This Atlanta neighborhood hired a case manager to address rising homelessness − and it’s improving health and safety for everyone

Homelessness has surged across the United States^[1] in recent years, rising 19% from 2016 though 2023^[2]. The main cause is a severe shortage of affordable housing^[3]. Rising homelessness has renewed debates about use of public space and how encampments affect public safety.

The U.S. Supreme Court recently weighed in on these debates with its 2024 decision in Grants Pass v. Johnson^[4]. The court’s ruling grants cities the authority to prohibit individuals from sleeping and camping in public spaces, effectively condoning the use of fines and bans to address rising rates of homelessness.

East Atlanta Village^[5], a historically Black neighborhood in Atlanta with about 3,000 residents, is trying something different. In the fall of 2023, with support from the Atlanta City Council, the mayor’s office and Intown Cares^[6], a local nonprofit that works to alleviate homelessness and hunger, the neighborhood hired a full-time social worker^[7] to support people experiencing homelessness.

Michael Nolan, an Intown Cares social worker, is trained in an approach that emphasizes individual autonomy and dignity, recognizes that being homeless is a traumatic experience^[8], and prioritizes access to housing^[9]. His role^[10] includes helping individuals get the documentation they need to move off the streets, such as copies of their birth certificates and Social Security cards. He also has a dedicated phone line that community members can use to alert him about dangerous situations that involve homeless people.

I am a researcher at the University of Washington^[11] studying programs and technologies that help urban neighborhoods flourish. I’m also a resident of East Atlanta Village and have helped the neighborhood organize and evaluate this experiment.

For the past year, my colleagues and I have collected data about the neighborhood social work program to understand how well it can support both people without housing and the broader community. Our preliminary findings suggest that neighborhood social work is a promising way to address challenges common in many neighborhoods with homelessness.

I believe this approach has the potential to provide long-term solutions to homelessness and improve the health and safety for the entire neighborhood. I also see it as a sharp contrast with the punitive approach condoned by the Supreme Court.

Resolving conflicts over public space

One of the people I interviewed while evaluating this initiative was Rebecca, a resident of East Atlanta Village who walks her dog in the local park every day. In the fall of 2023, she noticed that a man had moved into the park and set up a tent. At first, the area was clean, but within a few weeks there was garbage around the tent and throughout the park.

Rebecca felt that the trash was ruining one of the few green spaces in the neighborhood. She decided to contact Nolan. Nolan told her that he knew the unhoused man, was working with him to secure permanent housing and in the meantime would help him move his tent to a less-frequented space.

Such negotiations around public spaces are common challenges for neighborhoods with large homeless populations, especially in dense urban areas. Other examples in our data included conflicts when a homeless person began sleeping in his car outside another resident’s home, and when a homeless man wandered into a homeowner’s yard.

The standard approach in these situations is to fine, ban or imprison the unhoused individual. But those strategies are expensive, can prolong homelessness and do little to actually resolve the issues^[12].

In contrast, hiring a social worker has enabled East Atlanta Village to resolve conflicts gently, through conversation and negotiation. The solutions address concerns about public health and safety and also offer people without homes an opportunity for long-term change.

Meeting basic needs

Over the past year, this program has helped 13 people move into housing. Nolan has facilitated over 180 medical and mental health care visits for people living on the street.

Eighty-six people have been connected to Medicaid, food assistance^[13] or Social Security benefits. Thirty-five people have health care for the first time, and six people have started receiving medication for their addictions.

Research shows that addressing people’s basic needs by helping them obtain food, medicine, housing and other necessities not only supports those individuals but also produces cascading benefits for the entire community. They include reduced inequality, better health outcomes and lower crime rates^[14].

Managing mental and behavioral health

Studies have found that about two-thirds of unhoused individuals struggle with mental health challenges^[15]. Unmet mental and behavioral health needs can contribute to unsafe and illegal behavior.

The United States does not have a comprehensive system in place for supporting people who are living on the street and struggling with chronic mental and behavioral health challenges. While much more infrastructure is needed, in East Atlanta Village, Nolan is able to check in on people experiencing homelessness, work with clinics to deliver medication for addiction and mental health needs and alert community members about dangerous situations.

As an example, in December 2023 a homeless man was arrested in East Atlanta Village for trespassing, stealing mail and other erratic behavior. When concerned residents posted to the neighborhood Facebook group, Nolan responded that he knew the man well, that this behavior was not typical and that he would look into the situation.

Nolan later updated his post, commenting that the man had been arrested but that he would “continue to follow up and ensure that his current behaviors do not return upon his release.”

In other examples, Nolan has helped de-escalate situations when people experienced mental health episodes in local coffee shops and churches.

A model for other cities

Cities around the U.S. have decisions to make about addressing homelessness and its associated challenges. Neighborhood social work is not a magic bullet, but my colleagues and I see it as a promising approach to address the most common challenges that neighborhoods with high rates of homelessness face.

East Atlanta Village is currently working with the Atlanta City Council to renew funding for this program, which cost US$100,000 in its initial year. We hope that other neighborhoods also consider this strategy when deciding how to address homelessness in their own areas.

References

1. ^{^} surged across the United States (www.huduser.gov)
2. ^{^} 19% from 2016 though 2023 (www.hud.gov)
3. ^{^} shortage of affordable housing (www.npr.org)
4. ^{^} Grants Pass v. Johnson (www.supremecourt.gov)
5. ^{^} East Atlanta Village (discoveratlanta.com)
6. ^{^} Intown Cares (intowncares.org)
7. ^{^} hired a full-time social worker (www.ajc.com)
8. ^{^} being homeless is a traumatic experience (www.usich.gov)
9. ^{^} prioritizes access to housing (endhomelessness.org)
10. ^{^} His role (eastatlantabiz.com)
11. ^{^} researcher at the University of Washington (scholar.google.com)
12. ^{^} do little to actually resolve the issues (www.urban.org)
13. ^{^} food assistance (www.fns.usda.gov)
14. ^{^} lower crime rates (doi.org)
15. ^{^} struggle with mental health challenges (dx.doi.org)