California launched Project Roomkey during the pandemic to house thousands of homeless seniors and people with medical conditions in hotels. Margot Kushel, MD, spoke on NPR about how critical it is that people in these hotels stay housed.

In the largest representative study of homelessness in California since the mid-1990s, the California Statewide Study of People Experiencing Homelessness provides policy recommendations and demystifies common misconceptions. On Inside with Vicki Gonzalez, Margot Kushel, MD, director of UCSF’s Benioff Homelessness and Housing Initiative and lead investigator spoke with the host about the study's findings. "90% of people lost their last stable housing in California. Of the 10% who did not lose their housing in California, 30% of them were born in California" said Dr. Kushel.

Margot Kushel, MD, was quoted regarding the success of Project Roomkey, which could become a model for future efforts to aid the estimated 150,000 homeless people in California. “It’s b...

In this op-ed, Margot Kushel, MD,  professor of medicine and director of the Benioff Homelessness and Housing Initiative at UCSF, calls attention for the need of federal investments in affordable housing. She outlines that the federal governments disinvestment in affordable housing has forced local governments to use general funds to provide assistance, further highlighting it will take a coordinated effort between agencies to solve the crisis. "Increased federal funding is necessary, but not sufficient. Yet without it, it will be difficult to end homelessness. This crisis is solvable. Ensuring that people have housing that they can afford – through higher income, lower rents and dedicated rental assistance, as well as access to appropriate services – is essential." Dr. Kushel 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.

Margot Kushel, MD, discussed how the Johnson & Johnson vaccine has been popular among homeless and low-income populations as it requires people to come in for only one shot. She ...

Margot Kushel, MD, was quoted in this article about how California moved thousands of people experiencing homelessness into private hotel rooms during the COVID-19 pandemic—in an effort named “Project Roomkey”—which eventually provided temporary shelter to more than 48,000 people in hotel rooms leased by the state. Dr. Kushel said, “What you don’t see are that many, many of those folks who are out there are getting out of their tents and going to jobs.” 

In this podcast episode of In Clear Terms with AARP California, host Dr. Thyonne Gordon spoke with Margot Kushel, MD, director of UCSF’s Benioff Housing and Homelessness Initiative. Dr. Gordon and Dr. Kushel talk about the state of older adult homelessness in California, and the complex interactions between health and homelessness, and potential solutions to prevent and address the issue. Dr Kushel said, "The reason so many people are homeless in California, is we do not have the housing. If you ask the question though, 'Why is this person homeless', then you can see how things like illness, including mental health or substance use, can leave you vulnerable."

California’s homelessness crisis is a homegrown problem that is deepening amid a shortage of affordable housing and emergency shelter, and it’s often the brutal conditions of living on the street that trigger behavioral health problems, such as depression and anxiety, researchers found in a comprehensive study on homelessness. The new findings show that at least 90% of adults who are experiencing homelessness in the state became homeless while living in California. “This idea that homeless people are rushing into California is just not true,” said Margot Kushel, a physician who treats homeless people, and the lead investigator of the study for the UCSF Benioff Homelessness and Housing Initiative. “There’s so much myth-making around this magnet theory that people who are homeless flock to California, but this is our own problem.”

In this op-ed, Maria Raven, MD, MPH, associate director at the Benioff Homelessness and Housing Initiative, outlines the issues with California's new law forcing people into drug treatment. She explains how emergency departments have treated people with severe alcohol disorder, but emergency departments are already filled with countless of patients. Dr. Raven writes, "SB43 is already creating confusion. It empowers law enforcement officers and others to bring more patients to our already crowded department on involuntary psychiatric holds for severe substance use alone, thinking we will provide a path to conservatorship. However, that path breaks down if a patient has decision-making capacity once no longer intoxicated." 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.

A proposal to spend $12 billion to end homelessness in California is "a really good start, but can't be the end," said Margot Kushel, MD. Project Homekey was remarkable because

Margot Kushel, MD, was quoted about California’s Project Roomkey and Project Homekey, including their prospects to make a lasting impact on homelessness across the state. “(Roomkey) really grabbed those who were at the highest risk of doing poorly and got them to safety,” said Dr. Kushel.

Housing First focuses on getting people into permanent housing and offering them support services. A 7-year randomized trial of chronically homeless individuals found those in the housing-first group spent 90% of their nights housed and made less use of psychiatric emergency services and more use of outpatient mental health services compared to the control group. “The experiment intentionally sought to try housing first for the very most complicated patients—those who society says are most hard to house—and it worked,” said study co-author Margot Kushel, MD, who directs UCSF’s Benioff Homelessness and Housing Initiative.

In this op-ed, Maria Raven, MD, explains why involuntarily hospitalizing people experiencing homelessness doesn't work. She writes, "Hospital emergency departments have long been the re...

Oregon is one of several states betting on housing and outreach programs using Medicaid funds. Officials hope that by keeping people from experiencing medical crises that lead to repeated emergency room visits, Oregon will save enough money to pay for increased housing costs. California is also working to implement a program similar to Oregon's, spending more than $100 million a year on housing from its Medicaid budget. Margot Kushel, MD, director of the UCSF Benioff Homelessness and Housing Initiative said, "I know that if I could get my patients who are experiencing homelessness housing, we could make everything else work better".

In this cohort study, UCSF BHHI researchers found that most older homeless-experienced adults needed caregiving assistance and few received such assistance. Interventions that increase caregiving access for homeless-experienced individuals may help avoid poor health outcomes and costly long-term care needs due to untreated disabilities.

Margot Kushel, MD, spoke about Oakland’s new shallow subsidy program, which will help 200 low-income households pay rent for 18 months by sending money directly to their landlords. The ...

Patients with prolonged hospitalizations often require alternative levels of care (ALC) and there stays strain hospital capacity and patient flow. This study aimed to descriptively compare prolonged ALC and short ALC. Researchers found that patients with prolonged ALC were more likely to be older and have experienced homelessness. Furthermore, prolonged ALC patients were more likely to be admitted for acute care and had greater psychosocial complexity.

Margot Kushel, MD, was quoted about upcoming changes to hotel programs for unhoused people. With California’s Project Roomkey winding down, hotels for Bay Area residents experiencing homelessness are slated to close. Despite uncertain prospects for keeping people housed in the future, “Project Roomkey has played a huge role in decreasing the disasters in the Bay Area,” said Dr. Kushel, including slowing the spread of COVID-19.