Homeless czar explains programNov 24 2006 Victoria News
I read with interest your recent editorial, "Lending Shelter" (Nov. 17), and heartily concur with your proposition that everyone should have a clean, dry room with a bed to sleep on. That makes moral and spiritual sense, and we're learning economic dollars and sense.
The cost of people experiencing chronic homelessness is counter-intuitively high. Someone who is vulnerable and disabled by addiction or mental illness and lying on the street may not look like they are costly, but studies in our country indicate that they are some of the most expensive people to the public purse.
Why? Because they randomly ricochet through expensive primary and behavioral health systems - the emergency rooms of hospitals, acute substance and mental health treatment - and are disproportionally the subject of police interventions on the street, court and incarceration costs.
San Diego discovered that 15 chronic, homeless street people followed over 18 months cost the city and county
$3 million, or on average $200,000 each in health and law-enforcement costs. To their chagrin, the expenditures did not resolve their homelessness or their cycling into expensive systems.
We've discovered through such research that the cost of housing this population is actually less than all that shuffling.
You are correct in indicating that "merely giving homes to homeless people won't also have its problems." Nor would we prefer only housing. We did that before in our nation. It was called deinstitutionalization.
That well-intended policy, which moved hundreds of thousands out of the inhumane and horrific conditions in the back wards of mental institutions, actually led to the unintended consequence of pervasive street homelessness in our country.
What happened?
We provided a place to live without the attendant support services so necessary for vulnerable populations - whether frail elders or those in recovery from addiction or mental illness.
We don't need to make that mistake again.
Our strategy is permanent supportive housing. That is housing with support services to sustain the tenancy. That strategy works. The retention rate in that housing, even for those who have lived long term in shelters or on the streets, is over 80 per cent.
You go on to say that "all that's missing is enough money." You're right again.
There will never be enough resources in any one year to remedy the crisis. But for six consecutive years the Bush administration, in partnership with the Congress, has increased resources targeted to homelessness to record levels. The president asked for an increase in 2007 to over $4 billion.
Those resources have resulted in the creation in the past five years of more than 50,000 tenancies targeted to homeless people who are the most disabled.
The 283 local communities we are now partnered with in jurisdictionally-led, community-based 10-year plans have an appetite for results. And I am pleased that Red Deer, Alberta, under the leadership of Mayor Flewwelling, is the first Canadian city to move forward to create a Ten Year Plan with the same intent.
Results oriented 10-year plans, fueled by political will, community partnerships, and innovative supportive housing strategies, are having an impact. Across the U.S., 30 cites are now reporting for the first time in 20 years reductions of people on the streets and long term in shelters.
You can be assured that these efforts in both our countries are a hand up, not a hand out.
Philip Mangano
executive director
U.S. Interagency Council on Homelessness
Washington, DC
Philip F. Mangano was appointed by President George W. Bush in 2002 to reduce and end homelessness in the United States beginning with a prioritization of those who are on the streets and long-term in our shelters. To learn more about 10-year plans to end homeless, please visit
http://www.usich.gov