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Thu September 26, 2013

L.A. Puts Chronically Homeless In The Front Of Housing Line

Originally published on Thu September 26, 2013 8:21 am

An initiative in Los Angeles County is trying to help the homeless by first connecting them with a place to live. The "housing first" model has been used in cities across the country in recent years to combat long-term homelessness.

In L.A. County, the Home For Good project focuses on those who are most at risk, aiming to end chronic homelessness in the area by 2016. Homeless-services providers are gathering information about the population and ranking individuals' vulnerability. Then, the goal is to move the most in need into permanent housing, quickly.

Research has shown that the "housing first" model can save money by keeping the chronically homeless out of emergency rooms, jails and shelters.

The approach has its critics, though, even among advocates. They argue that devoting so many resources to this subpopulation isn't helping to reduce overall homelessness.

Help On The Streets

AmeriCorps members Robert Harper and Charles Miller make daily rounds on Los Angeles' Skid Row, to seek out the most vulnerable people living on the streets. They work with other agencies to find them a permanent place to live — and they try to do it fast, Harper says.

"A person is out here about to die and you tell them, 'Sign a waitlist and wait for a year'? Come on, now," he says. "We're known as the 90-day people."

On a recent day, they visit Billy Ray West, who had agreed to meet them at a nearby fast food joint. West, 53, is an alcoholic and has lived on the streets for more than 30 years. If they can help him track down his birth certificate, he'll be under a roof within the next few months, no strings attached.

West is what these agencies would call "chronically homeless:" people who have been living on the streets for an extended period of time and may suffer from a disabling condition. They make up a quarter of L.A. County's homeless population but use three-quarters of its homeless resources, according to the United Way.

Before meeting Harper and Miller, West says, he hadn't received much help on Skid Row. But he says that's on him. "You know, I've just really been too damn lazy, just sitting ... around doing nothing. You know, just drinking all day," he says. "That's basically my fault, because I wasn't doing nothing to help myself."

Cross-Agency Collaboration

Hazel Lopez is part of a team organized by United Way of Greater Los Angeles to help reach their 2016 goal. Before this system, she says, case managers often weren't sure that they were helping the neediest people.

"I think that now, when we provide someone with a unit, it's safe to say that that person is the most vulnerable in our community," she says.

When Home For Good case managers meet someone on the streets, they use a standard survey to collect information: medical history, substance abuse issues, income, usual whereabouts. Each client is then assigned a vulnerability score. All of that information is loaded into a database that all participating agencies can access and update.

Instead of competing for resources, she says, they are all — quite literally — on the same page. "We're all working with the same pool of clients, and we're all working towards this one goal," she says. "We just want to move forward, you know, as a team."

No 'Silver Bullet'

But the strategy has its skeptics. Andy Bales, CEO of Skid Row's Union Rescue Mission, says that as resources have shifted to the chronically homeless, the vast majority of people experiencing homelessness has been left out in the cold.

"It takes all strategies to end homelessness, not just one simple silver bullet," he says.

Homelessness in Los Angeles has actually increased since Home For Good launched in 2010, he says. Even the number of chronically homeless individuals went up in the past two years.

Home For Good says it plans to expand its Skid Row operation to help all of L.A. County's 12,000 chronically homeless. But with only about 1,000 permanent housing units to go around each year, that's going to take some work.

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Transcript

DAVID GREENE, HOST:

OK, this is good news. Homelessness has been on a steady decline across the United States. That's despite the recession and a slow jobs recovery. Many cities have ramped up programs to battle homelessness and turned to a strategy that sounds simple: Get homeless people a place to live as quickly as possible. Reporter Aaron Schrank went to see how the approach is working in Los Angeles.

AARON SCHRANK, BYLINE: Robert Harper and Charles Miller are making their daily rounds on Los Angeles' Skid Row.

ROBERT HARPER: Hey, give me a call later. Still got my number? Call me tonight.

SCHRANK: They're with Americorps. And under a new pilot program, they seek out the most vulnerable people living on the streets of downtown LA, and work with other agencies to find them a permanent place to live. Harper says they do it fast.

HARPER: A person is out here about to die, and you tell them sign a wait-list and wait for a year? Come on now. So we're known as the 90-day people.

(LAUGHTER)

HARPER: Let me write down this mileage real quick.

SCHRANK: Today, they're visiting Billy Ray West, who's agreed to meet them at a nearby fast food joint. West has lived on the streets for more than 30 years. If they can help him track down his birth certificate, he'll be under a roof in the next few months - no strings attached. But he's nowhere to be found inside the restaurant.

HARPER: Hey, you know Billy?

CHARLES MILLER: The guy, the homeless guy?

SCHRANK: And the attendants who guard his stuff at the parking lot where he sleeps haven't seen him, either. Miller says this is part of the job.

MILLER: See, that's some of the things that we deal with.

HARPER: Did you recognize him with his haircut and everything?

MILLER: He wasn't in there.

SCHRANK: And then they spot him across the street.

HARPER: There goes Billy right there. Isn't that Billy on the corner?

MILLER: Billy, on the corner.

HARPER: With that blue shirt on.

MILLER: Blue shirt on.

HARPER: Yeah. Hey, Billy!

SCHRANK: West is 53 and an alcoholic. He's what these agencies would call chronically homeless. They make up a quarter of LA County's homeless population, but use three-quarters of its homeless resources. Before meeting these two guys, West hadn't gotten much help on Skid Row, but he says that's on him.

BILLY WEST: You know, I've just really been too damn lazy, just sitting, sitting, sitting around doing nothing. You know, just drinking all day. That's basically, that's basically, basically - basically, my fault 'cause I wasn't doing nothing to help myself.

SCHRANK: People like West have been the priority since United Way LA launched Home For Good, a campaign to end chronic homelessness by 2016. Now, United Way is coordinating agencies on Skid Row to reach this goal. Recent research shows that the Housing First model saves money by keeping people out of emergency rooms, jails and shelters.

Hazel Lopez is part of this interagency team. She says before this system, case managers often weren't sure that they were helping the neediest people.

HAZEL LOPEZ: And I think that now, when we provide someone with a unit, it's safe to say that that person really is the most vulnerable in our community.

SCHRANK: When case managers meet someone on the streets, they use a standard survey to collect information - medical history, substance abuse issues, income, usual whereabouts. Each client is assigned a vulnerability score, and all of that information is loaded into a database that all agencies can access and update. Lopez says instead of competing for resources, they are - quite literally - on the same page.

LOPEZ: We're all working with the same pool of clients, and we're all working towards this one goal, you know, as a team.

ANDY BALES: It takes all strategies to end homelessness, not just one, simple silver bullet.

SCHRANK: That's Andy Bales, CEO of Skid Row's Union Rescue Mission. He says that as resources have shifted to the chronically homeless, the vast majority of people experiencing homelessness have been left out in the cold.

BALES: And the truth's in the numbers. Homelessness in LA has increased 16 percent since Home For Good was launched.

SCHRANK: Even the number of chronically homeless individuals went up in the past two years. Home For Good plans to expand its Skid Row operation, to help all of LA County's 12,000 chronically homeless. But with only about 1,000 permanent housing units to go around each year, that's going to take some work.

For NPR News, I'm Aaron Schrank. Transcript provided by NPR, Copyright NPR.