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

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Presentation on theme: "Health Care of the Homeless Homelessness In the U.S. Michael Arnold, Executive Director Los Angeles Homeless Services Authority."— Presentation transcript:

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% (1/5 th ) of the total U.S. homeless population reside in California Approx 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 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. 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 years old Alone – 64% are in one- person households

7 National Demographics of Homeless in U.S. CharacteristicIndividuals *Persons in Families* Gender of Adults Overwhelmingly Male Overwhelming female adults Race Twice as likely to be minority Almost half are African American Age Three Quarters over 30 More than 4/5s are under 31 Veterans More than 1 in 10 are veterans Emerging veteran population Disabled More than 4 in 10 are disabled Low rates of disability The profiles of homeless individuals and persons in families differs considerably. * 5 th HUD AHAR – Sheltered Data

8 National Demographics of Homeless in U. S. IndividualsEthnicityFamily 34.1%Black47.9% 45.4%White23.6% 10.4%Latino13.9% 10.2%Other14.7% Gender 72.7%Male20.4% 27.3%Female79.6% Characteristics of Sheltered Homeless

9 National Demographics of Homeless in U. S. Characteristic% of All Sheltered Homeless Persons % of Population at the 2008 Poverty Level % of U.S. Total Population Male63.7%40.5%48.7% Female36.3%59.5%51.3% Disabled38.7%26.2%15.5% Veteran11.1%5.2%9.7% Age <1822.2%33.9%24.3% Age %45.7%46.4% Age >5017.2%20.3%29.3%

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 CharacteristicLA CountyU.S. Totals Male65%63.7% Female35%36.3% Black/African American47%38.7% Hispanic/Latino29%11.6% White/Caucasian21%38.1% Other3%11.7% Veterans17%11.1% Chronically Homeless24%17%

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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