Help Us: What Is the Best Support Approach for a Very Acute but Not Chronically Homeless Individual?

This is not an article but our request for your help. However, we are not interested in your money but in something more valuable – your time.

We are looking for information that will help us move forward and – as we believe – even closer to a functional solution to our common problems. If you find the answer to this question, we will be grateful if you write this information, including the source, in the comments below or send it to our email helpus@piqaso.com.

Thank you!

PIQASO team

Why do we ask this question?

The Housing First system was developed in 1988 in Los Angeles and then spread to other cities. The idea is to help homeless people to move from shelters through transitional housing into own permanent housing. Study by Dennis Culhane which examined the period 2004 – 2010 found that prevention services were most effective for the households – both family and single adult – who were at the highest risk of becoming homeless, rather than the households who fit prevention programs´ eligibility criteria. It means, that successful strategies for homelessness prevention must efficiently target people at greatest risk for experiencing homelessness.”

Many similar programs are different at one point – some have the primary goal of getting people off the street without any conditions. Other models have conditions like not drinking alcohol or using drugs. Preferred are chronic homeless people, families with children and victims of domestic violence. Supportive housing has been shown to help people permanently stay out of homelessness, improve health conditions, and, by reducing their use of crisis services, lower public costs.

One of the key parts of the process is an effort of outreach workers to try to persuade especially chronic homeless people to join the program. Therefore, outreach worker must be trained and demonstrate proficiency, at a minimum, in the skill areas such as safety and engagement strategies, motivational interviewing, assertive engagement, mental health first aid, harm reduction, trauma-informed care, person-centered care, overdose first aid, documentation. Outreach groups also need cooperation from people on the street. Workers can spend months convincing someone even to know his or her name. It is critical that the support worker teach the participant how to solve problems rather than being the problem solver.” It is also essential to collect real-time data about the homeless. (Matthew Desmond, Evicted)

There are many reasons why people do not use shelter services – they are not willing follow the shelter rules, unprofessional approach of outreach workers, being barred for past violence or other legal restrictions. And there is also another problem – residents complain about opening shelters in their neighborhood. The Annual Homeless Assessment Report in the United States has shown that 30% of people stay a week or less in a shelter, 25% stay 8 to 30 days, and about 35% stay 31-180 days.“

Experts say that one possible solution is learning from successful examples. That means going to lower-income neighborhoods and speaking with tenants about how they figured out their housing needs without being homeless. They can explain how to overcome the obstacles that you saw in the people you are sheltering.

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