To fix homelessness, let's treat it as a health issue like they do in Denver

Homelessness is still a rampant problem in the United States. The 100,000 Homes Campaign, an initiative launched four years ago, aims to help communities around the country place 100,000 chronically homeless people into permanent supportive housing

Many of the errors in our homelessness policies have stemmed from the conception that the homeless are a homogeneous group. It’s only in the past 15 years that organizations like Common Ground, and others, have taken a more granular, street-level view of the problem — disaggregating the “episodically homeless” from the “chronically homeless” in order to understand their needs at an individual level.

Year-round shelters for people experiencing homelessness are uncommon in north central Ohio, making Harmony House a vital resource for the community. The organization provides a place to sleep in addition to wraparound services for people to get back on their feet. The organization relies on government grants and community support.

An innovative approach to providing shelter for those experiencing housing instability could provide a blueprint for the city of Anchorage. Reno and San Francisco have built shelters that arrange on-site, wraparound services ranging from laundry to securing long-term housing to medical detox.

Casa de Noche Buena is a homeless shelter that takes a housing-first approach to providing services, which means almost anyone can find help there. Along with a place to sleep, the shelter also provides wraparound services such as medical attention and help finding employment. Several guests have had success finding permanent homes.

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.

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.

Housing First, an approach that has helped many cities address homelessness, has failed to make much impact in Boulder thanks to a shortage of permanent housing and complaints that the program suffers from a lack of coordination and ignorance of the views of the community it's trying to serve. Boulder County housing authorities and non-profits teamed up in 2017 to shift toward permanent housing and other services for people experiencing homelessness, rather than the previous policy of providing temporary shelter beds. But most people remain unserved by both temporary and permanent solutions.

Health officials and Cleveland homeless shelters are working together to prevent a coronavirus outbreak among those who are experiencing homelessness. Mass testing, separate areas for the already tested and those yet to be, and a focus on more equitably disseminating information have been key to helping the caseload stay low, although the shelters are facing limitations such as a slow turnaround time for test results.

Britain's response to curbing the spread of coronavirus included the "Bring everyone in" operation which brought people experiencing homelessness off the streets and into accommodation - typically empty hotel rooms. Temporary shelter proved effective with only 16 deaths among those who were brought indoors. People were also given services that could lead to a life off the streets. The success demonstrated the ability of the government to quickly house people when political will and money were put toward solving the problem.