Resource Center

As the nation anticipates shifts in homelessness policy and funding following the 2024 election, it is more important than ever to ground our responses in evidence and compassion. Homelessness is solvable, but solving it requires a commitment to addressing root causes—particularly through expanding affordable housing and support services for those most impacted by the housing crisis.

Since the US Supreme Court ruled in the case of City of Grants Pass v. Johnson in June 2024, there has been an increase in the number of encampment sweeps. After the ruling, Governor Newsom of California issued an executive order directing state and local officials to dismantle homeless encampments. Street medicine services have never been more important as they provide lifesaving services by resupplying vital medication or medical supplies, hospitalizing patients with severe mental or physical health conditions, and finding medical respite care facilities. Marc Dones, policy director of the UCSF Benioff Homelessness and Housing Initiative, said, "It is very straightforwardly the case that displacement costs more than a lot of other strategies that we could use."

Angelenos exiting the carceral system often fall into homelessness due to barriers to housing and employment. In this episode of HOMELAND, a 10-episode series that brings clarity to the homelessness crisis, host Ben Kay speaks with Marc Dones, policy director of the UCSF Benioff Homelessness and Housing Initiative, and experts to explore the intersection of homelessness and incarceration and ask a simple but profoundly human question: Do we believe in second chances?

Substance use and homelessness have become synonymous in recent years. But what is the actual relationship between the two? Does problematic substance use cause homelessness or does homelessness increase someone's use of substances? In this episode of HOMELAND, a 10-episode series that brings clarity to the homelessness crisis, host Ben Kay speaks with Margot Kushel, MD, director of the UCSF Benioff Homelessness and Housing Initiative, and other system and healthcare leaders to discuss how homelessness and substance use interact, dive into how the U.S. has historically addressed substance use, and explore if there’s a better way forward.

As the homeless crisis has deepened in cities across the country, many have pointed to untreated mental health as a root cause of the crisis. But what is the relationship between mental health and homelessness? In this episode of HOMELAND, a 10-episode series that brings clarity to the homelessness crisis, host Ben Kay speaks with Margot Kushel, MD, director of the UCSF Benioff Homelessness and Housing Initiative, and other experts to explore this central question as we seek to better understand the connection between human thought and action.

City of Los Angeles officials are finally confronting a question that has seemed too big to answer: How much would it actually cost to get every person living on the street today indoors and make sure that no one languished there for years again? A new report states that it would cost $21.7 billion over a decade to end homelessness in LA. Margot Kushel, director of the UCSF Benioff Homelessness and Housing Initiative, said, "I would rather live in a place that spent its money on allowing people to live in community with choice and autonomy over their lives."

This research letter discusses the experience of violence during homelessness, its impact on health, and recommendations for intervention. In the California Statewide Study of People Experiencing Homelessness, 38% of participants experienced violence during their current homelessness episode, and 74% of participants reported experiencing violence at some point in their lives. These results highlight the need to address violence against people experiencing homelessness through safer housing options, trauma-informed care, and long-term violence prevention strategies.

Most people experiencing homelessness in California do so in unsheltered settings, such as outdoors or in vehicles. This webinar is about the causes and consequences of unsheltered homelessness. Margot Kushel, MD, moderated a conversation with Marc Dones, Ashley Meehan, MPH, and Carter Hewgley, discussing recommendations and solutions for addressing unsheltered homelessness in a way that preserves health, dignity, and civil rights for those experiencing it.

Deep-rooted racial residential segregation and housing discrimination have given rise to housing disparities among low-income Black young adults in the US. In this study, researchers aimed to illuminate the multiple forms of housing instability that Black young adults contend with and examine relationships between housing instability and mental health outcomes. They found that the high prevalence of housing instability and mental health challenges among low-income Black young adults require tailored interventions to reduce instability, given widening racial disparities and implications for future well-being into adulthood.

The University of California, San Francisco Benioff Homelessness and Housing Initiative (BHHI) today released a topic brief that sheds new light on the 78% of all Californians experiencing homelessness who live in unsheltered settings (i.e. outdoors, in a vehicle, in a place not meant for human habitation). It provides policy recommendations for reducing unsheltered homelessness through a combination of prevention, shelter, and permanent housing. 

This topic brief examines who experiences unsheltered homelessness, how they lost their housing, their experiences during homelessness, and barriers to regaining housing. The findings highlight the urgent need for the homelessness system to advance evidence-based strategies to meet the needs of unsheltered people.

Our Encampment Prioritization Tool is designed to help communities navigate the complex landscape of homelessness. By balancing the urgent need to address encampments with the chronic shortage of housing and shelter resources, along with health and safety considerations, this tool guides stakeholders in making informed decisions. It ensures that actions prioritize housing and shelter placements over displacement, aligning with broader systemic reforms to effectively manage and resolve encampments.

Encampment resolution is a strategic approach focused on connecting unsheltered individuals to stable housing rather than displacing them through sweeps. This method employs evidence-based practices to connect people with housing solutions and prevent re-encampment, involving a wide range of stakeholders to address both the needs of the encampment residents and the community’s broader concerns.

Existing literature on people experiencing homelessness (PEH) draws on non-representative samples from service providers, populations with comorbidities, or areas with disproportionately high sheltered homelessness, leading to bias. Nearly a third of PEH in the US and over half of unsheltered PEH live in California. Researchers from the UCSF Benioff Homelessness and Housing Initiative designed a rigorous state-representative survey of PEH to investigate the antecedents of homelessness, understand health, and inform policy solutions. This is the first large representative study of PEH, beyond a single county, to draw inference on a large population that did not depend on service utilization.

The gap between wages and housing prices has pushed more workers into homelessness. Increasing the number of affordable housing units is key. Margot Kushel, MD, director of the UCSF Benioff Homelessness and Housing Initiative, said, "Housing is the root of all safety and security. Without housing, everything else falls apart."

Since the Supreme Court's landmark ruling in City of Grants Pass v. Johnson on June 28th loosed clearance rules, 12 California cities or counties have passed camping bans, while another nine are considering them or have already given initial approval. Palm Springs stopped short of exercising all authority granted to cities, with the new ordinance complying with a previous court ruling. Margot Kushel, MD, director of the UCSF Benioff Homelessness and Housing Initiative, said, "We need housing. We need subsidies. We need not just affordable housing, but we need deeply affordable housing."

Before medically advised (BMA) discharge is associated with higher rates of readmission and death in other settings. In this study, researchers used multivariable logistic regression to evaluate the association between housing status and BMA discharge. Researchers found that BMA discharge is more common in patients experiencing homelessness after surgery even after adjusting for observable confounding characteristics. A deeper understanding of the drivers of BMA discharge in patients experiencing homelessness through qualitative methods is critical to promoting more equitable and effective care.

Governor Gavin Newsom’s executive order allowing state and local officials to dismantle homeless encampments has drawn mixed reactions from homelessness experts within California. he executive order calls for state agencies to remove homeless encampments from state lands, such as state parks, beaches, agency buildings, highways, and the areas beneath them. Margot Kushel, MD, director of the UCSF Benioff Homelessness and Housing Initiative, said, "A lot of harm can come from sweeps, and ultimately, if you don’t offer people a real outcome, they’re just going to have to move someplace else because they can’t dematerialize; they will show up someplace else."