Earlier quoted context omitted.
The strategy is called “housing first” and has been proven to work in Finland: https://www.theguardian.com/cities/2019/jun/03/its-a-miracle... The idea that homeless people need homes to be able to advance further seems to trigger some people — after all, most of us pay for our housing, so why should they get it for free? What people don’t consider is that when “we”, the people with houses, don’t spend our dollars ho…
Around year 2009-2010, I worked in public sector in Helsinki in the real estate department. I worked the phone handling tenants calling and needing repairs. A large portion of the tenants were people from the homeless program. At the time I did not know this program was unusual. My understanding of how it worked was that if you were functional enough and willing, you could walk into a certain building and they'd get…
My take on it (after living in SF for many years):
1. Many homeless people do have mental illnesses and/or drug addiction problems (for some, this is the result of their homelessness, for others it's in part the cause). California is very much against involuntarily putting people in psychiatric hospitals or drug treatment programs. This is largely due to backlash over abuses from decades ago, where people were put into horrible conditions in mental institutions.
2. I think a housing-first program would absolutely work, but it's politically infeasible. Most people would seemingly prefer to have homeless people all over the streets and sidewalks when the alternative is to give them free housing, because it's "not fair" to the people who've worked to pay for their own housing.
3. The option of busing/flying homeless people out of a high-cost city like SF and into a lower-cost region where their needs can be met is also politically fraught. There are (voluntary) programs that help homeless people travel to a place where they have family who can help them, though I don't think it's used as a solution as often as it could be. But the idea of forcibly moving homeless people to a random place or places where they have no connection or support network is considered inhumane and a violation of rights.
I think #2 would be more acceptable to people if #3 could be used more, since presumably people could be housed in a location where housing is much cheaper. As much as I'm not super comfortable with the idea of just forcibly moving people to a different location, I think it overall can be better for the people involved, if it's done well. But that's the trick: can we actually ensure that the people relocated elsewhere will have their needs met, and will end up in clean, well-maintained housing?
Beyond that, I think we need to get over our aversion toward requiring people to go into (and stay in) psychiatric care or drug rehab. This shouldn't be a requirement for receiving housing; it should happen concurrently with being housed, though a live-in rehab program is probably appropriate for many people, at least to start. But I think refusing treatment should just not be an option.
And as a public health issue, and just an issue of keeping our spaces a nice, clean, safe place for everyone to live, ultimately I think we should make homelessness illegal, as long as we can provide a good alternative for every single person in that situation.