Latest news with #USICH
Yahoo
04-06-2025
- General
- Yahoo
Homeless, sick and aging: Pierce County faces worsening crisis in 2025
Homeless-service providers in Pierce County are sounding the alarm on the need for healthcare among those living unhoused. During the Pierce County Council's Health and Human Services Committee meeting June 3, a panel of homeless-outreach workers, healthcare specialists and social workers painted a picture of the high number of elderly and disabled people experiencing homelessness and the lack of resources available to keep them from dying on the streets. Jake Nau is the homeless outreach manager for St. Vincent DePaul. His job is to develop relationships with people living unhoused with the goal of helping them find housing. On June 3, Nau told the committee at least 50% of the unhoused people he meets are either over 55 years of age or are experiencing a physical or mental disability they either were living with before becoming unhoused or have incurred through their experience living on the streets. During the 2024 survey of those living unhoused in Pierce County, volunteers counted 2,661 people living unhoused in a single night. Of those surveyed, 25% reported having a chronic health condition, and 22% reported having a physical disability. 'Homeless seniors and people with disabilities are largely from here,' Nau told the committee. 'This population is not chasing benefits across counties and states. They were housed here, and now they are not.' Nau said the normal process of aging is 'harmfully accelerated' by being unhoused. According to the U.S. Interagency Council on Homelessness (USICH), people who experience homelessness have an average life expectancy of around 50, almost 20 years lower than people who are housed. The Center for Disease Control states that people experiencing homelessness are at a greater risk of infectious and chronic illness, poor mental health and substance abuse. They are also more susceptible to violence, 'a fact confirmed by over 20 years of reports on bias-motivated crimes,' a letter from USICH stated in 2018. 'On the street there are perpetrators of harm and victims. Seniors and people with disabilities are almost always the victims,' Nau said. 'Our parents and grandparents get exploited, robbed, beaten and bullied.' Nau said there are simply not enough shelter and housing options to get those folks off the street, specifically not enough Americans with Disabilities Act-compliant shelters. He said many shelters cannot accept individuals who are physically unable to wash themselves or use the bathroom on their own. He also said there are not enough senior-specific permanent supportive-housing options for folks who need specialized care. Amy Decker is a social work case manager for MultiCare Health System. Decker reported that 404 people were discharged from Tacoma General Hospital and Allemore Hospital into homelessness through the first five months of 2025. Of those known to be unhoused at the time of their discharge, 176 were between the ages of 50-69 and 25 were over the age of 70. One individual discharged from a Tacoma hospital into homelessness was over 90. Recently the county has obligated funding to increase its medical respite capacity. Medical Respite facilities offer a place for unhoused individuals to stay while they heal after a hospital stay. In January 2023, Pierce County awarded the Low-Income Housing Institute (LIHI) over $10 million to support a new shelter project, which would eventually become the acquisition of the Oasis Inn. The former hotel will be converted into 117 units of non-congregate emergency shelter and permanent supportive housing, with at least 51 of the units capable of providing medical-respite services. John Brown of the LIHI told The News Tribune potential clients at the facility would need to be healed enough for discharge, meaning they can still perform activities of daily living and only be in need of basic nursing services such as wound care and medicine management. If the client regresses in treatment during their stay, they would be moved to a long-term care respite facility. 'Once the client heals and progresses through recovery, they could either be referred into one of the long-term rental permanent supportive-housing units in the building or another low-income housing building as openings become available,' Brown wrote in an email to The News Tribune. It is unclear when the facility wound open. Meanwhile the county has made funding available for operation of a temporary medical respite facility in Parkland. The facility will have roughly 16 beds available. Jan Runbeck is a registered nurse who provides healthcare at one of Tacoma's only operating medical-respite facilities in Tacoma. Runbeck previously told The News Tribune that Nativity House has 12 beds reserved for medical-respite referrals. She said patients discharged from the hospital can use a bed for 30 days before they have to be treated like everyone else who comes to the shelter and receives a bed on a first come, first served basis. During the June 3 Health and Human Services Committee meeting, Runbeck said many individuals living unhoused are dying a 'prolonged death,' typically resulting from unmanaged chronic diseases such as diabetes, heat disease, kidney failure and CPD. She said the deaths would be preventable with access to primary care. Runbeck said many individuals she met in Nativity House and in her street-outreach work became homeless in their 50s and 60s. She recalled several cases in which individuals suffered injuries and had jobs without benefits, creating financial pressures leading to homelessness. Runbeck made the case that medical-respite facilities ultimately save tax payer dollars. She said before Nativity House implemented a medical respite program with nurses who could provide healthcare it had more 911 calls than almost anywhere in the city, averaging more than two emergency calls a day. After the program was implemented, it reduced calls there by 30%. 'When you have prolonged death, it is messy, it is ugly, it is nasty,' she told the committee. 'You go to the [emergency room] way too many times, you go to urgent care way too many times. You have all these other complications of untreated chronic disease.'
Forbes
30-04-2025
- Business
- Forbes
DOGE Days: Inside The Dismantling Of The Federal Homelessness Agency
NEW YORK, NY - SEPTEMBER 10: A homeless man sleeps under an American Flag blanket on a park bench on ... More September 10, 2013 in the Brooklyn borough of New York City. As of June 2013, there were an all-time record of 50,900 homeless people, including 12,100 homeless families with 21,300 homeless children homeless in New York City. (Photo by) Terminations, reductions in force, administrative leave, and temporary restraining orders — and Tesla CEO Elon Musk — are all associated with the Trump administration's newly launched Department of Government Efficiency, better known as DOGE. The department has made headlines for mass firings, contract cancellations, and the hollowing of key federal agencies. Yet, little is known about how DOGE actually operates. Though Musk admits DOGE may only trim $150 billion from federal spending — well below its $1 trillion goal—the behind-the-scenes process offers clues about the administration's broader governing style. Internal documents obtained by Forbes and interviews with those involved in DOGE's handling of the United States Interagency Council on Homelessness (USICH) reveal a process best described as chaotic and opaque. On the day the Senate voted to fund the federal government through September 2025, President Trump signed an executive order reducing USICH to its "statutory functions and associated personnel to the minimum presence and function required by law." USICH, established by Congress in 1987, coordinates the federal response to homelessness. According to Jeff Olivet — who served as USICH executive director under the Biden administration — the council's very purpose has always been government efficiency. 'When the agency came into being, and ever since, it has been with the explicit purpose of government efficiency,' said Olivet, senior adviser for the initiative on health and homelessness at the Harvard T.H. Chan School of Public Health. 'Half the name of DOGE is the fundamental mission of the agency. Our council's role is to coordinate, to streamline, to eliminate duplication of funding and of efforts, and to make the best impact possible with these various federal funding streams.' But just two weeks after Trump's order, DOGE sent an email requesting a meeting with USICH senior staff, referencing the executive order and floating the possibility of reducing or closing the agency. Despite its modest $4 million budget, no grantmaking authority, and a 2028 sunset clause, few at USICH anticipated a collision with the DOGE wrecking ball. Over a decade, the agency had achieved significant results, including a 55% decrease in veteran homelessness since 2010. NEW YORK, NY - SEPTEMBER 22, 2017: A man with a sign identifying himself as a homeless Army veteran ... More asks for money as he sits on a New York City sidewalk. (Photo by) 'It was a germ of an idea at USICH that led to real impact,' Olivet explained. 'We partnered with HUD, the VA, and Congress. With the right strategy and funding, we changed lives.' None of that mattered to DOGE. The first meeting hastily took place over Google Meet — an unsecure choice, especially after DOGE requested personally identifiable information. According to multiple sources, DOGE's representative, Nate Cavanaugh, introduced himself as 'the boss' and offered no formal appointment letter until pressed for one. Days later, USICH received notice that Kenneth Jackson, a high-ranking USAID official, had been appointed as the new executive director. However, Jackson delegated all responsibilities to Cavanaugh. 'Typically, there is an appointment letter when the council gets an agency director, and it was days before I got that information,' one source said on the condition of anonymity. In that letter, Jackson, whose roles include: State Department senior advisor; deputy administrator for management and resources, and chief financial officer at U.S. Agency for International Development (USAID); and agency head for the U.S. Institute of Peace, the Inter-American Foundation, and USICH, was appointed as executive director. After a cursory review, Cavanaugh decided all but one staffer would be laid off. Those offered 'deferred resignations' would remain on payroll—on administrative leave—until September 30. The entire meeting lasted fifteen minutes and, according to attendees, felt scripted and devoid of understanding about federal operations. DOGE informed staff that it interpreted the statutory staffing requirement as just one person—effectively gutting the agency. Cavanaugh himself admitted he hadn't read the Reduction in Force (RIF) plan submitted to the Office of Personnel Management, which was due to the Trump administration on the same day the order was signed. 'It's evident that they're speaking from a point of having no real-world experience or experience with the federal government,' another anonymous source said. 'Because there are many procedures, many processes that we are paid to be experts in.' The source continued, 'They had no grasp of agency protocols. They were reading off a template. It was robotic—like an AI module.' US Department of Energy with Flag Reflection DOGE staff, several sources say, have since been unreachable for basic HR and payroll questions. Meanwhile, the General Services Administration abruptly canceled the agency's office lease at 1275 First Street NE, a move USICH officials say occurred independently of DOGE. They were instead instructed to use the much-maligned system, which has previously placed displaced federal employees in everything from abandoned restaurants to crowded shared spaces. Within a week of DOGE's arrival, USICH had been reduced to a single employee: a payroll administrator. Those declining the deferred resignation were immediately RIFed. Senators Susan Collins (R-ME) and Jack Reed (D-RI) urged the Trump administration to maintain USICH's staffing, describing the agency as 'cost-effective' and 'critical.' Their bipartisan letter to OMB fell on deaf ears. Rep. Maxine Waters (D-CA) also condemned the move. 'As if dismantling HUD wasn't enough, the Trump administration quietly gutted USICH late on a Friday night, hoping no one would notice,' Waters said. 'It's clear Trump has no idea what USICH does or why it matters.' WASHINGTON, DC - FEBRUARY 10: U.S. Rep. Maxine Waters (D-CA) speaks as Congressional Democrats and ... More CFPB workers hold a rally to protest the closing of the Consumer Financial Protection Bureau (CFPB) and the work-from-home order issued by CFPB Director Russell Vought outside its headquarters on February 10, 2025 in Washington, DC. (Photo byfor MoveOn) Even as Congress pushed back, DOGE prevailed, leading many government professionals to question the viability of checks and balances. 'As a government professional, I have spent my life and career upholding my oath to the country and, most importantly, the Constitution and the checks and balances prescribed in it,' a USICH staffer said on the condition of anonymity. 'But this process makes clear that the checks we count on are little more than theater.' In FY 2020, African-American women represented 11.7% of the civilian federal workforce, nearly double their representation in the civilian labor force. One USICH employee believes that Trump's targeting of the USICH and agencies like it is an affront to Black women civil servants. 'Highly skilled professional Black women in government service make up a great deal of those being targeted by DOGE,' one USICH employee told Forbes. 'Undergirding the middle class of Southern Maryland, Northern Virginia, Washington, D.C., and communities throughout the nation. The rogue firing of these workers put the middle class in peril.' Despite the agency's dismantling, Olivet believes USICH's legacy will endure, highlighting the council's work in Denver and Dallas. 'Throughout the entirety of the Biden administration, our focus was to have real community impact,' he said. 'We tried to push money, resources, information and support out to communities that are not as easily undone once you've already been out.' Yet as homelessness continues to climb, and local governments struggle under increasing burdens, the future remains uncertain. With USICH defunded and dismantled, one pressing question looms: In Trump's "Golden Era," who will stand between the unhoused and the street?
