The number of people recorded as homeless in the South West has reached 11,260, according to Shelter.
In the most extensive review of its kind, the housing charity combined official rough-sleeping, temporary accommodation and social services figures.
It showed the number of homeless people in the region has increased by 11% in a year.
The charity estimates 1 in 367 people are homeless in Exeter alone, although Shelter say the true figure is far higher.
Bristol is one of 50 hotspots in England.
Kate Webb, Head of Policy at Shelter, spoke to ITV West Country about the situation and what more could be done: