It is expensive to continue to not assist people who are chronically homeless into stable housing.
Numerous cost/benefit studies done in USA and Canada which prove this point.
People who are long term homeless and who have multiple needs are often high users of acute mental health care, emergency departments, temporary accommodation, police and court involvement and other crisis services.
Evidence that service use reduces once people are in stable housing and have adequate support.
Common Ground as an example of a service that provides Housing First makes it clear that they do not ask anything more of their lease holder tenants than any other landlord asks. No other private landlord would feel they could ask if someone is drinking in their apartment or not taking their prescribed medication. However, as Rosanne Haggerty states, “ But we’re very strict about behaviour. If someone behaves badly we get on it very quickly, figuring out what needs to be changed. We have few rules but we enforce them vigorously .”
Nothing works if services don’t work co-operatively together.
Most important that mental health and drug and alcohol services must provide services in co-ordination. This particular dual diagnosis is the most common in people who experience long term homelessness.
Multi-disciplinary teams on the street can work very well and in a co-ordinated way with people who have multiple needs.
‘ Multiple needs’ seem to reduce once people have improved housing stability and better community connections and support.