The Health-Care Cost of Homelessness

I would know he's got five and a half years it was house when they fall out of housing they become instantly vulnerable in street I also feel that each individual top 14 should be housed and will be held that's all I work with Hollywood's top 14 is 14 individuals that have been in the city of Hollywood most of them decades and they're high utilizers of emergency systems to hospitals these are individuals that every social service agency in the city of Hollywood have tried to out reads in place of housing for the last 15 years they call it service resistant breathe we're on our way to Hollywood to meet up with Douglas are you what we're doing early in the morning is we're focusing particularly on people that are too sick they access services on their own but not really sick enough to be compelled to treatment and to actually talk to them in an environment that's less overwhelming than the middle of the day it's all messages are you okay yeah I'm all right I'm all right oh my face look popped up is it clogged up I'll bet you thought about girlfriend well I would've if they need to I'm not opposed to you know before when he wanted to go to the hospital he had a really bad Merson infection Marissa seems to be a really common problem for a lot of people living outside right now one of our top 14 dive Italian here most kind of rough you know–not you work on a person for a year – and you slowly watch them die on the streets build a relationship with them is watching Pasquale street that it hurts really does just a lot of outreach teams out here that give out sandwiches cannot clothing kind of get you off the streets I let somebody else get a sandwich this guy that's guy Terrence what's up whoa you can't be out here forever Terrence that's for sure we know that and I know you don't like it out here and ski that is deep but what you can get and I mean you don't have to die it's been five years are you clear I'm crying Oh cry don't you cry any one to give his house he was house whose case man's him in the housing he lost his housing with any other able senior went back to the stricken Tommy died on the street you guys know his house police going to examine their caseworker if you think that's almost ready while people are generally state part of how to navigate the accounting system take their medication medical appointments is almost impossible to make we don't have a case manager kicking up to the appointment so it's less you have seen patients come in who are here in our er every other day who are hospitalized for weeks and months and countless times and a half are explicitly homeless and maybe half of the remaining we suspect they're homeless but they're not really talking to us about their housing situation they have a range of social issues like homelessness or substance use and then they have this piece where their social fabric has just fallen apart for them so their family members are no longer contacts with them maybe their neighbors are no longer there and so they don't really have anybody to turn to to help them out what ends up happening when we get somebody successfully connected to somebody like Anthony is we can then call Anthony when they're in the ER and we can problem solve together having somebody be like I am in charge of helping this patient no matter what no matter where call me is the best thing that's ever happened once you get the top 14 list we never come off that list are almost like a family member instead of Eddie Carter they need to go to the doctor Eddie's 65 he knows he's on the top 14 he knows he's been homeless probably the longest person in Hollywood they refused housing came back to the streets double amputee that's top 14 this is here this we plug his wheelchair at and not told we've cared had moved needed to go to the hospital so we've set it up before we go to my hospital Healey explosive leaders right here this morning did you still want to go to pick him up he's not here to hide from us right now I got to go set up I'm going to star boat bracket though you can't miss him okay listen how you doing snake yeah you got going not anything kiss the law Eddie I got you a chair that is the only thing but if you feel real good about it you know I feel good when I place your house absolutely good not here it's really too either way it goes he's getting high either way it goes he doesn't know that though but either way it goes I'm housing him I honestly feel that each individual on top 14 should be housed and will be housed it may take six months it may take 16 months of making two years but each individual on the top 14 will be housed that's my Los Angeles is the highest per capita homeless city in the United States I do believe that ultimately it's less expensive for our society to house the homeless and so I think that continuing to grow our inventory of permanent supportive housing will help us certainly in the hospitals to have fewer expenses both of real illness that occurs when people are exposed to the elements people were assaulted because they can't protect themselves as well as people who seek out the hospital as a way to get to shelter you don't begin with someone who's chronically homeless by you know saying here is your apartment right because you have to engage people what's great about Anthony in case managers like him is that they meet people where they are they begin the engagement process they make people recognize that there is another choice that there is a possibility of housing so when you combine that kind of active empathetic case management with real housing and a real exit from homelessness you see amazing success I've never seen a homeless parking a lot more weight just happily jump up jump a car so let's go get housing it doesn't happen that way I met Willie Davis he was in jail I went to court I talked to his probation officer at court I'm taunting the judge at court and they released him to my custody in the hopes of housing him they probably didn't do what I did Willie Davis what he did was most like you want to died on the street I'm hopeful for Willie because he has his medication at his house he called me this morning he spent the night in an apartment I just needed we get on some medication see his doctor and slow down on it man hahaha the very moment is so good as a place to stay you know it's a nice little partners nice and quiet nobody positive we've got a 30-day supply of medication so we got to go back to the Saban clinic get your follow-up appointment you got to start doing that to them I don't want to move yeah I need you to take it every day All Right see you later one-way ticket lovely when I say I wish it was off like a team what would you know do this like 40 people 50 people and hopefully that this pilot program that we're doing it goes countywide and every doing this at least by county a lot of people did I gravitate to the people that are underserved more because my father left when I was six months old and always wonder what happened to him and visit my son Edison having worried about you ah worried about to see ya now this particular one I love love you mean we stay promise I got that go for I got back I look at the armies of her as we did we say really all right I know it's families out there that after seeing their loved ones somebody needs to love them and take care of them until they find a way back to the families


  1. Why 14?

  2. when ppl give up they don't want help. they become antisocial. getting help would mean they want to function normally again. its easy to get housing, not easy to maintain a roof over your head. they don't want to work and have responsibilities and have a family. they want to die peacefully. i work in a nursing home and some ppl are on the DNR (do not resesitate) list by choice. they have requested that if they stop breathing, do not perform cpr. my needs and wants may not be someone else. just saying.

  3. We need to be like Jesus. Jesus did not say: get out of here, you dont have enough money. Why then do we? Satan wants us to be miserable. That being invented money through people to make people to be miserable. The world needs to change all at one time to not interrupt the flow of God's good gifts that he gave to us without a price.

  4. Why didn't he take his father to his house?

  5. This is depressing.. it's that hard to find housing for these 14 severe cases? Why is it so hard? Is it literally a money issue? Do people who have the means to help really not care at all? What the hell?

  6. This is very touching. What happened to your father now? Why is he still out in the streets?

  7. Anthony Ruffin inspired me even more to have a career working with the homeless population. Anthony, God bless you brother.

  8. GOD BLESS You Anthony !!!   Thank You for your very worthy and difficult work  –  This is our calling from God   –  Mark Meeker

  9. Free housing for homeless?

  10. This man is doing amazing work

  11. Did his father refuse housing too?

  12. Good stuff.

  13. Yummy

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