Homelessness used to only be an issue in New Zealand's largest cities.

All it took was the old Empire Lodge closing and suddenly Masterton has a homeless problem.

Once a popular hotel in the central Wairarapa town, in its final years the Empire had become a place of last resort for those on the fringes struggling to hold down a tenancy.

Such was the tenuous nature of some its regular occupants' lives that the hotel's closure meant they were soon sleeping under bridges.

Not so long ago the idea of visible homelessness on provincial streets was a foreign concept. Long seen as a symptom of metropolitan malaise, high rents and gaps in the welfare and mental health systems mean homelessness is now hitting the New Zealand heartland.

READ MORE:

* The 'hidden' homeless: Alarming child and youth homelessness in Auckland

* At least 3600 homeless in Auckland, but problem could be worse than count result shows

* Wairarapa mayor fighting for all community housing tenants to get rent subsidy

* Hamilton social service providers dispute PM's 'almost' no homeless claim

* Housing First in Blenheim still needs landlords first

* John's Kitchen: Don't call it a soup kitchen

"Everyone should have someone looking after them. There's only a handful, but these people are falling through the cracks," says Masterton Foodbank co-ordinator Lyn Tankersley.

The closure of the Empire Lodge is a tipping point as it was one of the only temporary accommodation options.

"In March and April this year homelessness started getting attention. People were starting to say 'who's doing anything about those people sleeping on the streets?'."

Shelter Masterton was opened in August.

The Empire Lodge in Masterton was bowled to make way for Big Save Furniture.

Tankersley helped set up a day shelter for her town's homeless population, but says they really need better accommodation alternatives.

As the most vulnerable don't have any wrap-around support from Government agencies these individuals are left in homeless limbo, she said.

Shelter volunteer Kim McKinley says she is relieved when the weather warms up because the situation will not be so perilous for those sleeping outside.

"Knowing they're not out there trying to find shelter from a terrible frost or pouring rain."

A successful international model to help those at the "pointy end" of homelessness is being rolled out across many centres, and by all accounts, getting lots of homeless people out of doorways and off of park benches, but not every town is so lucky.

PIERS FULLER/STUFF Lyn Tankersley of Masterton Foodbank

The Government is taking up Housing First, which aims to eliminate homelessness not just manage it, but places like Masterton are missing out.

The Wellbeing Budget 2019 included $197 million to expand the Housing First programme in areas of high demand, and make sure existing Housing First programmes are sustainable and can continue to deliver services for more than 2,700 people over the next few years.

"It is a proven, internationally recognised approach to housing and supporting people who are experiencing homelessness and multiple, high and complex needs," said a Ministry of Housing and Urban Development (HUD) spokesman.

"It's much easier for people to address issues, such as poor mental or physical health, substance abuse and unemployment, once they are housed."

The programme is already in Auckland, Tauranga, Hamilton, Rotorua, Wellington, Whangarei and Christchurch, with Hawke's Bay, Blenheim and Nelson starting late 2019 or early 2020.

Masterton Mayor Lyn Patterson says it would be great for other areas to have access to the programme.

A man in Napier soliciting donations on the street. Hawke's Bay is part of the Government's Housing First rollout.

"I would be really keen to see the Housing First initiative stretched through the rest of New Zealand. It should be available to all areas where there is a need."

Blenheim was one of the provincial centres recently targeted for Housing First.

Christchurch Methodist Mission manages the contract and its director Jill Hawkey says Marlborough has been hard hit by the transition from sheep farming to vineyards, which requires a larger workforce and has put more pressure on housing in the region.

SUPPLIED Masterton Mayor Lyn Patterson says places like Masterton should also get access to Housing First.

"Blenheim has had a terrible homelessness situation, but it's only happened in the last two or three years. Like Masterton, it's a relatively new thing."

She says the Housing First criteria is for people at the "pointy end" of homelessness.

"They've been living on the street or bouncing in and out of homelessness and just unable to sustain a tenancy."

Hawkey says single people who may have been living on their own, who may have alcohol problems or drug addiction issues or mental health issues, are now receiving the care and attention that comes with the wrap-around support that the programme provides.

"They're now living in a permanent home that's their home. They're not in a shelter, they're not in a halfway house or anywhere else."

The provider takes a lease for these people, guarantees the risk and manages the tenancy. The residents get weekly visits by a key worker.

In Christchurch, over the past1 8 months the programme has housed 70 people who were living on the street.

"It's extremely successful. It's the model that has the highest evidence based [success] internationally and it works. About 85 per cent of those people that have been housed, remain housed," Hawkey said.

Scott Hammond Jill Hawkey of Christchurch Methodist Mission.

"It's not a cheap model ... but it's really helping to address issues for people who have ended up losing their tenancy and will struggle," she says.

"It's only once you get to know people and know what they're struggling with in their lives that you realise that they need significant support.

"The success of Housing First is the relationship that's established between the key worker and the person."

New Zealand's art deco capital, Napier, is also seeing an increase in homelessness across the city.

PIERS FULLER/STUFF Homeless people have started sleeping under this bridge at the northern end of Masterton's CBD

A spokesperson from the Napier City Council says there is an increase in the number of people who appear to be homeless in Napier as the warmer weather approaches."Clive Square continues to be a hotspot and the NCC-funded CBD patrols do focus on this area at this time, issuing trespass notices where behaviour is anti-social or breaches any bylaws."Napier also experiences a major problem with the use of synthetic drugs within its homeless community, but district prevention manager Inspector Dean Clifford says this has been in decline since 2018.

"We know synthetics are harmful drugs and they're still being used, but the intoxication that was once being seen certainly isn't as present anymore," Clifford says.Clifford says a group of agencies are helping homeless people to find housing, whether it be temporary or permanent.There is homelessness across both Napier and Hastings, but the homeless community appear more visible in Napier.

Hawke's Bay is one of the regions now getting more support with the introduction of the Housing First programme last month.

Whatever it Takes Trust manages the programme and chief executive Caroline Lampp says the trust hasbeen working with the homeless in Napier and Hastings for three years.

"Five years ago you would have said we didn't have a problem in Hawke's Bay, but clearly we now have a growing problem."

They have run an outreach day service in Napier for most of that time.

"A day centre doesn't actually fix the problem so that's why we've been chasing Housing First for a while," Lampp says.

The trust has a contract to house up to 100 people over two years.

The housing situation across the country is increasingly difficult for people because rental properties are more expensive and more scarce, Lampp says.

"There's a whole raft of things that have all come together to make the problem much more difficult than it ever has been before."

She also cites a lack of capacity in Hawke's Bay to deal with addiction which is driving up homelessness.

"Once people have addictions they have a great deal of trouble managing any other part of their lives, including paying rent or keeping a property."

"As a nation we've got to the point where we're starting to notice the rift between the haves and the have-nots. Our social policy over the last 20 years has meant that a lot more people are more disenfranchised than they used to be."

"We're not the society we used to be in terms of looking out for each other."

WHAT IS HOUSING FIRST?

Housing First is a successful programme imported by the Government from overseas to tackle one of the most visible forms of homelessness where people are living rough out on the streets with "with multiple, high and complex needs".

It is a wraparound service that gives homeless people somewhere to live and provides ongoing support for as long as needed to help them remain housed and address the issues that led to their homelessness.

This year's Budget 2019 set aside $197 million to strengthen and expand the programme to support up to 2,700 homeless people.

Housing First programmes are running in Auckland, Tauranga, Hamilton, Rotorua, Wellington and Christchurch, and Northland, with new programmes beginning in Hawkes Bay, Blenheim and Nelson.