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The Economic Consequences of Homelessness in The US

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services result <strong>in</strong> underperformance with respect to program outcomes (e.g., hous<strong>in</strong>g<br />

<strong>in</strong>stability, unsafe conditions for tenants and staff).<br />

National Hous<strong>in</strong>g Trust Fund: <strong>The</strong> U.S. Congress established the National Hous<strong>in</strong>g<br />

Trust Fund (NHTF) under the Hous<strong>in</strong>g and <strong>Economic</strong> Recovery Act <strong>of</strong> 2008. This block<br />

grant, adm<strong>in</strong>istered by HUD, is <strong>in</strong>tended to supplement other federal and state efforts to<br />

provide safe, affordable hous<strong>in</strong>g for extremely low-<strong>in</strong>come households and families<br />

experienc<strong>in</strong>g homelessness. States are allocated a m<strong>in</strong>imum <strong>of</strong> $3 million per year and<br />

use these funds to acquire or construct new affordable hous<strong>in</strong>g units and rehabilitate<br />

exist<strong>in</strong>g units; 80% <strong>of</strong> the fund<strong>in</strong>g is dedicated to rental hous<strong>in</strong>g. <strong>The</strong> NHTF began<br />

receiv<strong>in</strong>g contributions from Freddie Mac and Fannie Mae <strong>in</strong> 2014, and HUD allocated<br />

the first $174 million <strong>in</strong> May 2016. This federal support for <strong>in</strong>creas<strong>in</strong>g the number <strong>of</strong><br />

affordable hous<strong>in</strong>g units is <strong>in</strong>valuable <strong>in</strong> terms <strong>of</strong> ensur<strong>in</strong>g hous<strong>in</strong>g stability and end<strong>in</strong>g<br />

homelessness; however, additional fund<strong>in</strong>g mechanisms to <strong>in</strong>crease contributions to the<br />

NHTF are necessary to ensure that states and the District <strong>of</strong> Columbia receive enough<br />

funds to support these goals.<br />

Increas<strong>in</strong>g <strong>in</strong>come support to promote hous<strong>in</strong>g stability: <strong>The</strong> federal strategy to end<br />

homelessness, Open<strong>in</strong>g Doors, emphasizes the need for <strong>in</strong>dividual economic security <strong>in</strong><br />

order to achieve hous<strong>in</strong>g stability. Programs aimed at <strong>in</strong>creas<strong>in</strong>g <strong>in</strong>come stability and<br />

f<strong>in</strong>ancial <strong>in</strong>dependence should be <strong>in</strong>tegrated <strong>in</strong>to hous<strong>in</strong>g and health <strong>in</strong>terventions, as<br />

the provision <strong>of</strong> hous<strong>in</strong>g alone will not be sufficient to end and prevent homelessness.<br />

In the case <strong>of</strong> <strong>in</strong>dividuals with disabl<strong>in</strong>g conditions, <strong>in</strong>creas<strong>in</strong>g access to Social Security<br />

disability benefit programs or VA disability benefits for veterans helps provide the cash<br />

benefits and health coverage that are key for hous<strong>in</strong>g retention. With respect to<br />

overcom<strong>in</strong>g barriers <strong>in</strong> application processes, research <strong>in</strong>dicates that comprehensive<br />

application assistance can <strong>in</strong>crease the approval rate for homeless <strong>in</strong>dividuals from<br />

28% to 73%. Additional research documents that programs provid<strong>in</strong>g SSI/SSDI<br />

application assistance to homeless <strong>in</strong>dividuals exit<strong>in</strong>g the justice system report<br />

<strong>in</strong>creased hous<strong>in</strong>g stability and reductions <strong>in</strong> rearrests and <strong>in</strong>carcerations, thus<br />

decreas<strong>in</strong>g system costs.<br />

Increas<strong>in</strong>g <strong>in</strong>come stability through employment is also critical to hous<strong>in</strong>g stability, and<br />

while unemployment rates are high among <strong>in</strong>dividuals experienc<strong>in</strong>g homelessness,<br />

research shows that most members <strong>of</strong> this population, particularly those with severe<br />

mental illness, want to work and are capable <strong>of</strong> work<strong>in</strong>g. Supportive employment<br />

services have documented success <strong>in</strong> <strong>in</strong>creas<strong>in</strong>g access to and retention <strong>of</strong> competitive<br />

employment. A 2014 study revealed that, among <strong>in</strong>dividuals with psychiatric disabilities,<br />

those who received employer-provided accommodations for their disabilities worked<br />

7.68 more hours per month and reta<strong>in</strong>ed their job for almost 7 months longer; also, each<br />

job accommodation <strong>in</strong>dividuals received reduced their risk <strong>of</strong> job term<strong>in</strong>ation by almost<br />

13%. In addition, the Individual Placement and Support (IPS) model, which focuses on<br />

competitive employment, consumer preferences, rapid job search, and <strong>in</strong>dividualized<br />

job support and does not require extensive pre-employment read<strong>in</strong>ess or tra<strong>in</strong><strong>in</strong>g, has<br />

demonstrated success across 23 randomized controlled trials <strong>in</strong>volv<strong>in</strong>g <strong>in</strong>dividuals with<br />

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