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Massachusetts count shows Cape Cod and Islands' unsheltered homelessness at a decade high

The regional total reached 500 people without stable housing, including roughly 400 adults and 100 children.

A person sitting on the ground at the bottom of a staircase.

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A new yearly homelessness count underscores how persistent housing instability is on Cape Cod and the Islands, where local providers have also been working to keep people safe during dangerous winter conditions.

In CAI's report on the January 2026 tally, the regional total reached 500 people without stable housing, including roughly 400 adults and 100 children.

Here's what to know

According to the outlet, the Point-in-Time count is conducted on a single night each January, and the 2026 results show that the Cape and Islands total is about two-fifths higher than in 2016.

Barnstable County data shows the 2026 total was the region's second-highest since 2012, behind only 2024, according to CAI. Housing Assistance COO Cassie Danzl said the region has been moving in this direction for years.

"If you look at the 10 year trend, the numbers in general are increasing," Danzl told the outlet.

The count is required by the U.S. Department of Housing and Urban Development and is used to direct homelessness funding to communities. Even with known limitations, such as people being missed or choosing not to participate, CAI reported that it remains a common way to measure changes over time.

The data also showed 25 unsheltered people on Martha's Vineyard on the night of the survey, which the outlet said is the highest island total reported in at least a decade.

More background

The findings reflected both rising need and the scale of the effort needed to prevent tragedy. CAI reported that about 85% of the 500 people counted had shelter that night.

Emergency funding for temporary shelter was activated when the feels-like temperature dropped below freezing. According to Danzl, keeping people indoors came with major costs for agencies.

"I know that this last year a lot of agencies went into the red, making sure that no one was left outside because the risk of death was so high with what the weather was like this year," she told the outlet.

In a region with high housing costs, even brief financial setbacks can leave families and individuals in unstable living situations.

What's being done?

When conditions became life-threatening, local agencies widened access to emergency shelter. That immediate response also left many providers under financial strain.

The good news is the region saw no casualties despite an unusually harsh winter, as CAI noted.

Communities will likely need more affordable housing and fewer barriers that make day-to-day life more expensive for renters. Small cost-saving measures will not solve homelessness, but they can help households keep more of their income.

There is hope that the 21st Century ROAD to Housing Act, passed in July, could one day help lower homelessness.

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