Aging & Homelessness: Causes, Consequences, and Solutions
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- čas přidán 11. 12. 2022
- San Francisco and California have been reckoning with the issue of housing instability for years, but what additional complexities arise as people experiencing homelessness grow older? In this Grand Rounds, we’ll talk to Margot Kushel, MD, one of the world’s leading experts on homelessness. We’ll discuss the drivers and precipitants of homelessness and the health consequences of the aging of the homeless population. Margot is professor of medicine and directs both the UCSF Center for Vulnerable Populations and the UCSF Benioff Homelessness and Housing Initiative.
Speaker:
Margot Kushel, MD, is professor of medicine and division chief and director of the UCSF Center for Vulnerable Populations, and director of the UCSF Benioff Homelessness and Housing Initiative. Margot's research focuses on the causes and consequences of homelessness and housing instability with the goal of preventing and ending homelessness and ameliorating the effects of homelessness and housing instability on health. She is the principal investigator of the ongoing NIA-funded study, the Health Outcomes of People Experiencing Homelessness in Older Middle agE (HOPE HOME) study, which examines the causes and consequences of homelessness in older adults, and the principal investigator of the California Statewide Study of People Experiencing Homelessness. She speaks at a local, state, and national level about issues of homelessness, and frequently provides testimony to legislative bodies.
Note: Closed captions will be available within 48-72 hours after posting.
Program
Bob Wachter: Introduction
00:02:32-00:42:35 - Margot Kushel, MD (professor of medicine; division chief and director of the UCSF Center for Vulnerable Populations; director of the UCSF Benioff Homelessness and Housing Initiative)
00:42:49-01:01:08 Q&A
See previous Medical Grand Rounds:
• December 1: The Current State of Covid (and the "Triple-demic"): A Conversation with Your Local Epidemiologist Dr. Katelyn Jetelina
• The State of Covid & t...
• November 17: Hospital Medicine in 2022: The Year in Review
• Hospital Medicine in 2...
• November 10: Controversies and Progress in Colorectal Cancer Screening
• Controversies and Prog...
• November 3: A Fireside Chat with Kirsten Bibbins-Domingo, Editor-in-Chief of JAMA
• A Fireside Chat with K...
See all UCSF Covid-19 grand rounds, which have been viewed over 3M times, at • UCSF Department of Med... .
Not being able to access quick, low-barrier rent assistance is a problem. (See my NLIHC blog post from October 2022.)
Thank you for posting this content on CZcams; it is a real blessing to have the information!
The most important information I've witnessed thank you.
Absolutely outstanding talk. Thank you to Dr. Bob Wachter MD and Dr. Margot Kushel MD. Thank you for your advocacy. Extremely refreshing. Thank you for your public service!
Great analysis and presentation. Thankful to see people looking at this. Interesting as well as urgently needed.
Happy to join you in the tagline, of course! However, there is CURRENTLY a lot of unused housing stock. Given environmental considerations, rather than stressing building, I think we need to move quickly on repurposing empty office buildings and other potential already-built edifices. Buying into the building narrative to me, risks buying into the fallacy that building more in cities reduces rent. We have seen the exact, and I mean exact opposite of that happening here in DC. Which by the way, increases homelessness.
Superb content!
It certainly is a health issue if one doesn’t have housing. Decent housing is one of the best medicines, and is an essential component of basics for good health. (Housing first will save money overall in health care, at least for those who don’t die early.)
Some are more likely to suffer from lack of housing. Now women can purchase homes but in my mother’s young adult days, she couldn’t purchase without a man signing the loan to guarantee it. That may still be an unspoken rental issue.
Surely there is an issue with some that is a racial issue. That hasn’t ended. Someday one hopes the racial issue will improve. The gender issue seems less bad though not nonexistent.
However, this crisis now is hitting everyone, all groups.
The educated, hard working, never any illegal drugs, even previously financially secure, no mental issues, no criminal record, etc may all get hit by the crisis.
Programs have shown that getting people housed without questioning their need solves many problems and is most successful over other strategies that house people last. One country, perhaps Norway but it may have been another country, had such a program that housed people first and found it to be a highly successful approach.
On a side note, if I come back home to the USA (got stuck overseas in corona crisis and job offer was withdrawn) after multiple emergencies including two cancers, family troubles, vandalism, harassment, exhausting schedules, mother’s emergencies (including her being vandalised repeatedly, hospitalised for about half a year after being side swiped by a car, and Alzheimer’s forcing the sale of all property for medical etc, ) as I’ve got no savings now (had contributed to purchase of properties with my mother and paid all of property taxes alone in some years, also had bought car from her though my name wasn’t on documents, but that is lost and had to be sold), the chance of being in a tent is high. That is despite education UC Berkeley, Georgetown, SUNY and working extremely hard and sacrificing. Very exhausted and it’s hard to navigate paperwork. My uncle says his own family has trouble. Stepmother is fickle and keeps revoking offers and vetoing recommendations which I’ve accepted for help. It’s hard to trust and now causes anxiety when an offer of help comes. It is similar to the older couple mentioned who did not fight eviction because help was offered, giving up another option for an option that got revoked. Offers have repeatedly been revoked, after I’ve given up some other option. So it would also probably be foolish to trust an offer or suggestion, especially as have lost other options too often by doing so.
all women with children should get automatic rent subsidy..