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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Homelessness in South Dakota may be down overall, but the state's urban areas are an exception. New programs in Sioux Falls aim to address it.

The most recent point-in-time data show the number of people unhoused in Sioux Falls rose by 20% between 2022 and 2023. Native people experience homelessness at a disproportionately high rate, making up nearly 40% of the unhoused population in the area. So, South Dakota Urban Indian Health launched the Wo'Okiye program last year, with case management services and help making and getting to medical appointments.

Monica Bailey, program manager and Standing Rock Sioux Tribe member, said these wraparound services give staff a variety of options to respond.

"If they want to go to treatment or if they want to talk. We also provide smudging, therapeutic beading and sewing. We just meet people where they're at on their journey," she said.

Bailey added the organization is averaging 1,300 contacts a month -- an increase from about 260 last September, after launching its initial street outreach efforts a year ago.

The City of Sioux Falls also hired its first Homelessness Services Coordinator in April. Bailey said Wo'Okiye will work closely with the coordinator, and has partnered with others in the city.

"For example, we have a great relationship with downtown Sioux Falls Library, where they can call us and we can go in and check on someone, and bring them to our space or see if we need to do a warm handoff," Bailey said.

The unhoused population in Rapid City also grew last year, although homelessness across the state has decreased nearly 8% since 2022, according to the U.S. Department of Housing and Urban Development.


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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.