Housing First on the West Coast (in addition to Harm Reduction and Support Services) needs to be coupled with a massive expansion of housing and construction so that prices can be brought down to a manageable level.
Homelessness on the west coast doesn't really have much to do with the market pricing of housing, its all about drugs.
Harm Reduction is a sham, its why SF is the way it is.
Simply giving people access to free needles does nothing for the actual problems - unabated drug use.
It would be better if they just shipped them all off to Atherton.