The city of Phoenix set heat records in summer 2023, with high temperatures that topped 110 degrees Fahrenheit (43 degrees Celsius) for 31 consecutive days and at least 54 days in total. In such conditions, providing basic services – including cool spaces – for people experiencing homelessness is lifesaving.

In 2022, 420 people – many of them unsheltered – died in Phoenix from heat-related causes. Estimates are not yet available for summer 2023, but given this year’s extreme conditions, the toll is expected to be higher.

For the past two years, we have worked as researchers with the Human Services Campus, a 13-acre complex in Maricopa County, Arizona, where 16 nonprofit organizations work together to help people who are experiencing homelessness. The campus includes Central Arizona Shelter Services, or CASS, Phoenix’s largest homeless emergency shelter, which assists 800 people experiencing homelessness on any given night.

Our work includes talking with staff and clients to better understand their challenges and identify possible solutions that draw from our work in the fields of architecture, health and social innovation.

Dormitories at CASS protect residents from extreme heat with a bunk to sleep in, day rooms for socializing, case management services, and sanitary shower and restroom facilities. But CASS struggles to provide dignified spaces that offer privacy, storage space and quiet environments. People need this kind of environmental support in order to battle recurring physical and mental health issues that often accompany homelessness and can hinder or prevent healing.

Overflowing shelters

As of 2022, the U.S. Department of Housing and Urban Development estimated that the U.S. had nearly 600,000 homeless people nationwide, with about 60% living in emergency shelters, safe havens or transitional housing. The other 40% lived outdoors or in places such as abandoned buildings and public transit stations.

Homeless centers must conform to architectural standards for emergency shelter. These standards have historically been influenced by institutional building design, which prioritizes attaining minimum conditions needed to keep people alive. Today, many homeless shelters struggle to provide even that level of care.

The Human Services Campus was originally constructed in 2003 to provide consolidated services and a coordinated entry plan for people experiencing homelessness. However, it was intended to be part of a larger system of shelters, not the sole service provider for Phoenix’s estimated 9,000 homeless people.

The city’s homeless population has grown, in part because of unprecedented rent increases and a lack of affordable housing. During this summer’s heat wave, nearly 1,200 unsheltered homeless people lived on sidewalks surrounding the campus, many in tents, with limited access to bathrooms and sanitation facilities.

Homelessness and mental health

When asked about causes of homelessness, policymakers and members of the public often point to mental illness and addiction, as well as a lack of affordable housing. They tend to pay less attention to the underlying impacts of past trauma other than noting that many women become homeless to escape domestic violence.

In a 2005 study, an alarming 79% of homeless women seeking treatment for mental illness and substance abuse reported experiencing a past traumatic event such as physical or sexual abuse. More recently, a 2020 study showed that nearly two-thirds of homeless women and almost half of homeless men reported that they were homeless because of trauma. Shelter design can affect homeless people’s ability to recover from past trauma and to battle addiction and other mental health issues that perpetuate cycles of homelessness.

For example, one woman who currently lives in CASS told us about trying to get a full night’s sleep while living in a day room where the lights were kept on around the clock and there was constant activity. Because she had several bags of personal items that were too big to store in the dormitory, she could not get a bed there.

“When they don’t turn the lights down at night, I start to feel like my body is vibrating,” she said. “I start to see people walking around, and I’m not sure if they are even really there.”

Routinely sleeping less than seven hours per night can be harmful to health. It lowers immune function, increases chronic pain and raises the risk of heart disease, high blood pressure, diabetes, stroke and death. For homeless people battling mental health challenges, addiction and past trauma, rest and recovery are essential to getting back on their feet.

CASS staff have tried to create healthier sleep spaces, such as dorms that remain dark, quiet and cool at all times. Priority access goes to people with jobs. These sections can house only about a third of CASS’s residents, leaving others to sleep in dorms where there is more noise and light.

More supportive spaces

Simply feeding people and providing them with places to sleep is a major challenge for shelters in cities where homelessness is rising. But some have found ways to think more broadly.

In San Diego, Father Joe’s Villages, a nonprofit network with a central campus and scattered-site programs, houses more than 2,000 people nightly. San Diego’s more temperate climate makes it less urgent to maximize the number of people they shelter indoors, so staff at Father Joe’s can use its decentralized design to create shelters with private and quiet spaces.

The Father Joe’s network includes multiple smaller-scale facilities where clean bathrooms are easily accessible and homeless people can use basic amenities like laundry and storage. One example is Mary’s Place, a collection of diverse shelters that provides emergency and long-term support in smaller facilities modeled after the simplicity and comfort of a home.

People experience less stress and can more easily navigate the challenge of ending their own homelessness when they can get a restful night’s sleep in a quiet environment, with spaces that allow them some privacy. We are encouraged to see other U.S. shelters moving in this direction – but there’s a long way to go.

Steps toward better design

To address the lack of privacy at CASS, we have proposed subdividing the day room into more private spaces to accommodate activities like online telehealth appointments, counseling and job interviews. To tackle long-term impacts of overcrowding, we also have recommended introducing sanitation amenities, such as laundry facilities, “hot boxes” to sanitize clothing and bedding, more bathroom facilities and reliable trash removal to reduce the spread of infection and pests such as bedbugs and lice.

For new facilities, designers could consider small changes, such as increased storage and more diligent regulation of temperature, light and noise.

Hospitals, nursing homes and retirement communities have found many ways in recent decades to use design to support patients’ health. Many of the same concepts can be applied to emergency shelters and help turn these facilities from institutional warehouses into spaces of health and opportunity.

Natalie Florence, PhD Candidate in Humanitarian Design and Infrastructure Studies, Arizona State University and Heather Ross, Clinical Associate Professor in Nursing and Clinical Associate Professor, School for the Future of Innovation in Society, Arizona State University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

As questions loom over the Federal Emergency Management Agency’s ability to fund disaster recovery efforts, people whose homes were damaged or destroyed by recent wildfires and storms are trying to make their way through the difficult process of securing financial aid.

Residents in communities hit by Hurricane Idalia, the Maui fires or other recent disasters have a long, tough journey ahead. Early estimates suggest Idalia caused US$12 billion to $20 billion in losses, primarily in property damage, acccording to Moody’s Analytics. And rebuilding Lahaina, Hawaii, has been forecast at over $5.5 billion.

How well the initial disaster response meets residents’ needs has far-reaching consequences for community resilience, especially for vulnerable residents, as we saw after Hurricanes Katrina and Maria.

I am a law professor who focuses on disaster recovery and preparedness and has created several legal clinics to assist survivors. Here’s what anyone facing losses after a federally declared disaster needs to know.

Declaring a disaster

The road to recovery starts with state and federal governments identifying damages – both property damage and economic damage. These assessments will shape the scope of federal assistance and how resources are allocated for each community and survivor. The level of damage will determine whether the president approves a major disaster declaration or simply an emergency declaration.

FEMA created a survey tool, released in May 2023, to make these assessments more consistent. It is now used by officials to collect information about damage to residences, whether owners or renters live there, and the amount of insurance coverage, among other details. That information is then used to determine the extent of the disaster, its impact on infrastructure and the type of aid needed in the request for a federal disaster declaration.

Once the federal government issues an emergency or major disaster declaration, individuals can apply for disaster recovery funding.

Documenting the damage

Step 2 is determining individual damages.

Amid the grief and the rush to find temporary housing and rebuild lives, it can be hard to focus on meticulously documenting what was lost and dealing with insurance. But federal aid has relatively short deadlines – people have 30 days from the formal disaster declaration to apply for disaster unemployment assistance and 60 days for individual and household assistance, such as aid for housing, though that deadline is often extended.

As soon as possible, disaster survivors should take photos of the damage and record every affected area of their property. That includes capturing details of damage to structures, personal belongings, vehicles and any medical equipment. This documentation will help provide the evidence for insurance claims, requests for government assistance and potential tax savings.

The Internal Revenue Service has a helpful guide for reconstructing records after catastrophic disasters that destroy everything. Government agencies can recover lost driving records, mortgage records, wills and vehicle sales records. Most of the costs for these searches can be waived after a disaster.

There are other sources, too. Title companies, property tax assessors and real estate brokers will have many documents related to a home’s value and possibly photos. Insurance policies typically list major assets. Credit card companies may have statements showing major purchases. Mobile phones, friends and social media accounts may have more photos of the property.

Keeping records such as repair invoices, receipts, leases, canceled checks and money orders can also help provide an overview of the losses. FEMA recently amended its policy to also allow affidavits to prove ownership of homes passed down through generations, known as heirship property.

Finding disaster aid

People generally have four options for aid: insurance coverage, FEMA benefits, community or nonprofit funding, and private funding, including loans. Navigating this complex landscape can be hard.

Start with your insurance – homeowners insurance, renters insurance and insurance for vehicles, as well as medical, dental and health. Disaster survivors must apply for their relevant insurance payouts before FEMA will pay benefits. President Joe Biden made an exception to this rule to offer a one-time $700 payment for Maui residents to assist with critical needs, including shelter and transportation.

In cases where insurance coverage is denied or the person doesn’t have insurance, FEMA can become a lifeline.

FEMA’s Individual Assistance program offers benefits that include coverage for temporary lodging, home repair, transportation and medical needs. The agency provides up to $41,000 for housing assistance after emergencies or disaster declarations. FEMA’s disaster relief fund is close to depleted, however, after several multibillion-dollar disasters. Without additional funding from Congress soon, FEMA Administrator Deanne Criswell said some recovery funding may be delayed to the next fiscal year, which starts in October.

To cover the costs that go beyond FEMA’s limits, survivors may need to secure private loans or disaster loans, such as Small Business Administration disaster loans, to bridge the gap. Homeowners can apply for SBA loans to replace or repair their primary residence or personal property, including cars, furniture and other items. Additionally, SBA loans can also cover business losses.

For those unwilling or unable to resort to loans, state and local governments often create housing recovery centers using Community Development Block Grants. These grants can help survivors reestablish housing, but the funding also takes much longer to arrive. A CBDG grant in Baton Rouge provided funding for rebuilding housing and to mitigate future flood damage in housing and rental programs after the area flooded in 2016.

Community partnerships are crucial

Amid the complexities of disaster recovery, the importance of community planning and collaboration cannot be overstated.

A coordinated approach that involves local governments, relief organizations and community leaders serves as a catalyst for effective recovery and also makes it easier to identify vulnerable populations and ensure the equitable distribution of resources so no one is left behind.

Communities often set up centers where residents can find and speak to advisers from insurance companies, FEMA and other sources of support. These disaster recovery centers can be the cornerstone for long-term recovery groups that help a community both recover and build resilience.

Five years after Hurricane Maria, community groups were still on the ground in Puerto Rico providing aid and resources to the local community. Ten years after Hurricane Katrina, local housing groups were still providing support to New Orleans residents, especially those employed in the hospitality industry.

In the midst of this formidable journey to recovery, the indomitable spirit of communities banding together, combined with the concerted efforts of government agencies and organizations, can be uplifting. Each step forward represents a collective stride toward healing, renewal and a future marked by greater unity.

This articled was updated Sept. 1, 2023, with early damage estimates.

Latisha Nixon-Jones, Associate Professor of Law, Jacksonville University

This article is republished from The Conversation under a Creative Commons license. Read the original article.