But because of the availability of land, as well as lawsuits from the public who don’t want homeless housing in their neighborhood, housing for the chronically homeless in Los Angeles is spread all throughout the LA County. This creates a patchwork of housing sites, with redundancies in staffing and services, and many times caseworkers are required to travel to the locations.

With the Citizens Again City, having a single location would allow many more supportive services for a greater number of people, resulting in a lower cost. And by being located away from neighborhoods, the public wouldn’t oppose the location (known as NIMBY – Not In My BackYard).

Of course, Citizens Again isn’t for everyone; but it’s a viable option to provide more housing, with more services, for more homeless, for a lower cost to taxpayers.

The post Homeless housing is scattered across Los Angeles appeared first on Citizens Again.

• No pets allowed
• Danger of sexual assault
• Threats of violence
• Fear of contracting illness / disease
• Worry of Theft
• Hours of operation incompatible with work hours
• Difficult to sleep due to noises
• Endanger disabled individuals
• Loss of personal control (check-in time, eating, sleeping, waking, checkout, etc.)
• Lack of privacy
• Fear of crowds
• Forced religious services
• Personal belongings not allowed inside
• Rejection based on drug or alcohol use (or perception of usage)
• Separation of family members (due to gender/age restrictions)
• Lack of handicapped accommodations
• Disrespectful check-in process
• Fear of contracting parasites like lice, scabies, or bedbugs
• Discrimination against LGBTQ people
• Denied entry due to mental illness

And many times it’s just not their choice to live outdoors, but a lack of available beds in their area.

The post Here’s why not all homeless want to use shelters appeared first on Citizens Again.

A 2019 report estimated it would cost $12.7 billion to building enough housing for the bay area’s 28,200 homeless, assuming a construction cost of $450,000 per unit (although housing costs in San Francisco are more than $700,000 per unit when land is factored in according to the report).

An additional $700 million per year – assuming $25,000 per homeless person – to fund ongoing services.

The low price of $25,000 per person per year for ongoing services takes in the effect of the full range of homeless levels, from chronic to temporary.

On the contrary, Citizens Again will cost substantially less. By building outside the urban core and by building a single location the city can utilize economies of scale to bring down the overall costs. From the early conceptual estimates, it’s believed the entire City – which will have a capacity of up to 150,000 population – will cost a total of $3 billion. That breaks down to approximately $60,000 per unit (about 50,000 total units).

The post Experts say building housing for San Francisco Bay homeless will cost at least $13 billion appeared first on Citizens Again.

Housing First is a permanent supportive housing program that is considered the “best practice” for governments and service agencies to use in their fight to end chronic homelessness. It’s used in X states and endorsed by the United States Interagency Council on Homelessness (USICH).

The primary goal of Housing First is to get homeless people into permanent, long-term housing. It differs in other shelters and housing programs, as it doesn’t require sobriety, drug treatment, psychiatric counseling or medications, or any service participation. However, supportive services are offered if the participant is interested.

Housing units are typically scattered around towns and cities, working with private landlords. The only requirements are that participants are required to pay 30% of the rent, which is usually paid for by Social Security benefits; and participants must meet with case managers twice monthly.

Research Findings for Housing First

There is strong evidence that Housing First works:

• Reduces homelessness (Palepu 2013, Tsemberis 2000, Gulcur 2003)
• Reduces hospital utilization among individuals with persistent mental illness and problems with substance abuse and addiction (Cochrane-Stergiopoulos 2015, Fitzpatrick-Lewis 2011, Montgomery 2013, Nelson 2007)
• Reduces costs associated with hospitalizations and treatment for individuals with persistent mental illness and substance abuse problems (Srebnik 2013, Urban-Cunningham 2009)
• Decreases costs to emergency departments (Ly 2015)
• Decreases costs to shelters (Stergiopoulos 2015, Ly 2015)
• Decreases utilization of psychiatric hospitals for formerly homeless individuals with mental illness (Gulcur 2003)
• Cost less (generally) than programs that require sobriety or treatment before providing housing (Gulcur 2003)
• Improves housing stability for people with mental disorders (Stergiopoulos 2015, Palepu 2013, Tsemberis 2000)
• Improves housing stability and decrease hospitalizations among homeless veterans (Montgomery 2013)
• Improves mental health and well-being (Nelson 2007, Tsemberis 2012)
• Improves participants’ functioning in the community when programs have strong case management components (Cochrane-Stergiopoulos 2015)
• Significantly improves the higher quality of life than non-participants, as well as greater safety and comfort in their new dwellings (Patterson 2013)
• Increases treatment for substance abuse and addiction (Nelson 2007, Tsemberis 2000).
• Alcohol usage findings are mixed. One study indicates the use of alcohol and other substances declines among Housing First participants (Kirst 2015), while another indicates that substance use-related outcomes do not differ significantly between participants and non-participants (Somers 2015)

Examples of Success

Results/Findings from Housing First Studies:

2006 cost study[1] with 150 chronically homeless individuals in a Denver, CO Housing First program

Charlotte, NC study[2] with 85 chronically homeless individuals

Cost Comparison of Housing First vs. living on streets

Seattle, WA – 95 chronically homeless individuals with severe alcohol problems with health care use were studied to analyze the cost while living on the streets, then while in a Housing First program.[3]

• $86k living on streets
• $42k while living in Housing First Program
• That’s a 51% cost reduction

Orange County, CA – an in-depth report analyzed the costs of 252 chronically homeless individuals on the streets, and in various housing programs, including Housing First programs.[4]

• Average cost per person:
  • Living on streets = $100,759
  • Permanent supportive housing = $51,587
  • That’s a 49% cost reduction
• Average costs for 10% most costly:
  • Living on streets = $439,787
  • Permanent supportive housing = $55,332
  • That’s an 87% cost reduction

With so much evidence-based research illustrating success with the Housing First program, why are there still so many homeless in America?

If you read the Citizens Again proposal to building a single location, you’ll see that many of the great things Housing First provides, the Citizens Again City will provide as well, but on a much larger, more cost-effective scale.

Read through the Citizens Again website, or stay tuned for many more blog posts to explain.

[1] https://shnny.org/uploads/Supportive_Housing_in_Denver.pdf

[2] https://www.citylab.com/equity/2015/05/the-case-for-giving-homes-to-the-homeless/392696/

[3] https://jamanetwork.com/journals/jama/fullarticle/183666

[4] https://www.unitedwayoc.org/wp-content/uploads/2017/03/Orange-County-Cost-Study-Homeless-Executive-Summary.pdf

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