In the United States, the number of homeless people on a given night in January 2023 was more than 650,000 according to the Department of Housing and Urban Development. Homelessness has increased in recent years, in large part due to an increasingly severe housing shortage and rising home prices in the United States.
Homeless shelters are a type of homeless service agency which provide temporary residence for homeless individuals and families. Shelters exist to provide residents with safety and protection from exposure to the weather while simultaneously reducing the environmental impact on the community. They are similar to, but distinguishable from, various types of emergency shelters, which are typically operated for specific circumstances and populations—fleeing natural disasters or abusive social circumstances. Extreme weather conditions create problems similar to disaster management scenarios, and are handled with warming centers, which typically operate for short durations during adverse weather.
Supportive housing is a combination of housing and services intended as a cost-effective way to help people live more stable, productive lives, and is an active "community services and funding" stream across the United States. It was developed by different professional academics and US governmental departments that supported housing. Supportive housing is widely believed to work well for those who face the most complex challenges—individuals and families confronted with homelessness and who also have very low incomes and/or serious, persistent issues that may include substance use disorders, mental health, HIV/AIDS, chronic illness, diverse disabilities or other serious challenges to stable housing.
Civic engagement or civic participation is any individual or group activity addressing issues of public concern. Civic engagement includes communities working together or individuals working alone in both political and non-political actions to protect public values or make a change in a community. The goal of civic engagement is to address public concerns and promote the quality of the community.
Housing First is a policy that offers unconditional, permanent housing as quickly as possible to homeless people, and other supportive services afterward. It was first discussed in the 1990s, and in the following decades became government policy in certain locations within the Western world. There is a substantial base of evidence showing that Housing First is both an effective solution to homelessness and a form of cost savings, as it also reduces the use of public services like hospitals, jails, and emergency shelters. Cities like Helsinki and Vienna in Europe have seen dramatic reductions in homelessness due to the adaptation of Housing First policies, as have the North American cities Columbus, Ohio, Salt Lake City, Utah, and Medicine Hat, Alberta.
Pathways to Housing is a not-for-profit organization founded in 1992 by Dr. Sam Tsemberis. It is the mission of Pathways to Housing to transform individual lives by ending homelessness and supporting recovery.
Homelessness or houselessness – also known as a state of being unhoused or unsheltered – is the condition of lacking stable, safe, and functional housing. The general category includes disparate situations, such as living on the streets, moving between temporary accommodation such as family or friends, living in boarding houses with no security of tenure, and people who leave their domiciles because of civil conflict and are refugees within their country.
Survival sex is a form of prostitution engaged in by people because of their extreme need. It describes the practice of people who are homeless or otherwise disadvantaged in society, trading sex for food, a place to sleep, or other basic needs, or for drugs. The term is used by sex trade, poverty researchers, and aid workers.
Youth Projects is an independent, not-for-profit organisation founded in Melbourne, Australia. Youth Projects provides a broad range of services designed tackling social disadvantage, homelessness and drug and alcohol issues including health and education programs, community outreach and training and employment services.
In a study in Western societies, homeless people have a higher prevalence of mental illness when compared to the general population. They also are more likely to suffer from alcoholism and drug dependency. It is estimated that 20–25% of homeless people, compared with 6% of the non-homeless, have severe mental illness. Others estimate that up to one-third of the homeless have a mental illness. In January 2015, the most extensive survey ever undertaken found 564,708 people were homeless on a given night in the United States. Depending on the age group in question and how homelessness is defined, the consensus estimate as of 2014 was that, at minimum, 25% of the American homeless—140,000 individuals—were seriously mentally ill at any given point in time. 45% percent of the homeless—250,000 individuals—had any mental illness. More would be labeled homeless if these were annual counts rather than point-in-time counts. Being chronically homeless also means that people with mental illnesses are more likely to experience catastrophic health crises requiring medical intervention or resulting in institutionalization within the criminal justice system. Majority of the homeless population do not have a mental illness. Although there is no correlation between homelessness and mental health, those who are dealing with homelessness are struggling with psychological and emotional distress. The Substance Abuse and Mental Health Services Administration conducted a study and found that in 2010, 26.2 percent of sheltered homeless people had a severe mental illness.
The San Francisco Bay Area comprises nine northern California counties and contains five of the ten most expensive counties in the United States. Strong economic growth has created hundreds of thousands of new jobs, but coupled with severe restrictions on building new housing units, it has resulted in an extreme housing shortage which has driven rents to extremely high levels. The Sacramento Bee notes that large cities like San Francisco and Los Angeles both attribute their recent increases in homeless people to the housing shortage, with the result that homelessness in California overall has increased by 15% from 2015 to 2017. In September 2019, the Council of Economic Advisers released a report in which they stated that deregulation of the housing markets would reduce homelessness in some of the most constrained markets by estimates of 54% in San Francisco, 40 percent in Los Angeles, and 38 percent in San Diego, because rents would fall by 55 percent, 41 percent, and 39 percent respectively. In San Francisco, a minimum wage worker would have to work approximately 4.7 full-time jobs to be able to spend less than 30% of their income on renting a two-bedroom apartment.
Frederica M. Williams, MBA, FCIS has served as the president and chief executive officer of Whittier Street Health Center in Boston, Massachusetts since 2002.
Research shows that a disproportionate number of homeless youth in the United States identify as lesbian, gay, bisexual or transgender, or LGBT. Researchers suggest that this is primarily a result of hostility or abuse from the young people's families leading to eviction or running away. In addition, LGBT youth are often at greater risk for certain dangers while homeless, including being the victims of crime, risky sexual behavior, substance use disorders, and mental health concerns.
Sam J. Tsemberis is a Greek Canadian clinical and community psychology practitioner, and the founder and executive director of Pathways to Housing, a Housing First program for individuals with serious mental illnesses, long histories of homelessness, and often co-occurring substance abuse. He is also an Associate Clinical Professor in Psychiatry and Biobehavioral Sciences at the University of Los Angeles California.
Homelessness and aging is a largely neglected topic in the literature. There is a widespread assumption that aged homeless people are rare, but this is not true. Japan, Australia and the United Kingdom show increases in their populations of aging homelessness. Increased Elderly adults who straddle the poverty line are at greater risk of falling into pathways of homelessness. When a homeless person enters their later years, or becomes homeless for the first time in older age, health issues can become difficult to address and compound as age progresses.
Family homelessness refers to a family unit who do not have access to long term accommodation due to various circumstances such as socioeconomic status, access to resources and relationship breakdowns. In some Western countries, such as the United States, family homelessness is a new form of poverty, and a fast growing group of the homelessness population. Some American researchers argue that family homelessness is the inevitable result of imbalanced “low-income housing ratio” where there are more low-income households than there are low-cost housing units. A study in 2018 projected a total of 56,342 family households were recognized as homeless. Roughly 16,390 of these people were living in a place not meant for human habitation. It is believed that homeless families make up about a third of the United States’ population, with generally women being the lead of the household.
Youth homelessness is the problem of homelessness of young people around the globe.
Homelessness in the United States has occurred to varying degrees across the country. The total number of homeless people in the United States fluctuates and constantly changes hence a comprehensive figure encompassing the entire nation is not issued since counts from independent shelter providers and statistics managed by the United States Department of Housing and Urban Development vary greatly. Federal HUD counts hover annually at around 500,000 people. Point-in-time counts are also vague measures of homeless populations and are not a precise and definitive indicator for the total number of cases, which may differ in both directions up or down. The most recent figure for the year 2019 that was given was at 567,715 individuals across the country that have experienced homelessness at a point in time during this period.
Homeless individuals are more likely to contract COVID-19 than those with permanent housing access. This is due to the environments that homeless people live in, which often suffer overcrowding and/or a lack of access to adequate sanitation. Homeless individuals are also more likely to suffer underlying health conditions, which increases the risk of death caused by COVID-19. The closure of public facilities has negatively impacted the homeless population, as reduced access to toilet facilities and support services has affected their hygiene and mental health respectively. Initiatives have been introduced by governments and at local levels in attempts to reduce the impact on the homeless.
The concept of street outreach to individuals that are experiencing homelessness is a classic example of a form of outreach. Those who experience homelessness have a variety of complex issues that incite the need for specific forms of care. As such, street outreach is challenging work. There are multiple governmental and non-governmental agencies that have sought to engage in this work because of the understanding that unhoused people tend to have increased barriers to access traditional services. Street outreach comes in different forms, from people walking around carrying supplies or offering resources, to mobile health clinics with teams of medical volunteers driving around and offering services. Regardless of its form, the essence of street outreach is the desire to meet people where they are at, build deep trust and connections, offer support, and reinforce the human dignity and respect that is deserving of all people. The core elements of effective street outreach include being systematic, coordinated, comprehensive, housing-focused, person-centered, trauma-informed, culturally responsive, as well as emphasizing safety and reducing harm.
