The Health Foundation of Central Massachusetts has taken a
noteworthy step in addressing the needs of chronically
homeless people in Worcester by committing more than $1
million to launch a “Home Again” model program and housing
loan fund.
The action is the latest step in a process that began two
years ago when a coalition of social service agencies
formed to plan a local strategy for helping individuals
and families break the cycle of homelessness. The agencies
have adopted the Housing First philosophy that “only a
home ends homelessness” — an approach that is consistent
with recent local and state recommendations.
The Worcester plan aims initially to help up to 30 city
residents who are either chronically homeless or at risk
of being so. Chronic homelessness is defined as being
homeless for more than one year, or having had four or
more episodes of homelessness over three years.
First, the Health Foundation is awarding $587,655 to a
partnership of agencies, led by Community Healthlink, that
will provide case management and individualized support
services. The foundation also has committed $500,000 to
Worcester Community Housing Resources to create a housing
loan fund to provide below-market-rate loans so that local
nonprofits can purchase and renovate properties to house
the homeless.
Project proponents hope to expand the loan fund to $3
million over the next few years so as to meet the housing
needs of the approximately 120 chronically homeless
residents of Worcester.
Housing First has worked well elsewhere, the foundation
said. A program in Denver provided 100 chronically
homeless individuals with housing and comprehensive health
care services, including mental health and drug-abuse
treatment components when necessary. A cost-benefit
analysis found that after two years in the program, the
cost of emergency services for the participants declined
by 73 percent compared with the two years prior to the
program — a savings averaging $31,545 per participant.
Money doesn’t tell the whole story, of course. The
billions of dollars Americans have spent annually on
housing and health care over the last half-century often
have missed the mark, either because of bureaucratic
inefficiency, corruption or a failure to tailor available
resources to local needs.
The Housing First approach, in the hands of local agencies
with proven records of success and commitment to the
community, approaches one of the city’s most stubborn
problems in a manner both fiscally sound and respectful of
the dignity of the homeless. Bringing stability and hope
to the lives of the society’s most at-risk residents is a
constant challenge. Empowering those who know the city
best to get the job done appears to be the right move.