JOURNAL ARTICLE

Addressing Unsheltered Homelessness and Substance Use Disorder From Tent Encampment to Safe Spaces, Boston 2021–2022.

  • Published In: American Journal of Public Health, 2025, v. 115, n. 5. P. 689 1 of 3

  • Database: Academic Search Ultimate 2 of 3

  • Authored By: Bharel, Monica; Clark, Michele N.; Dooley, Daniel; Ojikutu, Bisola O. 3 of 3

Abstract

The article focuses on Boston, Massachusetts’s public health–led approach to addressing unsheltered homelessness and substance use disorder (SUD) among individuals living in tent encampments. The city implemented a four-component strategy involving centralized cross-agency leadership, development of low-threshold shelters (LTS) based on Housing First principles, person-centered outreach and needs assessments, and stakeholder-driven long-term planning. This approach facilitated the transition of 74.5% of encampment residents into safer indoor accommodations, with ongoing engagement in clinical and housing services, and emphasized equitable placement across demographic groups. The experience highlights the importance of coordinated, multi-sector efforts and sustained funding to address the complex public health challenges posed by unsheltered homelessness and SUD.

Additional Information

  • Source:American Journal of Public Health. 2025/05, Vol. 115, Issue 5, p689
  • Document Type:Article
  • Subject Area:Social Sciences and Humanities
  • Publication Date:2025
  • ISSN:0090-0036
  • DOI:10.2105/AJPH.2025.308009
  • Accession Number:184342001
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