As the Bush administration promotes a widely praised multibillion-dollar effort to end chronic homelessness in cities like Washington and San Francisco, a growing outcry is rising from rural areas that worsening problems far away from urban centers are being overlooked.
Rural homelessness has always taken a back seat to the more glaring problems in cities. Most studies estimate homeless people in small towns account for about 9 percent of the 600,000 or so homeless nationwide.
But local officials and advocates for the homeless in small towns say that economic distress in recent years, including closing plants, failing farms, rising housing costs and other troubles, has left more people without homes and in greater need of help. Real numbers are hard to come by because most rural areas, where homeless services often means ad-hoc help from church groups or volunteers, are far behind a parade of cities taking head counts..........
This year, the federal government has increased direct spending on homeless programs to about $4 billion, up from $2.9 billion and double the spending of five years ago. About 10 percent of that has gone toward a new focus on ending chronic homelessness, Mr. Mangano said.
http://www.nytimes.com/2006/10/11/us/11homeless.html?pagewanted=2&ei=5094&en=d55e8b1a2e6fb620&hp&ex=1160625600&partner=homepage"Widely praised"?Such talk is now accompanied by $4.1 billion in the 2007 federal budget for homeless programs. But these programs don't cover medical needs or fund much housing.
And in the same budget, the Bush administration cut about $3 billion from Medicaid, which provides much of the health care for America's homeless, and cut federal housing dollars by $600 million.
"You can't fill a $52 billion hole with $4.1 billion," says Paul Boden, executive director of the Western Regional Advocacy Project, a San Francisco–based group, referring to the generation-long gap in federal public-housing spending.
"The feds are making our job much harder," says Seattle Deputy Mayor Tim Ceis. "We are getting doublespeak from the Bush administration."
The Medicaid cuts may cause the biggest problems initially. Fifty percent or more of America's homeless are afflicted with mental illnesses, and the federal Medicaid program, buoyed by state contributions, is the backbone of the country's public mental-health system. But about half of the $3 billion in cuts will directly affect mental-health systems, according to the National Mental Health Association. It will be up to the states to fill the gap—or not....
http://www.seattleweekly.com/news/0610/homeless.php