Public Affairs, Public Policy and Public Administration Commons^™

Housing And Services For Homeless And At-Risk People: Newport's Experiment, Mary Ellen Hombs, David A. Mehl

New England Journal of Public Policy

Large and small communities alike have diverse groups of people in need of housing and services: mental health patients, single homeless adults, individuals with substance abuse problems, the elderly, the mentally retarded, the unemployed, and people with low or fixed incomes. Even with unlimited resources to create necessary solutions, most communities would subscribe to the conventional wisdom of segregating people according to their major needs and managing the resulting environment with a combination of behavioral regulation and casework. In Newport, Rhode Island, an ambitious nonprofit housing organization decided to break those rules and provide a continuum of secure housing choices …

Ending Homelessness Among Mentally Disabled People, Steven A. Hitov

New England Journal of Public Policy

This article examines some of the many shortcomings of the mental health system operated by the Massachusetts Department of Mental Health (DMH) and explores the impact of that system on single homeless individuals who suffer from some form of serious or long-term mental disability. To afford that discussion context, however, the article first briefly examines those forces which have, and have not, significantly contributed to the large number of mentally disabled homeless persons. It suggests certain changes, including a shift in departmental focus from hospitals to community services and the creation of a housing subsidy system exclusively for DMH clients, …

Build Homes Not Bombs: Get A Better Economy To Boot!, Richard Krushnic

New England Journal of Public Policy

Our nation has a rare opportunity to shift resources from military to civilian activities for the next few years. A budget pact is supposed to prevent transfers of funds from the military to domestic programs during fiscal years 1992 and 1993, but the pact is cracking in light of the sudden collapse of the Soviet military and the dismemberment of the Soviet Union. While jobs are lost when funds are shifted out of the military, the funds don't disappear - they are used for alternative federal expenditures, paying federal debt, or tax reduction. Many alternative expenditure patterns are available to …

The Last Thing We Need Is Another Shelter, Jessica Segré

New England Journal of Public Policy

Segre suggests that family homelessness is merely the latest and most devastating example of America's lack of commitment to children and families. The history of human services for children is presented to show that, both at the community and at the policy levels, this population and its needs have been neglected, subjected to fragmentation, and consistently downgraded on our lists of priorities. The societal values that have led to this situation are discussed and revealed as still reflecting an individualistic, frontier outlook, which is, however, becoming an anachronism. The need for a child/family policy is stressed, as is the urgency …

The Kindred Bonds Of Mentally Ill Homeless Persons, Richard C. Tessler, Gail M. Gamache, Peter H. Rossi, Anthony F. Lehman, Howard H. Goldman

New England Journal of Public Policy

While the unraveling of the kinship bond has long been suspected to play a role in the epidemiology of homelessness, the connection between kinship and homelessness has been little studied. Based on a normative analysis of the role of family structure in response to adversity, this article explores the impact of the amount and quality of kinship ties on episodes of homelessness experienced by discharged psychiatric patients in Ohio. Survey data derived from personal interviews with both former patients and their kin indicate more strain in relations with kin of the homeless than the nonhomeless. The strain in the kinship …

Housing, Community Support, And Homelessness: Emerging Policy In Mental Health Systems, Paul J. Carling

New England Journal of Public Policy

This article summarizes the dramatic changes in public policy through which public mental health systems are attempting to meet the housing and community support needs of persons with severe and persistent mental illnesses, including those who are homeless. It traces the historical approach to meeting these needs through defining people principally as patients and providing some combination of psychotropic medications, outpatient therapy, and structured, supervised quasi-institutional settings such as group homes, shelters, and segregated single-room-occupancy, or board-and-care facilities. A transition phase in public policy has emphasized defining these individuals essentially as service recipients who need greater or lesser amounts of …

The Mckinney Act: New England Responses To Federal Support For State And Local Assistance To The Homeless And Mentally Ill, Danna Mauch, Virginia Mulkern

New England Journal of Public Policy

The Stewart B. McKinney Homeless Assistance Act of 1987 builds on the work of state mental health authorities and the National Institute of Mental Health in the early 1980s. The act and its subsequent amendments are designed to organize, coordinate, and enhance federal support to the states in financing the development of shelter, health, housing, employment, and support services to homeless persons. There is a special focus in the act on assisting homeless persons with handicaps. In the main, the New England states have met the requirements of the act to provide mandated essential services, which include outreach; community mental …

My Life, Thomas Newman

New England Journal of Public Policy

A personal story by Thomas Newman, a resident of Fifty Washington Square, Newport, Rhode Island. His work has appeared in In the Heart of the City, a literary magazine produced by the residents of Fifty Washington Square. He hopes to be a photographer.

Homelessness: An Overview, Jim Tull

New England Journal of Public Policy

The homelessness crisis in the United States has reached epidemic proportions as the diversity of the homeless population expands to the point where it resembles the general population. The deepest and most long-standing cause of homelessness is poverty, but there are other forces as well, including the severe shortage of affordable housing (particularly due to urban renewal); deep funding cuts at the federal, state, and local level; the policy of deinstitutionalization; the Vietnam war; and unemployment. A new public policy approach to homelessness is needed, one which addresses these multiple forces and is grounded in the assumptions that housing and …

Framing And Claiming The Homelessness Problem, David A. Rochefort, Roger W. Cobb

New England Journal of Public Policy

Despite a recent upsurge of interest in the issue, homelessness is a problem of long standing in American society. This article traces how several forces catalyzed the problem's re-entrance onto the political agenda in the 1980s. It then reviews the ongoing debate over homelessness causes and cures as a struggle for problem ownership that has complicated the choices of public policymakers. The final section examines various descriptive attributes that figure into the dispute over how to define homelessness and influence the nature of the public policy response to it.

Foreword, Raymond L. Flynn

New England Journal of Public Policy

Imagine a hypothetical disaster befalling America's cities. A bomb, perhaps; or a ferocious hurricane; or an earthquake. Two to 3 million Americans lose their homes. We know that, daily, the evening news and the major newspapers would feature stories on the number of people victimized by the disaster. Many Americans would volunteer to help their neighbors in need, and many community agencies and local governments would come to the rescue, but the public would rightly expect the federal government to play a leading role in repairing the human and physical damage. The president and Congress would act swiftly to declare …

Question, Edward Baros

New England Journal of Public Policy

Poem by Edward Baros.

The Housing Crisis Enters The 1990s, Peter Dreier, Richard Appelbaum

New England Journal of Public Policy

Homelessness in the United States is a symptom of a much deeper economic and housing crisis — a widening gap between incomes and housing prices. With the end of the Cold War, the nation has the resources to solve these problems, but to do so it must mobilize the political will. This article examines the roots of crisis, the public policies and market forces that created it, and policy recommendations to solve the problem. Key to forging a solution is building the political coalition needed to create a broad public consensus.

Twin Peaks, Vince Putnam

New England Journal of Public Policy

Poetry by Vince Putnam, a resident of Fifty Washington Square, Newport, Rhode Island. His work has appeared in In the Heart of the City, a literary magazine produced by the residents of Fifty Washington Square. He is pursuing an MSW degree at the University of Rhode Island.

Untitled, Kathie Boulanger

New England Journal of Public Policy

Poetry by Kathie Boulanger, who is a member of the Portland (Maine) Coalition for the Psychiatrically Disabled. Her poem first appeared in Pile of Papers; Stack of Karma, a collection of poetry published by the Portland Coalition Press. Reprinted with permission.

Empowerment And The Transition To Housing For Homeless Mentally Ill People: An Anthropological Perspective, Norma C. Ware, Robert R. Desjarlais, Tara L. Avruskin, Joshua Breslau, Byron J. Good, Stephen M. Goldfinger

New England Journal of Public Policy

Often lacking in scholarly and policy-oriented discussions of homelessness are contextualized understandings of the problems faced, and the values held, by homeless mentally ill people. This article, using an anthropological perspective, examines issues that arise for homeless mentally ill individuals in making the transition from shelter living to permanent residences. The transition occurs as part of a housing initiative driven by the philosophy of consumer empowerment. Project participants are placed in independent apartments or evolving consumer households (ECH) — shared, staffed residences designed to transform themselves into consumer-directed living situations over time. The effects of an empowerment paradigm on the …

Program Design And Clinical Operation Of Two National Va Initiatives For Homeless Mentally Ill Veterans, Robert Rosenheck, Catherine A. Leda, Peggy Gallup

New England Journal of Public Policy

In 1987, in response to reports of large numbers of veterans among America's homeless, the Department of Veterans Affairs established two new national health care initiatives, which have seen over 40,000 homeless veterans since their inception. We present here evaluation and treatment data on a sample of 14,000 of them. Because of differences in their design, the two programs vary in the degree to which they emphasize community outreach, homelessness prevention, and the provision of aftercare services to patients discharged from other VA programs. In spite of these differences, veterans treated in the two programs have similar health care problems …

Subgroups Of The Homeless: Street Kids, Bruce Clary, James Harrod, Rachel Olney

New England Journal of Public Policy

Street kids are a feature of many cities, but only recently have they been included among the homeless. They were defined as runaways, throwaways, or youth in crisis. They had a place to live, even if it was a foster or group home or an institutional setting. However, many are without shelter at one time or another and face the same problems as the chronic homeless: the need for food and shelter, avoidance of victimization, and help for personal problems. In 1988, the National Institute of Mental Health funded three national demonstration projects on adolescent homelessness. We report findings from …

Streets Are For Nobody: Margaret Mullins, Melissa Shook

New England Journal of Public Policy

From an interview by Melissa Shook, February 1989, Long Island Shelter. Reprinted, with permission, from "Streets Are for Nobody: Homeless Women Speak, "Boston Center for the Arts, 1991.

Circle, Dean Hamlin

New England Journal of Public Policy

Poetry by Dean Hamlin, a member of the Portland (Maine) Coalition for the Psychiatrically Disabled. His poem first appeared in Pile of Papers; Stack of Karma, a collection of poetry published by the Portland Coalition Press. Reprinted with permission.

Homelessness In Massachusetts: Perception, Policy, And Progress, Milton Argeriou

New England Journal of Public Policy

Homelessness is not a new phenomenon in Massachusetts, nor are the "new" homeless of the 1980s and 1990s that different from the "old" homeless of previous decades. What is new is the societal response to the burgeoning population of homeless men, women, and children. Massachusetts's response to the problem of homelessness in the 1980s, as outlined in the Massachusetts Comprehensive Policy Approach, is examined and found to reflect commitment and creativity. However, the problem of homelessness in Massachusetts remains, the community appears frustrated, and current budget cutbacks do not augur well for future services to the homeless.

Policy Shifts In The Massachusetts Response To Family Homelessness, Margaret A. Leonard, Stacy Randell

New England Journal of Public Policy

Massachusetts's response to the tragedy of family homelessness during a period of economic prosperity (1983-1987) is contrasted to a period of economic decline (1988-1992). The article describes the movement toward a structural response in the boom years and its dismantling with the emergence of a "blame the victim" response in the decline years. The roles of state government, advocacy groups, human service providers, private funding sources, academic institutions, and the media, as they influence these responses, are outlined. Interviews with key actors in these groups, group interviews with formerly homeless women, a review of the literature, and the authors' direct …

Tents Along The Merrimack: Homelessness And University-Community Cooperation, Mark D. Levine

New England Journal of Public Policy

This article presents historical, institutional, and ethical contexts for a university and an industrial, ethnic community's cooperative effort to address local hunger and homelessness. A large portion of the University of Massachusetts at Lowell's students are of working-class and local origin. Neighborhood social problems are in effect their own, and community service may be considered a variant of self-help. Attention is paid the special importance of developing a sense of community across traditional boundaries on and off campus and to the establishment of permanent mutually beneficial structures.

Winter, Edward Baros

New England Journal of Public Policy

Poem by Edward Baros.

Private-Sector Funders: Their Role In Homelessness Projects, Nancy Roob, Ruth Mccambridge

New England Journal of Public Policy

As the problem of homelessness escalates, private funders struggle to define the most appropriate role they should play in addressing one of our nation's most pressing and visible social problems. Through surveying and compiling the opinions of Massachusetts funders, this report documents funding trends in homelessness throughout the state. By examining government policies and spending patterns, the report attempts to place these trends in context. The analysis and the questions that conclude this report are designed to help develop an appropriate future role for funders in addressing this problem.

Homelessness: The Politics Of Accommodation, Kip Tiernan

New England Journal of Public Policy

This article considers the problem of poverty, with homelessness as the centerpiece. A survey of the problem and its roots and ancillary branches includes (1) a description of poverty in Boston (and America) from 1974 to 1991, its effects, its victims, and its predictable effects on the economy; (2) a description of displacement and of the homelessness that results from it; (3) a description of the immediate response to displacement and homelessness, that is, shelters; (4) a description of the institutionalization/professionalization/ossification of the response (more shelters); and (5) an outline of the terms of the new debate and suggestions for …

The New England Shelter For Homeless Veterans: A Unique Approach, Ken Smith, James M. Yates

New England Journal of Public Policy

It has been estimated that veterans comprise one third of the homeless population. To combat this national disgrace, many small veterans' groups have been formed nationwide to serve their homeless "brothers" in such settings as shelters, group homes, and outreach centers.

A Boston group, the Vietnam Veterans Workshop, based its New England Shelter for Homeless Veterans on the simple but powerful concept of veteran helping veteran. The shelter created a program to accomplish three important functions: providing the basic necessities of a bed, a meal, clothing, and a hot shower; rehabilitating the veterans by offering various activities to comfort and …

Homelessness In Boston: The Media Wake Up, Ian Menzies

New England Journal of Public Policy

Why did it take the media so long to "discover" and report on the dramatically rising rates of hunger and homelessness throughout the nation? Did that failure make it easier for presidential counselor Edwin Meese to declare in December 1983 that allegations of hunger in America were "purely political" and that people who go to soup kitchens do so because the food is free, statements matched a short time later by President Ronald Reagan's claim that people who sleep on grates do so "by choice." In this article, Menzies tells the unfolding story of how hunger and homelessness finally became …

Winds Curse, Robert Pavel

New England Journal of Public Policy

Robert Pavel is a member of the Portland (Maine) Coalition for the Psychiatrically Disabled. His poem first appeared in Pile of Papers; Stack of Karma, a collection of poetry published by the Portland Coalition Press. Reprinted with permission.

Streets Are For Nobody: Judy Silva, Melissa Shook

New England Journal of Public Policy

From an interview by Melissa Shook, April 24, 1990, Chelsea. Reprinted, with permission, from "Streets Are for Nobody: Homeless Women Speak," Boston Center for the Arts, 1991.