The architect of Houston’s striking reduction in homelessness suggests how St. Louis might unify around a different model.
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Solutions | St. Louis Magazine | Civic Problems & Possibilities

1.9.24

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Once And For All

A MESSAGE FROM SENIOR EDITOR NICK PHILLIPS

Emotions run hot on this topic. Each of us has an explanation for why some people suffer and others don’t. It’s at the core of how we think the world works. So when someone suggests we’re wrong, that can cut deep. But all of us who have the bandwidth to think about reducing homelessness should push through our feelings to ask: What actually works? As always, let me know what you think.

WHAT'S THE PROBLEM?

The city of St. Louis had, at last count, 1,250 unhoused people. That’s not even close to the 71,000 in Los Angeles city and county, for example, but it’s bad for everyone—particularly those living in it. And right now, in the middle of winter, service providers are reporting a shortage of shelter beds.

WHAT'S THE SOLUTION?

According to consultant Mandy Chapman Semple, who helped design the strategy in Houston that resulted in a 62 percent reduction in homelessness over a decade, the cities succeeding in this area are minimizing shelter stays and instead moving people directly into supportive housing. The moment is ripe for this to gain traction in St. Louis, where the provider community is rethinking its system-wide structure.

Nick Phillips

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Beyond Housing

A MESSAGE FROM ONCE AND FOR ALL

St. Louisans defying the odds (and why that’s good for all of us)

“Growing up, we moved around a lot, living with relatives or in shelters for women and children,” says Jeree. “My only stable residence was my grandmother’s house.” After a history of housing instability since childhood, Jeree Hoskins, a single mother of two, now owns a home of her own. “My favorite part of this journey is knowing we have the financial stability of generational wealth being passed down,” says Jeree. Read Jeree’s inspiring story and how the success of Jeree and many others is part of a larger effort to transform our region’s most under-resourced communities to move all of St. Louis forward.

Read Now »

homelessness

FAIRNESS

What if more shelters won’t solve St. Louis’ unhoused problem?

The forecast for St. Louis tonight is snowy and below freezing. If the most recent census of the city’s unhoused is any guide, about 800 people will be hunkered down in emergency shelters while 100 will be “unsheltered”: in a tent, under an overpass, on the sidewalk, at a bus stop. Outreach workers will try to bring those individuals in from the cold, but I’ve talked to several homeless service providers lately, and they’ve all made the same point: There aren’t enough shelter beds. 

“We have a shortage—I think anyone in St. Louis would tell you that,” says Amanda Laumeyer, executive director of St. Patrick Center. “Every winter, we talk about this.”

 

In this framing, the problem is supply. A natural response is to want to boost supply. Certain aldermen—Board President Megan Green and Alisha Sonnier of the 7th Ward—seek to do just that by relaxing restrictions on building shelters. But there’s a different way to look at it. What if the real problem were not an inadequate supply of shelters but rather a bottleneck of demand caused by a lack of exits from shelters? Asked another way: Should the collective goal in St. Louis be to help the unhoused move into emergency shelters or move into housing?

 

Mandy Chapman Semple, a national consultant on homelessness, advocates for the latter goal. “In the cities that are moving the needle,” she tells me, “that’s where the energy is focused”—i.e., on minimizing shelter stays in favor of “housing-first” policies such as rapid rehousing and permanent supportive housing.

 

Chapman Semple is considered the architect of Houston’s strategy. It has garnered interest and praise for its 62 percent reduction in sheltered and unsheltered homelessness over the past decade. She did that work within municipal government; she has since co-founded Clutch Consulting Group, which has helped Dallas to hit a big goal of rehousing 2,700 people in two years and to achieve a 32 percent decrease in chronic homelessness.

 

Last year, Clutch came to St. Louis after being hired by Sons & Daughters of Soulard, a business group focused on homelessness. Clutch met with civic leaders and local service providers to look for ways that the system could improve. What Chapman Semple and her team found, she says, was a provider community consumed with trying to get what it needed from City Hall (specifically, from the Department of Human Services, which was managing about $14 million in federal funds and contracts in this sector). City Hall, meanwhile, was consumed with administering that complex funding. The result, she observed, was a “transactional” relationship “completely divorced from bigger strategic questions of how to end homelessness.” In Chapman Semple’s view,  â€œthere was no one sitting at 30,000 feet asking how to align all these resources to have the maximum effect.”

 

And the maximum effect, in the view of most contemporary scholars and policy analysts, is achieved by placing people into housing with optional supports. That’s the conclusion of the researchers Gregg Golburn and Clayton Page Aldern in their book Homelessness is a Housing Problem (which, if you want to nerd out on this topic, I fervently recommend). The specifics of such interventions will vary. Certain people face such steep challenges (e.g., severe mental illness, disability, etc.) that they’re going to need permanent supportive housing. Most people, however, don’t need that, the authors assert; rapid rehousing—in which you help people find lodging quickly, help pay for it, and connect them to services and jobs—will commonly suffice. Whatever the details, Colburn and Aldern write, a city must create a sufficient number of such alternatives, because “limited opportunities to exit the shelter system—or leave the streets—turn the response system into a warehouse for people experiencing homelessness.”

 

The reason for minimizing nights in a shelter, says Chapman Semple, who has run shelters herself, is that they typically don’t conduce to recovery—no matter how nice the facility. They tend to have large groups of strangers who are in a crisis, in survival mode, and sleeping in a big room together, she says; belongings and personal safety may be at risk. “Just the act of having a room with a door that locks changes the psychology of an individual,” she says. “If I need to embrace behavioral health services, or harm reduction, or counseling on budgeting, I’m more apt to do that, because now I’m in a place where I am protected.”

 

It’s true that protected, supportive spaces are expensive. That doesn’t necessarily mean they’re a drain; one recent “study of studies” found that permanent supportive housing has a benefit-to-cost ratio of 1.8 to 1. But these kinds of policies are also hard to execute. “When you’re skilled at outreach and shelters and you haven’t yet built the muscles to rehouse,” says Chapman Semple, “that’s a very daunting pivot to consider.”

 

So will St. Louis’ community of providers consider it? In a post-consulting presentation, Clutch noted that providers here had shown a “deep advocacy around getting people inside” but that “continued focus on access to and expansion of emergency shelter will not result in reductions” in the unhoused population. Clutch also noted their “difficulty staying focused on designing to help people exit homelessness,” yet in addition, “a clear openness among the group to redesign.”

 

(I’ve detected this openness, too. Laumeyer at St. Patrick Center tells me she supports both housing first and more collaboration with peer organizations. And Anthony D’Agostino, the CEO of Peter & Paul Community Services, wrote a blog post urging everyone to “lean into the current homeless response system restructuring.”)

 

Maybe what they need is breathing room. The providers have created a nonprofit called House Everyone STL and voted for it to replace City Hall as the main interface with the federal government. Samantha Stangl, HESTL’s executive director, tells me that a big part of her job will be to “alleviate the pain points” of federal reimbursement and contracting. She aims for HESTL to be a “backbone” organization—inspired by The Way Home Houston—that does enough administration to allow provider leaders, who already have full-time jobs, to collectively choose a direction and paddle in unison. With that kind of focused effort, HESTL could also leverage private funding: the regional business group Greater St. Louis Inc., for instance, is interested in doing more in the unhoused space, Stangl says.

 

At any rate, because of the regional nature of homelessness and St. Louis’ fractured governance, a neutral third party such as HESTL is best positioned to be the backbone entity, Chapman Semple says. She says she didn’t meet directly with Mayor Tishaura Jones or County Executive Sam Page. “While I can’t speak directly to all city’s elected leadership,” she says, “I can speak to general tone that I received in my time there: that there was eagerness to lock arms.” 

 

Maybe arms will lock. Maybe they won’t. Either way, it will be cold tonight.

 

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Ask the Readers

What do you think?

What, in your view, would be the surest way to end homelessness? Weigh in by clicking one of the options below, or send me an email, and we'll share the results in the next newsletter.

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In the December 12 edition of this newsletter, a plurality (41 percent) of respondents said that if they were in charge of implementing an anti-violence strategy of focused deterrence, the group they’d have to work hardest to win over would be residents in impacted communities.

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