99% Invisible

Chapter 3: Housing First

Dec 8, 2020
Sam Tsemberis, a psychologist who transformed approaches to homelessness in New York City, shares his revolutionary Housing First model. He recounts the struggles of individuals experiencing homelessness and the importance of understanding their specific needs. Tsemberis highlights the shift towards compassionate support, illustrating how immediate access to housing—without prerequisites—has changed lives. The conversation also touches on the ongoing challenges within the system, including funding shortages and the impact of structural racism on homelessness.
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ANECDOTE

Catwoman Anecdote

  • Sam Tsemberis disagreed with colleagues who involuntarily committed a homeless woman they called "Catwoman" to a psychiatric hospital.
  • He anonymously called legal aid, reflecting his belief in patient autonomy.
INSIGHT

Ineffectiveness of Traditional Methods

  • Sam Tsemberis found that traditional methods of helping the homeless, such as involuntary commitment, were ineffective.
  • Two-thirds of those committed returned to the streets, highlighting the need for a new approach.
ANECDOTE

Alan's Story

  • Alan, a Choices client, had a history of anger issues and institutionalization, including time at Bridgewater State Hospital.
  • He valued Choices as a place to shower, change clothes, and get lunch, demonstrating a need for basic services.
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