William M. Rohe, Todd Owen and Sarah Kerns. The Center for Urban and Regional Studies, The University of North Carolina at Chapel Hill. Many North Carolina communities are experiencing an affordable housing crisis, which is particularly severe for those who rent. This report examines severe housing cost burden, overcrowding and substandard housing conditions among renters in the state. It identifies areas in our state with extreme housing needs, defined as having relatively high levels of at least two of the following three indicators: severe housing cost burden, overcrowding and the lack of complete kitchen and bathroom facilities. The report’s findings indicate that additional efforts are needed to improve housing conditions, reduce overcrowding, and lessen the housing cost burdens of renters in North Carolina. Without decent and affordable housing it is difficult for many families in the state to lead happy and productive lives. These housing problems also increase public health care costs and reliance on social support programs and lower productivity. The combined efforts of state and local governments are needed to reverse the negative trends in housing affordability and overcrowding and improve the quality of life and economic productivity of North Carolinians. February 2017. 44 pp. PDF file of publication.