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Drew Klein's avatar

Thanks again for the great comment! I agree of course that folks with mental health / substance abuse issues face (even more) enormous barriers getting out of homelessness. Curious if you have thoughts on the best ways to get them the support they need? I keep running into versions of "housing first is the answer to everything" but it seems to me that there's a small population that needs more than housing and optional wraparound services.

More generally, would love to connect with you offline and hear about how Pasadena's approach differs from Seattle's if you're willing.

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Sara Patterson's avatar

I have heard some interesting debates surrounding the two most common approaches to dealing with homelessness, addiction, and mental illness. One camp provides housing and encourages substance abuse, treatment and mental health treatment, but they do not force it. That gives people the stability they desperately need to get out of survival mode and start dealing with the issues that got them into that situation in the first place, as many people enter addiction by self medicating their trauma and mental health problems. The downside of that is that not everybody seeks treatment, and so those housing situations are very unstable and chaotic because many people are there untreated. Those who are trying to live in sobriety and safety do not feel that they can and they experience a lot of frustration. Their living situation is not secure enough to be out of survival mode because the other residence are so unsafe.

The other camp is more performative and punitive, and you only get housing if you can prove that you are successfully remaining in sobriety. There is a very high failure rate and so while this living situation is more stable for those who are able to maintain their sobriety and get treatment for their mental health, most clients are not able to remain in that living situation, and so they’re still remains a very large homeless problem.

This becomes a chicken and the egg argument that goes in circles forever on a very pious hamster wheel.

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