Margot Kushel, MD, director of the UCSF Benioff Homelessness and Housing Initiative, was quoted regarding San Francisco's plans to expand permanent supportive housing, including allowing more choices and giving out rental vouchers. Dr. Kushel said that while the city can choose to provide lighter staffing in the scattered sites, she added that programs have been successful around the country when paired with adequate services.

People with multiple, complex health and housing needs frequently receive fragmented care because the providing systems operate independently. The California Policy Lab at UC Berkeley and the UCSF Benioff Homelessness and Housing Initiative worked with partners in San Francisco’s public health and criminal legal systems to link together ten years of data from the physical health, behavioral health, housing, and criminal legal sectors.

As part of the National Low Income Housing Coalition's (NLIHC) National HoUSed Campaign call in January 2023, Maria Raven, MD, of the University of California, San Francisco, and Mark Fleming, PhD, of the University of California, Berkeley, shared findings from their new report on the association of shelter-in-place (SIP) hotels with health services among people experiencing homelessness during the COVID-19 pandemic. 

Sleep is essential to health and affected by environmental and clinical factors. There is limited longitudinal research examining sleep quality in homeless older adults. This exploratory study examined the factors associated with poor sleep quality in a cohort of older adults in Oakland, California. Researchers found that participants had higher prevalence of poor sleep and worse Pittsburgh Sleep Quality Index (PSQI) scores than in studies of housed adults 20 years older.

In this op-ed, Shannon Smith-Bernardin, PhD, MSN, RN, assistant professor of nursing, highlights sobering centers as an alternative to bringing an intoxicated individual to the emergency department or a jail. She emphasizes that sobering centers provide a safe, monitored environment for people to sober up, and various models have developed to serve the specific need of the communities and populations they serve. "The path to recovery often requires a comprehensive, individualized approach. A central function of sobering care is to take the opportunity to engage, motivate, and link individuals to community resources that may provide ongoing stabilization and recovery." Dr. Smith-Bernardin writes. This op-ed was published as part of the Public Voices Fellowship in partnership with The OpEd Project and funding from the California Health Care Foundation.

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."

Following is a statement by Dr. Margot Kushel, MD, Director of the Benioff Homelessness and Housing Initiative (BHHI) at the University of California, San Francisco on the 2023 Annual Homeless Assessment Report, released today by the U.S. Department of Housing and Urban Development.

SAN FRANCISCO (December 28, 2024) – Following is a statement by Dr. Margot Kushel, MD, Director of the Benioff Homelessness and Housing Initiative (BHHI) at the University of California...

SAN FRANCISCO (October 8, 2025) – Following is a statement by Dr. Margot Kushel, MD, Director of the UCSF Benioff Homelessness and Housing Initiative (BHHI) at the University of California, San Francisco, on the potential impact of proposed federal funding cuts to critical programs that address housing insecurity, hunger, and poverty. 

On June 28, 2024, the Supreme Court ruled that cities may arrest and fine people for resting outside, even when they have nowhere else to go. This is an extreme decision that will have a dangerous and negative impact on people experiencing homelessness and do nothing to end homelessness. Read BHHI Director Dr. Margot Kushel’s full statement on the Supreme Court’s decision in City of Grants Pass v. Johnson.

SAN FRANCISCO (November 17, 2025) – Following is a statement by Margot Kushel, MD, Director of the Benioff Homelessness and Housing Initiative (BHHI) at the University of California, Sa...

SAN FRANCISCO (January 17, 2025) – Following is a statement by Dr. Margot Kushel, MD, Director of the Benioff Homelessness and Housing Initiative (BHHI) at the University of California,...

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.

The vast majority of even the most impaired homeless people can be successfully housed if they are given access to permanent housing with voluntary supportive services, a rigorous new study from UCSF has found. “The bottom line is that even really high-risk folks can be housed,” said Margot Kushel, MD, director of the UCSF Benioff Homelessness and Housing Initiative.

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.

UCSF study demonstrates need for alternatives to congregate shelter arrangements. Even if shelters take extensive precautions to prevent COVID-19 outbreaks, cities may need to reduce their reliance on congregate shelters.

In this op-ed, Tom Murphy, the Senior Director of Communications for the National Alliance to End Homelessness, calls congress to fully fund and expand veteran homelessness programs. He highlights the rise in veteran homelessness while also acknowledging the sterling track record of the federal government's veteran homelessness programs. "It is wholly unreasonable and inappropriate not to invest in resources that would protect veterans and the citizens on whose behalf they served. This op-ed was published as part of the Public Voices Fellowship in partnership with The OpEd Project and funding from the California Health Care Foundation.