Pathways to Housing

Pathways to Housing is a not-for-profit organization founded in 1992 by Sam Tsemberis.[http://www.pathwaystohousing.org/content/our_model Pathways to Housing - Our Model] {{webarchive|url=https://web.archive.org/web/20111004100643/http://www.pathwaystohousing.org/content/our_model |date=2011-10-04 }} Retrieved June 20, 2007.McCarroll, Christina., [http://www.csmonitor.com/2002/0501/p11s02-lihc.html "Pathways to Housing the Homeless"], The Christian Science Monitor, May 1, 2002. It is the mission of Pathways to Housing to transform individual lives by ending homelessness and supporting recovery.

The organization is the originator of the Housing First model of addressing homelessness [https://www.partnering-for-change.org/about-beyond-shelter/ among] people with severe psychiatric disabilities and substance use disorders. In Los Angeles, California, in 1988, the "Housing First" Program at Beyond Shelter was launched by Tanya Tull in response to a sharp increase in the number of homeless families with children.{{cite web|url=http://usa.ashoka.org/fellow/tanya-tull|title=Profile for Tanya Tull, Ashoka Fellowship|year=2009|accessdate=February 11, 2014|url-status=dead|archiveurl=https://archive.today/20140212234946/http://usa.ashoka.org/fellow/tanya-tull|archivedate=February 12, 2014}}{{Cite web|url=https://www.partnering-for-change.org/about-beyond-shelter/|title=About Beyond Shelter|website=Partnering for Change|language=en-US|access-date=2020-04-13}} As an innovative model, Housing First has been nationally successful at addressing homelessness largely due to its focus on consumer choice.Tsemberis, S., Gulcur, L. and Nakae, M. (2004). Housing first, consumer choice and harm reduction for homeless individuals with a dual diagnosis. American Journal of Public Health, 94, 4, p. 651-656. Consumers choose the neighborhoods they want to live in, how their apartments are furnished, and all other decisions regarding the use of their new homes. Consumers also determine the frequency, duration, and intensity of the support and treatment services they receive. Consumers feel secure knowing housing will be held for them during relapse, psychiatric crisis or short incarcerations. Consumers also know they have a voice and often attend Tenant Advisory Council meetings, which provides a forum for input into the program and solicits ideas for changes to meet new needs.[http://www.pathwaystohousing.org/content/housing_and_services Pathways to Housing - Housing and Services] {{webarchive|url=https://web.archive.org/web/20100326163219/http://pathwaystohousing.org/content/housing_and_services |date=2010-03-26 }} Retrieved October 27, 2010.

Using this consumer-driven approach, Pathways to Housing has achieved success in housing retention for its target population. In one federally-funded longitudinal random assignment study, 80% of the participants assigned to Pathways to Housing were in stable housing after 12 months compared to 24% for the three-step [https://web.archive.org/web/20071224145153/http://www.hud.gov/offices/cpd/homeless/programs/coc/ Continuum of Care] programs. Housing serves approximately 700 individuals living in supported scattered-site apartments throughout New York City; Westchester County, New York; the District of Columbia, Burlington, Vermont and Philadelphia.

History

In a widely cited article entitled Pathways to Housing, published in 2000, Tsemberis and Eisenberg reported on a study undertaken from 1993 to 1997 examining the effectiveness of a five-year (1993-1997) Pathways to Housing supported housing program on 242 clients with severe psychiatric disabilities and addictions in New York City. During that time Pathways to Housing NY provided "immediate access to independent scatter-site apartments for individuals with psychiatric disabilities who were homeless and living on the street." With an 88 percent retention rate, the "supported housing program achieved better housing tenure than did the comparison group."{{cite journal|last1=Tsemberis |first1=S|last2=Eisenberg|first2= RF|title=Pathways to housing: supported housing for street-dwelling homeless individuals with psychiatric disabilities|journal=Psychiatric Services|date=April 2000|volume=51|number=4|pages=487–493|doi=10.1176/appi.ps.51.4.487|pmid=10737824}}

By 2007 Pathways to Housing NY had an annual operating budget of $15M and was funded by grants from city, state and federal government, individual contributions, foundation grants and corporate support.{{cite report|url=http://www.pathwaystohousing.org/Articles/PTHPublications/FINAL_AnnualReport_2007.pdf|title=Pathways to Housing 2007 Annual Report|year=2007|publisher=Pathways to Housing}}{{dead link|date=March 2018 |bot=InternetArchiveBot |fix-attempted=yes }} By 2012 Pathways to Housing had successfully housed over 3,000 people with 85–90% retention since 2002.{{cite report|url=http://pathwaystohousing.org/wp-content/themes/pathways/assets/files/2012_Annual_Report.pdf|title=Pathways to Housing 2012 Annual Report|year=2012|publisher=Pathways to Housing|accessdate=February 11, 2014|url-status=dead|archiveurl=https://web.archive.org/web/20140222023950/http://pathwaystohousing.org/wp-content/themes/pathways/assets/files/2012_Annual_Report.pdf|archivedate=February 22, 2014}}

In 2010, Pathways to Housing NY set up a mobile video exhibit at nine locations in New York City where there were over 36,000 homeless people in 2009.[http://www.nyc.gov/html/dhs/html/home/home.shtml "NYC Homeless Counts"], New York City Department of Homeless Services, 2009. The exhibit featured an image of a homeless man sleeping on the sidewalk in downtown Manhattan projected on to a building. Words also projected asked passersby to send a text message to help get him off the streets. A text message sent triggered a new video loop in which the man gets up and walks in the door of his new apartment. The idea is to convey visually the organization’s approach to combatting homelessness, which emphasizes getting people who are homeless into housing first and then tackling issues like mental health and addiction.[http://www.huffingtonpost.com/2010/03/09/video-installation-encour_n_492377.html "Video Installation Encourages Homeless Activism In New York City"], Huffington Post, March 9, 2010.Memmott, Mark. [https://www.npr.org/blogs/thetwo-way/2010/03/hightech_street_show_aims_to_m.html "High-Tech Street Show Aims To Make Us 'See' Homeless, Raise Money"], National Public Radio, March 10, 2010.Wallace, Nicole. [http://philanthropy.com/blogs/prospecting/using-light-display-to-raise-awarenessmoney/21696 "Using Light Display to Raise Awareness and Money"], Chronicle of Philanthropy, March 10, 2010.

Pathways to Housing NY filled for bankruptcy in 2015, after allegations that Pathways to Housing NY had not paid rent for some of their housing client in 2011 and 2012.{{Cite web |last=Smith |first=Greg B. |title=Homeless group in $25M bankruptcy fight failed to pay rent for mentally ill |url=https://www.nydailynews.com/new-york/homeless-group-25m-debt-failed-pay-rent-mentally-ill-article-1.3816872 |access-date=2022-04-14 |website=nydailynews.com}} In 2013, Tsemberis started Pathways to Housing National, an organization that's scope of services included providing training and technical assistance around housing first and providing support in developing operations at Pathways to Housing DC, Pathways to Housing PA, and Pathways Vermont.{{Cite web |last=Roberts |first=Ken Schwencke, Mike Tigas, Sisi Wei, Alec Glassford, Andrea Suozzo, Brandon |date=2013-05-09 |title=PATHWAYS TO HOUSING NATIONAL INC - Form Form 990 for period ending Jun 2012 - Nonprofit Explorer |url=https://projects.propublica.org/nonprofits/display_990/800746165/2014_05_EO/80-0746165_990_201206 |access-date=2022-04-14 |website=ProPublica |language=en}} Pathways to Housing National filed for bankruptcy in 2016.{{Cite web |last=Roberts |first=Ken Schwencke, Mike Tigas, Sisi Wei, Alec Glassford, Andrea Suozzo, Brandon |date=2013-05-09 |title=PATHWAYS TO HOUSING NATIONAL INC - Form Form 990-EZ for period ending Jun 2017 - Nonprofit Explorer |url=https://projects.propublica.org/nonprofits/display_990/800746165/08_2018_prefixes_75-80/800746165_201706_990EZ_2018080915575738 |access-date=2022-04-14 |website=ProPublica |language=en}} Pathways Housing First Institute was started in 2019 and provides trainings around housing first.{{Cite web |last=Roberts |first=Ken Schwencke, Mike Tigas, Sisi Wei, Alec Glassford, Andrea Suozzo, Brandon |date=2013-05-09 |title=PATHWAYS HOUSING FIRST INSTITUTE - Form Form 990-EZ for period ending Dec 2019 - Nonprofit Explorer |url=https://projects.propublica.org/nonprofits/display_990/825337449/12_2020_prefixes_80-85/825337449_201912_990EZ_2020121417477422 |access-date=2022-04-14 |website=ProPublica |language=en}}

Pathways to Housing DC, Pathways to Housing PA, Pathways Vermont, and Pathways Housing First Institute all currently function as separate entities.

Canada

In Calgary, Alberta, the Alex{{cite web|url=http://www.thealex.ca/programs-services/housing/pathways-to-housing/|title=Pathways to Housing|publisher=The Alex|year=2014|url-status=dead|archiveurl=https://web.archive.org/web/20140222034924/http://www.thealex.ca/programs-services/housing/pathways-to-housing/|archivedate=2014-02-22}} Pathways to Housing Calgary which opened in 2007, has 150 individuals in scatter site homes in 2013.{{cite report|url=http://www.thealex.ca/wp-content/uploads/2013/04/Annual-Report-2013-Final-P2H.pdf|date=April 1, 2013|accessdate=February 11, 2014|location=Calgary, Alberta|first=Sue|last=Fortune|url-status=dead|archiveurl=https://web.archive.org/web/20140222034922/http://www.thealex.ca/wp-content/uploads/2013/04/Annual-Report-2013-Final-P2H.pdf|title=Annual Report|archivedate=February 22, 2014}} Client pay 30 percent of their income towards their rent: 85 percent of Pathways to Housing clients receive Assured Income for the Severely Handicapped (AISH) benefits and 15 percent receive [http://humanservices.alberta.ca/financial-support/3171.html Alberta Works]. The Alex Pathways to Housing uses a Housing First model, but it also uses Assertive Community Treatment (ACT), an integrated approach to healthcare where clients access a team of "nurses, mental health specialists, justice specialists and substance abuse specialists." Director Sue Fortune is committed to the 10 Year Plan To End Homelessless in the Calgary Region. Fortune reported that the Housing First approach resulted in a 66 percent decline in days hospitalized (from one year prior to intake compared to one year in the program), a 38 percent decline in times in emergency room, a 41 percent decline in EMS events, a 79 percent decline in days in jail and a 30 percent decline in police interactions.{{cite web|url=http://www.saskatoonhealthregion.ca/your_health/documents/HousingFirstModel-SueFortin.pdf|title=Pathways to Housing Housing First Model adapted for use in the Canadian context|location=Saskatchewan|first=Sue|last=Fortune|accessdate=February 11, 2014|date=October 2013|url-status=dead|archiveurl=https://web.archive.org/web/20140221175538/http://www.saskatoonhealthregion.ca/your_health/documents/HousingFirstModel-SueFortin.pdf|archivedate=February 21, 2014}}

Pathways to Housing Canada describes the Housing First as a "client-driven strategy that provides immediate access to an apartment without requiring initial participation in psychiatric treatment or treatment for sobriety."

In Economic Action Plan 2013, the Federal Government of Canada proposed $119 million annually from March 2014 until March 2019—with $600 million in new funding—to renew its Homelessness Partnering Strategy (HPS). In dealing with homelessness in Canada, the focus is on the Housing First model. Thus, private or public organizations across Canada are eligible to receive HPS subsidies to implement Housing First programs.Government of Canada. nd.[http://actionplan.gc.ca/en/initiative/homelessness-partnering-strategy Action Plan: Homelessness Partnering Strategy]

Pathways to Housing

History

Canada

See also

References

Further reading