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Health Care of the Homeless Homelessness In the U.S. Michael Arnold, Executive Director

Health Care of the Homeless Homelessness In the U.S. Michael Arnold, Executive Director Los Angeles Homeless Services Authority. National Demographics of Homelessness in U.S.

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Health Care of the Homeless Homelessness In the U.S. Michael Arnold, Executive Director

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  1. Health Care of the Homeless Homelessness In the U.S. Michael Arnold, Executive Director Los Angeles Homeless Services Authority

  2. National Demographics of Homelessness in U.S. • 643,067 homeless on any given night in U.S. (HUD ’09 – in Emergency Shelters, Transitional Housing Programs or sleeping in locations not meant for human habitation) • 37% are unsheltered • 21% of families with children are unsheltered • 110,917 (17%) are chronically homeless (homeless for over 1 year, or 4 or more episodes of homelessness in 3 years) • 930,000 school age children are literally homeless, or living in doubled or tripled up housing

  3. National Demographics of Homeless in U.S. • 20.5% (1/5th) of the total U.S. homeless population reside in California • Approx. 1.56 million in the U.S. will use a homeless shelter or transitional program over a 12 month period. • While total homelessness in U.S. has decreased over past four years, current economy may drive significant increases in future.

  4. National Demographics of Homeless in U.S.

  5. National Demographics of Chronically Homeless in U.S.

  6. National Demographics of Homeless In U.S. Homelessness and Disabilities Profile of Homeless in U.S. Adult – 78% of all sheltered homeless are adults. Male – 61% are male. Minority – 62% are members of minority groups Middle-aged – 38% are 31-50 years old Alone – 64% are in one-person households • Nearly 4 in 10 sheltered homeless (37.8%) has a disability, compared to 26.4% of the population living in poverty, and 15.5% of the total U.S. population.

  7. National Demographics of Homeless in U.S. The profiles of homeless individuals and persons in families differs considerably. * 5th HUD AHAR – Sheltered Data

  8. National Demographics of Homeless in U. S. Characteristics of Sheltered Homeless

  9. National Demographics of Homeless in U. S.

  10. Demographics of Homeless in Los Angeles County • Los Angeles County Statistics • Covers over 4,000 square miles in extremely diverse terrain – oceanfront, mountains, desert, rural, suburban • 88 cities • 9,848,011 people (2009 est.- U.S. Census) • Over 1 million living in unincorporated areas of County

  11. Demographics of Homeless in Los Angeles County • 48,053 homeless on any given night (2009) • 24% (10,245) chronically homeless • 11% persons in families • 89% single adults • 7.5% of total U.S. homeless population • 2/3 unsheltered • 24% with Mental Illness • 41% with substance abuse problem • 2% HIV • 10% Victims of domestic violence • 17% Veterans • 2% Unaccompanied Youth

  12. Demographics of Homeless in Los Angeles County

  13. Demographics of Homeless in Los Angeles County

  14. Causes of Individual Homelessness • Lack of access to affordable housing • Mental illness and/or physical disability • Lack of resources (Poverty) • No or low job skills • Inadequate education • Substance abuse • Discharge from public systems – correctional, health, mental health, foster care, armed forces

  15. Causes of Family Homelessness • Lack of access to affordable housing • Domestic violence • Mental illness and/or physical disability • Lack of resources (Poverty) • No or low job skills • Inadequate education • Substance abuse • Discharge from public systems – correctional, health, mental health, foster care, armed forces • Lack of access to child care, transportation,

  16. Finding Solutions – Trends in Reducing and Ending Homelessness • Policy and funding shifts to redefine homeless Continuum of Care Models • Outcomes based rather than managing homeless • Number housed versus number served • Targeting – focusing on high impact homeless populations • Chronically homeless • Families • veterans

  17. Finding Solutions – Trends in Reducing and Ending Homelessness • New Programs • Rapid rehousing as a first response • Diversion – avoiding initial shelter entry through housing placement • Prevention – keeping people in stable housing • Anecdotal to Evidence Based Planning • Emphasis on evidence based data • Broad implementation of local Homeless Management Information Systems

  18. Finding Solutions – Trends in Reducing and Ending Homelessness • New Programs • Rapid rehousing as a first response • Diversion – avoiding initial shelter entry through housing placement • Prevention – keeping people in stable housing • Anecdotal to Evidence Based Planning • Emphasis on evidence based data • Broad implementation of local Homeless Management Information Systems

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