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Housing First can produce strong housing outcomes for participants while remaining unavailable to many people who need assistance. This review examines that distinction in Honolulu using state reports, a university research summary, an evaluation directory, municipal voucher information, and local reporting. The sources describe separate city and state programs, as well as a broader approach to housing services. An early university summary reported high retention in the city program. A later state report also reported substantial retention, but covers a different program and period. Those figures should not be combined into a single trend. The same state report documents assessed demand on Oahu, while municipal information describes a separate Housing Choice Voucher waiting list. Neither source supplies a simple current waiting time for every person seeking Housing First assistance. The article argues for reporting both outcomes after enrollment and access before placement. It also identifies limits in causal claims about savings, health, and community wide homelessness. Good results among people housed answer an important question, but do not by themselves show that the response has sufficient reach.
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Jeremy Koski (2026) studied this question.
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