Farkas Kathleen J, Romaniuk Jaroslaw R, Baranowski Mariusz
Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, 11235 Bellflower Road, Cleveland, OH, 44106, USA.
Faculty of Sociology, Adam Mickiewicz University, Szamarzewskiego 89C, 60-568, Poznan, Poland.
J Public Health Policy. 2025 Mar;46(1):180-192. doi: 10.1057/s41271-024-00537-7. Epub 2024 Dec 11.
This article critically examines the Housing First model within the broader context of neoliberal policies impacting homelessness, particularly at the intersection of mental illness, poverty, and addiction. While Housing First is celebrated for its effectiveness in providing immediate housing to chronically homeless individuals, this model's alignment with neoliberal principles prioritizes cost effectiveness and visible outcomes over comprehensive care. As a harm reduction approach, Housing First often overlooks the underlying mental health and addiction issues that maintain homelessness, resulting in a cycle of dependency rather than long-term recovery. In this article, we argue that the reduction in funding for transitional housing and mental health services, driven by neoliberal policies, has exacerbated the challenges faced by marginalized populations. A call is made for a shift toward more holistic and integrated approaches that balance immediate housing solutions with robust mental health care and social support systems, aiming for sustained recovery, independence, and social reintegration for individuals experiencing homelessness.
本文在新自由主义政策影响无家可归问题的更广泛背景下,批判性地审视了“住房第一”模式,尤其是在精神疾病、贫困和成瘾问题的交叉点上。虽然“住房第一”模式因其在为长期无家可归者提供即时住房方面的有效性而受到赞誉,但该模式与新自由主义原则的契合,将成本效益和可见成果置于全面护理之上。作为一种减少伤害的方法,“住房第一”模式往往忽视了导致无家可归的潜在心理健康和成瘾问题,从而导致了依赖循环而非长期康复。在本文中,我们认为,新自由主义政策导致的过渡性住房和心理健康服务资金减少,加剧了边缘化群体面临的挑战。我们呼吁转向更全面和综合的方法,在即时住房解决方案与强大的心理健康护理和社会支持系统之间取得平衡,目标是让无家可归者实现持续康复、独立和社会重新融入。