The organization provides affordable housing, job training, counseling and other healthcare services, and daily needs such as food and clothing to the poor and homeless.

[5] SOME describes its mission as helping "our vulnerable neighbors in Washington, DC, break the cycle of homelessness through our comprehensive and transformative services".

Meals were served in the basement of the St. Aloysius Church on the campus of Gonzaga College High School on North Capitol Street.

[4] In January 1982, SOME opened a medical clinic, operated by the Columbia Road Physician Group, that provided healthcare and counseling services for homeless and low-income individuals.

[4] Their Caregivers Program began in May 1984, with case management and volunteer services provided to isolated, home-bound elderly persons in Southeast, Washington, D.C.

In January 1986, Isaiah House opened in a townhouse in Northwest, Washington, D.C. as a therapeutic socialization residence for individuals who are homeless and have mental illnesses.

Exodus House, a 90-day residential substance abuse treatment program for homeless men, was opened on a 45-acre (180,000 m2) mountaintop plot in West Virginia in June 1991.

SOME renovated and opened a new facilities for homeless individuals at 60 O Street NW in June 1996, including medical, dental, and eye clinics as well as social service and addiction counseling offices.

The Jim Kozuch Building stores clothing, household goods, other donations, and records, as well as the maintenance department and office space.

The Jordan House provided a crisis stabilization center for those with mental illness and are awaiting access to residential treatment programs.

The goal of the initiative is to develop 1,000 new units of safe, affordable housing to meet the needs of 2,000 homeless and extremely poor men, women, and children.

In April 2007, SOME purchased a property on Texas Avenue SE, with the intention of using it to provide 48 efficiency units for low income single adults.