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Homelessness

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The 2017 Annual Homelessness Assessment Report To The Congress: Part 2, Meghan Henry, Korrin Bishop, Tanya De Sousa, Azim Shivji, Rian Watt, Jill Khadduri, Dennis P. Culhane Sep 2018

The 2017 Annual Homelessness Assessment Report To The Congress: Part 2, Meghan Henry, Korrin Bishop, Tanya De Sousa, Azim Shivji, Rian Watt, Jill Khadduri, Dennis P. Culhane

Dennis P. Culhane

This report is the second part of a two-part series. The first part is called The 2017 Annual Homeless Assessment Report (AHAR) to Congress, Part 1: Point-in-Time Estimates of Homelessness, and was published in December 2017. The Part 1 report provides estimates of homelessness based on PIT count data gathered by communities throughout the country in late January. The estimates are provided at the national-, state-, and CoC-levels. Part 2 of the 2017 AHAR builds on the Part 1 report by adding 1-year estimates of sheltered homelessness based on data from HMIS. The HMIS estimates provide detailed demographic information about …


Military Misconduct And Homelessness Among Us Veterans Separated From Active Duty, 2001-2012, Adi V. Gundlapalli, Jamison D. Fargo, Stephen Metraux, Marjorie E. Carter, Matthew K. Samore, Vincent Kane, Dennis P. Culhane Aug 2015

Military Misconduct And Homelessness Among Us Veterans Separated From Active Duty, 2001-2012, Adi V. Gundlapalli, Jamison D. Fargo, Stephen Metraux, Marjorie E. Carter, Matthew K. Samore, Vincent Kane, Dennis P. Culhane

Dennis P. Culhane

Misconduct-related separations from the military are associated with subsequent adverse civilian outcomes that are of substantial public health concern.1 We investigated the association between misconduct-related separations and homelessness among recently returned active-duty military service members.


Development And Validation Of An Instrument To Assess Imminent Risk Of Homelessness Among Veterans, Ann Elizabeth Montgomery, Jamison Fargo, Vincent Kane, Dennis P. Culhane Aug 2014

Development And Validation Of An Instrument To Assess Imminent Risk Of Homelessness Among Veterans, Ann Elizabeth Montgomery, Jamison Fargo, Vincent Kane, Dennis P. Culhane

Dennis P. Culhane

Objectives. Veterans are overrepresented within the homeless population compared with their non-veteran counterparts, particularly when controlling for poverty. The U.S. Department of Veterans Affairs (VA) aims to prevent new episodes of homelessness by targeting households at greatest risk; however, there are no instruments that systematically assess veterans’ risk of homelessness. We developed and tested a brief screening instrument to identify imminent risk of homelessness among veterans accessing VA health care.
Methods. The study team developed initial assessment items, conducted cognitiveinterviews with veterans experiencing homelessness, refined pilot items based on veterans’ and experts’ feedback and results of psychometric analyses, and assigned …


Mentally Ill Persons In Emergency And Specialized Shelters: Satisfaction And Distress, Russell K. Schutt, Stephen M. Goldfinger May 2014

Mentally Ill Persons In Emergency And Specialized Shelters: Satisfaction And Distress, Russell K. Schutt, Stephen M. Goldfinger

Russell K. Schutt

Emergency and specialized mental health shelters represent different service philosophies and are meant to appeal to different segments of the homeless and homeless mentally ill population. This article describes the different characteristics and needs of users of emergency and specialized mental health shelters for homeless persons in Boston. Service satisfaction is described in relation to these characteristics and needs as well as in terms of shelter type. Implications are identified for social and mental health service policies for the homeless.


Parenting In The Face Of Homelessness, Staci M. Perlman, Sandy Sheller, Karen Hudson, C. Leigh Wilson Dec 2013

Parenting In The Face Of Homelessness, Staci M. Perlman, Sandy Sheller, Karen Hudson, C. Leigh Wilson

Staci Perlman

The number of families with children experiencing homelessness increased by over 30% from 2007 to 2011 (U.S. Department of Housing and Urban Development, 2011). Of the more than 300,000 children within these families, it is estimated that the majority are under age six (National Center on Family Homelessness, 2009). These young children and their families are disproportionately more likely to experience a myriad of structural, economic, social, and health stressors. Left unaddressed, these stress experiences can adversely influence children’s short- and long-term growth, development, and well-being (Shonkoff, 2011). Recent research demonstrates the protective influence that positive parent-child relationships can exert …


Programs For Homeless Children And Youth: A Critical Review Of Evidence, Janette E. Herbers, J. J. Cutuli Dec 2013

Programs For Homeless Children And Youth: A Critical Review Of Evidence, Janette E. Herbers, J. J. Cutuli

J. J. Cutuli

To date, there are few studies that use rigorous research designs to evaluate interventions designed to address the needs of homeless children. Strengths and noteworthy findings as well as the challenges and limitations of this literature are summarized. The studies reviewed in this chapter represent laudable efforts on the part of researchers, practitioners, and community partners to engage in intervention studies with the challenging and understudied population of children in families experiencing homelessness. However, within the guidelines of the What Works Clearinghouse (WWC) standards for evidence based practices, none of the interventions represented in these studies have sufficient evidence to …


Housing Chronically Homeless Veterans: Evaluating The Efficacy Of A Housing First Approach To Hud-Vash, Ann Elizabeth Montgomery, Lindsay L. Hill, Vincent Kane, Dennis P. Culhane Feb 2013

Housing Chronically Homeless Veterans: Evaluating The Efficacy Of A Housing First Approach To Hud-Vash, Ann Elizabeth Montgomery, Lindsay L. Hill, Vincent Kane, Dennis P. Culhane

Dennis P. Culhane

Rapidly placing homeless Veterans with severe mental illness into permanent housing is one important goal of the U.S. Department of Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) program; however, no research has tested whether an explicit organizational alignment of this goal with revised practices could improve outcomes. A demonstration project initiated in 2010 to reform housing placement practices in a metropolitan area enabled researchers to compare an explicit “Housing First” program—offering immediate permanent housing without requiring treatment compliance, abstinence, or “housing readiness”—with a treatment-first program for 177 homeless Veterans. The Housing First initiative successfully reduced time to housing placement, …


The Age Structure Of Contemporary Homelessness: Evidence And Implications For Public Policy, Dennis P. Culhane, Stephen Metraux, Thomas Byrne, Magdi Steno, Jay Bainbridge Jan 2013

The Age Structure Of Contemporary Homelessness: Evidence And Implications For Public Policy, Dennis P. Culhane, Stephen Metraux, Thomas Byrne, Magdi Steno, Jay Bainbridge

Dennis P. Culhane

Amidst concern about the implications of an aging U.S. population, recent evidence suggests that there is a unique aging trend among the homeless population. Building on this, we use data from New York City and from the last three decennial Census enumerations to assess how the age composition of the homeless population—both single adults and adults in families—has changed over time. Findings show diverging trends in aging patterns for single adults and adults in families over the past 20 years. Among single adults, the bulk of the sheltered population is comprised of persons born during the latter part of the …


The Aging Of Contemporary Homelessness, Dennis P. Culhane, Stephen Metraux, Thomas Byrne, Magdi Stino, Jay Bainbridge Dec 2012

The Aging Of Contemporary Homelessness, Dennis P. Culhane, Stephen Metraux, Thomas Byrne, Magdi Stino, Jay Bainbridge

Dennis P. Culhane

Homelessness is currently at a demographic crossroad. This presents a unique opportunity for hastening its demise. In the thirty years since homelessness first manifested itself in American cities in its contemporary form, it has ascended to one of the most prominent American social problems. Despite the current push by advocacy organizations to end homelessness, many expect it will always be with us. In its longevity, however, lies the potential for its decline, provided we do not repeat this cycle with a new generation of homeless.


Rethinking Homelessness Prevention Among Persons With Serious Mental Illness, Ann Elizabeth Montgomery, Stephen Metraux, Dennis P. Culhane Dec 2012

Rethinking Homelessness Prevention Among Persons With Serious Mental Illness, Ann Elizabeth Montgomery, Stephen Metraux, Dennis P. Culhane

Dennis P. Culhane

During recent years, the need to consider effective and innovative ways to prevent and end homelessness among individuals with serious mental illness has been abetted by an increased and more sophisticated understanding of the composition of the homeless population, the emergence of evidence-based practicess to address homelessness, and the passage of the Patient Protection and Affordable Care Act. This article summarizes the evolving understanding of the role that serious mental illness plays in homelessness, as well as the interventions that are effective at preventing and ending homelessness among persons with serious mental illness. This summary contextualizes a discussion of the …


The 2012 Point-In-Time Estimate Of Homelessness: Volume I Of The 2012 Annual Homelessness Assessment Report, Alvaro Cortes, Meghan Henry, Rj De La Cruz, Scott Brown, Jill Khadduri, Dennis P. Culhane Dec 2012

The 2012 Point-In-Time Estimate Of Homelessness: Volume I Of The 2012 Annual Homelessness Assessment Report, Alvaro Cortes, Meghan Henry, Rj De La Cruz, Scott Brown, Jill Khadduri, Dennis P. Culhane

Dennis P. Culhane

On a single night in 2012 there were 633,782 homeless people in the United States, including 394,379 who were homeless as individuals and 239,403 people who were homeless in families.


The Unique And Combined Effects Of Homelessness And School Mobility On The Educational Outcomes Of Young Children, John W. Fantuzzo, Whitney A. Leboeuf, Chin-Chih Chen, Heather Rouse, Dennis P. Culhane Nov 2012

The Unique And Combined Effects Of Homelessness And School Mobility On The Educational Outcomes Of Young Children, John W. Fantuzzo, Whitney A. Leboeuf, Chin-Chih Chen, Heather Rouse, Dennis P. Culhane

Heather Rouse

This study examined the unique and combined associations of homelessness and school mobility with educational well-being indicators, as well as the mediating effect of absenteeism, for an entire cohort of third-grade students in Philadelphia. Using integrated archival administrative data from the public school district and the municipal Office of Supportive Housing, multilevel linear models were estimated to test these associations while adjusting for nesting of students within schools. Findings demonstrated that homelessness had a unique association with problems in classroom engagement, school mobility was uniquely related to both academic achievement and problems in classroom engagement, and experiencing both homelessness and …


The Unique And Combined Effects Of Homelessness And School Mobility On The Educational Outcomes Of Young Children, John W. Fantuzzo, Whitney A. Leboeuf, Chin-Chih Chen, Heather Rouse, Dennis P. Culhane Nov 2012

The Unique And Combined Effects Of Homelessness And School Mobility On The Educational Outcomes Of Young Children, John W. Fantuzzo, Whitney A. Leboeuf, Chin-Chih Chen, Heather Rouse, Dennis P. Culhane

Dennis P. Culhane

This study examined the unique and combined associations of homelessness and school mobility with educational well-being indicators, as well as the mediating effect of absenteeism, for an entire cohort of third-grade students in Philadelphia. Using integrated archival administrative data from the public school district and the municipal Office of Supportive Housing, multilevel linear models were estimated to test these associations while adjusting for nesting of students within schools. Findings demonstrated that homelessness had a unique association with problems in classroom engagement, school mobility was uniquely related to both academic achievement and problems in classroom engagement, and experiencing both homelessness and …


New Perspectives On Community-Level Determinants Of Homelessness, Thomas Byrne, Ellen Munley, Jamison D. Fargo, Anne Elizabeth Montgomery, Dennis P. Culhane Nov 2012

New Perspectives On Community-Level Determinants Of Homelessness, Thomas Byrne, Ellen Munley, Jamison D. Fargo, Anne Elizabeth Montgomery, Dennis P. Culhane

Dennis P. Culhane

Understanding the root causes of homelessness is important for developing effective solutions to the problem. This fact has not gone unnoticed by researchers, who have made numerous attempts to identify the underlying structural determinants of homelessness by modeling inter-community variation in the rate of homelessness as a function of community-level variables. Yet, prior studies in this area have a number of serious limitations, principally their reliance on methodologically flawed estimates of the size of the homeless population. The present study addresses this and other limitations by using newly available and more reliable estimates from the U.S. Department of Housing and …


The 2011 Annual Homeless Assessment Report To Congress, Alvaro Cortes, Louise Rothschild, Rj De La Cruz, Meghan Henry, Claudia Solari, Jill Khadduri, Dennis P. Culhane Oct 2012

The 2011 Annual Homeless Assessment Report To Congress, Alvaro Cortes, Louise Rothschild, Rj De La Cruz, Meghan Henry, Claudia Solari, Jill Khadduri, Dennis P. Culhane

Dennis P. Culhane

Between 2007 and 2011, the U.S. Department of Housing and Urban Development (HUD) has released an annual report on the extent of homelessness in the United States—the Annual Homeless Assessment Report (AHAR). The report documents how many people are using shelter programs for homeless people, and how many people are in unsheltered locations that are often called “the streets.” The AHAR is delivered each year to the U.S. Congress, and its contents are used to inform Federal, State, and local policies to prevent and end homelessness. This 2011 AHAR presents the most recent national estimates of homelessness, focusing on people …


Prevalence And Risk Of Homelessness Among Us Veterans, Jamison Fargo, Stephen Metraux, Thomas Byrne, Ellen Munley, Ann Elizabeth Montgomery, Harlan Jones, George Sheldon, Vincent Kane, Dennis P. Culhane Jan 2012

Prevalence And Risk Of Homelessness Among Us Veterans, Jamison Fargo, Stephen Metraux, Thomas Byrne, Ellen Munley, Ann Elizabeth Montgomery, Harlan Jones, George Sheldon, Vincent Kane, Dennis P. Culhane

Dennis P. Culhane

Introduction

Understanding the prevalence of and risk for homelessness among veterans is prerequisite to preventing and ending homelessness among this population. Homeless veterans are at higher risk for chronic disease; understanding the dynamics of homelessness among veterans can contribute to our understanding of their health needs.

Methods

We obtained data on demographic characteristics and veteran status for 130,554 homeless people from 7 jurisdictions that provide homelessness services, and for the population living in poverty and the general population from the American Community Survey for those same jurisdictions. We calculated prevalence of veterans in the homeless, poverty, and general populations, and …


Veteran Homelessness: A Supplemental Report To The 2010 Annual Homelessness Assessment Report To Congress, Dennis P. Culhane, Jill Khadduri, Alvaro Cortes, Meghan Henry, Ann Elizabeth Montgomery, Thomas Byrne, Ellen Munley Oct 2011

Veteran Homelessness: A Supplemental Report To The 2010 Annual Homelessness Assessment Report To Congress, Dennis P. Culhane, Jill Khadduri, Alvaro Cortes, Meghan Henry, Ann Elizabeth Montgomery, Thomas Byrne, Ellen Munley

Dennis P. Culhane

The Department of Housing and Urban Development (HUD)and the Department of Veterans Affairs (VA) are pleased to present Veteran Homelessness: A Supplemental Report to the 2010 Annual Homeless Assessment Report to Congress. This second annual supplemental report is intended to provide policymakers, practitioners, and the general public with information about the extent and nature of veteran homelessness. The information provided in this report advances the federal effort to end homelessness among veterans in 5 years—as described in the 2010 Federal Strategic Plan to End Homelessness and the VA’s plan to end veteran homelessness—through the collection of timely data on veteran …


The Right To Housing: An Effective Means For Addressing Homelessness?, Thomas Byrne, Dennis P. Culhane Jul 2011

The Right To Housing: An Effective Means For Addressing Homelessness?, Thomas Byrne, Dennis P. Culhane

Dennis P. Culhane

A number of international human rights instruments and national constitutions establish a right to housing. In addition, a few countries, most notably England and France, have enacted legislation guaranteeing a legally enforceable right to housing. In this paper we provide an overview of the concept of a “right to housing,” and discuss its implications for efforts intended to reduce and end homelessness both in the European and American contexts.


Prevalence And Risk Of Homelessness Among Us Veterans: A Multisite Investigation, Jamison Fargo, Stephen Metraux, Thomas Byrne, Ellen Munley, Ann Elizabeth Montgomery, Harlan Jones, George Sheldon, Dennis P. Culhane Jul 2011

Prevalence And Risk Of Homelessness Among Us Veterans: A Multisite Investigation, Jamison Fargo, Stephen Metraux, Thomas Byrne, Ellen Munley, Ann Elizabeth Montgomery, Harlan Jones, George Sheldon, Dennis P. Culhane

Dennis P. Culhane

This study analyzes HMIS and American Community Survey data from seven jurisdictions to assess the prevalence and relative risk for homelessness among veterans by race, sex, age and poverty status. Results show that among the homeless population, approximately 14% of adult males and 2% of adult females are veterans. For males, this proportion is about 30% greater than the proportion of Veterans in the general population, and twice as large as the proportion of veterans in the population living below the poverty threshold. Similarly among the female homeless population, veterans are overrepresented compared to the general population by a factor …


The Impact Of Shelter Use And Housing Placement On Mortality Hazard For Unaccompanied Adults And Adults In Family Households Entering New York City Shelters: 1990-2002, Stephen Metraux, Nicholas Eng, Jay Bainbridge, Dennis P. Culhane Jul 2011

The Impact Of Shelter Use And Housing Placement On Mortality Hazard For Unaccompanied Adults And Adults In Family Households Entering New York City Shelters: 1990-2002, Stephen Metraux, Nicholas Eng, Jay Bainbridge, Dennis P. Culhane

Dennis P. Culhane

This study examines mortality among New York City (NYC) homeless shelter users, assessing the relationships between mortality hazard and time in shelter, patterns of homelessness, and subsequent housing exits for both adults in families and single adults. Administrative records from the NYC shelter system were matched with death records from the Social Security Administration for 160,525 persons. Crude mortality rates and life tables were calculated, and survival analyses were undertaken using these data. Life expectancy was 64.2 and 68.6 years for single adult males and single adult females, respectively, and among adults in families, life expectancy was 67.2 and 70.1 …


The 2010 Annual Homeless Assessment Report To Congress, Alvaro Cortes, Josh Leopold, Louise Rothschild, Larry Buron, Jill Khadduri, Dennis P. Culhane Jun 2011

The 2010 Annual Homeless Assessment Report To Congress, Alvaro Cortes, Josh Leopold, Louise Rothschild, Larry Buron, Jill Khadduri, Dennis P. Culhane

Dennis P. Culhane

The 2010 Annual Homeless Assessment Report (AHAR) represents the sixth in a series of reports on homelessness in the U.S. It responds to a congressional directive that the Department of Housing and Urban Development (HUD) provide an annual report to Congress on the extent and nature of homelessness. As in past years, the AHAR provides the results of local counts of people homeless on a single night in January, as well as estimates of the number, characteristics, and service patterns of all people who used residential programs for homeless people during the 2010 federal Fiscal Year (October 2009-September 2010). Also, …


Book Review: How To House The Homeless. Edited By Ingrid Gould Ellen And Brendan O'Flaherty. New York: Russell Sage Foundation, 2010, Dennis P. Culhane May 2011

Book Review: How To House The Homeless. Edited By Ingrid Gould Ellen And Brendan O'Flaherty. New York: Russell Sage Foundation, 2010, Dennis P. Culhane

Dennis P. Culhane

No abstract provided.


A Prevention-Centered Approach To Homelessness Assistance: A Paradigm Shift?, Dennis P. Culhane, Stephen Metraux, Thomas Byrne Apr 2011

A Prevention-Centered Approach To Homelessness Assistance: A Paradigm Shift?, Dennis P. Culhane, Stephen Metraux, Thomas Byrne

Dennis P. Culhane

Prevention has long been cited as an important part of any strategy to end homelessness. Nonetheless, effective prevention initiatives have proven difficult to implement in practice. The lack of a prevention-oriented policy framework has resulted in responses to homelessness that focus primarily on assisting those who have already lost their housing and, consequently, to the institutionalization of homelessness. Recent Federal legislation, however, signals an emergent paradigm shift towards prevention-based approaches to homelessness. This paper explores the conceptual underpinnings of successful prevention initiatives and reviews practice-based evidence from several successful prevention-oriented approaches to homelessness in the United States and Europe. We …


Veteran Homelessness: A Supplemental Report To The 2009 Annual Homeless Assessment Report To Congress, Dennis P. Culhane, Jill Khadduri, Alvaro Cortes, Larry Buron, Joshua Leopold, Ann Elizabeth Montgomery, Ellen Munley, Thomas Byrne, John Kuhn Feb 2011

Veteran Homelessness: A Supplemental Report To The 2009 Annual Homeless Assessment Report To Congress, Dennis P. Culhane, Jill Khadduri, Alvaro Cortes, Larry Buron, Joshua Leopold, Ann Elizabeth Montgomery, Ellen Munley, Thomas Byrne, John Kuhn

Dennis P. Culhane

The Department of Housing and Urban Development (HUD) and the Department of Veterans Affairs (VA) are pleased to present Veteran Homelessness: A Supplemental Report to the 2009 Annual Homeless Assessment Report to Congress. This report is the result of ongoing collaboration between HUD and the VA to understand the extent and nature of homelessness among veterans in the United States. The information presented in this report is intended to inform public policymakers, local practitioners and the general public about veteran homelessness. It also advances the goals of the nation’s federal strategic plan to prevent and end homelessness (Opening Doors: Federal …


Homelessness And Housing Exclusion In Europe: Challenges And Opportunities For Research And Policy, Dennis P. Culhane, Thomas Byrne Dec 2010

Homelessness And Housing Exclusion In Europe: Challenges And Opportunities For Research And Policy, Dennis P. Culhane, Thomas Byrne

Dennis P. Culhane

The European Parliament recently passed a Written Declaration “calling for an ambitious EU homelessness strategy and support to Member States in their efforts towards ending homelessness” (FEANTSA, December 21, 2010). The Written Declaration comes on the heels of a consensus conference on homelessness held in Brussels, in which researchers from the European Observatory (some featured in this volume) made the moral and empirical case for urgent and strategic action by all member countries of the EU. This leadership has proven to be critically influential as the European Commission moves forward with its antipoverty goals for 2020. This timely volume will …


Service Use And Costs For Persons Experiencing Chronic Homelessness In Philadelphia: A Population-Based Study, Stephen R. Poulin, Marcella Maguire, Stephen Metraux, Dennis P. Culhane Oct 2010

Service Use And Costs For Persons Experiencing Chronic Homelessness In Philadelphia: A Population-Based Study, Stephen R. Poulin, Marcella Maguire, Stephen Metraux, Dennis P. Culhane

Dennis P. Culhane

Objective: This study is the first to examine the distribution of service utilization and costs with a population-based sample that experienced chronic homelessness in sheltered and unsheltered locations in a large U.S. city. Methods: This study used shelter and street outreach records from a large U.S. city to identify 2,703 persons who met federal criteria for chronic homelessness during a three-year period. Identifiers for these persons were matched to administrative records for psychiatric care, substance abuse treatment, and incarceration. Results: Twenty percent of the persons who incurred the highest costs for services ccounted for 60% of the total service costs …


To Fight Homelessness, Turn Project 50 Into Project 10,000, Dennis P. Culhane Aug 2010

To Fight Homelessness, Turn Project 50 Into Project 10,000, Dennis P. Culhane

Dennis P. Culhane

The pilot program that puts the 50 most chronically homeless into supportive housing is a success. L.A. should follow New York's lead and turn Project 50 into real policy.


5 Myths About America's Homeless, Dennis P. Culhane Jul 2010

5 Myths About America's Homeless, Dennis P. Culhane

Dennis P. Culhane

Last month, the Obama administration released a plan designed to end homelessness in 10 years. The goal reflects new optimism among academics and advocates that homelessness is not an intractable feature of urban life, as it has sometimes seemed, but a problem that can be solved. This belief is fueled by recent research debunking a number of long-standing myths about homelessness in America -- and showing that many of our old policies were unwittingly making the problem worse.


Ending Family Homelessness In Massachusetts: A New Approach For The Emergency Assistance Program, Dennis P. Culhane, Thomas Byrne May 2010

Ending Family Homelessness In Massachusetts: A New Approach For The Emergency Assistance Program, Dennis P. Culhane, Thomas Byrne

Dennis P. Culhane

This paper explores the current opportunity for policy reform of the Emergency Assistance (EA) system in Massachusetts. Recent initiatives by the state are described that have provided a context for systems change. Some of the challenges posed by the current program are discussed, particularly the lack of cost containment, and the resulting fact that significant public resources are spent supporting long-term stays in shelters and motels, which are not good for families or children. After an exploration of funding and resource issues, the paper concludes by establishing the foundation for changing the current system into one that would be outcome …


Ending Chronic Homelessness: Cost-Effective Opportunities For Interagency Collaboration, Dennis P. Culhane, Thomas Byrne Feb 2010

Ending Chronic Homelessness: Cost-Effective Opportunities For Interagency Collaboration, Dennis P. Culhane, Thomas Byrne

Dennis P. Culhane

Faced with a difficult economic climate with high levels of unemployment and widespread home foreclosures, the Administration of President Barack Obama has created a unique opportunity to rethink and redirect fundamental policies and practices ranging from health care to regulation of the financial industry. A similar opportunity exists to change Federal homeless assistance policies and programs.