The philosophy of harm reduction and addressing homelessness in San Francisco

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Other Title
  • ハームリダクション理念に基づく米国サンフランシスコ市のホームレス支援
  • ハームリダクション理念に基づく米国サンフランシスコ市のホームレス支援 : 成果主導型政策と貧困地域における包摂的な支援活動のあり方に関する一考察
  • ハームリダクション リネン ニ モトズク ベイコク サンフランシスコシ ノ ホームレス シエン : セイカ シュドウガタ セイサク ト ヒンコン チイキ ニ オケル ホウセツテキ ナ シエン カツドウ ノ アリカタ ニ カンスル イチ コウサツ
  • Inclusionary homeless support services under the contexts of outcome-driven policy and urban gentrification
  • 成果主導型政策と貧困地域における包摂的な支援活動のあり方に関する一考察

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Abstract

Since the early stage, homeless services in San Francisco have been provided through cooperation between the human services and public health departments, with the latter adopting an inclusionary harm reduction policy for these services. However, recent federal homelessness policy stressing service outcomes and growing socio-economic pressure of gentrification could pose a threat to the city's inclusionary regime. This article argues that the homeless support system of San Francisco integrates efficient models promoted by the Federal Government such as Housing First as a low-threshold, inclusionary approach, without overemphasising their outcomes. Local homeless services also show that their harm reduction philosophy is associated with not only accepting attitudes to homeless people but also the empowerment of poor communities, which may serve as a grassroots response to urban restructuring forces.

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