The official designation applies to individuals experiencing homelessness for at least 12 months continuously, or on at least four separate occasions in the last three years, where the combined occasions total at least 12 months. Furthermore, the qualifying individual must have a disabling condition. This condition can include substance use disorder, serious mental illness, developmental disability, post-traumatic stress disorder, or other chronic physical illness or disability. For example, an individual with schizophrenia living on the streets for over a year would fit this categorization.
Accurately identifying and classifying people who meet these criteria is crucial for several reasons. It allows communities to effectively target resources towards those with the most complex needs, thereby maximizing the impact of assistance programs. Prioritizing interventions for this population has demonstrated success in reducing overall homelessness, decreasing strain on public services like emergency rooms and jails, and improving the well-being of vulnerable individuals. The creation and refinement of this specific classification stemmed from the need for more effective and targeted approaches to addressing the complex challenges of long-term homelessness.