Cross-Cultural Dialogues on Homelessness


~Celebrating a New Publication for 2018~

Cross-Cultural Dialogues on Homelessness: From Pretreatment Strategies to Psychologically Informed Environments

This groundbreaking book presents compelling narratives and innovative approaches toward addressing the psychological traumas that can underlie homelessness and is the first to explore in-depth what the US and UK can learn from one another.

The authors focus on understanding and applying the precepts of Pretreatment and  “Psychologically Informed Environments”, as well as learning about effective ways to promote productive dialogue on all levels- with clients, clinicians, advocates, policymakers, researchers, and others. Detailed case studies review and integrate “hands on” practice with Appreciative Inquiry, Open Dialogue, and Common Language Construction methods.

Now available via Barnes & NobleAmazon Kindle e-bookHardcover, and Paperback. All formats are also available worldwide via Book Depository and  Amazon-UK , Amazon CA, as well as other outlets-

Order paperbacks directly from the publisher Here – Save 20% and get FREE Shipping when you use coupon code HELPHOMELESS

Advance reviews:                                                                                                                      Jay Levy and colleagues’ “Cross-Cultural Dialogues on Homelessness: From Pretreatment Strategies to Psychologically Informed Environments” provides wonderful insight into the profound relationship-building that is the core of street outreach to the unsheltered homeless. Jay distills many decades of his own street experience, and by cross comparing his brilliant schema of Pretreatment with the British model of Psychologically Informed Environments (PIE), he reveals the underlying common processes of effective street engagement. Essentially, Jay shows us how to compassionately embrace the reality of those who fall within the underwater portion of the “pre-contemplative” iceberg of behavioral change. As a long-time practitioner of street medicine, I recommend this book to anyone who seeks that sacred place on the streets where healing begins.

Jim Withers, MD (Pittsburgh, PA)
Founder and Medical Director
Operation Safety Net and the Street Medicine Institute

In  Cross-Cultural Dialogues on Homelessness, Jay Levy and co-authors provide the conceptual tools, the hitherto “missing language”, needed by practitioners and policy makers working with excluded individuals. This well-written and insightful book outlines the psychologically informed approach that has been successfully used in the US, UK and other countries to re-integrate people who have experienced homelessness, severe mental illness and, frequently, other traumatic life events. This book has been informed by the authors’ practice and should come with a warning: it will revolutionise how you work – irreversibly and, undoubtedly, for the better. 

Clíona Cheallaigh, MB, MRCP Consultant Physician and Clinical Lead, Inclusion Health Service Pilot, St James’s Hospital, Dublin
Faculty, Global Brain Health Institute

This video features Robin Johnson who is the founder of the ‘Psychologically Informed Environments’ movement. More information at

Pretreatment Guide for Homeless Outreach & Housing First: Helping Couples, Youth, and Unaccompanied Adults (paperback/e-book) is now available


Order it today via Barnes & Noble ~ Nook E-book or Amazon Kindle E-book  -Paperback, hardcover, and E-book editions are available worldwide via Books Depository and  Amazon-UK , as well as other outlets-

“This book is essential reading to both people new to the movement to end homelessness and folks who have been in the trenches for many years.” 
-Michael Stoops, National Coalition for the Homeless– USA

Outreach clinicians, social workers, case managers, and concerned community members are provided with a pretreatment guide for helping homeless couples, youth, and single adults. Chapters explore policy and research accompanied by narratives that trace a person’s journey from homelessness to housing and beyond. The inter-relationship between Homeless Outreach and Housing First is examined in detail to inform program development and hands on practice. Pretreatment Guide for Homeless Outreach & Housing First shares 5 intricate stories from the field to elucidate effective ways of helping, while demonstrating how the most vulnerable among us can overcome trauma and homelessness.

Check out an excerpt from Pretreatment Guide

Jay Levy is homeless outreach social worker and manager, and the author of two books on Homelessness and ‘Pretreatment’. Here at YOUTUBE.COM – Check out the video interview

Thus far more than 33% of book related profits ($2996) have been given to national (U.S.) charities that support the goal and ideal of ending homelessness.  Please see Donations page for more details