Earlier this year, researchers in California announced results from a seven-year randomized trial of chronically homeless individuals in Santa Clara. The study found those in the housing-first group spent 90 percent of their nights housed on average since the study began, and made less use of psychiatric emergency services and more use of outpatient mental health services compared to the control group. "The experiment intentionally sought to try housing first for the very most complicated patients — those who society says are most hard to house — and it worked," said study co-author Margot Kushel, who directs UCSF's Benioff Homelessness and Housing Initiative.
But in recent years, conservative think tanks like the Manhattan Institute and the Heritage Foundation began ramping up their criticisms of housing first. Although Trump's HUD Secretary Ben Carson praised the model publicly on multiple occasions, Trump's Council of Economic Advisers released a report on homelessness in 2019 casting doubt on its effectiveness...
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