In the last decade, Miami-Dade County has seen a significant decline in homelessness, however, the city of Miami has had a relatively unchanging homeless population with a slight increase in the number of chronic homeless within the last few years. The definition of chronic homelessness from the Department of Housing and Urban Development is a person with a disabling condition who has been continuously homeless for more than one year or who has had four episodes of homelessness in the past three years. MCH, MDHT, Miami DDA, Citrus Health Network, office of Judge Steve Leifman, and the South Florida Behavioral Network all came together to further explore the causes, and possible innovative permanent solutions, to ending chronic street homelessness. Funded in part by MCH, Miami DDA and the Health Foundation of South Florida, volunteers in early 2014 went to the streets of Miami to count and survey with a special assessment instrument chronically homeless individuals. These surveys, along with other relevant data, have been presented by MCH ED Bobbie Ibarra before Miami DDAare being processed and analyzed to enable the preparation of a report which will offer systemic solutions to address the ongoing challenges being faced by individuals experiencing chronic homelessness. An added component to this effort is our community’s selection to be included in a national initiative, 25 Cities, which has been spearheaded by MDHT in collaboration with the Veterans Administration and other organizations, including MCH. The purpose of the effort is to arrange permanent supportive housing within 100 days for 80 chronically homeless persons, including veterans, based on their level of vulnerability.