Cleveland saw a decrease in unsheltered homelessness in 2020: Can that continue?

The state of Vermont has been able to keep COVID-19 cases to a minimal, at least in part by focusing on offering preventive protections for the most at-risk and vulnerable – such as the unhoused. The state's response has included "state-supported housing for the homeless, hazard pay, meal deliveries, and free, pop-up testing in at-risk communities," all of which prioritize high-risk populations rather than those who can easily self-isolate at home.

When Covid-19 began spreading throughout the United States, officials in Hawaii set up a quarantine facility for those experiencing homelessness that helped connect residents with other services to reduce their risk of contracting the virus. While it's too early to know if this could be a viable model for health care in the long run, the practice of temporary housing has currently helped curb the spread of the virus among the community's "unsheltered people."

At the start of the coronavirus pandemic, public health officials in Flint, Michigan began tracking the demographics of those who were testing positive for the virus in order to better align the county's public health action and outreach. In doing so, officials realized that a lack of access to testing in predominately Black neighborhoods was a contributing factor and decided to launch mobile testing, barrier-free sites, and other interventions at the state level.

Los Angeles County’s Homeless Outreach & Mobile Engagement (HOME) program uses street psychiatry to get psychiatric medication to people experiencing homelessness in an effort to get them a step closer to housing. The HOME team has 223 full-time staff members and served 1,919 people last year, 22% of whom ended the year housed.

Tiny home complexes are emerging as solutions to combat homelessness throughout the country, offering a cheap and efficient way to provide shelter amidst the national housing crisis. In some cases, living in a tiny home community serves as a stepping stone to help locals achieve permanent housing.

Efforts from the local Housing, Health and Human Services Center helped make Bergen the first — and one of the few — U.S. cities that have reached functional zero for chronic homelessness. Through providing counseling services and helping those in need access care and other resources like employment, the Center has helped several people secure housing, nearly eliminating long-term homelessness for veterans and those struggling with conditions like addiction and other mental illnesses.

After facing staffing shortages during the early days of the coronavirus pandemic, the Minnesota Department of Human Services developed an aggressive emergency hiring initiative ahead of potential new outbreaks. Using third-party staffing agencies and encouraging applicants from all backgrounds – like those recently unemployed from the service industry – the initiative has "provided rapid relief to dozens of nursing homes, assisted-living facilities, group homes, homeless shelters and substance abuse treatment centers."

In Boulder, Colorado those working to address the increasing rate of homelessness are reallocating resources to support longterm housing options as opposed to the traditional temporary services – such as shelters. Although there are challenges to this approach and it's too early to gauge the longterm reality of this approach, early results from the method have shown that consolidating resources has reduced operational costs while housing over 450 people.

The city of Honolulu has partnered with hotels to offer quarantine housing for those who have been diagnosed with COVID-19 but have nowhere to safely self-isolate. The new units compliment other existing facilities – such as city-owned buildings and hospitals – and provide meals and health check-ins for the patients conducted by the state's Behavioral Health and Homelessness Statewide Unified Response Group.

The coronavirus pandemic drastically reduced the ridership of the Monterey-Salinas Transit District, so the system shifted services to help the mostly rural community it serves. Despite cash-flow problems, unused drivers and vehicles helped Meals on Wheels deliver 8,000 meals to seniors and persons with disabilities, wi-fi-enabled commuter buses parked in rural areas to provide hot spots for students, and the system donated unused vehicles to groups serving veterans, people experiencing homelessness, and at-risk youth. The system continues to adjust to rapidly changing circumstances.