Transforming Systems as Well as Lives
This chapter notes that the story of HF so far has been virtually unprecedented in the annals of systems change in social and health services. At the same time, it considers HF’s limitations and address different homeless populations, such as families and youths, for whom specific tailoring of HF’s tenets is needed. The question “housing first, what’s second?” is addressed including the challenges of social and community integration. Systems changes wrought by HF may be found not only in homeless services but also in mental health care. The chapter concludes by noting that systems changes are not the same as structural change, and that there are still important challenges in meeting the needs of homeless men, women, and children.
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