Nearly five years after the Mayor Gavin Newsom’s release of the Ten-Year Plan to End Chronic Homelessness, the majority of San Francisco’s homeless population is still out in the rain. Mayor Newsom created a 33-member council of advocates, legislators and service providers to advise the most effective strategy to end chronic homelessness, and guide his policy-making in the areas of homelessness.

“The plan produced by the Ten-Year Planning Council is both a blueprint and a bold step toward a new and revolutionary way to break the cycle of chronic homelessness,” concluded Newsom, in his office’s press release following the release of the plan in June 2004.

It unfortunately appears this blueprint has been collecting dust, and lays the ground work for a home the homeless will never see.

The plan’s central strategy is a housing first model. The “Housing First” model emphasizes immediate placement of the individual in permanent housing, where they have access to services, on site, necessary to stabilize the individuals and keep them housed.

A few key statistics found in the Ten-Year Plan:

The cost to provide one chronically homeless person permanent, supportive housing, with treatment and care is nearly one-fourth of the cost to care for the same person using Emergency Room services and/or incarceration costs San Francisco. ($16,000/year versus $61,000/year.)

San Francisco has the highest per capita rate of homelessness of any major American city.

7,000 homeless people live in SF at a given time. Some estimates put the number as high as 15,000.

There are 1,623 homeless kids in the San Francisco school system.

Up to 20% of homeless people have full-time jobs; 30% of adults in homeless families have full-time jobs. (The National Coalition for the Homeless)

52% of Bay Area cities said more mental health services is the most effective way to reduce homelessness. (U.S. Conference of Mayors 2007 Status Report on Hunger and Homelessness)

With the looming budget crisis and drastic cuts threatening the already starved social service programs, many of the programs required for this plan to work are facing devastating funding reductions, if not complete elimination. The 2009 bi-annual city-wide homeless count was conducted January 27; the results of this count will perhaps shed light on what progress has been made.

The primary goal of the Dining Room is to provide sustenance for our hungry guests in and environment of dignity and respect.  In doing this we are able to provide a welcoming community, friendly ears to listen, and referrals to other services in St. Anthony Foundation’s network of care.  Our ability to serve every guest in the Dining Room is made greater by truly understanding them and their specific needs.

More than one third of our guests rely on the meals served in the Dining Room as their only source of food each day; many must decide between paying for rent or even for medicine before budgeting for food. We understand that people with food insecurities need to reach satiety in their main meal of the day, to accomplish that a meal with 20% fat is advised.

Beef and other meats are critical to our guests.  The concentrated protein helps prevent the cravings that lead guests to spend what little money they may have on fast food or convenience store items high in saturated and trans fats. All of these foods can cause further harm to our guests’ health when eaten on a regular basis, leading to obesity and related diseases, like diabetes.

The homeless and low-income population we serve also need a supplemental diet that focuses on prevention and other special needs such as wound healing, vision impairment and bone health. To ensure that the Dining Room is providing meals that best meet these needs, St. Anthony’s invited a Registered Dietitian to conduct a nutritional assessment of our food. The results indicated that the Dining Room’s menu provides excellent sources of macro and micronutrients, reflecting home cooked meals rather than processed foods. Meals also contain higher nutritional value, not only when compared to the alternatives found in our neighborhood, such as fast food and inexpensive convenience store snacks, but also when compared to other food service agencies.

The study showed Vitamins E, A and K at “good” levels. To raise that rating to “excellent” the Dining Room immediately doubled the amount of spinach and carrots cooked in meals, and has also added more meals with tuna to increase Omega-3 intake. Meals are now being cooked with vegetable oil rather than margarine, which immediately decreases trans fats 15%, with a long term goal of completely eliminating trans fats by 2010.

If you tell Barbara Coleman that there is a bill coming up in Congress that relates to poverty or hunger, her first response is, “When do we go? I need to talk to those people.”

As a formerly homeless woman who has fought many battles with poverty, hunger, and homelessness, Barbara felt that the story of her survival fell on deaf ears at many of the places she turned to for help. But she knew that her story was representative of so many around her — people who were struggling to piece together enough food to eat for a day, a safe place to sleep for the night, or medical care when they become ill. In working with St. Anthony’s Advocacy Program, Barbara has learned that her story is important for policy makers and other advocates to hear.

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“Hey, big brother, you think you can give me the rest of those chips when you are done with them?” A weathered, 60 something man asked me. I’d been sitting in the waiting room at San Francisco General Hospital for about 4 hours by then, and that was not the first bag of junk food I’d consumed while there. I had brought a friend with me who had an injured his foot playing Volleyball in Golden Gate Park. We knew that his injury, being non life-threatening, insured us a very lengthy wait.

I handed him the rest of my chips and told him I was done. He thanked me and said the he hadn’t eaten since the night before when he found a burrito on top of a garbage can. I told him to come down to St. Anthony Dining Room for a hot meal sometime. “In the Tenderloin? Naw. I like this neighborhood. It’s calmer and I can sleep on the street without getting bothered.”

We talked a bit about the weather, the presidential election and his ailing foot conditions until we were interrupted by a member of San Francisco’s H.O.T. (Homeless Outreach Team). I moved to another seat to give them privacy and resumed watching the news.

Thirty minutes later he came over to me smiling. They had found him a shelter bed and he was leaving. I looked around and saw two other homeless men speaking with other social workers.

Often it can take several social service agencies, both public and private, to help transform a persons life. Everyone’s journey in and out of homelessness is different, and I am graced by seeing many folks change right here at St. Anthony’s.

After buying yet another bag of vending machine potato chips I leaned back into my cold metal chair and resumed watching the news. After all, it was my day off, and the folks down at General Hospital seemed to have a good handle on things.