01 09 2008

Page 1

Hunters curb the deer population while helping poor families eat better, page 4

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Where the Washington area's poor and homeless earn and give their two cents www.streetsense.org

January 9, 2008 – January 22, 2008 • Volume 5, Issue 5

OUTSIDE VOICES

HUD Gives Own Housing Approach Lukewarm Review By Robert Blair

See

HUD, page 4

By Mary Catharine Martin

T

COURTESY OF CHRIST HOUSE

Few systematic improvements in client behavior have resulted from the U.S. Department of Housing and Urban Development’s new “Housing First” approach to the needs of chronically homeless adults suffering from severe mental illness, according to the first tentative evaluation by the department. There was no appreciable improvement in the sobriety, employment or income of new clients of three Housing First programs over a 12-month study period, according to a HUD study released in September. Eighty-four percent of the new clients were still in permanent housing at the end of the study period, but 41 percent had returned to the streets during the year, some for extended periods. “This study raises a lot of questions,” said Darlene Williams, HUD assistant secretary for policy development and research, “and it is important for both the public policy and advocate communities to try and evaluate these programs so we know what works and how to improve them.” The Housing First approach involves a commitment to offer permanent housing to hard-toserve homeless persons – including those suffering from mental illness and alcohol or drug addictions – as a first step,

rather than requiring a period of sobriety or successful treatment to demonstrate readiness for housing. Supportive services are also offered, but clients are not required to use those services as a condition for access to housing. The HUD study is an initial effort to identify the types and potential impacts of the various Housing First models being developed in San Francisco, Seattle, Philadelphia, New York City, Los Angeles and Columbus, Ohio. The report’s authors point out that in recent years Congress and HUD’s leadership have encouraged the development of permanent housing for homeless, and that there has been a shift of funds toward housing as opposed to supportive services, as well as an increased attention to the needs of chronically homeless persons, many of whom are mentally ill. “In recent years, increased public attention has been focused on the hardest-to-serve, chronically homeless population, a substantial number of whom are mentally ill. Because it addresses this population and its needs, the Housing First approach has emerged as a favored policy among many in the advocacy and practitioner communities,” the report said.

This is Not a Story

A hospital in southeast D.C. means accessible health care for the city’s poorest.

New Ownership Could Save Southeast Hospital By Sam McCormally The sale of the financially troubled Greater Southeast Community Hospital to Specialty Hospitals of America, with $79 million of the city’s money, has been accompanied in recent weeks by a slew of bad news and virulent criticism. But some health care analysts and city officials are cautiously optimistic that the new ownership can nurse Greater Southeast back to health. Greater Southeast, the District’s only hospital south of the Anacostia River, and the closest hospital to a large portion of Prince George’s County, has been hemorrhaging money for over a decade. Eight years ago, the hospital was bought out of bankruptcy by Envision, but the hospital’s facilities and quality of care have remained on the decline. Envision has sunk $30 million into

the facility in the last three years, company chairman Paul Tuft said. Jack Evans (D-Ward 2) warned this summer that past infusions of cash into Greater Southeast have failed to keep it afloat. Handing over money to another company, he argued, would change little. When the city council voted in November to authorize the sale of the hospital to Specialty using public funds, Councilman Marion Barry (DWard 8) said he supported the deal because the only alternative was to allow the hospital to close. To many city officials, that was unacceptable. “The goal is to ensure that we have access to health care, local access, for all DC residents,” said a spokesperson for Mayor Fenty. And many acknowledged that the city had few options. “Short of the city stepping in, no

See

Hospital, page 6

oday, at Project Homeless Connect in San Francisco, a man yelled at me. I was interviewing him for a public awareness project that gathered stories and photographs about the lives of homeless clients. “I’m not angry at you,” he later told me. “I’m angry at everyone. Anger is a condition of homelessness; it’s a big problem. Wouldn’t you be angry?” That being said, however, most of the 2,000 or so clients there weren’t yelling. They were waiting in line for vision checks and eyeglasses. They were talking to people about finding a job. They were getting socks. They were getting IDs, or food, or making cards for loved ones, or getting check ups, or finding out about permanent housing or – as in my little corner of the floor – they were telling their stories. What a personal, scary thing it is to tell one’s story. To talk to a stranger about one’s thoughts and dreams, ups and downs. I should have thought about that, but I hadn’t. I was ready to hear stories. We read stories all the time. People tell us stories. We hear stories on the news. Perhaps because of the sheer plethora of stories out there, we guard ourselves.

See Story, page 13

Thanks to everyone for supporting “Four More Years” $25,080 $20,000

LOCAL

EDITORIAL

Health Update

Unspoken Signals

DIRECTOR’S DESK

The District gets a new state health plan after 18 long years, page 5.

Moyo Onibuje explains how to read the body language of the homeless, page 12.

Four More Years!

FICTION

POETRY

Black Cowboys

Who Am I?

The latest short story by Ivory Wilson, based on his childhood on a Texas ranch, page 10.

Maurice Davis spins a poetic riddle about a destructive force, page 9.

Inside This Issue Laura Osuri can’t get over the generosity of Street Sense readers, page 14.

$16,000

$12,000

$8,000

$4,000 $0


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