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Addressing Unsheltered Homelessness and Substance Use Disorder From Tent Encampment to Safe Spaces, Boston 2021-2022
Monica Bharel1, Michele N Clark1, Daniel Dooley1
1At the time of this study, Monica Bharel was with the City of Boston and Daniel Dooley was with the Boston Public Health Commission, Boston, MA. Michele Clark is with the Boston Public Health Commission and Bisola Ojikutu is with the Boston Public Health Commission and Mass General Brigham, Boston, MA.
Abstract:
Increasing numbers of individuals experiencing unsheltered homelessness and substance use disorder are living in tent encampments in cities across the United States. In response, the City of Boston, Massachusetts employed a public health approach comprising four implementation components: centralized leadership with cross-agency collaboration, creation of low-threshold spaces, person-centered engagement, and stakeholder-driven long-term planning. These steps led to the equitable transition of unsheltered individuals into harm reduction spaces and formed the foundation for future planning and encampment response in the city. (Am J Public Health. 2025;115(5):689-692. https://doi.org/10.2105/AJPH.2025.308009).
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