Tuesday, August 24, 2021

CONFRONTING HOMELESSNESS

As Californians attempt to cope with a multitude of vexing challenges, the plight of the homeless remains near the top of the list. While nationally, in 2020, 580,466 Americans experienced homelessness on any given night, 151,278 of these suffered in California alone. Nationwide, these statistics reveal a 2.2% increase over 2019. But, during the same period, homelessness in California grew by 6.8%, and surged 16.2% since 2007. Even though billions of dollars were spent on attempting to solve this problem, attempts to mitigate this crisis at any level have thus far proven relatively ineffective. One in nine Americans live in California. One in four homeless live in California. As some of what is being attempted appears to have a limited effect, it has been tempting to approach the subject from a wider perspective and study what, if anything, has worked elsewhere. This seemed reasonable. However, it turns out that our closest allies in the European Union are facing many of the same problems we do. According to "Feantsa", the "European Federation of National Organizations Working with the Homeless", at least 700,000 homeless people are sleeping rough or in emergency or temporary accommodations every night in the E.U. (2019 numbers). Most of these are in the U.K., the fewest in Germany, if we don't count the approximately 441,000 asylum seekers and refugees in temporary housing. This last observation actually points at a significant obstacle analysts are forced to wrestle with. Few states adopt a universal definition of homelessness. Cross country comparisons don't necessarily measure comparable data. When the European Parliament called on E.U. member states to stop homelessness by 2030, the first bullet point in its resolution stipulated the need to develop a common definition to "improve data collection and coherent indicators to be able to better understand and assess the extend of the problem." In this country, many states use the definition provided in the "McKinney-Vento Homeless Assistance Act" of 1987, which identifies the homeless as "individuals who lack a fixed, regular and adequate nighttime residence." But multiple states include a variety of other qualifying categories in their calculations, and eleven states don't define it at all. These differences aren't just confusing academic debating points, they can have a significant practical effect on the allocation of resources. For example, the Department of Housing and Urban Development (HUD) uses a much narrower definition of homelessness than what is used by the the Department of Education (ED), which forms the basis of funding allocation to school districts. HUD estimates that there are 500,000 homeless. ED reports that 1.36 million children experience some form of homelessness. When the "Organization for Economic Co-Operation and Development" (OECD) attempted to execute a count of homeless across countries, 16 countries included people temporarily living with family and friends, 15 included people living in institutions and 15 also covered those living in non-conventional dwellings. It is clear that there appears to be little agreement on how to define the concept of homelessness. Most researchers do agree, however, that homelessness is a complex social problem with a variety of underlying economic and social factors. such as lack of affordable housing, poverty, uncertain physical and mental health and addictions. One can argue about cause and effect, or whether the severe stress people face when they lose shelter and are forced to live exposed on the streets wreak havoc on their mental health and leads to substance abuse. However, the most significant cause remains the cost of housing. William Yu, an economist at UCLA, identified a direct correlation between the cost of housing and homelessness. For instance, in West Virginia, which has one of the lowest homeless rates, the medium home value is $98,300. In California, which has the highest rate, the medium rate is $548,700. In Mississippi, which has the highest poverty rate of any state, the homeless rate is also among the lowest. Homelessness experts agree that emergency shelters are mostly just a band-aid. Permanent supportive housing is the long term solution. This conclusion has led to the development of one of the most promising strategies to mitigate this evolving crisis - identified as "Housing First." This model seeks to move homeless people into permanent housing as quickly as possible, before addressing other issues. The approach was first developed in New York during the early nineties, and has successfully trickled through to a number of cities, states and some countries. Those opposed to this scenario criticize its expense, and decry what they identify as a reduced focus on the human care most homeless need. Proponents argue that giving people homes rather than first getting them "ready" for housing by placing them in shelters, rehab or half-way houses makes much more sense. Overseas, Finland, the only E.U. member state with decreasing numbers of homeless, has used this strategy deliberately and effectively for years. Its homeless count shrunk from 19,000 earlier this century to 4,600 today. In this country, Utah is on track to become the first state in the nation to eradicate homelessness. Using the same concept, its homeless count has decreased by 72% since 2005, at greatly reduced expense. It used to cost Salt Lake City more than $20,000 a year to take care of chronically homeless. It now costs the state just $8,000 to put them into permanent housing. Daniel G. Garrett, Assistant Professor of finance at the Wharton School of Business, concluded that providing permanent supportive housing to the homeless community actually saves the taxpayer money: healthcare cost is reduced by 59%, emergency department expenses are reduced by 61%, and the number of general inpatient hospitalizations decrease by 77%. The point is, there is a way forward. The question remains whether our decision makers are willing to attempt to fundamentally change how we confront our acute homelessness crisis. Theo Wierdsma

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