Social Policy Commons^™

Down And Out In Boston, Jack Thomas

New England Journal of Public Policy

Jack Thomas is a reporter for the Boston Globe, in which this article first appeared, on February 12, 1992. Reprinted with permission.

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 …

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 …

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, …

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 …

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.

Shelter The American Way: Federal Urban Housing Policy, 1900-1980, Ronald Dale Karr

New England Journal of Public Policy

American urban housing policy has featured subsidies for the suburban middle class and parsimonious spending for the urban poor. The outlines of this policy took shape during the Progressive Era: acceptance of the capitalistic market economy, support for the deserving poor needing temporary help, toleration of racial segregation, and the designation of overcrowding as the single most important urban problem. Progressive housing reformers championed stricter housing codes and model tenements, but housing conditions for the urban poor showed little improvement.

The U.S. government avoided direct involvement in housing until the early 1920s, when it promoted local zoning legislation. Under the …

Question, Edward Baros

New England Journal of Public Policy

Poem by Edward Baros.

Indemnified In A January Soup Kitchen Line, Ray Hall Jr.

New England Journal of Public Policy

Poetry by Ray Hall, Jr., a contributor to Pile of Papers; Stack of Karma, a collection of poetry published by the Portland Coalition Press. Reprinted with permission.

Classification And Its Risks: How Psychiatric Status Contributes To Homelessness Policy, Anne M. Lovell

New England Journal of Public Policy

This article examines the extent to which psychiatric classification in public policy research contributes to the equation of homelessness and mental illness. Surveys that measure psychiatric status of homeless persons are reviewed to understand whether they contribute to biased rates of mental illness among homeless persons. The relationship between psychiatric classification and the concept of need is examined and alternatives to current classification are proposed. Classification is discussed particularly in relation to policies of segmentation for "single" homeless adults.

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 …

Victimization And Homelessness: Cause And Effect, Pamela J. Fischer

New England Journal of Public Policy

The literature on the contemporary homeless population is reviewed to examine the association of victimization with homelessness. Although few studies have specifically focused on victimization, findings derived from studies investigating pathways to homelessness, prevalence of health, mental health, and substance-use disorders, and demographic profiles and life histories suggest that victimization both causes homelessness and is an outcome of losing housing. Causal sequences ending in homelessness most frequently involve domestic violence, which mainly affects women, although other types of abuse may extrude individuals from their established housing. Once they become homeless, the risk of violence escalates for people living on the …

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 …

From Lemons To Lemonade: An Ethnographic Sketch Of Late Twentieth-Century Panhandling, Louisa R. Stark

New England Journal of Public Policy

A rise in the number of panhandlers on the streets of this country has given rise to the promulgation of ordinances outlawing this activity. Although there has been a great deal of press and litigation revolving around such public policy, little is known about homeless panhandlers. This article reviews the rather limited information about what is known of the sociodemographics of panhandling. Strategies used by panhandlers in pursuing their occupation are described, along with their own perceptions of their occupation. Services available to this population are discussed, along with some suggestions for resolving the problems associated with panhandling on America's …

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.

State Government's Response To Homelessness: The Massachusetts Experience, 1983-1990, Nancy K. Kaufman

New England Journal of Public Policy

When Governor Michael S. Dukakis reentered the State House in January 1983, he focused his inaugural address and priorities for his incoming administration on solving the problem of homelessness. This article describes the policy approach taken during his two successive terms as governor from 1983 to 1990, outlines the various steps taken to rally public and private support and resources on preventing the problem and on finding long-term, permanent solutions designed to solve it, and points to some of the lessons learned during these years of experimentation and innovation.

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.

Let Them Have Housing, Wendy Quinones

New England Journal of Public Policy

Does eliminating homelessness primarily require social services or affordable housing? Research done among former guests of the family shelter operated by Wellspring House, Inc., suggests that, at least for one group of homeless mothers, the provision of secure and affordable housing enables them to function and even to flourish. This article explores both the research and its philosophical underpinnings.

Anger, A. E. S.

New England Journal of Public Policy

Poetry by A.E.S., a member of the Portland (Maine) Coalition for the Psychiatrically Disabled.

The Grassroots Home: How Local Communities Are Fighting Homelessness, Sheila Rauch Kennedy

New England Journal of Public Policy

In the 1980s federal policy combined with market forces to produce the American tragedy of homelessness. Since that time influential policymakers have debated every aspect of the issue, but avoided the large-scale commitment needed for solutions. Locally, however, grassroots efforts have made these commitments and forged the coalitions needed to address the issue. The solution to homelessness lies in harnessing these same successful public and private resources on the regional and national levels.

Massachusetts At The Crossroads, Richard E. Ring

New England Journal of Public Policy

Massachusetts is at a critical juncture in its care for homeless individuals. In the face of a charged political climate and with a governor bent on the "downsizing" and "privatization" of government services, decisions are being made that are of major importance to the welfare of homeless individuals in this state. Based on the choices of the state administration, Massachusetts can either solve its homelessness problem in the near future or relegate its homeless population to a lifetime spent on the streets or in shelters. In comparison to other states, Massachusetts has been relatively successful in caring for homeless people. …

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 …

A Visit To The Vet Hospital, D. B.

New England Journal of Public Policy

D.B. is a member of the Portland (Maine) Coalition for the Psychiatrically Disabled. His poem first appeared in The Portland Coalition Advocate. Reprinted with permission.