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Permanent housing programs for homeless people can increase taxpayers' savings

Published on October 14, 2009 at 2:36 AM · No Comments

United Way of Greater Los Angeles today unveiled findings from its Homeless Cost Study, uncovering the financial implications of living on the streets in Los Angeles and the social and economic benefits of permanent supportive housing programs.

Conducted by researchers at the University of Southern California's Center for Community Health Studies at the Keck School of Medicine and Housing Works, the qualitative study profiles four previously-homeless individuals who have now been placed in a supportive housing environment. The study shows tremendous savings to the average taxpayer, in addition to individual and community benefits by placing chronically homeless people into permanent supportive housing.

"With more people living on the streets in Los Angeles than any other city in the nation, we cannot continue to ignore the growing chronically homeless issue, which is crowding our health and criminal justice systems and impacting the strength of our community. Our goal is to prove there is a better way, and facilitate change," said Elise Buik, president and CEO of United Way of Greater Los Angeles. "We must change our attitudes towards the homeless, many of which are families and veterans, and move swiftly to impact the system so we can get them into life-changing environments."

Profiling C.N., a 52 year-old White female; D.B., a 58 year-old White male; J.S., a 32 year-old Hispanic male; and J.W., a 61 year-old African American male, the study takes into account five principal cost areas, including substance abuse, physical health, mental health, criminal justice and housing. Combining costs associated with these five areas, the study finds that that the total cost to provide public services for two years was over $80,000 greater than with permanent housing with support services, representing a nearly 43% savings for taxpayers when permanent housing solutions are used. What's more, the study found that the quality of life of the four profiled homeless individuals had greatly improved, given changes in housing quality, substance dependency, criminal behavior, social engagement and overall health.

The United Way findings are consistent with several quantitative studies, which provide growing evidence that permanent housing is a far less costly approach to managing chronic homelessness than leaving people on the streets or in emergency shelters. And, as recently reported by the American Medical Association, savings increase the longer chronically homeless people live in housing(1). By investing in supportive housing solutions, U.S. cities like New York and Chicago have significantly increased taxpayer savings and drastically reduced their chronic homeless populations.

"Recent quantitative data has underscored the positive impact that supportive housing solutions have on communities and residents, but numbers can only tell you so much," said Dr. Michael Cousineau, from USC's Center for Community Health Studies at the Keck School of Medicine and principal investigator for the report. "By looking at the individual stories behind these numbers, we were able to understand the real social, financial and health factors impacting the homeless, providing texture to the data and helping organizations like United Way devise tailored solutions to impact the issue of chronic homelessness."

Cost of Life on the Streets:

To analyze the costs of public services, investigators first focused on the two-year period before the individuals were placed in permanent supportive housing. During this time period, two of the four had gone through the detox process six times. Two of the four had been hospitalized, and all four had used the hospital emergency room for health and alcohol issues, multiple times. All four had been arrested at least once and spent time in jail, with one of the homeless individuals profiled serving 90 days in prison. The total cost of public services spent on these four individuals over two years on the streets was $187,288.

The Cost of Permanent Supportive Housing:

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