Post-Session Materials

Please note that materials are for the ALI Community only and not for further distribution.

1.  ALI Health and Homeless Deep Dive - Introduction

2.  Understanding the Housing Affordability Crises: Historical Context, Current Outlook, and Implications for an Aging Population

3.  Story Behind Joanne Garino and Derek Winbush

4.  Multidisciplinary Approaches to Ending Homelessness: Lessons from Los Angeles

5. Debrief and Reflections

Session I: Welcome

Thursday, March 30 from 9:00 a.m. – 9:15 a.m. 

Harvard Business School, Batten Hive 201

Zoom Meeting: https://hbs.zoom.us/j/91510846157?pwd=eHhwbnFuT00rMkJIZS9aVzFIMFF1Zz09Links to an external site.

Meeting ID: 915 1084 6157 / Password: 2023

Speaker

Howard Koh

Harvey V. Fineberg Professor of the Practice of Public Health Leadership, Harvard T.H. Chan School of Public Health

Faculty Executive Committee Member, Harvard Advanced Leadership Initiative

Required Pre-Reading

Koh HK, Hrabchak Molinsky J, Koh KA, et al. Establishing Academic Homes for Homelessness: A Call to Action. Public Health Reports. 2022;0(0)

Session II: Understanding Homelessness in the United States

Thursday, March 30 from 9:15 a.m. – 10:30 a.m.

Harvard Business School, Batten Hive 201

Zoom Meeting: https://hbs.zoom.us/j/91510846157?pwd=eHhwbnFuT00rMkJIZS9aVzFIMFF1Zz09Links to an external site.

Meeting ID: 915 1084 6157 / Password: 2023

Speaker

Dennis CulhaneLinks to an external site.

Professor, University of Pennsylvania School of Social Policy and Practice

Dana and Andrew Stone Chair in Social Policy

Co-Principal Investigator, Actionable Intelligence for Social Policy

Learning Objectives

At the end of this session, participants will be able to:

1. Describe the epidemiology and current trends in homelessness across populations and geographies.

2. Describe the structural and individual factors that contribute to the crisis.

3. Understand the components of the homelessness response systems and discuss evidence-based solutions to homelessness.

Required Pre-Reading

• Lee, Shinn, M., & Culhane, D. P. (2021). Homelessness as a Moving Target. The Annals of the American Academy of Political and Social Science, 693(1), 8–26. https://doi.org/10.1177/0002716221997038 (18 Pages)

• Chris Glynn, Thomas Byrne and Dennis P Culhane. "Inflection Points in Community-Level Homeless Rates" The Annals of Applied Statistics Vol. 15 Iss. 2 (2021) p. 1037 – 1053.(19 Pages)

• Dennis P Culhane and Stephen Metraux. "Rearranging the Deck Chairs or Reallocating the Lifeboats?: Homelessness Assistance and Its Alternatives" Journal of the American Planning Association Vol. 74 Iss. 1 (2008).(12 Pages)

Break: 10:30 a.m. – 11:00 a.m.

Session III: Understanding the Housing Affordability Crisis: The Historical Context, Current Outlook, and Implications for an Aging Population

Thursday, March 30 from 11:00 a.m. – 12:15 p.m.

Harvard Business School, Batten Hive 201

Zoom Meeting: https://hbs.zoom.us/j/91510846157?pwd=eHhwbnFuT00rMkJIZS9aVzFIMFF1Zz09Links to an external site.

Meeting ID: 915 1084 6157 / Password: 2023

Speaker

Jennifer Hrabchak Molinsky

Senior Research Associate, Harvard University Joint Center for Housing Studies

Lecturer in Urban Planning and Design, Harvard Graduate School of Design

Learning Objectives

At the end of this session, participants will be able to:

1. Describe the historical factors that have contributed to current housing affordability challenges, including systemic racism, and structural inequalities. 

2. Evaluate current challenges and opportunities in housing policy and efforts to reduce housing instability.

3. Understand the effect of housing instability on an aging population with examples from a Boston-based research cohort.

Required Pre-Reading

• Joint Center for Housing Studies of Harvard University. State of the Nation’s Housing, 2022: Key Facts. 2022. https://www.jchs.harvard.edu/sites/default/files/interactive-item/files/Harvard_JCHS_State_Nations_Housing_2022_Key_Facts.pdf. (3 Pages)

• Herbert C. The State of US Housing: A Roller Coaster Ride. Joint Center for Housing Studies of Harvard University Blog. February 21, 2023. https://www.jchs.harvard.edu/blog/state-us-housing-roller-coaster-ride. (1 Page)

• Joint Center for Housing Studies of Harvard University and The Hastings Center. Advancing Housing and Health Equity for Older Adults: Report Summary and Key Recommendations. 2022. https://www.jchs.harvard.edu/sites/default/files/interactive-item/files/RECAPP-Summary-Recommendations_0.pdf. (3 Pages)

Lunch

Thursday, March 30 from 12:15 p.m. – 1:15 p.m.

Session IV: Learning to Listen: Reflections on the Experience of Homelessness

Thursday, March 30 from 1:15 p.m. – 2:45 p.m.

Harvard Business School, Batten Hive 201

Zoom Meeting: https://hbs.zoom.us/j/91510846157?pwd=eHhwbnFuT00rMkJIZS9aVzFIMFF1Zz09Links to an external site.

Meeting ID: 915 1084 6157 / Password: 2023

Speakers

Derek Winbush

Member, Consumer Advisory Board

Joanne Guarino

Member, Consumer Advisory Board and Board of Directors

Boston Health Care for the Homeless Program

Denise De Las Nueces (Moderator)

Chief Medical Officer, Boston Health care for the Homeless Program

Member, Initiative on Health and Homelessness Steering Committee, Harvard T.H. Chan School of Public Health

Learning Objectives

At the end of this session, participants will be able to:

1. Reflect on the causes and impacts of homelessness through personal stories from those with lived experience.

2. Describe opportunities to better communicate about homelessness, solutions to homelessness, and people experiencing homelessness.

3. Evaluate how they engage with the homeless community in their own lives.

Required Pre-Reading

• WCVB5 ABC News. Outreach workers hit the streets in Boston, April 7, 2022. https://www.wcvb.com/article/outreach-workers-hit-the-streets-in-boston/39677637# (5 minutes)

• Las Nueces, Denise De. 2016. “Stigma and Prejudice Against Individuals Experiencing Homelessness.” In Stigma and Prejudice, 85–101. Cham: Springer International Publishing. https://doi.org/10.1007/978-3-319-27580-2_5..(17 pages)

Break: 2:45 p.m. – 3:15 p.m.

Session V: Multidisciplinary Approaches to Ending Homelessness: Lessons from Los Angeles County

Thursday, March 30 from 3:15 p.m. – 4:30 p.m.

Harvard Business School, Batten Hive 201

Zoom Meeting: https://hbs.zoom.us/j/91510846157?pwd=eHhwbnFuT00rMkJIZS9aVzFIMFF1Zz09Links to an external site.

Meeting ID: 915 1084 6157 / Password: 2023

Speaker

Va Lecia Adams Kellum

CEO of the Los Angeles Homeless Services Authority

Learning Objectives

At the end of this session, participants will be able to:

1. Understand the structural and individual causes of homelessness in the City and County of Los Angeles. 

2. Explore a multidisciplinary approach to helping individuals experiencing street homelessness obtain and maintain stable housing.

3. Measure the impact of executive orders, such as Los Angeles’ Mayor Karen Bass’ State of Emergency and Inside Safe Executive Directive in addressing homelessness and street encampments.

Break: 4:30 p.m. – 4:45 p.m.

Session VI: Debrief and Reflections

Thursday, March 30 from 4:45 p.m. – 5:15 p.m.

Harvard Business School, Batten Hive 201

Zoom Meeting: https://hbs.zoom.us/j/91510846157?pwd=eHhwbnFuT00rMkJIZS9aVzFIMFF1Zz09Links to an external site.

Meeting ID: 915 1084 6157 / Password: 2023

Speaker

Karen Emmons

Professor of Social and Behavioral Science, Harvard T.H. Chan School of Public Health

Session VII: Federal Efforts to End Homelessness: A New Focus on Equity and Prevention

Friday, March 31 from 9:30 a.m. – 10:45 a.m.

Harvard Business School, Batten Hive 201

Speaker

Jeff OlivetLinks to an external site.

Executive Director, U.S. Interagency Council on Homelessness

Learning Objectives

At the end of this session, participants will be able to:

1. Describe the objectives and strategy of All In: The Federal Strategic Plan to End Homelessness.

2. Understand the impacts of racial and ethnic inequities on homelessness in America and federal efforts to mitigate them.

3. Apply a social determinants of health lens to assess public health interventions and policy strategies to prevent housing instability and homelessness. 

Required Pre-Reading

• United States Interagency Council on Homelessness (USICH). All In: The Federal Strategic Plan to Prevent and End Homelessness (Executive Summary), December 2022. https://www.usich.gov/All_In_The_Federal_Strategic_Plan_to_Prevent_and_End_Homelessness.pdfLinks to an external site.. (104 pages)

• Olivet J. Looking Back, Looking Forward: How USICH and the Biden Administration are Addressing Homelessness. United States Interagency Council on Homelessness (USICH), January 12, 2023. https://www.usich.gov/news/looking-back-looking-forward-how-usich-and-the-biden-administration-are-addressing-homelessnessLinks to an external site. (1 page)

• Olivet J. We All Have a Role to Play: Jeff Olivet’s Full Remarks at NAEH Conference on Ending Homelessness. United States Interagency Council on Homelessness (USICH), July 26, 2022. https://www.usich.gov/news/usich-executive-director-jeff-olivets-full-remarks-at-naeh-conferenceLinks to an external site. (3 Pages)

Break: 10:45 a.m. – 11:15 a.m.

Session VIII: Community Solutions: Lessons from Built for Zero and Future Directions

Friday, March 31 from 11:15 a.m. – 12:45 p.m.

Harvard Business School, Batten Hive 201

Zoom Meeting: https://hbs.zoom.us/j/91510846157?pwd=eHhwbnFuT00rMkJIZS9aVzFIMFF1Zz09Links to an external site.

Meeting ID: 915 1084 6157 / Password: 2023

Speakers

Rosanne HaggartyLinks to an external site.

President

Meghan ArsenaultLinks to an external site.

Senior Strategy Lead, Upstream Strategies

Ben BradleyLinks to an external site.

Systems Improvement Advisor (Inflow), Upstream Strategies

Community Solutions

Learning Objectives

At the end of this session, participants will be able to:

1. Describe the components and successes of the Built for Zero approach with communities to end homelessness.

2. Understand learnings and opportunities for partnership between health care and homeless systems to reduce homelessness.

3. Discuss opportunities and examples of local health departments contributing to systems that meaningfully reduce homelessness.

Suggested Pre-Reading

Public Health

• Learning Brief: How Are Public Health and Homelessness Systems Collaborating?Links to an external site.

• Report: Engagement Between Local Public Health and Homeless Response SystemsLinks to an external site.

• Establishing Academic Homes for Homelessness: A Call to ActionLinks to an external site.

Healthcare

• Healthcare and Homelessness PilotLinks to an external site.

• Bright Spot: In Anchorage, A Complex Care Shelter Supports Medically Vulnerable People Experiencing HomelessnessLinks to an external site.

• Case Study: Health Systems Work Together to Help End Chronic HomelessnessLinks to an external site.

• Case Study: Health Care is Key to Coordinating Homelessness SolutionsLinks to an external site.

• Governing Article: A Major Effort to Link Homeless Response and Health CareLinks to an external site.

Lunch

Friday, March 31 from 12:45p.m. – 1:45 p.m.

Session IX: Best Practices in Addressing Homelessness: Lessons from the Homeless Children’s Network (The Optimal Paradigm)

Friday, March 31 from 1:45 p.m. – 3:00 p.m.

Harvard Business School, Batten Hive 201

Zoom Meeting: https://hbs.zoom.us/j/91510846157?pwd=eHhwbnFuT00rMkJIZS9aVzFIMFF1Zz09Links to an external site.

Meeting ID: 915 1084 6157 / Password: 2023

Speaker

April SilasLinks to an external site.

Executive Director, Homeless Children’s Network

Session Overview

At the end of this session, participants will be able to:

1. Identify best practices in addressing Homelessness in youths and adults, with attention to behavioral health and substance use-disorder services.

2. Understand the impacts of housing insecurity, homelessness, and the stigmas surrounding homelessness, mental health, and receiving holistic care within the Black community.

3. Explore culturally optimal approaches and paradigms to addressing homelessness, mental health, and receiving holistic care within the Black community.

Break: 3:00 p.m. – 3:15 p.m.

Session X: Medicine on the Streets: Medical, Mental Health, and Housing Considerations

Friday, March 31 from 3:15 p.m. – 4:30 p.m.

Harvard Business School, Batten Hive 201

Zoom Meeting: https://hbs.zoom.us/j/91510846157?pwd=eHhwbnFuT00rMkJIZS9aVzFIMFF1Zz09Links to an external site.

Meeting ID: 915 1084 6157 / Password: 2023

Speakers

James O’ConnellLinks to an external site.

President

Katherine KohLinks to an external site.

Psychiatrist, Street Team

Boston Health Care for the Homeless Program

Robert Heckart (Moderator)

2015 ALI Fellow

Member, Initiative on Health and Homelessness Steering Committee, Harvard T.H. Chan School of Public Health

Session Overview

At the end of this session, participants will be able to:

1. Describe the features, opportunities, challenges, and core principles of street medicine.

2. Articulate individual and system needs and dispel misconceptions regarding mental health care among persons experiencing homelessness.

3. Explore the critical role of integrated medical, psychiatric, and substance use disorder care for chronic rough sleepers placed in permanent supportive housing.

Required Pre-Reading

• Koh, Katherine A. “Psychiatry on the Streets—Caring for Homeless Patients.” JAMA Psychiatry, vol. 77, no. 5, 2020, pp. 445–46.Links to an external site. (1 Page)

• Kidder T. You Have to Learn to Listen: How a Doctor Cares for Boston’s Homeless. New York Times Magazine, January 5, 2023. https://www.nytimes.com/2023/01/05/magazine/boston-homeless-dr-jim-oconnell.htmlLinks to an external site. (28 Pages)

Session XI: Closing Reflections

Friday, March 31 from 4:30 p.m. – 4:45 p.m. 

Harvard Business School, Batten Hive 201

Zoom Meeting: https://hbs.zoom.us/j/91510846157?pwd=eHhwbnFuT00rMkJIZS9aVzFIMFF1Zz09Links to an external site.

Meeting ID: 915 1084 6157 / Password: 2023

Speaker

Howard Koh

Harvey V. Fineberg Professor of the Practice of Public Health Leadership, Harvard T.H. Chan School of Public Health

Faculty Executive Committee Member, Harvard Advanced Leadership Initiative