News

The United States is taking a sharp turn in how it addresses homelessness after a new executive order calling for more "involuntary commitment," which is a process in which mental health workers can forcibly detain and medicate people against their will. Studies have shown that the housing first model is significantly cheaper and more effective than involuntary detention. "Americans want there to be no homelessness. And this is...a formula to worsen homelessness," says BHHI Director Dr. Margot Kushel of efforts to expand involuntary detentions & withdraw funding from communities that don't comply.

The number of homeless people in L.A. County living on the street dropped last year, bucking trends elsewhere in the U.S. Ayesha Rascoe and Nick Gerda talk with experts about what this sa...

What does it mean to be working, but still homeless? BHHI Director Dr. Margot Kushel joined Brian Goldstone on KQED Forum to discuss hidden homelessness and what needs to change.

In the year since the U.S. Supreme Court made it easier for cities to remove homeless encampments, California cities have redoubled enforcement efforts. For people caught up in sweeps in cities like Berkeley, Oakland, and Vallejo, the same question echoes again and again: “Where do I go now?” “The biggest problem with criminalization...[is] that criminalization worsens homelessness,” says BHHI Director Dr. Margot Kushel. “The public should...say, ‘Why are you taking expensive efforts to worsen a problem? This problem is 40 years in the making.”

As cities work to clean up homeless encampments under increasing pressure from Gov. Gavin Newsom and housed residents, RV communities present a distinct — and notoriously difficult — challenge, especially with more and more Californians taking up residence in them. UCSF Benioff Homelessness and Housing Initiative Director, Margot Kushel, found in her research that people living in RVs are reluctant to give them up for anything short of permanent housing — a dilemma when there’s little to offer. Berkeley officials designed their strategy with that in mind. To get the program to work, city staff and nonprofit outreach workers spent roughly three months coaxing residents, explaining their offer, listening to concerns and making accommodations to the shelter policies where possible. A one-dog-per-person rule stretched to allow four dogs in one room; friends were allowed to bunk together.

In January 2025, the City of Berkeley launched an innovative program to resolve the 2nd Street encampment by combining a low-barrier motel shelter with cash payments for residents’ RVs. Outreach workers built trust and tailored policies—allowing pets, partners, and friends—to boost participation. So far, 36 people and 26 animals have moved into the Capri Motel, and only three RVs remain on site. “The city designed this to really gain people’s trust and to make sure that people were not left worse off than they were when they started,” said Dr. Margot Kushel, calling the program “quite innovative.” BHHI is independently evaluating its impacts to inform future strategies.

A new UCSF BHHI study challenges common perceptions about homelessness and drug use in California, revealing that only 37% of surveyed unhoused Californians use drugs regularly, while 25% have never used them at all. Methamphetamine, not opioids, is the most commonly used drug, often as a means to stay alert while living on the streets. The study also highlights the complex relationship between addiction and homelessness—while drug use can increase the risk of losing housing, “Homelessness itself increases drug use because people use it as a coping strategy,” said Margot Kushel, MD. With homelessness on the rise and only 7% of respondents in treatment, experts stress that expanding affordable housing and accessible treatment options is crucial to addressing both crises.

KTVU's Heather Holmes and Frank Mallicoat talk to Marc Dones, Policy Director of the Benioff Homelessness and Housing Initiative, about the challenges unsheltered people face and what research says about barriers to resources.

Research from UCSF Benioff Homelessness and Housing Initiative reveals that most people experiencing homelessness in California are not illegal drug users—contrary to widespread public perception. These findings challenge common stereotypes and underscore the urgent need for better treatment options and housing solutions across the state. KCBS Radio news anchor Eric Thomas spoke with Margot Kushel, MD, Professor of Medicine and Chief of UCSF’s Division for Health Equity and Society, to dive deeper into the issue.

A new UCSF BHHI study challenges misconceptions about drug use among people experiencing homelessness in California. While only 37% of homeless individuals regularly use illicit drugs, lifetime use is high, and 27% began using after losing housing. The study highlights the difficulty of accessing treatment, with only 7% receiving care and 1 in 5 actively seeking help but unable to get it. Margot Kushel, MD, emphasized the complex relationship between drug use and homelessness, stating, “People are telling us that it helps them survive,” she said. “It keeps them awake and alert. They are using it either because they are traumatized, they have been assaulted, they are afraid or depressed, using it as coping to make it all go away.”