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Velazquez in front of the lemon tree her grandmother planted in their family garden in Monterey Park. Velazquez left her position as an outreach worker with the Los Angeles Homeless Services Authority as her health worsened.","description":"Denise Velazquez in front of the lemon tree her grandmother planted in their family garden in Monterey Park.","title":"01262022-HOMELESS-SERVICES-RN02","credit":"Raquel Natalicchio/CalMatters","status":"inherit","altTag":"A person stands outside, in front of a lemon tree. They look away from the camera.","fetchFailed":false,"isLoading":false}},"audioPlayerReducer":{"postId":"stream_live"},"authorsReducer":{"byline_news_11902904":{"type":"authors","id":"byline_news_11902904","meta":{"override":true},"slug":"byline_news_11902904","name":"\u003ca href=\"https://calmatters.org/author/manuela-tobias/\">Manuela Tobias\u003c/a>","isLoading":false}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11902904":{"type":"posts","id":"news_11902904","meta":{"index":"posts_1716263798","site":"news","id":"11902904","found":true},"guestAuthors":[],"slug":"underpaid-and-burned-out-many-outreach-workers-for-unhoused-californians-are-leaving-their-jobs","title":"Underpaid and Burned Out: Many Outreach Workers for Unhoused Californians Are Leaving Their Jobs","publishDate":1643464835,"format":"standard","headTitle":"Underpaid and Burned Out: Many Outreach Workers for Unhoused Californians Are Leaving Their Jobs | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>\u003ca href=\"https://calmatters.org/calmatters-en-espanol/2022/01/la-escasez-de-trabajadores-sociales-podria-bloquear-la-estrategia-para-indigentes-en-california/\">\u003cem>Leer en español.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>In the middle of March last year,\u003ca href=\"https://www.latimes.com/homeless-housing/story/2021-03-13/echo-park-encampment-exposes-bigger-la-homeless-issues\"> Los Angeles officials were gearing up to clear an encampment of 200 unhoused persons\u003c/a> at Echo Park Lake.\u003c/p>\n\u003cp>For Denise Velazquez, 53, then an outreach worker with the Los Angeles Homeless Services Authority, her task was clear: Get 10 people indoors.\u003c/p>\n\u003cp>She helped her clients — who were cold, tired and desperate to shower — pack their bags and sign intake forms. She gave them hope that warmth was around the corner: hotel rooms under \u003ca href=\"https://calmatters.org/california-divide/2022/01/california-homeless-permanent-supportive-housing/\">Project Roomkey, the state’s program to shelter unhoused people most at risk of catching COVID-19\u003c/a>.\u003c/p>\n\u003cp>But orders changed overnight. Her agency had access to only three beds, and when she told her clients, they yelled, spit and lunged at her partner. Velazquez says she broke their trust — and that broke her heart.\u003c/p>\n\u003cp>“My stomach is feeling so uncomfortable and heart broken,” Velazquez wrote in an email to her supervisor on March 18, 2021.\u003c/p>\n\u003cp>LAHSA spokesperson Ahmad Chapman said various local service providers placed 176 of those at the Echo Park encampment in interim housing programs.\u003c/p>\n\u003cp>In the weeks that followed, Velazquez said her health deteriorated. Her blood pressure spiked, her diabetes worsened, and her anxiety and depression spiraled. Her employer granted her a medical leave of absence, but therapy revealed that the only way to heal, she said, was to quit. Abandoning her clients broke her heart all over again.\u003c/p>\n\u003cfigure id=\"attachment_11903130\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903130\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg\" alt=\"Two hands hold up a pair of boots. The boots are very worn out and stained with dirt and water.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Denise Velazquez holds the boots she got when she started working in homelessness outreach. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Turnover has long plagued the homeless services field. COVID-19 has only made the problem worse as \u003ca href=\"https://calmatters.org/series/california-workers-covid/\">the omicron surge causes worker shortages across California’s economy\u003c/a>. And without enough service workers, the state’s ambitious, multibillion-dollar strategy for reducing homelessness is unlikely to work.\u003c/p>\n\u003cp>Most people who enter social work know to expect small paychecks; they’re driven by compassion and a desire for positive change. But caring too much can be crushing when \u003ca href=\"https://calmatters.org/housing/homeless/2021/11/california-homeless-camps-clearing-plan/\">housing is elusive\u003c/a>, \u003ca href=\"https://calmatters.org/projects/mentally-ill-forced-treatment-conservatorship-california-debate/\">mental health services scant\u003c/a>, and communication splintered among the myriad entities who decide the fate of the unhoused.\u003c/p>\n\u003cp>“We’re paying these folks pennies on the dollar to burn themselves out completely,” said Tami McVay, assistant program director at \u003ca href=\"https://www.selfhelpenterprises.org/\">Self-Help Enterprises\u003c/a>, which serves lower-income communities in the San Joaquin Valley.\u003c/p>\n\u003cp>[aside postID=\"news_11901253\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/021_SanFrancisco_NewsomRecallEvent_09142021-1020x680.jpg\"]When you bring up staff turnover or vacancies with any provider or advocate, they nod vigorously. The mostly government-contracted private organizations serving people experiencing homelessness have waged an uphill battle to recruit and retain workers into their fast-growing workforce, including some formerly homeless individuals.\u003c/p>\n\u003cp>LA-based \u003ca href=\"https://epath.org/\">People Assisting the Homeless\u003c/a>, or PATH, which serves about a fifth of the state’s unhoused population, has hired seven recruiters to help fill 340 vacancies, out of 1,100 jobs, said CEO Jennifer Hark Dietz. It’s now taking an average of four months to fill any given spot.\u003c/p>\n\u003cp>And that’s before the latest homelessness budget, approved last summer by Gov. Gavin Newsom and the Legislature, \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">floods providers with $12 billion over the next two years\u003c/a>. The state says the funding will require thousands of new positions in the homeless response system.\u003c/p>\n\u003cp>“We have all this money,” said Farrah McDaid Ting, a senior legislative representative with the California State Association of Counties. “Can we really do this if we don’t have the people? I think there could be a real limitation.”\u003c/p>\n\u003cfigure id=\"attachment_11903126\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903126\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg\" alt=\"Mel Tillekeratne stands against one of the walls of a Shower of Hope facility.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Mel Tillekeratne, executive director of The Shower of Hope. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Good jobs wanted\u003c/h3>\n\u003cp>At the root of the worker shortage — which advocates say is really a shortage of good jobs — is low wages. Most homeless services organizations CalMatters spoke with pay starting frontline workers between $16 and $18 an hour, barely higher than minimum wage. They openly admit it’s far too little for the grueling labor, and often isn’t enough to live in expensive California cities.\u003c/p>\n\u003cp>“In the homeless services sector, it’s like: You didn’t get this paperwork in on time, I lost my housing, or my legs are hurting, I think I might have a blood clot,” said Mel Tillekeratne, executive director of \u003ca href=\"http://theshowerofhope.org/\">The Shower of Hope, which runs 22 mobile shower sites across Los Angeles County\u003c/a>. “It’s an unbelievably high amount of stress. I’ve seen so many outreach workers completely checked out.”\u003c/p>\n\u003cp>According to the U.S. Bureau of Labor Statistics, people employed in emergency and other relief services — including homeless service providers — \u003ca href=\"https://data.bls.gov/PDQWeb/en\">made an average annual salary of $49,616 in 2020\u003c/a>.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Earl Edwards, doctoral candidate at UCLA\"]‘A lot of individuals didn’t see a pathway for them to stay doing this work.’[/pullquote]Why not pay more? Tillekeratne says government contracts usually cap personnel costs. He had to raise money privately, for example, to offer hazard pay at the start of the pandemic. Federal and state grants usually come in bursts and have short timelines, forcing organizations to fill temporary positions before they expire.\u003c/p>\n\u003cp>If they don’t leave homeless services completely, workers will switch jobs for $1 or $2 more an hour. Or, if they get promoted, they often lose direct contact with clients, adding to a sense that frontline work is undervalued, said Earl Edwards, a doctoral candidate at the University of California, Los Angeles \u003ca href=\"https://www.capolicylab.org/wp-content/uploads/2021/10/Inequity-in-the-PSH-System-in-Los-Angeles.pdf\">who interviewed 11 case managers\u003c/a>.\u003c/p>\n\u003cp>“A lot of individuals didn’t see a pathway for them to stay doing this work,” Edwards said.\u003c/p>\n\u003cp>Most organizations that serve unhoused individuals often hire people who are just exiting homelessness themselves: “That also adds an additional level of trauma,” he said. Shelter workers in Fresno constantly reach out about “unstable living arrangements of their own, asking for housing,” said Katie Wilbur, executive director of \u003ca href=\"https://www.rhcommunitybuilders.com/\">RH Community Builders\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11903133\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg\" alt=\"A person receives a haircut outdoors. The barber touches the hair of the person receiving the haircut.\" width=\"2000\" height=\"1331\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1920x1278.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A volunteer barber cuts an unhoused person’s hair at Trinity Church in Riverside. Those who are unhoused come once a week to the church where they are offered haircuts, clothes, food and a shower. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The fewer employees with master’s degrees in social work often earn higher salaries, but even those aren’t high enough to keep them from more lucrative jobs, explains \u003ca href=\"https://www.apu.edu/bas/faculty/dgallup/\">Donna Gallup\u003c/a>, an assistant professor at Azusa Pacific’s Department of Social Work, who runs a pilot program to recruit more students into the homeless services field.\u003c/p>\n\u003cp>“If you have an opportunity as a graduate student, with student debt, you may select a school, a hospital or another nonprofit where you are not having to work with a stigmatized population that is very demanding, and the work conditions, especially with COVID,” Gallup said. “It has been a challenge.”\u003c/p>\n\u003cp>[aside postID=\"news_11877585\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/RS49286_002_LakeCounty_ProjectHomekey_05142021-qut-1020x680.jpg\"]Newsom’s \u003ca href=\"https://calmatters.org/politics/2022/01/california-budget-newsom/\">proposed 2022 budget, which still has to be negotiated with the Legislature\u003c/a>, includes $1.7 billion over three years to expand the state’s health and human services workforce “with improved diversity, wages and health equity outcomes,” said Rodger Butler, a spokesperson for the \u003ca href=\"https://www.chhs.ca.gov/\">California Health and Human Services Agency\u003c/a>. But even that may not be enough.\u003c/p>\n\u003cp>“Until … funding is commensurate to offer living wages across positions in the sector, it’ll be hard to train our way out of this crisis,” said Mari Castaldi, senior legislative advocate on homelessness at \u003ca href=\"https://www.housingca.org/\">Housing California\u003c/a>.\u003c/p>\n\u003cp>To increase the wages of the lowest-paid workers, the nonprofit is calling for a supplemental appropriation — \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">on top of $2 billion over two years in flexible spending in last year’s budget\u003c/a> that cities and counties will use to pay nonprofit partners to run most of these homelessness programs.\u003c/p>\n\u003cp>“We don’t think it makes sense to say to service providers, ‘You get to choose between serving the number of clients that you set forth to serve, or increasing wages,’” Castaldi said.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903124\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg\" alt=\"\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>Underpaid and burned out\u003c/strong>\u003c/h3>\n\u003cp>But pay is only one part of the problem, says Deborah Son, executive director of the National Association of Social Workers’ California chapter. She represents 9,000 of the state’s roughly 75,000 certified social workers — and says all of them are affected by\u003ca href=\"https://calmatters.org/explainers/housing-costs-high-california/\"> the severe shortage of affordable housing in California\u003c/a>.\u003c/p>\n\u003cp>“We can bulk up the workforce and get people jobs and create jobs,” she said, “but if we don’t create the housing structures that are necessary, and we’re talking about the intricate systems necessary, your efforts become moot.”\u003c/p>\n\u003cp>Following her stint at LAHSA, Velazquez found a new job at homeless services nonprofit \u003ca href=\"https://unionstationhs.org/\">Union Station Homeless Services\u003c/a> as a care coordinator, earning $24 an hour. Half of her 20 clients are in housing, and her job is to keep them there. Her other clients are trying — unsuccessfully since September — \u003ca href=\"https://calmatters.org/california-divide/2019/08/section-8-voucher-discrimination-california-housing-crisis/\">to get into a place using housing vouchers, which cover two-thirds of the rent\u003c/a>.\u003c/p>\n\u003cp>[aside postID=\"news_11870625\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/04/RS43040_011_KQED_SanFrancisco_TentEncampments_05052020-qut-1020x680.jpg\"]“There’s not enough apartments, and landlords don’t want them,” she said. “Legally [landlords] can’t say, ‘No, I’m not going to take a voucher.’ But they can say, ‘Oh, but your client has to have 650 credit score, and no evictions, and no criminal record.’”\u003c/p>\n\u003cp>“This is where the burnout comes,” she added. “It’s like, a case manager can do and do and do and we still feel we’re not doing it.”\u003c/p>\n\u003cp>In her new job, Velazquez said she feels heard when she brings up concerns. She gets a day off every two weeks to unwind, checks in with her supervisor regularly and participates in training and meditation.\u003c/p>\n\u003cp>Her own self-care is essential, too, she explains, holding up an angel aura quartz around her neck, which she uses to steel herself for difficult encounters. “This is like my sanctuary, away from everything,” she said, gesturing around her two-bedroom in Monterey Park. “When I sit in that chair, I feel like I’m getting a hug from my grandpa.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg\" alt=\"\" width=\"1200\" height=\"804\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-800x536.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-1020x683.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>The impact on clients\u003c/strong>\u003c/h3>\n\u003cp>Clients feel the brunt of turnover just as acutely.\u003c/p>\n\u003cp>A recent study found that in the last decade, \u003ca href=\"https://www.capolicylab.org/inequity-in-the-psh-system-in-los-angeles/\">more than a fifth of the 16,026 people in Los Angeles placed in permanent supportive housing\u003c/a> — which pairs rental assistance with case management, substance use programs and mental health treatment — plunged back into homelessness. Black tenants were the most likely to return to the streets or a shelter, and they cited high case-manager turnover as one of several factors.\u003c/p>\n\u003cp>“When you have a case manager who is trying to help you create long-term goals, but they’re only staying for three to six months, it prevents you from actually being able to follow through,” said Edwards of UCLA, a co-author of the study.\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='housing']Some tenants he spoke with were already on their sixth or seventh case manager while in permanent housing. In turn, some clients didn’t bother to learn their case manager’s names for a couple of months, making their jobs that much harder.\u003c/p>\n\u003cp>“Once you have one you can actually work with, next thing you know, you get a notice on your door, ‘Oh, well, hi, this will be my last week.’ And you’re like, ‘Damn. You just got here,’” said Theresa Winkler, who lives with her husband in permanent supportive housing in downtown LA’s Skid Row neighborhood.\u003c/p>\n\u003cp>Winkler, 58, said she has been living in permanent supportive housing for about a decade and was unhoused for about half her life before that. She said she has been clean from crack, heroin and alcohol for 15 years, and continues to seek help for post-traumatic stress disorder, anxiety and depression. But cycling through caseworker after caseworker — at least three in the last two years — is “straight frustrating.”\u003c/p>\n\u003cfigure id=\"attachment_11903122\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903122\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg\" alt=\"A wide shot of a multi-story residential structure.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Residences in the Skid Row Housing Trust in Skid Row in Los Angeles. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“With addiction, a relapse happens weeks before you pick up,” she explained. “If you know yourself and you see it coming, you’re able to go downstairs, talk to your caseworker, and tell her, ‘Hey, look, can I talk to you for a few minutes?’ But if you don’t have anybody you can trust to go in and talk to — because that’s the biggest word right there, trust — then hey, I’m back out there doing what I was doing in the beginning.”\u003c/p>\n\u003cp>Her husband, her doctors and her 12-step recovery program have helped her stay on track and find solace. So has reflecting on her progress.\u003c/p>\n\u003cp>“It’s nice for me to finally say, ‘You know what? I finally found peace,’” she said. “Because it’s hard to find peace. Look at where I’m at. I’m in the pits of hell.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Burnout and COVID are causing service workers for unhoused Californians to leave. Low pay makes it difficult to recruit new workers — but they're essential to the state's plans to reduce homelessness.","status":"publish","parent":0,"modified":1721125102,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":47,"wordCount":2285},"headData":{"title":"Underpaid and Burned Out: Many Outreach Workers for Unhoused Californians Are Leaving Their Jobs | KQED","description":"Burnout and COVID are causing service workers for unhoused Californians to leave. Low pay makes it difficult to recruit new workers — but they're essential to the state's plans to reduce homelessness.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Underpaid and Burned Out: Many Outreach Workers for Unhoused Californians Are Leaving Their Jobs","datePublished":"2022-01-29T06:00:35-08:00","dateModified":"2024-07-16T03:18:22-07:00","image":"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN02-1020x695.jpg","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"authorsData":[{"type":"authors","id":"byline_news_11902904","meta":{"override":true},"slug":"byline_news_11902904","name":"\u003ca href=\"https://calmatters.org/author/manuela-tobias/\">Manuela Tobias\u003c/a>","isLoading":false}],"imageData":{"ogImageSize":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN02-1020x695.jpg","width":1020,"mimeType":"image/jpeg","height":695},"ogImageWidth":"1020","ogImageHeight":"695","twitterImageUrl":"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN02-1020x695.jpg","twImageSize":{"file":"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN02-1020x695.jpg","width":1020,"mimeType":"image/jpeg","height":695},"twitterCard":"summary_large_image"},"tagData":{"tags":["California","chronic homelessness","homeless","homeless crisis","homeless encampments","homeless youth","homelessness","los angeles","mental health","Skid Row","unhoused people"]}},"sticky":false,"nprByline":"\u003ca href=\"https://calmatters.org/author/manuela-tobias/\">Manuela Tobias\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11902904/underpaid-and-burned-out-many-outreach-workers-for-unhoused-californians-are-leaving-their-jobs","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://calmatters.org/calmatters-en-espanol/2022/01/la-escasez-de-trabajadores-sociales-podria-bloquear-la-estrategia-para-indigentes-en-california/\">\u003cem>Leer en español.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>In the middle of March last year,\u003ca href=\"https://www.latimes.com/homeless-housing/story/2021-03-13/echo-park-encampment-exposes-bigger-la-homeless-issues\"> Los Angeles officials were gearing up to clear an encampment of 200 unhoused persons\u003c/a> at Echo Park Lake.\u003c/p>\n\u003cp>For Denise Velazquez, 53, then an outreach worker with the Los Angeles Homeless Services Authority, her task was clear: Get 10 people indoors.\u003c/p>\n\u003cp>She helped her clients — who were cold, tired and desperate to shower — pack their bags and sign intake forms. She gave them hope that warmth was around the corner: hotel rooms under \u003ca href=\"https://calmatters.org/california-divide/2022/01/california-homeless-permanent-supportive-housing/\">Project Roomkey, the state’s program to shelter unhoused people most at risk of catching COVID-19\u003c/a>.\u003c/p>\n\u003cp>But orders changed overnight. Her agency had access to only three beds, and when she told her clients, they yelled, spit and lunged at her partner. Velazquez says she broke their trust — and that broke her heart.\u003c/p>\n\u003cp>“My stomach is feeling so uncomfortable and heart broken,” Velazquez wrote in an email to her supervisor on March 18, 2021.\u003c/p>\n\u003cp>LAHSA spokesperson Ahmad Chapman said various local service providers placed 176 of those at the Echo Park encampment in interim housing programs.\u003c/p>\n\u003cp>In the weeks that followed, Velazquez said her health deteriorated. Her blood pressure spiked, her diabetes worsened, and her anxiety and depression spiraled. Her employer granted her a medical leave of absence, but therapy revealed that the only way to heal, she said, was to quit. Abandoning her clients broke her heart all over again.\u003c/p>\n\u003cfigure id=\"attachment_11903130\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903130\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg\" alt=\"Two hands hold up a pair of boots. The boots are very worn out and stained with dirt and water.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Denise Velazquez holds the boots she got when she started working in homelessness outreach. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Turnover has long plagued the homeless services field. COVID-19 has only made the problem worse as \u003ca href=\"https://calmatters.org/series/california-workers-covid/\">the omicron surge causes worker shortages across California’s economy\u003c/a>. And without enough service workers, the state’s ambitious, multibillion-dollar strategy for reducing homelessness is unlikely to work.\u003c/p>\n\u003cp>Most people who enter social work know to expect small paychecks; they’re driven by compassion and a desire for positive change. But caring too much can be crushing when \u003ca href=\"https://calmatters.org/housing/homeless/2021/11/california-homeless-camps-clearing-plan/\">housing is elusive\u003c/a>, \u003ca href=\"https://calmatters.org/projects/mentally-ill-forced-treatment-conservatorship-california-debate/\">mental health services scant\u003c/a>, and communication splintered among the myriad entities who decide the fate of the unhoused.\u003c/p>\n\u003cp>“We’re paying these folks pennies on the dollar to burn themselves out completely,” said Tami McVay, assistant program director at \u003ca href=\"https://www.selfhelpenterprises.org/\">Self-Help Enterprises\u003c/a>, which serves lower-income communities in the San Joaquin Valley.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11901253","hero":"https://ww2.kqed.org/app/uploads/sites/10/2021/09/021_SanFrancisco_NewsomRecallEvent_09142021-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>When you bring up staff turnover or vacancies with any provider or advocate, they nod vigorously. The mostly government-contracted private organizations serving people experiencing homelessness have waged an uphill battle to recruit and retain workers into their fast-growing workforce, including some formerly homeless individuals.\u003c/p>\n\u003cp>LA-based \u003ca href=\"https://epath.org/\">People Assisting the Homeless\u003c/a>, or PATH, which serves about a fifth of the state’s unhoused population, has hired seven recruiters to help fill 340 vacancies, out of 1,100 jobs, said CEO Jennifer Hark Dietz. It’s now taking an average of four months to fill any given spot.\u003c/p>\n\u003cp>And that’s before the latest homelessness budget, approved last summer by Gov. Gavin Newsom and the Legislature, \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">floods providers with $12 billion over the next two years\u003c/a>. The state says the funding will require thousands of new positions in the homeless response system.\u003c/p>\n\u003cp>“We have all this money,” said Farrah McDaid Ting, a senior legislative representative with the California State Association of Counties. “Can we really do this if we don’t have the people? I think there could be a real limitation.”\u003c/p>\n\u003cfigure id=\"attachment_11903126\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903126\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg\" alt=\"Mel Tillekeratne stands against one of the walls of a Shower of Hope facility.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Mel Tillekeratne, executive director of The Shower of Hope. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Good jobs wanted\u003c/h3>\n\u003cp>At the root of the worker shortage — which advocates say is really a shortage of good jobs — is low wages. Most homeless services organizations CalMatters spoke with pay starting frontline workers between $16 and $18 an hour, barely higher than minimum wage. They openly admit it’s far too little for the grueling labor, and often isn’t enough to live in expensive California cities.\u003c/p>\n\u003cp>“In the homeless services sector, it’s like: You didn’t get this paperwork in on time, I lost my housing, or my legs are hurting, I think I might have a blood clot,” said Mel Tillekeratne, executive director of \u003ca href=\"http://theshowerofhope.org/\">The Shower of Hope, which runs 22 mobile shower sites across Los Angeles County\u003c/a>. “It’s an unbelievably high amount of stress. I’ve seen so many outreach workers completely checked out.”\u003c/p>\n\u003cp>According to the U.S. Bureau of Labor Statistics, people employed in emergency and other relief services — including homeless service providers — \u003ca href=\"https://data.bls.gov/PDQWeb/en\">made an average annual salary of $49,616 in 2020\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘A lot of individuals didn’t see a pathway for them to stay doing this work.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Earl Edwards, doctoral candidate at UCLA","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Why not pay more? Tillekeratne says government contracts usually cap personnel costs. He had to raise money privately, for example, to offer hazard pay at the start of the pandemic. Federal and state grants usually come in bursts and have short timelines, forcing organizations to fill temporary positions before they expire.\u003c/p>\n\u003cp>If they don’t leave homeless services completely, workers will switch jobs for $1 or $2 more an hour. Or, if they get promoted, they often lose direct contact with clients, adding to a sense that frontline work is undervalued, said Earl Edwards, a doctoral candidate at the University of California, Los Angeles \u003ca href=\"https://www.capolicylab.org/wp-content/uploads/2021/10/Inequity-in-the-PSH-System-in-Los-Angeles.pdf\">who interviewed 11 case managers\u003c/a>.\u003c/p>\n\u003cp>“A lot of individuals didn’t see a pathway for them to stay doing this work,” Edwards said.\u003c/p>\n\u003cp>Most organizations that serve unhoused individuals often hire people who are just exiting homelessness themselves: “That also adds an additional level of trauma,” he said. Shelter workers in Fresno constantly reach out about “unstable living arrangements of their own, asking for housing,” said Katie Wilbur, executive director of \u003ca href=\"https://www.rhcommunitybuilders.com/\">RH Community Builders\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11903133\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg\" alt=\"A person receives a haircut outdoors. The barber touches the hair of the person receiving the haircut.\" width=\"2000\" height=\"1331\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1920x1278.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A volunteer barber cuts an unhoused person’s hair at Trinity Church in Riverside. Those who are unhoused come once a week to the church where they are offered haircuts, clothes, food and a shower. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The fewer employees with master’s degrees in social work often earn higher salaries, but even those aren’t high enough to keep them from more lucrative jobs, explains \u003ca href=\"https://www.apu.edu/bas/faculty/dgallup/\">Donna Gallup\u003c/a>, an assistant professor at Azusa Pacific’s Department of Social Work, who runs a pilot program to recruit more students into the homeless services field.\u003c/p>\n\u003cp>“If you have an opportunity as a graduate student, with student debt, you may select a school, a hospital or another nonprofit where you are not having to work with a stigmatized population that is very demanding, and the work conditions, especially with COVID,” Gallup said. “It has been a challenge.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11877585","hero":"https://ww2.kqed.org/app/uploads/sites/10/2021/06/RS49286_002_LakeCounty_ProjectHomekey_05142021-qut-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Newsom’s \u003ca href=\"https://calmatters.org/politics/2022/01/california-budget-newsom/\">proposed 2022 budget, which still has to be negotiated with the Legislature\u003c/a>, includes $1.7 billion over three years to expand the state’s health and human services workforce “with improved diversity, wages and health equity outcomes,” said Rodger Butler, a spokesperson for the \u003ca href=\"https://www.chhs.ca.gov/\">California Health and Human Services Agency\u003c/a>. But even that may not be enough.\u003c/p>\n\u003cp>“Until … funding is commensurate to offer living wages across positions in the sector, it’ll be hard to train our way out of this crisis,” said Mari Castaldi, senior legislative advocate on homelessness at \u003ca href=\"https://www.housingca.org/\">Housing California\u003c/a>.\u003c/p>\n\u003cp>To increase the wages of the lowest-paid workers, the nonprofit is calling for a supplemental appropriation — \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">on top of $2 billion over two years in flexible spending in last year’s budget\u003c/a> that cities and counties will use to pay nonprofit partners to run most of these homelessness programs.\u003c/p>\n\u003cp>“We don’t think it makes sense to say to service providers, ‘You get to choose between serving the number of clients that you set forth to serve, or increasing wages,’” Castaldi said.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903124\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg\" alt=\"\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>Underpaid and burned out\u003c/strong>\u003c/h3>\n\u003cp>But pay is only one part of the problem, says Deborah Son, executive director of the National Association of Social Workers’ California chapter. She represents 9,000 of the state’s roughly 75,000 certified social workers — and says all of them are affected by\u003ca href=\"https://calmatters.org/explainers/housing-costs-high-california/\"> the severe shortage of affordable housing in California\u003c/a>.\u003c/p>\n\u003cp>“We can bulk up the workforce and get people jobs and create jobs,” she said, “but if we don’t create the housing structures that are necessary, and we’re talking about the intricate systems necessary, your efforts become moot.”\u003c/p>\n\u003cp>Following her stint at LAHSA, Velazquez found a new job at homeless services nonprofit \u003ca href=\"https://unionstationhs.org/\">Union Station Homeless Services\u003c/a> as a care coordinator, earning $24 an hour. Half of her 20 clients are in housing, and her job is to keep them there. Her other clients are trying — unsuccessfully since September — \u003ca href=\"https://calmatters.org/california-divide/2019/08/section-8-voucher-discrimination-california-housing-crisis/\">to get into a place using housing vouchers, which cover two-thirds of the rent\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11870625","hero":"https://ww2.kqed.org/app/uploads/sites/10/2021/04/RS43040_011_KQED_SanFrancisco_TentEncampments_05052020-qut-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“There’s not enough apartments, and landlords don’t want them,” she said. “Legally [landlords] can’t say, ‘No, I’m not going to take a voucher.’ But they can say, ‘Oh, but your client has to have 650 credit score, and no evictions, and no criminal record.’”\u003c/p>\n\u003cp>“This is where the burnout comes,” she added. “It’s like, a case manager can do and do and do and we still feel we’re not doing it.”\u003c/p>\n\u003cp>In her new job, Velazquez said she feels heard when she brings up concerns. She gets a day off every two weeks to unwind, checks in with her supervisor regularly and participates in training and meditation.\u003c/p>\n\u003cp>Her own self-care is essential, too, she explains, holding up an angel aura quartz around her neck, which she uses to steel herself for difficult encounters. “This is like my sanctuary, away from everything,” she said, gesturing around her two-bedroom in Monterey Park. “When I sit in that chair, I feel like I’m getting a hug from my grandpa.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg\" alt=\"\" width=\"1200\" height=\"804\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-800x536.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-1020x683.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>The impact on clients\u003c/strong>\u003c/h3>\n\u003cp>Clients feel the brunt of turnover just as acutely.\u003c/p>\n\u003cp>A recent study found that in the last decade, \u003ca href=\"https://www.capolicylab.org/inequity-in-the-psh-system-in-los-angeles/\">more than a fifth of the 16,026 people in Los Angeles placed in permanent supportive housing\u003c/a> — which pairs rental assistance with case management, substance use programs and mental health treatment — plunged back into homelessness. Black tenants were the most likely to return to the streets or a shelter, and they cited high case-manager turnover as one of several factors.\u003c/p>\n\u003cp>“When you have a case manager who is trying to help you create long-term goals, but they’re only staying for three to six months, it prevents you from actually being able to follow through,” said Edwards of UCLA, a co-author of the study.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"housing"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Some tenants he spoke with were already on their sixth or seventh case manager while in permanent housing. In turn, some clients didn’t bother to learn their case manager’s names for a couple of months, making their jobs that much harder.\u003c/p>\n\u003cp>“Once you have one you can actually work with, next thing you know, you get a notice on your door, ‘Oh, well, hi, this will be my last week.’ And you’re like, ‘Damn. You just got here,’” said Theresa Winkler, who lives with her husband in permanent supportive housing in downtown LA’s Skid Row neighborhood.\u003c/p>\n\u003cp>Winkler, 58, said she has been living in permanent supportive housing for about a decade and was unhoused for about half her life before that. She said she has been clean from crack, heroin and alcohol for 15 years, and continues to seek help for post-traumatic stress disorder, anxiety and depression. But cycling through caseworker after caseworker — at least three in the last two years — is “straight frustrating.”\u003c/p>\n\u003cfigure id=\"attachment_11903122\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903122\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg\" alt=\"A wide shot of a multi-story residential structure.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Residences in the Skid Row Housing Trust in Skid Row in Los Angeles. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“With addiction, a relapse happens weeks before you pick up,” she explained. “If you know yourself and you see it coming, you’re able to go downstairs, talk to your caseworker, and tell her, ‘Hey, look, can I talk to you for a few minutes?’ But if you don’t have anybody you can trust to go in and talk to — because that’s the biggest word right there, trust — then hey, I’m back out there doing what I was doing in the beginning.”\u003c/p>\n\u003cp>Her husband, her doctors and her 12-step recovery program have helped her stay on track and find solace. So has reflecting on her progress.\u003c/p>\n\u003cp>“It’s nice for me to finally say, ‘You know what? I finally found peace,’” she said. “Because it’s hard to find peace. Look at where I’m at. I’m in the pits of hell.”\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11902904/underpaid-and-burned-out-many-outreach-workers-for-unhoused-californians-are-leaving-their-jobs","authors":["byline_news_11902904"],"categories":["news_6266","news_8"],"tags":["news_18538","news_25676","news_20305","news_22903","news_21214","news_20225","news_4020","news_4","news_2109","news_17954","news_30602"],"affiliates":["news_18481"],"featImg":"news_11903132","label":"news_18481","isLoading":false,"hasAllInfo":true}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. 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