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Progress Watch

How to curb chronic homelessness? First, a home!

Permanent supportive housing, a movement to supply homeless people with housing first and deal with their other issues second, has made big strides in reducing homelessness this decade.

By Andrew MachContributor / January 25, 2012

Caseworker Brent Soares (l.) chats with Vietnam vet Barry Boudreau, formerly homeless, in the studio apartment in Quincy, Mass., where he’s lived for eight years.

Melanie Stetson Freeman/Staff


Quincy, Mass.

The simple though revolutionary concept that the most lasting cure for homelessness is, in fact, a home has helped the federal government and private groups make significant headway against homelessness during the past decade.

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For years, the battle against homelessness was fought against symptoms. The answer to getting people off the streets, it was believed, was treating the underlying problems that faced the homeless, such as mental illness or drug and alcohol addiction.

But last year, the number of so-called permanent supportive housing units in the United States exceeded the number of emergency shelters for the first time. The reason is simple, advocates say: Permanent supportive housing not only removes the stigma of homelessness but is also cheaper than other alternatives, studies show.

Thanks by and large to this dramatic shift in thinking about solutions to homelessness, the number of long-term homeless has decreased by nearly 39 percent since 2005. Perhaps most surprising, homelessness has stayed flat since 2009, despite the tremendous economic pressures of the recession's aftermath.

"There has been a complete paradigm shift in this country away from using emergency, big congregate shelters just to get people off of the street," says Brian Sullivan, spokesman for the US Department of Housing and Urban Development (HUD). "This system is merely a band-aid with a big revolving door, and modeling our entire system of care on this wasn't having any meaningful impact in reducing homelessness, especially among the chronically homeless."

Permanent supportive housing provides immediate access to affordable rental housing without requiring participation in psychiatric or sobriety treatment, a common deterrent for many homeless people, says HUD's Mr. Sullivan. After settling in, clients are offered a range of services to help them maintain their housing, including mental health and substance abuse counseling, health care, and job training.

The model for permanent supportive housing began taking shape decades ago, when groups serving the homeless began bringing in services to try to address those who experienced multiple stints of homelessness over short periods of time.

To critics, there is some concern about backing away from the treatment-first model. Moreover, some say that permanent sup­portive housing ventures could face tough times as federal stimulus money runs out. But data suggest that supportive housing has so far had a positive impact, particularly on chronic homelessness.

The chronically homeless are defined as those who have been continuously homeless for a year or more or have had at least four episodes of homelessness in the past three years. They represent only about 18 percent of the overall homeless population but consume more than half the homeless-assistance system's resources every year.

Comparing statistics on chronic homelessness over decades is impossible, HUD says, because it did not have consistent reporting methods before 2005. But since then, the number of chronically homeless in the US has fallen from 175,914 to 107,148.

A Jan. 18 press release by the Na­tion­al Alliance to End Home­less­ness cited permanent supportive housing as the greatest factor in the recent decline of chronic homelessness. Four cities considered leaders in permanent supportive housing have seen noteworthy drops in chronic homelessness: Chicago (12 percent); Norfolk, Va. (25 percent); Quincy, Mass. (50 percent); and Wichita/Sedgwick County, Kan. (51 percent).


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