Ned Resnikoff, policy manager for the UCSF Benioff Homelessness and Housing Initiative, wrote about the relationship between the asset economy and homelessness.

Older homeless adults living in shelters have high rates of geriatric conditions, which may increase their risk for acute care use and nursing home placement. In this cohort study, researchers interviewed homeless adults aged 50 and older to determine the prevalence of common geriatric conditions and if the prevalence of these conditions differs across living environments. Researchers found geriatric conditions were common among older homeless adults living in diverse environments.

As shelters in San Francisco face increased rates of infection, Margot Kushel, MD, director of the UCSF Benioff Homelessness and Housing Initiative, discussed what’s needed in response, and why the approach can’t be exactly the same as for the housed population: “There is no way to shelter in place when you don't have housing.”

In this qualitative study, UCSF BHHI researchers interviewed older unhoused adults to understand how structural determinants affect stays with family members among individuals experienc...

An innovative strategy to house Santa Clara County’s struggling homeless residents is working, according to a new study co-authored by Margot Kushel, MD, director of the UCSF Benioff Homelessness and Housing Initiative. The results could impact how agencies in the Bay Area and beyond address homelessness.

About 70-80% of adults experiencing homelessness smoke cigarettes. Researchers examined guest support for on-property smoke-free policies within an homeless shelter amongst never smokers, former smokers, and current smokers. They found that 64% of participants supported a partial smoking ban, while 32% supported a full smoking ban. These findings illustrate that implementing smoke-free living/workplace policies in homeless shelters enjoys more support from guests.

In this op-ed, Claudine Sipili, one of the California Statewide Study of People Experiencing Homelessness Lived Expertise Advisory Board co-chairs, advocates using AI as a component of a holistic strategy to address homelessness. She outlines the concerns and need for clear guidelines, transparency, and community oversight when employing predictive AI. "With the vital input of people with lived experience of homelessness, urban leaders have an opportunity to harness AI's vast capabilities to identify vacant properties for conversion to affordable housing, automate and expand rental assistance programs, coordinate entry into a comprehensive continuum of care, and equitably allocate limited resources for maximum community impact." Ms. Sipili 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.

Californians experiencing homelessness have poor health, struggle to access care, and face high ER and hospitalization rates—despite high rates of insurance. In this cross-sectional, representative study of adults experiencing homelessness in California, we found poor access to health care and high rates of short-term health care utilization that reflected how homelessness is negatively associated with health care access. Predisposing contextual and need factors, including being unsheltered, using illicit drugs, and having functional impairments, were associated with reduced access to care and increased use of short-term care. These findings underscore the necessity for health care and housing interventions that are tailored to the needs of people experiencing homelessness.

People experiencing homelessness have worse mental and physical health than the general population. They also have limited access to primary care for reasons including the absence of health insurance, lack of money for co-payments or transportation, and communication barriers. In this JAMA Insights, researchers examine the adverse effects of homelessness on physical and mental health and suggest strategies to improve access to care.

In this invited commentary, Maria Raven, MD, and coauthors describe the challenges of providing quality care to unhoused people. Addressing an accompanying study about community primary...

Homeless street sweeps, where governmental agencies move unhoused individuals living in public areas, frequently occur in the US. In this qualitative study, researchers investigated and documented the health impacts on street sweeps from the perspective of healthcare providers. Researchers found that street sweeps negatively impacted health; there was material loss as well as instability and loss to follow-up.

In this cross-sectional study, researchers studied the association between residential relocation and health outcomes in people who inject drugs (PWID). PWID are at an increased risk of low socioeconomic status and homelessness. Researchers found that any residential movement in the past 30 days was associated with increased odds of bad health outcomes.

In this podcast, follow along on a walk through the Tenderloin where outreach workers from Code Tenderloin offered on-the-spot COVID-19 vaccination, and hear how Margot Kushel, MD, a physician and researcher who directs the UCSF Benioff Homelessness and Housing Initiative, is part of a collaborative multi-organizational effort to bring the vaccines to people out on the streets. UCSF BHHI and Dr. Kushel hope approaches like this can build trust and immunity.

The point-in-time count is a survey that measures the number of people staying in shelters. Data from the point-in-time count has its limitations, but the information is still valuable. San Francisco has a team of workers and volunteers to conduct the count; each group is given a detailed map of streets and alleyways and instructions on how to record the findings. With regards to the value of point-in-time count, Margot Kushel, MD, director of the UCSF Benioff Homelessness and Housing Initiative, said, "It’s easy to understand that there are way too many people experiencing homelessness, but it would help us to understand what is happening in people’s lives right before they’re homeless."

Graham Pruss, PhD, a post-doctoral scholar at the UCSF Benioff Homelessness and Housing Initiative, spoke about the rapid growth of vehicle residency over the last decade, especially during the pandemic. Many people without permanent homes are turning to cars, vans, RVs, and campers as a form of affordable housing instead of shelters or encampments, but parking restrictions and lack of infrastructure remain challenges.