| 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 you an apartment very quickly, although not sure if on the spot (I didn't work that part, just repairs part). I sometimes moved big bundles of keys for newly vacated or repaired apartments from the real estate building to the social workers in the homeless building they can then give out to new tenants. I've now lived San Francisco for 5+ years and Helsinki basically does not have homeless people compared to what I've seen here. I wondered a lot why California seems to be failing at the homeless problem. I see at least one comment here in threads that is saying that homeless are drug addicts and should be forced to go into rehab as a condition to give a home. While I was working for Helsinki I rarely heard anyone suggest the people being given homes needed to pay that back somehow, it was seen as obvious that the main problem is not having a home and the other problems can be dealt with later, and it's inhumane to make demands. I don't know if "housing first" would actually work in California. Housing is super expensive, and I think California also has a lot more homeless than Finland ever did. The ex-homeless tenants tended to need more repairs and care. I remember some funny/weird stories like we had a woman who could not use the toilet in her apartment because it was bright green and that caused her panic attacks. And some other tenant who painted literally everything (ceilings, windows, cabinets, furnite, floors, etc.) black. |
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.