Ask, Don't Tell

Giuliani's suppressed report on homeless youth

A report that has been hidden from the public for two years by the Giuliani Administration detailing the dire needs of homeless youth in New York City— and the administration's inadequate response to those needs— was obtained by the Voice last week. The findings have never been published.

The 1997 study— which was commissioned by the mayor's office— was suppressed after its author, medical anthropologist Michael Clatts, appeared on NPR in April of 1998. The report was mentioned by WNYC reporter Beth Fertig during the broadcast.

Daniel Tietz, an expert on homelessness who selected Clatts to do the study for the Giuliani administration, says that the next day, "The mayor's office called me and said that if Clatts talked to the press again, he would not get any work with any city agency again. They made it clear that they would go after him and seek damages."

The mayor's office would not return phone calls. Though the administration has suggested in the past that the report was flawed, it has never said why it was suppressed. But advocates for homeless teenagers think they know why. "Giuliani's political aspirations are such," says Margaret Brennan, executive director of the AIDS and Adolescents Network of New York, "that he just doesn't want to have any embarrassing information come out— such as not having met the needs of this large and growing population."

Among the report's findings:

The study cites estimates of "15,000 to 20,000 homeless youth in New York City." But "the current system of 191 beds in emergency settings, and 317 beds in transitional settings, provide only a fraction of the number necessary to house all youth in need of shelter."

More than half of New York's homeless kids under 21 are from the city's own low-income neighborhoods and nearly two-thirds are black or Latino.

More than a third of 432 street youth surveyed earned money through prostitution. More than half of the young people interviewed considered it " 'somewhat likely or very likely' that they would get AIDS."

Many programs for homeless teens are ill-equipped to handle the variety of problems they face: "Of the 16 residential programs listed in a directory of NYC adolescent drug treatment programs, 9 could not accept a pregnant youth, 11 a MICA 'medically ill chemical abuser,' 14 a suicidal youth, 10 a violent one, and 8 a cross-dresser. Many street-dependent youth can fall into at least one of these categories."

Foster care, overseen by the city's Administration for Children's Services, "is often the first and only housing option for thousands of youth who become homeless as a result of family-wide homelessness, deaths of parents, or parental abuse or neglect." But "ACS has closed nearly 400 group home beds since 1995, resulting in a severe shortage of available beds, especially for teenagers entering the system."

Tietz says he commissioned the report from Clatts because Clatts, who did not return Voicecalls, had studied homeless youth extensively and had an "international reputation" for his work with street kids. At the time, Tietz was an administrator with the Post Graduate Center for Mental Health, which has a number of city contracts to produce social-service studies. He is now with Housing Works, the AIDS service nonprofit that is embroiled in a long-standing battle with the mayor. He remains dismayed that the administration has suppressed the study, entitled Needs Assessment: Services and Housing for New York City's Homeless Street Youth with HIV/AIDS. Adds Brennan, "Having read the report, I didn't get the feeling the city was being vilified. The report offered a lot of helpful suggestions. If the city was really interested in meeting the needs of this population, they could have had a serious examination of this report and then thought about developing a plan to help homeless kids."

Some of the report's findings have been disputed by the mayor in other forums. The mayor's preliminary management report for 1999 says the city is slated to provide services for 2200 homeless and runaway youth. City officials have repeatedly stated that it's impossible to count the actual number of street youth. But, counters Brennan, "That's bullshit. They don't want to find them because then they would have to provide services for them."

In the year since the study was suppressed, advocates say, the situation for homeless kids has become worse. "Our outreach program sees at least 3000 kids a month throughout the city," says Carl Siciliano, program director at SafeSpace, a drop-in center and shelter for homeless kids. "In the past six months alone we've seen 436 new faces."

George Moore, a nurse and HIV specialist at Covenant House— the largest homeless youth shelter and service provider— says he's also seen at least 400 new faces come through the medical clinic in the last six months. Although it holds the lion's share of the shelter beds in the city (even the NYPD's Homeless Outreach Unit brings the 18- to 21-year-old homeless kids it finds to Covenant House's shelters), Covenant House receives less than 5 percent of its funding from the city.

"There's no doubt in my mind there's a lack of services [for homeless youth] in New York City," says City Council member Kenneth Fisher, chair of the Youth Services Committee. "It's not an easy population to provide services for, and it's largely invisible. There was an inadequate number of shelter beds, medical facilities, and counseling centers before 1998, and it hasn't gotten any better."

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