How Midwest Street Medicine is bridging health equity gaps for the homeless

America has the largest number of homeless women and children in the industrialized world - it’s a depressing statistic exacerbated by a housing crisis that forced thousands of families out onto the street. The first-ever large-scale study on the topic finds that permanent, stable housing can be more cost-effective than shelters.

By partnering with cities across America, the 100,000 Homes campaign is going directly to the streets to end homelessness - and it’s working. With roughly 700,000 people in the United States experiencing homelessness, this organization seeks to address that using a tiered system that considers individual health needs as well.

New Orleans implemented an extraordinary 10-year plan that engaged unprecedented cross-sector collaboration between government, non-profit, and private entities to provide housing and housing services to the city's homeless veterans. The city's success in providing homes for every single veteran formerly on their streets motivated cities across the nation to tackle the crises using similar means, leading to a 1/3 decline veteran homelessness since 2010.

Assertive community treatment teams working through outreach-centered programs in Maricopa County have become an industry standard for treating those with persistent and severe mental illnesses who have recently been incarcerated. They provide a long-term approach, aiming to halt a cycle of incarceration and hospitalization by focusing on underlying issues such as what caused the police interaction and incarceration.

In Houston, TX, many individuals with mental illnesses cycled in and out of emergency care while arrested or incarcerated. Houston’s police department has decreased the number of incarcerated who have mental illness by opening a division to mental health called the Chronic Consumer Stabilization Unit. Now Milwaukee seeks to replicate Houston’s results.

The Homeless World Cup is the premier soccer tournament for homeless players. Programs around the world use soccer as a means of building a sense of community, sublimating negative energies, and encouraging personal growth.

To combat rampant homelessness, cities like New York are investing in supportive housing and comprehensive, consistent services for the homeless population. Although San Francisco has smaller-scale supportive housing programs. political will and regular funding are necessary to grow those initiatives and make a large impact on homelessness in the city.

San Francisco's Care Not Cash program began in 2004 in response to the city's homelessness crisis. One facet of the program is an outreach team, whose members regularly visit homeless people on the street to connect them to resources such as housing and drug rehabilitation.

There are about 67,000 homeless veterans in the United States today, and at least a third are chronically homeless. The 100,000 Homes Campaign, which aims to get 100,000 chronically homeless or otherwise particularly vulnerable people into housing, supercharged the housing process this summer using Rapid Results — a strategy that helps communities jump-start projects by breaking off a 100-day chunk, setting wildly ambitious goals and using any (legal) means necessary to achieve them.

In a county in California, federal agencies are implementing a model known as Housing First which gets homeless people safe, secure housing before tackling root causes of homelessness.