Abstract
cussed. A program designed to meet the needs of this population is described, and further programmatic and policy considerations to respond to the problem of homelessness are advocated. Homeless individuals suffer from multiple needs in many spheres. In addition to a lack of adequate shelter, they frequently have difficulty obtaining adequate food and clothing. Also, homeless people face the problems that caused or contributed to their homelessness, and from other prob lems that result from being homeless. This article describes an effort to under stand and respond to the medical and psychiatric needs of the homeless. San Fran cisco began organizing a service delivery system for its homeless people in October 1982 when a group of agencies that serve this population met to coordinate services. Mayor Diane Feinstein appointed a task force to advise her on issues involving the home less, and out of the task force grew a work ing group of service providers, known as the Shelter Providers Coalition. The Shelter Pro viders Coalition has a broad membership, in cluding representatives from agencies as diverse as the Social Security Administration, the Veterans Administration Hospital, veterans' and welfare rights groups, the mayor's office, all city shelters, San Francisco General Hospital (SFGH), San Francisco Community Mental Health Services, and the San Francisco Department of Public Health.
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