Health care providers in Colorado have been drawn into America's homelessness crisis, and are adding institutional weight into a push for solutions - according to a new report by independent health journalist Michele Cohen Marill.

Marill pointed to one "aha" moment experienced by physician Sarah Stella, who saw many people experiencing homelessness seeking emergency care at Denver Health.

"She had patients coming in with severe frostbite and other types of injuries," said Marill. "They would get patched up, they would be discharged, and ended up back on the streets. And then within a brief period of time, she would see them back in the ER."

One patient living outdoors had severe frostbite, which required several toes to be amputated. He was discharged to a shelter, but because it was relatively warm he chose to sleep outside.

He awoke covered in snow and went back to the emergency room with frostbite on his remaining toes.

Stella then went to work, connecting area health providers to nonprofits and foundations to find ways to break this cycle.

In October of 2022, the Colorado Coalition for the Homeless opened the Stout Street Recuperative Care Center, which provides a recovery space for people who are well enough to be released from the hospital - but still need time to heal.

Marill said on average clients stay two weeks - although some need prolonged care, such as chemotherapy, that may last as long as two or three months.

"Patients can be discharged safely. It's really a life saver," said Marill. "Many of these individuals would be very medically fragile if they were just living on the streets."

Last December, Denver Health opened a converted floor of an administrative building to provide transitional housing for recovering patients.

Clients are connected to case managers who help them find permanent housing and other services.

Marill said these sorts of interventions show that health care institutions can play a critical role in communities.

"Poor health is both a cause and an effect of homelessness," said Marill. "Health care, and specifically health systems, are an important part of the solution."




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As Virginia evictions rise, one group is helping low-income renters fight back.

Before the pandemic, evictions peaked at 16,000 in January 2020. An eviction moratorium kept renters housed during part of the pandemic but evictions are growing again.

Phil Storey, director of the Eviction Defense Center at the Virginia Poverty Law Center, said his office helps people navigate housing court.

"We wanted to provide not just information about things they can bring up to the judge to try and affect what happens but also some tools that'll help them do that without having to act as if they were experienced lawyers," Storey explained.

He added eviction laws are better for tenants, although they still give landlords an advantage. Affordable housing significantly declined in the state leaving many people unable to afford housing. The Eviction Defense Center operates on two websites. English speakers can use FightMyEviction.org and Spanish speakers can use NoDesalojo.org.

While the Eviction Defense Center is still relatively new, Storey is looking for ways to improve and build on it. He added they want to learn from the users taking advantage of the tools being offered.

"Obviously, we'll be able to go sort of peek behind the curtain and see which paths people are following through the information," Storey noted. "If some of them end up as dead ends or if people end up backing out of the decision tree, or things like that. We'll learn things about how to make that all better."

New York's 2025 budget takes proactive steps to address rural housing.

In the budget, $10 million was allocated for improvements to rural housing built by the U.S. Department of Agriculture's Section 515 program. Rural housing organizations asked for $25 million but are grateful the state is taking action.

Mike Borges, executive director of the Rural Housing Coalition of New York, said another bill the Legislature should pass makes the Mobile and Manufactured Home Replacement Program permanent.

"Basically what that does is provide grants to low- to moderate-income people to replace their mobile homes that are dilapidated and unsafe," Borges explained.

He would also like to see administration fees increase for nonprofits taking part in the Access to Home Program, which provides accessibility modification for low- to moderate-income residents. Reports showed it got requests totaling $12 million but only got enough funding for $1 million in improvements. The Senate is poised to pass both bills, leaving the Assembly as the final hurdle.

However, the budget was not perfect for rural housing. Borges said one shortcoming of the 2025 budget were cuts to the RESTORE program, which provides emergency repairs for low-to-moderate-income seniors. He said New York should take action now to continue improving rural housing preservation and development.

"We need a comprehensive housing initiative that looks at the obstacles to building and renovating, repairing housing in rural communities," Borges contended. "The three main obstacles to that are local capacity, infrastructure and targeted programs for rural housing."

He added rural areas do not often have the same resources and capacity as urban communities. Because rural housing is in short supply because of the aging housing stock, there have been stark population declines from rural New York communities.

Orange County's Supreme Court reversed a decision letting the city of Newburgh implement state tenant protections.

The city declared a housing emergency in 2023 when a study showed a vacancy rate less than 4%. The lawsuit overturning the protections found that the study was flawed, leading the court to invalidate it.

Daniel Atonna, political coordinator for the group For the Many, said this leaves tenants in a precarious position.

"This rips away protections for tenants in over 730 apartments in the city of Newburgh," he said, "at a time when tenants all across the Hudson Valley, all across New York, are facing difficult conditions as landlords are trying to evict them and raise their rent."

The petitioner's attorney said if unchecked, the city's actions would have made drastic changes to the rental market without legal basis.

This ruling also keeps Newburgh from setting up a rent guidelines board to decide whether rent-stabilized tenants' rents should stay the same, increase or decrease. Atonna said he hopes the city redoes the survey and implements these protections.

Atonna thinks Newburgh should opt into the newly passed Good Cause Eviction protections. This could better protect tenants, although some housing advocates feel these protections are ineffective. He said many residents support having tenant protections.

"Because it's meant stabilization for the community, right? It means a strong community where their neighbors aren't getting uprooted and evicted every couple of years," he said. "So, this was something that was going to be good for everyone."

A 2021 survey found 77% of Newburgh residents would leave the city because of high rents. It also found that people spend more than 30% of their income on rent.


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