The nuts and bolts: First the state identified the homeless that experts would consider chronically homeless. That designation means they have a disabling condition and have been homeless for longer than a year, or four different times in the last three years. Among the many subgroups of the homeless community — such as homeless families or homeless children — the chronically homeless are both the most difficult to reabsorb into society and use the most public resources. They wind up in jail more often. They're hospitalized more often. And they frequent shelters the most. In all, before instituting Housing First, Utah was spending on average $20,000 on each chronically homeless person.