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"content": "\u003cp style=\"text-align: left\">San Francisco Mayor London Breed on Friday declared a state of emergency in the beleaguered Tenderloin neighborhood, a move she said will allow the city to avoid bureaucratic red tape in efforts to address both a \u003ca href=\"https://www.kqed.org/news/11896375/the-difference-between-life-and-death-how-some-california-emergency-rooms-are-working-to-stem-the-overdose-crisis\">drug overdose crisis\u003c/a> and acts of violence and crime in the neighborhood.\u003c/p>\n\u003cp>Breed said \u003ca href=\"https://sfmayor.org/article/mayor-london-breed-declares-state-emergency-tenderloin\">the declaration\u003c/a> will give the city authority to “waive certain laws,” making it easier to move people off the streets and into new, temporary drug and mental health treatment sites in the neighborhood.\u003c/p>\n\u003cp>“Too many people are dying in this city, too many people are sprawled over our streets,” Breed said at a press conference at City Hall on Friday afternoon. “There are a number of things that this city is going to do to address public safety, and part of that is a police response. … But the other part is being aggressive about getting people into services and support, and not allowing what has happened on our streets to continue.”\u003c/p>\n\u003cp>Last year, 712 people in San Francisco died of drug overdoses, compared with 257 people who died of COVID-19, according to data released by the city’s Office of the Chief Medical Examiner.\u003c/p>\n\u003cp>“We have over 600 [overdose deaths] and counting this year,” Breed said, noting that a significant percentage of them have occurred in the Tenderloin and SoMa neighborhoods. “When we look at the conditions on our streets, it’s heartbreaking.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The data also shows stark racial disparities, with \u003ca href=\"https://www.sfchronicle.com/sf/article/San-Francisco-s-overdose-epidemic-16434757.php\">Black San Franciscans nearly six times more likely than people of other races in the city to die of accidental overdoses\u003c/a> — a discrepancy health officials attribute to deep-seated structural racism.\u003c/p>\n\u003cp>“Among the effects of structural racism are years of unjust drug policies that punish rather than offer care, unaffordable housing, poverty, inequitable access to effective treatments for opioid-use disorder, and discriminatory practices in the healthcare system,” a city Department of Public Health spokesperson \u003ca href=\"https://www.kqed.org/news/11896375/the-difference-between-life-and-death-how-some-california-emergency-rooms-are-working-to-stem-the-overdose-crisis\">told KQED in an email last month\u003c/a>.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"tenderloin\"]“We are losing over two people a day to drug overdoses, mostly to fentanyl, and mostly in the Tenderloin and SoMa,” said Supervisor Matt Haney, who represents the district, in a statement on Friday. “This is a public health emergency demanding a crisis level response.”\u003c/p>\n\u003cp>The emergency declaration must be ratified by the Board of Supervisors within a week, and won’t take effect for longer than 90 days, according to the mayor’s office.\u003c/p>\n\u003cp>The move comes just days after Breed and Police Chief Bill Scott announced \u003ca href=\"https://www.kqed.org/news/11899060/vowing-to-end-reign-of-criminals-destroying-our-city-sf-mayor-breed-announces-latest-tenderloin-crackdown\">a new public safety strategy\u003c/a> calling for a “tough love” approach to the Tenderloin, one that involves putting more police officers on the street, giving them greater access to real-time surveillance and generally being, in the mayor’s own words, “less tolerant of all the bulls— that has destroyed our city.”\u003c/p>\n\u003cp>Putting more police on the street will require more funding — a move that comes roughly a year and a half since Breed championed a plan to \u003ca href=\"https://www.kqed.org/news/11862094/sf-mayor-breed-unveils-plan-for-reinvesting-120-million-from-police-into-black-communities\">divert $120 million\u003c/a> away from law enforcement. Increased patrols in the Tenderloin, Chief Scott said earlier this week, would also mean an end to ignoring public drug use.\u003c/p>\n\u003cp>In response to a string of \u003ca href=\"https://www.kqed.org/news/11897148/rash-of-organized-weekend-robberies-target-luxury-stores-across-the-bay-area\">organized mass shoplifting incidents\u003c/a> in neighboring Union Square last month that drew national media attention — much to the consternation of city leaders — police have flooded the area, driving down thefts by some 80%, while racking up roughly 8,000 hours in officer overtime at a cost of more than $850,000, the department told KQED.\u003c/p>\n\u003cp>Asked if he supported a surge of police in his own district, Haney said public health services should take priority.\u003c/p>\n\u003cp>“I wasn’t here today to support an influx of cops,” he said after Breed’s announcement. “I was here today to support an influx of social workers and public health professionals and treatment facilities and confronting this deadly epidemic as the public health epidemic that it is.”\u003c/p>\n\u003cp>“I don’t believe in incarcerating people for being addicted to drugs,” Haney added. “If people feel like somebody who’s coming up to them to help them with their addiction has a pair of handcuffs and is also thinking about maybe locking them up in a cell, that person is not going to seek help.”\u003c/p>\n\u003cp>In making her case Friday, Breed hearkened back to the \u003ca href=\"https://www.kqed.org/forum/2010101876065/san-francisco-declares-coronavirus-state-of-emergency\">state of emergency\u003c/a> she declared for the city at the onset of the COVID-19 pandemic, in February 2020. Breed said that move — which allowed San Francisco health officials to rapidly set up a COVID-19 command center, among other precautionary actions — was a major reason the city has one of the lowest COVID-19-related death rates in the country.\u003c/p>\n\u003cp>“We have to meet people where they are,” Breed said Friday. “We can’t wait for something to be set up. We can’t wait for something to go through a layered process. We have to move quickly.”\u003c/p>\n\u003cp>But among local community activists, reaction to Breed’s declaration has been mixed, at best.\u003c/p>\n\u003cp>Jennifer Friedenbach, executive director of the Coalition on Homelessness, slammed the mayor’s strategy.\u003c/p>\n\u003cp>“It’s really clear that Mayor Breed is vilifying and degrading people who are living in poverty,” she said, calling it a shortsighted political response to the “misleading flood of media hysteria around crime.”\u003c/p>\n\u003cp>“It’s clear that she’s going to be going after unhoused people. She’s going to be enforcing sit-lie laws. She’s going to go after substance users,” Friedenbach added. “What we believe is going to happen with this increase in police presence, it’s going to disproportionately impact Black and Brown unhoused community members who are, due to a lack of dignified housing options, forced to live out their private lives in public spaces.”\u003c/p>\n\u003cp>Pointing to\u003ca href=\"https://ballotpedia.org/San_Francisco,_California,_Proposition_C,_Gross_Receipts_Tax_for_Homelessness_Services_(November_2018)\"> Proposition C\u003c/a>, the 2018 voter-approved measure that directs hundreds of millions of dollars a year to pay for services for unhoused people in the city, Friedenbach said Breed was already “sitting on very carefully crafted solutions to these issues that the community has been calling for, with feedback and expertise from unhoused community members themselves.”\u003c/p>\n\u003cp>Instead, she said, the mayor is relying on an overused tough-on-crime approach that will punish rather than help people most in need, and do little to address the root causes of the problem.\u003c/p>\n\u003cp>“There’s nothing new,” Friedenbach said of Breed’s strategy. “This is not changing course. This is literally doing a tried and failed policy that’s already failed.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Juan Carlos Lara, Matthew Green and Alex Emslie.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We are losing over two people a day to drug overdoses, mostly to fentanyl, and mostly in the Tenderloin and SoMa,” said Supervisor Matt Haney, who represents the district, in a statement on Friday. “This is a public health emergency demanding a crisis level response.”\u003c/p>\n\u003cp>The emergency declaration must be ratified by the Board of Supervisors within a week, and won’t take effect for longer than 90 days, according to the mayor’s office.\u003c/p>\n\u003cp>The move comes just days after Breed and Police Chief Bill Scott announced \u003ca href=\"https://www.kqed.org/news/11899060/vowing-to-end-reign-of-criminals-destroying-our-city-sf-mayor-breed-announces-latest-tenderloin-crackdown\">a new public safety strategy\u003c/a> calling for a “tough love” approach to the Tenderloin, one that involves putting more police officers on the street, giving them greater access to real-time surveillance and generally being, in the mayor’s own words, “less tolerant of all the bulls— that has destroyed our city.”\u003c/p>\n\u003cp>Putting more police on the street will require more funding — a move that comes roughly a year and a half since Breed championed a plan to \u003ca href=\"https://www.kqed.org/news/11862094/sf-mayor-breed-unveils-plan-for-reinvesting-120-million-from-police-into-black-communities\">divert $120 million\u003c/a> away from law enforcement. Increased patrols in the Tenderloin, Chief Scott said earlier this week, would also mean an end to ignoring public drug use.\u003c/p>\n\u003cp>In response to a string of \u003ca href=\"https://www.kqed.org/news/11897148/rash-of-organized-weekend-robberies-target-luxury-stores-across-the-bay-area\">organized mass shoplifting incidents\u003c/a> in neighboring Union Square last month that drew national media attention — much to the consternation of city leaders — police have flooded the area, driving down thefts by some 80%, while racking up roughly 8,000 hours in officer overtime at a cost of more than $850,000, the department told KQED.\u003c/p>\n\u003cp>Asked if he supported a surge of police in his own district, Haney said public health services should take priority.\u003c/p>\n\u003cp>“I wasn’t here today to support an influx of cops,” he said after Breed’s announcement. “I was here today to support an influx of social workers and public health professionals and treatment facilities and confronting this deadly epidemic as the public health epidemic that it is.”\u003c/p>\n\u003cp>“I don’t believe in incarcerating people for being addicted to drugs,” Haney added. “If people feel like somebody who’s coming up to them to help them with their addiction has a pair of handcuffs and is also thinking about maybe locking them up in a cell, that person is not going to seek help.”\u003c/p>\n\u003cp>In making her case Friday, Breed hearkened back to the \u003ca href=\"https://www.kqed.org/forum/2010101876065/san-francisco-declares-coronavirus-state-of-emergency\">state of emergency\u003c/a> she declared for the city at the onset of the COVID-19 pandemic, in February 2020. Breed said that move — which allowed San Francisco health officials to rapidly set up a COVID-19 command center, among other precautionary actions — was a major reason the city has one of the lowest COVID-19-related death rates in the country.\u003c/p>\n\u003cp>“We have to meet people where they are,” Breed said Friday. “We can’t wait for something to be set up. We can’t wait for something to go through a layered process. We have to move quickly.”\u003c/p>\n\u003cp>But among local community activists, reaction to Breed’s declaration has been mixed, at best.\u003c/p>\n\u003cp>Jennifer Friedenbach, executive director of the Coalition on Homelessness, slammed the mayor’s strategy.\u003c/p>\n\u003cp>“It’s really clear that Mayor Breed is vilifying and degrading people who are living in poverty,” she said, calling it a shortsighted political response to the “misleading flood of media hysteria around crime.”\u003c/p>\n\u003cp>“It’s clear that she’s going to be going after unhoused people. She’s going to be enforcing sit-lie laws. She’s going to go after substance users,” Friedenbach added. “What we believe is going to happen with this increase in police presence, it’s going to disproportionately impact Black and Brown unhoused community members who are, due to a lack of dignified housing options, forced to live out their private lives in public spaces.”\u003c/p>\n\u003cp>Pointing to\u003ca href=\"https://ballotpedia.org/San_Francisco,_California,_Proposition_C,_Gross_Receipts_Tax_for_Homelessness_Services_(November_2018)\"> Proposition C\u003c/a>, the 2018 voter-approved measure that directs hundreds of millions of dollars a year to pay for services for unhoused people in the city, Friedenbach said Breed was already “sitting on very carefully crafted solutions to these issues that the community has been calling for, with feedback and expertise from unhoused community members themselves.”\u003c/p>\n\u003cp>Instead, she said, the mayor is relying on an overused tough-on-crime approach that will punish rather than help people most in need, and do little to address the root causes of the problem.\u003c/p>\n\u003cp>“There’s nothing new,” Friedenbach said of Breed’s strategy. “This is not changing course. This is literally doing a tried and failed policy that’s already failed.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Juan Carlos Lara, Matthew Green and Alex Emslie.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Twitter Co-Founder Jack Dorsey Steps Down as CEO",
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"content": "\u003cp>Jack Dorsey is stepping down as CEO of Twitter, the social media company he co-founded in 2006. He will be replaced by Twitter’s chief technology officer, Parag Agrawal, a 10-year veteran of the company.\u003c/p>\n\u003cp>Twitter stock rose on the news, which was first reported by CNBC.\u003c/p>\n\u003cp>“I’ve decided to leave Twitter because I believe the company is ready to move on from its founders,” Dorsey said in a statement. “My trust in Parag as Twitter’s CEO is deep. His work over the past 10 years has been transformational. I’m deeply grateful for his skill, heart, and soul. It’s his time to lead.”\u003c/p>\n\u003cp>Dorsey will remain on the company’s board of directors until May of next year. He was Twitter’s founding CEO but left the company once before, after a falling-out with a fellow co-founder. He returned to the top job in 2015.\u003c/p>\n\u003cp>In San Francisco, the Twitter founder stepped into brewing tensions over homelessness in 2018 when he publicly quarreled with Salesforce CEO Marc Benioff. The two were on opposite sides of \u003ca href=\"https://www.kqed.org/forum/2010101867937/sfs-prop-c-would-tap-big-business-to-pay-for-homeless-services\">a ballot proposition to enact a gross receipts tax on businesses that make more than $50 million in gross annual receipts to fund support for those who are homeless\u003c/a>. Benioff supported and largely funded Proposition C, whereas Dorsey was against it, citing Mayor London Breed and state Sen. Scott Wiener’s opposition.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This is about me supporting Mayor @LondonBreed for *the* reason she was elected. The Mayor doesn’t support Prop C, and we should listen to her. I support the Mayor, and I’m committed to helping her execute her plan,” Dorsey tweeted publicly to Benioff in 2018.\u003c/p>\n\u003cp>Proposition C ultimately was approved by San Francisco voters. Notably, Twitter’s headquarters is in the central Market Street area, a neighborhood that often becomes a flashpoint around the city’s policies on homelessness.\u003c/p>\n\u003cp>https://twitter.com/jack/status/1050780155524857856\u003c/p>\n\u003cp>Dorsey is also CEO of Square, the financial payments company he founded in 2009, and has been criticized by some investors for leading two public companies at once. The hedge fund \u003ca href=\"https://www.npr.org/2020/03/01/810979699/jack-dorsey-twitters-eccentric-ceo-could-be-looking-for-a-job-soon\">Elliott Management, a major shareholder, sought to replace Dorsey\u003c/a> last year. It argued that Twitter should have a CEO solely focused on running the company. The hedge fund backed off its demand, however, after striking a deal with Twitter management.\u003c/p>\n\u003cp>Beyond running the two companies, Dorsey is known to have many passions including the cryptocurrency Bitcoin and meditation. He told Wired magazine in 2020 that \u003ca href=\"https://www.youtube.com/watch?v=de8wRd2TQQU&t=360s\">he eats just one meal a day and tries to spend two hours a day meditating\u003c/a>.\u003c/p>\n\u003cp>[aside postID=\"forum_2010101867937\" label=\"What are teachers really paid?\"]\u003c/p>\n\u003cp>While Twitter is popular among celebrities, politicians and the media, it has been slow to innovate compared with top competitors such as Facebook, Snapchat and TikTok. The microblogging platform has stayed largely the same for years. Only \u003ca href=\"https://www.npr.org/2021/03/05/974173496/twitter-tests-new-products-and-experiments-like-super-follows\">recently has it introduced new features\u003c/a>, such as Twitter Blue, a subscription service for frequent users, and \u003ca href=\"https://www.npr.org/2021/06/11/1005304644/social-audio-began-as-a-pandemic-fad-tech-companies-see-it-as-the-future\">Spaces, for audio chats\u003c/a>, as part of an ambitious effort to more than double annual revenue and attract new users.\u003c/p>\n\u003cp>Twitter has just over 200 million daily active users, a common industry metric.\u003c/p>\n\u003cp>“I believe that strategy to be bold and right,” Agrawal wrote in a note to Twitter employees on Monday. “But our critical challenge is how we work to execute against it and deliver results – that’s how we’ll make Twitter the best it can be for our customers, shareholders, and for each of you.”\u003c/p>\n\u003cp>Agrawal joins a growing group of major tech-sector CEOs who are Indian American, including Google CEO Sundar Pichai, Adobe CEO Shantanu Narayen and IBM CEO Arvind Krishna.\u003c/p>\n\u003cp>He takes the reins of Twitter in a time of controversy. Twitter was caught up in the heated political atmosphere leading up to the 2020 election, particularly when it banned former President Donald Trump following his incitement of the Jan. 6 riot at the U.S. Capitol. Dorsey defended the move, saying Trump’s tweets after the event resulted in a risk to public safety and created an “extraordinary and untenable circumstance” for the company. Trump sued the company, along with Facebook and YouTube, in July for alleged censorship.\u003c/p>\n\u003cp>Critics argued that Twitter took too long to address hate speech, harassment and other harmful activity on its platform, particularly during the 2020 campaign.\u003c/p>\n\u003cp>“If he’s actually stepping away from Twitter this time, Dorsey leaves behind a mixed legacy,” said Paul Barrett, deputy director of the NYU Stern Center for Business and Human Rights. “A platform that’s useful and potent for quick communication but one that’s been exploited by a range of bad actors, including former President Donald Trump, who did his best on Twitter to undermine democracy — until Dorsey’s people finally had enough and shut him down.”\u003c/p>\n\u003cp>The early days of Twitter began with a tweet sent by Dorsey on March 21, 2006, that read “just setting up my twttr.” Twitter went through a period of robust growth during its early years, but as its expansion slowed the San Francisco company began tweaking its format in a bid to make it easier and more engaging to use.\u003c/p>\n\u003cp>Dorsey became Twitter CEO in 2007, but was forced out the following year. He returned to the role in 2015. In his goodbye letter, Dorsey said he has “worked hard to ensure this company can break away from its founding and founders” and that to focus too much on whether companies are led by their founders is “severely limiting.”\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/jack/status/1465347002426867720\">Dorsey shared an email to staff announcing his departure on Twitter\u003c/a>, describing it as “a tough one” but as his own decision.\u003c/p>\n\u003cp>“There aren’t many companies that get to this level. And there aren’t many founders that choose their company over their own ego,” he wrote. “I know we’ll prove this was the right move.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Associated Press reporters Michelle Chapman and Tali Arbel contributed to this report. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Jack Dorsey is stepping down as CEO of Twitter, the social media company he co-founded in 2006. He will be replaced by Twitter’s chief technology officer, Parag Agrawal, a 10-year veteran of the company.\u003c/p>\n\u003cp>Twitter stock rose on the news, which was first reported by CNBC.\u003c/p>\n\u003cp>“I’ve decided to leave Twitter because I believe the company is ready to move on from its founders,” Dorsey said in a statement. “My trust in Parag as Twitter’s CEO is deep. His work over the past 10 years has been transformational. I’m deeply grateful for his skill, heart, and soul. It’s his time to lead.”\u003c/p>\n\u003cp>Dorsey will remain on the company’s board of directors until May of next year. He was Twitter’s founding CEO but left the company once before, after a falling-out with a fellow co-founder. He returned to the top job in 2015.\u003c/p>\n\u003cp>In San Francisco, the Twitter founder stepped into brewing tensions over homelessness in 2018 when he publicly quarreled with Salesforce CEO Marc Benioff. The two were on opposite sides of \u003ca href=\"https://www.kqed.org/forum/2010101867937/sfs-prop-c-would-tap-big-business-to-pay-for-homeless-services\">a ballot proposition to enact a gross receipts tax on businesses that make more than $50 million in gross annual receipts to fund support for those who are homeless\u003c/a>. Benioff supported and largely funded Proposition C, whereas Dorsey was against it, citing Mayor London Breed and state Sen. Scott Wiener’s opposition.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Dorsey is also CEO of Square, the financial payments company he founded in 2009, and has been criticized by some investors for leading two public companies at once. The hedge fund \u003ca href=\"https://www.npr.org/2020/03/01/810979699/jack-dorsey-twitters-eccentric-ceo-could-be-looking-for-a-job-soon\">Elliott Management, a major shareholder, sought to replace Dorsey\u003c/a> last year. It argued that Twitter should have a CEO solely focused on running the company. The hedge fund backed off its demand, however, after striking a deal with Twitter management.\u003c/p>\n\u003cp>Beyond running the two companies, Dorsey is known to have many passions including the cryptocurrency Bitcoin and meditation. He told Wired magazine in 2020 that \u003ca href=\"https://www.youtube.com/watch?v=de8wRd2TQQU&t=360s\">he eats just one meal a day and tries to spend two hours a day meditating\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While Twitter is popular among celebrities, politicians and the media, it has been slow to innovate compared with top competitors such as Facebook, Snapchat and TikTok. The microblogging platform has stayed largely the same for years. Only \u003ca href=\"https://www.npr.org/2021/03/05/974173496/twitter-tests-new-products-and-experiments-like-super-follows\">recently has it introduced new features\u003c/a>, such as Twitter Blue, a subscription service for frequent users, and \u003ca href=\"https://www.npr.org/2021/06/11/1005304644/social-audio-began-as-a-pandemic-fad-tech-companies-see-it-as-the-future\">Spaces, for audio chats\u003c/a>, as part of an ambitious effort to more than double annual revenue and attract new users.\u003c/p>\n\u003cp>Twitter has just over 200 million daily active users, a common industry metric.\u003c/p>\n\u003cp>“I believe that strategy to be bold and right,” Agrawal wrote in a note to Twitter employees on Monday. “But our critical challenge is how we work to execute against it and deliver results – that’s how we’ll make Twitter the best it can be for our customers, shareholders, and for each of you.”\u003c/p>\n\u003cp>Agrawal joins a growing group of major tech-sector CEOs who are Indian American, including Google CEO Sundar Pichai, Adobe CEO Shantanu Narayen and IBM CEO Arvind Krishna.\u003c/p>\n\u003cp>He takes the reins of Twitter in a time of controversy. Twitter was caught up in the heated political atmosphere leading up to the 2020 election, particularly when it banned former President Donald Trump following his incitement of the Jan. 6 riot at the U.S. Capitol. Dorsey defended the move, saying Trump’s tweets after the event resulted in a risk to public safety and created an “extraordinary and untenable circumstance” for the company. Trump sued the company, along with Facebook and YouTube, in July for alleged censorship.\u003c/p>\n\u003cp>Critics argued that Twitter took too long to address hate speech, harassment and other harmful activity on its platform, particularly during the 2020 campaign.\u003c/p>\n\u003cp>“If he’s actually stepping away from Twitter this time, Dorsey leaves behind a mixed legacy,” said Paul Barrett, deputy director of the NYU Stern Center for Business and Human Rights. “A platform that’s useful and potent for quick communication but one that’s been exploited by a range of bad actors, including former President Donald Trump, who did his best on Twitter to undermine democracy — until Dorsey’s people finally had enough and shut him down.”\u003c/p>\n\u003cp>The early days of Twitter began with a tweet sent by Dorsey on March 21, 2006, that read “just setting up my twttr.” Twitter went through a period of robust growth during its early years, but as its expansion slowed the San Francisco company began tweaking its format in a bid to make it easier and more engaging to use.\u003c/p>\n\u003cp>Dorsey became Twitter CEO in 2007, but was forced out the following year. He returned to the role in 2015. In his goodbye letter, Dorsey said he has “worked hard to ensure this company can break away from its founding and founders” and that to focus too much on whether companies are led by their founders is “severely limiting.”\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/jack/status/1465347002426867720\">Dorsey shared an email to staff announcing his departure on Twitter\u003c/a>, describing it as “a tough one” but as his own decision.\u003c/p>\n\u003cp>“There aren’t many companies that get to this level. And there aren’t many founders that choose their company over their own ego,” he wrote. “I know we’ll prove this was the right move.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Associated Press reporters Michelle Chapman and Tali Arbel contributed to this report. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "New Tiny Home Village in Oakland Opens Doors to Unhoused Residents Amid Ongoing Homelessness Crisis",
"title": "New Tiny Home Village in Oakland Opens Doors to Unhoused Residents Amid Ongoing Homelessness Crisis",
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"content": "\u003cp>A new complex of tiny homes near Lake Merritt in Oakland opened its doors this week to a small group of unhoused residents, part of the city's effort to address its ongoing homelessness crisis.\u003c/p>\n\u003cp>The seven people who moved into Lakeview Village, at 2nd Avenue and E 12th Street, on Wednesday are the first of about 65 residents the site will soon accommodate on a temporary basis, with additional small groups expected to move in over the coming weeks. Another set of pallet shelters on the same site, but separately managed, will temporarily house an additional 16 people.[pullquote size=\"medium\" align=\"right\" citation=\"Nikki Fortunato Bas, Oakland City Council president\"]'We are using public land for public good, for interim homeless solutions to rapidly improve the living conditions of our unhoused neighbors.'[/pullquote]The stark, white-walled cabins are arranged in neat rows on a small plot of city-owned land that will likely soon be developed.\u003c/p>\n\u003cp>A waiting list has already formed, with unhoused residents in the immediate vicinity — including in the encampment that abuts the site — offered first priority, according to city officials.\u003c/p>\n\u003cp>Each of the tiny cabins is equipped with electric heat, a locking door, smoke and carbon monoxide monitors, a fire extinguisher and some storage space. The complex also provides drinking water, showers and onsite security to residents. It will also offer three free meals a day.\u003c/p>\n\u003cp>\"Upgraded tiny home shelters ... are critical to addressing homelessness in Oakland, especially with the rains upon us and winter approaching,\" Oakland City Council President Nikki Fortunato Bas said earlier this month, during a media tour of the complex, which is located on the edge of her district.\u003c/p>\n\u003cfigure id=\"attachment_11896243\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\">\u003cimg class=\"wp-image-11896243 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\" alt=\"A tent encampment with miscellaneous items all over the ground. In the far background behind a row of trees is Oakland's skyline.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A tent encampment bordering Lakeview Village near Lake Merritt on Nov. 3, 2021. The tiny home community will provide transitional housing for unhoused people in the area. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bas called the village a \"supportive shelter project\" because residents will be offered help with a range of services, including health, employment, public benefits, criminal record clearance, housing applications and credit repair. They also won't have strict move-out deadlines, and can bring in pets and visitors.\u003c/p>\n\u003cp>\"We are using public land for public good, for interim homeless solutions to rapidly improve the living conditions of our unhoused neighbors,\" Bas added.[aside label=\"related coverage\" tag=\"homelessness\"]With more than 4,000 unhoused people currently living in Oakland, and nowhere near enough permanent supportive housing options to accommodate the vast majority of them, the city is increasingly turning to complexes of tiny homes as a means to provide more immediate shelter and services — albeit on a temporary basis.\u003c/p>\n\u003cp>Unlike permanent housing, which often takes years to approve and build, and can be prohibitively expensive, temporary tiny home villages can be erected within weeks, at less than $8,000 per cabin — and easily relocated if the vacant land they sit on is eventually developed.\u003c/p>\n\u003cp>Oakland spent roughly $2.4 million to prepare and build the sites at Lakeview Village, as well as a nearby site at 3rd and Peralta streets that is expected to soon accommodate 40 additional people, Bas's office said. The city will pay the Housing Consortium of the East Bay, an Oakland nonprofit, $1.3 million a year — mostly from federal emergency pandemic funds — to operate the Lake Merritt site.\u003c/p>\n\u003cp>James Vann, who lives close to the new site and helped start Oakland's Homeless Advocacy Working Group several years ago, called the new complex \"critical to improving the dignity, security, and living conditions of our unsheltered neighbors.\"\u003c/p>\n\u003cfigure id=\"attachment_11896241\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\">\u003cimg class=\"wp-image-11896241 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\" alt=\"A look inside a tiny cabin. In the photo there is a mattress and a shelf with three levels holding a white plastic bag, a plate, bowl and fire extinguisher. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The interior of one of the Lakeview Village tiny cabins. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Vann said he sees no way to meet the demand for housing by only providing traditional housing options, which can cost up to $600,000 per unit and take up to five years to build.\u003c/p>\n\u003cp>Instead, he said, his working group advocates for an \"accommodations immediately\" policy.\u003c/p>\n\u003cp>\"Lakeview Village comes close to achieving that aim,\" he said.\u003c/p>\n\u003cp>Some advocates of the unhoused, however, argue that while these new tiny home complexes are a significant step up from the heatless \u003ca href=\"https://eastbayexpress.com/oaklands-tuff-shed-program-by-the-numbers-2-1/\">converted garden sheds that the city erected in 2017\u003c/a>, they still fall short of addressing the bigger issue of housing insecurity in the city and wider region — and the urgent need to build much more permanent housing for low-income people.[pullquote size=\"medium\" align=\"right\" citation=\"Lisa Gray-Garcia, housing activist\"]'The tiny homes will not solve or be a solution to trauma, poverty and racism — the multiple abuses that lead to people being on the streets.'[/pullquote]\"The tiny homes will not solve or be a solution to trauma, poverty and racism — the multiple abuses that lead to people being on the streets,\" said Lisa \"Tiny\" Gray-Garcia, the co-founder of \u003ca href=\"https://www.poormagazine.org\">Poor Magazine\u003c/a>, a nonprofit group that offers resources and media access to people experiencing poverty.\u003c/p>\n\u003cp>Gray-Garcia said she's also concerned the new temporary housing projects will give the city additional license to continue aggressively clearing tent encampments, even as it fails to provide suitable alternatives.\u003c/p>\n\u003cp>Last year, \u003ca href=\"https://www.mercurynews.com/2020/10/21/oakland-passes-controversial-new-homeless-encampment-policy/\">the Oakland City Council unanimously approved a controversial encampment ban\u003c/a> that prohibits setting up tents in certain places near schools, homes and businesses, and authorizes officials to tear down camps in those restricted areas.\u003c/p>\n\u003cp>\"Yay, they're doing something, but how about you stop sweeping us?\" said Gray-Garcia, who until recently was unhoused herself, and called the city's enforcement actions \"violent.\"\u003c/p>\n\u003cp>In 2011, Gray-Garcia's group raised almost $90,000 to buy an empty lot on MacArthur Boulevard in East Oakland, and built a duplex that she and her son and four other residents eventually moved into.\u003c/p>\n\u003cfigure id=\"attachment_11896286\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\">\u003cimg class=\"wp-image-11896286 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\" alt=\"A row of tiny white homes sitting on gravel, with a chain link fence behind them and blue sky visible above.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some of the tiny homes in the still-mostly-vacant Lakeview Village complex. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But, she said, when her group tried to expand their efforts — a project she calls \"Homefulness\" — and purchase a second property, with plans to build additional units for more unhoused people to live in rent-free, they were stalled by a litany of permitting, zoning and parking requirements, each adding significant additional wait time and costs to the project.\u003c/p>\n\u003cp>\"What I'm concerned about is that all that money was spent to create those 65 temporary little tiny houses that no one could possibly live in forever, when [land for] permanent housing stands vacant and nobody can move in,\" said Gray-Garcia.\u003c/p>\n\u003cp>\u003cem>This story includes additional reporting from KQED's Matthew Green and Keith Burbank of Bay City News.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Lakeview Village near Lake Merritt, which can accommodate some 65 people, began temporarily housing residents in tiny homes equipped with heat, locking doors and storage space. Some advocates for the unhoused, however, say the city needs to develop more permanent housing options.",
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"description": "Lakeview Village near Lake Merritt, which can accommodate some 65 people, began temporarily housing residents in tiny homes equipped with heat, locking doors and storage space. Some advocates for the unhoused, however, say the city needs to develop more permanent housing options.",
"title": "New Tiny Home Village in Oakland Opens Doors to Unhoused Residents Amid Ongoing Homelessness Crisis | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A new complex of tiny homes near Lake Merritt in Oakland opened its doors this week to a small group of unhoused residents, part of the city's effort to address its ongoing homelessness crisis.\u003c/p>\n\u003cp>The seven people who moved into Lakeview Village, at 2nd Avenue and E 12th Street, on Wednesday are the first of about 65 residents the site will soon accommodate on a temporary basis, with additional small groups expected to move in over the coming weeks. Another set of pallet shelters on the same site, but separately managed, will temporarily house an additional 16 people.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The stark, white-walled cabins are arranged in neat rows on a small plot of city-owned land that will likely soon be developed.\u003c/p>\n\u003cp>A waiting list has already formed, with unhoused residents in the immediate vicinity — including in the encampment that abuts the site — offered first priority, according to city officials.\u003c/p>\n\u003cp>Each of the tiny cabins is equipped with electric heat, a locking door, smoke and carbon monoxide monitors, a fire extinguisher and some storage space. The complex also provides drinking water, showers and onsite security to residents. It will also offer three free meals a day.\u003c/p>\n\u003cp>\"Upgraded tiny home shelters ... are critical to addressing homelessness in Oakland, especially with the rains upon us and winter approaching,\" Oakland City Council President Nikki Fortunato Bas said earlier this month, during a media tour of the complex, which is located on the edge of her district.\u003c/p>\n\u003cfigure id=\"attachment_11896243\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\">\u003cimg class=\"wp-image-11896243 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\" alt=\"A tent encampment with miscellaneous items all over the ground. In the far background behind a row of trees is Oakland's skyline.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52383_012_Oakland_LakeviewVillageTinyHomes_11032021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A tent encampment bordering Lakeview Village near Lake Merritt on Nov. 3, 2021. The tiny home community will provide transitional housing for unhoused people in the area. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bas called the village a \"supportive shelter project\" because residents will be offered help with a range of services, including health, employment, public benefits, criminal record clearance, housing applications and credit repair. They also won't have strict move-out deadlines, and can bring in pets and visitors.\u003c/p>\n\u003cp>\"We are using public land for public good, for interim homeless solutions to rapidly improve the living conditions of our unhoused neighbors,\" Bas added.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>With more than 4,000 unhoused people currently living in Oakland, and nowhere near enough permanent supportive housing options to accommodate the vast majority of them, the city is increasingly turning to complexes of tiny homes as a means to provide more immediate shelter and services — albeit on a temporary basis.\u003c/p>\n\u003cp>Unlike permanent housing, which often takes years to approve and build, and can be prohibitively expensive, temporary tiny home villages can be erected within weeks, at less than $8,000 per cabin — and easily relocated if the vacant land they sit on is eventually developed.\u003c/p>\n\u003cp>Oakland spent roughly $2.4 million to prepare and build the sites at Lakeview Village, as well as a nearby site at 3rd and Peralta streets that is expected to soon accommodate 40 additional people, Bas's office said. The city will pay the Housing Consortium of the East Bay, an Oakland nonprofit, $1.3 million a year — mostly from federal emergency pandemic funds — to operate the Lake Merritt site.\u003c/p>\n\u003cp>James Vann, who lives close to the new site and helped start Oakland's Homeless Advocacy Working Group several years ago, called the new complex \"critical to improving the dignity, security, and living conditions of our unsheltered neighbors.\"\u003c/p>\n\u003cfigure id=\"attachment_11896241\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\">\u003cimg class=\"wp-image-11896241 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\" alt=\"A look inside a tiny cabin. In the photo there is a mattress and a shelf with three levels holding a white plastic bag, a plate, bowl and fire extinguisher. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52376_006_Oakland_LakeviewVillageTinyHomes_11032021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The interior of one of the Lakeview Village tiny cabins. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Vann said he sees no way to meet the demand for housing by only providing traditional housing options, which can cost up to $600,000 per unit and take up to five years to build.\u003c/p>\n\u003cp>Instead, he said, his working group advocates for an \"accommodations immediately\" policy.\u003c/p>\n\u003cp>\"Lakeview Village comes close to achieving that aim,\" he said.\u003c/p>\n\u003cp>Some advocates of the unhoused, however, argue that while these new tiny home complexes are a significant step up from the heatless \u003ca href=\"https://eastbayexpress.com/oaklands-tuff-shed-program-by-the-numbers-2-1/\">converted garden sheds that the city erected in 2017\u003c/a>, they still fall short of addressing the bigger issue of housing insecurity in the city and wider region — and the urgent need to build much more permanent housing for low-income people.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\"The tiny homes will not solve or be a solution to trauma, poverty and racism — the multiple abuses that lead to people being on the streets,\" said Lisa \"Tiny\" Gray-Garcia, the co-founder of \u003ca href=\"https://www.poormagazine.org\">Poor Magazine\u003c/a>, a nonprofit group that offers resources and media access to people experiencing poverty.\u003c/p>\n\u003cp>Gray-Garcia said she's also concerned the new temporary housing projects will give the city additional license to continue aggressively clearing tent encampments, even as it fails to provide suitable alternatives.\u003c/p>\n\u003cp>Last year, \u003ca href=\"https://www.mercurynews.com/2020/10/21/oakland-passes-controversial-new-homeless-encampment-policy/\">the Oakland City Council unanimously approved a controversial encampment ban\u003c/a> that prohibits setting up tents in certain places near schools, homes and businesses, and authorizes officials to tear down camps in those restricted areas.\u003c/p>\n\u003cp>\"Yay, they're doing something, but how about you stop sweeping us?\" said Gray-Garcia, who until recently was unhoused herself, and called the city's enforcement actions \"violent.\"\u003c/p>\n\u003cp>In 2011, Gray-Garcia's group raised almost $90,000 to buy an empty lot on MacArthur Boulevard in East Oakland, and built a duplex that she and her son and four other residents eventually moved into.\u003c/p>\n\u003cfigure id=\"attachment_11896286\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\">\u003cimg class=\"wp-image-11896286 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg\" alt=\"A row of tiny white homes sitting on gravel, with a chain link fence behind them and blue sky visible above.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/RS52381_009_Oakland_LakeviewVillageTinyHomes_11032021-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some of the tiny homes in the still-mostly-vacant Lakeview Village complex. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But, she said, when her group tried to expand their efforts — a project she calls \"Homefulness\" — and purchase a second property, with plans to build additional units for more unhoused people to live in rent-free, they were stalled by a litany of permitting, zoning and parking requirements, each adding significant additional wait time and costs to the project.\u003c/p>\n\u003cp>\"What I'm concerned about is that all that money was spent to create those 65 temporary little tiny houses that no one could possibly live in forever, when [land for] permanent housing stands vacant and nobody can move in,\" said Gray-Garcia.\u003c/p>\n\u003cp>\u003cem>This story includes additional reporting from KQED's Matthew Green and Keith Burbank of Bay City News.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "'No End in Sight': California Struggles to Shelter Growing Unhoused Population",
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"headTitle": "‘No End in Sight’: California Struggles to Shelter Growing Unhoused Population | KQED",
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"content": "\u003cp>The first time William Joseph Brown filled out a survey to try to get into permanent housing, he was living beside a highway. That was December 2019.\u003c/p>\n\u003cp>In late August this year, when California’s transportation agency cleared him from the same strip of land tucked behind the San Clemente off-ramp on the northbound Interstate 5, he still had nowhere to live.\u003c/p>\n\u003cp>Caltrans removed Brown and about 20 other campers due to the “immediate safety threat of fire,” as they were “using open flames to cook near dry vegetation,” a spokesperson told CalMatters.\u003c/p>\n\u003cp>The agency said six of those people were matched to permanent housing. Brown said he got a voucher for a hotel room for about a week, and then another, which recently expired.\u003c/p>\n\u003cp>But he’s still waiting on the permanent housing voucher he was promised two years ago. Brown said none of his friends exited homelessness since they were removed from the camp, either: “They’re just in a different place.”\u003c/p>\n\u003cp>“We were on the off-ramp because we were out of the way,” he said. “People don’t want to see homeless people. A lot of us were there because that was the last place to go.”\u003c/p>\n\u003cfigure id=\"attachment_11896553\" class=\"wp-caption aligncenter\" style=\"max-width: 1556px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11896553\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM.png\" alt=\"A man stands wearing a backpack and jacket around his next while holding a pole outdoors.\" width=\"1556\" height=\"1034\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM.png 1556w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM-800x532.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM-1020x678.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM-160x106.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM-1536x1021.png 1536w\" sizes=\"(max-width: 1556px) 100vw, 1556px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">William Brown, 42 , in the woods in San Clemente on Nov. 6, 2021. Brown said he lost $1,000 worth of belongings while being removed from an encampment on Caltrans property and was left with only a backpack and bag. \u003ccite>(Ariana Drehsler/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California is spending more than ever before on homelessness — \u003ca href=\"https://www.ebudget.ca.gov/2021-22/pdf/Enacted/BudgetSummary/HousingandHomelessness.pdf\">$12 billion between 2021 and 2023\u003c/a> — which also means there’s more pressure to make an impact. The bulk of that money will go to creating more living spaces and providing mental health resources for people who are now on the streets.\u003c/p>\n\u003cp>But some of the money is being used by Caltrans in a ramped-up effort to move people like Brown off the state’s bustling freeways in the name of safety.\u003c/p>\n\u003cp>“We’ve got to deal with homelessness,” Gov. Gavin Newsom said at the 2021 California Economic Summit in Monterey on Nov. 9. “We’ve got to deal with cleaning the state, the streets, cleaning up our thoroughfares, our underpasses, our overpasses, removing graffiti, dealing with encampments.”\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=homelessness\"]Reducing homelessness is \u003ca href=\"https://www.ppic.org/publication/ppic-statewide-survey-californians-and-their-government-september-2021/\">top of mind for many voters.\u003c/a> And it’s likely to be a big campaign issue in 2022, as it was \u003ca href=\"https://calmatters.org/politics/2021/07/newsom-recall-republicans-homelessness/\">for the Sept. 14 election on whether to recall Newsom.\u003c/a>\u003c/p>\n\u003cp>But while it may be good politics to move homeless people out of visible public locations, experts say it’s just moving the problem somewhere else.\u003c/p>\n\u003cp>“Spending state money on harassing people who are struggling under the impacts of local, state and federal policy failures is counterproductive,” said Margot Kushel, director of the Benioff Homelessness and Housing Initiative at the University of California, San Francisco. “I would present the radical idea of taking the perspective of the people living there.”\u003c/p>\n\u003cp>\u003cstrong>There aren’t enough beds\u003c/strong>\u003c/p>\n\u003cp>The last time volunteers and local officials counted the number of \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/\">people experiencing homelessness in California\u003c/a> was on a January night in 2020. They came across more than 161,000 people, in and out of shelters. That is the largest number in the nation, but the tally is \u003ca href=\"https://calmatters.org/housing/homeless/2020/01/homeless-point-in-time-count-california-inaccurate-politicized-fresno/\">widely considered an underestimate,\u003c/a> and it doesn’t take into account the economic devastation brought on by the COVID-19 pandemic that started two months later.\u003c/p>\n\u003cp>About 36% of those people had been \u003ca href=\"https://www.huduser.gov/portal/sites/default/files/pdf/2020-AHAR-Part-1.pdf\">homeless for at least a year,\u003c/a> which means the other two-thirds were newly homeless, according to federal data.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"No beds for the night?\" aria-label=\"Map\" id=\"datawrapper-chart-F8U77\" src=\"https://datawrapper.dwcdn.net/F8U77/8/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0px; border: none; min-width: 100% !important; width: 800;\" height=\"800\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Meanwhile, cities and counties across California reported last year a little more than \u003ca href=\"https://files.hudexchange.info/reports/published/CoC_HIC_State_CA_2020.pdf\">53,000 beds in either an emergency shelter or transitional housing\u003c/a> — or fewer than one bed for every three people. In some areas, the ratio is as high as five people per bed; no county has at least one full bed per person.\u003c/p>\n\u003cp>There are, however, some shelter beds — in churches for example — that aren’t counted in these official statistics because they don’t receive any money from the federal government.\u003c/p>\n\u003cp>A lot more beds became available in California during the pandemic \u003ca href=\"https://calmatters.org/housing/homeless/2021/05/newsom-end-homelessness-pandemic-lessons/\">in hotel and motel rooms leased or bought by the state\u003c/a> at a record clip. Project Roomkey has provided temporary shelter to \u003ca href=\"https://www.politico.com/news/2021/11/04/main-recoverylab-cities-la-sros-518602?utm_source=pocket_mylist\">more than 48,000 people\u003c/a> during the pandemic, and Project Homekey temporarily sheltered thousands more across 94 hotels that created about 6,000 permanent housing units.\u003c/p>\n\u003cp>Funding for the latter program was tripled in the most recent budget, from $846 million to $2.75 billion. Another $2.2 billion over the next three years will go to create behavioral health facilities.\u003c/p>\n\u003cp>In Los Angeles, officials found that between the loss in warehouse-style shelter capacity brought on by COVID safety measures, and the gain mostly in motel rooms made available by the state, total shelter capacity in the city \u003ca href=\"https://www.lahsa.org/documents?id=5503-2021-hic-and-shelter-count-presentation\">didn’t vary significantly between 2020 and 2021.\u003c/a>\u003c/p>\n\u003cp>But advocates say achieving a one-to-one ratio on shelter beds for people shouldn’t be the ultimate goal. Running shelters can be very expensive, and while it treats the problem temporarily, it can be a dead end when there’s no permanent housing on the other side. The Los Angeles Housing Authority, for example, found it \u003ca href=\"https://www.lahsa.org/documents?id=5503-2021-hic-and-shelter-count-presentation\">needed more than triple\u003c/a> the existing permanent supportive housing supply to match demand.\u003c/p>\n\u003cp>Besides, many people say they don’t want to go into congregate shelters, where they often are not only \u003ca href=\"https://archive.kpcc.org/news/2018/05/09/82908/rats-roaches-bedbugs-mold-why-thousands-of-las-hom/\">exposed to substandard living conditions,\u003c/a> but potential assault.\u003c/p>\n\u003cp>“If you offer traumatized people to be in a huge shelter where there can be violence, where there can be no end in sight, where your things will get stolen, or could get stolen, that’s not really an offer,” Kushel said.\u003c/p>\n\u003cp>At Brown’s camp by I-5, he said he and two other campers were offered a shelter bed, but turned it down. He suffers from a degenerative eye condition that blocks his peripheral vision, and said he had his belongings stolen multiple times at shelters.\u003c/p>\n\u003cp>\u003cstrong>What’s in the budget for Caltrans?\u003c/strong>\u003c/p>\n\u003cp>The budget includes \u003ca href=\"https://www.ebudget.ca.gov/2021-22/pdf/Enacted/BudgetSummary/Transportation.pdf\">$1.1 billion for a project called Clean California,\u003c/a> with most of the money going to litter pickup and beautification. Newsom has said it will add \u003ca href=\"https://www.latimes.com/california/story/2021-07-08/newsom-1-billion-statewide-cleanup-plan\">about 11,000 jobs over three years,\u003c/a> with at-risk youth and people who were formerly homeless or incarcerated getting priority. Caltrans is also using a small portion of the funding to clear homeless encampments.\u003c/p>\n\u003cp>“The situation with encampments in California is unacceptable,” Newsom said in a recent statement. “I refuse to accept the status quo — our fellow Californians suffering in tents, under highway overpasses, exposed to the elements, and living in unsanitary conditions.”\u003c/p>\n\u003cp>During the economic summit, the governor said that his office had identified 100 encampments as top priorities and was working with Caltrans to clear them “in a thoughtful and strategic way” — a promise he has \u003ca href=\"https://www.youtube.com/watch?v=RBWHkjlIsbk\">made multiple times.\u003c/a>[pullquote size='medium' align='right' citation='Gov. Gavin Newsom at the Nov. 9 Economic Summit']‘We’ve got to deal with cleaning the state, the streets, cleaning up our thoroughfares, our underpasses, our overpasses, removing graffiti, dealing with encampments.’[/pullquote]But so far his office and Caltrans have declined to identify the locations, citing privacy and security concerns for the campers.\u003c/p>\n\u003cp>“How are we supposed to know what’s happening with these resources?” asked Christopher Martin, policy director at Housing California, a nonprofit advocacy group. “It’s very behind closed doors, and I think that’s a little bit frightening because we need some accountability.”\u003c/p>\n\u003cp>Caltrans also got an additional $2.7 million this fiscal year for homeless coordinators to mitigate safety risks at encampments, clean trash and debris, and connect people living in these camps to support services and housing.\u003c/p>\n\u003cp>In a statement to CalMatters, Caltrans said it spent more than $15 million in the fiscal year that ended Sept. 30 and projects to spend nearly $36 million in the next year specifically on homeless camp cleanups. It conducted just 19 encampment relocations in all of 2020, when federal health officials advised against them during the pandemic. This year, Caltrans has completed 347 through mid-October.\u003c/p>\n\u003cp>When asked how the agency deals with the shortage of shelter and housing units, Caltrans officials said they “coordinate with cities and social service providers, which can connect people experiencing homelessness with services. However, on high priority encampments where an immediate threat to safety or to essential infrastructure has been identified, the department must proceed with the encampment clearing.”\u003c/p>\n\u003cp>At the same time, there’s \u003ca href=\"https://www.gov.ca.gov/2021/10/29/california-launches-encampment-resolution-grant-program/\">$50 million in new grants\u003c/a> to help local governments deal with encampments. The \u003ca href=\"https://www.bcsh.ca.gov/hcfc/documents/encampment_rfa.pdf\">applications opened recently,\u003c/a> and the money will be distributed next summer.\u003c/p>\n\u003cp>None of that money will fund encampment clearings, according to Russ Heimerich, a spokesman for the California Business, Consumer Services and Housing Agency. Instead, he said, grantees will get funds to provide services tailored to the needs of people in those camps.\u003c/p>\n\u003cp>Heimerich directed any questions about the Caltrans cleanups to the transportation agency, while Caltrans directed questions about the encampment service programs to the California Homeless Coordinating and Financing Council. Both declined multiple requests for phone interviews.\u003c/p>\n\u003cp>Martin said the apparent lack of coordination between the programs was “a little concerning.”\u003c/p>\n\u003cp>California’s state auditor in February \u003ca href=\"https://www.auditor.ca.gov/reports/2020-112/index.html\">raised concerns about a lack of coordination\u003c/a> between the multiple agencies dealing with homelessness in California: “At least nine state agencies administer and oversee 41 different programs that provide funding to mitigate homelessness, yet no single entity oversees the State’s efforts or is responsible for developing a statewide strategic plan.”\u003c/p>\n\u003cp>The new programs raise a bigger question for Josh Barocas, an associate professor of medicine at the University of Colorado who studies homelessness and substance use: Why is transportation money going toward clearing homeless camps?\u003c/p>\n\u003cp>“It doesn’t actually take into account the long-term health effects of those being displaced and doing the displacement, and their future needs,” he said.\u003c/p>\n\u003cp>Through a computer modeling study that did not undergo peer review, Barocas found that in Boston, disbanding a homeless camp was more likely to drive up overdoses, hospitalizations and mortality.\u003c/p>\n\u003cp>“It’s what I would call social theater,” he said. “It’s showing your neighborhood that you are trying to do something by literally sweeping the problem away….The only way to actually fix this problem is to get at the social and structural issues that are perpetuating poverty, perpetuating homelessness in the city.”\u003c/p>\n\u003cp>While Barocas doesn’t believe in clearing encampments, he said there is value in continued community outreach, even when the housing isn’t there yet. “Bringing resources to where people are, and literally meeting them where they’re at, never loses utility,” he said.\u003c/p>\n\u003cp>Eve Garrow, a homelessness policy analyst and advocate at the ACLU of Southern California, said many of the people now camping alongside California’s highways were originally in safer spots such as parks with restrooms. But they’ve moved into the fringes because of law enforcement harassment, often brought on by calls to service made by their housed neighbors.\u003c/p>\n\u003cp>“The answer is simple,” she said. “Stop criminalizing people.”[pullquote size='medium' align='right' citation='Josh Barocas, an associate professor of medicine at the University of Colorado']‘It’s what I would call social theater.It’s showing your neighborhood that you are trying to do something by literally sweeping the problem away.’[/pullquote]In a \u003ca href=\"https://www.aclusocal.org/sites/default/files/outsidethelaw-aclufdnsca-report.pdf\">recent report,\u003c/a> Garrow and her colleagues argue housing status should be a protected social group, a policy Martin’s group and the Western Center on Law and Poverty hope to advance in the Legislature’s next session.\u003c/p>\n\u003cp>\u003cstrong>Seeking stable shelter\u003c/strong>\u003c/p>\n\u003cp>Brown, who is 42, said he had worked with several county health workers to get on the waitlist for a permanent housing voucher, but all of them had since quit. “It just seems like nobody can even give me an answer as to why it’s not moving forward,” he said.\u003c/p>\n\u003cp>The voucher would subsidize Brown’s housing so he has to spend only a third of his disability check on rent. But he’ll still need to find a landlord willing to rent to a man who’s been homeless for more than five years.\u003c/p>\n\u003cp>Eventually, he wants to be able to host his grandmother, which he couldn’t do on the side of a freeway. He also wants a cure for his vision; he learned about a clinical trial when he was living in the camp, but said it was very difficult for him to consider the option if he had to take medication, as it would likely get stolen. And he wants to stop worrying about getting his stuff stolen every night, when he can barely see.\u003c/p>\n\u003cfigure id=\"attachment_11896555\" class=\"wp-caption aligncenter\" style=\"max-width: 1552px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11896555\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM.png\" alt=\"A man wearing a hat and backpack with a sheath for a knife holds a paddle while kneeling on a raft on a creek.\" width=\"1552\" height=\"1034\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM.png 1552w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM-1536x1023.png 1536w\" sizes=\"(max-width: 1552px) 100vw, 1552px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Josh Lowe, 32, made a raft out of longboards and wood to cross the San Mateo Creek and reach where he has been staying in San Clemente. Lowe moved to the woods with his dog after an encampment on Caltrans property was removed on Aug. 27. \u003ccite>(Ariana Drehsler/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since getting kicked out of the camp, Brown connected with another service provider who’s scheduled to call him to sort out his case. Staying in a hotel with his friend, Megan, provided some much-needed stability. “I got very used to that, and then we were told we had to leave.”\u003c/p>\n\u003cp>Brown and three of his fellow campers wrote a letter urging elected leaders, public officials, and service providers involved in the camp clearing to be honest about the plight of many homeless people:\u003c/p>\n\u003cp>“Admit that the process of getting assistance is lengthy, that there is not enough housing for everyone who qualifies for it, and that there are people on the street who do want help and are doing what they’re supposed to do to receive it.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The first time William Joseph Brown filled out a survey to try to get into permanent housing, he was living beside a highway. That was December 2019.\u003c/p>\n\u003cp>In late August this year, when California’s transportation agency cleared him from the same strip of land tucked behind the San Clemente off-ramp on the northbound Interstate 5, he still had nowhere to live.\u003c/p>\n\u003cp>Caltrans removed Brown and about 20 other campers due to the “immediate safety threat of fire,” as they were “using open flames to cook near dry vegetation,” a spokesperson told CalMatters.\u003c/p>\n\u003cp>The agency said six of those people were matched to permanent housing. Brown said he got a voucher for a hotel room for about a week, and then another, which recently expired.\u003c/p>\n\u003cp>But he’s still waiting on the permanent housing voucher he was promised two years ago. Brown said none of his friends exited homelessness since they were removed from the camp, either: “They’re just in a different place.”\u003c/p>\n\u003cp>“We were on the off-ramp because we were out of the way,” he said. “People don’t want to see homeless people. A lot of us were there because that was the last place to go.”\u003c/p>\n\u003cfigure id=\"attachment_11896553\" class=\"wp-caption aligncenter\" style=\"max-width: 1556px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11896553\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM.png\" alt=\"A man stands wearing a backpack and jacket around his next while holding a pole outdoors.\" width=\"1556\" height=\"1034\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM.png 1556w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM-800x532.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM-1020x678.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM-160x106.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.17-PM-1536x1021.png 1536w\" sizes=\"(max-width: 1556px) 100vw, 1556px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">William Brown, 42 , in the woods in San Clemente on Nov. 6, 2021. Brown said he lost $1,000 worth of belongings while being removed from an encampment on Caltrans property and was left with only a backpack and bag. \u003ccite>(Ariana Drehsler/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California is spending more than ever before on homelessness — \u003ca href=\"https://www.ebudget.ca.gov/2021-22/pdf/Enacted/BudgetSummary/HousingandHomelessness.pdf\">$12 billion between 2021 and 2023\u003c/a> — which also means there’s more pressure to make an impact. The bulk of that money will go to creating more living spaces and providing mental health resources for people who are now on the streets.\u003c/p>\n\u003cp>But some of the money is being used by Caltrans in a ramped-up effort to move people like Brown off the state’s bustling freeways in the name of safety.\u003c/p>\n\u003cp>“We’ve got to deal with homelessness,” Gov. Gavin Newsom said at the 2021 California Economic Summit in Monterey on Nov. 9. “We’ve got to deal with cleaning the state, the streets, cleaning up our thoroughfares, our underpasses, our overpasses, removing graffiti, dealing with encampments.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Reducing homelessness is \u003ca href=\"https://www.ppic.org/publication/ppic-statewide-survey-californians-and-their-government-september-2021/\">top of mind for many voters.\u003c/a> And it’s likely to be a big campaign issue in 2022, as it was \u003ca href=\"https://calmatters.org/politics/2021/07/newsom-recall-republicans-homelessness/\">for the Sept. 14 election on whether to recall Newsom.\u003c/a>\u003c/p>\n\u003cp>But while it may be good politics to move homeless people out of visible public locations, experts say it’s just moving the problem somewhere else.\u003c/p>\n\u003cp>“Spending state money on harassing people who are struggling under the impacts of local, state and federal policy failures is counterproductive,” said Margot Kushel, director of the Benioff Homelessness and Housing Initiative at the University of California, San Francisco. “I would present the radical idea of taking the perspective of the people living there.”\u003c/p>\n\u003cp>\u003cstrong>There aren’t enough beds\u003c/strong>\u003c/p>\n\u003cp>The last time volunteers and local officials counted the number of \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/\">people experiencing homelessness in California\u003c/a> was on a January night in 2020. They came across more than 161,000 people, in and out of shelters. That is the largest number in the nation, but the tally is \u003ca href=\"https://calmatters.org/housing/homeless/2020/01/homeless-point-in-time-count-california-inaccurate-politicized-fresno/\">widely considered an underestimate,\u003c/a> and it doesn’t take into account the economic devastation brought on by the COVID-19 pandemic that started two months later.\u003c/p>\n\u003cp>About 36% of those people had been \u003ca href=\"https://www.huduser.gov/portal/sites/default/files/pdf/2020-AHAR-Part-1.pdf\">homeless for at least a year,\u003c/a> which means the other two-thirds were newly homeless, according to federal data.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"No beds for the night?\" aria-label=\"Map\" id=\"datawrapper-chart-F8U77\" src=\"https://datawrapper.dwcdn.net/F8U77/8/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0px; border: none; min-width: 100% !important; width: 800;\" height=\"800\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Meanwhile, cities and counties across California reported last year a little more than \u003ca href=\"https://files.hudexchange.info/reports/published/CoC_HIC_State_CA_2020.pdf\">53,000 beds in either an emergency shelter or transitional housing\u003c/a> — or fewer than one bed for every three people. In some areas, the ratio is as high as five people per bed; no county has at least one full bed per person.\u003c/p>\n\u003cp>There are, however, some shelter beds — in churches for example — that aren’t counted in these official statistics because they don’t receive any money from the federal government.\u003c/p>\n\u003cp>A lot more beds became available in California during the pandemic \u003ca href=\"https://calmatters.org/housing/homeless/2021/05/newsom-end-homelessness-pandemic-lessons/\">in hotel and motel rooms leased or bought by the state\u003c/a> at a record clip. Project Roomkey has provided temporary shelter to \u003ca href=\"https://www.politico.com/news/2021/11/04/main-recoverylab-cities-la-sros-518602?utm_source=pocket_mylist\">more than 48,000 people\u003c/a> during the pandemic, and Project Homekey temporarily sheltered thousands more across 94 hotels that created about 6,000 permanent housing units.\u003c/p>\n\u003cp>Funding for the latter program was tripled in the most recent budget, from $846 million to $2.75 billion. Another $2.2 billion over the next three years will go to create behavioral health facilities.\u003c/p>\n\u003cp>In Los Angeles, officials found that between the loss in warehouse-style shelter capacity brought on by COVID safety measures, and the gain mostly in motel rooms made available by the state, total shelter capacity in the city \u003ca href=\"https://www.lahsa.org/documents?id=5503-2021-hic-and-shelter-count-presentation\">didn’t vary significantly between 2020 and 2021.\u003c/a>\u003c/p>\n\u003cp>But advocates say achieving a one-to-one ratio on shelter beds for people shouldn’t be the ultimate goal. Running shelters can be very expensive, and while it treats the problem temporarily, it can be a dead end when there’s no permanent housing on the other side. The Los Angeles Housing Authority, for example, found it \u003ca href=\"https://www.lahsa.org/documents?id=5503-2021-hic-and-shelter-count-presentation\">needed more than triple\u003c/a> the existing permanent supportive housing supply to match demand.\u003c/p>\n\u003cp>Besides, many people say they don’t want to go into congregate shelters, where they often are not only \u003ca href=\"https://archive.kpcc.org/news/2018/05/09/82908/rats-roaches-bedbugs-mold-why-thousands-of-las-hom/\">exposed to substandard living conditions,\u003c/a> but potential assault.\u003c/p>\n\u003cp>“If you offer traumatized people to be in a huge shelter where there can be violence, where there can be no end in sight, where your things will get stolen, or could get stolen, that’s not really an offer,” Kushel said.\u003c/p>\n\u003cp>At Brown’s camp by I-5, he said he and two other campers were offered a shelter bed, but turned it down. He suffers from a degenerative eye condition that blocks his peripheral vision, and said he had his belongings stolen multiple times at shelters.\u003c/p>\n\u003cp>\u003cstrong>What’s in the budget for Caltrans?\u003c/strong>\u003c/p>\n\u003cp>The budget includes \u003ca href=\"https://www.ebudget.ca.gov/2021-22/pdf/Enacted/BudgetSummary/Transportation.pdf\">$1.1 billion for a project called Clean California,\u003c/a> with most of the money going to litter pickup and beautification. Newsom has said it will add \u003ca href=\"https://www.latimes.com/california/story/2021-07-08/newsom-1-billion-statewide-cleanup-plan\">about 11,000 jobs over three years,\u003c/a> with at-risk youth and people who were formerly homeless or incarcerated getting priority. Caltrans is also using a small portion of the funding to clear homeless encampments.\u003c/p>\n\u003cp>“The situation with encampments in California is unacceptable,” Newsom said in a recent statement. “I refuse to accept the status quo — our fellow Californians suffering in tents, under highway overpasses, exposed to the elements, and living in unsanitary conditions.”\u003c/p>\n\u003cp>During the economic summit, the governor said that his office had identified 100 encampments as top priorities and was working with Caltrans to clear them “in a thoughtful and strategic way” — a promise he has \u003ca href=\"https://www.youtube.com/watch?v=RBWHkjlIsbk\">made multiple times.\u003c/a>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But so far his office and Caltrans have declined to identify the locations, citing privacy and security concerns for the campers.\u003c/p>\n\u003cp>“How are we supposed to know what’s happening with these resources?” asked Christopher Martin, policy director at Housing California, a nonprofit advocacy group. “It’s very behind closed doors, and I think that’s a little bit frightening because we need some accountability.”\u003c/p>\n\u003cp>Caltrans also got an additional $2.7 million this fiscal year for homeless coordinators to mitigate safety risks at encampments, clean trash and debris, and connect people living in these camps to support services and housing.\u003c/p>\n\u003cp>In a statement to CalMatters, Caltrans said it spent more than $15 million in the fiscal year that ended Sept. 30 and projects to spend nearly $36 million in the next year specifically on homeless camp cleanups. It conducted just 19 encampment relocations in all of 2020, when federal health officials advised against them during the pandemic. This year, Caltrans has completed 347 through mid-October.\u003c/p>\n\u003cp>When asked how the agency deals with the shortage of shelter and housing units, Caltrans officials said they “coordinate with cities and social service providers, which can connect people experiencing homelessness with services. However, on high priority encampments where an immediate threat to safety or to essential infrastructure has been identified, the department must proceed with the encampment clearing.”\u003c/p>\n\u003cp>At the same time, there’s \u003ca href=\"https://www.gov.ca.gov/2021/10/29/california-launches-encampment-resolution-grant-program/\">$50 million in new grants\u003c/a> to help local governments deal with encampments. The \u003ca href=\"https://www.bcsh.ca.gov/hcfc/documents/encampment_rfa.pdf\">applications opened recently,\u003c/a> and the money will be distributed next summer.\u003c/p>\n\u003cp>None of that money will fund encampment clearings, according to Russ Heimerich, a spokesman for the California Business, Consumer Services and Housing Agency. Instead, he said, grantees will get funds to provide services tailored to the needs of people in those camps.\u003c/p>\n\u003cp>Heimerich directed any questions about the Caltrans cleanups to the transportation agency, while Caltrans directed questions about the encampment service programs to the California Homeless Coordinating and Financing Council. Both declined multiple requests for phone interviews.\u003c/p>\n\u003cp>Martin said the apparent lack of coordination between the programs was “a little concerning.”\u003c/p>\n\u003cp>California’s state auditor in February \u003ca href=\"https://www.auditor.ca.gov/reports/2020-112/index.html\">raised concerns about a lack of coordination\u003c/a> between the multiple agencies dealing with homelessness in California: “At least nine state agencies administer and oversee 41 different programs that provide funding to mitigate homelessness, yet no single entity oversees the State’s efforts or is responsible for developing a statewide strategic plan.”\u003c/p>\n\u003cp>The new programs raise a bigger question for Josh Barocas, an associate professor of medicine at the University of Colorado who studies homelessness and substance use: Why is transportation money going toward clearing homeless camps?\u003c/p>\n\u003cp>“It doesn’t actually take into account the long-term health effects of those being displaced and doing the displacement, and their future needs,” he said.\u003c/p>\n\u003cp>Through a computer modeling study that did not undergo peer review, Barocas found that in Boston, disbanding a homeless camp was more likely to drive up overdoses, hospitalizations and mortality.\u003c/p>\n\u003cp>“It’s what I would call social theater,” he said. “It’s showing your neighborhood that you are trying to do something by literally sweeping the problem away….The only way to actually fix this problem is to get at the social and structural issues that are perpetuating poverty, perpetuating homelessness in the city.”\u003c/p>\n\u003cp>While Barocas doesn’t believe in clearing encampments, he said there is value in continued community outreach, even when the housing isn’t there yet. “Bringing resources to where people are, and literally meeting them where they’re at, never loses utility,” he said.\u003c/p>\n\u003cp>Eve Garrow, a homelessness policy analyst and advocate at the ACLU of Southern California, said many of the people now camping alongside California’s highways were originally in safer spots such as parks with restrooms. But they’ve moved into the fringes because of law enforcement harassment, often brought on by calls to service made by their housed neighbors.\u003c/p>\n\u003cp>“The answer is simple,” she said. “Stop criminalizing people.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In a \u003ca href=\"https://www.aclusocal.org/sites/default/files/outsidethelaw-aclufdnsca-report.pdf\">recent report,\u003c/a> Garrow and her colleagues argue housing status should be a protected social group, a policy Martin’s group and the Western Center on Law and Poverty hope to advance in the Legislature’s next session.\u003c/p>\n\u003cp>\u003cstrong>Seeking stable shelter\u003c/strong>\u003c/p>\n\u003cp>Brown, who is 42, said he had worked with several county health workers to get on the waitlist for a permanent housing voucher, but all of them had since quit. “It just seems like nobody can even give me an answer as to why it’s not moving forward,” he said.\u003c/p>\n\u003cp>The voucher would subsidize Brown’s housing so he has to spend only a third of his disability check on rent. But he’ll still need to find a landlord willing to rent to a man who’s been homeless for more than five years.\u003c/p>\n\u003cp>Eventually, he wants to be able to host his grandmother, which he couldn’t do on the side of a freeway. He also wants a cure for his vision; he learned about a clinical trial when he was living in the camp, but said it was very difficult for him to consider the option if he had to take medication, as it would likely get stolen. And he wants to stop worrying about getting his stuff stolen every night, when he can barely see.\u003c/p>\n\u003cfigure id=\"attachment_11896555\" class=\"wp-caption aligncenter\" style=\"max-width: 1552px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11896555\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM.png\" alt=\"A man wearing a hat and backpack with a sheath for a knife holds a paddle while kneeling on a raft on a creek.\" width=\"1552\" height=\"1034\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM.png 1552w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/Screen-Shot-2021-11-17-at-12.16.44-PM-1536x1023.png 1536w\" sizes=\"(max-width: 1552px) 100vw, 1552px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Josh Lowe, 32, made a raft out of longboards and wood to cross the San Mateo Creek and reach where he has been staying in San Clemente. Lowe moved to the woods with his dog after an encampment on Caltrans property was removed on Aug. 27. \u003ccite>(Ariana Drehsler/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since getting kicked out of the camp, Brown connected with another service provider who’s scheduled to call him to sort out his case. Staying in a hotel with his friend, Megan, provided some much-needed stability. “I got very used to that, and then we were told we had to leave.”\u003c/p>\n\u003cp>Brown and three of his fellow campers wrote a letter urging elected leaders, public officials, and service providers involved in the camp clearing to be honest about the plight of many homeless people:\u003c/p>\n\u003cp>“Admit that the process of getting assistance is lengthy, that there is not enough housing for everyone who qualifies for it, and that there are people on the street who do want help and are doing what they’re supposed to do to receive it.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "San Francisco's Street Overdose Response Team Is Trying to Bring Clinical Care to the Streets",
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"content": "\u003cp>It’s a sun-filled, fall day and Nicholas is strapped to an ambulance gurney near 8th and Market streets in downtown San Francisco, dazed and barely conscious. Plastic IV tubes snake around his left hand where L-O-V-E is tattooed just below his knuckles.\u003c/p>\n\u003cp>“Nicholas, try to wake up a little bit for me, come on,” paramedic Paula Fartash coaxes, as she unsuccessfully tries to rouse him.\u003c/p>\n\u003cp>Nicholas (we’re not using his last name because of the stigma of addiction) tells Fartash that when he started getting high in nearby U.N. Plaza park, he assumed he was smoking his drug of choice.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This gentleman thought that he was doing meth,” the veteran San Francisco Fire Department paramedic says. “And turned out he was actually doing fentanyl as well,” the synthetic opioid many times more powerful than heroin. “So he walked over to someone and they gave him some Narcan.”\u003c/p>\n\u003cp>That’s the brand name for naloxone, the emergency nasal spray drug used to try to reverse an otherwise potentially fatal overdose. That someone who administered a life-saving antidote was a nearby volunteer and street cleaner carrying Narcan, \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">part of a city-supported program\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11895057\" class=\"wp-caption alignnone\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895057 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-9.jpg\" alt=\"The inside of an ambulance, where only the arm and tattooed hand and a bit of the torso of someone who is receiving care is visible. The person receiving care has many tattoos.\" width=\"1224\" height=\"816\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-160x107.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">A man named Nicholas gets care in an ambulance after overdosing in San Francisco’s Civic Center. He told members of the emergency response team that when he started getting high, he assumed he was smoking meth. However, it turned out that he was unknowingly consuming fentanyl as well. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>San Francisco has among the highest per capita drug overdose death rates of any city in the U.S.\u003c/h3>\n\u003cp>Faced with a stunning rise in drug overdose deaths the last few years, the vast majority tied to fentanyl, San Francisco has launched mobile teams made up of paramedics and nurses. The new Street Overdose Response Team (SORT), a collaboration between the city’s health and fire departments, aims to deliver a broad range of support and care directly following an overdose.[aside postID=\"news_11890421\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/fentanylteststrips_annelisefinney-1020x765.jpg\"]“Fentanyl is a game changer,” \u003ca href=\"https://sfmayor.org/article/mayor-london-breed-announces-new-director-behavioral-health-services-and-mental-health-sf\">Dr. Hillary Kunins\u003c/a>, the city’s director of behavioral and mental health services, says of the opioid that’s 80 to 100 times stronger than morphine. “It requires a new way of thinking and resourcing.” It also, she says, “requires people to learn to work across disciplines and sometimes across organizations.”\u003c/p>\n\u003cp>Kunins previously led New York City’s response to its overdose and substance abuse crisis. She concedes they aren’t sure what combination of tools, ultimately, will work best here to not only reduce fentanyl- and other drug-related deaths but also to boost treatment success rates.\u003c/p>\n\u003cp>So the street overdose pilot project is part of a broad and ambitious strategy of interventions across city agencies.\u003c/p>\n\u003cp>“There is no single approach that’s going to solve this complex problem,” Kunins says. “What’s exciting and important about the work is that it is really part of a movement across the country to rethink how we address people who are at risk of overdose, who have ongoing other challenges: mental health, housing, food. And we must do this work to scale.”\u003c/p>\n\u003ch3>\u003cstrong>Fentanyl forced city officials to change how they approached harm reduction\u003c/strong>\u003c/h3>\n\u003cp>Capt. Michael Mason, a paramedic, is the fire department’s point person on the new program. As he races to the call for Nicholas’s overdose, he’s simultaneously coordinating with other paramedics.\u003c/p>\n\u003cp>“So starting directly at the scene of this overdose, we can start trying to direct this guy’s care in the best direction possible,” Mason says.[aside postID=\"news_11874651\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/05/RS48996_006_MountainView_RobinDosskey_05122021-qut.jpg\"]That direct engagement could include helping to find a shelter bed, reaching out to friends or a doctor, helping with food or, most importantly, seeing if a person wants to start treatment with buprenorphine or suboxone, a medication-assisted therapy for opioid dependence.\u003c/p>\n\u003cp>“Get this individual suboxone, stabilize him at the [emergency department], by that afternoon they can be in a treatment program,” Mason says, “All in the context of a 911 incident.”\u003c/p>\n\u003cp>For many years San Francisco has championed a harm-reduction public health approach to lowering drug deaths and injury. The city, known for its relative tolerance of illicit drug use, was a trailblazer of clean syringe access and distribution of life-saving naloxone kits, as well as boosting access to the treatment drugs methadone and buprenorphine.\u003c/p>\n\u003cp>But when fentanyl hit hard here starting a few years ago, the overdose crisis spiraled and the city was forced to rethink its approach. Free Narcan and syringes weren’t enough.\u003c/p>\n\u003cp>“If fentanyl is in the drugs that you’re using, your risk of overdose triples,” Capt. Mason says, adding that the drug is now tainting most every street narcotic here: meth, cocaine, heroin and fake opioid pills.\u003c/p>\n\u003cfigure id=\"attachment_11895039\" class=\"wp-caption alignnone\" style=\"max-width: 1228px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895039 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-3.jpg\" alt=\"A person knocks on the front door of an apartment on the second, outdoor floor of a multistory building.\" width=\"1228\" height=\"920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3.jpg 1228w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-160x120.jpg 160w\" sizes=\"auto, (max-width: 1228px) 100vw, 1228px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco Department of Public Health nurses with the city’s new mobile outreach teams say following up with people who’ve recently survived a drug overdose is a key part of the program. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Surviving an overdose\u003c/h3>\n\u003cp>Pandemic isolation and lockdowns — people using alone with no one to administer life-saving Narcan — only partially explain the historic rise in overdose deaths here.\u003c/p>\n\u003cp>The \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">drug death rate, in fact, had been trending higher\u003c/a> well before that, city medical examiner data show. In mid-2018 the numbers began to skyrocket, reaching 441 deaths in 2019. And in 2020, \u003ca href=\"https://sf.gov/data/covid-19-cases-and-deaths#total-cases-and-deaths\">a whopping 712 people fatally overdosed\u003c/a>, more than double the number of people here who died from COVID-19 during that same period.\u003c/p>\n\u003cp>The vast majority of those deaths — almost three-quarters —involved fentanyl.\u003c/p>\n\u003cp>The death toll would have been even higher if not for \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">the wide availability of Narcan here\u003c/a>. Well over 3,000 people said they used Narcan in the city in 2020, a self-reported figure. Officials say the real figure is probably far higher.\u003c/p>\n\u003cp>But health and fire department officials here, Mason says, noticed something else important: Almost half of all who died of an overdose were treated or revived by a paramedic crew in the days or weeks before their deaths, a big signal they were headed for repeat trouble.\u003c/p>\n\u003cp>“Surviving a nonfatal overdose is one of the best predictors of future mortality. Anyone who survives a nonfatal overdose is a huge red flag for us, and that is what this program is about,” he says.\u003c/p>\n\u003cp>A key goal is trying to bring the clinic to the patients: rapid, face-to-face follow-up outreach on the street.\u003c/p>\n\u003cp>“We go out, we look for them, we say, ‘Hey, let’s talk about yesterday,'” says city health department nurse practitioner Kevin Lagor, as he drives through the Tenderloin neighborhood, where many of his clients live. He’s a program lead with SORT’s outreach arm.\u003c/p>\n\u003cp>The goal is to reach back out within 24 to 72 hours of an overdose to try to assist the person with everything from housing to treatment.\u003c/p>\n\u003cp>“That could be providing medical care to address their mental illness. Maybe they’re out of their meds, or maybe they want to start something to address their substance use disorder,” he says. “Just kind of, basically, meeting them where they are and seeing what they need and how we can help them.”\u003c/p>\n\u003cp>But to meet them where they are, the nurse teams first have to find them.\u003c/p>\n\u003cp>It’s a huge challenge. Many of them are unhoused, living in tents on the street or in and out of shelters.\u003c/p>\n\u003cp>The overdose and substance use disorder crisis is directly linked to the city’s epic struggles with homelessness and related challenges including mental illness. Almost 30% of all overdose deaths here are among people experiencing homelessness or people “with no fixed address.” \u003ca href=\"https://www.npr.org/2020/10/19/924146486/removing-cops-from-behavioral-crisis-calls-we-need-to-change-the-model\">SORT collaborates closely with the city’s other programs\u003c/a>, including street medicine and new mental health and homeless street crisis response units.\u003c/p>\n\u003cfigure id=\"attachment_11895030\" class=\"wp-caption aligncenter\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895030 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-5.jpg\" alt=\"A person stands in the middle of a crosswalk looking up the street and at a row of tents on each sidewalk.\" width=\"1224\" height=\"918\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-160x120.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">People live in tents that line a side street in the Tenderloin District. More than 40% of all drug overdoses are in the Tenderloin and neighboring SoMa districts, according to city data. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>City data shows that men were almost four times more likely to die of an accidental overdose than women. And unhoused people, older San Franciscans and communities of color were disproportionately affected by the death rate: Almost a quarter of all overdose deaths were among Black San Franciscans, who make up just under 6% of the city’s population.\u003c/p>\n\u003cp>More than 40% of all overdose deaths in the last year have been concentrated in two neighborhoods: the South of Market area and the Tenderloin, according to data from the city and county chief medical examiner’s office. Those areas make up just 7% of the city’s population.\u003c/p>\n\u003cp>While drug deaths hit every sector of society, many who overdosed were found in city-funded hotel rooms for unhoused residents and in apartment buildings for those with low incomes.\u003c/p>\n\u003cp>“We have to remember that this is a social crisis at the intersection, particularly in San Francisco, of a housing crisis, of a mental health crisis, of people living at the margins of society,” says Dr. Dan Ciccarone, a professor and researcher at University of California, San Francisco.\u003c/p>\n\u003cp>Open-air drug use and dealing in the Tenderloin, an area long challenged by poverty, homelessness and addiction crises, has only worsened during the pandemic. It’s common, day or night, to see people smoking or shooting up opioids or nodding out from drug use.\u003c/p>\n\u003cp>One 32-year-old man named Neil (we’re not using his last name because of the stigma of addiction) says he’s been living on the streets, mainly in the Tenderloin, for three years now.\u003c/p>\n\u003cp>He says he uses fentanyl “to take the edge off” of his depression and chronic stomach pain. He occasionally sells drugs, he says, to get money to support his habit. He soon crushes a small amount of fentanyl into a piece of tinfoil and begins to smoke the drug.\u003c/p>\n\u003cfigure id=\"attachment_11895055\" class=\"wp-caption alignnone\" style=\"max-width: 1229px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895055 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-6.jpg\" alt=\"Two people wearing face masks stand outside a white van parked alongside a mural as they look through papers and plastic bags in their hands. It looks like early morning.\" width=\"1229\" height=\"921\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6.jpg 1229w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-160x120.jpg 160w\" sizes=\"auto, (max-width: 1229px) 100vw, 1229px\">\u003cfigcaption class=\"wp-caption-text\">City public health department nurses Kevin Lagor and Louise Bisby, part of new mobile outreach teams, get supplies out of their SUV to bring to people who have recently survived a drug overdose. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Follow-up work by nurses is full of challenges\u003c/h3>\n\u003cp>On a recent day, nurse Lagor has half a dozen clients listed on his clipboard. He can’t find a single person.\u003c/p>\n\u003cp>“So we’ll just kind of keep following up with the staff at the shelter,” he says in the lobby of one facility, having been unable to find a client.\u003c/p>\n\u003cp>The same happens at a makeshift tent encampment behind a local Best Buy.\u003c/p>\n\u003cp>Outside another shelter, Lagor and his team strike out again trying to find a young man they thought they were making progress with. They’d recently written him a prescription for a supply of buprenorphine.\u003c/p>\n\u003cp>“He hasn’t been here in a couple of days,” Lagor says, disappointed.\u003c/p>\n\u003cp>“It is a bad sign. Sometimes folks disappear for a couple days and then resurface,” he says. “Then they disappear, or it just falls apart.”\u003c/p>\n\u003cp>And when it all falls apart, it can hit Lagor and the rest of his team hard.\u003c/p>\n\u003cp>“It’s a lot of death and they’re not strangers. You know, we’ve had a couple of deaths this week and we’ve, we shed tears together,” Lagor says. “It’s hard not to care about someone when you’re really trying to help them.”\u003c/p>\n\u003cp>Addiction and public health experts say these mobile, nonpolice teams mark a much-needed pivot for the city.\u003c/p>\n\u003cp>“It’s bold and it’s innovative. I like it,” says Ciccarone, a professor of medicine at UC San Francisco and a leading expert on drug use, people who use drugs and heroin. “We need to bring in some innovations here because fentanyl is a wild card and it has caught us all by surprise. That’s what we need to do in a crisis situation: Think creatively.”\u003c/p>\n\u003cp>But Ciccarone cautions that the ravages of fentanyl and its complex stew of related challenges mean the city needs to scale up this new street overdose response program and continue to try to break down obstacles to treatment that include bureaucratic silos, turf battles and funding woes.\u003c/p>\n\u003cp>“It’s definitely not enough,” he says. “We have to make sure that harm reduction is adequately funded, that our mental health system, our substance treatment system, our housing systems are adequately funded.”\u003c/p>\n\u003cp>So far, just two months since the program’s launch, 10% of those encountered by the SORT teams who’ve overdosed are now getting medication-assisted treatment for opioid use disorder. That includes buprenorphine or suboxone in collaboration with city’s street medicine nurses.\u003c/p>\n\u003cp>“I’m proud of that number,” Capt. Mason says, “and I very much look forward to increasing that.”\u003c/p>\n\u003cp>To get that number even higher, the fire department has applied to the state EMS agency to allow paramedics to more easily administer and prescribe those treatment drugs directly in the field.\u003c/p>\n\u003cp>Despite a recent slight drop in monthly fatalities the city looks to end 2021 with \u003ca href=\"https://sf.gov/sites/default/files/2021-10/2021%2010_OCME%20Overdose%20Report.pdf\">more than 700 overdose deaths for the second year in a row.\u003c/a> Unfortunately, Kunins, the city’s director of behavioral health services, says San Francisco is “on track to continue this really tragic loss of life.”\u003c/p>\n\u003cfigure id=\"attachment_11895040\" class=\"wp-caption alignnone\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895040 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-8.jpg\" alt=\"A uniformed man in black pants, black boots, and a white short-sleeved shirt with a red-and-yellow insignia sewn on the sleeve opens the back door of an ambulance parked in the middle of a street.\" width=\"1224\" height=\"918\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-160x120.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">Fire Department Capt. Michael Mason with the city’s Street Overdose Response Team arrives at the scene of a reported drug overdose in downtown San Francisco. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Paramedics on the team look for small victories\u003c/h3>\n\u003cp>Back on the street, another call comes in from the 911 dispatcher for a possible overdose. A middle-aged woman has been found slumped over in a McDonald’s bathroom across town in the Fillmore district.\u003c/p>\n\u003cp>Capt. Mason’s occasional staccato siren squawks aren’t working on a handful of drivers and pedestrians in heavy rush-hour traffic. So he hits his lights and sirens full bore.\u003c/p>\n\u003cp>When they arrive, the woman tells the paramedics she has relapsed after several months of sobriety.\u003c/p>\n\u003cp>The heroin she bought, Mason says, was likely laced with fentanyl. Narcan saved her.\u003c/p>\n\u003cp>Inside the ambulance, Mason says, the woman handed paramedics a crumpled, greasy brown fast-food bag and asked that they get rid of it.\u003c/p>\n\u003cp>“There were some clean syringes in there and what appeared to be small bags of heroin,” he says.\u003c/p>\n\u003cp>Mason finds out she was already part of a medication-assisted treatment program using suboxone. He says she told them that she wants to get sober again.\u003c/p>\n\u003cp>“She was feeling extreme shame from experiencing a relapse,” he says. “Substance use disorder impacts millions of Americans. There’s no shame in having a relapse.”\u003c/p>\n\u003cp>He hopes she restarts her suboxone treatment quickly.\u003c/p>\n\u003cp>“As for today,” Mason says, “and as for surrendering those items and requesting they be disposed of, my hat’s off to her.”\u003c/p>\n\u003cp>The paramedics and nurses involved in this pilot project are dedicated to this difficult work. But all say working across multiple city agencies, treatment centers, health providers and nonprofits can be exhausting.\u003c/p>\n\u003cp>“It’s complicated,” Mason says with a sigh, “it takes work from dozens of folks in a single encounter.”\u003c/p>\n\u003cp>How does he handle the strain of 12-hour shifts filled racing from overdose to overdose, including to some who seemingly don’t want help and others who don’t survive?\u003c/p>\n\u003cp>“For my own mental health, I have to kind of remain an optimistic warrior,” he says, driving his fire department pickup through rush hour traffic. “There’s a quote in the Talmud that says — I won’t get it exactly right — but essentially says, ‘You don’t have to end this work, but you do have to start it.'”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Facing an unprecedented increase in overdose deaths, specifically due to fentanyl, emergency response teams in San Francisco are working together to offer a broad range of support directly following an overdose.",
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"title": "San Francisco's Street Overdose Response Team Is Trying to Bring Clinical Care to the Streets | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It’s a sun-filled, fall day and Nicholas is strapped to an ambulance gurney near 8th and Market streets in downtown San Francisco, dazed and barely conscious. Plastic IV tubes snake around his left hand where L-O-V-E is tattooed just below his knuckles.\u003c/p>\n\u003cp>“Nicholas, try to wake up a little bit for me, come on,” paramedic Paula Fartash coaxes, as she unsuccessfully tries to rouse him.\u003c/p>\n\u003cp>Nicholas (we’re not using his last name because of the stigma of addiction) tells Fartash that when he started getting high in nearby U.N. Plaza park, he assumed he was smoking his drug of choice.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This gentleman thought that he was doing meth,” the veteran San Francisco Fire Department paramedic says. “And turned out he was actually doing fentanyl as well,” the synthetic opioid many times more powerful than heroin. “So he walked over to someone and they gave him some Narcan.”\u003c/p>\n\u003cp>That’s the brand name for naloxone, the emergency nasal spray drug used to try to reverse an otherwise potentially fatal overdose. That someone who administered a life-saving antidote was a nearby volunteer and street cleaner carrying Narcan, \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">part of a city-supported program\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11895057\" class=\"wp-caption alignnone\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895057 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-9.jpg\" alt=\"The inside of an ambulance, where only the arm and tattooed hand and a bit of the torso of someone who is receiving care is visible. The person receiving care has many tattoos.\" width=\"1224\" height=\"816\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-9-160x107.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">A man named Nicholas gets care in an ambulance after overdosing in San Francisco’s Civic Center. He told members of the emergency response team that when he started getting high, he assumed he was smoking meth. However, it turned out that he was unknowingly consuming fentanyl as well. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>San Francisco has among the highest per capita drug overdose death rates of any city in the U.S.\u003c/h3>\n\u003cp>Faced with a stunning rise in drug overdose deaths the last few years, the vast majority tied to fentanyl, San Francisco has launched mobile teams made up of paramedics and nurses. The new Street Overdose Response Team (SORT), a collaboration between the city’s health and fire departments, aims to deliver a broad range of support and care directly following an overdose.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Fentanyl is a game changer,” \u003ca href=\"https://sfmayor.org/article/mayor-london-breed-announces-new-director-behavioral-health-services-and-mental-health-sf\">Dr. Hillary Kunins\u003c/a>, the city’s director of behavioral and mental health services, says of the opioid that’s 80 to 100 times stronger than morphine. “It requires a new way of thinking and resourcing.” It also, she says, “requires people to learn to work across disciplines and sometimes across organizations.”\u003c/p>\n\u003cp>Kunins previously led New York City’s response to its overdose and substance abuse crisis. She concedes they aren’t sure what combination of tools, ultimately, will work best here to not only reduce fentanyl- and other drug-related deaths but also to boost treatment success rates.\u003c/p>\n\u003cp>So the street overdose pilot project is part of a broad and ambitious strategy of interventions across city agencies.\u003c/p>\n\u003cp>“There is no single approach that’s going to solve this complex problem,” Kunins says. “What’s exciting and important about the work is that it is really part of a movement across the country to rethink how we address people who are at risk of overdose, who have ongoing other challenges: mental health, housing, food. And we must do this work to scale.”\u003c/p>\n\u003ch3>\u003cstrong>Fentanyl forced city officials to change how they approached harm reduction\u003c/strong>\u003c/h3>\n\u003cp>Capt. Michael Mason, a paramedic, is the fire department’s point person on the new program. As he races to the call for Nicholas’s overdose, he’s simultaneously coordinating with other paramedics.\u003c/p>\n\u003cp>“So starting directly at the scene of this overdose, we can start trying to direct this guy’s care in the best direction possible,” Mason says.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That direct engagement could include helping to find a shelter bed, reaching out to friends or a doctor, helping with food or, most importantly, seeing if a person wants to start treatment with buprenorphine or suboxone, a medication-assisted therapy for opioid dependence.\u003c/p>\n\u003cp>“Get this individual suboxone, stabilize him at the [emergency department], by that afternoon they can be in a treatment program,” Mason says, “All in the context of a 911 incident.”\u003c/p>\n\u003cp>For many years San Francisco has championed a harm-reduction public health approach to lowering drug deaths and injury. The city, known for its relative tolerance of illicit drug use, was a trailblazer of clean syringe access and distribution of life-saving naloxone kits, as well as boosting access to the treatment drugs methadone and buprenorphine.\u003c/p>\n\u003cp>But when fentanyl hit hard here starting a few years ago, the overdose crisis spiraled and the city was forced to rethink its approach. Free Narcan and syringes weren’t enough.\u003c/p>\n\u003cp>“If fentanyl is in the drugs that you’re using, your risk of overdose triples,” Capt. Mason says, adding that the drug is now tainting most every street narcotic here: meth, cocaine, heroin and fake opioid pills.\u003c/p>\n\u003cfigure id=\"attachment_11895039\" class=\"wp-caption alignnone\" style=\"max-width: 1228px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895039 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-3.jpg\" alt=\"A person knocks on the front door of an apartment on the second, outdoor floor of a multistory building.\" width=\"1228\" height=\"920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3.jpg 1228w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-800x599.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-3-160x120.jpg 160w\" sizes=\"auto, (max-width: 1228px) 100vw, 1228px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco Department of Public Health nurses with the city’s new mobile outreach teams say following up with people who’ve recently survived a drug overdose is a key part of the program. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Surviving an overdose\u003c/h3>\n\u003cp>Pandemic isolation and lockdowns — people using alone with no one to administer life-saving Narcan — only partially explain the historic rise in overdose deaths here.\u003c/p>\n\u003cp>The \u003ca href=\"https://sf.gov/resource/2020/ocme-accidental-overdose-reports\">drug death rate, in fact, had been trending higher\u003c/a> well before that, city medical examiner data show. In mid-2018 the numbers began to skyrocket, reaching 441 deaths in 2019. And in 2020, \u003ca href=\"https://sf.gov/data/covid-19-cases-and-deaths#total-cases-and-deaths\">a whopping 712 people fatally overdosed\u003c/a>, more than double the number of people here who died from COVID-19 during that same period.\u003c/p>\n\u003cp>The vast majority of those deaths — almost three-quarters —involved fentanyl.\u003c/p>\n\u003cp>The death toll would have been even higher if not for \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">the wide availability of Narcan here\u003c/a>. Well over 3,000 people said they used Narcan in the city in 2020, a self-reported figure. Officials say the real figure is probably far higher.\u003c/p>\n\u003cp>But health and fire department officials here, Mason says, noticed something else important: Almost half of all who died of an overdose were treated or revived by a paramedic crew in the days or weeks before their deaths, a big signal they were headed for repeat trouble.\u003c/p>\n\u003cp>“Surviving a nonfatal overdose is one of the best predictors of future mortality. Anyone who survives a nonfatal overdose is a huge red flag for us, and that is what this program is about,” he says.\u003c/p>\n\u003cp>A key goal is trying to bring the clinic to the patients: rapid, face-to-face follow-up outreach on the street.\u003c/p>\n\u003cp>“We go out, we look for them, we say, ‘Hey, let’s talk about yesterday,'” says city health department nurse practitioner Kevin Lagor, as he drives through the Tenderloin neighborhood, where many of his clients live. He’s a program lead with SORT’s outreach arm.\u003c/p>\n\u003cp>The goal is to reach back out within 24 to 72 hours of an overdose to try to assist the person with everything from housing to treatment.\u003c/p>\n\u003cp>“That could be providing medical care to address their mental illness. Maybe they’re out of their meds, or maybe they want to start something to address their substance use disorder,” he says. “Just kind of, basically, meeting them where they are and seeing what they need and how we can help them.”\u003c/p>\n\u003cp>But to meet them where they are, the nurse teams first have to find them.\u003c/p>\n\u003cp>It’s a huge challenge. Many of them are unhoused, living in tents on the street or in and out of shelters.\u003c/p>\n\u003cp>The overdose and substance use disorder crisis is directly linked to the city’s epic struggles with homelessness and related challenges including mental illness. Almost 30% of all overdose deaths here are among people experiencing homelessness or people “with no fixed address.” \u003ca href=\"https://www.npr.org/2020/10/19/924146486/removing-cops-from-behavioral-crisis-calls-we-need-to-change-the-model\">SORT collaborates closely with the city’s other programs\u003c/a>, including street medicine and new mental health and homeless street crisis response units.\u003c/p>\n\u003cfigure id=\"attachment_11895030\" class=\"wp-caption aligncenter\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895030 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-5.jpg\" alt=\"A person stands in the middle of a crosswalk looking up the street and at a row of tents on each sidewalk.\" width=\"1224\" height=\"918\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-5-160x120.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">People live in tents that line a side street in the Tenderloin District. More than 40% of all drug overdoses are in the Tenderloin and neighboring SoMa districts, according to city data. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>City data shows that men were almost four times more likely to die of an accidental overdose than women. And unhoused people, older San Franciscans and communities of color were disproportionately affected by the death rate: Almost a quarter of all overdose deaths were among Black San Franciscans, who make up just under 6% of the city’s population.\u003c/p>\n\u003cp>More than 40% of all overdose deaths in the last year have been concentrated in two neighborhoods: the South of Market area and the Tenderloin, according to data from the city and county chief medical examiner’s office. Those areas make up just 7% of the city’s population.\u003c/p>\n\u003cp>While drug deaths hit every sector of society, many who overdosed were found in city-funded hotel rooms for unhoused residents and in apartment buildings for those with low incomes.\u003c/p>\n\u003cp>“We have to remember that this is a social crisis at the intersection, particularly in San Francisco, of a housing crisis, of a mental health crisis, of people living at the margins of society,” says Dr. Dan Ciccarone, a professor and researcher at University of California, San Francisco.\u003c/p>\n\u003cp>Open-air drug use and dealing in the Tenderloin, an area long challenged by poverty, homelessness and addiction crises, has only worsened during the pandemic. It’s common, day or night, to see people smoking or shooting up opioids or nodding out from drug use.\u003c/p>\n\u003cp>One 32-year-old man named Neil (we’re not using his last name because of the stigma of addiction) says he’s been living on the streets, mainly in the Tenderloin, for three years now.\u003c/p>\n\u003cp>He says he uses fentanyl “to take the edge off” of his depression and chronic stomach pain. He occasionally sells drugs, he says, to get money to support his habit. He soon crushes a small amount of fentanyl into a piece of tinfoil and begins to smoke the drug.\u003c/p>\n\u003cfigure id=\"attachment_11895055\" class=\"wp-caption alignnone\" style=\"max-width: 1229px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895055 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-6.jpg\" alt=\"Two people wearing face masks stand outside a white van parked alongside a mural as they look through papers and plastic bags in their hands. It looks like early morning.\" width=\"1229\" height=\"921\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6.jpg 1229w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-1020x764.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-6-160x120.jpg 160w\" sizes=\"auto, (max-width: 1229px) 100vw, 1229px\">\u003cfigcaption class=\"wp-caption-text\">City public health department nurses Kevin Lagor and Louise Bisby, part of new mobile outreach teams, get supplies out of their SUV to bring to people who have recently survived a drug overdose. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Follow-up work by nurses is full of challenges\u003c/h3>\n\u003cp>On a recent day, nurse Lagor has half a dozen clients listed on his clipboard. He can’t find a single person.\u003c/p>\n\u003cp>“So we’ll just kind of keep following up with the staff at the shelter,” he says in the lobby of one facility, having been unable to find a client.\u003c/p>\n\u003cp>The same happens at a makeshift tent encampment behind a local Best Buy.\u003c/p>\n\u003cp>Outside another shelter, Lagor and his team strike out again trying to find a young man they thought they were making progress with. They’d recently written him a prescription for a supply of buprenorphine.\u003c/p>\n\u003cp>“He hasn’t been here in a couple of days,” Lagor says, disappointed.\u003c/p>\n\u003cp>“It is a bad sign. Sometimes folks disappear for a couple days and then resurface,” he says. “Then they disappear, or it just falls apart.”\u003c/p>\n\u003cp>And when it all falls apart, it can hit Lagor and the rest of his team hard.\u003c/p>\n\u003cp>“It’s a lot of death and they’re not strangers. You know, we’ve had a couple of deaths this week and we’ve, we shed tears together,” Lagor says. “It’s hard not to care about someone when you’re really trying to help them.”\u003c/p>\n\u003cp>Addiction and public health experts say these mobile, nonpolice teams mark a much-needed pivot for the city.\u003c/p>\n\u003cp>“It’s bold and it’s innovative. I like it,” says Ciccarone, a professor of medicine at UC San Francisco and a leading expert on drug use, people who use drugs and heroin. “We need to bring in some innovations here because fentanyl is a wild card and it has caught us all by surprise. That’s what we need to do in a crisis situation: Think creatively.”\u003c/p>\n\u003cp>But Ciccarone cautions that the ravages of fentanyl and its complex stew of related challenges mean the city needs to scale up this new street overdose response program and continue to try to break down obstacles to treatment that include bureaucratic silos, turf battles and funding woes.\u003c/p>\n\u003cp>“It’s definitely not enough,” he says. “We have to make sure that harm reduction is adequately funded, that our mental health system, our substance treatment system, our housing systems are adequately funded.”\u003c/p>\n\u003cp>So far, just two months since the program’s launch, 10% of those encountered by the SORT teams who’ve overdosed are now getting medication-assisted treatment for opioid use disorder. That includes buprenorphine or suboxone in collaboration with city’s street medicine nurses.\u003c/p>\n\u003cp>“I’m proud of that number,” Capt. Mason says, “and I very much look forward to increasing that.”\u003c/p>\n\u003cp>To get that number even higher, the fire department has applied to the state EMS agency to allow paramedics to more easily administer and prescribe those treatment drugs directly in the field.\u003c/p>\n\u003cp>Despite a recent slight drop in monthly fatalities the city looks to end 2021 with \u003ca href=\"https://sf.gov/sites/default/files/2021-10/2021%2010_OCME%20Overdose%20Report.pdf\">more than 700 overdose deaths for the second year in a row.\u003c/a> Unfortunately, Kunins, the city’s director of behavioral health services, says San Francisco is “on track to continue this really tragic loss of life.”\u003c/p>\n\u003cfigure id=\"attachment_11895040\" class=\"wp-caption alignnone\" style=\"max-width: 1224px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11895040 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-8.jpg\" alt=\"A uniformed man in black pants, black boots, and a white short-sleeved shirt with a red-and-yellow insignia sewn on the sleeve opens the back door of an ambulance parked in the middle of a street.\" width=\"1224\" height=\"918\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8.jpg 1224w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/11/NPR-fentanyl-8-160x120.jpg 160w\" sizes=\"auto, (max-width: 1224px) 100vw, 1224px\">\u003cfigcaption class=\"wp-caption-text\">Fire Department Capt. Michael Mason with the city’s Street Overdose Response Team arrives at the scene of a reported drug overdose in downtown San Francisco. \u003ccite>(Rachel Bujalski for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Paramedics on the team look for small victories\u003c/h3>\n\u003cp>Back on the street, another call comes in from the 911 dispatcher for a possible overdose. A middle-aged woman has been found slumped over in a McDonald’s bathroom across town in the Fillmore district.\u003c/p>\n\u003cp>Capt. Mason’s occasional staccato siren squawks aren’t working on a handful of drivers and pedestrians in heavy rush-hour traffic. So he hits his lights and sirens full bore.\u003c/p>\n\u003cp>When they arrive, the woman tells the paramedics she has relapsed after several months of sobriety.\u003c/p>\n\u003cp>The heroin she bought, Mason says, was likely laced with fentanyl. Narcan saved her.\u003c/p>\n\u003cp>Inside the ambulance, Mason says, the woman handed paramedics a crumpled, greasy brown fast-food bag and asked that they get rid of it.\u003c/p>\n\u003cp>“There were some clean syringes in there and what appeared to be small bags of heroin,” he says.\u003c/p>\n\u003cp>Mason finds out she was already part of a medication-assisted treatment program using suboxone. He says she told them that she wants to get sober again.\u003c/p>\n\u003cp>“She was feeling extreme shame from experiencing a relapse,” he says. “Substance use disorder impacts millions of Americans. There’s no shame in having a relapse.”\u003c/p>\n\u003cp>He hopes she restarts her suboxone treatment quickly.\u003c/p>\n\u003cp>“As for today,” Mason says, “and as for surrendering those items and requesting they be disposed of, my hat’s off to her.”\u003c/p>\n\u003cp>The paramedics and nurses involved in this pilot project are dedicated to this difficult work. But all say working across multiple city agencies, treatment centers, health providers and nonprofits can be exhausting.\u003c/p>\n\u003cp>“It’s complicated,” Mason says with a sigh, “it takes work from dozens of folks in a single encounter.”\u003c/p>\n\u003cp>How does he handle the strain of 12-hour shifts filled racing from overdose to overdose, including to some who seemingly don’t want help and others who don’t survive?\u003c/p>\n\u003cp>“For my own mental health, I have to kind of remain an optimistic warrior,” he says, driving his fire department pickup through rush hour traffic. “There’s a quote in the Talmud that says — I won’t get it exactly right — but essentially says, ‘You don’t have to end this work, but you do have to start it.'”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco plans to extend through September 2022 \u003ca href=\"https://sfgov.org/sheltermonitoring/sites/default/files/SIP%20Hotel%20-%20Operations%20Manual%20%26%20Guidance%20Updated%20201216.pdf\">a shelter-in-place program\u003c/a> that provides hotel rooms for unhoused people, city officials announced Thursday.\u003c/p>\n\u003cp>The decision comes a month after advocates for people experiencing homelessness \u003ca href=\"https://www.kqed.org/news/11887851/lives-are-on-the-line-advocates-call-on-sf-to-keep-hotels-open-for-homeless-residents\">protested in front of City Hall\u003c/a>, calling for a continuation of the program that has now served over 3,700 residents since it began in April 2020.\u003c/p>\n\u003cp>San Francisco’s Department of Homelessness and Supportive Housing began phasing out the program — part of \u003ca href=\"https://www.cdss.ca.gov/inforesources/cdss-programs/housing-programs/project-roomkey\">Project Roomkey\u003c/a>, a statewide homelessness relief initiative — in June, when COVID-19 infection rates in San Francisco were declining. Since then, the city has closed six of 25 hotel sites.\u003c/p>\n\u003cp>The city had planned to incrementally phase out the remaining locations through next June, saying it lacked the funds to continue operating them beyond then.\u003c/p>\n\u003cp>The announcement of the three-month extension follows the Federal Emergency Management Agency’s authorization of an additional $46 million for the program, with the city putting up an extra $21 million.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In addition to wellness checks and health screenings, the hotel program provides a variety of services, including harm reduction counseling, nursing support, meals, security, laundry and assistance securing public benefits and planning for next steps.\u003c/p>\n\u003cp>Dominique Griffin, who helped organize last month’s protest, participated in a related shelter-in-place program after losing her job early on in the pandemic. She and her two children were able to stay for free for a year at the Oasis Inn near City Hall.[aside postID=\"news_11887851\" label=\"Related Post\"]\u003c/p>\n\u003cp>“If it wasn’t for that hotel, I’d be out on the streets in a tent as well, with my children,” she said.\u003c/p>\n\u003cp>Griffin and her family have since moved into a subsidized two-bedroom apartment in the East Bay city of Pittsburg, which was arranged for her by a San Francisco housing case manager.\u003c/p>\n\u003cp>City officials say they’re focusing on providing stable housing to the roughly 1,400 current hotel residents in the program. To meet that goal, they say they will need to move about 35 to 40 people a week into permanent housing over the next year.\u003c/p>\n\u003cp>Since the program’s inception last year, 729 participants have been rehoused, according to the city’s Department of Homelessness and Supportive Housing, which oversees it.\u003c/p>\n\u003cp>“It takes significant city and nonprofit staffing to move people from the hotels into housing,” said Emily Cohen, a spokesperson for the department. “It’s not a quick process. And so we really need to have the capacity and the workers to do this process. Any delays will just result in a tremendous crisis at the end of the program.”\u003c/p>\n\u003cp>Cohen said the program’s extension buys the city more time to move as many people as possible into stable housing.\u003c/p>\n\u003cp>“The most stabilizing thing we can do if someone is not yet linked with that right unit for them and has accepted that placement is to keep them in a SIP hotel where they can continue to engage with their housing navigators,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Kate Wolffe and Spencer Whitney contributed reporting to this story. \u003c/em>\u003c/p>\n\n",
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"excerpt": "San Francisco plans to extend its shelter-in-place hotel program for unhoused people through September 2022, with the goal of moving some 1,400 current participants into permanent housing.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco plans to extend through September 2022 \u003ca href=\"https://sfgov.org/sheltermonitoring/sites/default/files/SIP%20Hotel%20-%20Operations%20Manual%20%26%20Guidance%20Updated%20201216.pdf\">a shelter-in-place program\u003c/a> that provides hotel rooms for unhoused people, city officials announced Thursday.\u003c/p>\n\u003cp>The decision comes a month after advocates for people experiencing homelessness \u003ca href=\"https://www.kqed.org/news/11887851/lives-are-on-the-line-advocates-call-on-sf-to-keep-hotels-open-for-homeless-residents\">protested in front of City Hall\u003c/a>, calling for a continuation of the program that has now served over 3,700 residents since it began in April 2020.\u003c/p>\n\u003cp>San Francisco’s Department of Homelessness and Supportive Housing began phasing out the program — part of \u003ca href=\"https://www.cdss.ca.gov/inforesources/cdss-programs/housing-programs/project-roomkey\">Project Roomkey\u003c/a>, a statewide homelessness relief initiative — in June, when COVID-19 infection rates in San Francisco were declining. Since then, the city has closed six of 25 hotel sites.\u003c/p>\n\u003cp>The city had planned to incrementally phase out the remaining locations through next June, saying it lacked the funds to continue operating them beyond then.\u003c/p>\n\u003cp>The announcement of the three-month extension follows the Federal Emergency Management Agency’s authorization of an additional $46 million for the program, with the city putting up an extra $21 million.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In addition to wellness checks and health screenings, the hotel program provides a variety of services, including harm reduction counseling, nursing support, meals, security, laundry and assistance securing public benefits and planning for next steps.\u003c/p>\n\u003cp>Dominique Griffin, who helped organize last month’s protest, participated in a related shelter-in-place program after losing her job early on in the pandemic. She and her two children were able to stay for free for a year at the Oasis Inn near City Hall.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“If it wasn’t for that hotel, I’d be out on the streets in a tent as well, with my children,” she said.\u003c/p>\n\u003cp>Griffin and her family have since moved into a subsidized two-bedroom apartment in the East Bay city of Pittsburg, which was arranged for her by a San Francisco housing case manager.\u003c/p>\n\u003cp>City officials say they’re focusing on providing stable housing to the roughly 1,400 current hotel residents in the program. To meet that goal, they say they will need to move about 35 to 40 people a week into permanent housing over the next year.\u003c/p>\n\u003cp>Since the program’s inception last year, 729 participants have been rehoused, according to the city’s Department of Homelessness and Supportive Housing, which oversees it.\u003c/p>\n\u003cp>“It takes significant city and nonprofit staffing to move people from the hotels into housing,” said Emily Cohen, a spokesperson for the department. “It’s not a quick process. And so we really need to have the capacity and the workers to do this process. Any delays will just result in a tremendous crisis at the end of the program.”\u003c/p>\n\u003cp>Cohen said the program’s extension buys the city more time to move as many people as possible into stable housing.\u003c/p>\n\u003cp>“The most stabilizing thing we can do if someone is not yet linked with that right unit for them and has accepted that placement is to keep them in a SIP hotel where they can continue to engage with their housing navigators,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Kate Wolffe and Spencer Whitney contributed reporting to this story. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Could a Strip of Dilapidated SoCal Motels Become a Bastion of New Housing for the Unhoused?",
"title": "Could a Strip of Dilapidated SoCal Motels Become a Bastion of New Housing for the Unhoused?",
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"content": "\u003cp>Beach Boulevard in Orange County is an eight-lane monster of a thoroughfare, packed full of decaying 1950s-era motels with names like the Jade Palace, the Robin Hood and the Riviera.\u003c/p>\n\u003cp>A half century ago these businesses were sleek symbols of America’s love affair with the open road, where families would pull in for a night or two while visiting nearby Disneyland or Knott’s Berry Farm.\u003c/p>\n\u003cp>But that legacy has long since faded.\u003c/p>\n\u003cp>“Honestly, they are about sex, drugs and violence,” said Marleta, a motel guest, while standing in a parking lot along Beach Boulevard.\u003c/p>\n\u003cp>Marleta, who said she didn’t want to give her last name because she she's embarrassed about her living situation, is unhoused. When she has the money, she rents a room at one of the motels on this strip, where she can take a hot shower, lock her door, and sleep in a real bed — even though she never finds the stays very restful.\u003c/p>\n\u003cp>“There’s a lot of prostitution, a lot of drugs and a lot of violence going on, all at the same time,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11892717\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.-4-scaled-e1634590281949.jpg\">\u003cimg class=\"wp-image-11892717 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.-4-scaled-e1634590281949.jpg\" alt=\"A woman with dirty knees, a headwrap, tank top, shorts, and boots poses in a parking lot next to an 8-lane road, with palm trees on the other side. \" width=\"1920\" height=\"1080\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Marleta, an unhoused Orange County resident, sometimes stays in motels on Beach Boulevard when she has enough money. \u003ccite>(Saul Gonzalez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But those conditions could soon improve as a result of a statewide program aimed at dramatically reducing homelessness in California.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"project-roomkey\"]Through the initiative, called \u003ca href=\"https://homekey.hcd.ca.gov/\">Homekey\u003c/a>, the state is distributing funds to local governments and nonprofit developers to buy aging motels and other business properties and turn them into housing units for the unhoused. Since July 2020, the project has spurred the creation of roughly 6,000 affordable housing units statewide, according to Gov. Gavin Newsom's office.\u003c/p>\n\u003cp>This coming fiscal year, the Newsom administration has said it wants to \u003ca href=\"https://www.gov.ca.gov/2021/09/09/newsom-administration-announces-2-75-billion-expansion-of-homekey/\">spend nearly $3 billion to create housing for some 14,000 unhoused people\u003c/a> — in what would be the largest single investment in new housing for the unhoused in California history.\u003c/p>\n\u003cp>Jamboree Housing Corporation, an Orange County nonprofit developer, recently received $26 million in Homekey funds to buy two motels along Beach Boulevard and turn them into long-term permanent housing for the unhoused, with on-site counseling services and security.\u003c/p>\n\u003cp>Michael Massie, the group’s chief housing development officer, says the sheer quantity of aging motels in Orange County offers enormous opportunities for creating housing.\u003c/p>\n\u003cp>He says the motels already serve as a kind of short-term housing for unhoused people — but that conditions are often squalid and dangerous.\u003c/p>\n\u003cfigure id=\"attachment_11892718\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-scaled.jpg\">\u003cimg class=\"wp-image-11892718 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-scaled.jpg\" alt='View through a chain-link fence of boarded up two-story motel across a parking lot; a sign says, \"Private Property/No Trespassing.\"' width=\"2560\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-scaled.jpg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-1536x864.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-2048x1152.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-1920x1080.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A boarded-up motel on Beach Boulevard in Orange County. \u003ccite>(Saul Gonzalez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We know that this is often housing of last resort,” said Massie. “So when people can’t pull everything together to enter the housing market, they’ll use motels as a place to live.”\u003c/p>\n\u003cp>Hoping to get additional money from another round of Homekey funding, Jamboree Housing is already eyeing 10 more distressed properties in the vicinity, many of them motels, to buy and develop into housing for the unhoused.\u003c/p>\n\u003cp>Massie says cities increasingly see Homekey as both a way to fight homelessness and improve blight.\u003c/p>\n\u003cp>“We’re getting phone calls and cities are calling us and asking, ‘How did you do that? How did you make that happen? We have these motels as well,’” Massie said.\u003c/p>\n\u003cp>Anaheim Mayor Harry Sidhu, whose city has many aging motel properties, is eager to get on board.\u003c/p>\n\u003cp>The city just refurbished one such former motel — a project called Buena Esperanza, which predates Homekey — where 70 units of housing will soon be available to the unhoused.\u003c/p>\n\u003cfigure id=\"attachment_11892719\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-scaled.jpg\">\u003cimg class=\"wp-image-11892719 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-scaled.jpg\" alt=\"Small one-room housing unit with bed, fridge, dresser and table.\" width=\"2560\" height=\"1920\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-scaled.jpg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-1920x1440.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">One of the rehabbed housing units in Buena Esperanza, a former Anaheim motel that will soon be available to unhoused people. \u003ccite>(Saul Gonzalez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sidhu says Anaheim can do many more of these conversions with funding from the state.\u003c/p>\n\u003cp>“I’m going to do as many as possible if the funding is available to get these people off the street and clean the neighborhood,” he said.\u003c/p>\n\u003cp>For Marleta, those projects can't come soon enough. She urges local and state officials to move fast and stick to ambitious plans, because the need is huge.\u003c/p>\n\u003cp>“I mean, I know it’s probably more complicated than that,” she said. “But it’s hard out here. They need to clean it up, and the first thing they need to do is give people somewhere to live.”\u003c/p>\n\u003cp>\u003cem>This story was a collaboration between KQED and KCRW in Santa Monica.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Beach Boulevard in Orange County is an eight-lane monster of a thoroughfare, packed full of decaying 1950s-era motels with names like the Jade Palace, the Robin Hood and the Riviera.\u003c/p>\n\u003cp>A half century ago these businesses were sleek symbols of America’s love affair with the open road, where families would pull in for a night or two while visiting nearby Disneyland or Knott’s Berry Farm.\u003c/p>\n\u003cp>But that legacy has long since faded.\u003c/p>\n\u003cp>“Honestly, they are about sex, drugs and violence,” said Marleta, a motel guest, while standing in a parking lot along Beach Boulevard.\u003c/p>\n\u003cp>Marleta, who said she didn’t want to give her last name because she she's embarrassed about her living situation, is unhoused. When she has the money, she rents a room at one of the motels on this strip, where she can take a hot shower, lock her door, and sleep in a real bed — even though she never finds the stays very restful.\u003c/p>\n\u003cp>“There’s a lot of prostitution, a lot of drugs and a lot of violence going on, all at the same time,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11892717\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.-4-scaled-e1634590281949.jpg\">\u003cimg class=\"wp-image-11892717 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.-4-scaled-e1634590281949.jpg\" alt=\"A woman with dirty knees, a headwrap, tank top, shorts, and boots poses in a parking lot next to an 8-lane road, with palm trees on the other side. \" width=\"1920\" height=\"1080\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Marleta, an unhoused Orange County resident, sometimes stays in motels on Beach Boulevard when she has enough money. \u003ccite>(Saul Gonzalez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But those conditions could soon improve as a result of a statewide program aimed at dramatically reducing homelessness in California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Through the initiative, called \u003ca href=\"https://homekey.hcd.ca.gov/\">Homekey\u003c/a>, the state is distributing funds to local governments and nonprofit developers to buy aging motels and other business properties and turn them into housing units for the unhoused. Since July 2020, the project has spurred the creation of roughly 6,000 affordable housing units statewide, according to Gov. Gavin Newsom's office.\u003c/p>\n\u003cp>This coming fiscal year, the Newsom administration has said it wants to \u003ca href=\"https://www.gov.ca.gov/2021/09/09/newsom-administration-announces-2-75-billion-expansion-of-homekey/\">spend nearly $3 billion to create housing for some 14,000 unhoused people\u003c/a> — in what would be the largest single investment in new housing for the unhoused in California history.\u003c/p>\n\u003cp>Jamboree Housing Corporation, an Orange County nonprofit developer, recently received $26 million in Homekey funds to buy two motels along Beach Boulevard and turn them into long-term permanent housing for the unhoused, with on-site counseling services and security.\u003c/p>\n\u003cp>Michael Massie, the group’s chief housing development officer, says the sheer quantity of aging motels in Orange County offers enormous opportunities for creating housing.\u003c/p>\n\u003cp>He says the motels already serve as a kind of short-term housing for unhoused people — but that conditions are often squalid and dangerous.\u003c/p>\n\u003cfigure id=\"attachment_11892718\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-scaled.jpg\">\u003cimg class=\"wp-image-11892718 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-scaled.jpg\" alt='View through a chain-link fence of boarded up two-story motel across a parking lot; a sign says, \"Private Property/No Trespassing.\"' width=\"2560\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-scaled.jpg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-1536x864.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-2048x1152.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Beach-Blvd.3JPG-1920x1080.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A boarded-up motel on Beach Boulevard in Orange County. \u003ccite>(Saul Gonzalez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We know that this is often housing of last resort,” said Massie. “So when people can’t pull everything together to enter the housing market, they’ll use motels as a place to live.”\u003c/p>\n\u003cp>Hoping to get additional money from another round of Homekey funding, Jamboree Housing is already eyeing 10 more distressed properties in the vicinity, many of them motels, to buy and develop into housing for the unhoused.\u003c/p>\n\u003cp>Massie says cities increasingly see Homekey as both a way to fight homelessness and improve blight.\u003c/p>\n\u003cp>“We’re getting phone calls and cities are calling us and asking, ‘How did you do that? How did you make that happen? We have these motels as well,’” Massie said.\u003c/p>\n\u003cp>Anaheim Mayor Harry Sidhu, whose city has many aging motel properties, is eager to get on board.\u003c/p>\n\u003cp>The city just refurbished one such former motel — a project called Buena Esperanza, which predates Homekey — where 70 units of housing will soon be available to the unhoused.\u003c/p>\n\u003cfigure id=\"attachment_11892719\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-scaled.jpg\">\u003cimg class=\"wp-image-11892719 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-scaled.jpg\" alt=\"Small one-room housing unit with bed, fridge, dresser and table.\" width=\"2560\" height=\"1920\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-scaled.jpg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2021/10/Rehabbed-Motel-Room.-1920x1440.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">One of the rehabbed housing units in Buena Esperanza, a former Anaheim motel that will soon be available to unhoused people. \u003ccite>(Saul Gonzalez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sidhu says Anaheim can do many more of these conversions with funding from the state.\u003c/p>\n\u003cp>“I’m going to do as many as possible if the funding is available to get these people off the street and clean the neighborhood,” he said.\u003c/p>\n\u003cp>For Marleta, those projects can't come soon enough. She urges local and state officials to move fast and stick to ambitious plans, because the need is huge.\u003c/p>\n\u003cp>“I mean, I know it’s probably more complicated than that,” she said. “But it’s hard out here. They need to clean it up, and the first thing they need to do is give people somewhere to live.”\u003c/p>\n\u003cp>\u003cem>This story was a collaboration between KQED and KCRW in Santa Monica.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"title": "'Lives Are on the Line': Advocates Call on SF to Keep Hotels Open for Unhoused Residents",
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"content": "\u003cp>Advocates for people experiencing homelessness in San Francisco are calling on the city to maintain its \u003ca href=\"https://sfgov.org/sheltermonitoring//sites/default/files/SIP%20Hotel%20-%20Operations%20Manual%20%26%20Guidance%20Updated%20201216.pdf\">shelter-in-place hotel program \u003c/a>and begin accepting people off the streets again.\u003c/p>\n\u003cp>A few dozen activists, who held a car caravan and rally outside City Hall Tuesday, praised the program, which has housed several thousand people experiencing homelessness in hotels since it began in April 2020 — and emphasized the need for its continuation, amid ongoing concern over the highly contagious delta variant.\u003c/p>\n\u003cp>“It’s pretty common knowledge that the delta variant is even more infectious than the original COVID variant, which created and brought people together to create these hotels,” said Lina Khouer, a UCSF medical student who’s part of a group called the Do No Harm Coalition, which helped organize the rally. “Right now we’re calling on the city to not close the hotels, but expand them to keep our communities safe and healthy.”\u003c/p>\n\u003cp>In June, as new COVID-19 infection rates in San Francisco plummeted, before the delta variant reared its head, the city’s Department of Homelessness and Supportive Housing began phasing out the hotel program, part of \u003ca href=\"https://www.cdss.ca.gov/inforesources/cdss-programs/housing-programs/project-roomkey\">Project Roomkey\u003c/a>, a statewide homeless relief initiative.\u003c/p>\n\u003cp>The city has so far closed five of 25 hotel locations, with another one scheduled to close at the end of this month. Officials say due to budget constraints, the city will continue incrementally shutting down hotels through the end of the program, slated for June 2022.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>More than 1,400 people are still staying in the remaining hotels, said Emily Cohen, a spokesperson for the Department of Homelessness and Supportive Housing, adding that the program does not have the capacity to continue accepting new people off the street. Doing so would also slow down efforts to rehouse people already in the program, she said.\u003c/p>\n\u003cp>“We are very full because we are moving very deliberately and intentionally to ensure that people are linked to permanent solutions,” Cohen said.\u003c/p>\n\u003cp>She said almost 600 people have been placed in permanent housing since the program started. However, it’s unclear where many of the more than 1,500 people who have left hotels over the course of the program have gone.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"homelessness\"]Advocates for people experiencing homeless argue that the city can afford to keep the hotels open longer, pointing to the Biden administration’s recent commitment to reimburse cities for certain COVID-19-related expenses, including hotel rooms, through the end of 2021.\u003c/p>\n\u003cp>But Cohen said San Francisco’s program is also reliant on the city’s general fund, which precludes keeping the hotels open past next June. The city, she added, is closing the hotels gradually to avoid “a humanitarian and logistical nightmare.”\u003c/p>\n\u003cp>“It takes significant city and nonprofit staffing to move people from the hotels into housing,” Cohen said. “It’s not a quick process. And so we really need to have the capacity and the workers to do this process. Any delays will just result in a tremendous crisis at the end of the program.”\u003c/p>\n\u003cp>Jennifer Friedenbach, executive director of the Coalition on Homelessness, said she understands why the city would want to phase out the program gradually, but that right now, “lives are on the line.”\u003c/p>\n\u003cp>“We have folks that are elders that are out there on the street still that have severe health conditions that would greatly benefit from being able to shelter in place inside a hotel,” she said. “They need the respite. It’s been a really transformative experience for the folks inside [the hotels]. The mortality rates have decreased significantly.”\u003c/p>\n\u003cp>Dominique Griffin, who helped organize Tuesday’s protest, participated in a related shelter-in-place program after losing her job early on in the pandemic. She and her two children were able to stay for free for a year at the Oasis Inn near City Hall.\u003c/p>\n\u003cp>“If it wasn’t for that hotel, I’d be out on the streets in a tent as well, with my children,” she said.\u003c/p>\n\u003cp>Now, Griffin and her family are moving into a subsidized two- bedroom apartment in the East Bay city of Pittsburg, an arrangement set up for her by a San Francisco housing case manager.\u003c/p>\n\u003cp>She said she wants other people in need to have the same steadying experience she was able to have over the past year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“If the funding is there, the need is always going to be there,” she said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Advocates for people experiencing homelessness in San Francisco are calling on the city to maintain its \u003ca href=\"https://sfgov.org/sheltermonitoring//sites/default/files/SIP%20Hotel%20-%20Operations%20Manual%20%26%20Guidance%20Updated%20201216.pdf\">shelter-in-place hotel program \u003c/a>and begin accepting people off the streets again.\u003c/p>\n\u003cp>A few dozen activists, who held a car caravan and rally outside City Hall Tuesday, praised the program, which has housed several thousand people experiencing homelessness in hotels since it began in April 2020 — and emphasized the need for its continuation, amid ongoing concern over the highly contagious delta variant.\u003c/p>\n\u003cp>“It’s pretty common knowledge that the delta variant is even more infectious than the original COVID variant, which created and brought people together to create these hotels,” said Lina Khouer, a UCSF medical student who’s part of a group called the Do No Harm Coalition, which helped organize the rally. “Right now we’re calling on the city to not close the hotels, but expand them to keep our communities safe and healthy.”\u003c/p>\n\u003cp>In June, as new COVID-19 infection rates in San Francisco plummeted, before the delta variant reared its head, the city’s Department of Homelessness and Supportive Housing began phasing out the hotel program, part of \u003ca href=\"https://www.cdss.ca.gov/inforesources/cdss-programs/housing-programs/project-roomkey\">Project Roomkey\u003c/a>, a statewide homeless relief initiative.\u003c/p>\n\u003cp>The city has so far closed five of 25 hotel locations, with another one scheduled to close at the end of this month. Officials say due to budget constraints, the city will continue incrementally shutting down hotels through the end of the program, slated for June 2022.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More than 1,400 people are still staying in the remaining hotels, said Emily Cohen, a spokesperson for the Department of Homelessness and Supportive Housing, adding that the program does not have the capacity to continue accepting new people off the street. Doing so would also slow down efforts to rehouse people already in the program, she said.\u003c/p>\n\u003cp>“We are very full because we are moving very deliberately and intentionally to ensure that people are linked to permanent solutions,” Cohen said.\u003c/p>\n\u003cp>She said almost 600 people have been placed in permanent housing since the program started. However, it’s unclear where many of the more than 1,500 people who have left hotels over the course of the program have gone.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Advocates for people experiencing homeless argue that the city can afford to keep the hotels open longer, pointing to the Biden administration’s recent commitment to reimburse cities for certain COVID-19-related expenses, including hotel rooms, through the end of 2021.\u003c/p>\n\u003cp>But Cohen said San Francisco’s program is also reliant on the city’s general fund, which precludes keeping the hotels open past next June. The city, she added, is closing the hotels gradually to avoid “a humanitarian and logistical nightmare.”\u003c/p>\n\u003cp>“It takes significant city and nonprofit staffing to move people from the hotels into housing,” Cohen said. “It’s not a quick process. And so we really need to have the capacity and the workers to do this process. Any delays will just result in a tremendous crisis at the end of the program.”\u003c/p>\n\u003cp>Jennifer Friedenbach, executive director of the Coalition on Homelessness, said she understands why the city would want to phase out the program gradually, but that right now, “lives are on the line.”\u003c/p>\n\u003cp>“We have folks that are elders that are out there on the street still that have severe health conditions that would greatly benefit from being able to shelter in place inside a hotel,” she said. “They need the respite. It’s been a really transformative experience for the folks inside [the hotels]. The mortality rates have decreased significantly.”\u003c/p>\n\u003cp>Dominique Griffin, who helped organize Tuesday’s protest, participated in a related shelter-in-place program after losing her job early on in the pandemic. She and her two children were able to stay for free for a year at the Oasis Inn near City Hall.\u003c/p>\n\u003cp>“If it wasn’t for that hotel, I’d be out on the streets in a tent as well, with my children,” she said.\u003c/p>\n\u003cp>Now, Griffin and her family are moving into a subsidized two- bedroom apartment in the East Bay city of Pittsburg, an arrangement set up for her by a San Francisco housing case manager.\u003c/p>\n\u003cp>She said she wants other people in need to have the same steadying experience she was able to have over the past year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“If the funding is there, the need is always going to be there,” she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Living unmedicated with schizophrenia and bipolar disorder, Eugenia Hunter has a hard time recalling how long she’s been staying in the tent she calls home at the bustling intersection of San Pablo Avenue and Martin Luther King Jr. Way in Oakland’s Uptown neighborhood. Craft coffee shops and weed dispensaries are plentiful here, and one-bedroom apartments push $3,000 per month.\u003c/p>\n\u003cp>“At least the rats aren’t all over me in here,” the 59-year-old Oakland native said on a bright August afternoon, stretching her arm to grab the zipper to her front door.\u003c/p>\n\u003cp>It was hot inside and the stench of wildfire smoke hung in the air. Still, after sleeping on a nearby bench for the better part of a year, she felt safer here, Hunter explained as she rolled a joint she’d use to ease the pain from also living with what she said is untreated pancreatic cancer.\u003c/p>\n\u003cfigure id=\"attachment_11887857\" class=\"wp-caption alignnone\" style=\"max-width: 1350px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11887857 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/Hunter03.jpg\" alt=\"Woman with no hair sits in door of a tent on a bedframe, looking tired.\" width=\"1350\" height=\"900\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter03.jpg 1350w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter03-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter03-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter03-160x107.jpg 160w\" sizes=\"auto, (max-width: 1350px) 100vw, 1350px\">\u003cfigcaption class=\"wp-caption-text\">Eugenia Hunter lives in Oakland’s Uptown neighborhood surrounded by upscale apartments and hip eateries. She can’t find a place she can afford on the $930 per month she receives in federal disability payments. \u003ccite>(Angela Hart/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hunter has been hospitalized repeatedly, including once last summer after she overdosed on alcohol and lay unconscious on a sidewalk until someone stopped to help. But she is reluctant to see a doctor or use Medi-Cal, California’s health insurance program for low-income and disabled people, largely because it would force her to leave her tent.\u003c/p>\n\u003cp>“My stuff keeps on getting taken when I’m not around and, besides, I’m waiting until I got a place to live to start taking my medication again,” Hunter said, tearing up. “I can’t get anything right out here.”\u003c/p>\n\u003cp>Hunter’s long and complex list of ailments, combined with her mistrust of the health care system, make her an incredibly difficult and expensive patient to treat. But she is exactly the kind of person California intends to prioritize under an ambitious experiment to move Medi-Cal beyond traditional doctor visits and hospital stays into the realm of social services.\u003c/p>\n\u003cfigure id=\"attachment_11887890\" class=\"wp-caption alignnone\" style=\"max-width: 1350px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11887890 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/Hunter06.jpg\" alt=\"A row of tents alongside a cement sidewalk in an urban park surrounded by buildings.\" width=\"1350\" height=\"900\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter06.jpg 1350w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter06-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter06-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter06-160x107.jpg 160w\" sizes=\"auto, (max-width: 1350px) 100vw, 1350px\">\u003cfigcaption class=\"wp-caption-text\">Staying in a tent in Oakland’s Uptown neighborhood has been a safer experience for Eugenia Hunter than sleeping on a nearby bench, which was her living situation for most of the year. However, she is reluctant to see a doctor or use Medi-Cal, largely because it would force her to leave her tent. When she has left her tent in the past, her belongings have been stolen. \u003ccite>(Angela Hart/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Under the program, vulnerable patients like Hunter will be assigned a personal care manager to coordinate their health care treatments and daily needs, like paying bills and buying groceries. And they will receive \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2021/09/CalAIM-Nontraditional-Services-2022.pdf\">services that aren’t typically covered by health insurance plans\u003c/a>, such as getting security deposits paid, receiving deliveries of fruits and vegetables, and having toxic mold removed from homes to reduce asthma flare-ups.\u003c/p>\n\u003cp>Over the next five years, California is plowing nearly $6 billion in state and federal money into the plan, which will target just a sliver of the 14 million low-income Californians enrolled in Medi-Cal: unhoused individuals or those at risk of losing their homes; heavy users of hospital emergency rooms; children and seniors with complicated physical and mental health conditions; and people in — or at risk of landing in — expensive institutions like jails, nursing homes or mental health crisis centers.\u003c/p>\n\u003cp>[pullquote size='large' align='right']Under the program, vulnerable patients like Hunter will be assigned a personal care manager to coordinate their health care treatments and daily needs, like paying bills and buying groceries.[/pullquote]\u003c/p>\n\u003cp>Gov. Gavin Newsom is trumpeting the first-in-the-nation initiative as the centerpiece of his ambitious health care agenda — and vows it will help fix the mental health and addiction crisis on the streets and get people into housing, all while saving taxpayer money. His top health care advisers have even \u003ca href=\"https://www.dhcs.ca.gov/Documents/MCQMD/CalAIM-Role-in-Addressing-Homelessness-Fact-Sheet-%26-Letter-4-9-21.pdf\">cast it as an antidote to California’s worsening homelessness crisis\u003c/a>.\u003c/p>\n\u003cp>But the first-term Democrat, who faces a Sept. 14 recall election, is making a risky bet.\u003c/p>\n\u003cp>California does not have the evidence to prove this approach will work statewide, nor the workforce or infrastructure to make it happen on such a large scale.\u003c/p>\n\u003cp>[aside postID=\"news_11883165\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/07/041021_FacebookVaccine_AW_09-1020x680.jpeg\"]Critics also fear the program will do nothing to improve care for the millions of other Medi-Cal enrollees who won’t get help from this initiative. Medi-Cal has been slammed for failing to provide basic services, \u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2018-111.pdf\">including vaccinations for kids\u003c/a>, \u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2018-122.pdf\">timely appointments for rural residents\u003c/a> and \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2021/09/Newsom_begins_mental_health_care_crackdown_with_county_sanctions.pdf\">adequate mental health treatment\u003c/a> for Californians in crisis.\u003c/p>\n\u003cp>Yet the managed-care insurance companies responsible for most enrollees’ health will nonetheless be given massive new power as they implement this experiment. The insurers will decide which services to offer and which high-needs patients to target, likely creating disparities across regions and further contributing to an unequal system of care in California.\u003c/p>\n\u003cp>“This will leave a lot of people behind,” said Linda Nguy, a policy advocate at the Western Center on Law & Poverty.\u003c/p>\n\u003cp>“We haven’t seen health plans excel in even providing basic preventative services to healthy people,” she said. “I mean, do your basic job first. How can they be expected to successfully take on these additional responsibilities for people with very high health needs?”\u003c/p>\n\u003cp>This revolution in Medi-Cal’s scope and mission is taking place alongside a parallel initiative to hold insurance companies more accountable for providing quality health care.\u003c/p>\n\u003cp>[pullquote size='large' align='right']If California’s experiment succeeds, other states will likely follow … but if the richest state in the country can’t pull off better health outcomes and cost savings, the movement to put health insurers into the business of social work will falter.[/pullquote]\u003c/p>\n\u003cp>State health officials are forcing Medi-Cal managed-care plans to reapply and meet stricter standards if they want to continue doing business in the program. Together, these initiatives will fundamentally reinvent the biggest Medicaid program in the country, which serves about one-third of the state population at a cost of $124 billion this fiscal year.\u003c/p>\n\u003cp>If California’s \u003ca href=\"https://www.dhcs.ca.gov/provgovpart/Documents/CalAIM-Proposal-03-23-2021.pdf\">experiment succeeds\u003c/a>, other states will likely follow, national Medicaid experts say. But if the richest state in the country can’t pull off better health outcomes and cost savings, the movement to put health insurers into the business of social work will falter.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch3>What it takes to provide ‘whole person care’\u003c/h3>\n\u003cp>When Newsom signed the “California Advancing and Innovating Medi-Cal” initiative into law in late July — “CalAIM” for short — he celebrated it as a “once-in-a-generation opportunity to completely transform the Medicaid system in California.” He declined an interview request.\u003c/p>\n\u003cp>[aside postID=\"news_11877000\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/RS49414_028_SanRafael_ProjectHomekey_05172021-qut-1020x680.jpg\"]Beginning next year, public and private managed health care plans will pick high-needs Medi-Cal enrollees to receive nontraditional services from among \u003ca href=\"https://www.dhcs.ca.gov/Documents/MCQMD/MCP-ECM-and-ILOS-Contract-Template-Provisions.pdf\">14 broad categories, including housing and food benefits, addiction care and home repairs\u003c/a>.\u003c/p>\n\u003cp>The approach is known as “whole person care,” and insurers will be required to assign patients a personal care manager to help them navigate the system. Insurers will receive incentive payments to offer new services and boost provider networks and, over time, the program will expand to more people and services. For instance, members of Native American tribes will eventually be eligible to receive treatment for substance use disorder, and incarcerated people will be enrolled in Medi-Cal automatically upon release.\u003c/p>\n\u003cp>The insurers — currently 25 are participating — will focus most intensely on developing housing programs to combat the state’s \u003ca href=\"https://www.dhcs.ca.gov/Documents/MCQMD/CalAIM-Role-in-Addressing-Homelessness-Fact-Sheet-%26-Letter-4-9-21.pdf\">worsening homelessness epidemic\u003c/a>. The state was home to at least 162,000 unhoused people in 2020, a 6.8% increase since Newsom took office in 2019.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jacey Cooper, director of Medicaid for California\"]‘If you generally focus on [the most vulnerable], you will be able to yield better health outcomes for those individuals and, ultimately, cost savings.’[/pullquote]Jacey Cooper, the state’s Medicaid director, said \u003ca href=\"https://www.dhcs.ca.gov/Documents/MCQMD/CalAIM-Role-in-Addressing-Homelessness-Fact-Sheet-%26-Letter-4-9-21.pdf\">all Medi-Cal members will eventually be eligible for housing services\u003c/a>. Initially, though, they will be available only to the costliest patients. State Medi-Cal expenditure data shows that 1% of Medi-Cal enrollees, many of the unhoused patients who frequently land in hospitals, account for a staggering 21% of overall spending. And 5% account for 44% of the budget.\u003c/p>\n\u003cp>“You really need to focus on your top 1% to 5% of utilizers — that’s your most vulnerable,” Cooper said. “If you generally focus on that group, you will be able to yield better health outcomes for those individuals and, ultimately, cost savings.”\u003c/p>\n\u003cp>State officials do not have a savings estimate for the program, nor a projection of how many people will be enrolled.\u003c/p>\n\u003cp>The plan, Cooper said, builds on more than \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/wholepersoncare-report-jan2020.pdf\">25 successful regional experiments underway since 2016\u003c/a>. From Los Angeles to rural Shasta, big and small counties have provided vulnerable Medi-Cal patients with different services based on their communities’ needs, from job placement services to providing a safe place for an unhoused person to get sober.\u003c/p>\n\u003cp>Cooper highlighted \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/wholepersoncare-report-jan2020.pdf\">interim data from the experiments\u003c/a> that showed patients hospitalized due to mental illness were more likely to receive follow-up care, obtain treatment for substance abuse, avoid hospitalizations and emergency department visits, and see improvements in chronic diseases like diabetes.\u003c/p>\n\u003cp>She argued that data — even though it is not comprehensive — is enough to prove the initiative will work on a statewide scale.\u003c/p>\n\u003cp>[aside postID=\"news_11870625\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/04/RS43040_011_KQED_SanFrancisco_TentEncampments_05052020-qut-1020x680.jpg\"]However, studies of similar programs elsewhere have yielded mixed results. New York provided housing services to high-cost Medicaid enrollees with chronic diseases and mental health and substance use disorders and found major reductions in hospital admissions and emergency department visits between 2012 and 2017, and saw a \u003ca href=\"https://www.health.ny.gov/health_care/medicaid/redesign/supportive_housing/evaluation.htm\">15% reduction in Medicaid spending.\u003c/a>\u003c/p>\n\u003cp>In Camden, New Jersey, \u003ca href=\"https://californiahealthline.org/news/despite-new-doubts-hotspotting-help-for-heavy-health-care-users-marches-on/\">an early test of the “whole person care” approach\u003c/a> provided expensive Medicaid patients with intensive care coordination, but not nontraditional services. A \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJMsa1906848\">study concluded in 2020 that it hadn’t lowered hospital readmissions\u003c/a> — and thus didn’t save health care dollars.\u003c/p>\n\u003cp>“We found we just couldn’t help people with housing as quickly as they needed help,” said Kathleen Noonan, CEO of the Camden Coalition of Healthcare Providers. “Many of these clients have bad credit, they may have a record, and they’re still using. Those are huge challenges.”\u003c/p>\n\u003cp>California may find success where the coalition hadn’t because it will offer social services, she said, which the coalition has also started doing.\u003c/p>\n\u003cp>But it will take time. California will have five years to prove to the federal government it can save money and improve health care quality. Insurers will be required to track health outcomes and savings, and can boost services over time or drop programs that don’t work.\u003c/p>\n\u003cp>So far, the regional experiments have failed to serve low-income Black and Latino residents, according to the interim assessments conducted by Nadereh Pourat, director of the UCLA Center for Health Policy Research. She concluded that they have \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/wholepersoncare-report-jan2020.pdf\">primarily benefited white, English-speaking, middle-aged men\u003c/a>.\u003c/p>\n\u003cp>[aside postID=\"news_11877585\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/RS49286_002_LakeCounty_ProjectHomekey_05142021-qut-1020x680.jpg\"]Cooper said \u003ca href=\"https://www.dhcs.ca.gov/provgovpart/Documents/CalAIM-Proposal-03-23-2021.pdf\">the statewide initiative will tackle “systemic racism,” \u003c/a>initially as it targets \u003ca href=\"https://endhomelessness.org/resource/racial-inequalities-homelessness-numbers/\">unhoused individuals, who are disproportionately Black\u003c/a>.\u003c/p>\n\u003cp>Consider Eugenia Hunter, who is African American, and whose many untreated mental and physical illnesses, intertwined with her addictions, mean it will take a herculean effort — and cost — to get her off the street.\u003c/p>\n\u003cp>Hunter has gone without a stable housing situation for at least three years. Or maybe it’s five; her mental illness clouds her memory, and she erupts in anger when pressed for details. She eases her frustration sometimes with sleep, sometimes by smoking crystal meth.\u003c/p>\n\u003cp>A stack of unopened health insurance letters sat beside Hunter one evening in late August. Her eyes were glassy when she struggled to remember when she received a cancer diagnosis — if she ever did at all.\u003c/p>\n\u003ch3>Bringing stakeholders on board\u003c/h3>\n\u003cp>Health insurers will not be required to offer social services to patients like Hunter because federal law requires nontraditional Medicaid services to be optional. But California is enticing insurers with bigger payouts and higher state rankings.\u003c/p>\n\u003cp>“We are asking the plans and providers to stretch. We’re asking them to reform,” Cooper said.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jacey Cooper, director of Medicaid for California\"]‘We are asking the plans and providers to stretch. We’re asking them to reform.’[/pullquote]The state is urging insurers to start with the roughly 130,500 Medi-Cal patients already enrolled in the local experiments. To prepare, they are cobbling together networks of nonprofits and social service organizations to provide food, housing and other services — much as they do with doctors and hospitals contracted to deliver medical care.\u003c/p>\n\u003cp>\u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2021/09/CalAIM-Nontraditional-Services-2022.pdf\">Services will also vary by insurer and region.\u003c/a>\u003c/p>\n\u003cp>The Inland Empire Health Plan, for example, will offer some patients home repairs that reduce asthma triggers, such as mold removal and installing air filters. But Partnership HealthPlan of California will not offer those benefits in its wildfire-prone Northern California region because it doesn’t have an adequate network of organizations equipped to provide those services.\u003c/p>\n\u003cp>In interviews with nearly all of California’s Medi-Cal managed-care plans, executives said they support the dual goals of helping patients get healthier while saving money, but “it is a lot to take on,” said Richard Sanchez, CEO of CalOptima, which serves Orange County and will start modestly, primarily with housing services.\u003c/p>\n\u003cp>[pullquote size='large' align='right']Nearly all the health plans will offer housing services right away, focusing on three categories of aid: helping enrollees secure housing and rent subsidies; providing temporary rent and security deposit payments; and helping tenants stay housed.[/pullquote]\u003c/p>\n\u003cp>“The last thing I want to do is make promises that we can do all these things and not come through,” he said.\u003c/p>\n\u003cp>Nearly all the health plans will offer housing services right away, focusing on three categories of aid: helping enrollees secure housing and rent subsidies; providing temporary rent and security deposit payments; and helping tenants stay housed, like intervening with a landlord if a patient misses rent.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Robert Moore, chief medical officer of Partnership HealthPlan\"]‘It’s a great deal of money for a small number of members … we are building something extraordinarily ambitious quickly, without the infrastructure in place to make it successful.’[/pullquote]Partnership HealthPlan, which serves 616,000 Medi-Cal patients in 14 Northern California counties, will prioritize its most at-risk enrollees with housing services, food deliveries and a “homemaker” benefit to help them cook dinner, do laundry and pay bills.\u003c/p>\n\u003cp>“It’s a great deal of money for a small number of members and, frankly, there’s no guarantee it’s going to work,” said Dr. Robert Moore, the plan’s chief medical officer. “We are building something extraordinarily ambitious quickly, without the infrastructure in place to make it successful.”\u003c/p>\n\u003cp>Even if offering new services costs more money than it saves, it’s a worthwhile investment, said John Baackes, CEO of L.A. Care Health Plan, the largest Medi-Cal plan, which serves more than 2 million patients in Los Angeles County.\u003c/p>\n\u003cp>“When somebody has congestive heart failure, their diet should be structured around alleviating that chronic condition,” he said, explaining his plan to offer patients healthful food. “What are we going to do — let them eat ramen noodles for the rest of their lives?”\u003c/p>\n\u003cp>In Alameda County, two plans are available to serve Hunter. The Alameda Alliance for Health, a public insurer established by the county, and Anthem Blue Cross, a private insurance company, will expand housing services.\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='healthcare, health care']“People like Eugenia Hunter are exactly who we want to serve, and we’re prepared to go out and help her,” said Scott Coffin, CEO of the Alameda Alliance for Health, who is also on a local street medicine team.\u003c/p>\n\u003cp>But they’d have to find her first — chaos and homeless encampment sweeps force her to move her tent frequently. And then they’d have to win her trust.\u003c/p>\n\u003cp>In one moment, Hunter angrily described how health plans have tried to enroll her in services, but she declined, mistrustful of their motives. In the next moment, fighting back voices in her head, she said she desperately wants care.\u003c/p>\n\u003cp>“Someone is going to help me?” she asked. “All I want to do is pay my rent and succeed.”\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at Kaiser Family Foundation, an endowed nonprofit providing information on health issues.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "'Whole Person Care': A Major Shift in Medi-Cal's Scope Targets Those Most in Need | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Living unmedicated with schizophrenia and bipolar disorder, Eugenia Hunter has a hard time recalling how long she’s been staying in the tent she calls home at the bustling intersection of San Pablo Avenue and Martin Luther King Jr. Way in Oakland’s Uptown neighborhood. Craft coffee shops and weed dispensaries are plentiful here, and one-bedroom apartments push $3,000 per month.\u003c/p>\n\u003cp>“At least the rats aren’t all over me in here,” the 59-year-old Oakland native said on a bright August afternoon, stretching her arm to grab the zipper to her front door.\u003c/p>\n\u003cp>It was hot inside and the stench of wildfire smoke hung in the air. Still, after sleeping on a nearby bench for the better part of a year, she felt safer here, Hunter explained as she rolled a joint she’d use to ease the pain from also living with what she said is untreated pancreatic cancer.\u003c/p>\n\u003cfigure id=\"attachment_11887857\" class=\"wp-caption alignnone\" style=\"max-width: 1350px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11887857 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/Hunter03.jpg\" alt=\"Woman with no hair sits in door of a tent on a bedframe, looking tired.\" width=\"1350\" height=\"900\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter03.jpg 1350w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter03-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter03-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter03-160x107.jpg 160w\" sizes=\"auto, (max-width: 1350px) 100vw, 1350px\">\u003cfigcaption class=\"wp-caption-text\">Eugenia Hunter lives in Oakland’s Uptown neighborhood surrounded by upscale apartments and hip eateries. She can’t find a place she can afford on the $930 per month she receives in federal disability payments. \u003ccite>(Angela Hart/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hunter has been hospitalized repeatedly, including once last summer after she overdosed on alcohol and lay unconscious on a sidewalk until someone stopped to help. But she is reluctant to see a doctor or use Medi-Cal, California’s health insurance program for low-income and disabled people, largely because it would force her to leave her tent.\u003c/p>\n\u003cp>“My stuff keeps on getting taken when I’m not around and, besides, I’m waiting until I got a place to live to start taking my medication again,” Hunter said, tearing up. “I can’t get anything right out here.”\u003c/p>\n\u003cp>Hunter’s long and complex list of ailments, combined with her mistrust of the health care system, make her an incredibly difficult and expensive patient to treat. But she is exactly the kind of person California intends to prioritize under an ambitious experiment to move Medi-Cal beyond traditional doctor visits and hospital stays into the realm of social services.\u003c/p>\n\u003cfigure id=\"attachment_11887890\" class=\"wp-caption alignnone\" style=\"max-width: 1350px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11887890 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/Hunter06.jpg\" alt=\"A row of tents alongside a cement sidewalk in an urban park surrounded by buildings.\" width=\"1350\" height=\"900\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter06.jpg 1350w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter06-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter06-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/09/Hunter06-160x107.jpg 160w\" sizes=\"auto, (max-width: 1350px) 100vw, 1350px\">\u003cfigcaption class=\"wp-caption-text\">Staying in a tent in Oakland’s Uptown neighborhood has been a safer experience for Eugenia Hunter than sleeping on a nearby bench, which was her living situation for most of the year. However, she is reluctant to see a doctor or use Medi-Cal, largely because it would force her to leave her tent. When she has left her tent in the past, her belongings have been stolen. \u003ccite>(Angela Hart/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Under the program, vulnerable patients like Hunter will be assigned a personal care manager to coordinate their health care treatments and daily needs, like paying bills and buying groceries. And they will receive \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2021/09/CalAIM-Nontraditional-Services-2022.pdf\">services that aren’t typically covered by health insurance plans\u003c/a>, such as getting security deposits paid, receiving deliveries of fruits and vegetables, and having toxic mold removed from homes to reduce asthma flare-ups.\u003c/p>\n\u003cp>Over the next five years, California is plowing nearly $6 billion in state and federal money into the plan, which will target just a sliver of the 14 million low-income Californians enrolled in Medi-Cal: unhoused individuals or those at risk of losing their homes; heavy users of hospital emergency rooms; children and seniors with complicated physical and mental health conditions; and people in — or at risk of landing in — expensive institutions like jails, nursing homes or mental health crisis centers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Gov. Gavin Newsom is trumpeting the first-in-the-nation initiative as the centerpiece of his ambitious health care agenda — and vows it will help fix the mental health and addiction crisis on the streets and get people into housing, all while saving taxpayer money. His top health care advisers have even \u003ca href=\"https://www.dhcs.ca.gov/Documents/MCQMD/CalAIM-Role-in-Addressing-Homelessness-Fact-Sheet-%26-Letter-4-9-21.pdf\">cast it as an antidote to California’s worsening homelessness crisis\u003c/a>.\u003c/p>\n\u003cp>But the first-term Democrat, who faces a Sept. 14 recall election, is making a risky bet.\u003c/p>\n\u003cp>California does not have the evidence to prove this approach will work statewide, nor the workforce or infrastructure to make it happen on such a large scale.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Critics also fear the program will do nothing to improve care for the millions of other Medi-Cal enrollees who won’t get help from this initiative. Medi-Cal has been slammed for failing to provide basic services, \u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2018-111.pdf\">including vaccinations for kids\u003c/a>, \u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2018-122.pdf\">timely appointments for rural residents\u003c/a> and \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2021/09/Newsom_begins_mental_health_care_crackdown_with_county_sanctions.pdf\">adequate mental health treatment\u003c/a> for Californians in crisis.\u003c/p>\n\u003cp>Yet the managed-care insurance companies responsible for most enrollees’ health will nonetheless be given massive new power as they implement this experiment. The insurers will decide which services to offer and which high-needs patients to target, likely creating disparities across regions and further contributing to an unequal system of care in California.\u003c/p>\n\u003cp>“This will leave a lot of people behind,” said Linda Nguy, a policy advocate at the Western Center on Law & Poverty.\u003c/p>\n\u003cp>“We haven’t seen health plans excel in even providing basic preventative services to healthy people,” she said. “I mean, do your basic job first. How can they be expected to successfully take on these additional responsibilities for people with very high health needs?”\u003c/p>\n\u003cp>This revolution in Medi-Cal’s scope and mission is taking place alongside a parallel initiative to hold insurance companies more accountable for providing quality health care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "If California’s experiment succeeds, other states will likely follow … but if the richest state in the country can’t pull off better health outcomes and cost savings, the movement to put health insurers into the business of social work will falter.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State health officials are forcing Medi-Cal managed-care plans to reapply and meet stricter standards if they want to continue doing business in the program. Together, these initiatives will fundamentally reinvent the biggest Medicaid program in the country, which serves about one-third of the state population at a cost of $124 billion this fiscal year.\u003c/p>\n\u003cp>If California’s \u003ca href=\"https://www.dhcs.ca.gov/provgovpart/Documents/CalAIM-Proposal-03-23-2021.pdf\">experiment succeeds\u003c/a>, other states will likely follow, national Medicaid experts say. But if the richest state in the country can’t pull off better health outcomes and cost savings, the movement to put health insurers into the business of social work will falter.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>What it takes to provide ‘whole person care’\u003c/h3>\n\u003cp>When Newsom signed the “California Advancing and Innovating Medi-Cal” initiative into law in late July — “CalAIM” for short — he celebrated it as a “once-in-a-generation opportunity to completely transform the Medicaid system in California.” He declined an interview request.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Beginning next year, public and private managed health care plans will pick high-needs Medi-Cal enrollees to receive nontraditional services from among \u003ca href=\"https://www.dhcs.ca.gov/Documents/MCQMD/MCP-ECM-and-ILOS-Contract-Template-Provisions.pdf\">14 broad categories, including housing and food benefits, addiction care and home repairs\u003c/a>.\u003c/p>\n\u003cp>The approach is known as “whole person care,” and insurers will be required to assign patients a personal care manager to help them navigate the system. Insurers will receive incentive payments to offer new services and boost provider networks and, over time, the program will expand to more people and services. For instance, members of Native American tribes will eventually be eligible to receive treatment for substance use disorder, and incarcerated people will be enrolled in Medi-Cal automatically upon release.\u003c/p>\n\u003cp>The insurers — currently 25 are participating — will focus most intensely on developing housing programs to combat the state’s \u003ca href=\"https://www.dhcs.ca.gov/Documents/MCQMD/CalAIM-Role-in-Addressing-Homelessness-Fact-Sheet-%26-Letter-4-9-21.pdf\">worsening homelessness epidemic\u003c/a>. The state was home to at least 162,000 unhoused people in 2020, a 6.8% increase since Newsom took office in 2019.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘If you generally focus on [the most vulnerable], you will be able to yield better health outcomes for those individuals and, ultimately, cost savings.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Jacey Cooper, the state’s Medicaid director, said \u003ca href=\"https://www.dhcs.ca.gov/Documents/MCQMD/CalAIM-Role-in-Addressing-Homelessness-Fact-Sheet-%26-Letter-4-9-21.pdf\">all Medi-Cal members will eventually be eligible for housing services\u003c/a>. Initially, though, they will be available only to the costliest patients. State Medi-Cal expenditure data shows that 1% of Medi-Cal enrollees, many of the unhoused patients who frequently land in hospitals, account for a staggering 21% of overall spending. And 5% account for 44% of the budget.\u003c/p>\n\u003cp>“You really need to focus on your top 1% to 5% of utilizers — that’s your most vulnerable,” Cooper said. “If you generally focus on that group, you will be able to yield better health outcomes for those individuals and, ultimately, cost savings.”\u003c/p>\n\u003cp>State officials do not have a savings estimate for the program, nor a projection of how many people will be enrolled.\u003c/p>\n\u003cp>The plan, Cooper said, builds on more than \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/wholepersoncare-report-jan2020.pdf\">25 successful regional experiments underway since 2016\u003c/a>. From Los Angeles to rural Shasta, big and small counties have provided vulnerable Medi-Cal patients with different services based on their communities’ needs, from job placement services to providing a safe place for an unhoused person to get sober.\u003c/p>\n\u003cp>Cooper highlighted \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/wholepersoncare-report-jan2020.pdf\">interim data from the experiments\u003c/a> that showed patients hospitalized due to mental illness were more likely to receive follow-up care, obtain treatment for substance abuse, avoid hospitalizations and emergency department visits, and see improvements in chronic diseases like diabetes.\u003c/p>\n\u003cp>She argued that data — even though it is not comprehensive — is enough to prove the initiative will work on a statewide scale.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>However, studies of similar programs elsewhere have yielded mixed results. New York provided housing services to high-cost Medicaid enrollees with chronic diseases and mental health and substance use disorders and found major reductions in hospital admissions and emergency department visits between 2012 and 2017, and saw a \u003ca href=\"https://www.health.ny.gov/health_care/medicaid/redesign/supportive_housing/evaluation.htm\">15% reduction in Medicaid spending.\u003c/a>\u003c/p>\n\u003cp>In Camden, New Jersey, \u003ca href=\"https://californiahealthline.org/news/despite-new-doubts-hotspotting-help-for-heavy-health-care-users-marches-on/\">an early test of the “whole person care” approach\u003c/a> provided expensive Medicaid patients with intensive care coordination, but not nontraditional services. A \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJMsa1906848\">study concluded in 2020 that it hadn’t lowered hospital readmissions\u003c/a> — and thus didn’t save health care dollars.\u003c/p>\n\u003cp>“We found we just couldn’t help people with housing as quickly as they needed help,” said Kathleen Noonan, CEO of the Camden Coalition of Healthcare Providers. “Many of these clients have bad credit, they may have a record, and they’re still using. Those are huge challenges.”\u003c/p>\n\u003cp>California may find success where the coalition hadn’t because it will offer social services, she said, which the coalition has also started doing.\u003c/p>\n\u003cp>But it will take time. California will have five years to prove to the federal government it can save money and improve health care quality. Insurers will be required to track health outcomes and savings, and can boost services over time or drop programs that don’t work.\u003c/p>\n\u003cp>So far, the regional experiments have failed to serve low-income Black and Latino residents, according to the interim assessments conducted by Nadereh Pourat, director of the UCLA Center for Health Policy Research. She concluded that they have \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/wholepersoncare-report-jan2020.pdf\">primarily benefited white, English-speaking, middle-aged men\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Cooper said \u003ca href=\"https://www.dhcs.ca.gov/provgovpart/Documents/CalAIM-Proposal-03-23-2021.pdf\">the statewide initiative will tackle “systemic racism,” \u003c/a>initially as it targets \u003ca href=\"https://endhomelessness.org/resource/racial-inequalities-homelessness-numbers/\">unhoused individuals, who are disproportionately Black\u003c/a>.\u003c/p>\n\u003cp>Consider Eugenia Hunter, who is African American, and whose many untreated mental and physical illnesses, intertwined with her addictions, mean it will take a herculean effort — and cost — to get her off the street.\u003c/p>\n\u003cp>Hunter has gone without a stable housing situation for at least three years. Or maybe it’s five; her mental illness clouds her memory, and she erupts in anger when pressed for details. She eases her frustration sometimes with sleep, sometimes by smoking crystal meth.\u003c/p>\n\u003cp>A stack of unopened health insurance letters sat beside Hunter one evening in late August. Her eyes were glassy when she struggled to remember when she received a cancer diagnosis — if she ever did at all.\u003c/p>\n\u003ch3>Bringing stakeholders on board\u003c/h3>\n\u003cp>Health insurers will not be required to offer social services to patients like Hunter because federal law requires nontraditional Medicaid services to be optional. But California is enticing insurers with bigger payouts and higher state rankings.\u003c/p>\n\u003cp>“We are asking the plans and providers to stretch. We’re asking them to reform,” Cooper said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘We are asking the plans and providers to stretch. We’re asking them to reform.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The state is urging insurers to start with the roughly 130,500 Medi-Cal patients already enrolled in the local experiments. To prepare, they are cobbling together networks of nonprofits and social service organizations to provide food, housing and other services — much as they do with doctors and hospitals contracted to deliver medical care.\u003c/p>\n\u003cp>\u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2021/09/CalAIM-Nontraditional-Services-2022.pdf\">Services will also vary by insurer and region.\u003c/a>\u003c/p>\n\u003cp>The Inland Empire Health Plan, for example, will offer some patients home repairs that reduce asthma triggers, such as mold removal and installing air filters. But Partnership HealthPlan of California will not offer those benefits in its wildfire-prone Northern California region because it doesn’t have an adequate network of organizations equipped to provide those services.\u003c/p>\n\u003cp>In interviews with nearly all of California’s Medi-Cal managed-care plans, executives said they support the dual goals of helping patients get healthier while saving money, but “it is a lot to take on,” said Richard Sanchez, CEO of CalOptima, which serves Orange County and will start modestly, primarily with housing services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "Nearly all the health plans will offer housing services right away, focusing on three categories of aid: helping enrollees secure housing and rent subsidies; providing temporary rent and security deposit payments; and helping tenants stay housed.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The last thing I want to do is make promises that we can do all these things and not come through,” he said.\u003c/p>\n\u003cp>Nearly all the health plans will offer housing services right away, focusing on three categories of aid: helping enrollees secure housing and rent subsidies; providing temporary rent and security deposit payments; and helping tenants stay housed, like intervening with a landlord if a patient misses rent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘It’s a great deal of money for a small number of members … we are building something extraordinarily ambitious quickly, without the infrastructure in place to make it successful.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Partnership HealthPlan, which serves 616,000 Medi-Cal patients in 14 Northern California counties, will prioritize its most at-risk enrollees with housing services, food deliveries and a “homemaker” benefit to help them cook dinner, do laundry and pay bills.\u003c/p>\n\u003cp>“It’s a great deal of money for a small number of members and, frankly, there’s no guarantee it’s going to work,” said Dr. Robert Moore, the plan’s chief medical officer. “We are building something extraordinarily ambitious quickly, without the infrastructure in place to make it successful.”\u003c/p>\n\u003cp>Even if offering new services costs more money than it saves, it’s a worthwhile investment, said John Baackes, CEO of L.A. Care Health Plan, the largest Medi-Cal plan, which serves more than 2 million patients in Los Angeles County.\u003c/p>\n\u003cp>“When somebody has congestive heart failure, their diet should be structured around alleviating that chronic condition,” he said, explaining his plan to offer patients healthful food. “What are we going to do — let them eat ramen noodles for the rest of their lives?”\u003c/p>\n\u003cp>In Alameda County, two plans are available to serve Hunter. The Alameda Alliance for Health, a public insurer established by the county, and Anthem Blue Cross, a private insurance company, will expand housing services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“People like Eugenia Hunter are exactly who we want to serve, and we’re prepared to go out and help her,” said Scott Coffin, CEO of the Alameda Alliance for Health, who is also on a local street medicine team.\u003c/p>\n\u003cp>But they’d have to find her first — chaos and homeless encampment sweeps force her to move her tent frequently. And then they’d have to win her trust.\u003c/p>\n\u003cp>In one moment, Hunter angrily described how health plans have tried to enroll her in services, but she declined, mistrustful of their motives. In the next moment, fighting back voices in her head, she said she desperately wants care.\u003c/p>\n\u003cp>“Someone is going to help me?” she asked. “All I want to do is pay my rent and succeed.”\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at Kaiser Family Foundation, an endowed nonprofit providing information on health issues.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>A total of 47 residents at a homeless shelter in Santa Rosa have tested positive for the delta variant of the coronavirus over the last week, officials said.\u003c/p>\n\u003cp>The outbreak has affected almost a third of the 153 residents at Samuel L. Jones Hall, Sonoma County’s largest homeless shelter.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Jennielynn Holmes, Catholic Charities\"]‘The delta variant is reacting with the homeless population much differently than the original COVID situation.’[/pullquote]The majority of those infected were unvaccinated, Jennielynn Holmes \u003ca href=\"https://www.pressdemocrat.com/article/news/47-test-positive-for-delta-variant-at-sonoma-countys-largest-homeless-cent/\" target=\"_blank\" rel=\"noopener noreferrer\">said on Thursday\u003c/a>. Holmes leads homeless services at Catholic Charities, the nonprofit managing the shelter.\u003c/p>\n\u003cp>According to Holmes, just one homeless resident has been hospitalized, and no one else with a positive test has severe symptoms.\u003c/p>\n\u003cp>She said they’re fortunate to have enough space to help those who have tested positive and those who haven’t.\u003c/p>\n\u003cp>“We can separate the two populations and make sure that we’re giving the appropriate medical care and isolation space for those who are positive, while also continuing to test at a pretty regular basis those that are living in our other site,” Holmes said.\u003c/p>\n\u003cp>She said they’ve maintained fairly strict COVID guidelines, even after the state and the Centers for Disease Control and Prevention lifted some rules. They still require masking and social distancing, and are cleaning the facilities multiple times a day.\u003c/p>\n\u003cp>Sonoma County’s “case rate and hospitalization rate has been slowly increasing, due primarily to spread of the virus among unvaccinated individuals,” according to a \u003ca href=\"https://sonomacounty.ca.gov/CAO/Press-Releases/More-than-325-000-Sonoma-County-residents-now-vaccinated/\" target=\"_blank\" rel=\"noopener noreferrer\">press release from Tuesday\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The highly contagious delta variant of the coronavirus has spread rapidly among the unvaccinated population, causing a rise in new cases and hospitalizations. It now accounts for the majority of all new infections in the state.\u003c/p>\n\u003cp>In California, anyone 12 and over is eligible for the vaccine. So far, \u003ca href=\"https://covid19.ca.gov/vaccination-progress-data/\" target=\"_blank\" rel=\"noopener noreferrer\">about 70%\u003c/a> of that population in California has received at least one dose.\u003c/p>\n\u003cp>[aside tag=\"delta-variant\" label=\"more on the delta variant\"]Homeless people have been among the hardest to reach in the months-long inoculation campaign.\u003c/p>\n\u003cp>The outbreak is only the second time the coronavirus has been detected at the Samuel Jones Hall shelter. There was a smaller cluster of cases in January during the peak of the pandemic, according to Holmes.\u003c/p>\n\u003cp>“The delta variant is reacting with the homeless population much differently than the original COVID situation,” she said. “We had very few cases for the entire pandemic.”\u003c/p>\n\u003cp>Across Sonoma County, 62 homeless people have tested positive within the past two weeks, according to Kathryn Pack, a manager of the county health department’s epidemiology team. That’s a 48% jump in the homeless population’s total COVID-19 caseload, which now stands at 191 since the start of the pandemic.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Keith Mizuguchi and The Associated Press.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A total of 47 residents at a homeless shelter in Santa Rosa have tested positive for the delta variant of the coronavirus over the last week, officials said.\u003c/p>\n\u003cp>The outbreak has affected almost a third of the 153 residents at Samuel L. Jones Hall, Sonoma County’s largest homeless shelter.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘The delta variant is reacting with the homeless population much differently than the original COVID situation.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The majority of those infected were unvaccinated, Jennielynn Holmes \u003ca href=\"https://www.pressdemocrat.com/article/news/47-test-positive-for-delta-variant-at-sonoma-countys-largest-homeless-cent/\" target=\"_blank\" rel=\"noopener noreferrer\">said on Thursday\u003c/a>. Holmes leads homeless services at Catholic Charities, the nonprofit managing the shelter.\u003c/p>\n\u003cp>According to Holmes, just one homeless resident has been hospitalized, and no one else with a positive test has severe symptoms.\u003c/p>\n\u003cp>She said they’re fortunate to have enough space to help those who have tested positive and those who haven’t.\u003c/p>\n\u003cp>“We can separate the two populations and make sure that we’re giving the appropriate medical care and isolation space for those who are positive, while also continuing to test at a pretty regular basis those that are living in our other site,” Holmes said.\u003c/p>\n\u003cp>She said they’ve maintained fairly strict COVID guidelines, even after the state and the Centers for Disease Control and Prevention lifted some rules. They still require masking and social distancing, and are cleaning the facilities multiple times a day.\u003c/p>\n\u003cp>Sonoma County’s “case rate and hospitalization rate has been slowly increasing, due primarily to spread of the virus among unvaccinated individuals,” according to a \u003ca href=\"https://sonomacounty.ca.gov/CAO/Press-Releases/More-than-325-000-Sonoma-County-residents-now-vaccinated/\" target=\"_blank\" rel=\"noopener noreferrer\">press release from Tuesday\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The highly contagious delta variant of the coronavirus has spread rapidly among the unvaccinated population, causing a rise in new cases and hospitalizations. It now accounts for the majority of all new infections in the state.\u003c/p>\n\u003cp>In California, anyone 12 and over is eligible for the vaccine. So far, \u003ca href=\"https://covid19.ca.gov/vaccination-progress-data/\" target=\"_blank\" rel=\"noopener noreferrer\">about 70%\u003c/a> of that population in California has received at least one dose.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Homeless people have been among the hardest to reach in the months-long inoculation campaign.\u003c/p>\n\u003cp>The outbreak is only the second time the coronavirus has been detected at the Samuel Jones Hall shelter. There was a smaller cluster of cases in January during the peak of the pandemic, according to Holmes.\u003c/p>\n\u003cp>“The delta variant is reacting with the homeless population much differently than the original COVID situation,” she said. “We had very few cases for the entire pandemic.”\u003c/p>\n\u003cp>Across Sonoma County, 62 homeless people have tested positive within the past two weeks, according to Kathryn Pack, a manager of the county health department’s epidemiology team. That’s a 48% jump in the homeless population’s total COVID-19 caseload, which now stands at 191 since the start of the pandemic.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Keith Mizuguchi and The Associated Press.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>State-funding efforts to shelter unhoused residents in converted motels could be a game-changer for Motel Drive, an area of Fresno that city leaders say has long been overrun by drugs, human trafficking and prostitution.\u003c/p>\n\u003cp>Local city leaders say \u003ca href=\"https://www.hcd.ca.gov/grants-funding/active-funding/homekey.shtml\" target=\"_blank\" rel=\"noopener noreferrer\">Project Homekey\u003c/a> has been a success in Fresno, providing shelter for about 1,500 people over the past 18 months. Not only have the funds helped shelter the city’s unhoused residents, but they also provided the opportunity to invest in the transformation of Motel Drive, said Fresno Councilmember Miguel Arias in an interview with The Fresno Bee.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Councilmember Miguel Arias\"]‘Project Homekey has been a saving grace for this city.’[/pullquote]“I’ve always had a plan since 2019 to clean up this whole corridor, but we’ve never had the resources,” said Arias, who in May of 2019 \u003ca href=\"https://www.fresnobee.com/news/local/article237853109.html\" target=\"_blank\" rel=\"noopener noreferrer\">initiated an ordinance to require inspection of the neglected motels\u003c/a>.\u003c/p>\n\u003cp>“Then, the pandemic hit, and we found ourselves with no shelter beds,” said Arias, adding that Fresno historically only had 10 beds a year to shelter the city’s unhoused population.\u003c/p>\n\u003cp>That’s when the city decided to use a majority of the \u003ca href=\"https://www.fresnobee.com/news/local/article246807347.html\" target=\"_blank\" rel=\"noopener noreferrer\">$35 million in Project Homekey funds\u003c/a> to acquire four motels along Motel Drive, a stretch of motels on Parkway Drive along Highway 99 that city leaders have described as hotbeds for prostitution, drug and sex trafficking.\u003c/p>\n\u003cp>Federal CARES Act funds have also enabled the city to acquire and convert additional motels on Motel Drive for shelter and affordable housing.\u003c/p>\n\u003cp>“Project Homekey has been a saving grace for this city,” said Arias. Without Homekey, Arias said, the city “wouldn’t have made a dent,” sheltering unhoused residents during the pandemic.\u003c/p>\n\u003cp>Housing advocacy groups that have long criticized the city’s sheltering efforts agree that Gov. Gavin Newsom’s Project Homekey has been a success in Fresno but said the program remains too small and said local leaders need to do more to address homelessness and affordable housing in Fresno.\u003c/p>\n\u003ch3>Project Homekey Sites at Capacity in Fresno\u003c/h3>\n\u003cp>The \u003ca href=\"https://fresnohousing.org/about-us/\" target=\"_blank\" rel=\"noopener noreferrer\">Fresno Housing Authority\u003c/a> owns and manages four of the five Homekey sites, sheltering about 507 people as of this week. About 55 adults this week were living at Golden State Triage Center (formerly Parkside Inn), 135 adults at Sun Lodge (formerly Days Inn) and 83 adults at Journey Home (formerly Welcome Inn).\u003c/p>\n\u003cp>About 100 adults and 134 children were staying in the transitional housing center, Step Up On 99 (formerly Motel 99), and the city has applied for another $3 million to finish the conversion of the complex, which will include more park space for the residents.\u003c/p>\n\u003cp>Each community has 24-hour on-site security, laundry facilities, community rooms and private offices for on-site staff and residents to hold meetings. Case managers and social workers support residents that need mental health and drug rehabilitation services, and Fresno Unified School District educators provide homeless student services. Swimming pools have been converted into dog parks for residents with pets.\u003c/p>\n\u003cp>The fifth Homekey project is located at The Crossroads Village shelter on Blackstone Avenue, managed by \u003ca href=\"https://www.rhcommunitybuilders.com/our-team-1\" target=\"_blank\" rel=\"noopener noreferrer\">RH Community Builders\u003c/a>, and is home to 165 households.\u003c/p>\n\u003cp>As a next step, the city will convert the renovated motels into affordable housing and operate the sites for the next five years. Due to the lack of affordable housing for residents, there’s no limit on the amount of time people can stay at the Homekey sites.\u003c/p>\n\u003cp>Both Arias and the Fresno Housing Authority confirmed that the available Project Homekey shelters are at or near 100% capacity.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>Federal Funds Used to Acquire More Motels on Motel Drive in Fresno\u003c/h3>\n\u003cp>Furthering the plan to transform Motel Drive, the city also acquired two additional motels using federal CARES Act funding: the Travel Inn & Suites and the Valley Inn.\u003c/p>\n\u003cp>On Thursday, the Travel Inn opened 33 of its 57 units for emergency shelter under the management of RH Community Builders. The remaining 24 units will be available on Aug. 1, confirmed Arias.\u003c/p>\n\u003cp>The Valley Inn, which is currently undergoing renovations, will also be available on Aug. 1 with approximately 80 units.\u003c/p>\n\u003cp>Arias confirmed that negotiations are underway for the city to acquire two more motels on Motel Drive. Arias said, eventually, he hopes to see the city take over all of the motels on Motel Drive to convert them into affordable housing that will look “like any other apartment complex” that are part of the neighboring residential community.\u003c/p>\n\u003cp>[aside tag=\"project-homekey\" label=\"More on Project Homekey\"]But the choice to place all of the Homekey sites along Motel Drive has drawn criticism from local homeless advocates. Critics are concerned about the decision to place families in an area plagued with drugs and sex trafficking.\u003c/p>\n\u003cp>Arias said he shares those concerns for residents’ safety and well-being and is aware of the illicit activity at the neighboring motels. He pointed out that the location of the family shelter, Step Up On 99, was intentionally secluded from the other motel locations.\u003c/p>\n\u003cp>To help keep the area safe, Arias said that the city recently approved $250,000 for the police department to beef up patrols at night in the Motel Drive area.\u003c/p>\n\u003ch3>Affordable Housing Problems Plaguing Fresno, Rest of State\u003c/h3>\n\u003cp>While local leaders laud the city’s Project Homekey as a success, they acknowledge that the city needs to do more to support families and individuals experiencing homelessness.\u003c/p>\n\u003cp>“The success [of Project Homekey] feels good, but we know we still have a lot of work to do,” said Doreen Eley, assistant director of Special Programs at Fresno Housing Authority, in an email to The Fresno Bee.\u003c/p>\n\u003cp>Patience Milrod, executive director of Central California Legal Services, said she applauds the city’s efforts to use state and federal dollars to “keep low-income renters housed, and to find homes for the un-housed.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Doreen Eley, assistant director of Special Programs at Fresno Housing Authority\"]‘The success [of Project Homekey] feels good, but we know we still have a lot of work to do.’[/pullquote]But, Milrod said, it’s not enough.\u003c/p>\n\u003cp>She said Fresno is “long overdue” for “coherent, citywide policies that incentivize and support affordable housing.” She also said that an affordable housing strategy must “involve investment of the city’s own resources long into the foreseeable future.”\u003c/p>\n\u003cp>According to a recent \u003ca href=\"https://chpc.net/?sfid=181&_sf_s=fresno&_sft_resources_type=housing-need+level-county\" target=\"_blank\" rel=\"noopener noreferrer\">2021 Affordable Housing Needs Report\u003c/a>, \u003ca href=\"https://www.fresnobee.com/fresnoland/article251989463.html\" target=\"_blank\" rel=\"noopener noreferrer\">more than 36,000 low-income households are without affordable housing\u003c/a> in Fresno County. This affordable housing shortage comes at a time that \u003ca href=\"https://www.fresnobee.com/news/local/article252425493.html\" target=\"_blank\" rel=\"noopener noreferrer\">Fresno home prices are at an all-time high\u003c/a>. In Fresno County, the median price of a single-family home in May 2021 was $361,500, an increase of more than 22% compared to May 2020.\u003c/p>\n\u003cp>“A bigger need than anything else quite frankly is affordable housing,” said Eley. “Not just for the homeless, for everyone.”\u003c/p>\n\u003cp>\u003cem>Melissa Montalvo is a reporter with The Fresno Bee and a Report for America corps member. This article is part of \u003ca href=\"https://calmatters.org/projects/california-divide/\" target=\"_blank\" rel=\"noopener noreferrer\">The California Divide\u003c/a>, a collaboration among newsrooms examining income inequity and economic survival in California.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>State-funding efforts to shelter unhoused residents in converted motels could be a game-changer for Motel Drive, an area of Fresno that city leaders say has long been overrun by drugs, human trafficking and prostitution.\u003c/p>\n\u003cp>Local city leaders say \u003ca href=\"https://www.hcd.ca.gov/grants-funding/active-funding/homekey.shtml\" target=\"_blank\" rel=\"noopener noreferrer\">Project Homekey\u003c/a> has been a success in Fresno, providing shelter for about 1,500 people over the past 18 months. Not only have the funds helped shelter the city’s unhoused residents, but they also provided the opportunity to invest in the transformation of Motel Drive, said Fresno Councilmember Miguel Arias in an interview with The Fresno Bee.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I’ve always had a plan since 2019 to clean up this whole corridor, but we’ve never had the resources,” said Arias, who in May of 2019 \u003ca href=\"https://www.fresnobee.com/news/local/article237853109.html\" target=\"_blank\" rel=\"noopener noreferrer\">initiated an ordinance to require inspection of the neglected motels\u003c/a>.\u003c/p>\n\u003cp>“Then, the pandemic hit, and we found ourselves with no shelter beds,” said Arias, adding that Fresno historically only had 10 beds a year to shelter the city’s unhoused population.\u003c/p>\n\u003cp>That’s when the city decided to use a majority of the \u003ca href=\"https://www.fresnobee.com/news/local/article246807347.html\" target=\"_blank\" rel=\"noopener noreferrer\">$35 million in Project Homekey funds\u003c/a> to acquire four motels along Motel Drive, a stretch of motels on Parkway Drive along Highway 99 that city leaders have described as hotbeds for prostitution, drug and sex trafficking.\u003c/p>\n\u003cp>Federal CARES Act funds have also enabled the city to acquire and convert additional motels on Motel Drive for shelter and affordable housing.\u003c/p>\n\u003cp>“Project Homekey has been a saving grace for this city,” said Arias. Without Homekey, Arias said, the city “wouldn’t have made a dent,” sheltering unhoused residents during the pandemic.\u003c/p>\n\u003cp>Housing advocacy groups that have long criticized the city’s sheltering efforts agree that Gov. Gavin Newsom’s Project Homekey has been a success in Fresno but said the program remains too small and said local leaders need to do more to address homelessness and affordable housing in Fresno.\u003c/p>\n\u003ch3>Project Homekey Sites at Capacity in Fresno\u003c/h3>\n\u003cp>The \u003ca href=\"https://fresnohousing.org/about-us/\" target=\"_blank\" rel=\"noopener noreferrer\">Fresno Housing Authority\u003c/a> owns and manages four of the five Homekey sites, sheltering about 507 people as of this week. About 55 adults this week were living at Golden State Triage Center (formerly Parkside Inn), 135 adults at Sun Lodge (formerly Days Inn) and 83 adults at Journey Home (formerly Welcome Inn).\u003c/p>\n\u003cp>About 100 adults and 134 children were staying in the transitional housing center, Step Up On 99 (formerly Motel 99), and the city has applied for another $3 million to finish the conversion of the complex, which will include more park space for the residents.\u003c/p>\n\u003cp>Each community has 24-hour on-site security, laundry facilities, community rooms and private offices for on-site staff and residents to hold meetings. Case managers and social workers support residents that need mental health and drug rehabilitation services, and Fresno Unified School District educators provide homeless student services. Swimming pools have been converted into dog parks for residents with pets.\u003c/p>\n\u003cp>The fifth Homekey project is located at The Crossroads Village shelter on Blackstone Avenue, managed by \u003ca href=\"https://www.rhcommunitybuilders.com/our-team-1\" target=\"_blank\" rel=\"noopener noreferrer\">RH Community Builders\u003c/a>, and is home to 165 households.\u003c/p>\n\u003cp>As a next step, the city will convert the renovated motels into affordable housing and operate the sites for the next five years. Due to the lack of affordable housing for residents, there’s no limit on the amount of time people can stay at the Homekey sites.\u003c/p>\n\u003cp>Both Arias and the Fresno Housing Authority confirmed that the available Project Homekey shelters are at or near 100% capacity.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>Federal Funds Used to Acquire More Motels on Motel Drive in Fresno\u003c/h3>\n\u003cp>Furthering the plan to transform Motel Drive, the city also acquired two additional motels using federal CARES Act funding: the Travel Inn & Suites and the Valley Inn.\u003c/p>\n\u003cp>On Thursday, the Travel Inn opened 33 of its 57 units for emergency shelter under the management of RH Community Builders. The remaining 24 units will be available on Aug. 1, confirmed Arias.\u003c/p>\n\u003cp>The Valley Inn, which is currently undergoing renovations, will also be available on Aug. 1 with approximately 80 units.\u003c/p>\n\u003cp>Arias confirmed that negotiations are underway for the city to acquire two more motels on Motel Drive. Arias said, eventually, he hopes to see the city take over all of the motels on Motel Drive to convert them into affordable housing that will look “like any other apartment complex” that are part of the neighboring residential community.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But the choice to place all of the Homekey sites along Motel Drive has drawn criticism from local homeless advocates. Critics are concerned about the decision to place families in an area plagued with drugs and sex trafficking.\u003c/p>\n\u003cp>Arias said he shares those concerns for residents’ safety and well-being and is aware of the illicit activity at the neighboring motels. He pointed out that the location of the family shelter, Step Up On 99, was intentionally secluded from the other motel locations.\u003c/p>\n\u003cp>To help keep the area safe, Arias said that the city recently approved $250,000 for the police department to beef up patrols at night in the Motel Drive area.\u003c/p>\n\u003ch3>Affordable Housing Problems Plaguing Fresno, Rest of State\u003c/h3>\n\u003cp>While local leaders laud the city’s Project Homekey as a success, they acknowledge that the city needs to do more to support families and individuals experiencing homelessness.\u003c/p>\n\u003cp>“The success [of Project Homekey] feels good, but we know we still have a lot of work to do,” said Doreen Eley, assistant director of Special Programs at Fresno Housing Authority, in an email to The Fresno Bee.\u003c/p>\n\u003cp>Patience Milrod, executive director of Central California Legal Services, said she applauds the city’s efforts to use state and federal dollars to “keep low-income renters housed, and to find homes for the un-housed.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But, Milrod said, it’s not enough.\u003c/p>\n\u003cp>She said Fresno is “long overdue” for “coherent, citywide policies that incentivize and support affordable housing.” She also said that an affordable housing strategy must “involve investment of the city’s own resources long into the foreseeable future.”\u003c/p>\n\u003cp>According to a recent \u003ca href=\"https://chpc.net/?sfid=181&_sf_s=fresno&_sft_resources_type=housing-need+level-county\" target=\"_blank\" rel=\"noopener noreferrer\">2021 Affordable Housing Needs Report\u003c/a>, \u003ca href=\"https://www.fresnobee.com/fresnoland/article251989463.html\" target=\"_blank\" rel=\"noopener noreferrer\">more than 36,000 low-income households are without affordable housing\u003c/a> in Fresno County. This affordable housing shortage comes at a time that \u003ca href=\"https://www.fresnobee.com/news/local/article252425493.html\" target=\"_blank\" rel=\"noopener noreferrer\">Fresno home prices are at an all-time high\u003c/a>. In Fresno County, the median price of a single-family home in May 2021 was $361,500, an increase of more than 22% compared to May 2020.\u003c/p>\n\u003cp>“A bigger need than anything else quite frankly is affordable housing,” said Eley. “Not just for the homeless, for everyone.”\u003c/p>\n\u003cp>\u003cem>Melissa Montalvo is a reporter with The Fresno Bee and a Report for America corps member. This article is part of \u003ca href=\"https://calmatters.org/projects/california-divide/\" target=\"_blank\" rel=\"noopener noreferrer\">The California Divide\u003c/a>, a collaboration among newsrooms examining income inequity and economic survival in California.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>John Cox, a Republican candidate for California governor, said Monday that he would force homeless people into mental health or addiction treatment before providing them with housing as part of his effort to cut homelessness in half within five years.\u003c/p>\n\u003cp>In his second bid for governor, Cox also said he would step up enforcement against people living on the streets and work to speed housing construction. If elected, he would likely face fierce resistance to many of his proposals in the Democratic-controlled state Legislature.\u003c/p>\n\u003cp>“If someone is just insisting that they can live on the street, they either have to be arrested and put in jail or they have to be arrested and put into a place where they can get the treatment they need,” he said in an interview. “If they don’t want either of those, they can certainly leave California.”\u003c/p>\n\u003cp>Cox, who made a fortune in real estate, is running in the forthcoming recall election of Democratic Gov. Gavin Newsom. He ran against Newsom in 2018 and lost badly. He’s never won political office despite numerous attempts. This time, he’s one of several Republicans running, including former San Diego Mayor Kevin Faulconer, who is expected to release a homelessness plan Tuesday.\u003c/p>\n\u003cp>A date has not yet been set for the recall election.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California is home to about 12% of the nation’s population but more than a quarter of its homeless people, with roughly 161,500 people experiencing homelessness as of January 2020, according to the \u003ca href=\"https://files.hudexchange.info/reports/published/CoC_PopSub_State_CA_2020.pdf\">most recent federal data\u003c/a>. About a quarter of homeless people in the state were experiencing severe mental illness in 2019, according to a report by the nonpartisan Legislative Analyst’s Office.\u003c/p>\n\u003cp>Newsom has made tackling homelessness one of his top priorities, dedicating his 2020 State of the State address to the topic and pledging to appoint a homelessness czar, which he has not yet done. While the COVID-19 pandemic changed the state’s focus, Newsom last year launched a program to \u003ca href=\"https://apnews.com/article/california-health-coronavirus-pandemic-government-and-politics-5ce86f5447d5cf3505e59fdc22876788\">convert hotel and motel rooms\u003c/a> into permanent housing for homeless people.\u003c/p>\n\u003cp>Cox would take an opposite tack, requiring people who need it to get treatment for addiction or mental illness before they can get housing. He said if pop star \u003ca href=\"https://apnews.com/article/explaining-britney-spears-court-conservatorship-hearing-48451f0cb51d7c646a51f2e10e97fb61\">Britney Spears\u003c/a> can be placed under a conservatorship, it should be possible to place people living on the streets who need help into a similar arrangement — generally done when people are deemed unable to control their lives.\u003c/p>\n\u003cp>In 2018, former Gov. Jerry Brown signed legislation allowing San Diego, San Francisco and Los Angeles counties to place chronically homeless people into such arrangements if they have a serious mental health or substance use disorder. San Francisco moved ahead with a narrowly tailored pilot program in 2019, though it has barely been used.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"recall\"]Cox, who is prone to campaigning with props — \u003ca href=\"https://www.washingtonpost.com/nation/2021/05/05/john-cox-bear-california-recall/\">including a 1,000-pound Kodiak bear\u003c/a> — is bringing an 8-foot ball of trash on his statewide bus tour to tout his homelessness plan. In a news release, he said it’s supposed to symbolize “the blight the homeless — and current homeless policies — have inflicted on California neighborhoods.” He said in an interview that he blames the problem on government failures, not people who are homeless.\u003c/p>\n\u003cp>Barbara DiPietro, senior director of policy for the National Health Care for the Homeless Council, called Cox’s plan “terrible” and said his use of a ball of trash “specifically conveys that he believes that these people are trash.”\u003c/p>\n\u003cp>Broadly, she said Cox’s plan “reflects a candidate for public office who does not understand the fundamental structural issues that produce homelessness faster than we can end it.”\u003c/p>\n\u003cp>Research shows putting people in treatment without housing does not work, and that counties do not have enough beds in the behavioral health system to treat everyone anyway, DiPietro said. The plan also has an over-reliance on law enforcement, she said. She does, however, support efforts to lower the cost of housing construction, which is also part of Cox’s plan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Cox on Monday also said he would challenge a court decision that blocks Los Angeles from enforcing a sidewalk camping ban until enough housing is available, and that he would seek to roll back parts of a voter-backed initiative that reduced some penalties for non-violent offenses.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>John Cox, a Republican candidate for California governor, said Monday that he would force homeless people into mental health or addiction treatment before providing them with housing as part of his effort to cut homelessness in half within five years.\u003c/p>\n\u003cp>In his second bid for governor, Cox also said he would step up enforcement against people living on the streets and work to speed housing construction. If elected, he would likely face fierce resistance to many of his proposals in the Democratic-controlled state Legislature.\u003c/p>\n\u003cp>“If someone is just insisting that they can live on the street, they either have to be arrested and put in jail or they have to be arrested and put into a place where they can get the treatment they need,” he said in an interview. “If they don’t want either of those, they can certainly leave California.”\u003c/p>\n\u003cp>Cox, who made a fortune in real estate, is running in the forthcoming recall election of Democratic Gov. Gavin Newsom. He ran against Newsom in 2018 and lost badly. He’s never won political office despite numerous attempts. This time, he’s one of several Republicans running, including former San Diego Mayor Kevin Faulconer, who is expected to release a homelessness plan Tuesday.\u003c/p>\n\u003cp>A date has not yet been set for the recall election.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California is home to about 12% of the nation’s population but more than a quarter of its homeless people, with roughly 161,500 people experiencing homelessness as of January 2020, according to the \u003ca href=\"https://files.hudexchange.info/reports/published/CoC_PopSub_State_CA_2020.pdf\">most recent federal data\u003c/a>. About a quarter of homeless people in the state were experiencing severe mental illness in 2019, according to a report by the nonpartisan Legislative Analyst’s Office.\u003c/p>\n\u003cp>Newsom has made tackling homelessness one of his top priorities, dedicating his 2020 State of the State address to the topic and pledging to appoint a homelessness czar, which he has not yet done. While the COVID-19 pandemic changed the state’s focus, Newsom last year launched a program to \u003ca href=\"https://apnews.com/article/california-health-coronavirus-pandemic-government-and-politics-5ce86f5447d5cf3505e59fdc22876788\">convert hotel and motel rooms\u003c/a> into permanent housing for homeless people.\u003c/p>\n\u003cp>Cox would take an opposite tack, requiring people who need it to get treatment for addiction or mental illness before they can get housing. He said if pop star \u003ca href=\"https://apnews.com/article/explaining-britney-spears-court-conservatorship-hearing-48451f0cb51d7c646a51f2e10e97fb61\">Britney Spears\u003c/a> can be placed under a conservatorship, it should be possible to place people living on the streets who need help into a similar arrangement — generally done when people are deemed unable to control their lives.\u003c/p>\n\u003cp>In 2018, former Gov. Jerry Brown signed legislation allowing San Diego, San Francisco and Los Angeles counties to place chronically homeless people into such arrangements if they have a serious mental health or substance use disorder. San Francisco moved ahead with a narrowly tailored pilot program in 2019, though it has barely been used.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Cox, who is prone to campaigning with props — \u003ca href=\"https://www.washingtonpost.com/nation/2021/05/05/john-cox-bear-california-recall/\">including a 1,000-pound Kodiak bear\u003c/a> — is bringing an 8-foot ball of trash on his statewide bus tour to tout his homelessness plan. In a news release, he said it’s supposed to symbolize “the blight the homeless — and current homeless policies — have inflicted on California neighborhoods.” He said in an interview that he blames the problem on government failures, not people who are homeless.\u003c/p>\n\u003cp>Barbara DiPietro, senior director of policy for the National Health Care for the Homeless Council, called Cox’s plan “terrible” and said his use of a ball of trash “specifically conveys that he believes that these people are trash.”\u003c/p>\n\u003cp>Broadly, she said Cox’s plan “reflects a candidate for public office who does not understand the fundamental structural issues that produce homelessness faster than we can end it.”\u003c/p>\n\u003cp>Research shows putting people in treatment without housing does not work, and that counties do not have enough beds in the behavioral health system to treat everyone anyway, DiPietro said. The plan also has an over-reliance on law enforcement, she said. She does, however, support efforts to lower the cost of housing construction, which is also part of Cox’s plan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Cox on Monday also said he would challenge a court decision that blocks Los Angeles from enforcing a sidewalk camping ban until enough housing is available, and that he would seek to roll back parts of a voter-backed initiative that reduced some penalties for non-violent offenses.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"id": "commonwealth-club",
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"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"order": 9
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"airtime": "SUN 7:30pm-8pm",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"order": 15
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"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"order": 18
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"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
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"source": "American Public Media"
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"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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},
"mindshift": {
"id": "mindshift",
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"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
"id": "morning-edition",
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"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"order": 11
},
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"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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},
"link": "/radio/program/on-the-media",
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},
"pbs-newshour": {
"id": "pbs-newshour",
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},
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"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
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},
"perspectives": {
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"order": 14
},
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"planet-money": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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},
"link": "/radio/program/planet-money",
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
},
"link": "/podcasts/politicalbreakdown",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
"subscribe": {
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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