Well-meaning people are really good at talking themselves out of doing anything meaningful. Ironic. And all too common.
Let’s think about how to address homelessness, for example. We say, “I see that people are homeless. I want to fix it. How do I do that?” Well, the issue is complex, and many factors need to be considered. “Oh, okay. What factors?” You really need to think about mental health care. A lot of people experiencing homelessness deal with mental health issues. “Yeah, that makes sense, so I guess we could…” And drug addiction is a major problem among the unhoused. Drug treatment programs are really important to consider. “Oh, sure. That tracks. So let’s fund the drug treatment…” Of course the real issue is money management and the poor financial decisions that people made and continue to make keep them in poverty situations. “Well, that’s bad. So let’s create money management classes and then we can …” And they’ll never be able to keep an apartment if they don’t have a job, so they need employment assistance programs to take care of that. “ … um …”
And just like that, the desire to fix all the problems becomes a failure to fix any of them. It’s a trap!
What if there were just one thing we could focus on that would filter outward and address the other issues as well? And what if there were data to support focusing on that one thing? And what if the Office of Policy Development and Research for the United States Department of Housing and Urban Development had already done a comprehensive study to acquire that data?
Well as it turns out, there is! And there are! And they did!
The “Family Options Study” is massive, and I have only read the executive summaries in the short-term and long-term reports. Here’s the link if you want to dig in - LINK TO STUDY.
The conclusions of the report shine a spotlight on one thing as a focal point for addressing homelessness - housing. Yep, I know. Seems intuitive doesn’t it? The problem is homelessness; the solution is homes. Intuition notwithstanding, having data to back up that feeling is very helpful.
“The 3-year findings lend support for the underlying theoretical model for permanent housing subsidies. The striking impacts of assignment to the SUB group in reducing subsequent stays in shelter and places not meant for human habitation provide support for the view that, for most families, homelessness is a housing affordability problem that can be remedied with permanent housing subsidies without specialized homeless-specific psychosocial services.” (from page xxxiii of the report linked above)
SUB stands for “Priority access to permanent housing subsidy,” the group in the study who were given a subsidy to acquire permanent housing with no other services offered. And the data are “striking.” It is clear that housing-first programs that simply get people into safe, secure living accommodations really do work very well. The data back up what many people intuit; provide housing for the unhoused, and in general they’ll get the rest figured out.
In contrast:
“The short-term findings provided less support for the theoretical model underlying the PBTH intervention. PBTH programs are intended to address the root causes of homelessness by providing social services packaged with housing assistance. The short-term analysis did not provide evidence that assignment to the PBTH intervention achieved that goal.” (from page xxxiii of the report linked above)
PBTH is the abbreviation for “Priority access to project-based temporary housing,” the group in the study who had temporary housing that was contingent upon participation in other provided services. The “short term” results here were three years after the study. Nothing really changes in the “long-term tracking” follow up done five years after that. For a variety of reasons, temporary housing that is tied to participation in social service programs is not as effective as a housing first approach.
And so, back to the well-meaning people who end up doing nothing meaningful - How about we make a data-driven decision here? We all feel big feelings about poverty and homelessness, and our hearts break to the point of despair when we start to list all the factors involved. But if the data show that just simply getting people into homes is effective in addressing all that other stuff as well, maybe we could give that a try.
Beyond the data, I offer my witness. Just about everyone one of my friends experiencing homelessness has said to me that getting into a safe and secure home is priority number one. That, if they could get into a home they could get a good night’s sleep, which would help to ease their anxiety. If they could have a place to shower in the morning, they could present themselves more confidently at a job interview. If they didn’t have to constantly worry about someone stealing their possessions, they wouldn’t have to exist in fight-flight-flee mode all the damn time.
Basically, that if they had a home, they could get the other stuff figured out more easily, accessing the services available more effectively. I am obviously not advocating for complete discontinuance of mental healthcare, drug rehab, job coaching, and so forth. I am advocating for discontinuing those things as prerequisites to being housed. Housing first, then the other stuff in due time.
I know there are conservative think-tanks who claim that “Housing First” programs don’t work. I know there are people who blame unhoused people for their own homelessness and the thought of providing someone a home free of charge deeply offends their ideology. I know that there are well-meaning people who will always ask “whatabout” questions regarding addiction and mental health and all the rest, including for example the question, “Isn’t providing housing for someone is actually just enabling their addiction by giving them a place to use?” - an actual argument I have heard repeatedly through the years.
I know all of that. And yet, beyond the data that show they work and the personal witness I can offer, I have a deeply rooted reason to advocate for housing-first programs. They affirm the inherent worth of human beings. Housing-first programs affirm the dignity and autonomy of people who just need a little help to get a foothold so that they can continue climbing again.
Let’s not fall into the trap of failing to fix anything because we want to fix everything, especially when fixing one thing could very well fix all the rest.