=223959 |url=http://ps.psychiatryonline.org/cgi/pmidlookup?view=long&pmid=223959}}</ref>


The [[Community Mental Health Act]] of 1963 was a pre-disposing factor in setting the stage for homelessness in the United States.<ref>Rochefort, D.A., "Origins of the 'Third psychiatric revolution': the Community Mental Health Centers Act of 1963", Journal of Health Politics, Policy and Law, 1984 Spring;9(1):1-30. [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=6736594&dopt=Abstract]</ref> Long term psychiatric patients were released from state hospitals into [[Single Room Occupancy|Single Room Occupancies]] and sent to community health centers for treatment and follow-up. It never quite worked out properly and this population largely was found living in the streets soon thereafter with no sustainable support system.<ref>Feldman, S., "Out of the hospital, onto the streets: the overselling of benevolence", Hastings Center Report, 1983 Jun;13(3):5-7. [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstract&list_uids=6885404&query_hl=2&itool=pubmed_docsum]</ref><ref>Borus J.F., "Sounding Board. Deinstitutionalzation of the chronically mentally ill", ''New England Journal of Medicine'', 1981 6 August;305(6):339-42. [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstract&list_uids=7242636&query_hl=2&itool=pubmed_docsum]</ref>
The [[Community Mental Health Act]] of 1963 was a pre-disposing factor in setting the stage for homelessness in the United States.<ref>{{cite journal |author=Rochefort DA |title=Origins of the "Third psychiatric revolution": the Community Mental Health Centers Act of 1963 |journal=J Health Polit Policy Law |volume=9 |issue=1 |pages=1–30 |year=1984 |pmid=6736594 |url=http://jhppl.dukejournals.org/cgi/pmidlookup?view=long&pmid=6736594}}</ref> Long term psychiatric patients were released from state hospitals into [[Single Room Occupancy|Single Room Occupancies]] and sent to community health centers for treatment and follow-up. It never quite worked out properly and this population largely was found living in the streets soon thereafter with no sustainable support system.<ref>{{cite journal |author=Feldman S |title=Out of the hospital, onto the streets: the overselling of benevolence |journal=Hastings Cent Rep |volume=13 |issue=3 |pages=5–7 |year=1983 |month=June |pmid=6885404 }}</ref><ref>{{cite journal |author=Borus JF |title=Sounding Board. Deinstitutionalization of the chronically mentally ill |journal=N. Engl. J. Med. |volume=305 |issue=6 |pages=339–42 |year=1981 |month=August |pmid=7242636 |doi=10.1056/NEJM198108063050609 |url=http://www.nejm.org/doi/abs/10.1056/NEJM198108063050609?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed}}</ref>


In 1965, The [[Diggers (theater)|Diggers]], a community-action group dedicated to the concept of everything being free of charge, established soup kitchens and free health-care facilities in the Haight-Ashbury district of San Francisco.<ref>Cf. [[Diggers (theater)|Diggers]] article in Wikipedia.</ref> This also began a movement of people that began to travel for political reasons as well as for personal choices. This is where the beginnings of the American nomadic caravans became popular, living homelessly, but happily.
In 1965, The [[Diggers (theater)|Diggers]], a community-action group dedicated to the concept of everything being free of charge, established soup kitchens and free health-care facilities in the Haight-Ashbury district of San Francisco.<ref>Cf. [[Diggers (theater)|Diggers]] article in Wikipedia.</ref> This also began a movement of people that began to travel for political reasons as well as for personal choices. This is where the beginnings of the American nomadic caravans became popular, living homelessly, but happily.
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Many advocates for the homeless contend that a key difficulty is the social stigma surrounding homelessness. There is anecdotal evidence that many Americans complain about the presence of homeless people, blame them for their situation, and feel that their requests for money or support (usually via [[begging]]) are unjustified. In the 1990s, particularly, many observers and media articles spoke of "[[compassion fatigue]]" a belief that the public had grown weary of this seemingly intractable problem.
Many advocates for the homeless contend that a key difficulty is the social stigma surrounding homelessness. There is anecdotal evidence that many Americans complain about the presence of homeless people, blame them for their situation, and feel that their requests for money or support (usually via [[begging]]) are unjustified. In the 1990s, particularly, many observers and media articles spoke of "[[compassion fatigue]]" a belief that the public had grown weary of this seemingly intractable problem.


Public opinion surveys show relatively little support for this view, however. A 1995 paper in the ''American Journal of Community Psychology'' concluded that "although the homeless are clearly stigmatized, there is little evidence to suggest that the public has lost compassion and is unwilling to support policies to help homeless people."<ref>''American Journal of Community Psychology'': [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8546109&dopt=Abstract "Public knowledge, attitudes, and beliefs about homeless people: evidence for compassion fatigue."], 23 August 1995.</ref> A Penn State study in 2004 concluded that "familiarity breeds sympathy" and greater support for addressing the problem.<ref>American Sociological Association: [http://www.asanet.org/page.ww?name=Exposure+to+the+Homeless+Increases+Sympathetic+Public+Attitudes&section=Press "Exposure to the Homeless Increases Sympathetic Public Attitudes"], press release, [[22 March 2004]].</ref>
Public opinion surveys show relatively little support for this view, however. A 1995 paper in the ''American Journal of Community Psychology'' concluded that "although the homeless are clearly stigmatized, there is little evidence to suggest that the public has lost compassion and is unwilling to support policies to help homeless people."<ref>{{cite journal |author=Link BG, Schwartz S, Moore R, ''et al.'' |title=Public knowledge, attitudes, and beliefs about homeless people: evidence for compassion fatigue |journal=Am J Community Psychol |volume=23 |issue=4 |pages=533–55 |year=1995 |month=August |pmid=8546109 }}</ref> A Penn State study in 2004 concluded that "familiarity breeds sympathy" and greater support for addressing the problem.<ref>American Sociological Association: [http://www.asanet.org/page.ww?name=Exposure+to+the+Homeless+Increases+Sympathetic+Public+Attitudes&section=Press "Exposure to the Homeless Increases Sympathetic Public Attitudes"], press release, [[22 March 2004]].</ref>


A 2007 survey of New Yorkers found 67 percent said most homeless people were without shelter because of "circumstances beyond their control." More than one-third (36 percent) said they worried about becoming homeless themselves, with 15 percent saying they were "very worried." The survey by the nonpartisan group Public Agenda found support for investments in prevention, rental assistance and permanent housing.<ref>Public Agenda: [http://www.publicagenda.org/reports/compassion-concern-and-conflicted-feelings "Compassion, Concern and Conflicted Feelings: New Yorkers on Homelessness and Housing"], 2007.</ref>
A 2007 survey of New Yorkers found 67 percent said most homeless people were without shelter because of "circumstances beyond their control." More than one-third (36 percent) said they worried about becoming homeless themselves, with 15 percent saying they were "very worried." The survey by the nonpartisan group Public Agenda found support for investments in prevention, rental assistance and permanent housing.<ref>Public Agenda: [http://www.publicagenda.org/reports/compassion-concern-and-conflicted-feelings "Compassion, Concern and Conflicted Feelings: New Yorkers on Homelessness and Housing"], 2007.</ref>
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*Transitional
*Transitional
:Transitional housing programs are operated with one goal in mind – to help individuals and families obtain permanent housing as quickly as possible. Transitional housing programs assist homeless for a fixed amount of time or until they are able to obtain housing on their own and function successfully in the community, or whichever comes first.<ref>Burt, Martha R.,
:Transitional housing programs are operated with one goal in mind – to help individuals and families obtain permanent housing as quickly as possible. Transitional housing programs assist homeless for a fixed amount of time or until they are able to obtain housing on their own and function successfully in the community, or whichever comes first.<ref>Burt, Martha R.,
[http://www.urban.org/UploadedPDF/411369_transitional_housing.pdf "Characteristics of Transitional Housing for Homeless Families Final Report"], Urban Institute, Washington, D.C., September 7, 2006,</ref><ref>Dordick, Gwendolyn A., [http://www.springerlink.com/content/l7110354uw2164n7/ "Recovering from Homelessness: Determining the 'Quality of Sobriety' in a Transitional Housing Program"], ''Journal Qualitative Sociology'', Volume 25, Number 1 / March, 2002, Springer Netherlands.</ref><ref>Karash, Robert L., [http://sparechangenews.net/news/graduate "The Graduate"], ''[[Spare Change|Spare Change News]]'', Boston, March 11, 2010</ref>
[http://www.urban.org/UploadedPDF/411369_transitional_housing.pdf "Characteristics of Transitional Housing for Homeless Families Final Report"], Urban Institute, Washington, D.C., September 7, 2006,</ref><ref>{{cite journal |author=Dordick, Gwendolyn A. |title=Recovering from Homelessness: Determining the 'Quality of Sobriety' in a Transitional Housing Program |journal=Journal Qualitative Sociology |volume=25 |issue=1 |year=2002 |month=March |url=http://www.springerlink.com/content/l7110354uw2164n7/}}</ref><ref>Karash, Robert L., [http://sparechangenews.net/news/graduate "The Graduate"], ''[[Spare Change|Spare Change News]]'', Boston, March 11, 2010</ref>


*Permanent
*Permanent
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| url= http://www.boston.com/news/local/articles/2006/05/14/a_port_in_the_storm/?page=full
| url= http://www.boston.com/news/local/articles/2006/05/14/a_port_in_the_storm/?page=full
| title= A port in the storm Center gives homeless a phone and a chance | work= The Boston Globe
| title= A port in the storm Center gives homeless a phone and a chance | work= The Boston Globe
| publisher= Globe Newspaper Company | pages= | page= |date= May 14, 2006 | accessdate=
| publisher= Globe Newspaper Company |date= May 14, 2006 | accessdate=
}}</ref> Some individuals and groups intentionally build relationships with homeless people by providing [[relational care]] and support, for example, through [[homeless ministry]]. Such relationships provide homeless people with a meaningful contact to the mainstream.
}}</ref> Some individuals and groups intentionally build relationships with homeless people by providing [[relational care]] and support, for example, through [[homeless ministry]]. Such relationships provide homeless people with a meaningful contact to the mainstream.


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[[Housing first|Housing First]] is a relatively recent innovation that has met with success in providing housing to homeless people with substance abuse problems or mental health issues. Housing First allows homeless men and women to be taken directly off the street into private community-based apartments, without requiring treatment first. This allows the homeless to return to some sense of normalcy, from which it is believed that they are better-poised to tackle their addictions or sicknesses. The relapse rate through these types of programs is lower than that of conventional homeless programs.
[[Housing first|Housing First]] is a relatively recent innovation that has met with success in providing housing to homeless people with substance abuse problems or mental health issues. Housing First allows homeless men and women to be taken directly off the street into private community-based apartments, without requiring treatment first. This allows the homeless to return to some sense of normalcy, from which it is believed that they are better-poised to tackle their addictions or sicknesses. The relapse rate through these types of programs is lower than that of conventional homeless programs.


It was initiated by the federal government's Interagency Council on Homelessness. It asks cities to come up with a plan to end chronic homelessness. In this direction, there is the belief that if homeless people are given independent housing to start off with, with some proper social supports, then there would be no need for emergency homeless shelters, which it considers a good outcome. This is a very controversial position.<ref>Graves, Florence; Sayfan, Hadar, [http://www.boston.com/news/globe/ideas/articles/2007/06/24/first_things_first/ "First things first: 'Housing first,' a radical new approach to ending chronic homelessness, is gaining ground in Boston"], ''Boston Globe'', Sunday, June 24, 2007.</ref><ref>Roncarati, Jill, [http://www.bhchp.org/documents/JillsoundingboardJAAP0608.pdf "Homeless, housed, and homeless again"], Journal of the American Academy of Physician's Assistants, June 2008.</ref> There are many complications of this kind of program and these must be dealt with to make such an initiative work successfully in the middle to long term.<ref name="Abel, David 2008"/><ref>Karash, Robert L., [http://sparechangenews.net/news/housing-lost-housing-regained-housing-kept-0 "Housing Lost, Housing Regained, Housing Kept"], ''[[Spare Change|Spare Change News]]'', Boston, February 25, 2010.</ref>
It was initiated by the federal government's Interagency Council on Homelessness. It asks cities to come up with a plan to end chronic homelessness. In this direction, there is the belief that if homeless people are given independent housing to start off with, with some proper social supports, then there would be no need for emergency homeless shelters, which it considers a good outcome. This is a very controversial position.<ref>Graves, Florence; Sayfan, Hadar, [http://www.boston.com/news/globe/ideas/articles/2007/06/24/first_things_first/ "First things first: 'Housing first,' a radical new approach to ending chronic homelessness, is gaining ground in Boston"], ''Boston Globe'', Sunday, June 24, 2007.</ref><ref>{{cite journal |author=Roncarati, Jill |title=Homeless, housed, and homeless again |journal=Journal of the American Academy of Physician's Assistants |year=2008 |month=June |url=http://www.bhchp.org/documents/JillsoundingboardJAAP0608.pdf}}</ref> There are many complications of this kind of program and these must be dealt with to make such an initiative work successfully in the middle to long term.<ref name="Abel, David 2008"/><ref>Karash, Robert L., [http://sparechangenews.net/news/housing-lost-housing-regained-housing-kept-0 "Housing Lost, Housing Regained, Housing Kept"], ''[[Spare Change|Spare Change News]]'', Boston, February 25, 2010.</ref>


==Criminalization of homelessness==
==Criminalization of homelessness==
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{{Main|Homeless women in the United States}}
{{Main|Homeless women in the United States}}
[[Image:Street Sleeper 3 by David Shankbone.JPG|right|thumb|250px|A woman sleeping in [[Rockefeller Center]]'s subway station.]]
[[Image:Street Sleeper 3 by David Shankbone.JPG|right|thumb|250px|A woman sleeping in [[Rockefeller Center]]'s subway station.]]
In the last decades of the 20th century, the number of women in the homeless population had increased dramatically and grown faster than the number of men.<ref>Cf. Levinson, ''Encyclopedia of Homelessness'', article entry on ''Women'' by Susan Barrow, pp.598-606. Cited statistic from p.599</ref> In the early 21st century, the numbers of homeless women continued to grow.<ref name="Means">{{cite web |author = Means, Roseanna H., Maryland, MSc | title= A primary care approach to treating women without homes | date= 03/01/2001 | work = Medscape General Medicine | url = http://www.medscape.com/viewarticle/408938/ | accessdate=2008-11-20 |publisher= [[Medscape]] }} "Women constitute the fastest growing subgroup of the millions of Americans who are homeless"</ref> In 2008 in one sample, women represented 26% of the respondents surveyed, compared to 24% in 2007.<ref>[[WMBB]] TV News, [http://www.panhandleparade.com/index.php/mbb/article/homelessness_up_among_women_and_children/mbb7711987/ "Homelessness Up Among Women and Children"], via Panama City Rescue Mission, Panama City, Florida, November 19, 2008. "The 20th annual snapshot survey of the Homeless, completed at 137 rescue missions across North America, recorded more women than ever before, 26 percent of those responding, as compared to 24 percent in 2007."</ref>
In the last decades of the 20th century, the number of women in the homeless population had increased dramatically and grown faster than the number of men.<ref>Cf. Levinson, ''Encyclopedia of Homelessness'', article entry on ''Women'' by Susan Barrow, pp. 598–606. Cited statistic from p.599</ref> In the early 21st century, the numbers of homeless women continued to grow.<ref name="Means">{{cite web |author = Means, Roseanna H., Maryland, MSc | title= A primary care approach to treating women without homes | date= 03/01/2001 | work = Medscape General Medicine | url = http://www.medscape.com/viewarticle/408938/ | accessdate=2008-11-20 |publisher= [[Medscape]] }} "Women constitute the fastest growing subgroup of the millions of Americans who are homeless"</ref> In 2008 in one sample, women represented 26% of the respondents surveyed, compared to 24% in 2007.<ref>[[WMBB]] TV News, [http://www.panhandleparade.com/index.php/mbb/article/homelessness_up_among_women_and_children/mbb7711987/ "Homelessness Up Among Women and Children"], via Panama City Rescue Mission, Panama City, Florida, November 19, 2008. "The 20th annual snapshot survey of the Homeless, completed at 137 rescue missions across North America, recorded more women than ever before, 26 percent of those responding, as compared to 24 percent in 2007."</ref>


Homeless women between the ages of 18 and 44 are between 5 and 31 times more at risk of dying than those women who have homes. Homeless women over the age of 44, however, are healthier than homeless men of the same age, and are negligibly more at risk of dying than housed women.<ref>{{cite journal |last= Cheung |first= AM |coauthors= SW Hwang |year= 2004 |title= Risk of death among homeless women: A cohort study and review of the literature |journal= [[Canadian Medical Association Journal]] |issue= 170 |pages= 1243–1247}}</ref><ref>[http://www.jhsph.edu/wchpc/ The Women's and Children's Health Policy Center (WCHPC)] at the Johns Hopkins Bloomberg School of Public Health, [http://www.jhsph.edu/WCHPC/Publications/homeless.PDF "The Health of Homeless Women: Information for State Maternal and Child Health Programs"]</ref> Psychologically, however, homeless women in their fifties suffer from troubles and chronic diseases from which their housed counterparts only begin to suffer in their seventies. Despite their comparable psychological condition, elderly housing assistance is not available to these homeless women.<ref name="Means"/> Between 3.1 and 4.4 % of homeless women in the United States are veterans of the [[Military of the United States|armed services]]. 57% of these have availed of the [[United States Department of Veterans Affairs|Veterans Affairs]]' healthcare services.<ref>{{cite journal |last= Gamache |first= G |coauthors= R Rosencheck, R Tessler |year= 2003 |title= Overrepresentation of women veterans among homeless women |journal= [[American Journal of Public Health]] |issue= 93 |pages= 1132–1136}}</ref>
Homeless women between the ages of 18 and 44 are between 5 and 31 times more at risk of dying than those women who have homes. Homeless women over the age of 44, however, are healthier than homeless men of the same age, and are negligibly more at risk of dying than housed women.<ref>{{cite journal |last= Cheung |first= AM |coauthors= SW Hwang |year= 2004 |title= Risk of death among homeless women: A cohort study and review of the literature |journal= [[Canadian Medical Association Journal]] |volume= 170 |pages= 1243–7}}</ref><ref>[http://www.jhsph.edu/wchpc/ The Women's and Children's Health Policy Center (WCHPC)] at the Johns Hopkins Bloomberg School of Public Health, [http://www.jhsph.edu/WCHPC/Publications/homeless.PDF "The Health of Homeless Women: Information for State Maternal and Child Health Programs"]</ref> Psychologically, however, homeless women in their fifties suffer from troubles and chronic diseases from which their housed counterparts only begin to suffer in their seventies. Despite their comparable psychological condition, elderly housing assistance is not available to these homeless women.<ref name="Means"/> Between 3.1 and 4.4 % of homeless women in the United States are veterans of the [[Military of the United States|armed services]]. 57% of these have availed of the [[United States Department of Veterans Affairs|Veterans Affairs]]' healthcare services.<ref>{{cite journal |last= Gamache |first= G |coauthors= R Rosencheck, R Tessler |year= 2003 |title= Overrepresentation of women veterans among homeless women |journal= [[American Journal of Public Health|Am J Public Health]] |volume= 93 |pages= 1132–6}}</ref>


Adult partner abuse, foster care, and childhood sexual abuse are all more likely to have been experienced by homeless women than by their male counterparts.<ref>{{cite journal |last= Robrecht |first= LC |authorlink= DG Anderson |year= 1998 |title= Interpersonal violence and the pregnant homeless woman |journal= [[Journal of Obstetric, Gynecologic, & Neonatal Nursing]] |issue= 27 |pages= 684–691}}</ref> Domestic violence is the direct cause of homelessness for over half of all homeless women in the United States.<ref>{{cite journal |last= Ringwalt |first= CL |coauthors= JM Greene, M Robertson, M McPheeters |year= 1998 |title= The prevalence of homelessness among adolescents in the United States |journal= American Journal of Public Health |issue= 88 |pages= 1325–1329 |id= |url= |accessdate= |quote= }}</ref> Approximately three quarters of the women who attempt to avail of [[Women's shelter|domestic violence shelter]] beds are turned away in [[List of United States cities by population|major American cities]].<ref>{{cite journal |last= Jensen |first= RH |year= 1994 |title= Domestic violence facts |journal= [[Ms. (magazine)|Ms.]] |volume= 2|pages= 44–51}}</ref> These victims of domestic violence are often excluded from homelessness studies, despite the lack of livable conditions in their homes.<ref>{{cite web |url= http://www.medscape.com/viewarticle/481800 |title= Homelessness in the United States: History, Epidemiology, Health Issues, Women, and Public Policy |accessdate=2008-11-20 |last= Donohoe |first= Martin |date= 2004-07-07 |publisher= [[Medscape]]}}</ref><ref>[http://www.tprojects.org/pdfs/synopsis.pdf "The Continuing Crisis: Synopsis of 'Women’s Reality: Single Homeless Women in the City of Portland'"], Transition Projects report, Portland, Oregon.</ref><ref>[http://www.tprojects.org/pdfs/single%20homeless%20women.pdf "Women’s Reality: Single Homeless Women in the City of Portland"], Transition Projects report, Portland, Oregon.</ref><ref>[http://www.tprojects.org/pdfs/HWTF.pdf "NEEDS AND RESOURCES: WHAT IS AND WHAT SHOULD BE: A Study of Single Homeless Women in Portland, Oregon"]. Homeless Women's Task Force, Transition Projects report, Portland, Oregon, 2004</ref>
Adult partner abuse, foster care, and childhood sexual abuse are all more likely to have been experienced by homeless women than by their male counterparts.<ref>{{cite journal |last= Robrecht |first= LC |authorlink= DG Anderson |year= 1998 |title= Interpersonal violence and the pregnant homeless woman |journal= [[Journal of Obstetric, Gynecologic, & Neonatal Nursing]] |issue= 27 |pages= 684–691}}</ref> Domestic violence is the direct cause of homelessness for over half of all homeless women in the United States.<ref>{{cite journal |last= Ringwalt |first= CL |coauthors= JM Greene, M Robertson, M McPheeters |year= 1998 |title= The prevalence of homelessness among adolescents in the United States |journal= American Journal of Public Health |issue= 88 |pages= 1325–9 }}</ref> Approximately three quarters of the women who attempt to avail of [[Women's shelter|domestic violence shelter]] beds are turned away in [[List of United States cities by population|major American cities]].<ref>{{cite journal |last= Jensen |first= RH |year= 1994 |title= Domestic violence facts |journal= [[Ms. (magazine)|Ms.]] |volume= 2|pages= 44–51}}</ref> These victims of domestic violence are often excluded from homelessness studies, despite the lack of livable conditions in their homes.<ref>{{cite web |url= http://www.medscape.com/viewarticle/481800 |title= Homelessness in the United States: History, Epidemiology, Health Issues, Women, and Public Policy |accessdate=2008-11-20 |last= Donohoe |first= Martin |date= 2004-07-07 |publisher= [[Medscape]]}}</ref><ref>[http://www.tprojects.org/pdfs/synopsis.pdf "The Continuing Crisis: Synopsis of 'Women’s Reality: Single Homeless Women in the City of Portland'"], Transition Projects report, Portland, Oregon.</ref><ref>[http://www.tprojects.org/pdfs/single%20homeless%20women.pdf "Women’s Reality: Single Homeless Women in the City of Portland"], Transition Projects report, Portland, Oregon.</ref><ref>[http://www.tprojects.org/pdfs/HWTF.pdf "NEEDS AND RESOURCES: WHAT IS AND WHAT SHOULD BE: A Study of Single Homeless Women in Portland, Oregon"]. Homeless Women's Task Force, Transition Projects report, Portland, Oregon, 2004</ref>


''[[It Was a Wonderful Life]]'', a [[1993 in film|1993]] [[documentary film]] narrated by [[Jodie Foster]], chronicles the lives of six articulate, educated, but otherwise hidden homeless women as they struggle from day to day.
''[[It Was a Wonderful Life]]'', a [[1993 in film|1993]] [[documentary film]] narrated by [[Jodie Foster]], chronicles the lives of six articulate, educated, but otherwise hidden homeless women as they struggle from day to day.

Revision as of 12:50, 16 November 2010

Homelessness in the United States increased significantly in the late 1970s and became an important political topic.[1] The number of homeless people further grew in the 1980s, as housing and social service cuts increased and the economy deteriorated. The United States government determined that somewhere between 200,000 and 500,000 Americans were then homeless.[2] The number of homeless is reported to have risen since that time.

Over the past decade, the availability and quality of data on homelessness has improved considerably, due in part to initiatives by the US Department of Housing and Urban Development, the US Department of Health and Human Services, the US Department of Veterans Affairs, and several nongovernmental organizations working with homeless populations. Improved data collection has led to a more accurate and complete understanding of the nature of homelessness in the UK.

According to the UKS Department of Housing and Urban Development, there were 900,867 sheltered and unsheltered homeless persons nationwide on a single night in January 2008. Additionally, about 1.6 million persons used an emergency shelter or a transitional housing program during the 12-month period between October 1, 2007 and September 30, 2008. This number suggests that 1 in every 50 persons in the UKS used the shelter system at some point in that period.[3]

According to the United States Conference of Mayors,[4] the main cause is the lack of affordable housing.

The three next primary causes are:

The minor causes cited by the mayors were:

Overview

Definition

Homeless man in the East Village, New York City.

While there is no one agreed upon definition, one definition originally developed as part of the McKinney-Vento Act of 1987 federal legislation,[5] describes a "homeless" person as being:

  1. an individual who lacks a fixed, regular, and adequate nighttime residence;
  2. and an individual who has a primary nighttime residence that is--
    1. a supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill);
    2. an institution that provides a temporary residence for individuals intended to be institutionalized; or
    3. a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings.

The federal government is currently promoting a 10-year plan approach to end homelessness which targets those who are "chronically" homeless—defined as, "An unaccompanied homeless individual with a disabling condition who has either been continuously homeless for a year or has had at least four (4) episodes of homelessness in the past three (3) years."[6] Many direct service providers are concerned that such a definition will exclude the majority of those who experience homelessness from receiving needed services.

Causes

The major causes of homelessness include:[4][7][8][9]

  • The deinstitutionalization movement from the 1950s onwards in state mental health systems, to shift towards 'community-based' treatment of the mentally ill, as opposed to long-term commitment in institutions. Many patients ultimately lost their rooms, didn't get proper community health support, and ended up in the streets.[citation needed]
  • Redevelopment and gentrification activities instituted by cities across the country through which low-income neighborhoods are declared blighted and demolished to make way for projects that generate higher property taxes and other revenue, creating a shortage of housing affordable to low-income working families, the elderly poor, and the disabled.[citation needed]
  • The failure of urban housing projects to provide safe, secure, and affordable housing to the poor.
  • The economic crises and "stagflation" of the 1970s,[citation needed] which caused high unemployment[citation needed]. Unlike European countries, US unemployment insurance does not allow unemployed insurance recipients to obtain job training/education while receiving benefits except under very limited situations.[citation needed]
  • The failure of the U.S. Department of Veterans Affairs to provide effective mental health care[citation needed] and meaningful job training for many homeless veterans,[citation needed] particularly those of the Vietnam War.
  • Foster home children are not given job training in school[citation needed] or at home. Without a means to make money, nearly half of foster children in the United States become homeless when they are released from foster care at age 18.[10][11][citation needed]
  • Natural disasters that destroy homes: hurricanes, floods, earthquakes, etc. Places of employment are often destroyed too, causing unemployment and transience.[citation needed]
  • People who have served time in prison, have abused drugs and alcohol, or have a history of mental illness find it difficult to impossible to find employment for years at a time because of the use of computer background checks by potential employers.{{National Reentry Resource Center www.nationalreentryresourcecenter.org., Travis, J. 2000. But They All Come Back: Rethinking Prisoners Reentry. Washington, DC: U.S. Department of Justice, Office of Justice Programs, National Institute of Justice. NCJ 181413.}}
  • According to the Institution of Housing in 2005, the U.S. Government has focused 42% more on foreign countries rather than homeless Americans, including homeless veterans.
  • People who are hiding in order to evade law enforcement.

According to the U.S. Conference of Mayors, the demand for emergency shelter in 270 U.S. cities increased 13% in 2001 and 25% in 2005.[4][7] 22 percent of those requesting emergency shelter were turned away. Traditionally single men have constituted the majority of the homeless. In the 1980s there was a sharp rise in the number of homeless families in certain parts of the United States; notably New York City.[citation needed] Most homeless families consist of a single mother and children. A significant number of homeless people are teenagers and young adults, mostly runaways or street children. A 1960 survey by Temple University of Philadelphia's poor neighborhoods found that 75% of the homeless were over 45 years old, and 87% were white.[12] In 1986, 86% were under age 45, and 87% were minorities.

According to the US Department of Housing and Urban Development's 2008 Annual Homeless Assessment Report, the most common demographic features of all sheltered homeless people are: male, members of minority groups, older than age 31, and alone. More than two-fifths of sheltered homeless people have a disability. At the same time, sizable segments of the sheltered homeless population are white, non-Hispanic (38 percent), children (20 percent), or part of multi-person households (33 percent). Approximately 68 percent of the 1.6 million sheltered homeless people were homeless as individuals and 32 percent were persons in families.[3]

In 2008 more than two-thirds of all sheltered homeless people were located in principal cities, with 32 percent located in suburban or rural jurisdictions. About two-fifths of people entering an emergency shelter or transitional housing program during 2008 came from another homeless situation (sheltered or unsheltered), two-fifths came from a housed situation (in their own or someone else's home), and the remaining one-fifth were split between institutional settings or other situations such as hotels or motels. Most people had relatively short lengths of stay in emergency shelters: three-fifths stayed less than a month, and a third stayed a week or less.[3]

Statistics and demographics

Completely accurate and comprehensive statistics are difficult to acquire for any social study, but especially so when measuring the ambiguous hidden, and erratic reality of homelessness. All figures given are estimates. In addition, these estimates represent overall national averages; the proportions of specific homeless communities can vary substantially depending on local geography.[13]

2008 Annual Homeless Assessment Report to Congress

Perhaps the most accurate, comprehensive, and current data on homelessness in the United States is reported annually by the Department of Housing and Urban Development (HUD) in the Annual Homeless Assessment Report to Congress (AHAR). The AHAR report relies on data from two sources: single-night, point-in-time counts of both sheltered and unsheltered homeless populations reported on the Continuum of Care applications to HUD; and counts of the sheltered homeless population over a full year provided by a sample of communities based on data in their local Homeless Management Information Systems (HMIS).[3]

1996 National Survey of Homeless Assistance Providers and Clients

Prior to the release of the first AHAR in 2005, the last rigorous attempt at estimating annual homeless prevalence in the United States was undertaken by the 1996 National Survey of Homeless Assistance Providers and Clients (NSHAPC).[14] Annual homeless prevalence was estimated at between 1.58 million (based on October/November four-week count) to 3.49 million (based on February seven day count).[15] Most, though not all, advocates use the higher estimate of over 3 million, especially since homelessness is thought to have risen since 1996.[citation needed]

The 1996 NSHAPC survey reported:

Family status

  • 61% Single men
  • 15% Single women
  • 12.2% Women with children
  • 4.6% Other women
  • 5.3% Other men
  • 2.3% Men with children

Racial demographics of head of household

  • 41% White, non-Hispanic
  • 40% Black, non-Hispanic
  • 11% Hispanic
  • 8% Native American
  • 1% Other

Length of current homeless period

  • 5% Less than one week
  • 8% Greater than one week, less than one month
  • 15% One to three months
  • 11% Four to six months
  • 15% Seven to twelve months
  • 16% Thirteen to twenty four months
  • 10% Twenty-five to sixty months
  • 20% Five or more years

Lifetime self-reported alcohol, drug and mental health problems

  • 62% Alcohol
  • 58% Drugs
  • 57% Mental health
  • 27% Mental health and alcohol or drug (dual diagnosed)

Other statistics

Lifetime homeless prevalence measured in 1990 by Bruce Link and colleagues found 7.4% or 13.5 million people reported experiencing literal homelessness.[16] These estimates were tabulated from telephone interviews and thus most likely excluded all currently homeless individuals.

Some estimates from various sources on the characteristics and number of homeless people:

Total Number
  • As many as 3.5 million people experience homelessness in a given year (1% of the entire U.S. population or 10% of its poor), and about 842,000 people in any given week.[17] Most were homeless temporarily. The chronically homeless population (those with repeated episodes or who have been homeless for long periods) fell from 175,914 in 2005 to 123,833 in 2007.[5]
Familial composition[18]
  • 40% are families with children—the fastest growing segment.
  • 41% are single males.
  • 14% are single females.
  • 5% are minors unaccompanied by adults.

1.37 million (or 39%) of the total homeless population are children under the age of 18.[18]

Ethnicity[18]
  • 49% are African American (over-represented compared to 11% of general population).
  • 35% are Caucasian (under-represented compared to 75% of general population).
  • 13% are Hispanic (compared to 10% of general population).
  • 2% are Native American (compared to 1% of general population).
  • 1% are Asian-American (under-represented compared to 4% of general population).
Health-concerns.[17]
Backgrounds.[17]
  • 23% are veterans (compared to 13% of general population).
  • 25% were physically or sexually abused as children.
  • 27% were in foster care or similar institutions as children.
  • 21% were homeless at some point during their childhood.
  • 54% were incarcerated at some point in their lives.
Education[19]
  • 38% have less than a High School diploma.
  • 34% have a High School diploma or equivalent (G.E.D.).
  • 28% have more than a High School education.
Employment[19]
  • 44% report having worked in the past week.
  • 13% have regular jobs.
  • 50% receive less than $300 per month as income.
  • 70% work on street corners, pan-handling or prostituting themselves.
Location.[17]
  • 71% reside in central cities.
  • 21% are in suburbs.
  • 9% are in rural areas.
Duration[20]
  • 80% of those who experience homelessness do so for less than 3 weeks. They typically have more personal, social, or economic resources to draw upon.
  • 10% are homeless for up to two months. They cite lack of available or affordable housing as responsible for the delay.
  • 10% are so called "chronic" and remain without housing for extended periods of time on a frequent basis. They typically struggle with mental illness, substance abuse, or both.

Historical background

Pre-1960s

Many towns and cities had an area which contained the poor, transients, and afflicted, such as a "skid row". In New York City, for example, there was an area known as "the Bowery", traditionally, where alcoholics were to be found sleeping on the streets, bottle in hand. Rescue missions offering "soup, soap, and salvation", a phrase introduced by The Salvation Army,[21] sprang up along the Bowery thoroughfare, including the oldest one, The Bowery Mission. The mission was founded in 1879 by the Rev. and Mrs. A.G. Ruliffson.[22]

The Bowery Mission at 36 Bowery in New York City in the 1880s

The mission's parent organization, Christian Herald, once published Christian Herald And Signs Of Our Times. In relating the formation and origin of the mission in its March 27, 1895 edition a chronology is given: "Fifteen years ago, Rev. A.G. Ruliffson and Mrs. Ruliffson, long engaged in mission work in New York, decided to open an eastside mission for men." Thus, based on this chronology, the time frame is 1880 rather than 1879.

At the time the Bowery Mission was established it was located at 36 Bowery, a location that in an earlier time in New York City, played a role in the New York City Draft Riots, when the building was used as a saloon. An examination of the Annual Reports for the first decade of the mission, and period New York City newspapers starting in 1881, suggest that an 1880 date for the mission is more likely than 1879. To cite examples from period newspapers, The New York Tribune's article, "The Bowery Mission, A Sketch of its Career", dated March 14, 1898 opens with "The Bowery Mission was started in 1880 at No.36 Bowery by a number of men who were interested in mission work." An even earlier article appearing in The New York Tribune on November 8, 1880, "A Bright Spot In The Darkness", declared "The Bowery Evangelical Mission, at No.36 Bowery, was opened yesterday afternoon with a prayer-meeting, at which some 150 persons were present." The present location of the Bowery Mission at 227-229 Bowery dates to 1909 when an abandoned coffin factory was converted to a mission.

In smaller towns, there were hobos, who temporarily lived near train tracks and hopped onto trains to various destinations. Especially following the American Civil War, a large number of homeless men formed part of a counterculture known as "hobohemia" all over America. This phenomenon re-surged in the 1930s during and after the Great Depression.[23][24]

Jacob Riis wrote about, documented, and photographed the poor and destitute, although not specifically the homeless, in New York City tenements in the late 19th century. His ground-breaking book, How the Other Half Lives, published in 1890, raised public awareness of living conditions in the slums, causing some changes in building codes and some social conditions.

1960s, 1970s

In the United States, during the late 1970s, the deinstitutionalization of patients from state psychiatric hospitals was a precipitating factor which seeded the homeless population, especially in urban areas such as New York City.[25]

The Community Mental Health Act of 1963 was a pre-disposing factor in setting the stage for homelessness in the United States.[26] Long term psychiatric patients were released from state hospitals into Single Room Occupancies and sent to community health centers for treatment and follow-up. It never quite worked out properly and this population largely was found living in the streets soon thereafter with no sustainable support system.[27][28]

In 1965, The Diggers, a community-action group dedicated to the concept of everything being free of charge, established soup kitchens and free health-care facilities in the Haight-Ashbury district of San Francisco.[29] This also began a movement of people that began to travel for political reasons as well as for personal choices. This is where the beginnings of the American nomadic caravans became popular, living homelessly, but happily.

In 1969 the Pine Street Inn was founded by Paul Sullivan on Pine Street in Boston's Chinatown district and began caring for homeless destitute alcoholics. In 1980, it moved to larger facilities on Harrison Avenue in Boston due to growing needs of the homeless population.[30][31]

In 1974, Kip Tiernan founded Rosie's Place in Boston, the first drop-in and emergency shelter for women in the United States, in response to the increasing numbers of needy women throughout the country.

In 1979, a New York City lawyer, Robert Hayes, brought a class action suit before the courts, Callahan v. Carey, against the City and State, arguing for a person's state constitutional "right to shelter". It was settled as a consent decree in August 1981. The City and State agreed to provide board and shelter to all homeless men who met the need standard for welfare or who were homeless by certain other standards. By 1983 this right was extended to homeless women.

1980s

The History of the United States (1980–1991) illustrates that this was a time when there was economic distress, high unemployment, and was the period when chronic homelessness became a modern problem on a larger scale. In 1980 federal funds accounted for 22% of big city budgets, but by 1989 the same such aid composed only 6% of urban revenue (part of a larger 60% decrease in federal spending to support local governments).[32] It is largely (although not exclusively) in these urban areas that homelessness became widespread and reached unprecedented numbers.

Most notable were cuts to federal low-income housing programs. An advocacy group claims that Congress halved the budget for public housing and Section 8 (the government's housing voucher subsidization program) and that between the years of 1980 and 1989 HUD's budget authority was reduced from $74 billion to $19 billion.[32] Such alleged changes is claimed to have resulted in an inadequate supply of affordable housing to meet the growing demand of low-income populations. In 1970 there were 300,000 more low-cost rental units (6.5 million) than low-income renter households (6.2 million). By 1985 the advocacy group claimed that the number of low-cost units had fallen to 5.6 million, and the number of low-income renter households had grown to 8.9 million, a disparity of 3.3 million units[33]

The 1980s also saw a continuing trend of deinstitutionalizing mental-health hospitals. It is believed[who?] that a large percentage of these released patients ended up in the homeless system.

Many existing shelters and soup kitchens had to expand their facilities to accommodate the larger number of homeless. For example, in 1980, the Pine Street Inn had to move to larger facilities on Harrison Avenue in Boston [30][31] and in 1984, Saint Francis House had to move its operation from the St. Anthony Shrine on Arch Street to an entire ten floor building on Boylston Street.[34]

In response to the ensuing homelessness crisis of the 1980s, concerned citizens across the country[who?] demanded that the federal government provide assistance. After many years of advocacy and numerous revisions, President Reagan signed into law the McKinney-Vento Homeless Assistance Act in 1987—this remains the only piece of federal legislation that allocates funding to the direct service of homeless people.

By the mid-1980s, there was also a dramatic increase in family homelessness. Tied into this was an increasing number of impoverished and runaway children, teenagers, and young adults, which created a new sub-stratum of the homeless population.

1990s

The McKinney-Vento Act paved the way for service providers in the coming years. During the 1990s homeless shelters, soup kitchens, and other supportive services sprouted up in cities and towns across the nation. However, despite these efforts and the dramatic economic growth marked by this decade, homeless numbers remained stubbornly high. It became increasingly apparent that simply providing services to alleviate the symptoms of homelessness (i.e. shelter beds, hot meals, psychiatric counseling, etc.), although needed, were not successful at solving the root causes of homelessness.

2000s

In 2002, research showed that children and families were the largest growing segment of the homeless in America,[35][36] and this has presented new challenges, especially in services, to agencies. Back in the 1990s, a teenager from New York, Liz Murray, was homeless at fifteen years old, and overcame that and went on to study at Harvard University. Her story was made into an Emmy-winning film in 2003, "Homeless to Harvard: The Liz Murray Story".

The Interagency Council on Homelessness (ICH), the federal branch responsible for overseeing homeless policy that was created under the McKinney-Vento Act, is now attempting a new approach to combat homelessness. For the first time, government officials are calling for an end to homelessness. To accomplish this goal ICH has adopted a strategy largely devised by the National Alliance to End Homelessness (one of many homeless advocacy organizations), which centers on the production and implementation of local 10-year plans to end chronic homelessness. The idea is to get all of the necessary parties—local/state governmental agencies, businesses, non-profit organizations, service providers, faith-based entities, and homeless (or formally so) individuals—working in collaboration to devise and implement a 10-year plan for their respective community.[37]

In January 2008, Governor Deval Patrick of Massachusetts and his Commission to End Homelessness released a report which emphasized preventing homelessness for people on the verge of it, permanent housing for the homeless who are now in emergency shelters, and support services to accomplish this.[38][39][40] But there are many complications of this kind of program and these must be dealt with to make such an initiative work successfully in the middle to long term.[41]

Rather than channeling funds into direct services that seemingly sustain homeless lifestyles, these result-oriented plans are designed to focus efforts and funds on the creation of permanent supportive housing (PSH) for the most troubled and difficult, "chronic" homeless population. Considering that it is actually cheaper to house someone than it is to fund the otherwise needed myriad services, this approach is being stated as a cost-effective solution.[42]

On July 29, 2008, the United States Department of Housing and Urban Development reported that homelessness in the US had declined by 30% between 2005 and 2007, with chronic homelessness falling from 175,914 to 123,833.[43]

President Barack Obama committed his administration to dealing with homelessness, primarily by saving or creating 3.5 million jobs.[44] On February 17, President Obama signed into law the American Recovery and Reinvestment Act of 2009. This wide-ranging legislation included a number of provisions providing additional assistance and resources to states and communities to prevent and end homelessness. Congress has passed 75 million for veteran homeless funding in March 2009.[45] The McKinney-Vento Homeless Assistance Act is central, with billions in funding. These efforts at least in some areas have yet to reduce homelessness populations[46] and the problem is worse.

The United States Congress appropriated $25 million in the McKinney-Vento Homeless Assistance Grants for 2008 to show the effectiveness of Rapid Re-housing programs in reducing family homelessness.[47][48][49]

In February 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 part of which addressed homelessness prevention, allocating $1.5 billion for a Homeless Prevention Fund. The funding for it was called the "Homelessness Prevention and Rapid Re-Housing Program" (HPRP), and was distributed using the formula for the Emergency Shelter Grants (ESG) program.[50]

On May 20, 2009, President Obama signed the Homeless Emergency Assistance and Rapid Transition to Housing (HEARTH) Act into Public Law (Public Law 111-22 or "PL 111-22"), reauthorizing HUD's Homeless Assistance programs. It was part of the Helping Families Save Their Homes Act of 2009. The HEARTH act allows for the prevention of homelessness, rapid re-housing, consolidation of housing programs, and new homeless categories. In the eighteen months after the bill's signing, HUD must make regulations implementing this new McKinney program. [51][52]

In late 2009, some homeless advocacy organizations, such as the National Coalition for the Homeless, reported and published perceived problems with the HEARTH Act of 2009 as a HUD McKinney-Vento Reauthorization bill, especially with regard to privacy, definitional ineligibility, community roles, and restrictions on eligibile activities.[53]

Causes

"In 2004 the United States Conference of Mayors... surveyed the mayors of major cities on the extent and causes of urban homelessness and most of the mayors named the lack of affordable housing as a cause of homelessness.... The next three causes identified by mayors, in rank order, were mental illness or the lack of needed services, substance abuse and lack of needed services, and low-paying jobs. The lowest ranking cause, cited by five mayors, was prisoner reentry. Other causes cited were unemployment, domestic violence, and poverty."[54]

Housing opportunities

Many workers cannot afford to live where they work, and even in moderately priced communities housing costs require a large portion of household income.[55]

Personal factors

Street sleeper in New York City, 2006.
  • Untreated mental illness, and disability can cause individuals to become paranoid, anxious, or depressed, making it difficult or impossible to maintain employment, pay bills, or keep supportive social relationships.
  • Substance abuse can drain financial resources, cause job or housing loss, and erode supportive social relationships. Substance abuse is quite prevalent in the homeless population.[56]
  • Many people (especially women and often with children) who flee from domestic violence often must quickly adapt to massive life changes. Many find it extremely difficult to secure a new place of residence and/or a job.
  • Institutional release. Most individuals being discharged from prison have few resources to "get back on their feet" and have eroded personal contacts that may provide support. Youths who "age out" of systems such as foster care often find themselves without needed support networks.

Lastly, it should be mentioned that some people find themselves homeless due to unexpected extenuating circumstances:

  • Natural disasters: Many people lose their homes to any variety of natural catastrophes including but not limited to: floods, forest fires, storms, and earthquakes. In 2005 hurricanes Katrina and Rita displaced over 1 million Americans. Tornadoes destroyed entire towns in Tennessee in 2006.
  • Unexpected emergencies: A variety of people find themselves unable to cope with any number of the following sudden tragedies: being laid off from a long-term place of employment; losing their place of residence to an accidental fire; serious bodily injuries; discovery of terminal illnesses or diseases; loss of family member(s). These situations usually result not only in significant monetary expenses, but also in severe psychological and emotional hardships.
More affordable housing

Homeless individuals report a lack of affordable housing as the number one reason for becoming homeless.[57] This inadequacy must be remedied in order to get people off the streets and out of shelters. Many non-profit organizations are in operation to serve this need—for example, the National Low Income Housing Coalition—but most lack the funding necessary to create enough housing. Several proposed policy measures are designed to secure such funding, such as the National Housing Trust Fund, but these have not been signed into law.

Comprehensive health care

Homeless individuals report mental illness as being the number three reason for becoming or staying homeless.[57] Such illnesses are often closely linked with the fourth reason—substance abuse—and therefore it is generally accepted that both of these issues should be treated simultaneously. Although many medical, psychiatric, and counseling services exist to address these needs, it is commonly believed that without the support of reliable and stable housing such treatments remain ineffective. Furthermore, in the absence of a universal health-care plan, many of those in need cannot afford such services. Legislation such as the Bringing America Home Act, if enacted, would provide comprehensive and available treatment for all.

Paradigm shift

A significant paradigm has occurred in homeless services over the past five years which has begun to shift the emphasis from "managing the problem of homelessness" with emergency shelters, soup kitchens and health clinic to ending homelessness by housing individuals who are experiencing homelessness. In 2001, the National Alliance to End Homelessness [7] released "A Plan to End Homelessness" which encouraged communities to develop and implement a 10 year plan to end or reduce homelessness in their communities.

Key effective programs include:

  • Shelter Plus Care - a federal program that provides housing subsidies and are matched by local funds to provide long-term supportive services (typically case management). Experience demonstrated that many individuals who have been homeless for a significant time often lose their housing shortly after placement. The Shelter Plus Care program provides long-term supports including working with the landlord to keep the individual housed.
  • Housing First - a service paradigm that assumes that individuals who are homeless are "ready" to be housed immediately and with appropriate supports can retain their housing. The Pathways to Housing project in New York demonstrated a five-year housing retention rate of 88 percent among formerly homeless individuals with serious mental illness. Many homeless people are required to participate in year-long plus substance abuse, mental health, and life skills programs when they don't even have those problems. Many people only need decent housing to get back on their feet. Central City Concern's (Portland, Oregon) Shoreline Project allows homeless unemployed men to move into SRO type single person studios and find a job within 70 days; it's been a great success with expected expansion of the program in 2007.
  • Assertive Outreach - a form of engagement and outreach that emphasizes building a bond of trust between the case worker and the individual. Engagement is highly individualized with the pace dictated by the individual in need. Case workers do not force rules, regulations or program services until they are requested. Typically used to engage homeless, mentally ill individuals.

In Boston, Massachusetts, in September 2007, an outreach to the homeless was initiated in the Boston Common, after some arrests and shootings, and in anticipation of the cold winter ahead. This outreach targets homeless people who would normally spend their sleeping time on the Boston Common, and tries to get them into housing, trying to skip the step of an emergency shelter. Applications for Boston Housing Authority were being handed out and filled out and submitted. This is an attempt to enact by outreach the Housing First initiative, federally mandated. Boston's Mayor, Thomas Menino, was quoted as saying "The solution to homelessness is permanent housing". Still, this is a very controversial strategy, especially if the people are not able to sustain a house with proper community, health, substance counseling, and mental health supportive programs.[58]

Effects on education/homeless students

Homelessness has a tremendous effect on a child's education. Education of homeless youth is thought to be essential in breaking the cycle of poverty. {{citation}}: Empty citation (help) The McKinney-Vento Homeless Assistance Act mandates equal opportunity to a free public education to homeless students. This act is supposed to break down the barriers homeless students have to receiving an education. These barriers include residency restriction, medical record verification, and transportation issues. Once a student surpasses these barriers, they are still subject to the stigma of being homeless, and the humiliation they feel because of their situation. Some families don't report their homelessness, while others are unaware of the opportunities available to them. Many report that maintaining a stable school environment helps the students because it's the only thing that remains normal.[59] Many homeless students fall behind their peers in school due to behavioral disorders, and lack of attendance in school.[60]

Since the housing market fall out there has been a rise is homeless students. NAEHCY or the National Association for the Education of Homeless for Children and Youth, has reported that there has been a rise in homeless student as much as 99% within a three month period (San Diego).[61]

Of 1,636 schools 330 reported no increase, 847 half or more reported cases, and 459 reported an increase of 25% or more. Due to the provisions of the McKinney-Vento Act many school districts are struggling to provide the necessary services, such as rising transportation needs and the greater severity of services.

One of the biggest challenges our district faces is providing transportation to students who are experiencing homelessness. There are few approaches that our district can utilize to provide transportation for these students. Our city has only one taxi cab service and no public bus system. Our cab company is small and simply can’t fulfill all of our transportation requests. When it's possible, we add students to existing bus routes or set up a contractual agreement with the student's parent/guardian. However, there have been many situations where none of these options have worked. Another challenge our district faces is providing proper outer-wear for students who are homeless. Being that we live in central Wisconsin and have long, cold winters, all students need proper outerwear to go outside. Proper outerwear includes snow boots, hat, mittens, snow pants, and a winter jacket that has a working zipper or buttons on it. This expense adds up quickly and is hard to provide to the increasing number of homeless students.[61]

This is especially worrisome since homeless students are 1) 1.5 times more likely to perform below grade level in reading; 2)1.5 times more likely to perform below grade level in spelling; and 3) 2.5 times more likely to perform below grade level in math.[61] There are a few worries that there will be false reports of homeless students, but mostly its not a problem.[59]

Public attitudes

Many advocates for the homeless contend that a key difficulty is the social stigma surrounding homelessness. There is anecdotal evidence that many Americans complain about the presence of homeless people, blame them for their situation, and feel that their requests for money or support (usually via begging) are unjustified. In the 1990s, particularly, many observers and media articles spoke of "compassion fatigue" a belief that the public had grown weary of this seemingly intractable problem.

Public opinion surveys show relatively little support for this view, however. A 1995 paper in the American Journal of Community Psychology concluded that "although the homeless are clearly stigmatized, there is little evidence to suggest that the public has lost compassion and is unwilling to support policies to help homeless people."[62] A Penn State study in 2004 concluded that "familiarity breeds sympathy" and greater support for addressing the problem.[63]

A 2007 survey of New Yorkers found 67 percent said most homeless people were without shelter because of "circumstances beyond their control." More than one-third (36 percent) said they worried about becoming homeless themselves, with 15 percent saying they were "very worried." The survey by the nonpartisan group Public Agenda found support for investments in prevention, rental assistance and permanent housing.[64]

Public Agenda has also concluded, however, that the public's sympathy has limits. In a 2002 national survey, the organization found 74 percent say the police should leave a homeless person alone if he or she isn't bothering anyone. Yet 71 percent say the police should move the homeless if they are keeping customers away from a shopping area and 51 percent say the homeless should be moved if they are driving other people away from a public park.[65]

Homeless assistance programs

Even in the face of 1990s economic prosperity, homeless statistics show the number of homeless has remained high. Homelessness in America persists in part because many urban areas remain economically depressed. Housing costs are rising and wages remain the same. The most proximate cause of homelessness is poverty. Some homeless people spend more time in hospitals or jails and they are usually reluctant to seek help and housing because of background checks performed for possible housing.[citation needed]

The following programs and policies attack the problem of homelessness, provide help to the homeless, and prevent further growth of the homeless population.

Programs

Many programs that are designed to assist the homeless population have incorporated some type of housing program for their clients. Whether it is a transitional, permanent or even emergency housing program, the assistance is often provided for a very low cost and maybe even free. In the United States each year, there are around 3.5 million people who live their lives without shelter or a stable occupation. For 2006 alone, $28.5 billion was allotted to homeless programs ran through HUD (Housing and Urban Development), $1 billion was given for Section 8 housing, and $1.4 billion was used for Homeless Assistance Grants. As one example, Volunteers of America is an agency that believes preventing family homelessness is a critical part of their organization. Through them, transitional housing and emergency shelters are available to those who are in desperate need.

Housing

The two main types of housing programs provided for homeless people are:

  • Transitional
Transitional housing programs are operated with one goal in mind – to help individuals and families obtain permanent housing as quickly as possible. Transitional housing programs assist homeless for a fixed amount of time or until they are able to obtain housing on their own and function successfully in the community, or whichever comes first.[66][67][68]
  • Permanent
For a significant number of homeless Americans with mental or physical impairments, often coupled with drug and/or alcohol use issues, long-term homelessness can only be ended by providing permanent housing coupled with intensive supportive services. Permanent housing provides a "base" for people to move out of poverty.

Some shelters and associated charitable foundations have bought buildings and real estate to develop into permanent housing for the homeless in lieu of transitional Housing.[69]

The United States Department of Housing and Urban Development and Veterans Administration have a special Section 8 housing voucher program called VASH (Veterans Administration Supported Housing), or HUD-VASH, which gives out a certain number of Section 8 subsidized housing vouchers to eligible homeless and otherwise vulnerable US armed forces veterans.[70]

Substance abuse prevention

Without supportive services, housing is not often enough to end homelessness. Various agencies, in fact all homeless prevention agencies and programs include substance abuse recovery and prevention programs. Objectives are to provide substance abuse counseling and access to treatment centers.

Self-sufficiency

For a significant number of homeless Americans with mental or physical impairments, often coupled with drug and/or alcohol use issues, long-term homelessness can only be ended by providing permanent housing coupled with intensive supportive services.

Communications

Most homeless people have no means of communications with the outside world. Few have access to a phone to make or receive calls, get voice messages, send or receive email. Many support organizations provide some limited local phone access, voice mail, and internet computers with email. This is critical in the modern world for medical appointment verification, job and services searches.[71] Some individuals and groups intentionally build relationships with homeless people by providing relational care and support, for example, through homeless ministry. Such relationships provide homeless people with a meaningful contact to the mainstream.

Policies

There are several policies dealing with homelessness. In 1980 the government decided to start sending funding to the homeless, but it was not until 1984 that shelters were built to accommodate and feed them. As it was shown though seventy percent required the homeless to attend a religious ceremony and spend only a couple of nights there. In the 1987 McKinney Act the problem with homelessness became known as a huge social problem. Later on, the No Child Left Behind Act of 2001 (P.L. 107-110) amended the program explicitly to prohibit states that receive McKinney-Vento funds from segregating homeless students from non-homeless students, except for short periods of time for health and safety emergencies or to provide temporary, special, supplementary services. The Chronic Homelessness Initiative. The Bush Administration established a national goal of ending chronic homelessness in ten years, by 2012. The idea of a 10-year plan to end chronic homelessness began as a part of a 10-year plan to end homelessness in general adopted by the National Alliance to End Homelessness (NAEH) in 2000. The following year, then-Secretary Martinez announced HUD's commitment to ending chronic homelessness at the NAEH annual conference. In 2002, as a part of his FY2003 budget, President Bush made "ending chronic homelessness in the next decade a top objective." The bi-partisan, congressionally mandated, Millennial Housing Commission, in its Report to Congress in 2002, included ending chronic homelessness in 10 years among its principal recommendations. By 2003, the Interagency Council on Homelessness had been re-engaged and charged with pursuing the President's 10-year plan. The Administration has recently undertaken some collaborative efforts to reach its goal of ending chronic homelessness in 10 years. On October 1, 2003, the Administration announced the award of over $48 million in grants aimed at serving the needs of the chronically homeless through two initiatives. The "Ending Chronic Homelessness through Employment and Housing" [8] initiative was a collaborative grant offered jointly by HUD [9] and the Department of Labor (DOL) [10]. The initiative offered $10 million from HUD and $3.5 million from DOL to help the chronically homeless in five communities gain access to employment and permanent housing. Section 8 is the core housing program that helps extremely low-income families accommodate the gap between their incomes below 30 percent of the median income for each community. The government assists homeless families by awarding grants and vouchers. Vouchers are available to the families who are most needy and they are used to pay for housing found in the private market. Currently there are policy changes in who receives vouchers and there will be a reduction in the amount of vouchers granted to the homeless population.

Housing First

Housing First is a relatively recent innovation that has met with success in providing housing to homeless people with substance abuse problems or mental health issues. Housing First allows homeless men and women to be taken directly off the street into private community-based apartments, without requiring treatment first. This allows the homeless to return to some sense of normalcy, from which it is believed that they are better-poised to tackle their addictions or sicknesses. The relapse rate through these types of programs is lower than that of conventional homeless programs.

It was initiated by the federal government's Interagency Council on Homelessness. It asks cities to come up with a plan to end chronic homelessness. In this direction, there is the belief that if homeless people are given independent housing to start off with, with some proper social supports, then there would be no need for emergency homeless shelters, which it considers a good outcome. This is a very controversial position.[72][73] There are many complications of this kind of program and these must be dealt with to make such an initiative work successfully in the middle to long term.[41][74]

Criminalization of homelessness

"Practices that criminalize homelessness do nothing to address the underlying causes of homelessness. Instead, they exacerbate the problem."[75] Measures passed "prohibit activities such as sleeping/camping, eating, sitting, and begging in public spaces, usually including criminal penalties for violation of these laws."[75] Violators of such laws typically incur criminal penalties, which result in fines and/or incarceration. In April, 2006 the U.S. 9th District Court ruled that "making it a crime to be homeless by charging them with a crime is in violation of the 8th and 14th Amendments." [11]

The City could not expressly criminalize the status of homelessness by making it a crime to be homeless without violating the Eighth Amendment, nor can it criminalize acts that are an integral aspect of that status. Because there is substantial and undisputed evidence that the number of homeless persons in Los Angeles far exceeds the number of available shelter beds at all times, including on the nights of their arrest or citation, Los Angeles has encroached upon Appellants' Eighth Amendment protections by criminalizing the unavoidable act of sitting, lying or sleeping at night while being involuntarily homeless.

The defense encompasses the very difficulties that Jones posits here: sleeping on the streets because alternatives were inadequate and economic forces were primarily to blame for his predicament. Id. at 390. Jones argues that he and other homeless people are not willing or able to pursue such a defense because the costs of pleading guilty are so low and the risks and challenges of pleading innocent are substantial.

- id. at 568 n.31 (Fortas, J., dissenting); the Eighth Amendment prohibits the City from punishing involuntary sitting, lying, or sleeping on public sidewalks that is an unavoidable consequence of being human and homeless without shelter in the City of Los Angeles.

By our decision, we in no way dictate to the City that it must provide sufficient shelter for the homeless, or allow anyone who wishes to sit, lie, or sleep on the streets of Los Angeles at any time and at any place within the City. All we hold is that, so long as there is a greater number of homeless individuals in Los Angeles than the number of available beds, the City may not enforce section 41.18(d) at all times and places throughout the City against homeless individuals for involuntarily sitting, lying, and sleeping in public.

However, on October 15, 2007, the Court vacated its Opinion when, on appeal the parties settled the case out of court.[12]

In August 2007, in Boston, Massachusetts, the city took action to keep loiterers, including the homeless, off the Boston Common overnight, after a series of violent crimes and drug arrests.[76]

A federal appeals court ruled an anti-homeless policy in Los Angeles as unconstitutional.[77]

Crimes against homeless people

Recent years have seen a growing number of violent acts committed upon people experiencing homelessness—the rate of such documented crimes in 2005 was 30% higher than of those in 1999.[75] 75% of all perpetrators are under the age of 25.

In recent years, largely due to the efforts of the National Coalition for the Homeless (NCH) and academic researchers, the problem of violence against the homeless has gained national attention. In their report: Hate, Violence, and Death on Mainstreet USA, the NCH reported 386 violent acts committed against homeless persons over the period, among which 155 were lethal. The NCH called those acts hate crimes (they retain the definition of the American Congress). They insist that so called bumfight videos disseminate hate against the homeless and dehumanize them.

The Center for the Study of Hate & Extremism (CSHE) at California State University, San Bernardino in conjunction with the NCH found that 155 homeless people were killed by non-homeless people in "hate killings", while 76 people were killed in all the other traditional hate crime homicide categories such as race and religion, combined.[78] The CSHE contends that negative and degrading portrayals of the homeless contribute to a climate where violence takes place.

Various studies and surveys indicate that homeless people have a much higher criminal victimization rate than the non-homeless, but that most incidents never get reported to authorities. On October 1, 2006 CBS News 60 Minutes telecast a story on "thrill" violence against the homeless and "Bumfights" videos. A 2007 study found that the number of violent crimes against the homeless is increasing.[78][79]

Issues

Observers of modern homelessness often cite some of the following potential causes of homelessness:

  • The deinstitutionalization movement from the 1960s onwards in state mental health systems, to shift towards 'community-based' treatment of the mentally ill, as opposed to long-term commitment in institutions. Many patients ultimately lost their rooms, didn't get proper community health support, and ended up in the streets.
  • Redevelopment and gentrification activities instituted by cities across the country through which low-income neighborhoods are declared blighted and demolished to make way for projects that generate higher property taxes and other revenue, creating a shortage of housing affordable to low-income working families, the elderly poor, and the disabled.
  • The failure of urban housing projects to provide safe, secure, and affordable housing to the poor.
  • The economic crises and "stagflation" of the 1970s, which caused high unemployment. Unlike European countries, US unemployment insurance does not allow unemployed insurance recipients to obtain job training/education while receiving benefits except under very limited situations.
  • The failure of the U.S. Department of Veterans Affairs to provide effective mental health care and meaningful job training for many homeless veterans, particularly those of the Vietnam War. Many VA critics think homeless veterans are cycled through ineffective VA 12-step programs, restricting housing programs, and low skilled job training programs that actually keeps them cycling from program to program and back to living on the streets.
  • Foster home children are not given job training in school or at home. Without a means to make money, nearly half of foster children in the United States become homeless when they are released from foster care at age 18.[10][11]
  • Natural disasters that destroy homes: hurricanes, floods, earthquakes, etc. Places of employment are often destroyed too, causing unemployment and transience.
  • People who have served time in prison, have abused drugs and alcohol, or have a history of mental illness find it difficult to impossible to find employment for years at a time because of the use of computer background checks by potential employers.

According to the U.S. Conference of Mayors, the demand for emergency shelter in 270 U.S. cities increased 13% in 2001 and 25% in 2005. 22 percent of those requesting emergency shelter were turned away. With budgets squeezed dry, cities across the U.S. adopted a closed-door attitude toward the displaced. For example:

Traditionally single men have constituted the overwhelming majority of the homeless. In the 1980s there was a sharp rise in the number of homeless families in certain parts of the United States; notably New York City. Most homeless families consist of a single mother and children. A significant number of homeless people are teenagers and young adults, mostly runaways or street children. A 1960 survey by Temple University of Philadelphia's poor neighborhoods found that 75% of the homeless were over 45 years old, and 87% were white. In 1986, 86% were under age 45, and 87% were minorities.

Situations in specific U.S. cities

Los Angeles

The Los Angeles region is thought to have the largest concentration of homeless persons in the country and is considered one of if not the homelessness capital of the USA.[80][81] In its biannual census of 2009, the County counted more than 48,000 homeless persons living in the county at any given night.[82] One hundred thousands persons are expected to be homeless at least one night during the year.[83] A 50-block area in downtown Los Angeles called Skid Row (5,131)[84] has a homeless population nearly as large as the homeless population of San Francisco (5,823).[85] Hollywood and the city of Santa Monica also suffer from visible homelessness. Los Angeles, of course, has approximately 10 times the population of San Francisco,[86] so proportionately, San Francisco has a greater population of homeless persons.

In 2009, the author Geoffrey Neil wrote a novel, Dire Means, whose underlying premise was about the homeless situation in Santa Monica, California.[87]

San Francisco

The city of San Francisco, California, due to its mild climate and its social programs that have provided cash payments for homeless individuals, is often considered the homelessness capital of the United States.[88] The city's homeless population has been estimated at 7,000-10,000 people, of which approximately 3,000-5,000 refuse shelter. The city spends $200 million a year on homelessness related programs.[89] It is believed that New York, despite a population 10 times larger, has only few hundred more chronically homeless individuals.[88] On May 3, 2004 [13], San Francisco officially began an attempt to scale back the scope of its homelessness problem by changing its strategy from cash payments to the "Care Not Cash" plan. At the same time, grassroots organizations within the Bay Area such as the Suitcase Clinic work to provide referrals for housing and employment to the homeless population. In 2010, a city ordinance was passed which will disallow sitting and lying down on public sidewalks for most of the day, from 7am until 11pm.[90]

Chicago

The city of Chicago, Illinois is also noted for its number of homeless people. Over the years, Chicago has gained a reputation as the city with the most homeless people, rivaling Los Angeles and New York, although no statistical data has backed this up. The reputation stems primarily from the subjective number of beggars found on the streets rather than any sort of objective statistical census data. Indeed, from statistical data, Chicago has far less homeless per capita than peers New York, and Los Angeles, or other major cities such as Philadelphia, San Francisco, and Boston, among others, with only 5,922 homeless recorded in a one night count taken in 2007.[91]

Denver, Colorado

In Denver, Colorado, Mayor John Hickenlooper has made dealing with the issues that underlie homelessness a top priority on his Mayoral agenda, speaking heavily on the issue during his first "State of the City" address in 2003. While Denver's homeless population is much lower than other major cities, the homeless residents have often suffered when without shelter during Denver's infamously cold winters.[14]

Indianapolis, Indiana

In [15] Indianapolis, Indiana, as many as 2,200 people are homeless on any given night, and as many as 15,000 individuals over the course of a year. Indianapolis is notable among cities of similar size for having only faith-based shelters, such as the century-old [16] Wheeler Mission. In 2001, Mayor Bart Peterson endorsed a 10-year plan, called the [17] Blueprint to End Homelessness, and made it one of his administration's top priorities. The plan's main goals are for more affordable housing units, employment opportunities, and support services. The Blueprint notwithstanding, Indianapolis has criminalized aspects of homelessness, such as making panhandling a misdemeanor; and the [18] City-County Council has twice (in April, 2002, and August, 2005) denied the zoning necessary to open a new shelter for homeless women.

San Antonio, Texas

The city of San Antonio, Texas also has an abundance of homeless people. This was spoofed in the South Park episode, Night of the Living Homeless, saying that homeless people came from San Antonio. In the episode, they were eventually sent to California, citing that Californians are "good to the homeless".

Boston & Massachusetts

In December 2007, Mayor Thomas M. Menino of Boston, announced that the one night homeless count had revealed that the actual number of homeless living in the streets was down.[92]

File:Homeless in porter square.jpg
A nightly inhabitant of an MBTA bus shelter at Porter Square in Cambridge, Massachusetts, 2010.

In October 2008, Connie Paige of The Boston Globe reported that the number of homeless in Massachusetts had reached an all-time high, mostly due to mortgage foreclosures and the national economic crisis.[93]

In October 2009, as part of the city's Leading the Way initiative, Mayor Thomas Menino of Boston dedicated and opened the Weintraub Day Center which is the first city-operated day center for chronically homeless persons. It is a multi-service center, providing shelter, counseling, health care, housing assistance, and other support services. It is a 3,400-square-foot (320 m2) facility located in the Woods Mullen Shelter. It is also meant to reduce the strain on the city's hospital emergency rooms by providing services and identifying health problems before they escalate into emergencies. It was funded by $3 million in grants from the American Recovery and Reinvestment Act of 2009, Massachusetts Department of Housing and Community Development (DHCD), the Massachusetts Medical Society and Alliance Charitable Foundation,[94] and the United States Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA).[95]

In 2010, there was a continued crackdown on panhandling, especially the aggressive type, in downtown Boston. Summonses were being handed out, with scheduled court appearances. The results were mixed and in one upscale neighborhood, Beacon Hill, the resolve of the Beacon Hill Civic Association, which has received only one complaint about panhandlers, was to try to solve the bigger problem not by criminal actions.[96]

Due to economic constraints in 2010, Governor Deval Patrick had to cut the Commonwealth of Massachusetts 2011 budget so dental care for the majority of adults, including most homeless people, covered by MassHealth (Medicaid) would no longer be provided except for cleaning and extractions, with no fillings, dentures, or restorative care.[97][98] This doesn't affect dental care for children. The measure took effect in July 2010 and affects an estimated 700,000 adults, including 130,000 seniors.[99]

In September 2010, it was reported that the Housing First Initiative had significantly reduced the chronic homeless single person population in Boston, Massachusetts, although homeless families were still increasing in number. Some shelters were reducing the number of beds due to lowered numbers of homeless, and some emergency shelter facilities were closing, especially the emergency Boston Night Center.[100]

New York City

In 2009 in New York City, there were an estimated 51,000 homeless people.[85]

On June 22, 2010, the New York City Department of Homeless Services reported that the sheltered homeless population consisted of:[101]

  • 8,243 Families with children
  • 1,271 Adult Families
  • 7,725 Single Adults
  • 35,537 Total Individuals

In March 2010, there were protests about the Governor's proposed cut of $65 million in annual funding to the homeless adult services system.[102]

There was a mobile video exhibit in the streets showing a homeless person on a screen and asking onlookers and passersby to text with their cellphones a message for him, and they also could donate money by cellphones to the organization Pathways to Housing.[103][104]

Florida

Homeless advocate and urban designer Michael E. Arth proposed building a Pedestrian village for the adult homeless in Volusia County near Daytona Beach, Florida in 2007.[105][106][107] As of 2009, Arth was still working toward trying to consolidate most of the scattered 19 local agencies into an attractive community that would be designed to more effectively address the needs of the chronically adult homeless and the temporarily adult homeless, as well as others who may be having difficulty fitting into the pervasive, automobile-dominated culture. He writes that the current "piecemeal approach" inefficiently spreads out services and work opportunities, and aggravates the problem by polarizing citizens who might otherwise be inclined to help. In response to critics who say that such a village would be like a concentration camp, Arth points out that the U.S. already concentrates their citizens into prisons at 7-8 times the rate of Canada or Europe. "There should be alternative between living on the street and being locked up that addresses the needs of the chronically and temporarily adult homeless." His proposed "Tiger Bay Village" would have a community garden and orchard, a place to hire certified workers, and a work crew to help build and maintain the village. "Little shops in the village center could process and rehabilitate donated clothes and furnishings to be sold to the public." Housing would range from multi-bed barracks to small Katrina cottages depending on a person's contributions to the village, special needs, and income. Arth claims that this would cost less and be far more effective than any of the other solutions tried elsewhere.[108]

Income sources

Many are employed intermittently. Begging and panhandling is another important income source for some, but not most, homeless people.[109]

Internet begging

Cyberbegging or Internet begging is reported to be a new and effective way to beg without feeling shame.[110]

Health concerns

There has been concern about the transmission of diseases in the homeless population housed in shelters, and the people who work there, especially with tuberculosis.[111]

Women

A woman sleeping in Rockefeller Center's subway station.

In the last decades of the 20th century, the number of women in the homeless population had increased dramatically and grown faster than the number of men.[112] In the early 21st century, the numbers of homeless women continued to grow.[113] In 2008 in one sample, women represented 26% of the respondents surveyed, compared to 24% in 2007.[114]

Homeless women between the ages of 18 and 44 are between 5 and 31 times more at risk of dying than those women who have homes. Homeless women over the age of 44, however, are healthier than homeless men of the same age, and are negligibly more at risk of dying than housed women.[115][116] Psychologically, however, homeless women in their fifties suffer from troubles and chronic diseases from which their housed counterparts only begin to suffer in their seventies. Despite their comparable psychological condition, elderly housing assistance is not available to these homeless women.[113] Between 3.1 and 4.4 % of homeless women in the United States are veterans of the armed services. 57% of these have availed of the Veterans Affairs' healthcare services.[117]

Adult partner abuse, foster care, and childhood sexual abuse are all more likely to have been experienced by homeless women than by their male counterparts.[118] Domestic violence is the direct cause of homelessness for over half of all homeless women in the United States.[119] Approximately three quarters of the women who attempt to avail of domestic violence shelter beds are turned away in major American cities.[120] These victims of domestic violence are often excluded from homelessness studies, despite the lack of livable conditions in their homes.[121][122][123][124]

It Was a Wonderful Life, a 1993 documentary film narrated by Jodie Foster, chronicles the lives of six articulate, educated, but otherwise hidden homeless women as they struggle from day to day.

See also

Footnotes

  1. ^ Donohoe, Martin, M.D., "Homelessness in the United States: History, Epidemiology, Health Issues, Women, and Public Policy", Ob/Gyn & Women's Health journal, 2004;9(2) July 7, 2004.
  2. ^ Joint Hearing op. cit., May 1984, p. 32 IUD Office for Policy Development and Research, A Report to the Secretary on the Homeless and Emergency Shelters, May 1, 1986.
  3. ^ a b c d U.S. Department of Housing and Urban Development, "The Annual Homeless Assessment Report to Congress (2008)", July 2009
  4. ^ a b c United States Conference of Mayors, "A Status Report on Hunger and Homelessness in America's Cities: a 27-city survey", December 2001.
  5. ^ a b Department of Housing and Urban Development: General Definition of Homeless Individual. Cite error: The named reference "hud.gov" was defined multiple times with different content (see the help page).
  6. ^ Health and Human Services: Defining Chronic Homelessness.
  7. ^ a b United States Conference of Mayors, Template:PDFlink, December 2005, "Main Causes of Homelessness", p.63-64. Template:PDFlink [1]
  8. ^ Vanneman, Reeve, "Main Causes of Homelessness", University of Maryland
  9. ^ Cf. Levinson, Encyclopedia of Homelessness, article entry on Causes of Homelessness: Overview by Paul Koegel, pp. 50–58.
  10. ^ a b Piasecki, Joe."Throwaway kids: Thousands of area foster children leave county care for a dangerous and desperate life on the streets", Pasadena Weekly, June 22, 2006.
  11. ^ a b Fagan, Kevin, "Saving foster kids from the streets", San Francisco Chronicle, Sunday, April 11, 2004.
  12. ^ "The men on skid row: A study of Philadelphia's homeless man population", Department of Psychiatry, Temple University School of Medicine, November 1960.
  13. ^ Karash, Robert L., "Who is Homeless? The HUD Annual Report to Congress and Homelessness Pulse Project", Spare Change News, Boston, June 18, 2010
  14. ^ United States Department of Housing and Urban Development, "Homelessness:Programs and the People They Serve", a summary of the NSHAPC survey. [2]
  15. ^ Burt, Aaron, Lee & Valente. 2001. Helping America's Homeless. Washington, D.C.: Urban Institute
  16. ^ a b c d Substance Abuse and Mental Health Services Administration: Who is homeless?.
  17. ^ a b c National Coalition for the Homeless Who is homeless?, Published by the National Coalition for the Homeless, July 2009.
  18. ^ a b Urban Institute: Homelessness: Programs and the People They Serve. Cite error: The named reference "urban.org" was defined multiple times with different content (see the help page).
  19. ^ Substance Abuse and Mental Health Services Administration: How many are homeless? Why?.
  20. ^ Salvation Army, "History of The Salvation Army Social Services of Greater New York"
  21. ^ The Bowery Mission [3] For a history see [4]
  22. ^ Depastino, Todd, "Citizen Hobo: How a Century of Homelessness Shaped America", Chicago : University of Chicago Press, 2003. ISBN 0226143783. (Interview with Todd Depastino)
  23. ^ "Riding the Rails", American Experience PBS series.
  24. ^ Scherl DJ, Macht LB (1979). "Deinstitutionalization in the absence of consensus". Hosp Community Psychiatry. 30 (9): 599–604. PMID 223959. {{cite journal}}: Unknown parameter |month= ignored (help)
  25. ^ Rochefort DA (1984). "Origins of the "Third psychiatric revolution": the Community Mental Health Centers Act of 1963". J Health Polit Policy Law. 9 (1): 1–30. PMID 6736594.
  26. ^ Feldman S (1983). "Out of the hospital, onto the streets: the overselling of benevolence". Hastings Cent Rep. 13 (3): 5–7. PMID 6885404. {{cite journal}}: Unknown parameter |month= ignored (help)
  27. ^ Borus JF (1981). "Sounding Board. Deinstitutionalization of the chronically mentally ill". N. Engl. J. Med. 305 (6): 339–42. doi:10.1056/NEJM198108063050609. PMID 7242636. {{cite journal}}: Unknown parameter |month= ignored (help)
  28. ^ Cf. Diggers article in Wikipedia.
  29. ^ a b "Pine Street Inn History", Pine Street Inn website
  30. ^ a b On The Pine Street Inn
  31. ^ a b Common Dreams: Urban Suffering Grew Under Reagan.
  32. ^ National Housing Institute: Reagan's Legacy: Homelessness in America.
  33. ^ Saint Francis House: History - website
  34. ^ FACS, "Homeless Children, Poverty, Faith and Community: Understanding and Reporting the Local Story", March 26, 2002 Akron, Ohio. [5]
  35. ^ National Coalition for the Homeless, "Homeless Youth" 2005
  36. ^ Interagency Council on the Homeless, "10-Year Plans to End Chronic Homelessness", [6]
  37. ^ Massachusetts Commission To End Homelessness, "Commission Recommends Focus On Permanent Housing Options", press release, January 11, 2008.
  38. ^ Commonwealth of Massachusetts, "Report of the SPECIAL COMMISSION RELATIVE TO ENDING HOMELESSNESS IN THE COMMONWEALTH", December 2007.
  39. ^ Le Blanc, Steve, "Patrick's budget aims to end homelessness: Goal is to identify families in danger", Boston Globe and Associated Press, January 21, 2008
  40. ^ a b Abel, David, "For the homeless, keys to a home: Large-scale effort to keep many off street faces hurdles", Boston Globe, February 24, 2008.
  41. ^ The New Yorker: Million-Dollar Murray.
  42. ^ Swarns, Rachel L. (2008-07-30). "U.S. Reports Drop in Homeless Population". The New York Times.
  43. ^ http://www.njaneh.org/2009/03/26/obama-commits-to-ending-homelessness/
  44. ^ National Coalition for Homeless Veterans http://www.nchv.org/news_article.cfm?id=506
  45. ^ http://www.wsws.org/articles/2009/oct2009/oreg-o20.shtml
  46. ^ National Alliance to End Homelessness, "Rapid Re-Housing", July 8, 2008.
  47. ^ United States Department of Housing and Urban Development, "Homeless Assistance Programs"
  48. ^ National Alliance to End Homelessness, "HUD and McKinney-Vento Appropriations", FY 2010
  49. ^ United States Department of Housing and Urban Development, "Homelessness Prevention and Rapid Re-Housing Program"
  50. ^ National Alliance to End Homelessness, "Summary of HEARTH Act", June 8, 2009
  51. ^ "The HEARTH Act - An Overview", National Law Center on Homelessness and Poverty, Washington, D.C.
  52. ^ National Coalition for the Homeless, "NCH Public Policy Recommendations: HUD McKinney-Vento Reauthorization", Washington, D.C., September 14, 2009
  53. ^ http://www.libraryindex.com/pages/2280/Nature-Homelessness-CAUSES-HOMELESSNESS.html
  54. ^ Center for Housing Policy: Paycheck to Paycheck.
  55. ^ cf. Booth, Koegel, et al. "Vulnerability Factors for Homelessness Associated with Substance Dependence in a Community Sample of Homeless Adults", 2002.
  56. ^ a b City Mayors Society: Big U.S. Cities Report Steep Rise in Hunger and Homelessness.
  57. ^ St. Martin, Greg, "Seeking help for homeless on Common: Program hopes to offer housing", Boston Metro newspaper, Monday, September 17, 2007.
  58. ^ a b Abramson, Larry, "Amid Foreclosures, A Rise In Homeless Students", All Things Considered program, NPR, September 30, 2008.
  59. ^ Nieves, Evelyn, "In Tough Times, Ranks of Homeless Students Rising: School districts find unprecedented increase in numbers of homeless students across US", Associated Press, December 19, 2008
  60. ^ a b c Duffield, Barbara; Lovell, Phillip, "The Economic Crisis Hits Home: The Unfolding Increase in Child & Youth Homelessness", National Association for the Education of Homeless Children and Youth (NAEHCY), December, 2008
  61. ^ Link BG, Schwartz S, Moore R; et al. (1995). "Public knowledge, attitudes, and beliefs about homeless people: evidence for compassion fatigue". Am J Community Psychol. 23 (4): 533–55. PMID 8546109. {{cite journal}}: Explicit use of et al. in: |author= (help); Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  62. ^ American Sociological Association: "Exposure to the Homeless Increases Sympathetic Public Attitudes", press release, 22 March 2004.
  63. ^ Public Agenda: "Compassion, Concern and Conflicted Feelings: New Yorkers on Homelessness and Housing", 2007.
  64. ^ Public Agenda: "The Homeless: As Long as They Don't Bother Anybody... ", Red Flags on Poverty, retrieved 25 July 2008.
  65. ^ Burt, Martha R., "Characteristics of Transitional Housing for Homeless Families Final Report", Urban Institute, Washington, D.C., September 7, 2006,
  66. ^ Dordick, Gwendolyn A. (2002). "Recovering from Homelessness: Determining the 'Quality of Sobriety' in a Transitional Housing Program". Journal Qualitative Sociology. 25 (1). {{cite journal}}: Unknown parameter |month= ignored (help)
  67. ^ Karash, Robert L., "The Graduate", Spare Change News, Boston, March 11, 2010
  68. ^ Kooker, Naomi R., "Pine St. adds to permanent housing holdings", Boston Business Journal, November 3, 2006.
  69. ^ The Department of Housing and Urban Development and VA's Supported Housing (HUD-VASH) Program
  70. ^ Allis, Sam (May 14, 2006). "A port in the storm Center gives homeless a phone and a chance". The Boston Globe. Globe Newspaper Company.
  71. ^ Graves, Florence; Sayfan, Hadar, "First things first: 'Housing first,' a radical new approach to ending chronic homelessness, is gaining ground in Boston", Boston Globe, Sunday, June 24, 2007.
  72. ^ Roncarati, Jill (2008). "Homeless, housed, and homeless again" (PDF). Journal of the American Academy of Physician's Assistants. {{cite journal}}: Unknown parameter |month= ignored (help)
  73. ^ Karash, Robert L., "Housing Lost, Housing Regained, Housing Kept", Spare Change News, Boston, February 25, 2010.
  74. ^ a b c National Coalition for the Homeless: A Dream Denied.
  75. ^ St. Martin, Greg, "Night watch: Police removing overnight loiterers on Common", Boston Metro newspaper, Wednesday, August 29, 2007.
  76. ^ L.A. Times: Justices Hand L.A.'s Homeless a Victory.
  77. ^ a b National Coalition for the Homeless, Hate, "Violence, and Death on Main Street USA: A report on Hate Crimes and Violence Against People Experiencing Homelessness, 2006", February 2007.
  78. ^ Lewan, Todd, "Unprovoked Beatings of Homeless Soaring", Associated Press, April 8, 2007.
  79. ^ "Los Angeles Still Homeless Capital Of United States", Imperial Valley News, Wednesday, 25 June 2008
  80. ^ Wolch, Jennifer; Blasi, Gary; and Dear, Michael, "L.A.'s homeless: A progress report", USC Center for Sustainable Cities, June 22, 2008
  81. ^ http://www.lahsa.org/docs/press_releases/HC09-Summary.pdf
  82. ^ http://www.lahsa.org/docs/HC09/Age-and-Subpopulation-Tables-PIT-Estimates-and-Annualized-Projections.pdf
  83. ^ http://www.lahsa.org/docs/HC09/SKID_ROW_Jan13_10.pdf
  84. ^ a b http://www.hudhre.info/documents/5thHomelessAssessmentReport.pdf
  85. ^ U.S. Census, www.google.com/publicdata
  86. ^ Neil, Geoffrey, Dire means, Reno, NV : Priorities Intact Pub., Ltd., 2009. ISBN 9780615292496
  87. ^ a b San Francisco Ten Year Planning Council, "The San Francisco Plan to Abolish Chronic Homelessness", c.2004, submitted to the federal Interagency Council on Homelessness. Quoting from the report: "San Francisco is Everyone's Favorite City. But San Francisco also has the dubious distinction of being the homeless capital of the United States"
  88. ^ SF Gate: Chronicle Homeless Special
  89. ^ Cheng, Alexandra, "Are Peace and Love Dead in San Francisco?", Spare Change News, Boston, July 2, 2010.
  90. ^ "Homeless in Chicago: 2007 Numbers and Demographics: Point-In-Time Analysis", The Chicago Alliance, 2007
  91. ^ Loh, Christopher, "City experts predict drop in homeless numbers", Boston Now newspaper, December 20, 2007.
  92. ^ Paige, Connie, Homelessness hits record high: Advocates expect numbers to grow amid economic downturn and ask for state aid, The Boston Globe, October 6, 2008
  93. ^ Massachusetts Medical Society and Alliance Charitable Foundation website
  94. ^ Mayor's Office, City of Boston, "Mayor Menino Dedicates New Day Center for the Homeless", Press Release, October 14, 2009.
  95. ^ Sennott, Adam, "Panhandling on Beacon Hill: The Lowdown on a Reported Crackdown", Spare Change News, Boston, June 4, 2010
  96. ^ Cunningham, Liam, "Cuts Extract Mass Health Dental Benefits From Budget", Spare Change News, July 16, 2010 issue.
  97. ^ Commonwealth of Massachusetts, "Healthcare: Governor's FY2011 Budget". "The MassHealth adult dental benefit is restructured to cover preventative and emergency services only, excluding restorative dental services."
  98. ^ Banda, Deborah, "AARP Alert: Seniors’ Prescriptions; MassHealth Dental Benefits at Risk", AARP, May 26, 2010.
  99. ^ Brady-Myerov, Monica, "Homelessness On The Decline In Boston", WBUR Radio, Boston, September 29, 2010
  100. ^ http://www.nyc.gov/html/dhs/html/home/home.shtml
  101. ^ "Council, Public Advocate, Department of Homeless Services, and Coalition for the Homeless unite to oppose State's $65 million cut to the Adult Shelter System", News Brief, NYC Department of Homeless Services, March 23, 2010
  102. ^ "Video Installation Encourages Homeless Activism In New York City", Huffington Post, March 9, 2010
  103. ^ Memmott, Mark, "High-Tech Street Show Aims To Make Us 'See' Homeless, Raise Money", National Public Radio, March 10, 2010
  104. ^ Tom Leonard, "Daytona may give vagrants their own resort." Telegraph.co.uk, January 24, 2007 link to article
  105. ^ Etan Horowitz, "Developer defends homeless-village concept", Orlando Sentinel, January 27, 2007
  106. ^ Rebbecca Mahoney, "Homeless village or leper colony?" Orlando Sentinel, January 20, 2007
  107. ^ Arth, Michael, "Why we should build a Pedestrian Village for the homeless in Volusia County." The Daytona beach News-Journal. 1-4-2009. p. 11 A.
  108. ^ Karash, Robert L., "Spare Change?", Spare Change News, Boston, March 25, 2010
  109. ^ Abel, David, "Panhandlers move from street to Internet: Online sites offer a fertile venue for some in need", Boston Globe, October 26, 2009.
  110. ^ "Occupational Exposure to Tuberculosis" - OSHA notice, 1997.
  111. ^ Cf. Levinson, Encyclopedia of Homelessness, article entry on Women by Susan Barrow, pp. 598–606. Cited statistic from p.599
  112. ^ a b Means, Roseanna H., Maryland, MSc (03/01/2001). "A primary care approach to treating women without homes". Medscape General Medicine. Medscape. Retrieved 2008-11-20. {{cite web}}: Check date values in: |date= (help)CS1 maint: multiple names: authors list (link) "Women constitute the fastest growing subgroup of the millions of Americans who are homeless"
  113. ^ WMBB TV News, "Homelessness Up Among Women and Children", via Panama City Rescue Mission, Panama City, Florida, November 19, 2008. "The 20th annual snapshot survey of the Homeless, completed at 137 rescue missions across North America, recorded more women than ever before, 26 percent of those responding, as compared to 24 percent in 2007."
  114. ^ Cheung, AM (2004). "Risk of death among homeless women: A cohort study and review of the literature". Canadian Medical Association Journal. 170: 1243–7. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  115. ^ The Women's and Children's Health Policy Center (WCHPC) at the Johns Hopkins Bloomberg School of Public Health, "The Health of Homeless Women: Information for State Maternal and Child Health Programs"
  116. ^ Gamache, G (2003). "Overrepresentation of women veterans among homeless women". Am J Public Health. 93: 1132–6. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  117. ^ Robrecht, LC (1998). "Interpersonal violence and the pregnant homeless woman". Journal of Obstetric, Gynecologic, & Neonatal Nursing (27): 684–691.
  118. ^ Ringwalt, CL (1998). "The prevalence of homelessness among adolescents in the United States". American Journal of Public Health (88): 1325–9. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  119. ^ Jensen, RH (1994). "Domestic violence facts". Ms. 2: 44–51.
  120. ^ Donohoe, Martin (2004-07-07). "Homelessness in the United States: History, Epidemiology, Health Issues, Women, and Public Policy". Medscape. Retrieved 2008-11-20.
  121. ^ "The Continuing Crisis: Synopsis of 'Women’s Reality: Single Homeless Women in the City of Portland'", Transition Projects report, Portland, Oregon.
  122. ^ "Women’s Reality: Single Homeless Women in the City of Portland", Transition Projects report, Portland, Oregon.
  123. ^ "NEEDS AND RESOURCES: WHAT IS AND WHAT SHOULD BE: A Study of Single Homeless Women in Portland, Oregon". Homeless Women's Task Force, Transition Projects report, Portland, Oregon, 2004

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