Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis

“Current rates of homelessness in New York City are the highest ever documented. A small percentage of this population remains chronically homeless, either living on the streets or other public places or intermittently using emergency rooms, shelters, jails, and other short-term services, but never successfully ending their homelessness. Members of this chronically homeless group typically have a history of mental illness, compounded by substance use disorders. Although much is known about the chronically homeless, these individuals continue to elude existing program efforts.

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