A recent experience has changed my view on solving homelessness

I put in my first volunteer shift last week at a recuperative care center for the homeless in downtown Denver. The program and the facility are part of Coalition for the Homeless. During my two hour shift I helped serve dinner and clean up, and tried my best to be pleasant and welcoming to the clientele.

The recuperative care center works in collaboration with local hospitals. The hospitals can only hold patients for so long before they have to be discharged to make room for new patients. The problem is that, unlike you or I, when these patients are discharged they don’t have a place to go. So they end up back on the street, where it is challenging, if not impossible, to fully recover. Making it very likely that they’ll end up back in the hospital.

So, this left the hospital with a couple of choices.

Discharge them anyway and let them recover on the streets, knowing that the patient would be back soon;

or, 

Keep them in the hospital longer, which is expensive, and does not solve their need to free up beds;

or,

Partner with a recuperative care center and give their patients experiencing homelessness “safe, dignified, and quality spaces… to heal and stabilize from medical issues.”

Luckily, a number of hospitals have chosen the latter. The recuperative care center can house and care for up to 75 patients at one time.

The patients here are suffering from a plethora of acute injuries and illnesses. Everything from limb and digit amputations, wounds, broken bones and gun shots, to complications associated with chronic diseases such as cancer, diabetes, and stroke. The recuperative care center gives patients two weeks to recover in a new, clean, and comfortable facility, where they are provided three warm meals a day and a snack, and are able to engage in activities such as yoga, bingo, meditation, and poker night. 

If a patient needs more time to recover, then usually the facility can provide that to them. Repeat customers are common, as you might expect, and, at least from the handful of patients I spoke to, patients are always sad to leave. When they are finally discharged the recuperative care center does everything in its power to find them housing. But not everyone is so lucky, and many people end up back on the streets, only to return again one day.

Prior to moving to Los Angeles in 2019 I had very little understanding or involvement with people experiencing homelessness. But in Los Angeles, especially after the pandemic, the homeless issue was not something you could ignore. And like everyone, I had an opinion. 

My opinion was formed based on what I saw around me, and based on my experiences. In 2022 I joined a group of people and went to various encampments around the city to feed the individuals who lived there. What we witnessed was at times very hard to see, and it influenced my views.

Most of what I saw was a lot of people suffering my various mental disorders. For some people it appeared that substance abuse brought on the mental disorders, and in others the substances exasperated an existing condition. And for many of them, it looked like their mental condition and substance abuse had gone untreated for so long that I doubted if they could ever truly recover, and become a functioning member of society. I sympathized with all of them, but the prognosis was grim.

So when it came to the debate over building free housing or not, I leaned more towards the not side. I couldn’t see how without intensive mental interventions anyone I had met would all of a sudden thrive because they were given a home. It didn’t add up to me, and I felt strongly that we first needed to provide them with mental and physical support services, before we did anything else.

And I still believe that that is an extremely important first step in any plan, however, after just one shift at the recuperative care center, I now understand how important it is to also give people a place to call home.

Just looking around the halls and around the dining room at the recuperative center I saw a lot of the same “faces” that I saw in Los Angeles. Most of the patients I saw looked like they had lived on the streets for a long time, and had battled substance abuse at one time or another in their life.

But despite what felt familiar about the population, there was one thing that felt drastically different. The energy throughout the whole facility was completely serene. There was a sense of calm that I could feel radiating through these patients as they understood that for at least today, they didn’t have to fight to survive. That their nervous system could take a breath, and they could start to think about how to improve their situation, and focus on getting better.

There is tremendous value in bringing structure, routine, consistency, and predictability, into someone’s life, and surrounding them with a team of people who care. It’s something that those of us who have grown up with a safety net or a support system take for granted. I get to sleep easy knowing that if shit hits the fan and everything goes terribly wrong in my life, that there are at least three different houses that I would be welcomed into. And that’s being ultra-conservative.

For many of these people there is no one to catch them.

All volunteers are required to attend an online orientation before signing up for their first session. On my call was a young man from Louisiana. He said he grew up in a small rural town, and just recently moved to Denver. He lives in downtown Denver and said he had culture shock when we saw the homeless problem in real life. He said:

“Where I’m from we live in poverty, but there is no homeless population. There’s always somewhere for you to go, or someone to help.”

It was eye opening to hear, but not hard to understand why what he said made sense. In a small town where everyone knows everyone it is hard to walk by someone struggling. In a small town you don’t make assumptions about why someone is on the streets, chances are you know why or you know what that person is going through. In a small town the actions of a few can affect the lives of the majority. So not helping is not an option, lest you want it to impact you.

But in big cities across the country and around the world, the view is very different. Chances are you’ve never seen the person you’re stepping around on the side walk, or the guy you’re driving by holding a sign at the corner. In those situations it’s easy to make assumptions about how that person ended up there and why they’re unable to get it together. 

In a big city it is not your problem. There are hundreds of thousands or millions of other people and surely someone else must be helping. There is no reason why I should do anything. Someone else has got it. And regardless of the outcome, I’m able to continue on with my day.

These beliefs and views don’t work in a small town. It’s clear who’s getting help and who’s not. It’s hard to step around or drive by a face you recognize and have likely spoken to. The person or people living at the park or at the bus stop directly impacts you. There’s only one park, and you need to get to work.

We need to adopt small town mentalities in our big cities if we ever want to truly make an impact. We need to give people free and unlimited mental and physical therapy, and support services. And we do need to give people a place to call home. Whether it’s part of a larger program, or a place like the recuperative care center. They need a place where they can feel safe and heal.

My opinion hasn’t changed in that I don’t believe housing alone is the answer. But I do think that housing needs to be part of the solution.