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The Economic Consequences of Homelessness in The US

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towards their rent: 85 percent <strong>of</strong> Pathways to Hous<strong>in</strong>g clients receive Assured Income<br />

for the Severely Handicapped (AISH) benefits and 15 percent receive Alberta Works.<br />

<strong>The</strong> Alex Pathways to Hous<strong>in</strong>g uses a Hous<strong>in</strong>g First model, but it also uses Assertive<br />

Community Treatment (ACT), an <strong>in</strong>tegrated approach to healthcare where clients<br />

access a team <strong>of</strong> "nurses, mental health specialists, justice specialists and substance<br />

abuse specialists." Director<br />

Sue Fortune is committed<br />

to the 10 Year Plan To End<br />

Homelessless <strong>in</strong> the<br />

Calgary Region. Fortune<br />

reported that the Hous<strong>in</strong>g<br />

First approach resulted <strong>in</strong> a<br />

66 percent decl<strong>in</strong>e <strong>in</strong> days<br />

hospitalized (from one year<br />

prior to <strong>in</strong>take compared to<br />

one year <strong>in</strong> the program), a<br />

38 percent decl<strong>in</strong>e <strong>in</strong> times<br />

<strong>in</strong> emergency room, a 41<br />

percent decl<strong>in</strong>e <strong>in</strong> EMS<br />

events, a 79 percent<br />

decl<strong>in</strong>e <strong>in</strong> days <strong>in</strong> jail and a<br />

30 percent decl<strong>in</strong>e <strong>in</strong> police<br />

<strong>in</strong>teractions. Sue Fortune,<br />

Director <strong>of</strong> Alex Pathways<br />

to Hous<strong>in</strong>g <strong>in</strong> Calgary <strong>in</strong> her<br />

2013 presentation entitled<br />

"Canadian Adaptations<br />

us<strong>in</strong>g Hous<strong>in</strong>g First: A Canadian Perspective" argued that less than 1% <strong>of</strong> exist<strong>in</strong>g<br />

clients return to shelters or rough sleep<strong>in</strong>g; clients spend 76% fewer days <strong>in</strong> jail; clients<br />

have 35% decl<strong>in</strong>e <strong>in</strong> police <strong>in</strong>teractions.<br />

Pathways to Hous<strong>in</strong>g Canada describes the Hous<strong>in</strong>g First as a "client-driven strategy<br />

that provides immediate access to an apartment without requir<strong>in</strong>g <strong>in</strong>itial participation <strong>in</strong><br />

psychiatric treatment or treatment for sobriety."<br />

F<strong>in</strong>land<br />

In 2007 the centre-right government <strong>of</strong> Matti Vanhanen began a special program <strong>of</strong> four<br />

wise men to elim<strong>in</strong>ate homelessness <strong>in</strong> F<strong>in</strong>land by 2015.<br />

<strong>The</strong> programme to reduce long-term homelessness targets just some homeless people.<br />

Assessed on the basis <strong>of</strong> social, health and f<strong>in</strong>ancial circumstances, this is the hard<br />

core <strong>of</strong> homelessness. <strong>The</strong> programme to reduce long-term homelessness focuses on<br />

the 10 biggest urban growth centres, where most <strong>of</strong> the homeless are to be found. <strong>The</strong><br />

ma<strong>in</strong> priority, however, is the Hels<strong>in</strong>ki Metropolitan Area, and especially Hels<strong>in</strong>ki itself,<br />

where long-term homelessness is concentrated.<br />

Page 185 <strong>of</strong> 289

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