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Ending Street Homelessness in Vanguard Cities Across the Globe: An International Comparative Study

April 5, 2022

Street homelessness is one of the most extreme, and visible, manifestations of profound injustice on the planet, but often struggles to achieve priority attention at international level. The Institute of Global Homelessness (IGH's) A Place to Call Home initiative, launched in 2017, represented a concerted effort to support cities across the globe to eradicate street homelessness. A first cohort of 13 'Vanguard Cities' committed to a specific target on ending or reducing street homelessness by December 2020. Our independent evaluation of this initiative found that:Two Vanguard Cities – Glasgow and Sydney – fully met their self-defined target reductions for end 2020. In addition, Greater Manchester, while it did not meet its exceptionally ambitious goal of 'ending all rough sleeping', recorded an impressive 52% reduction against baseline.Overall, there was evidence of reductions in targeted aspects of street homelessness in over half of the Vanguard Cities. In most of the remaining cities data limitations, sometimes as a result of COVID, meant that it was not possible to determine trends. In only one Vanguard City – Edmonton – was there an evidenced increase in street homelessness over baseline levels.Key enablers of progress in reducing street homelessness included the presence of a lead coordinating agency, and coordinated entry to homelessness services, alongside investment in specialized and evidence-based interventions, such as assertive street outreach services, individual case management and Housing First.Key barriers to progress included heavy reliance on undignified and sometimes unsafe communal shelters, a preoccupation with meeting immediate physiological needs, and sometimes perceived spiritual needs, rather than structural and system change, and a lack of emphasis on prevention. Aggressive enforcement interventions by police and city authorities, and documentary and identification barriers, were also counter-productive to attempts to reduce street homelessness.A key contextual variable between the Vanguard Cities was political will, with success in driving down street homelessness associated with high-level political commitments. An absolute lack of funds was a major challenge in all of the Global South cities, but also in resource-poor settings in the Global North. Almost all Vanguard Cities cited pressures on the affordable housing stock as a key barrier to progress, but local lettings and other policies could make a real difference.The impact of the COVID-19 crisis differed markedly across the Vanguard Cities, with people at risk of street homelessness most effectively protected in the UK and Australian cities. Responses were less inclusive and ambitious in the North American and Global South cities, with more continued use of 'shared air' shelters, albeit that in some of these contexts the pandemic prompted better coordination of local efforts to address street homelessness.IGH involvement was viewed as instrumental in enhancing the local profile, momentum and level of ambition attached to reducing street homelessness in the Vanguard Cities. IGH's added value to future cohorts of cities could be maximised via a focus on more tailored forms of support specific to the needs of each city, and also to different types of stakeholders, particularly frontline workers.

A Safe, Stable Place to Call Home Supports Young Children's Health in Arkansas

June 1, 2012

Families should be able to afford a roof over their heads and still have enough money to pay for food, utilities, and healthcare. Unfortunately, for many Arkansans, wages are not keeping up with housing costs. Presently, fair market rent for a two-bedroom apartment is $216 more a month than a full-time minimum wage employee earning $7.25/hour can afford. Children's HealthWatch research shows families are forced to sacrifice basic necessities when they confront the gap between the cost of housing and their ability to pay for it.

Overcrowding and Frequent Moves Undermine Children's Health

November 1, 2011

Children need stability in their lives -- whether it is in their daily routines, the adults that care for them, or their housing. Recent economic conditions are putting families at risk, not just of outright homelessness but of being housing insecure (frequent moves, overcrowding, or doubling up with another family for economic reasons).

Boost to SNAP Benefits Protected Young Children's Health

October 1, 2011

The Great Recession has taken a significant toll on America's children. In 2010, 25 percent of children under age six were living in poverty, up from 21 percent in 2007.

LIHEAP Stabilizes Family Housing and Protects Children's Health

February 1, 2011

The heating and cooling season presents special challenges for our nation's low-income families. With limited resources, many are challenged to manage the seasonal spike in utility expenses, facing decisions about whether to pay the rent, keep the lights and heat on, or buy enough groceries to get through the end of the month. We know that each of these decisions will have significant implications for the health of their youngest children. Unfortunately, these tough choices are all too common this winter as the nation experiences increases in energy prices, unusually cold weather, and continued high unemployment.

Children of Immigrants: Healthy Beginnings Derailed by Food Insecurity

October 1, 2010

Children of immigrants are the fastest growing child population in the United States. More than 20 percent of children under age six have immigrant parents; approximately 93 percent of these children are American citizens.Of the children who are non-citizens, two-thirds will grow up to become citizens, playing a critical role in our nation's future.

Covering Kids & Families Evaluation: Public Coverage Versus No Coverage for Children: Perceptions and Experiences of Parents in Four Cities

May 31, 2009

Based on interviews, examines the perceptions and experiences that shape parents' decisions on enrolling their children in Medicaid and State Children's Health Insurance Programs. Considers remaining challenges, including language barriers.

General Hospitals, Specialty Hospitals and Financially Vulnerable Patients

April 30, 2009

Examines whether specialty hospitals draw well-insured patients away from general and safety-net hospitals, reducing their ability to cross-subsidize less profitable services and uncompensated care, in three cities. Notes challenges and implications.

Public Health Workforce Shortages Imperil Nation's Health

April 16, 2008

Examines from a community-based perspective the scope of the shortages in the public health workforce; contributing factors such as inadequate funding, salaries, and benefits; and strategies for training, recruiting, and retaining public health workers.

Change That Abides: A Retrospective Look at Five Community and Family Stengthening Projects and Their Enduring Results

January 1, 2001

Examines the interactions among funders, grantees, and community groups, and outlines the results of three different types of foundation grants for projects in Savannah, Little Rock, Dayton, Alameda County, and Boston. Includes recommendations.