Degree Name

DrPH (Doctor of Public Health)

Program

Public Health

Date of Award

12-2024

Committee Chair or Co-Chairs

Amal Khoury

Committee Members

Samuel Pettyjohn, Laura Hunt-Trull, Kelly Foster

Abstract

This Integrated Learning Experience (ILE) investigates service providers' perceptions of Johnson City, Tennessee's homelessness services, aiming to inform a city-wide strategic plan for reduction. Employing a mixed-methods approach, the study gathered qualitative data through in-depth interviews with service providers in 2022 and quantitative data via a 2024 survey. The research focused on those directly involved in serving or significantly influencing the lives of individuals experiencing homelessness (IEH). Three key aims guided the investigation: (1) To analyze provider perspectives to identify community assets, opportunities, barriers, and unmet needs, informing a comprehensive needs assessment; (2) To refine these findings through SWOT analysis and collaborative consensus-building with service providers and key partners; and (3) To develop and disseminate a city-wide strategic plan for coordinated, multi-level action to reduce homelessness. The survey specifically targeted providers most directly impacted by or capable of influencing the lives of IEH. The study's findings highlight a fragmented system characterized by limited resources, particularly affordable housing, and significant communication barriers between agencies. While strong community partnerships exist, inconsistent data collection and a lack of coordinated case management hinder effective service delivery. This necessitates a strategic plan, informed by a community-driven SWOT analysis, to address these challenges. The resulting plan emphasizes four foundational principles: data-driven decision-making, collaboration, sustainability, and equity and inclusion. Three key strategic areas are proposed: expanding access to stable and affordable housing through addressing systems gaps, implementing robust crisis intervention and response mechanisms, and developing proactive prevention strategies. This approach, aligned with USICH best practices, aims to improve the service system through policy advocacy, increased resource access, and strengthened stakeholder collaboration, ultimately striving for a substantial reduction in homelessness within Johnson City, Tennessee. The strategic plan, therefore, serves as a critical tool for local policymakers and service providers, guiding their efforts toward a more effective and coordinated response to homelessness in the community. The integrated approach of this ILE, encompassing both qualitative and quantitative research methods, ensures a comprehensive and nuanced understanding of the current landscape, paving the way for a more impactful and sustainable solution to homelessness in Johnson City.

Document Type

Dissertation - embargo

Copyright

Copyright by the authors.

Available for download on Thursday, January 15, 2026

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