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"content": "\u003cp>At 66, Edward El has a new lease on life — literally. In two weeks, he’ll move into his own apartment in Berkeley after spending the better part of the past 16 years unhoused.\u003c/p>\n\u003cp>Years ago, a back injury and pinched nerves in his legs made standing and walking painful, and he was laid off from his construction job. He ended up in “shelter after shelter after shelter.”\u003c/p>\n\u003cp>But nine months ago, El moved into one of 12 Project Roomkey shelters in Alameda County designed to reduce COVID-19 among the unhoused population. He was connected with a housing navigator, a counselor and medical staff. They helped El apply for affordable housing and rental assistance vouchers, and coordinated with landlords who would give unhoused renters a chance.\u003c/p>\n\u003cfigure id=\"attachment_11905186\" class=\"wp-caption alignnone\" style=\"max-width: 1536px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11905186\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/02/020922-CALAIM-MHN-14-CM.jpg\" alt=\"A man, wearing a hoodie, beanie and a face mask, sits on a chair in an indoor space. He looks to the side, a bit away from the camera.\" width=\"1536\" height=\"1025\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-14-CM.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-14-CM-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-14-CM-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-14-CM-160x107.jpg 160w\" sizes=\"auto, (max-width: 1536px) 100vw, 1536px\">\u003cfigcaption class=\"wp-caption-text\">As Edward El prepares to move to a permanent home, he has enrolled in Medi-Cal. He said he couldn’t have navigated the array of complex systems if it weren’t for his new case management team. ‘I’m happy. They knew about programs that I didn’t know about that allowed me to get a place,’ he said. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Now El will pay a fraction of the cost to live in an area where one-bedroom apartments often exceed $3,000 per month.\u003c/p>\n\u003cp>The team also made sure that El was enrolled in Medi-Cal and had transportation to his doctor’s appointments. He said he couldn’t have navigated the array of complex systems if it weren’t for his new case management team. “I’m happy. They knew about programs that I didn’t know about that allowed me to get a place,” he said.\u003c/p>\n\u003cp>Intensive case management like this is an example of the ambitious, sweeping changes California made to Medi-Cal beginning in January under an initiative it’s calling CalAIM, or California Advancing and Innovating Medi-Cal.\u003c/p>\n\u003cp>Medi-Cal \u003ca href=\"https://www.chcf.org/publication/2021-edition-medi-cal-facts-figures/\">offers medical insurance to lower-income Californians\u003c/a>, serving as a lifeline for nearly half the state’s children, 1 in 5 adults and 2 million seniors and people with disabilities. But the program is inefficient: More than half of Medi-Cal’s \u003ca href=\"https://calmatters.org/health/coronavirus/2021/07/medi-cal-covid-vaccinations/\">roughly $133 billion annual budget is spent on just 5% of the program’s highest-needs individuals\u003c/a> — people with multiple complex health problems compounded by homelessness, poverty, substance abuse, mental illness or incarceration, \u003ca href=\"https://www.dhcs.ca.gov/CalAIM/Documents/CalAIM-ECM-a11y.pdf\">according the Department of Health Care Services\u003c/a>.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Edward El, CalAIM beneficiary\"]‘I’m happy. They knew about programs that I didn’t know about that allowed me to get a place.’[/pullquote]Over the next five years, CalAIM will seek to address the upstream drivers of deteriorating health — things like food insecurity and housing instability — in an effort to reduce costly emergency department visits, hospitalizations and nursing home stays. The program redesign is based on “whole person care” principles, which help people avoid situations that worsen their physical and mental health.\u003c/p>\n\u003cp>“This was designed at the county level to identify very high-risk populations — oftentimes people who were coming to the emergency room five to 10 times a month.” said Erica Murray, president and CEO of the California Association of Public Hospitals and Health Systems.\u003c/p>\n\u003cp>In his January budget, \u003ca href=\"https://www.ebudget.ca.gov/2022-23/pdf/GovernorsBudget/4000.pdf\">Gov. Gavin Newsom proposed $8 billion over five years to implement the program\u003c/a>, about 6% of Medi-Cal’s total budget. Included are temporary payments to managed care plans to offer enhanced case management and other services.\u003c/p>\n\u003cp>These so-called social determinants of health have not been historically covered by health insurance like Medi-Cal. Yet they have an outsized impact on people who often struggle with economic instability, poor nutrition, discrimination, violence and disproportionate exposure to polluted air and water.\u003c/p>\n\u003cp>“One of my patients calls it social deterrents to health,” said Alameda County Medical Director Dr. Kathleen Clanon.\u003c/p>\n\u003cp>No other state has mounted such a comprehensive program that wraps in so many elements. The scale is unprecedented, too: Medi-Cal provides health insurance for more than 13 million people.\u003c/p>\n\u003cp>[aside postID=\"news_11887815\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/GettyImages-1233456190-1020x680.jpg\"]“This is a big deal. Not only is California taking the lead but also setting a precedent for potentially other states to follow it,” said Anthony Wright, executive director of Health Access California, a consumer advocate group.\u003c/p>\n\u003cp>Pilot programs in 25 counties helped get CalAIM off the ground. Roughly \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/wholepersoncare-report-jan2020.pdf\">108,000 Medi-Cal patients were enrolled in county pilots\u003c/a> and \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/First-Interim-Evaluation-CA-HHP-Report-sep2020.pdf\">15,000 in managed care pilots during a two-year period\u003c/a>, according to an early analysis by UCLA researchers. As a result of the success, federal officials granted a waiver allowing CalAIM to move forward for the next five years.\u003c/p>\n\u003cp>In Placer County, David Norris, 67, was one of the patients who benefited from the experimental programs.\u003c/p>\n\u003cp>Norris ended up in a homeless shelter after his mother, for whom he was a long-term caregiver, died. He earns $900 a month in Social Security and retirement, but it’s not enough for rent and living expenses. In April, an infected foot wound spread to the bone and cost Norris his left leg. Another infection resulted in more trips to the ER and subsequent surgeries. Several months later, a fight at the shelter ended in a shove, a fall and a broken right leg.\u003c/p>\n\u003cp>His caseworker, Todd Perbetsky, helped him enroll in Medi-Cal, find a nursing home where he could recuperate and apply for a housing voucher. He’s now helping Norris find permanent housing after leaving the nursing home.\u003c/p>\n\u003cp>“These are definitely people that are falling through the cracks,” Perbetsky said. “They may not meet the criteria of some programs. They may need linkage to services. They can have tons of barriers to even getting their CalFresh turned on or other benefits they qualify for.”\u003c/p>\n\u003cp>Norris called Perbetsky a “hell of a godsend. If you don’t know the ins and outs, you just get spit out. You get absolutely no help at all. That’s where Todd … helps me and people like me navigate the waters and get all squared away.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003cstrong>Creating a one-stop shop\u003c/strong>\u003c/h2>\n\u003cp>Wraparound services aren’t new, but they haven’t always been easy to access, nor have they been directly connected to medical care. Walk through the wrong door and you might not get any help at all.\u003c/p>\n\u003cp>An unhoused patient who suffers from addiction and mental health issues and has diabetes would have to approach three different county departments and a doctor to get all their needs addressed, and even then they’re likely to get lost in the system.\u003c/p>\n\u003cp>“It’s a little bit like if you needed to get ingredients for a meal and instead of just going to the supermarket, you had to go to different stores to get your proteins and your fruits and your grains and your vegetables. And at those stores, you had to pay with different cards and navigate different rules about what you could buy,” said Melora Simon, a senior strategist at the California Health Care Foundation.\u003c/p>\n\u003cp>[aside postID=\"news_11894981\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-1-1020x766.jpg\"]This fragmentation frequently causes barriers to health care and is one of the primary reasons the Department of Health Care Services is focused on reforming Medi-Cal under CalAIM.\u003c/p>\n\u003cp>One such barrier is making sure patients don’t get lost between systems that don’t traditionally talk to one another.\u003c/p>\n\u003cp>Clanon, who also works as a physician in Alameda County, said a few years ago a pregnant, HIV-positive patient needed to begin HIV treatment but had left the usual encampment she stayed in and couldn’t be found. A nurse spent more than an hour calling local emergency departments, homeless shelters and case managers to see whether anyone had seen the patient, with no luck.\u003c/p>\n\u003cp>Had the system been integrated, Clanon’s patient would have been flagged as needing critical medical care any time she entered a homeless shelter, emergency department, substance abuse center or mental health facility.\u003c/p>\n\u003cp>“CalAIM is trying to fix the problem of disparate systems of care both among and between different counties and among and between different parts of the health care system,” said Diana Douglas, a health policy expert with Health Access California.\u003c/p>\n\u003ch2>\u003cstrong>Accountability and missing pieces\u003c/strong>\u003c/h2>\n\u003cp>Since 2016, California has dedicated more than $3 billion in state and federal funds to experiment with doing just that.\u003c/p>\n\u003cp>Four years after launch, the pilots demonstrated “substantial evidence” of improved follow-up after hospitalization for mental illness, increased participation in substance abuse treatment and decreased use of emergency services, among other metrics, \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/First-Interim-Evaluation-CA-HHP-Report-sep2020.pdf\">according to the UCLA analysis\u003c/a>.\u003c/p>\n\u003cp>In Contra Costa County, more than 12,000 patients were enrolled in the pilot annually, and the county health department hired more than 100 public health nurses, mental health specialists, community health workers, homeless service specialists, substance abuse specialists and social workers to provide coordinated case management.\u003c/p>\n\u003cp>“Most of them were types of positions that existed in the county before, but they were very siloed,” said Emily Parmenter, the pilot’s program manager at Contra Costa County Health Services. “So we brought them all together in these multidisciplinary teams where they had a wealth of experience … and were able to provide case consultations across divisions.”\u003c/p>\n\u003cp>Medi-Cal patients who enrolled in the Contra Costa pilot experienced medical emergencies less frequently than nonenrolled patients.\u003c/p>\n\u003cp>“We found that after being involved in the program for a year, our hospital admission rates decreased by 25% … and our [emergency department] rates were 14% lower compared to the control group,” Parmenter said.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Emily Parmenter, Contra Costa Health Services\"]‘We found that after being involved in the program for a year, our hospital admission rates decreased by 25%.’[/pullquote]UCLA researcher Nadereh Pourat, who conducted the pilot evaluation, said her team has just begun to analyze the impact on specific health conditions, such as blood pressure and congestive heart failure, as well as cost-effectiveness.\u003c/p>\n\u003cp>Despite their promise — or perhaps because of it — advocates say the transition from pilot programs to CalAIM will need to be watched carefully.\u003c/p>\n\u003cp>Responsibility has now shifted from county health departments to health care plans, which don’t always meet quality benchmarks. And health care plans in the 33 counties that did not have pilots are starting from scratch.\u003c/p>\n\u003cp>“There are serious concerns about Medi-Cal [health care] plans on the ground being able to implement some of the work necessary for CalAIM to really be effective and live up to its potential,” health policy expert Douglas said.\u003c/p>\n\u003cp>“In some cases, plans struggle to deliver quality care across what we think of as very basic measures: childhood immunizations, are people getting mammograms on time, just very basic preventive care and chronic disease management,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11905185\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11905185\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/02/020922-CALAIM-MHN-10-CM_11.jpg\" alt=\"Two people sit at a table, handling paperwork. One person has their backed to the camera, the other one sits across from them.\" width=\"1024\" height=\"682\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-10-CM_11.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-10-CM_11-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-10-CM_11-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-10-CM_11-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Alameda County intake specialist Annie Wyley meets with a Medi-Cal patient in the repurposed dining room at the Radisson Hotel in Oakland. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Accountability is especially important for improving equity among communities of color, advocates say.\u003c/p>\n\u003cp>“Communities of color are disproportionately impacted by these same factors: lack of housing, lack of income, lack of food security,” said Cary Sanders, senior policy director for the California Pan-Ethnic Health Network.\u003c/p>\n\u003cp>Health plans need to provide services that are “linguistically and culturally appropriate,” Sanders said.\u003c/p>\n\u003cp>One critical piece of the pilot programs that was left out of CalAIM is legal aid. In counties that funded legal aid during the pilot programs, lawyers and paralegals were stationed in medical clinics to assist patients who needed help with benefit denials, eviction notices, immigration issues or domestic abuse cases.\u003c/p>\n\u003cp>Frequently patients and even their doctors don’t realize that their issue could use the help of a lawyer, said Daniel Nesbit, managing attorney for medical legal partnerships with California Rural Legal Assistance. Nesbit said that during the pilot program in Monterey County his team helped 700 clients with more than 1,000 cases.\u003c/p>\n\u003cp>“A really good example is someone struggling with some sort of medical condition, and it’s making it hard for them to go to work every day and do their job to the full extent,” Nesbit said. “They might not know, for example, that they have a possible right to a reasonable accommodation under the Americans with Disabilities Act.”\u003c/p>\n\u003cp>Alameda and Contra Costa counties, which contracted with Bay Area Legal Aid to participate in the pilot, hired five additional attorneys dedicated to assisting Medi-Cal patients. The partnership helped reach people who ordinarily wouldn’t be able to access legal aid because their disability prevented them from attending an appointment or they didn’t have a phone number or an address. Case managers were able to link people to the attorneys, accounting for 300 referrals a year.\u003c/p>\n\u003cp>But when the pilot ended in December and state funding dried up, attorneys were reassigned and are no longer able to focus on Medi-Cal patients.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Diana Douglas, Health Access California\"]‘There are serious concerns about Medi-Cal [health care] … being able to implement some of the work necessary for CalAIM to really be effective.’[/pullquote]“I’m still getting emails and phone calls from the case managers I worked with who I think are now kind of scrambling to figure out how to help,” said Abby Khodayari, an attorney who worked in Contra Costa County’s program. “Case managers are hoping to get help analyzing eviction notices and figuring out the validity of them. It’s hard not having dedicated time to be able to spend working on those issues.”\u003c/p>\n\u003cp>While legal services aren’t explicitly named as one of 14 preapproved services under CalAIM, the Department of Health Care Services said health care plans could integrate them as part of supportive housing services, which are covered.\u003c/p>\n\u003cp>But attorneys say it’s unlikely to happen unless plans get specific guarantees that CalAIM will cover the cost. They hope that subsequent phases of CalAIM will include legal aid.\u003c/p>\n\u003cp>“There hasn’t been a health plan here in LA who’s come forward and said we want to offer these legal services,” said Gerson Sorto, a managing attorney with Neighborhood Legal Services of Los Angeles County.\u003c/p>\n\u003cp>Los Angeles County has continued funding their partnership through the summer, but there’s no permanent money in sight. “As of today, there is no funding secured or confirmed beyond June 30,” Sorto said.\u003c/p>\n\u003ch2>\u003cstrong>Life under ‘whole person care’\u003c/strong>\u003c/h2>\n\u003cp>Back at the Radisson Hotel in Oakland, the shelter where El is waiting patiently to move into his new apartment, he watches a home renovation show on the television. He likes to see how the hosts redesign the interior and gets ideas for his own future home.\u003c/p>\n\u003cp>Before losing his job, El lived in an apartment near Lake Merritt but hasn’t had a place to call his own in years. After he enrolled in Alameda County’s pilot program, things started turning around for him.\u003c/p>\n\u003cp>“These people really respect you and help if you ask for it,” El said.\u003c/p>\n\u003cp>Part of the program is connecting Medi-Cal patients to peers with similar backgrounds.\u003c/p>\n\u003cp>[aside label='More Housing Coverage' tag='housing']“You can’t tell them ‘do this and do that.’ You walk alongside someone and support whatever they’ve got going on,” said Michael Webb, a CalAIM peer support navigator who experienced addiction and homelessness. “Most importantly,” he said, “[is] someone to listen. I might not have any answer at all but there’s power in listening.”\u003c/p>\n\u003cp>Down the hall from El’s room, shelter monitors are delivering lunch to residents who can’t make it to the dining room. Lunch is a chicken sandwich, banana, salad and a soda, but those with dietary restrictions or certain medical conditions like diabetes get tailored meals.\u003c/p>\n\u003cp>As part of the CalAIM program, caretakers perform wellness checks on shelter residents with disabilities, helping them clean, bathe and use the restroom.\u003c/p>\n\u003cp>In the lobby, an intake worker asks a new guest about his seizure disorder and works to link him to his CalAIM team of health care providers, case workers and housing navigators. As the program grows, millions more Californians may benefit. On this day alone, the Oakland team expects to sign up eight new people.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "California's first-of-its-kind Medi-Cal reform aims to help lower-income patients navigate problems like homelessness, poverty and substance abuse that can harm health.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At 66, Edward El has a new lease on life — literally. In two weeks, he’ll move into his own apartment in Berkeley after spending the better part of the past 16 years unhoused.\u003c/p>\n\u003cp>Years ago, a back injury and pinched nerves in his legs made standing and walking painful, and he was laid off from his construction job. He ended up in “shelter after shelter after shelter.”\u003c/p>\n\u003cp>But nine months ago, El moved into one of 12 Project Roomkey shelters in Alameda County designed to reduce COVID-19 among the unhoused population. He was connected with a housing navigator, a counselor and medical staff. They helped El apply for affordable housing and rental assistance vouchers, and coordinated with landlords who would give unhoused renters a chance.\u003c/p>\n\u003cfigure id=\"attachment_11905186\" class=\"wp-caption alignnone\" style=\"max-width: 1536px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11905186\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/02/020922-CALAIM-MHN-14-CM.jpg\" alt=\"A man, wearing a hoodie, beanie and a face mask, sits on a chair in an indoor space. He looks to the side, a bit away from the camera.\" width=\"1536\" height=\"1025\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-14-CM.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-14-CM-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-14-CM-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-14-CM-160x107.jpg 160w\" sizes=\"auto, (max-width: 1536px) 100vw, 1536px\">\u003cfigcaption class=\"wp-caption-text\">As Edward El prepares to move to a permanent home, he has enrolled in Medi-Cal. He said he couldn’t have navigated the array of complex systems if it weren’t for his new case management team. ‘I’m happy. They knew about programs that I didn’t know about that allowed me to get a place,’ he said. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Now El will pay a fraction of the cost to live in an area where one-bedroom apartments often exceed $3,000 per month.\u003c/p>\n\u003cp>The team also made sure that El was enrolled in Medi-Cal and had transportation to his doctor’s appointments. He said he couldn’t have navigated the array of complex systems if it weren’t for his new case management team. “I’m happy. They knew about programs that I didn’t know about that allowed me to get a place,” he said.\u003c/p>\n\u003cp>Intensive case management like this is an example of the ambitious, sweeping changes California made to Medi-Cal beginning in January under an initiative it’s calling CalAIM, or California Advancing and Innovating Medi-Cal.\u003c/p>\n\u003cp>Medi-Cal \u003ca href=\"https://www.chcf.org/publication/2021-edition-medi-cal-facts-figures/\">offers medical insurance to lower-income Californians\u003c/a>, serving as a lifeline for nearly half the state’s children, 1 in 5 adults and 2 million seniors and people with disabilities. But the program is inefficient: More than half of Medi-Cal’s \u003ca href=\"https://calmatters.org/health/coronavirus/2021/07/medi-cal-covid-vaccinations/\">roughly $133 billion annual budget is spent on just 5% of the program’s highest-needs individuals\u003c/a> — people with multiple complex health problems compounded by homelessness, poverty, substance abuse, mental illness or incarceration, \u003ca href=\"https://www.dhcs.ca.gov/CalAIM/Documents/CalAIM-ECM-a11y.pdf\">according the Department of Health Care Services\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Over the next five years, CalAIM will seek to address the upstream drivers of deteriorating health — things like food insecurity and housing instability — in an effort to reduce costly emergency department visits, hospitalizations and nursing home stays. The program redesign is based on “whole person care” principles, which help people avoid situations that worsen their physical and mental health.\u003c/p>\n\u003cp>“This was designed at the county level to identify very high-risk populations — oftentimes people who were coming to the emergency room five to 10 times a month.” said Erica Murray, president and CEO of the California Association of Public Hospitals and Health Systems.\u003c/p>\n\u003cp>In his January budget, \u003ca href=\"https://www.ebudget.ca.gov/2022-23/pdf/GovernorsBudget/4000.pdf\">Gov. Gavin Newsom proposed $8 billion over five years to implement the program\u003c/a>, about 6% of Medi-Cal’s total budget. Included are temporary payments to managed care plans to offer enhanced case management and other services.\u003c/p>\n\u003cp>These so-called social determinants of health have not been historically covered by health insurance like Medi-Cal. Yet they have an outsized impact on people who often struggle with economic instability, poor nutrition, discrimination, violence and disproportionate exposure to polluted air and water.\u003c/p>\n\u003cp>“One of my patients calls it social deterrents to health,” said Alameda County Medical Director Dr. Kathleen Clanon.\u003c/p>\n\u003cp>No other state has mounted such a comprehensive program that wraps in so many elements. The scale is unprecedented, too: Medi-Cal provides health insurance for more than 13 million people.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This is a big deal. Not only is California taking the lead but also setting a precedent for potentially other states to follow it,” said Anthony Wright, executive director of Health Access California, a consumer advocate group.\u003c/p>\n\u003cp>Pilot programs in 25 counties helped get CalAIM off the ground. Roughly \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/wholepersoncare-report-jan2020.pdf\">108,000 Medi-Cal patients were enrolled in county pilots\u003c/a> and \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/First-Interim-Evaluation-CA-HHP-Report-sep2020.pdf\">15,000 in managed care pilots during a two-year period\u003c/a>, according to an early analysis by UCLA researchers. As a result of the success, federal officials granted a waiver allowing CalAIM to move forward for the next five years.\u003c/p>\n\u003cp>In Placer County, David Norris, 67, was one of the patients who benefited from the experimental programs.\u003c/p>\n\u003cp>Norris ended up in a homeless shelter after his mother, for whom he was a long-term caregiver, died. He earns $900 a month in Social Security and retirement, but it’s not enough for rent and living expenses. In April, an infected foot wound spread to the bone and cost Norris his left leg. Another infection resulted in more trips to the ER and subsequent surgeries. Several months later, a fight at the shelter ended in a shove, a fall and a broken right leg.\u003c/p>\n\u003cp>His caseworker, Todd Perbetsky, helped him enroll in Medi-Cal, find a nursing home where he could recuperate and apply for a housing voucher. He’s now helping Norris find permanent housing after leaving the nursing home.\u003c/p>\n\u003cp>“These are definitely people that are falling through the cracks,” Perbetsky said. “They may not meet the criteria of some programs. They may need linkage to services. They can have tons of barriers to even getting their CalFresh turned on or other benefits they qualify for.”\u003c/p>\n\u003cp>Norris called Perbetsky a “hell of a godsend. If you don’t know the ins and outs, you just get spit out. You get absolutely no help at all. That’s where Todd … helps me and people like me navigate the waters and get all squared away.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003cstrong>Creating a one-stop shop\u003c/strong>\u003c/h2>\n\u003cp>Wraparound services aren’t new, but they haven’t always been easy to access, nor have they been directly connected to medical care. Walk through the wrong door and you might not get any help at all.\u003c/p>\n\u003cp>An unhoused patient who suffers from addiction and mental health issues and has diabetes would have to approach three different county departments and a doctor to get all their needs addressed, and even then they’re likely to get lost in the system.\u003c/p>\n\u003cp>“It’s a little bit like if you needed to get ingredients for a meal and instead of just going to the supermarket, you had to go to different stores to get your proteins and your fruits and your grains and your vegetables. And at those stores, you had to pay with different cards and navigate different rules about what you could buy,” said Melora Simon, a senior strategist at the California Health Care Foundation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>This fragmentation frequently causes barriers to health care and is one of the primary reasons the Department of Health Care Services is focused on reforming Medi-Cal under CalAIM.\u003c/p>\n\u003cp>One such barrier is making sure patients don’t get lost between systems that don’t traditionally talk to one another.\u003c/p>\n\u003cp>Clanon, who also works as a physician in Alameda County, said a few years ago a pregnant, HIV-positive patient needed to begin HIV treatment but had left the usual encampment she stayed in and couldn’t be found. A nurse spent more than an hour calling local emergency departments, homeless shelters and case managers to see whether anyone had seen the patient, with no luck.\u003c/p>\n\u003cp>Had the system been integrated, Clanon’s patient would have been flagged as needing critical medical care any time she entered a homeless shelter, emergency department, substance abuse center or mental health facility.\u003c/p>\n\u003cp>“CalAIM is trying to fix the problem of disparate systems of care both among and between different counties and among and between different parts of the health care system,” said Diana Douglas, a health policy expert with Health Access California.\u003c/p>\n\u003ch2>\u003cstrong>Accountability and missing pieces\u003c/strong>\u003c/h2>\n\u003cp>Since 2016, California has dedicated more than $3 billion in state and federal funds to experiment with doing just that.\u003c/p>\n\u003cp>Four years after launch, the pilots demonstrated “substantial evidence” of improved follow-up after hospitalization for mental illness, increased participation in substance abuse treatment and decreased use of emergency services, among other metrics, \u003ca href=\"https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/First-Interim-Evaluation-CA-HHP-Report-sep2020.pdf\">according to the UCLA analysis\u003c/a>.\u003c/p>\n\u003cp>In Contra Costa County, more than 12,000 patients were enrolled in the pilot annually, and the county health department hired more than 100 public health nurses, mental health specialists, community health workers, homeless service specialists, substance abuse specialists and social workers to provide coordinated case management.\u003c/p>\n\u003cp>“Most of them were types of positions that existed in the county before, but they were very siloed,” said Emily Parmenter, the pilot’s program manager at Contra Costa County Health Services. “So we brought them all together in these multidisciplinary teams where they had a wealth of experience … and were able to provide case consultations across divisions.”\u003c/p>\n\u003cp>Medi-Cal patients who enrolled in the Contra Costa pilot experienced medical emergencies less frequently than nonenrolled patients.\u003c/p>\n\u003cp>“We found that after being involved in the program for a year, our hospital admission rates decreased by 25% … and our [emergency department] rates were 14% lower compared to the control group,” Parmenter said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>UCLA researcher Nadereh Pourat, who conducted the pilot evaluation, said her team has just begun to analyze the impact on specific health conditions, such as blood pressure and congestive heart failure, as well as cost-effectiveness.\u003c/p>\n\u003cp>Despite their promise — or perhaps because of it — advocates say the transition from pilot programs to CalAIM will need to be watched carefully.\u003c/p>\n\u003cp>Responsibility has now shifted from county health departments to health care plans, which don’t always meet quality benchmarks. And health care plans in the 33 counties that did not have pilots are starting from scratch.\u003c/p>\n\u003cp>“There are serious concerns about Medi-Cal [health care] plans on the ground being able to implement some of the work necessary for CalAIM to really be effective and live up to its potential,” health policy expert Douglas said.\u003c/p>\n\u003cp>“In some cases, plans struggle to deliver quality care across what we think of as very basic measures: childhood immunizations, are people getting mammograms on time, just very basic preventive care and chronic disease management,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11905185\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11905185\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/02/020922-CALAIM-MHN-10-CM_11.jpg\" alt=\"Two people sit at a table, handling paperwork. One person has their backed to the camera, the other one sits across from them.\" width=\"1024\" height=\"682\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-10-CM_11.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-10-CM_11-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-10-CM_11-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/020922-CALAIM-MHN-10-CM_11-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Alameda County intake specialist Annie Wyley meets with a Medi-Cal patient in the repurposed dining room at the Radisson Hotel in Oakland. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Accountability is especially important for improving equity among communities of color, advocates say.\u003c/p>\n\u003cp>“Communities of color are disproportionately impacted by these same factors: lack of housing, lack of income, lack of food security,” said Cary Sanders, senior policy director for the California Pan-Ethnic Health Network.\u003c/p>\n\u003cp>Health plans need to provide services that are “linguistically and culturally appropriate,” Sanders said.\u003c/p>\n\u003cp>One critical piece of the pilot programs that was left out of CalAIM is legal aid. In counties that funded legal aid during the pilot programs, lawyers and paralegals were stationed in medical clinics to assist patients who needed help with benefit denials, eviction notices, immigration issues or domestic abuse cases.\u003c/p>\n\u003cp>Frequently patients and even their doctors don’t realize that their issue could use the help of a lawyer, said Daniel Nesbit, managing attorney for medical legal partnerships with California Rural Legal Assistance. Nesbit said that during the pilot program in Monterey County his team helped 700 clients with more than 1,000 cases.\u003c/p>\n\u003cp>“A really good example is someone struggling with some sort of medical condition, and it’s making it hard for them to go to work every day and do their job to the full extent,” Nesbit said. “They might not know, for example, that they have a possible right to a reasonable accommodation under the Americans with Disabilities Act.”\u003c/p>\n\u003cp>Alameda and Contra Costa counties, which contracted with Bay Area Legal Aid to participate in the pilot, hired five additional attorneys dedicated to assisting Medi-Cal patients. The partnership helped reach people who ordinarily wouldn’t be able to access legal aid because their disability prevented them from attending an appointment or they didn’t have a phone number or an address. Case managers were able to link people to the attorneys, accounting for 300 referrals a year.\u003c/p>\n\u003cp>But when the pilot ended in December and state funding dried up, attorneys were reassigned and are no longer able to focus on Medi-Cal patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I’m still getting emails and phone calls from the case managers I worked with who I think are now kind of scrambling to figure out how to help,” said Abby Khodayari, an attorney who worked in Contra Costa County’s program. “Case managers are hoping to get help analyzing eviction notices and figuring out the validity of them. It’s hard not having dedicated time to be able to spend working on those issues.”\u003c/p>\n\u003cp>While legal services aren’t explicitly named as one of 14 preapproved services under CalAIM, the Department of Health Care Services said health care plans could integrate them as part of supportive housing services, which are covered.\u003c/p>\n\u003cp>But attorneys say it’s unlikely to happen unless plans get specific guarantees that CalAIM will cover the cost. They hope that subsequent phases of CalAIM will include legal aid.\u003c/p>\n\u003cp>“There hasn’t been a health plan here in LA who’s come forward and said we want to offer these legal services,” said Gerson Sorto, a managing attorney with Neighborhood Legal Services of Los Angeles County.\u003c/p>\n\u003cp>Los Angeles County has continued funding their partnership through the summer, but there’s no permanent money in sight. “As of today, there is no funding secured or confirmed beyond June 30,” Sorto said.\u003c/p>\n\u003ch2>\u003cstrong>Life under ‘whole person care’\u003c/strong>\u003c/h2>\n\u003cp>Back at the Radisson Hotel in Oakland, the shelter where El is waiting patiently to move into his new apartment, he watches a home renovation show on the television. He likes to see how the hosts redesign the interior and gets ideas for his own future home.\u003c/p>\n\u003cp>Before losing his job, El lived in an apartment near Lake Merritt but hasn’t had a place to call his own in years. After he enrolled in Alameda County’s pilot program, things started turning around for him.\u003c/p>\n\u003cp>“These people really respect you and help if you ask for it,” El said.\u003c/p>\n\u003cp>Part of the program is connecting Medi-Cal patients to peers with similar backgrounds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“You can’t tell them ‘do this and do that.’ You walk alongside someone and support whatever they’ve got going on,” said Michael Webb, a CalAIM peer support navigator who experienced addiction and homelessness. “Most importantly,” he said, “[is] someone to listen. I might not have any answer at all but there’s power in listening.”\u003c/p>\n\u003cp>Down the hall from El’s room, shelter monitors are delivering lunch to residents who can’t make it to the dining room. Lunch is a chicken sandwich, banana, salad and a soda, but those with dietary restrictions or certain medical conditions like diabetes get tailored meals.\u003c/p>\n\u003cp>As part of the CalAIM program, caretakers perform wellness checks on shelter residents with disabilities, helping them clean, bathe and use the restroom.\u003c/p>\n\u003cp>In the lobby, an intake worker asks a new guest about his seizure disorder and works to link him to his CalAIM team of health care providers, case workers and housing navigators. As the program grows, millions more Californians may benefit. On this day alone, the Oakland team expects to sign up eight new people.\u003cbr>\n\u003c/p>\u003c/div>",
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"slug": "underpaid-and-burned-out-many-outreach-workers-for-unhoused-californians-are-leaving-their-jobs",
"title": "Underpaid and Burned Out: Many Outreach Workers for Unhoused Californians Are Leaving Their Jobs",
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"content": "\u003cp>\u003ca href=\"https://calmatters.org/calmatters-en-espanol/2022/01/la-escasez-de-trabajadores-sociales-podria-bloquear-la-estrategia-para-indigentes-en-california/\">\u003cem>Leer en español.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>In the middle of March last year,\u003ca href=\"https://www.latimes.com/homeless-housing/story/2021-03-13/echo-park-encampment-exposes-bigger-la-homeless-issues\"> Los Angeles officials were gearing up to clear an encampment of 200 unhoused persons\u003c/a> at Echo Park Lake.\u003c/p>\n\u003cp>For Denise Velazquez, 53, then an outreach worker with the Los Angeles Homeless Services Authority, her task was clear: Get 10 people indoors.\u003c/p>\n\u003cp>She helped her clients — who were cold, tired and desperate to shower — pack their bags and sign intake forms. She gave them hope that warmth was around the corner: hotel rooms under \u003ca href=\"https://calmatters.org/california-divide/2022/01/california-homeless-permanent-supportive-housing/\">Project Roomkey, the state’s program to shelter unhoused people most at risk of catching COVID-19\u003c/a>.\u003c/p>\n\u003cp>But orders changed overnight. Her agency had access to only three beds, and when she told her clients, they yelled, spit and lunged at her partner. Velazquez says she broke their trust — and that broke her heart.\u003c/p>\n\u003cp>“My stomach is feeling so uncomfortable and heart broken,” Velazquez wrote in an email to her supervisor on March 18, 2021.\u003c/p>\n\u003cp>LAHSA spokesperson Ahmad Chapman said various local service providers placed 176 of those at the Echo Park encampment in interim housing programs.\u003c/p>\n\u003cp>In the weeks that followed, Velazquez said her health deteriorated. Her blood pressure spiked, her diabetes worsened, and her anxiety and depression spiraled. Her employer granted her a medical leave of absence, but therapy revealed that the only way to heal, she said, was to quit. Abandoning her clients broke her heart all over again.\u003c/p>\n\u003cfigure id=\"attachment_11903130\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903130\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg\" alt=\"Two hands hold up a pair of boots. The boots are very worn out and stained with dirt and water.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Denise Velazquez holds the boots she got when she started working in homelessness outreach. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Turnover has long plagued the homeless services field. COVID-19 has only made the problem worse as \u003ca href=\"https://calmatters.org/series/california-workers-covid/\">the omicron surge causes worker shortages across California’s economy\u003c/a>. And without enough service workers, the state’s ambitious, multibillion-dollar strategy for reducing homelessness is unlikely to work.\u003c/p>\n\u003cp>Most people who enter social work know to expect small paychecks; they’re driven by compassion and a desire for positive change. But caring too much can be crushing when \u003ca href=\"https://calmatters.org/housing/homeless/2021/11/california-homeless-camps-clearing-plan/\">housing is elusive\u003c/a>, \u003ca href=\"https://calmatters.org/projects/mentally-ill-forced-treatment-conservatorship-california-debate/\">mental health services scant\u003c/a>, and communication splintered among the myriad entities who decide the fate of the unhoused.\u003c/p>\n\u003cp>“We’re paying these folks pennies on the dollar to burn themselves out completely,” said Tami McVay, assistant program director at \u003ca href=\"https://www.selfhelpenterprises.org/\">Self-Help Enterprises\u003c/a>, which serves lower-income communities in the San Joaquin Valley.\u003c/p>\n\u003cp>[aside postID=\"news_11901253\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/021_SanFrancisco_NewsomRecallEvent_09142021-1020x680.jpg\"]When you bring up staff turnover or vacancies with any provider or advocate, they nod vigorously. The mostly government-contracted private organizations serving people experiencing homelessness have waged an uphill battle to recruit and retain workers into their fast-growing workforce, including some formerly homeless individuals.\u003c/p>\n\u003cp>LA-based \u003ca href=\"https://epath.org/\">People Assisting the Homeless\u003c/a>, or PATH, which serves about a fifth of the state’s unhoused population, has hired seven recruiters to help fill 340 vacancies, out of 1,100 jobs, said CEO Jennifer Hark Dietz. It’s now taking an average of four months to fill any given spot.\u003c/p>\n\u003cp>And that’s before the latest homelessness budget, approved last summer by Gov. Gavin Newsom and the Legislature, \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">floods providers with $12 billion over the next two years\u003c/a>. The state says the funding will require thousands of new positions in the homeless response system.\u003c/p>\n\u003cp>“We have all this money,” said Farrah McDaid Ting, a senior legislative representative with the California State Association of Counties. “Can we really do this if we don’t have the people? I think there could be a real limitation.”\u003c/p>\n\u003cfigure id=\"attachment_11903126\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903126\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg\" alt=\"Mel Tillekeratne stands against one of the walls of a Shower of Hope facility.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Mel Tillekeratne, executive director of The Shower of Hope. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Good jobs wanted\u003c/h3>\n\u003cp>At the root of the worker shortage — which advocates say is really a shortage of good jobs — is low wages. Most homeless services organizations CalMatters spoke with pay starting frontline workers between $16 and $18 an hour, barely higher than minimum wage. They openly admit it’s far too little for the grueling labor, and often isn’t enough to live in expensive California cities.\u003c/p>\n\u003cp>“In the homeless services sector, it’s like: You didn’t get this paperwork in on time, I lost my housing, or my legs are hurting, I think I might have a blood clot,” said Mel Tillekeratne, executive director of \u003ca href=\"http://theshowerofhope.org/\">The Shower of Hope, which runs 22 mobile shower sites across Los Angeles County\u003c/a>. “It’s an unbelievably high amount of stress. I’ve seen so many outreach workers completely checked out.”\u003c/p>\n\u003cp>According to the U.S. Bureau of Labor Statistics, people employed in emergency and other relief services — including homeless service providers — \u003ca href=\"https://data.bls.gov/PDQWeb/en\">made an average annual salary of $49,616 in 2020\u003c/a>.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Earl Edwards, doctoral candidate at UCLA\"]‘A lot of individuals didn’t see a pathway for them to stay doing this work.’[/pullquote]Why not pay more? Tillekeratne says government contracts usually cap personnel costs. He had to raise money privately, for example, to offer hazard pay at the start of the pandemic. Federal and state grants usually come in bursts and have short timelines, forcing organizations to fill temporary positions before they expire.\u003c/p>\n\u003cp>If they don’t leave homeless services completely, workers will switch jobs for $1 or $2 more an hour. Or, if they get promoted, they often lose direct contact with clients, adding to a sense that frontline work is undervalued, said Earl Edwards, a doctoral candidate at the University of California, Los Angeles \u003ca href=\"https://www.capolicylab.org/wp-content/uploads/2021/10/Inequity-in-the-PSH-System-in-Los-Angeles.pdf\">who interviewed 11 case managers\u003c/a>.\u003c/p>\n\u003cp>“A lot of individuals didn’t see a pathway for them to stay doing this work,” Edwards said.\u003c/p>\n\u003cp>Most organizations that serve unhoused individuals often hire people who are just exiting homelessness themselves: “That also adds an additional level of trauma,” he said. Shelter workers in Fresno constantly reach out about “unstable living arrangements of their own, asking for housing,” said Katie Wilbur, executive director of \u003ca href=\"https://www.rhcommunitybuilders.com/\">RH Community Builders\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11903133\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg\" alt=\"A person receives a haircut outdoors. The barber touches the hair of the person receiving the haircut.\" width=\"2000\" height=\"1331\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1920x1278.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A volunteer barber cuts an unhoused person’s hair at Trinity Church in Riverside. Those who are unhoused come once a week to the church where they are offered haircuts, clothes, food and a shower. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The fewer employees with master’s degrees in social work often earn higher salaries, but even those aren’t high enough to keep them from more lucrative jobs, explains \u003ca href=\"https://www.apu.edu/bas/faculty/dgallup/\">Donna Gallup\u003c/a>, an assistant professor at Azusa Pacific’s Department of Social Work, who runs a pilot program to recruit more students into the homeless services field.\u003c/p>\n\u003cp>“If you have an opportunity as a graduate student, with student debt, you may select a school, a hospital or another nonprofit where you are not having to work with a stigmatized population that is very demanding, and the work conditions, especially with COVID,” Gallup said. “It has been a challenge.”\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\"]Newsom’s \u003ca href=\"https://calmatters.org/politics/2022/01/california-budget-newsom/\">proposed 2022 budget, which still has to be negotiated with the Legislature\u003c/a>, includes $1.7 billion over three years to expand the state’s health and human services workforce “with improved diversity, wages and health equity outcomes,” said Rodger Butler, a spokesperson for the \u003ca href=\"https://www.chhs.ca.gov/\">California Health and Human Services Agency\u003c/a>. But even that may not be enough.\u003c/p>\n\u003cp>“Until … funding is commensurate to offer living wages across positions in the sector, it’ll be hard to train our way out of this crisis,” said Mari Castaldi, senior legislative advocate on homelessness at \u003ca href=\"https://www.housingca.org/\">Housing California\u003c/a>.\u003c/p>\n\u003cp>To increase the wages of the lowest-paid workers, the nonprofit is calling for a supplemental appropriation — \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">on top of $2 billion over two years in flexible spending in last year’s budget\u003c/a> that cities and counties will use to pay nonprofit partners to run most of these homelessness programs.\u003c/p>\n\u003cp>“We don’t think it makes sense to say to service providers, ‘You get to choose between serving the number of clients that you set forth to serve, or increasing wages,’” Castaldi said.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903124\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg\" alt=\"\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>Underpaid and burned out\u003c/strong>\u003c/h3>\n\u003cp>But pay is only one part of the problem, says Deborah Son, executive director of the National Association of Social Workers’ California chapter. She represents 9,000 of the state’s roughly 75,000 certified social workers — and says all of them are affected by\u003ca href=\"https://calmatters.org/explainers/housing-costs-high-california/\"> the severe shortage of affordable housing in California\u003c/a>.\u003c/p>\n\u003cp>“We can bulk up the workforce and get people jobs and create jobs,” she said, “but if we don’t create the housing structures that are necessary, and we’re talking about the intricate systems necessary, your efforts become moot.”\u003c/p>\n\u003cp>Following her stint at LAHSA, Velazquez found a new job at homeless services nonprofit \u003ca href=\"https://unionstationhs.org/\">Union Station Homeless Services\u003c/a> as a care coordinator, earning $24 an hour. Half of her 20 clients are in housing, and her job is to keep them there. Her other clients are trying — unsuccessfully since September — \u003ca href=\"https://calmatters.org/california-divide/2019/08/section-8-voucher-discrimination-california-housing-crisis/\">to get into a place using housing vouchers, which cover two-thirds of the rent\u003c/a>.\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\"]“There’s not enough apartments, and landlords don’t want them,” she said. “Legally [landlords] can’t say, ‘No, I’m not going to take a voucher.’ But they can say, ‘Oh, but your client has to have 650 credit score, and no evictions, and no criminal record.’”\u003c/p>\n\u003cp>“This is where the burnout comes,” she added. “It’s like, a case manager can do and do and do and we still feel we’re not doing it.”\u003c/p>\n\u003cp>In her new job, Velazquez said she feels heard when she brings up concerns. She gets a day off every two weeks to unwind, checks in with her supervisor regularly and participates in training and meditation.\u003c/p>\n\u003cp>Her own self-care is essential, too, she explains, holding up an angel aura quartz around her neck, which she uses to steel herself for difficult encounters. “This is like my sanctuary, away from everything,” she said, gesturing around her two-bedroom in Monterey Park. “When I sit in that chair, I feel like I’m getting a hug from my grandpa.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg\" alt=\"\" width=\"1200\" height=\"804\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-800x536.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-1020x683.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>The impact on clients\u003c/strong>\u003c/h3>\n\u003cp>Clients feel the brunt of turnover just as acutely.\u003c/p>\n\u003cp>A recent study found that in the last decade, \u003ca href=\"https://www.capolicylab.org/inequity-in-the-psh-system-in-los-angeles/\">more than a fifth of the 16,026 people in Los Angeles placed in permanent supportive housing\u003c/a> — which pairs rental assistance with case management, substance use programs and mental health treatment — plunged back into homelessness. Black tenants were the most likely to return to the streets or a shelter, and they cited high case-manager turnover as one of several factors.\u003c/p>\n\u003cp>“When you have a case manager who is trying to help you create long-term goals, but they’re only staying for three to six months, it prevents you from actually being able to follow through,” said Edwards of UCLA, a co-author of the study.\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='housing']Some tenants he spoke with were already on their sixth or seventh case manager while in permanent housing. In turn, some clients didn’t bother to learn their case manager’s names for a couple of months, making their jobs that much harder.\u003c/p>\n\u003cp>“Once you have one you can actually work with, next thing you know, you get a notice on your door, ‘Oh, well, hi, this will be my last week.’ And you’re like, ‘Damn. You just got here,’” said Theresa Winkler, who lives with her husband in permanent supportive housing in downtown LA’s Skid Row neighborhood.\u003c/p>\n\u003cp>Winkler, 58, said she has been living in permanent supportive housing for about a decade and was unhoused for about half her life before that. She said she has been clean from crack, heroin and alcohol for 15 years, and continues to seek help for post-traumatic stress disorder, anxiety and depression. But cycling through caseworker after caseworker — at least three in the last two years — is “straight frustrating.”\u003c/p>\n\u003cfigure id=\"attachment_11903122\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903122\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg\" alt=\"A wide shot of a multi-story residential structure.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Residences in the Skid Row Housing Trust in Skid Row in Los Angeles. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“With addiction, a relapse happens weeks before you pick up,” she explained. “If you know yourself and you see it coming, you’re able to go downstairs, talk to your caseworker, and tell her, ‘Hey, look, can I talk to you for a few minutes?’ But if you don’t have anybody you can trust to go in and talk to — because that’s the biggest word right there, trust — then hey, I’m back out there doing what I was doing in the beginning.”\u003c/p>\n\u003cp>Her husband, her doctors and her 12-step recovery program have helped her stay on track and find solace. So has reflecting on her progress.\u003c/p>\n\u003cp>“It’s nice for me to finally say, ‘You know what? I finally found peace,’” she said. “Because it’s hard to find peace. Look at where I’m at. I’m in the pits of hell.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Burnout and COVID are causing service workers for unhoused Californians to leave. Low pay makes it difficult to recruit new workers — but they're essential to the state's plans to reduce homelessness.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://calmatters.org/calmatters-en-espanol/2022/01/la-escasez-de-trabajadores-sociales-podria-bloquear-la-estrategia-para-indigentes-en-california/\">\u003cem>Leer en español.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>In the middle of March last year,\u003ca href=\"https://www.latimes.com/homeless-housing/story/2021-03-13/echo-park-encampment-exposes-bigger-la-homeless-issues\"> Los Angeles officials were gearing up to clear an encampment of 200 unhoused persons\u003c/a> at Echo Park Lake.\u003c/p>\n\u003cp>For Denise Velazquez, 53, then an outreach worker with the Los Angeles Homeless Services Authority, her task was clear: Get 10 people indoors.\u003c/p>\n\u003cp>She helped her clients — who were cold, tired and desperate to shower — pack their bags and sign intake forms. She gave them hope that warmth was around the corner: hotel rooms under \u003ca href=\"https://calmatters.org/california-divide/2022/01/california-homeless-permanent-supportive-housing/\">Project Roomkey, the state’s program to shelter unhoused people most at risk of catching COVID-19\u003c/a>.\u003c/p>\n\u003cp>But orders changed overnight. Her agency had access to only three beds, and when she told her clients, they yelled, spit and lunged at her partner. Velazquez says she broke their trust — and that broke her heart.\u003c/p>\n\u003cp>“My stomach is feeling so uncomfortable and heart broken,” Velazquez wrote in an email to her supervisor on March 18, 2021.\u003c/p>\n\u003cp>LAHSA spokesperson Ahmad Chapman said various local service providers placed 176 of those at the Echo Park encampment in interim housing programs.\u003c/p>\n\u003cp>In the weeks that followed, Velazquez said her health deteriorated. Her blood pressure spiked, her diabetes worsened, and her anxiety and depression spiraled. Her employer granted her a medical leave of absence, but therapy revealed that the only way to heal, she said, was to quit. Abandoning her clients broke her heart all over again.\u003c/p>\n\u003cfigure id=\"attachment_11903130\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903130\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg\" alt=\"Two hands hold up a pair of boots. The boots are very worn out and stained with dirt and water.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Denise Velazquez holds the boots she got when she started working in homelessness outreach. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Turnover has long plagued the homeless services field. COVID-19 has only made the problem worse as \u003ca href=\"https://calmatters.org/series/california-workers-covid/\">the omicron surge causes worker shortages across California’s economy\u003c/a>. And without enough service workers, the state’s ambitious, multibillion-dollar strategy for reducing homelessness is unlikely to work.\u003c/p>\n\u003cp>Most people who enter social work know to expect small paychecks; they’re driven by compassion and a desire for positive change. But caring too much can be crushing when \u003ca href=\"https://calmatters.org/housing/homeless/2021/11/california-homeless-camps-clearing-plan/\">housing is elusive\u003c/a>, \u003ca href=\"https://calmatters.org/projects/mentally-ill-forced-treatment-conservatorship-california-debate/\">mental health services scant\u003c/a>, and communication splintered among the myriad entities who decide the fate of the unhoused.\u003c/p>\n\u003cp>“We’re paying these folks pennies on the dollar to burn themselves out completely,” said Tami McVay, assistant program director at \u003ca href=\"https://www.selfhelpenterprises.org/\">Self-Help Enterprises\u003c/a>, which serves lower-income communities in the San Joaquin Valley.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>When you bring up staff turnover or vacancies with any provider or advocate, they nod vigorously. The mostly government-contracted private organizations serving people experiencing homelessness have waged an uphill battle to recruit and retain workers into their fast-growing workforce, including some formerly homeless individuals.\u003c/p>\n\u003cp>LA-based \u003ca href=\"https://epath.org/\">People Assisting the Homeless\u003c/a>, or PATH, which serves about a fifth of the state’s unhoused population, has hired seven recruiters to help fill 340 vacancies, out of 1,100 jobs, said CEO Jennifer Hark Dietz. It’s now taking an average of four months to fill any given spot.\u003c/p>\n\u003cp>And that’s before the latest homelessness budget, approved last summer by Gov. Gavin Newsom and the Legislature, \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">floods providers with $12 billion over the next two years\u003c/a>. The state says the funding will require thousands of new positions in the homeless response system.\u003c/p>\n\u003cp>“We have all this money,” said Farrah McDaid Ting, a senior legislative representative with the California State Association of Counties. “Can we really do this if we don’t have the people? I think there could be a real limitation.”\u003c/p>\n\u003cfigure id=\"attachment_11903126\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903126\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg\" alt=\"Mel Tillekeratne stands against one of the walls of a Shower of Hope facility.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Mel Tillekeratne, executive director of The Shower of Hope. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Good jobs wanted\u003c/h3>\n\u003cp>At the root of the worker shortage — which advocates say is really a shortage of good jobs — is low wages. Most homeless services organizations CalMatters spoke with pay starting frontline workers between $16 and $18 an hour, barely higher than minimum wage. They openly admit it’s far too little for the grueling labor, and often isn’t enough to live in expensive California cities.\u003c/p>\n\u003cp>“In the homeless services sector, it’s like: You didn’t get this paperwork in on time, I lost my housing, or my legs are hurting, I think I might have a blood clot,” said Mel Tillekeratne, executive director of \u003ca href=\"http://theshowerofhope.org/\">The Shower of Hope, which runs 22 mobile shower sites across Los Angeles County\u003c/a>. “It’s an unbelievably high amount of stress. I’ve seen so many outreach workers completely checked out.”\u003c/p>\n\u003cp>According to the U.S. Bureau of Labor Statistics, people employed in emergency and other relief services — including homeless service providers — \u003ca href=\"https://data.bls.gov/PDQWeb/en\">made an average annual salary of $49,616 in 2020\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘A lot of individuals didn’t see a pathway for them to stay doing this work.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Why not pay more? Tillekeratne says government contracts usually cap personnel costs. He had to raise money privately, for example, to offer hazard pay at the start of the pandemic. Federal and state grants usually come in bursts and have short timelines, forcing organizations to fill temporary positions before they expire.\u003c/p>\n\u003cp>If they don’t leave homeless services completely, workers will switch jobs for $1 or $2 more an hour. Or, if they get promoted, they often lose direct contact with clients, adding to a sense that frontline work is undervalued, said Earl Edwards, a doctoral candidate at the University of California, Los Angeles \u003ca href=\"https://www.capolicylab.org/wp-content/uploads/2021/10/Inequity-in-the-PSH-System-in-Los-Angeles.pdf\">who interviewed 11 case managers\u003c/a>.\u003c/p>\n\u003cp>“A lot of individuals didn’t see a pathway for them to stay doing this work,” Edwards said.\u003c/p>\n\u003cp>Most organizations that serve unhoused individuals often hire people who are just exiting homelessness themselves: “That also adds an additional level of trauma,” he said. Shelter workers in Fresno constantly reach out about “unstable living arrangements of their own, asking for housing,” said Katie Wilbur, executive director of \u003ca href=\"https://www.rhcommunitybuilders.com/\">RH Community Builders\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11903133\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg\" alt=\"A person receives a haircut outdoors. The barber touches the hair of the person receiving the haircut.\" width=\"2000\" height=\"1331\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1920x1278.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A volunteer barber cuts an unhoused person’s hair at Trinity Church in Riverside. Those who are unhoused come once a week to the church where they are offered haircuts, clothes, food and a shower. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The fewer employees with master’s degrees in social work often earn higher salaries, but even those aren’t high enough to keep them from more lucrative jobs, explains \u003ca href=\"https://www.apu.edu/bas/faculty/dgallup/\">Donna Gallup\u003c/a>, an assistant professor at Azusa Pacific’s Department of Social Work, who runs a pilot program to recruit more students into the homeless services field.\u003c/p>\n\u003cp>“If you have an opportunity as a graduate student, with student debt, you may select a school, a hospital or another nonprofit where you are not having to work with a stigmatized population that is very demanding, and the work conditions, especially with COVID,” Gallup said. “It has been a challenge.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Newsom’s \u003ca href=\"https://calmatters.org/politics/2022/01/california-budget-newsom/\">proposed 2022 budget, which still has to be negotiated with the Legislature\u003c/a>, includes $1.7 billion over three years to expand the state’s health and human services workforce “with improved diversity, wages and health equity outcomes,” said Rodger Butler, a spokesperson for the \u003ca href=\"https://www.chhs.ca.gov/\">California Health and Human Services Agency\u003c/a>. But even that may not be enough.\u003c/p>\n\u003cp>“Until … funding is commensurate to offer living wages across positions in the sector, it’ll be hard to train our way out of this crisis,” said Mari Castaldi, senior legislative advocate on homelessness at \u003ca href=\"https://www.housingca.org/\">Housing California\u003c/a>.\u003c/p>\n\u003cp>To increase the wages of the lowest-paid workers, the nonprofit is calling for a supplemental appropriation — \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">on top of $2 billion over two years in flexible spending in last year’s budget\u003c/a> that cities and counties will use to pay nonprofit partners to run most of these homelessness programs.\u003c/p>\n\u003cp>“We don’t think it makes sense to say to service providers, ‘You get to choose between serving the number of clients that you set forth to serve, or increasing wages,’” Castaldi said.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903124\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg\" alt=\"\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>Underpaid and burned out\u003c/strong>\u003c/h3>\n\u003cp>But pay is only one part of the problem, says Deborah Son, executive director of the National Association of Social Workers’ California chapter. She represents 9,000 of the state’s roughly 75,000 certified social workers — and says all of them are affected by\u003ca href=\"https://calmatters.org/explainers/housing-costs-high-california/\"> the severe shortage of affordable housing in California\u003c/a>.\u003c/p>\n\u003cp>“We can bulk up the workforce and get people jobs and create jobs,” she said, “but if we don’t create the housing structures that are necessary, and we’re talking about the intricate systems necessary, your efforts become moot.”\u003c/p>\n\u003cp>Following her stint at LAHSA, Velazquez found a new job at homeless services nonprofit \u003ca href=\"https://unionstationhs.org/\">Union Station Homeless Services\u003c/a> as a care coordinator, earning $24 an hour. Half of her 20 clients are in housing, and her job is to keep them there. Her other clients are trying — unsuccessfully since September — \u003ca href=\"https://calmatters.org/california-divide/2019/08/section-8-voucher-discrimination-california-housing-crisis/\">to get into a place using housing vouchers, which cover two-thirds of the rent\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“There’s not enough apartments, and landlords don’t want them,” she said. “Legally [landlords] can’t say, ‘No, I’m not going to take a voucher.’ But they can say, ‘Oh, but your client has to have 650 credit score, and no evictions, and no criminal record.’”\u003c/p>\n\u003cp>“This is where the burnout comes,” she added. “It’s like, a case manager can do and do and do and we still feel we’re not doing it.”\u003c/p>\n\u003cp>In her new job, Velazquez said she feels heard when she brings up concerns. She gets a day off every two weeks to unwind, checks in with her supervisor regularly and participates in training and meditation.\u003c/p>\n\u003cp>Her own self-care is essential, too, she explains, holding up an angel aura quartz around her neck, which she uses to steel herself for difficult encounters. “This is like my sanctuary, away from everything,” she said, gesturing around her two-bedroom in Monterey Park. “When I sit in that chair, I feel like I’m getting a hug from my grandpa.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg\" alt=\"\" width=\"1200\" height=\"804\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-800x536.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-1020x683.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>The impact on clients\u003c/strong>\u003c/h3>\n\u003cp>Clients feel the brunt of turnover just as acutely.\u003c/p>\n\u003cp>A recent study found that in the last decade, \u003ca href=\"https://www.capolicylab.org/inequity-in-the-psh-system-in-los-angeles/\">more than a fifth of the 16,026 people in Los Angeles placed in permanent supportive housing\u003c/a> — which pairs rental assistance with case management, substance use programs and mental health treatment — plunged back into homelessness. Black tenants were the most likely to return to the streets or a shelter, and they cited high case-manager turnover as one of several factors.\u003c/p>\n\u003cp>“When you have a case manager who is trying to help you create long-term goals, but they’re only staying for three to six months, it prevents you from actually being able to follow through,” said Edwards of UCLA, a co-author of the study.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Some tenants he spoke with were already on their sixth or seventh case manager while in permanent housing. In turn, some clients didn’t bother to learn their case manager’s names for a couple of months, making their jobs that much harder.\u003c/p>\n\u003cp>“Once you have one you can actually work with, next thing you know, you get a notice on your door, ‘Oh, well, hi, this will be my last week.’ And you’re like, ‘Damn. You just got here,’” said Theresa Winkler, who lives with her husband in permanent supportive housing in downtown LA’s Skid Row neighborhood.\u003c/p>\n\u003cp>Winkler, 58, said she has been living in permanent supportive housing for about a decade and was unhoused for about half her life before that. She said she has been clean from crack, heroin and alcohol for 15 years, and continues to seek help for post-traumatic stress disorder, anxiety and depression. But cycling through caseworker after caseworker — at least three in the last two years — is “straight frustrating.”\u003c/p>\n\u003cfigure id=\"attachment_11903122\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903122\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg\" alt=\"A wide shot of a multi-story residential structure.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Residences in the Skid Row Housing Trust in Skid Row in Los Angeles. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“With addiction, a relapse happens weeks before you pick up,” she explained. “If you know yourself and you see it coming, you’re able to go downstairs, talk to your caseworker, and tell her, ‘Hey, look, can I talk to you for a few minutes?’ But if you don’t have anybody you can trust to go in and talk to — because that’s the biggest word right there, trust — then hey, I’m back out there doing what I was doing in the beginning.”\u003c/p>\n\u003cp>Her husband, her doctors and her 12-step recovery program have helped her stay on track and find solace. So has reflecting on her progress.\u003c/p>\n\u003cp>“It’s nice for me to finally say, ‘You know what? I finally found peace,’” she said. “Because it’s hard to find peace. Look at where I’m at. I’m in the pits of hell.”\u003cbr>\n\u003c/p>\u003c/div>",
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"disqusTitle": "'Nothing Compassionate About Someone Dying in the Streets': Newsom Proposes $2 Billion to Address Homelessness",
"title": "'Nothing Compassionate About Someone Dying in the Streets': Newsom Proposes $2 Billion to Address Homelessness",
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"content": "\u003cp>\u003cem>Lea este artículo en \u003c/em>\u003ca href=\"https://calmatters.org/calmatters-en-espanol/2022/01/newsom-sobre-la-falta-de-vivienda-tenemos-que-limpiar-esos-campamentos/\">\u003cem>español\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>In his January budget proposal to the state Legislature, Gov. Gavin Newsom delivered a clear message: California needs to move people off the streets.\u003c/p>\n\u003cp>“I don’t want to see any more people die in the streets and call that compassion,” Newsom said Monday, detailing \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/01/Governors-California-Blueprint-Fact-Sheet.pdf\">his $286.4 billion blueprint\u003c/a>. “There is nothing compassionate about someone dying in the streets or stepping over someone on the streets or sidewalks.”\u003c/p>\n\u003cp>Newsom \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/01/Confronting-Homelessness-Fact-Sheet.pdf\">proposed $2 billion to address California's homelessness crisis\u003c/a> — including $1.5 billion to buy and set up “tiny homes” and other temporary shelter options, which \u003ca href=\"https://calmatters.org/housing/homeless/2021/11/california-homeless-camps-clearing-plan/\">often fall far short of need\u003c/a> and which he conceded would only be a “bridge” to permanent housing with services.\u003c/p>\n\u003cp>While substantial, the governor’s request pales in comparison to the funding he and the Legislature approved last year — \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/\">$12 billion\u003c/a> to create supportive housing facilities and help fund green-lit affordable housing projects.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“What we’re offering this year is additional money to find a bridge to the permanent supportive housing, and that’s tiny homes, that’s procuring treatment, that’s house slots and shelter slots in the interim,” Newsom said.\u003c/p>\n\u003cp>The governor projected that the funding would yield another 11,000 beds for \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/\">unhoused people\u003c/a>, in addition to the estimated 44,000 that will be created with money earmarked from last year’s budget.\u003c/p>\n\u003cp>The remaining $500 million would go toward grants, to be distributed next summer, to local governments to help relocate \u003ca href=\"https://calmatters.org/housing/homeless/2021/11/california-homeless-camps-clearing-plan/\">people living in encampments\u003c/a> — a 10-fold increase from the grant funding available in 2021.\u003c/p>\n\u003cp>Demand for such grants has, to date, far outpaced supply, according to the agency in charge of reviewing grant applications: The state’s Business, Consumer Services and Housing Agency (BCSH) reported it had \u003ca href=\"https://twitter.com/CAbcsh/status/1479149572798574593\">received an \"overwhelming\" number of grant applications on Dec. 31 \u003c/a>— from 26 cities and 10 counties — requesting a total of $120 million, which was $72 million more than it had to give.[aside label=\"related coverage\" tag=\"housing\"]But despite the proposed increase in grant funding, Christopher Martin, policy director for \u003ca href=\"https://www.housingca.org/\">Housing California\u003c/a>, lamented the lack of funds to quickly move unhoused people into existing housing.\u003c/p>\n\u003cp>“There’s not a dime in here that is going towards rental assistance or permanent housing,” he said. “Building shelter and treatment beds, that takes time. That’s going to take years. These people are dealing with the elements today.”\u003c/p>\n\u003cp>Rental assistance for people with housing but who are at risk of being evicted also is running out. The state has so far \u003ca href=\"https://housing.ca.gov/covid_rr/dashboard.html\">received relief application requests totaling more than $6.8 billion, according to BCSH's dashboard\u003c/a>. That's well over the $5.2 billion it has gotten from the federal government, about half of which is administered by local jurisdictions.\u003c/p>\n\u003cp>The agency previously expressed confidence that the need would be filled by another round of federal funding, but in response to California’s recent $1.9 billion request to the U.S. Treasury Department, the state only received $62 million on Friday, Newsom said.\u003c/p>\n\u003cp>“And so for the purposes of this budget, we are looking to continue to engage directly with Treasury, the Biden administration, as we have been, and directly with legislative leaders,” he added.\u003c/p>\n\u003cp>Newsom’s blueprint to tackle \u003ca href=\"https://calmatters.org/explainers/housing-costs-high-california/\">California’s housing crisis\u003c/a> totals another $2 billion and prioritizes the state’s climate goals.\u003c/p>\n\u003cp>“I just want to reinforce, to some extent … moving away from investments in housing that don’t focus on climate, health, integrating downtown schools, jobs, parks and restaurants,” Newsom said.\u003c/p>\n\u003cp>That includes about $800 million in grants to develop housing units and the infrastructure around them in mostly downtown areas, “in that space away from the sprawl,” he said. The idea is to avoid building in areas prone to wildfires, and to prevent the greenhouse gas emissions that result from long commutes.\u003c/p>\n\u003cp>Of that money, Newsom wants to set aside $100 million to help offset the high costs that can make it prohibitively expensive to \u003ca href=\"https://ternercenter.berkeley.edu/research-and-policy/commercial-residential-conversions/\">convert old offices and other buildings into apartments\u003c/a> — a practice that UC Berkeley’s Terner Center for Housing Innovation found is most common in Los Angeles.\u003c/p>\n\u003cp>Besides prioritizing housing in downtown areas, the grant also would help meet the state’s climate goals by \u003ca href=\"https://laist.com/news/housing-homelessness/los-angeles-conversions-housing-vacant-offices-remote-work-adaptive-reuse-element-omgivning-downtown?mc_cid=607e273f5a&mc_eid=cef0c46a71\">slashing the main culprit of construction waste: demolition\u003c/a>. The remaining $100 million would go toward affordable housing on vacant state-owned land.\u003c/p>\n\u003cp>The other $1 billion in Newsom’s housing budget is focused largely on creating more affordable housing for the state's lowest earners, with $500 million going toward the Low-Income Housing Tax Credit, the largest funding source for building subsidized housing. The other $500 million would be used to preserve deteriorating affordable housing in downtown areas and rehabilitate mobile home parks, among other initiatives.\u003c/p>\n\u003cp>Matt Schwartz, president and CEO of the nonprofit California Housing Partnership, said while he applauds the new “short-term investments,” the money won’t come close to building the 1.2 million homes his group estimates the state needs by 2030.\u003c/p>\n\u003cp>“It’s time for the governor and state leaders to go beyond proposing another year of short-term assistance and instead commit to a long-term plan with sustained investments at the scale needed to solve the homeless and housing affordability crises and address climate change,” he said.\u003c/p>\n\u003cp>The League of California Cities, however, responded more positively to Newsom’s blueprint.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The proposal makes good on last year’s promises by the state to continue investing in housing production, as well as housing coupled with mental health services for those experiencing homelessness,” Carolyn Coleman, the league’s CEO, said in a statement. “These proposed investments are a critical down payment by the state on the long-term funding needed to solve a decades-in-the-making crisis.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Lea este artículo en \u003c/em>\u003ca href=\"https://calmatters.org/calmatters-en-espanol/2022/01/newsom-sobre-la-falta-de-vivienda-tenemos-que-limpiar-esos-campamentos/\">\u003cem>español\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>In his January budget proposal to the state Legislature, Gov. Gavin Newsom delivered a clear message: California needs to move people off the streets.\u003c/p>\n\u003cp>“I don’t want to see any more people die in the streets and call that compassion,” Newsom said Monday, detailing \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/01/Governors-California-Blueprint-Fact-Sheet.pdf\">his $286.4 billion blueprint\u003c/a>. “There is nothing compassionate about someone dying in the streets or stepping over someone on the streets or sidewalks.”\u003c/p>\n\u003cp>Newsom \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/01/Confronting-Homelessness-Fact-Sheet.pdf\">proposed $2 billion to address California's homelessness crisis\u003c/a> — including $1.5 billion to buy and set up “tiny homes” and other temporary shelter options, which \u003ca href=\"https://calmatters.org/housing/homeless/2021/11/california-homeless-camps-clearing-plan/\">often fall far short of need\u003c/a> and which he conceded would only be a “bridge” to permanent housing with services.\u003c/p>\n\u003cp>While substantial, the governor’s request pales in comparison to the funding he and the Legislature approved last year — \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/\">$12 billion\u003c/a> to create supportive housing facilities and help fund green-lit affordable housing projects.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“What we’re offering this year is additional money to find a bridge to the permanent supportive housing, and that’s tiny homes, that’s procuring treatment, that’s house slots and shelter slots in the interim,” Newsom said.\u003c/p>\n\u003cp>The governor projected that the funding would yield another 11,000 beds for \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/\">unhoused people\u003c/a>, in addition to the estimated 44,000 that will be created with money earmarked from last year’s budget.\u003c/p>\n\u003cp>The remaining $500 million would go toward grants, to be distributed next summer, to local governments to help relocate \u003ca href=\"https://calmatters.org/housing/homeless/2021/11/california-homeless-camps-clearing-plan/\">people living in encampments\u003c/a> — a 10-fold increase from the grant funding available in 2021.\u003c/p>\n\u003cp>Demand for such grants has, to date, far outpaced supply, according to the agency in charge of reviewing grant applications: The state’s Business, Consumer Services and Housing Agency (BCSH) reported it had \u003ca href=\"https://twitter.com/CAbcsh/status/1479149572798574593\">received an \"overwhelming\" number of grant applications on Dec. 31 \u003c/a>— from 26 cities and 10 counties — requesting a total of $120 million, which was $72 million more than it had to give.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But despite the proposed increase in grant funding, Christopher Martin, policy director for \u003ca href=\"https://www.housingca.org/\">Housing California\u003c/a>, lamented the lack of funds to quickly move unhoused people into existing housing.\u003c/p>\n\u003cp>“There’s not a dime in here that is going towards rental assistance or permanent housing,” he said. “Building shelter and treatment beds, that takes time. That’s going to take years. These people are dealing with the elements today.”\u003c/p>\n\u003cp>Rental assistance for people with housing but who are at risk of being evicted also is running out. The state has so far \u003ca href=\"https://housing.ca.gov/covid_rr/dashboard.html\">received relief application requests totaling more than $6.8 billion, according to BCSH's dashboard\u003c/a>. That's well over the $5.2 billion it has gotten from the federal government, about half of which is administered by local jurisdictions.\u003c/p>\n\u003cp>The agency previously expressed confidence that the need would be filled by another round of federal funding, but in response to California’s recent $1.9 billion request to the U.S. Treasury Department, the state only received $62 million on Friday, Newsom said.\u003c/p>\n\u003cp>“And so for the purposes of this budget, we are looking to continue to engage directly with Treasury, the Biden administration, as we have been, and directly with legislative leaders,” he added.\u003c/p>\n\u003cp>Newsom’s blueprint to tackle \u003ca href=\"https://calmatters.org/explainers/housing-costs-high-california/\">California’s housing crisis\u003c/a> totals another $2 billion and prioritizes the state’s climate goals.\u003c/p>\n\u003cp>“I just want to reinforce, to some extent … moving away from investments in housing that don’t focus on climate, health, integrating downtown schools, jobs, parks and restaurants,” Newsom said.\u003c/p>\n\u003cp>That includes about $800 million in grants to develop housing units and the infrastructure around them in mostly downtown areas, “in that space away from the sprawl,” he said. The idea is to avoid building in areas prone to wildfires, and to prevent the greenhouse gas emissions that result from long commutes.\u003c/p>\n\u003cp>Of that money, Newsom wants to set aside $100 million to help offset the high costs that can make it prohibitively expensive to \u003ca href=\"https://ternercenter.berkeley.edu/research-and-policy/commercial-residential-conversions/\">convert old offices and other buildings into apartments\u003c/a> — a practice that UC Berkeley’s Terner Center for Housing Innovation found is most common in Los Angeles.\u003c/p>\n\u003cp>Besides prioritizing housing in downtown areas, the grant also would help meet the state’s climate goals by \u003ca href=\"https://laist.com/news/housing-homelessness/los-angeles-conversions-housing-vacant-offices-remote-work-adaptive-reuse-element-omgivning-downtown?mc_cid=607e273f5a&mc_eid=cef0c46a71\">slashing the main culprit of construction waste: demolition\u003c/a>. The remaining $100 million would go toward affordable housing on vacant state-owned land.\u003c/p>\n\u003cp>The other $1 billion in Newsom’s housing budget is focused largely on creating more affordable housing for the state's lowest earners, with $500 million going toward the Low-Income Housing Tax Credit, the largest funding source for building subsidized housing. The other $500 million would be used to preserve deteriorating affordable housing in downtown areas and rehabilitate mobile home parks, among other initiatives.\u003c/p>\n\u003cp>Matt Schwartz, president and CEO of the nonprofit California Housing Partnership, said while he applauds the new “short-term investments,” the money won’t come close to building the 1.2 million homes his group estimates the state needs by 2030.\u003c/p>\n\u003cp>“It’s time for the governor and state leaders to go beyond proposing another year of short-term assistance and instead commit to a long-term plan with sustained investments at the scale needed to solve the homeless and housing affordability crises and address climate change,” he said.\u003c/p>\n\u003cp>The League of California Cities, however, responded more positively to Newsom’s blueprint.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The proposal makes good on last year’s promises by the state to continue investing in housing production, as well as housing coupled with mental health services for those experiencing homelessness,” Carolyn Coleman, the league’s CEO, said in a statement. “These proposed investments are a critical down payment by the state on the long-term funding needed to solve a decades-in-the-making crisis.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>With California expecting another year of record state revenues, Gov. Gavin Newsom on Monday unveiled a spending plan that would make deep investments into containing the current COVID-19 surge, expanding health care access, shoring up drought response and \u003ca href=\"https://www.kqed.org/news/11899691/gov-newsom-boosts-efforts-to-combat-organized-retail-theft-in-california\">fighting organized retail crime\u003c/a>.\u003c/p>\n\u003cp>The $286.4 billion proposal is aimed at tackling what Newsom’s administration deems California’s “most existential threats”: COVID-19, climate change, homelessness, inequality and public safety. With midterm elections and the governor’s reelection campaign looming this fall, however, those challenges also pose clear political threats to the national Democratic establishment.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Gov. Gavin Newsom\"]‘[We] continue to do what we can to fight this latest surge.’[/pullquote]His budget seems aimed at getting ahead of some of that. Newsom is asking lawmakers to spend an extra $1.4 billion immediately on pandemic response measures — a proposal that comes as the state faces down its third year of addressing the pandemic even as COVID-19 cases surge to record levels, causing major disruptions in schools and hospitals.\u003c/p>\n\u003cp>The governor wants the state to earmark $2.7 billion in additional money over the next 18 months \u003ca href=\"https://www.gov.ca.gov/2022/01/08/governor-newsom-announces-new-2-7-billion-covid-19-emergency-response-package/\">for increased testing, vaccination campaigns and support for hospitals and health care workers\u003c/a>.\u003c/p>\n\u003cp>“The goal this year is to do more in testing and those vaccine boosters,” he said. “[We] continue to do what we can to fight this latest surge, in issues related to staffing of frontline workers in our hospitals, and dealing with this incredible stress and strain that so many in our system are facing.”\u003c/p>\n\u003cp>Newsom also praised “the individuals that show up every single day for work against just extraordinary, extraordinary circumstances.”\u003c/p>\n\u003cp>With at least $45 billion more in expected revenue than had been forecast by state officials last year — a number that could climb even higher over the coming months — Newsom also wants to expand health care access to all Californians, regardless of immigration status. If his proposal to make Medi-Cal available to all undocumented immigrants is approved, California would become the first state in the nation to do so.\u003c/p>\n\u003cp>[aside postID=\"news_11879724\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/RS50190_GettyImages-1310021506-qut-1020x668.jpg\"]Not all of that $45 billion in extra money is unspoken for. Newsom noted that $16 billion of it will automatically go to schools, and $9 billion will be put in state reserves or used to pay down debt.\u003c/p>\n\u003cp>In all, California leaders will have about $20 billion extra to spend — cash Newsom said he wants to spend largely on one-time investments. It’s still unclear, the governor said, whether the state will have to refund any money to taxpayers under a 1979 law that places limits on state spending.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>Schools and COVID-19\u003c/strong>\u003c/h3>\n\u003cp>With the pandemic still top of mind for many Californians, Newsom is including a proposed $1.2 billion to help expand hours and capacity at testing sites as well as distribute millions of antigen tests to schools, local governments and clinics. The lack of access to testing has become a huge problem for schools in particular as the omicron variant drives cases to unprecedented levels, prompting staffing shortages and posing political challenges for Newsom and other state leaders.\u003c/p>\n\u003cp>In addition to testing, the governor wants to pump another $583 million into efforts to get more Californians vaccinated and boosted. That money would fund not only in-home vaccination and testing programs and free transportation to vaccine appointments, but also a public education campaign aimed at combating vaccine misinformation.\u003c/p>\n\u003cp>The governor also wants to invest billions more into behavioral health services — including for young people who have been hit hard by mental health issues during the pandemic. And, he’s proposing to continue offering two free meals a day to all public schoolchildren, not just those from families with incomes deemed low enough to qualify.\u003c/p>\n\u003cp>And, to address concerns about how declining public school enrollment could hurt schools already struggling to survive the pandemic, Newsom is proposing a new way to calculate how much money school districts receive. Instead of basing budget figures on a district’s average daily attendance over one school year, the budget proposes allowing them to consider an average of three years of attendance figures.\u003c/p>\n\u003ch3>\u003cstrong>Climate investments\u003c/strong>\u003c/h3>\n\u003cp>Despite wet weather in recent weeks, California is still facing a historic drought. Last year, lawmakers and the governor approved a $5.2 billion water package that will fund infrastructure projects around the state to make water more reliable and safer. In this year’s plan, Newsom proposes spending an additional $750 million to help residents, farmers and wildlife.\u003c/p>\n\u003cp>“We are mindful of our need to do better to prepare not only for short-term, medium- and long-term realities of a world that’s being replumbed both literally and figuratively as it comes to weather,” Newsom said, adding that in addition to investments in storage and infrastructure, “we have got to do more, all of us including my family, on water conservation.”\u003c/p>\n\u003cp>[aside postID=\"news_11900750\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/GettyImages-1323577332-1-1020x676.jpg\"]The governor is also including $1.2 billion in new spending on initiatives like forest thinning, prescribed burns, grazing, reforestation, fuel breaks and new technology to detect wildfires early. And he wants to direct nearly $650 million in new funds to support firefighting efforts — including $400 million for CalFire firefighters directly.\u003c/p>\n\u003cp>“They are overwhelmed, they are stressed,” Newsom said of the CalFire workforce. “We have gotten staffing up [in recent years] but the workload is still profound.”\u003c/p>\n\u003cp>Newsom wants to reduce the state’s reliance on fossil fuels in part by investing a total of $10 billion to encourage the switch to electric vehicles, including nearly $4 billion for trucks, buses and heavy-duty vehicles. And he’s proposing over $1 billion over the next three years in new tax credits for businesses that create “cutting-edge climate solutions” and “develop green energy technologies and agree to share profits.”\u003c/p>\n\u003ch3>\u003cstrong>Targeting inequality\u003c/strong>\u003c/h3>\n\u003cp>The governor also is prioritizing the state’s high cost of living, saying he wants to help blunt the rising costs of health care, housing and child care — and help small businesses stay open.\u003c/p>\n\u003cp>Among his initiatives:\u003c/p>\n\u003cul>\n\u003cli>Expanding Medi-Cal health coverage to undocumented immigrants who are between age 26 and 50. In recent years, the state has slowly increased access to the health care insurance program for Californians with lower incomes — first by expanding it to young people up to age 26 in 2019, \u003ca href=\"https://www.kqed.org/news//so-thankful-california-to-offer-medi-cal-to-235000-undocumented-californians\">and then last year by including an estimated 235,000 undocumented people over the age of 50\u003c/a>. Under this year’s proposal — which is likely to be embraced by the Democrat-led Legislature, another 764,000 people would be covered by January of 2024.\u003c/li>\n\u003cli>Investing in child care and education programs by adding thousands of new child care slots for lower-income families and increasing access to before-, after- and summer-school programs. He’s also proposing $4 billion in spending over the next several years to create universal preschool in California.\u003c/li>\n\u003cli>Earmarking $2 billion for grants and tax credits aimed at increasing housing production in California.\u003c/li>\n\u003cli>Providing hundreds of millions of dollars in grants and tax breaks to small businesses as well as waiving fees. Newsom, a business owner himself, noted the challenges small businesses have faced during this pandemic.\u003c/li>\n\u003cli>$182 million to fight the opioid epidemic, particularly the fentanyl crisis, including for overdose prevention and medication-assisted treatment.\u003c/li>\n\u003c/ul>\n\u003cp>And, the governor said the state will be experimenting with a way to bring down the cost of prescription drugs by entering into agreements to produce its own insulin.\u003c/p>\n\u003cp>“Insulin epitomizes the failures in the pharmaceutical industry,” he said, adding that more details will be released in the coming months but that he hopes the pilot program could be a model for other pharmaceutical products.\u003c/p>\n\u003ch3>\u003cstrong>Reducing homelessness\u003c/strong>\u003c/h3>\n\u003cp>In addition to $12 billion authorized last year, Newsom is proposing another $2 billion in spending this year aimed at getting people off the street and into shelters that have behavioral health support. He noted that the state has housed more than 50,000 people since the pandemic began, through its Project Roomkey program, but said more needs to be done.\u003c/p>\n\u003cp>Most strikingly, the governor indicated he intends to double down on one of the state’s most controversial strategies for getting people into housing: conservatorship laws, which allow counties to force residents deemed mentally incompetent by a court into treatment.\u003c/p>\n\u003cp>[aside postID=\"news_11887815\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/GettyImages-1233456190-1020x680.jpg\"]Conservatorship laws have been vociferously opposed by some advocates for unhoused people and by civil libertarians, but the governor promised to overhaul the state’s laws this year, with more details in the coming weeks for what is sure to be a controversial proposal.\u003c/p>\n\u003cp>“Look, we recognize our responsibility to do more and better,” he said.\u003c/p>\n\u003cp>Among his budget proposals: $1.4 billion for mobile crisis services, so that Medi-Cal providers can provide behavioral health care to unhoused residents where they are.\u003c/p>\n\u003ch3>\u003cstrong>Public safety\u003c/strong>\u003c/h3>\n\u003cp>Newsom also is trying to get ahead of concerns about public safety. His proposal includes $255 million in grants to help local law enforcement combat organized retail crime — including by increasing police presence at stores. He’s piloting a new grant program to help small businesses that have been the victims of smash-and-grab theft.\u003c/p>\n\u003cp>Newsom also wants to make permanent a “smash and grab” division at the California Highway Patrol dedicated to assisting police agencies in the Bay Area, Sacramento, San Joaquin Valley, Los Angeles and San Diego regions combat retail, auto and rail theft.\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='politics']The budget also calls for nearly $50 million to help both state and local prosecutors in theft-related cases — including to prosecute large retail theft rings.\u003c/p>\n\u003cp>Newsom said he understands that mayors and local police and prosecutors need support to tackle, in particular, organized theft.\u003c/p>\n\u003cp>“It’s wrong and you have to be held to account,” he said, noting that those crimes threaten “our sense of safety,” which he called “foundational to any thriving society.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>With California expecting another year of record state revenues, Gov. Gavin Newsom on Monday unveiled a spending plan that would make deep investments into containing the current COVID-19 surge, expanding health care access, shoring up drought response and \u003ca href=\"https://www.kqed.org/news/11899691/gov-newsom-boosts-efforts-to-combat-organized-retail-theft-in-california\">fighting organized retail crime\u003c/a>.\u003c/p>\n\u003cp>The $286.4 billion proposal is aimed at tackling what Newsom’s administration deems California’s “most existential threats”: COVID-19, climate change, homelessness, inequality and public safety. With midterm elections and the governor’s reelection campaign looming this fall, however, those challenges also pose clear political threats to the national Democratic establishment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>His budget seems aimed at getting ahead of some of that. Newsom is asking lawmakers to spend an extra $1.4 billion immediately on pandemic response measures — a proposal that comes as the state faces down its third year of addressing the pandemic even as COVID-19 cases surge to record levels, causing major disruptions in schools and hospitals.\u003c/p>\n\u003cp>The governor wants the state to earmark $2.7 billion in additional money over the next 18 months \u003ca href=\"https://www.gov.ca.gov/2022/01/08/governor-newsom-announces-new-2-7-billion-covid-19-emergency-response-package/\">for increased testing, vaccination campaigns and support for hospitals and health care workers\u003c/a>.\u003c/p>\n\u003cp>“The goal this year is to do more in testing and those vaccine boosters,” he said. “[We] continue to do what we can to fight this latest surge, in issues related to staffing of frontline workers in our hospitals, and dealing with this incredible stress and strain that so many in our system are facing.”\u003c/p>\n\u003cp>Newsom also praised “the individuals that show up every single day for work against just extraordinary, extraordinary circumstances.”\u003c/p>\n\u003cp>With at least $45 billion more in expected revenue than had been forecast by state officials last year — a number that could climb even higher over the coming months — Newsom also wants to expand health care access to all Californians, regardless of immigration status. If his proposal to make Medi-Cal available to all undocumented immigrants is approved, California would become the first state in the nation to do so.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Not all of that $45 billion in extra money is unspoken for. Newsom noted that $16 billion of it will automatically go to schools, and $9 billion will be put in state reserves or used to pay down debt.\u003c/p>\n\u003cp>In all, California leaders will have about $20 billion extra to spend — cash Newsom said he wants to spend largely on one-time investments. It’s still unclear, the governor said, whether the state will have to refund any money to taxpayers under a 1979 law that places limits on state spending.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>Schools and COVID-19\u003c/strong>\u003c/h3>\n\u003cp>With the pandemic still top of mind for many Californians, Newsom is including a proposed $1.2 billion to help expand hours and capacity at testing sites as well as distribute millions of antigen tests to schools, local governments and clinics. The lack of access to testing has become a huge problem for schools in particular as the omicron variant drives cases to unprecedented levels, prompting staffing shortages and posing political challenges for Newsom and other state leaders.\u003c/p>\n\u003cp>In addition to testing, the governor wants to pump another $583 million into efforts to get more Californians vaccinated and boosted. That money would fund not only in-home vaccination and testing programs and free transportation to vaccine appointments, but also a public education campaign aimed at combating vaccine misinformation.\u003c/p>\n\u003cp>The governor also wants to invest billions more into behavioral health services — including for young people who have been hit hard by mental health issues during the pandemic. And, he’s proposing to continue offering two free meals a day to all public schoolchildren, not just those from families with incomes deemed low enough to qualify.\u003c/p>\n\u003cp>And, to address concerns about how declining public school enrollment could hurt schools already struggling to survive the pandemic, Newsom is proposing a new way to calculate how much money school districts receive. Instead of basing budget figures on a district’s average daily attendance over one school year, the budget proposes allowing them to consider an average of three years of attendance figures.\u003c/p>\n\u003ch3>\u003cstrong>Climate investments\u003c/strong>\u003c/h3>\n\u003cp>Despite wet weather in recent weeks, California is still facing a historic drought. Last year, lawmakers and the governor approved a $5.2 billion water package that will fund infrastructure projects around the state to make water more reliable and safer. In this year’s plan, Newsom proposes spending an additional $750 million to help residents, farmers and wildlife.\u003c/p>\n\u003cp>“We are mindful of our need to do better to prepare not only for short-term, medium- and long-term realities of a world that’s being replumbed both literally and figuratively as it comes to weather,” Newsom said, adding that in addition to investments in storage and infrastructure, “we have got to do more, all of us including my family, on water conservation.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The governor is also including $1.2 billion in new spending on initiatives like forest thinning, prescribed burns, grazing, reforestation, fuel breaks and new technology to detect wildfires early. And he wants to direct nearly $650 million in new funds to support firefighting efforts — including $400 million for CalFire firefighters directly.\u003c/p>\n\u003cp>“They are overwhelmed, they are stressed,” Newsom said of the CalFire workforce. “We have gotten staffing up [in recent years] but the workload is still profound.”\u003c/p>\n\u003cp>Newsom wants to reduce the state’s reliance on fossil fuels in part by investing a total of $10 billion to encourage the switch to electric vehicles, including nearly $4 billion for trucks, buses and heavy-duty vehicles. And he’s proposing over $1 billion over the next three years in new tax credits for businesses that create “cutting-edge climate solutions” and “develop green energy technologies and agree to share profits.”\u003c/p>\n\u003ch3>\u003cstrong>Targeting inequality\u003c/strong>\u003c/h3>\n\u003cp>The governor also is prioritizing the state’s high cost of living, saying he wants to help blunt the rising costs of health care, housing and child care — and help small businesses stay open.\u003c/p>\n\u003cp>Among his initiatives:\u003c/p>\n\u003cul>\n\u003cli>Expanding Medi-Cal health coverage to undocumented immigrants who are between age 26 and 50. In recent years, the state has slowly increased access to the health care insurance program for Californians with lower incomes — first by expanding it to young people up to age 26 in 2019, \u003ca href=\"https://www.kqed.org/news//so-thankful-california-to-offer-medi-cal-to-235000-undocumented-californians\">and then last year by including an estimated 235,000 undocumented people over the age of 50\u003c/a>. Under this year’s proposal — which is likely to be embraced by the Democrat-led Legislature, another 764,000 people would be covered by January of 2024.\u003c/li>\n\u003cli>Investing in child care and education programs by adding thousands of new child care slots for lower-income families and increasing access to before-, after- and summer-school programs. He’s also proposing $4 billion in spending over the next several years to create universal preschool in California.\u003c/li>\n\u003cli>Earmarking $2 billion for grants and tax credits aimed at increasing housing production in California.\u003c/li>\n\u003cli>Providing hundreds of millions of dollars in grants and tax breaks to small businesses as well as waiving fees. Newsom, a business owner himself, noted the challenges small businesses have faced during this pandemic.\u003c/li>\n\u003cli>$182 million to fight the opioid epidemic, particularly the fentanyl crisis, including for overdose prevention and medication-assisted treatment.\u003c/li>\n\u003c/ul>\n\u003cp>And, the governor said the state will be experimenting with a way to bring down the cost of prescription drugs by entering into agreements to produce its own insulin.\u003c/p>\n\u003cp>“Insulin epitomizes the failures in the pharmaceutical industry,” he said, adding that more details will be released in the coming months but that he hopes the pilot program could be a model for other pharmaceutical products.\u003c/p>\n\u003ch3>\u003cstrong>Reducing homelessness\u003c/strong>\u003c/h3>\n\u003cp>In addition to $12 billion authorized last year, Newsom is proposing another $2 billion in spending this year aimed at getting people off the street and into shelters that have behavioral health support. He noted that the state has housed more than 50,000 people since the pandemic began, through its Project Roomkey program, but said more needs to be done.\u003c/p>\n\u003cp>Most strikingly, the governor indicated he intends to double down on one of the state’s most controversial strategies for getting people into housing: conservatorship laws, which allow counties to force residents deemed mentally incompetent by a court into treatment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Conservatorship laws have been vociferously opposed by some advocates for unhoused people and by civil libertarians, but the governor promised to overhaul the state’s laws this year, with more details in the coming weeks for what is sure to be a controversial proposal.\u003c/p>\n\u003cp>“Look, we recognize our responsibility to do more and better,” he said.\u003c/p>\n\u003cp>Among his budget proposals: $1.4 billion for mobile crisis services, so that Medi-Cal providers can provide behavioral health care to unhoused residents where they are.\u003c/p>\n\u003ch3>\u003cstrong>Public safety\u003c/strong>\u003c/h3>\n\u003cp>Newsom also is trying to get ahead of concerns about public safety. His proposal includes $255 million in grants to help local law enforcement combat organized retail crime — including by increasing police presence at stores. He’s piloting a new grant program to help small businesses that have been the victims of smash-and-grab theft.\u003c/p>\n\u003cp>Newsom also wants to make permanent a “smash and grab” division at the California Highway Patrol dedicated to assisting police agencies in the Bay Area, Sacramento, San Joaquin Valley, Los Angeles and San Diego regions combat retail, auto and rail theft.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The budget also calls for nearly $50 million to help both state and local prosecutors in theft-related cases — including to prosecute large retail theft rings.\u003c/p>\n\u003cp>Newsom said he understands that mayors and local police and prosecutors need support to tackle, in particular, organized theft.\u003c/p>\n\u003cp>“It’s wrong and you have to be held to account,” he said, noting that those crimes threaten “our sense of safety,” which he called “foundational to any thriving society.”\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco’s Tenderloin neighborhood is officially in a state of emergency.\u003c/p>\n\u003cp>The San Francisco Board of Supervisors voted Thursday night to approve \u003ca href=\"https://sfmayor.org/sites/default/files/Emergency%20Declaration%20-%20Tenderloin.pdf\">Mayor London Breed’s order to declare a state of emergency\u003c/a> in the long-beleaguered city neighborhood, where the needs of people suffering and dying from poverty and substance use disorders have clashed with the needs of nearby families, who are demanding relief from the psychological toll of continuous open-air drug markets and unregulated use.\u003c/p>\n\u003cp>Some of the supervisors who voted to approve the declaration still expressed their concerns that the ordinance may condone the criminalization of those experiencing substance use disorders in the Tenderloin.\u003c/p>\n\u003cp>[aside postID=\"news_11899726\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/IMG_20191127_153031-e1574905962967-1020x802.jpg\"]“I will note, the mayor can crack down on the Tenderloin today no matter what we do,” said Supervisor Hillary Ronen, who represents the Mission and other neighborhoods.\u003c/p>\n\u003cp>However, during the meeting, the mayor’s staff promised not to use the emergency powers to boost police funding, but instead to enable more services to help people with substance use disorders.\u003c/p>\n\u003cp>“Between now and January, if they use a cent to increase [the San Francisco Police Department budget], we can cancel this order on the spot,” Ronen said. “I’m going to vote to approve this order today, but I’m going to watch this thing like a hawk.”\u003c/p>\n\u003cp>The supervisors had seven days to approve Breed’s emergency declaration for the Tenderloin, which will last 90 days. Eight supervisors voted to approve the order, with Supervisors Dean Preston and Shamann Walton voting no, and Supervisor Aaron Peskin absent.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Supervisor Hillary Ronen, District 9\"]‘Between now and January, if they use a cent to increase [the SFPD budget], we can cancel this order on the spot.’[/pullquote]In their vote to approve the measure, some members of the board cited a longstanding informal policy of voting alongside a supervisor on issues that affect the neighborhood that supervisor represents. Since Supervisor Matt Haney, who is running for State Assembly and represents the Tenderloin, backed the emergency order, other supervisors were swayed to join him.\u003c/p>\n\u003cp>Still, they did so amid publicly aired concerns. Breed spurred fears she would criminalize drug use when she announced earlier this month \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 in the Tenderloin\u003c/a>, calling for a “tough love” approach that would have more cops on the ground.\u003c/p>\n\u003cp>In her remarks, she said San Franciscans should be “less tolerant of all the bull— that has destroyed our city,” and suggested that people who did not accept services would be jailed.\u003c/p>\n\u003cp>Those words, \u003ca href=\"https://missionlocal.org/2021/12/san-francisco-tenderloin-matrix-declaration-of-emergency-london-breed/\">and others from Breed\u003c/a>, hung over the more than 10-hour-long meeting, as some of the supervisors argued people using drugs need care, not jail, to find healthier lives.\u003c/p>\n\u003cp>Ultimately, city staff delivered a softened version of Breed’s message to the supervisors.\u003c/p>\n\u003cp>[aside postID=\"news_11899060\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/20211214_115252-1020x771.jpg\"]“I can say unequivocally our office will not use authority in the emergency order to provide appropriations [of funding] to the police department,” Mayor’s Office Deputy Chief of Staff Andres Power told the board Thursday night.\u003c/p>\n\u003cp>Instead, Power and other staff said, the state of emergency would cut red tape and enable San Francisco agencies to lease a location near the Tenderloin to establish a “linkage site” to help connect people who use drugs to health services and resources, staffed by social workers.\u003c/p>\n\u003cp>Without the emergency order, it would take months, perhaps a year, to create such a site in the Tenderloin, city staff said at the meeting.\u003c/p>\n\u003cp>The order also would allow the city to more quickly hire 250 behavioral health staffers to help people with substance use disorders heal from their illnesses by blazing through “byzantine” civil-service rules, city staff said.\u003c/p>\n\u003cp>“Those are things that can absolutely save lives,” Haney said.\u003c/p>\n\u003cp>Despite those assurances, other supervisors said they were disappointed Breed didn’t attend the meeting herself to tell them how much, or how little, the police would be involved in her plan.\u003c/p>\n\u003cp>Supervisor Dean Preston, who represents Haight-Ashbury, the Fillmore and Japantown, among other neighborhoods, was openly critical of the emergency order, calling it a “publicity stunt.”\u003c/p>\n\u003cp>Supervisor Connie Chan, who represents the Richmond neighborhood, also questioned the political nature of the declaration and asked why the mayor hadn’t taken similar action earlier.\u003c/p>\n\u003cp>“If this declaration was truly about tackling the fentanyl crisis, where was this declaration when we voted to urge the mayor to do so in September of this year?” Chan said, referencing a resolution introduced by Haney.\u003c/p>\n\u003cp>Some supervisors worried approving the emergency order would tacitly endorse Breed’s law-and-order messaging.\u003c/p>\n\u003cp>At a community market opening in the Tenderloin in mid-December,\u003ca href=\"https://twitter.com/FitzTheReporter/status/1474166266797518888\"> Breed was recorded on video saying\u003c/a>, “We are going to make people who are dealing drugs, who are using drugs out in the open with no regard for the community, people who are assaulting and spitting on and stabbing and shooting and destroying this community, we are going to make life hell for them.”\u003c/p>\n\u003cp>Preston called out those words in the meeting — making “life hell” for those who use drugs — when \u003ca href=\"https://health.ucdavis.edu/newsroom/news/headlines/its-time-to-treat-substance-abuse-like-a-chronic-disease/2021/12\">public health experts consider substance use disorder to be a disease that can be treated\u003c/a>.\u003c/p>\n\u003cp>At the meeting, SFPD Chief Bill Scott expressed frustration at the position his officers are placed in when addressing the sale and consumption of drugs in the Tenderloin.\u003c/p>\n\u003cp>“We’re in this ‘no-person’s-land’ where they’re being asked not to arrest, and they’re seeing people smoking fentanyl out on the streets,” Scott said. “What tools do they have to address this, if they’re not going to be arresting?”\u003c/p>\n\u003cp>https://twitter.com/FitzTheReporter/status/1474177258323546120\u003c/p>\n\u003cp>In other critiques, Supervisor Shamann Walton questioned why there wasn’t an emergency order when homicides rose in the southeast of the city, which he represents, and Chan questioned why the mayor didn’t have similar urgency around attacks against the Asian American and Pacific Islander community.\u003c/p>\n\u003cp>Hundreds of people called in to comment on the vote during the public meeting. Those supporting Breed’s emergency order ran the gamut: Some lauded Breed’s plan as compassionate for boosting access to services, while others embraced more police action, even going so far as to suggest jailing drug dealers on Alcatraz, or encouraging the police to commit violence against drug users and dealers alike. Callers often called the Tenderloin a “dystopia,” and called for “order.”\u003c/p>\n\u003cp>Other callers lived with their families in the Tenderloin, and were calling for help.\u003c/p>\n\u003cp>“Don’t forget that children and young people are affected in their mental health directly. It’s a day-to-day situation where they’re offered drugs and are afraid of being shot,” said Norma Carrera, a 26-year Tenderloin resident who spoke in Spanish with the aid of an interpreter.\u003c/p>\n\u003cp>Thomas Wolf, who previously struggled with substance abuse \u003ca href=\"https://www.nytimes.com/2021/04/26/us/san-francisco-drug-crisis.html\">and became notable in San Francisco for going sober after his arrest by city police\u003c/a>, told the board, “I’m alive today, and in recovery, because I was held accountable when I broke the law to support my addiction. Accountability is the cornerstone of recovery.”\u003c/p>\n\u003cp>People speaking publicly against Breed’s emergency order sometimes characterized it as police overreach, even though the mayor’s office pledged in the meeting not to add funding to policing by using the order.\u003c/p>\n\u003cp>Callers repeatedly described fear of the police, citing the police killings of \u003ca href=\"https://www.npr.org/series/1000988747/george-floyds-murder-one-year-later\">George Floyd\u003c/a> and\u003ca href=\"https://www.theguardian.com/us-news/2016/mar/21/death-by-gentrification-the-killing-that-shamed-san-francisco\"> Alex Nieto\u003c/a>. They also often suggested officials boost funding for the Community Alternative Response Team (CART), a citywide program designed to connect unhoused people with community workers, as opposed to police.\u003c/p>\n\u003cp>Jessica Hernandez, an 18-year-old who said they were unhoused, said “instead of a police crackdown,” Breed should increase funding for housing initiatives to aid those living on the streets.\u003c/p>\n\u003cp>“I don’t want to live in fear,” they said.\u003c/p>\n\u003cp>Peter Murphy, a Tenderloin resident who works at the Mental Health Association of San Francisco, said his agency opposes the emergency order and any measure that would criminalize substance use disorders.\u003c/p>\n\u003cp>“I identify as an addict and an alcoholic. The only thing that’s worked for me is voluntary treatment,” he said, and suggested the city fund CART. “This is not the time to repeat the mistakes of the past, with over-policing the Tenderloin.”\u003c/p>\n\u003cp>Deaths attributable to drug overdoses have increased more than 200% in San Francisco since 2018, and last year, more than 700 people died from drug overdoses in the city, more than the number who died from COVID-19, according to \u003ca href=\"https://sfmayor.org/sites/default/files/Emergency%20Declaration%20-%20Tenderloin.pdf\">Breed’s proclamation of a local emergency\u003c/a>.\u003c/p>\n\u003cp>[aside postID=\"news_11894981\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/NPR-fentanyl-1-1020x766.jpg\"]Nearly 600 people have died of drug overdoses through November of this year, with nearly half the deaths occurring in the Tenderloin and the neighboring South of Market neighborhood, the proclamation said. These areas make up 7% of San Francisco’s population.\u003c/p>\n\u003cp>San Francisco District Attorney Chesa Boudin joined the city’s public defender Mano Raju at a news conference on Monday to denounce the mayor’s plan, saying that jailing people experiencing substance use disorders, mental health issues and homelessness would not work.\u003c/p>\n\u003cp>“If arrests and prosecutions alone could solve the drug crisis in this country or in this city, it would have been solved long ago,” Boudin said. “We’ve invested over a trillion dollars in fighting the so-called war on drugs, and where has it gotten us?”\u003c/p>\n\u003cp>https://twitter.com/LondonBreed/status/1473064841568940034\u003c/p>\n\u003cp>Boudin said the “raw human suffering” he sees in the neighborhood outrages him. But using outdated methods won’t make people any safer, and the city has other options, said Boudin, who worked in the public defender’s office before becoming DA.\u003c/p>\n\u003cp>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, last week 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>Pointing to Proposition C, 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>Chan, the supervisor representing the Richmond, said at the meeting that San Francisco has seen police-focused plans to address drug use and homelessness in the past, and they haven’t succeeded — because the problem still lingers.\u003c/p>\n\u003cp>“I’ve been in city government for almost two decades, serving under four different mayors. We’ve seen this all before. It’s why we know it’s not going to work. From \u003ca href=\"https://www.latimes.com/politics/la-pol-ca-gavin-newsom-homelessness-san-francisco-20181023-story.html\">Care Not Cash\u003c/a>, to the \u003ca href=\"https://www.sfchronicle.com/crime/article/The-Scanner-SF-police-have-backed-off-13322561.php\">sit-lie ordinance\u003c/a>, to the \u003ca href=\"https://sf.curbed.com/2016/11/10/13576508/san-francisco-homeless-tents-election\">[Proposition] Q tent prohibition\u003c/a>. Different slogans, but the same tactics of criminalizing the poor and the unhoused. Different players, same game, and we know they don’t work, because we’re suffering from these measures’ cumulative impact on our streets right now,” Chan said.\u003c/p>\n\u003cp>She added, “We know the solution, colleagues, and that work is hard, to implement policy solutions that may not garner news attention. Work that includes meaningful investment in the health care system, public education, workforce development and housing security not just for the homeless, but working families to stop them from becoming homeless in the first place.”\u003c/p>\n\u003cp>\u003cem>This post includes reporting from The Associated Press and KQED’s Kate Wolffe, Carlos Cabrera-Lomelí, Matthew Green and David Marks.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco’s Tenderloin neighborhood is officially in a state of emergency.\u003c/p>\n\u003cp>The San Francisco Board of Supervisors voted Thursday night to approve \u003ca href=\"https://sfmayor.org/sites/default/files/Emergency%20Declaration%20-%20Tenderloin.pdf\">Mayor London Breed’s order to declare a state of emergency\u003c/a> in the long-beleaguered city neighborhood, where the needs of people suffering and dying from poverty and substance use disorders have clashed with the needs of nearby families, who are demanding relief from the psychological toll of continuous open-air drug markets and unregulated use.\u003c/p>\n\u003cp>Some of the supervisors who voted to approve the declaration still expressed their concerns that the ordinance may condone the criminalization of those experiencing substance use disorders in the Tenderloin.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I will note, the mayor can crack down on the Tenderloin today no matter what we do,” said Supervisor Hillary Ronen, who represents the Mission and other neighborhoods.\u003c/p>\n\u003cp>However, during the meeting, the mayor’s staff promised not to use the emergency powers to boost police funding, but instead to enable more services to help people with substance use disorders.\u003c/p>\n\u003cp>“Between now and January, if they use a cent to increase [the San Francisco Police Department budget], we can cancel this order on the spot,” Ronen said. “I’m going to vote to approve this order today, but I’m going to watch this thing like a hawk.”\u003c/p>\n\u003cp>The supervisors had seven days to approve Breed’s emergency declaration for the Tenderloin, which will last 90 days. Eight supervisors voted to approve the order, with Supervisors Dean Preston and Shamann Walton voting no, and Supervisor Aaron Peskin absent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In their vote to approve the measure, some members of the board cited a longstanding informal policy of voting alongside a supervisor on issues that affect the neighborhood that supervisor represents. Since Supervisor Matt Haney, who is running for State Assembly and represents the Tenderloin, backed the emergency order, other supervisors were swayed to join him.\u003c/p>\n\u003cp>Still, they did so amid publicly aired concerns. Breed spurred fears she would criminalize drug use when she announced earlier this month \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 in the Tenderloin\u003c/a>, calling for a “tough love” approach that would have more cops on the ground.\u003c/p>\n\u003cp>In her remarks, she said San Franciscans should be “less tolerant of all the bull— that has destroyed our city,” and suggested that people who did not accept services would be jailed.\u003c/p>\n\u003cp>Those words, \u003ca href=\"https://missionlocal.org/2021/12/san-francisco-tenderloin-matrix-declaration-of-emergency-london-breed/\">and others from Breed\u003c/a>, hung over the more than 10-hour-long meeting, as some of the supervisors argued people using drugs need care, not jail, to find healthier lives.\u003c/p>\n\u003cp>Ultimately, city staff delivered a softened version of Breed’s message to the supervisors.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I can say unequivocally our office will not use authority in the emergency order to provide appropriations [of funding] to the police department,” Mayor’s Office Deputy Chief of Staff Andres Power told the board Thursday night.\u003c/p>\n\u003cp>Instead, Power and other staff said, the state of emergency would cut red tape and enable San Francisco agencies to lease a location near the Tenderloin to establish a “linkage site” to help connect people who use drugs to health services and resources, staffed by social workers.\u003c/p>\n\u003cp>Without the emergency order, it would take months, perhaps a year, to create such a site in the Tenderloin, city staff said at the meeting.\u003c/p>\n\u003cp>The order also would allow the city to more quickly hire 250 behavioral health staffers to help people with substance use disorders heal from their illnesses by blazing through “byzantine” civil-service rules, city staff said.\u003c/p>\n\u003cp>“Those are things that can absolutely save lives,” Haney said.\u003c/p>\n\u003cp>Despite those assurances, other supervisors said they were disappointed Breed didn’t attend the meeting herself to tell them how much, or how little, the police would be involved in her plan.\u003c/p>\n\u003cp>Supervisor Dean Preston, who represents Haight-Ashbury, the Fillmore and Japantown, among other neighborhoods, was openly critical of the emergency order, calling it a “publicity stunt.”\u003c/p>\n\u003cp>Supervisor Connie Chan, who represents the Richmond neighborhood, also questioned the political nature of the declaration and asked why the mayor hadn’t taken similar action earlier.\u003c/p>\n\u003cp>“If this declaration was truly about tackling the fentanyl crisis, where was this declaration when we voted to urge the mayor to do so in September of this year?” Chan said, referencing a resolution introduced by Haney.\u003c/p>\n\u003cp>Some supervisors worried approving the emergency order would tacitly endorse Breed’s law-and-order messaging.\u003c/p>\n\u003cp>At a community market opening in the Tenderloin in mid-December,\u003ca href=\"https://twitter.com/FitzTheReporter/status/1474166266797518888\"> Breed was recorded on video saying\u003c/a>, “We are going to make people who are dealing drugs, who are using drugs out in the open with no regard for the community, people who are assaulting and spitting on and stabbing and shooting and destroying this community, we are going to make life hell for them.”\u003c/p>\n\u003cp>Preston called out those words in the meeting — making “life hell” for those who use drugs — when \u003ca href=\"https://health.ucdavis.edu/newsroom/news/headlines/its-time-to-treat-substance-abuse-like-a-chronic-disease/2021/12\">public health experts consider substance use disorder to be a disease that can be treated\u003c/a>.\u003c/p>\n\u003cp>At the meeting, SFPD Chief Bill Scott expressed frustration at the position his officers are placed in when addressing the sale and consumption of drugs in the Tenderloin.\u003c/p>\n\u003cp>“We’re in this ‘no-person’s-land’ where they’re being asked not to arrest, and they’re seeing people smoking fentanyl out on the streets,” Scott said. “What tools do they have to address this, if they’re not going to be arresting?”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>In other critiques, Supervisor Shamann Walton questioned why there wasn’t an emergency order when homicides rose in the southeast of the city, which he represents, and Chan questioned why the mayor didn’t have similar urgency around attacks against the Asian American and Pacific Islander community.\u003c/p>\n\u003cp>Hundreds of people called in to comment on the vote during the public meeting. Those supporting Breed’s emergency order ran the gamut: Some lauded Breed’s plan as compassionate for boosting access to services, while others embraced more police action, even going so far as to suggest jailing drug dealers on Alcatraz, or encouraging the police to commit violence against drug users and dealers alike. Callers often called the Tenderloin a “dystopia,” and called for “order.”\u003c/p>\n\u003cp>Other callers lived with their families in the Tenderloin, and were calling for help.\u003c/p>\n\u003cp>“Don’t forget that children and young people are affected in their mental health directly. It’s a day-to-day situation where they’re offered drugs and are afraid of being shot,” said Norma Carrera, a 26-year Tenderloin resident who spoke in Spanish with the aid of an interpreter.\u003c/p>\n\u003cp>Thomas Wolf, who previously struggled with substance abuse \u003ca href=\"https://www.nytimes.com/2021/04/26/us/san-francisco-drug-crisis.html\">and became notable in San Francisco for going sober after his arrest by city police\u003c/a>, told the board, “I’m alive today, and in recovery, because I was held accountable when I broke the law to support my addiction. Accountability is the cornerstone of recovery.”\u003c/p>\n\u003cp>People speaking publicly against Breed’s emergency order sometimes characterized it as police overreach, even though the mayor’s office pledged in the meeting not to add funding to policing by using the order.\u003c/p>\n\u003cp>Callers repeatedly described fear of the police, citing the police killings of \u003ca href=\"https://www.npr.org/series/1000988747/george-floyds-murder-one-year-later\">George Floyd\u003c/a> and\u003ca href=\"https://www.theguardian.com/us-news/2016/mar/21/death-by-gentrification-the-killing-that-shamed-san-francisco\"> Alex Nieto\u003c/a>. They also often suggested officials boost funding for the Community Alternative Response Team (CART), a citywide program designed to connect unhoused people with community workers, as opposed to police.\u003c/p>\n\u003cp>Jessica Hernandez, an 18-year-old who said they were unhoused, said “instead of a police crackdown,” Breed should increase funding for housing initiatives to aid those living on the streets.\u003c/p>\n\u003cp>“I don’t want to live in fear,” they said.\u003c/p>\n\u003cp>Peter Murphy, a Tenderloin resident who works at the Mental Health Association of San Francisco, said his agency opposes the emergency order and any measure that would criminalize substance use disorders.\u003c/p>\n\u003cp>“I identify as an addict and an alcoholic. The only thing that’s worked for me is voluntary treatment,” he said, and suggested the city fund CART. “This is not the time to repeat the mistakes of the past, with over-policing the Tenderloin.”\u003c/p>\n\u003cp>Deaths attributable to drug overdoses have increased more than 200% in San Francisco since 2018, and last year, more than 700 people died from drug overdoses in the city, more than the number who died from COVID-19, according to \u003ca href=\"https://sfmayor.org/sites/default/files/Emergency%20Declaration%20-%20Tenderloin.pdf\">Breed’s proclamation of a local emergency\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Nearly 600 people have died of drug overdoses through November of this year, with nearly half the deaths occurring in the Tenderloin and the neighboring South of Market neighborhood, the proclamation said. These areas make up 7% of San Francisco’s population.\u003c/p>\n\u003cp>San Francisco District Attorney Chesa Boudin joined the city’s public defender Mano Raju at a news conference on Monday to denounce the mayor’s plan, saying that jailing people experiencing substance use disorders, mental health issues and homelessness would not work.\u003c/p>\n\u003cp>“If arrests and prosecutions alone could solve the drug crisis in this country or in this city, it would have been solved long ago,” Boudin said. “We’ve invested over a trillion dollars in fighting the so-called war on drugs, and where has it gotten us?”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Boudin said the “raw human suffering” he sees in the neighborhood outrages him. But using outdated methods won’t make people any safer, and the city has other options, said Boudin, who worked in the public defender’s office before becoming DA.\u003c/p>\n\u003cp>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, last week 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>Pointing to Proposition C, 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>Chan, the supervisor representing the Richmond, said at the meeting that San Francisco has seen police-focused plans to address drug use and homelessness in the past, and they haven’t succeeded — because the problem still lingers.\u003c/p>\n\u003cp>“I’ve been in city government for almost two decades, serving under four different mayors. We’ve seen this all before. It’s why we know it’s not going to work. From \u003ca href=\"https://www.latimes.com/politics/la-pol-ca-gavin-newsom-homelessness-san-francisco-20181023-story.html\">Care Not Cash\u003c/a>, to the \u003ca href=\"https://www.sfchronicle.com/crime/article/The-Scanner-SF-police-have-backed-off-13322561.php\">sit-lie ordinance\u003c/a>, to the \u003ca href=\"https://sf.curbed.com/2016/11/10/13576508/san-francisco-homeless-tents-election\">[Proposition] Q tent prohibition\u003c/a>. Different slogans, but the same tactics of criminalizing the poor and the unhoused. Different players, same game, and we know they don’t work, because we’re suffering from these measures’ cumulative impact on our streets right now,” Chan said.\u003c/p>\n\u003cp>She added, “We know the solution, colleagues, and that work is hard, to implement policy solutions that may not garner news attention. Work that includes meaningful investment in the health care system, public education, workforce development and housing security not just for the homeless, but working families to stop them from becoming homeless in the first place.”\u003c/p>\n\u003cp>\u003cem>This post includes reporting from The Associated Press and KQED’s Kate Wolffe, Carlos Cabrera-Lomelí, Matthew Green and David Marks.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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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>\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>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\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>\u003c/p>\u003c/div>",
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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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"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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"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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"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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"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. ",
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"marketplace": {
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"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.",
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"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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"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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"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.",
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"possible": {
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"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.",
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"pri-the-world": {
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"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.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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"radiolab": {
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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"reveal": {
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"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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},
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"id": "science-friday",
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"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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"snap-judgment": {
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"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
"airtime": "SAT 1pm-2pm, 9pm-10pm",
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