HOMELESSNESS

S.F. Chronicle: San Francisco faces a budget crisis. Its homelessness fund is flush with cash

By Maggie Angst [5-27-26] // The Our City, Our Home Fund — financed by a voter-approved tax on large businesses — has exceeded forecasts and is expected to bring in more than $900 million over the next two years.

L.A. Times: Forced treatment and jail: Spencer Pratt’s pledges to end homelessness stir up mayor’s race

By Andrew Khouri & Doug Smith [5-19-26] // Reality TV figure Spencer Pratt is jolting L.A.’s mayoral race with vows to clear encampments through arrests and mandatory treatment, rejecting the city’s largely voluntary approach embraced by Karen Bass and Nithya Raman.

LAist: Hollywood unhoused count finds no reductions in street homelessness, but recent uptick in tents

By Aaron Schrank [5-27-26] // Findings released Wednesday by Hollywood 4WRD…found in May that more people were living in tents and fewer in cars than RAND had observed in January, a surprising reversal of the recent overall trend.

Los Angeles Daily News: LA Council adds new anti-camping zones in San Fernando Valley

[5-19-26] // The Los Angeles City Council on Tuesday added more anti-camping zones around parks, underpasses, streets and other areas in the San Fernando Valley.

May Sonoma County Homeless Coalition Board Meeting

HR1 and Medical Health Coverage Impacts

CMSP Eligibility & Coverage Reductions: The Coalition heard from the County Administrator’s Office that CMSP recently voted to reduce eligibility and service levels to control costs as more individuals fall off Medi-Cal.  No coverage for behavioral health, mental health, or dental. Worst-case scenario estimates up to 11,500 residents would fall off Medi-Cal and could qualify for CMSP.  Fiscal Year Impact: County expected to be charged $700k–$800k for participation; insurance coverage charges likely deferred until year two.  Medi-Cal Work Requirements: Rolling impact starting January 1, 2027 based on individual renewal dates.  “Truly Indigent” Population: Life and limb emergency care remains a county obligation; community clinics have requested $12.8M to meet this requirement.

The Department of Human Services reported on CalFresh & Food Security Work Requirements.  Effective June 1, 2026, there is a discrepancy between CalFresh and Medi-Cal rules creating administrative hurdles and resident confusion. Risk: 4,700 to 5,000 residents subject to new work requirements are at risk of losing benefits. Mitigation: A “Food Convening” event is scheduled for June 19 to coordinate with nonprofits and food banks regarding expected system strain. 

County Mitigation Strategies & Staffing

The Department continued on to indicate that they have submitted a Three-Year Funding Request asking the Board for $23.8M in one-time general funds for short-term mitigation rather than permanent cuts. New Positions (Pending Board Approval): 38 Eligibility Workers to manage doubled workload from semi-annual renewals. 7 Caseworkers to help residents navigate work requirements and volunteer placements. Outreach Efforts: Mobile services vans and social media campaigns are active, though board members expressed concern that many residents remain unaware of changes.

Behavioral Health Services Act (BHSA)

The Sonoma County Homeless Coalition (COC Board) heard a discussion on the Behavioral Health Services Act plan on the transition from MHSA: Part of Prop 1, the Plan attempts to report on the expenditure of $261-286 million each year for the next three years.  one of the new requirements is the expenditure of a $10M bucket for housing and homelessness. Key Updates: Funds target the seriously mentally ill and those with severe substance use disorders. Majority of services and housing referred through Coordinated Entry (CE) and tracked in HMIS. Includes funding for prevention and transitional rents through CalAim. Timeline: The Board of Supervisors will review the integrated plan on June 2, 2026.  The Plan highlighted the inclusion of  ‘lived experience’ gathered from focus groups in Sonoma Valley and West County.  Several Coalition members and the public expressed concern that the Coalition was not fully engaged in the development of the Plan.  The board encouraged attendees to participate in the upcoming Board of Supervisors meeting on June 2nd to address these meaty topics before the June deadline.

Lived Experience Board (LEAP) Updates

Presentations: The LEAP board reported that it was selected to present at the Lived Experience Conference in September, and is applying for the Threads conference. State Level: A LEAP board member was recently appointed to the California ICH Lived Experience Board.  They also reported that high gas prices are significantly impacting the unhoused and low-income residents, hindering their ability to meet new work requirements or maintain safety.

Lead Agency Operational Updates

Nolan Sullivan (DHS Director) and Hunter (Deputy Division Director) are officially onboarding the homeless team.  MRG Report Implementation: Hunter is tasked with operationalizing the MRG strategic plan; full report available to board members.  Lead Agency Evaluation: Susan Price (MRG Consultant) will assist the evaluation subcommittee as an independent evaluator; next meeting scheduled for June 18th.

Proposed Governance Model: Exploring a separate commission or JPA for elected officials to separate high-level governance from technical COC operations.

Departmental Merging: Merging homelessness and behavioral health divisions; relocating staff to the Lakes behavioral health campus. Facility Projects:

Arrowwood Shelter: Behavioral health-based shelter launched March 2025. Mickey Zane: Requires major infrastructure repairs (fire risers, sewer). The Department reported that their largest project is a locked Mental Health Recovery Center, funded by a grant from Prop one for $67M.  It funded four 16-bed facilities; project on life support as costs ballooned to $120M due to seismic/infrastructure requirements.

Legislative and Funding Challenges

SB 43 Impacts: Law change expanding conservatorship population causing significant cost burdens (100% county funded). Prop 1/BHSA Transition: Shift from Mental Health Services Act to Behavioral Health Services Act effective July 1st results in $10M gain for housing but $15M loss for behavioral health services. Mobile Crisis Funding: Systems in Santa Rosa, Petaluma, and Rohnert Park facing budget crashes due to state Medi-Cal cuts. 

NOFA Update

Local NOFA contracts finalized with an average 13% reduction; currently being executed. COC Program FY2026 Renewal Scores: Eight projects evaluated; all scored above 80% of the top project (78/100). Highest Score: CSN Sponsor-Based Rental Assistance (78). Lowest Score: Mill Street Supportive Housing (69.5). Corrective Action Status: St. Vincent de Paul and CSN (Stony Point) remain on corrective action plans but are in 100% compliance. Funding Outlook: 30% cuts expected for permanent housing in the upcoming national NOFO (expected in two days). Reallocation Issues: Buckaloo project reallocation to HMIS software and COTS is currently complicated by congressional automatic renewal mandates.

Where is the status of funding in California for Housing and Homeless Assistance Program (HHAP)?

The status of the Homeless Housing, Assistance and Prevention (HHAP) program in California reflects a heavy emphasis on final execution, stricter accountability, and tightening state budgets.

The program has disbursed $5.5 billion across multiple rounds since its inception in 2019, transitioning over 100,000 Californians into permanent housing. Here is the current status of the most recent funding rounds:

Affordable Housing Finance

1. HHAP Round 6: Fully Awarded

As of May 2026, the California Department of Housing and Community Development (HCD) has officially finalized and distributed all $760 million allocated for Round 6 across all 42 eligible California regions.

Governor of California – CA.gov

  • The Goal: Local jurisdictions have dedicated roughly 90% of their Round 6 budgets to permanent and interim housing solutions. Governor of California – CA.gov
  • The Timeline: Grantees have a multi-year window and must fully expend these funds by June 30, 2029. Governor of California – CA.gov
  • Accountability Stance: To receive this money, local regions had to undergo strict state reviews to prove how the funding would directly reduce unsheltered homelessness and clear encampments. The state has also implemented mechanisms to claw back money from jurisdictions that fail to show progress. Governor of California – CA.gov+ 1

2. HHAP Round 7: Proposed at $500 Million (Pending Budget Approval)

The future of HHAP is currently a primary focal point in the Fiscal Year 2026–2027 state budget negotiations:

The San Diego Voice & Viewpoint

  • The Amount: Governor Gavin Newsom’s May 2026 Budget Revision includes $500 million for HHAP Round 7. The San Diego Voice & Viewpoint
  • The Debate: This $500 million represents a 50% funding reduction compared to the $1 billion allocations of previous rounds. This drop is due to the expiration of one-time federal COVID-era funds and a widening state budget deficit. California Budget & Policy Center+ 1
  • Local Pushback: A coalition of California’s “Big City Mayors” has been actively lobbying Sacramento to restore the funding back to a permanent $1 billion annually. They warn that a scaling back to $500 million could risk the closure of thousands of shelter beds statewide. The San Diego Voice & Viewpoint
  • Next Step: Round 7 funding will not formally materialize until the legislature and governor pass the final state budget by the end of June 2026. California Budget & Policy Center

Previous Rounds Status (Rounds 1–5)

If you are tracking older pots of money, local jurisdictions are currently burning through their remaining balances:

  • As of late 2025/early 2026, over 93% of all dollars from Rounds 1 through 5 have been formally obligated (contracted out to specific local projects), and roughly 70% of that money has already been spent. California Budget & Policy Center
  • Municipalities face hard statutory deadlines to spend every remaining penny—for example, all Round 2 and Round 3 funds must be 100% expended by June 30, 2026. Regional Task Force on Homelessness

Public Tracking: If you want to see exactly how much money your specific city or county was awarded—and how much they have spent so far—the state maintains a public, self-reported tracker called theHCD HHAP Fiscal Data Dashboard.

Would you like to look into how your specific city or county is utilizing its HHAP funds?Yes

How can I check the HHAP funding allocations and progress for a specific city or county in California?

To check the exact HHAP funding allocations, expenditures, and progress for a specific city, county, or Continuum of Care (CoC) in California, you can use two main official state portals.

California Department of Housing and Community Development

Depending on whether you want to look at the financial numbers (dollars spent) or the accountability grade (how well the county is meeting its housing goals), you can use the following tools:

1. The Financial Breakdown: HCD HHAP Fiscal Data Dashboard

If you want to see exactly how many dollars your local jurisdiction received, how much they have spent, and what categories they are spending it on (e.g., rapid rehousing vs. youth shelters), use the California Department of Housing and Community Development (HCD) data tools.

California Department of Housing and Community Development

  • Where to go: Visit the HCD HHAP Fiscal Data Dashboard.
  • How to use it:
    • Open the interactive Power BI dashboard on the page. California Department of Housing and Community Development
    • Use the dropdown filters at the top or side to select your specific City, County, or Continuum of Care (CoC).
    • You can toggle between different funding cycles (HHAP Round 1 through Round 6) to see the timeline of their allocations.
  • What you will see: A granular breakdown of Awarded vs. Obligated vs. Expended funds, alongside a chart showing “Eligible Uses”—which tells you if your city is putting the money toward permanent housing, interim shelter operations, street outreach, or administrative costs. California Department of Housing and Community Development

2. The Performance Breakdown: California Accountability Portal

If you want to see a “report card” of how effectively your region is actually using its funding to reduce homelessness, clear encampments, and build housing, the state launched a dedicated transparency portal.

Local News Matters

  • Where to go: Visit Accountability.ca.gov.
  • How to use it:
    • Use the search bar on the homepage to type in any of California’s 58 counties.
  • What you will see: This user-friendly dashboard provides a clear snapshot of local progress. It tracks metrics like the change in unsheltered homelessness in that county, the number of housing units successfully completed, and whether local cities are compliant with state housing laws. It uses a straightforward green/red color-coding system to highlight whether the local government is meeting its state-mandated housing goals. Local News Matters

3. The “People Served” Breakdown: HDIS Tableau Portal

If you want to look past the dollars and see data on the individuals being helped:

  • Where to go: You can look at the HHAP Persons-Served Outcome Dashboard.
  • What you will see: This tracks aggregate data from the Homeless Data Integration System (HDIS), showing the percentage of successful housing exits, the types of housing people exited to (interim vs. permanent), and demographics for those served by HHAP funds in your region. California Department of Housing and Community Development – CA.gov

💡 Tip for Local Insights: Because local jurisdictions are required by law to submit detailed Regional Homeless Action Plans to the state to unlock their HHAP funding, you can also search your specific county or city’s local government website for their “HHAP Local Action Plan.” These PDF reports outline the exact local strategies, local shelter expansions, and regional milestones your local leaders promised to achieve with the state’s money.

Presentations Are Not Stakeholder Engagement

I attended the majority of the public stakeholder meetings identified in the Department’s Community Planning Process (CPP) in the Draft Integrated Plan, including the BHSA Steering Committee, the Community Planning Program Workgroup, the Behavioral Health Board, Countywide Town Halls, and the dedicated Housing Workgroup. What I witnessed was a repetitive series of presentations from Department staff and consultants focusing on the the transition of MHSA funding requirements to those contained in the BHSA Behavioral Health Transformation. Questions from participants concentrated on how current programs initiated under the last three-year MHSA Integrated Plan could be continued despite a shift of 30% of the funding to “Housing”, and the transfer of popular innovation grant authority to the State.

Rarely in the process did staff address what they alluded to as the “other 90%” of the Plan program funding, now for the first time mandated to be included. When they did, it was to complain about the fact that the Department’ Fiscal Team had not provided them with any guidance on the Departmental finances required to be within the Plan. After the first four presentations of the same PowerPoint, I perceived that most committee members stopped asking questions, and some community members stopped attending. As the only member from the Behavioral Health Board at these meetings, I began to detect that an enormous information and participation gap growing between the BOS-Appointed Behavioral Health Board and the Department-selected Behavioral Health Steering Committee. The latter consisted on Department staff, consultants, and contractors. Almost all seemed to be vulnerable to charges of conflict of interest, and seldom asked any but superficial questions.

When I attempted to record the meetings using an advanced digital personal assistant device (Fieldy) to document the stakeholder input, staff objected, and forced me to stop. I do not believe that staff finds value in allowing transparency in their work. The lack of timely minutes, advance meeting presentation materials, and the reluctance by staff to utilize online Plan Comment tools, has severely restricted public engagement and review.

The questions I asked were almost entirely ignored, and usually viewed as hostile, especially when I inquired when reports from the BH Steering Committee would be shared with the Behavioral Health Board. Were I to have been allowed to continue on the Board, I would have requested that full reports and recommendations from these meetings be forwarded to the Behavioral Health Board’s Integrated Plan Subcommittee for their report to the full Behavioral Health Board by the beginning of the formal public Open Comment hearing at their May meeting.

The Department’s Plan submission details the many meetings it hosted in compliance with the State’s stakeholder involvement requirements. But effective Plan development and engagement is not conducting meetings of your own staff, contractors, and consultants to review your latest interpretation of evolving State requirements. I saw almost no changes to the presentations, to the proposed Plan design, and finally to the Draft Plan, in the six months from September of 2025 to February of 2026. My attempts at providing insight on Integrated Plan processes being discussed at other neighboring county Behavioral Health Board meetings, California Association of Local Behavioral Health Boards and Commission board meetings, and State Behavioral Health Commission meetings I was attending were dismissed. It was no surprise to me when Departmental staff asked me not to continue my attendance on the Behavioral Health Steering Committee because “We believe your intentions are not consistent with ours”.

Within the Draft Integrated Plan is a paragraph which illustrates the failure of open engagement. It indicates that the planning process gathered important insights into the operation of homeless facilities and services in the county.

“At the recommendation of the Steering Committee, SCBH conducted Housing
Focus Groups in August and September 2025 with individuals who had lived
experience of homelessness and behavioral health challenges. Participants
identified safety concerns, lack of privacy in shelters, inconsistent rule
enforcement, barriers to consistent case management, and insufficient supports
for individuals with serious mental illness. They recommended trauma-informed
housing environments, enhanced onsite clinical and peer services, expanded
outreach teams, and practical supports such as dog kennels to support
employment access. Participants also identified transportation, digital access,
and documentation barriers, recommending monthly bus passes, free internet
access at service sites, and assistance obtaining identification, Medi-Cal, and
mobile phones. These insights directly shaped priorities for integrated housing
and behavioral health service models, expanded case management, strengthened
peer workforce roles, and improved transportation and digital access supports.”

None of this information was shared with the Sonoma County Homeless Coalition, the County’s Continuum of Care Governing body, nor was there any attempt to validate or utilize the feedback to engage the largest single set of targeted stakeholders/consumers.

Nevertheless, the Department’s stakeholder process did confirm the Department’s belief that previous investments using innovation projects have found deep support within the community. Almost all of the priorities identified in the concluding paragraphs of the Plan’s Community Planning Process Stakeholder Engagement originated in early memberships and comments a year ago. It’s too bad no real work was done in the interim to actually engage participants in turning those ideas into collaborative projects.

“Across all engagement activities, stakeholders consistently emphasized the value
of culturally grounded and lived-experience perspectives. Community members
called for strengthening the SCBH Latinx Clinic, expanding culturally rooted early
intervention programs, investing in peer-led wellness centers, and hiring staff
with lived experience. Stakeholders highlighted the importance of traumainformed, disability-sensitive approaches and the need to evaluate both evidence-based and community-created practices. There was strong support for improving data systems, integrating quantitative and qualitative measures, and ensuring outcomes reflect community-defined success.”

“Through this extensive and collaborative planning process, the FY 2026–2029
BHSA Integrated Plan reflects the priorities identified by Sonoma County’s
diverse communities. These include expanding housing-linked behavioral health
supports; strengthening crisis response and early intervention services;
investing in culturally grounded and peer-led models; improving real-time data
and response systems; and enhancing transparency and communication. Input
gathered through meetings, focus groups, surveys, and listening sessions
directly informed the Plan’s strategies, and SCBH remains committed to
continued stakeholder engagement throughout implementation.”

Homeless Action! Meeting Notes, May 25th.  

Adrienne 707-332-1894

By June 2

Main Talking Points, and logistics for the Homeless Coalition and Board of Supervisors meeting:

  1. Most of this money could go to efforts that are not restricted by MediCal, and only help those with an Acute Mental Illness diagnosis and/or Substance Abuse disorder.  $600 million dollars should serve more than 500 people.
  2. This plan does not work to strengthen the “One System of Care.”  It doesn’t match the Homeless Coalition strategic plan or the MRG report adopted by the Homeless Coalition both of which strive for that important goal. 
  3. This plan was made with abysmal Community Engagement.  For example, neither Catholic Charities nor the Homeless Coalition were consulted.

Homeless Coalition Board Meeting
Wednesday, May 27, 2026
1:00 – 4:30 p.m.
https://sonomacounty.zoom.us/j/92759747120?pwd=Cuw1daWSoPM5s8ClAWgPrJ8wYLeBgp.1#success

Phone: +1 669 444 9171
Passcode:  589476
Webinar ID: 927 5974 7120

Board of Supervisors Meeting
Tuesday, June 2, 9 am
In person
575 Administration Drive, Room 102A, Santa Rosa
Public Comment period, only in person

Before June 30

Reach out to Michelle Bass, Director of California Department of Health Services, with the messages above about the Sonoma Counties Behavioral Health 3-Year Integrated Plan.  Suggest that the state take action.

Michelle Baass
(916) 440-7400

Department of Health Care ServicesP.O. Box 997413, MS 0000
Sacramento, CA 95899-7413

Ongoing Work

Influence leadership of county staff over time toward Accountability and Transparency: 

  • Talk to the new people: head of the health department Nolan Sullivan, county CEO, David Guhin, Fiscal Director of Health Department Maryann Le , homeless division manager Hunter Scott.
  • Talk to Angela Stuckman head of the Human Services Dept.  
  • Know that what is coming, (massive budget cuts, cuts to Food Stamps & MediCal), will overwhelm the county staff and make the changes related to this plan seem like small potatoes.  Be kind but firm that challenges are best met with a community response.  Including people is time consuming and sometimes annoying but the best solutions come from this basic democratic process.

Conversation with Gemini

California Continuums of Care and the California Interagency Council of Homelessness have funded homeless management information systems (HMIS) at the county and state level in an attempt to track and evaluaste the outcomes achieved by millions of dollsrs in homeless facility and program services over the past ten years. Nevertheless, long-term tracking of chronic homeless housing outcomes has been hindered by the lack of adequate intra-system and facility tracking. Which counties have successfully moved homeless from the streets to shelters and permanent housing, and retained them ?

The dilemma you are highlighting cuts to the absolute core of California’s multi-billion-dollar battle with homelessness. You hit the nail on the head: while the state has funneled billions into local Continuums of Care (CoCs) and launched the Homeless Data Integration System (HDIS) under Cal ICH to patch these exact data gaps, getting a precise, county-by-county report card on long-term retention is incredibly tricky.

Because of “intra-system tracking gaps”—such as people crossing county lines, or dropping out of the Homeless Management Information System (HMIS) with “unknown” exit destinations—success is rarely measured by sweeping regional victories. Instead, it is measured by specific counties that have built highly coordinated, localized data structures to bypass these limitations.

According to data from Cal ICH’s statewide assessments, university studies (like UCSF’s landmark California Statewide Study of People Experiencing Homelessness), and local CoC reports, a handful of counties stand out for their success in moving people from streets to shelters, securing permanent housing, and keeping them there.

1. Santa Clara County (Silicon Valley CoC)

Santa Clara County is widely regarded as an intra-system data leader because they actively track their “Community Plan to End Homelessness” milestones with sharp precision, accounting for where individuals end up.

  • The Transition: Between 2020 and 2023, the county successfully placed over 10,000 people into permanent housing. They consistently beat regional averages by transitioning roughly 37% of people straight out of temporary emergency shelters directly into permanent homes (the regional target is usually 30%).
  • The Retention: This is where they excel. Santa Clara County reports an astonishing 95.8% housing retention rate within its Permanent Supportive Housing (PSH) programs. Their system is highly tightly knit, meaning if someone is placed, intensive case management keeps them tracked and stable.

2. San Diego County (San Diego City & County CoC)

San Diego has made massive strides by aggressively deploying “diversion” strategies and leveraging HDIS data to track specific sub-populations, particularly veterans and chronically homeless individuals.

  • The Transition: San Diego scaled up its street outreach-to-shelter funnel by utilizing decentralized navigation centers. By integrating their regional HMIS more tightly across cities within the county, they successfully increased successful permanent housing placements out of rapid rehousing and street outreach.
  • The Retention: San Diego’s built-in retention frameworks keep their permanent supportive housing stability rate hovering around 85% to 90%. They have been specifically highlighted for lowering the rate of people who “return to the streets” within two years of being housed.

3. Riverside & Bakersfield/Kern County

If you look at the raw data of “functional zero”—a metric meaning a system can house more people a month than are entering homelessness—these two regions punch far above their weight.

  • The Transition: Bakersfield/Kern County famously became the first community in California to achieve “functional zero” for chronic homelessness. They did this by establishing a daily-updated, master “By-Name List” shared across every shelter and facility, fundamentally eliminating the intra-system tracking gap you mentioned.
  • The Retention: Because their system treats every chronically homeless individual as a specific case file shared by all providers, their retention rates for permanent housing placements are among the sturiest in the state, keeping returns to the street below 10%.

4. Los Angeles County (LAHSA / LA County CoC)

LA County is a paradox. Because of its sheer size, it has the highest raw number of returns to homelessness. However, when looking purely at facility tracking and retention efficacy, their targeted programs tell a different story.

  • The Transition: Through initiatives like Project Roomkey and subsequent permanent conversions (Project Homekey), LA moved tens of thousands of unsheltered individuals into temporary motels and then permanent supportive housing.
  • The Retention: LA’s data shows that when a chronically homeless individual is successfully placed into Permanent Supportive Housing (PSH) paired with intensive case management, the retention rate sits above 85%. The breakdown happens not because the facilities fail to retain them, but because the inflow of newly homeless people vastly outpaces the physical availability of those permanent units.

The Core Data Reality: Why the Tracking Breaks Down

Cal ICH’s sweeping Statewide Homelessness Assessment highlighted exactly what you noted: the “Unknown” problem.

Across California’s aggregated HDIS data, when looking at people who exit homelessness programs:

  • 28% exit to housing without a subsidy (moving in with family/friends or renting).
  • 17% exit to housing with a temporary or permanent subsidy. Business, Consumer Services and Housing Agency – CA.gov
  • 17% are known to remain in sheltered or unsheltered homelessness. Business, Consumer Services and Housing Agency – CA.gov
  • 25% are recorded as “Unknown.” Business, Consumer Services and Housing Agency – CA.gov

The Takeaway: When a county’s data shows a drop in chronic homelessness, it is often difficult to prove whether those individuals were permanently retained, moved to a different county, or simply stopped interacting with service providers entirely, causing them to fall off the HMIS grid. The counties winning this battle are the ones using localized, real-time “By-Name” data systems rather than relying purely on historical, retrofitted HMIS data uploads.

Want to look closer at how ‘By-Name Lists’ fix California’s tracking gaps?Yes

How do By-Name Lists work in HMIS, and how do they prevent chronically homeless individuals from falling through intra-system tracking gaps?

A standard Homeless Management Information System (HMIS) operates like a traditional database. It takes snapshots of data, tracks transactions (like a bed night or a meal), and aggregates that data for state or federal reporting.

The problem? It is backward-looking. A standard HMIS tells you how many people you served last quarter, but it rarely helps a case worker figure out where a specific chronically homeless person is this afternoon.

A By-Name List (BNL) shifts the paradigm from aggregate tracking to real-time coordination. It is a continuously updated, frontline roster of every single person experiencing homelessness in a given community.

How a By-Name List Works

Instead of waiting for a person to walk into a facility to generate a data point, a By-Name List pulls data dynamically from HMIS and street outreach teams into a centralized, living document.

[ Street Outreach ] ──┐
[ Emergency Shelter ] ─┼─> [ Centralized By-Name List ] ──> [ Case Conferencing Team ]
[ Medical/Jails ] ────┘     (Real-time status updates)       (Matches person to next open bed)

The process generally follows four core mechanics:

  • Universal Identification: Every individual is added to the list by name, accompanied by their specific health vulnerabilities, history of homelessness, and current location or “frequent hangouts.”
  • Acuity Scoring: Communities use a standardized tool—most commonly the VI-SPDAT (Vulnerability Index – Service Prioritization Decision Assistance Tool)—to assign a score based on how likely that person is to die or suffer severe harm on the streets.
  • Dynamic Status Tracking: Individuals are tagged with a real-time status: Active (currently unsheltered/sheltered), Housed (successfully placed), or Inactive (has not been seen or heard from by any provider in 90 days).
  • Cross-Agency Case Conferencing: Every week or two, representatives from housing authorities, mental health agencies, street medicine teams, and shelters sit in a room with the list. They don’t talk about general statistics; they go line-by-line: “Where is John Doe? His name is next for the PSH apartment that opened up yesterday.”

How it Fixes Intra-System Tracking Gaps

By changing how data is gathered and viewed, a By-Name List directly plugs the data leaks that plague standard county HMIS frameworks:

1. Eliminating the “Unknown Exit” Black Hole

In a traditional system, if a person leaves a temporary shelter, their file is closed as “Exit Destination: Unknown,” and they effectively become a ghost until they re-register elsewhere.

  • The BNL Fix: Because street outreach teams use the same list, if an individual leaves a shelter and goes back to a riverbed or encampment, the outreach team updates their status back to “Active – Unsheltered” and logs their coordinates. The continuity of their profile remains unbroken.

2. Prioritizing by Need, Not “First-Come, First-Served”

Standard HMIS queues often reward the people who are functional enough to show up to an office early in the morning. The most severely chronically homeless individuals—often suffering from severe mental illness or cognitive decline—rarely fill out the paperwork.

  • The BNL Fix: The list is ordered by vulnerability, not chronology. The system actively hunts for the person at the top of the list, using the collective memory of all county providers to find them when a permanent housing voucher becomes available.

3. Preventing Multi-Agency Duplication

Without a centralized list, a person might get a mental health evaluation from County Agency A, a shelter bed from Non-Profit B, and street medicine from Group C. In standard HMIS, these can look like three different people or disconnected parallel tracks.

  • The BNL Fix: It forces an intra-system “single source of truth.” All three entities update the same file, ensuring that the housing navigator knows exactly what medical clearings or documents the person already has, slashing administrative delays.

4. Defining “Functional Zero”

Without a By-Name List, a county cannot accurately measure if it is winning the battle. They are just guessing based on point-in-time counts conducted once a year.

  • The BNL Fix: Because the list tracks exact inflow (people falling into homelessness) and outflow (people getting housed or moving away) in real time, a county knows exactly when its housing capacity matches its demand.

The Reality Check: A By-Name List is only as good as the human infrastructure supporting it. It requires strict data-sharing agreements between competitive non-profits and county agencies, alongside relentless field outreach. When done right—as seen in communities like Bakersfield—it turns a fractured web of independent shelters into a single, cohesive triage system.

HEAPA Homelessness Advocacy and Policy Updates Sonoma County

1 source·May 23, 2026

This text highlights the transition of street outreach from providing basic survival aid to functioning as a professional, housing-focused pipeline for the unsheltered. While regions like Sonoma County and San Francisco report measurable successes in housing placement and retention, significant systemic hurdles remain, including a shortage of affordable units and fragmented data systems. Local advocates express concern over the Behavioral Health Services Act integrated plan, arguing that its medical-clinical model may exclude vulnerable populations and lacks sufficient community input. To address these gaps, the Homeless Emergency Assistance Program Association (HEAPA) is actively promoting civic engagement and leadership among those with lived experience. Their initiatives focus on providing digital tools, stipends, and advocacy training to ensure unhoused individuals have a voice in the policy decisions that shape their lives. Through these efforts, the organization seeks to bridge the divide between high-level bureaucratic planning and the practical needs of the community.

How is street outreach evolving from survival aid to housing?

Street outreach is transforming from simply providing basic survival aid, like handing out blankets or water, into a professional, housing-focused pipeline. Rather than just managing the crisis of living on the streets, modern outreach workers act as mobile case managers who meet individuals where they are to actively end their homelessness.

Today, successful programs focus on building trust over extended periods to achieve the practical milestones required for housing placement. This evolution includes several key strategies:

  • Document Readiness: Outreach teams help individuals navigate complex government bureaucracies to secure necessary identification, such as lost birth certificates, social security cards, and state IDs.
  • Coordinated Entry Integration: Workers use localized data systems like the Homeless Management Information System (HMIS) to assess people directly in the field, ensuring the most vulnerable are prioritized and seamlessly matched with open shelter beds, rapid rehousing, or permanent supportive housing.
  • Multidisciplinary Teams: Modern outreach programs often deploy hybrid teams featuring mental health professionals, substance use counselors, and peer navigators with lived experience of homelessness, allowing them to provide immediate, trauma-informed care on the sidewalk.
  • Warm Handoffs: Success is no longer defined by simply handing out a flyer with a list of resources. Instead, outreach workers personally walk with individuals, drive them to appointments, introduce them to shelter staff, and remain with them throughout the intake process to ensure continuity of care.

Real-world models reflect this shift, such as Los Angeles’s “Pathway Home” initiative, which brings entire encampments indoors while offering comprehensive care, and family reunification programs that safely reconnect individuals with their existing support networks.

However, while the mechanics of modern outreach are highly effective at preparing people for housing, the ultimate success of these programs remains completely dependent on the availability of low-barrier shelters and permanent affordable housing to fully resolve the crisis.

What are the success rates of Bay Area programs?

Recent data from the Bay Area and Northern California shows that when street outreach is well-resourced, it achieves high transition and housing retention rates. Local municipalities and Continuums of Care track these efforts closely, highlighting several notable success rates across the region:

San Francisco San Francisco’s multi-disciplinary outreach programs have achieved significant permanent housing placements and high long-term stability:

  • Housing Placements: Between July 2023 and June 2025, the system successfully moved 10,300 people from homelessness into permanent housing.
  • Retention Rates: The city reported an exceptional 93% retention rate, meaning 93% of those who exited homelessness did not return to the system within 12 months, exceeding their goal of 85%.
  • Reduced Emergency Calls: In neighborhoods where street outreach and ambassador programs were deployed, there was a 30% to 60% reduction in 911 calls.
  • Immediate Shelter: The RESTORE project successfully served over 2,500 clients by providing nighttime shelter placements and immediate substance use treatment directly from the street.

Santa Rosa and Sonoma County Targeted outreach and expanded interim housing have led to some of the lowest homelessness numbers in the county since 2007:

  • Pipeline Success: In Santa Rosa, city-funded outreach programs successfully transitioned nearly 30% of all unsheltered people they engaged into formal shelters or permanent housing during the 2024–2025 fiscal year.
  • Population Declines: Overall homelessness dropped by 23% countywide and 16% in Santa Rosa. Rohnert Park experienced a dramatic 60% reduction in overall homelessness (including a 78% drop in unsheltered individuals) due to targeted outreach and the opening of a new interim housing site.
  • Veterans: Targeted outreach paired with housing vouchers achieved a 39% reduction in homeless veterans across the county.
  • Challenges: Despite these successes, the number of chronically homeless individuals rose by 20%, emphasizing that the most vulnerable populations still lack adequate Permanent Supportive Housing (PSH).

Berkeley and the East Bay While specific percentage success rates aren’t detailed for Berkeley, the city has successfully implemented the Homeless Outreach Treatment Team (HOTT). Instead of short-term fixes, this specialized model utilizes an evidence-based Critical Time Intervention (CTI) framework to build long-term relationships with highly vulnerable, severely mentally ill individuals to navigate them into housing stability.

Ultimately, regional data demonstrates that the mechanics of modern street outreach are working, but the ceiling of their success is currently capped by a severe regional shortage of affordable housing units and state/federal budget cuts.

Tell me more about Berkeley’s HOTT model.

The Homeless Outreach Treatment Team (HOTT) is a specialized outreach pilot program operated by the City of Berkeley that aims to bridge the gap between psychiatric crises and housing.

Funded largely by the Mental Health Services Act, the HOTT model distinguishes itself through the following key characteristics:

  • Evidence-Based Framework: The program is built on an evidence-based approach known as Critical Time Intervention (CTI).
  • Targeted Population: It specifically focuses on highly vulnerable unhoused individuals who are experiencing severe mental health needs.
  • Long-Term Relationship Building: Rather than offering short-term or temporary fixes, the team is entirely focused on cultivating long-term, trusting relationships with the people they serve.
  • Active System Navigation: Outreach workers don’t just provide information; they physically help individuals navigate the highly fragmented county system to help them achieve long-term housing stability.

What is Critical Time Intervention?

Based on the provided sources, there is no comprehensive, standalone definition of Critical Time Intervention (CTI). However, the sources describe CTI as an evidence-based framework that is put into practice through programs like Berkeley’s Homeless Outreach Treatment Team (HOTT).

In the context of the HOTT model, CTI is characterized by the following approaches:

  • Avoiding short-term fixes: Instead of offering temporary solutions, the framework is entirely focused on cultivating long-term, trusting relationships.
  • Targeting severe mental health needs: It is designed to assist highly vulnerable unhoused individuals who are dealing with severe mental health crises.
  • Active, hands-on navigation: Rather than just giving out information, workers physically help individuals navigate the fragmented county systems necessary to achieve long-term housing stability.

(Note: If you would like a broader clinical or academic definition of Critical Time Intervention, I would need to draw on outside information not included in your current sources. Let me know if you would like me to do so!)

What are the common challenges when implementing HOTT?

The provided sources do not explicitly detail the administrative or operational challenges specifically faced when implementing Berkeley’s Homeless Outreach Treatment Team (HOTT). However, they do identify the broader systemic challenges that affect the success of specialized regional outreach programs like HOTT:

  • Navigating Fragmented Systems: A major hurdle for vulnerable, unhoused individuals is the bureaucracy of local government. HOTT outreach workers must physically help clients navigate a highly fragmented county system to help them achieve long-term housing stability.
  • Affordable Housing Shortages: The ultimate ceiling on the success of these outreach programs is macro-economic; there is a severe regional shortage of affordable housing units.
  • Budget Cuts: Furthermore, state and federal budget cuts restrict the number of permanent beds that outreach teams can actually offer to the people they engage on the street.

How does the fragmented county system affect HOTT’s success?

The fragmented county system acts as an incredibly overwhelming barrier for highly vulnerable, unhoused individuals, particularly those dealing with severe mental health needs or chronic trauma. Because individuals struggle to navigate these disjointed bureaucracies on their own, the fragmentation makes HOTT’s active, hands-on approach the critical factor for their success.

Instead of offering short-term fixes or simply handing out a list of resources, HOTT workers succeed by physically navigating clients through the fragmented county system. They build long-term, trusting relationships and rely on “warm handoffs”—such as driving individuals to appointments, introducing them to shelter staff, and remaining with them throughout the entire intake process—to ensure that clients achieve long-term housing stability without slipping through the cracks of the broken system.

What is the RESTORE project in San Francisco?

The RESTORE project is a specific street outreach initiative in San Francisco that focuses on providing “on-demand” placements and care.

The program is designed to deliver immediate substance use treatment and secure nighttime shelter placements for unhoused individuals directly from the street. As part of the city’s broader “Home by the Bay” strategy to reduce homelessness, the RESTORE project has been highly active, successfully serving more than 2,500 clients.

What is the RESTORE project’s success with substance use treatment?

Based on the provided sources, the RESTORE project in San Francisco is designed to provide immediate substance use treatment and nighttime shelter placements directly to individuals on the street.

In terms of its success, the sources note that the expanded program has successfully served more than 2,500 clients. However, the data provided does not include specific outcome metrics or success rates detailing the long-term effectiveness of the substance use treatment itself, such as sobriety or recovery statistics.

What is the 30% reduction in 911 calls attributed to?

The 30% to 60% reduction in 911 calls in San Francisco is attributed to the deployment of proactive street outreach and neighborhood-based ambassador programs in specific neighborhoods. This reduction demonstrates that engaging directly with individuals on the street helps relieve the overall pressure on emergency services.

What is the RESTORE project’s total client outreach goal?

The provided sources do not specify a total client outreach goal for the RESTORE project. They only note that the expanded program has already successfully served more than 2,500 clients by providing immediate substance use treatment and nighttime shelter placements directly from the street.

What is the RESTORE project’s role in the city’s broader strategy?

The RESTORE project operates as a key outreach initiative within San Francisco’s broader “Home by the Bay” strategy.

Within this strategic framework, San Francisco relies heavily on multidisciplinary street teams—such as the Street Crisis Response Team (SCRT) and the SF Homeless Outreach Team (HOT)—to manage non-violent, health-focused crises. The RESTORE project specifically fulfills the role of providing “on-demand” placements by delivering immediate substance use treatment and nighttime shelter directly to unhoused individuals on the street.

Working alongside neighborhood-based ambassador programs, these proactive street engagements are a vital part of the city’s overall strategy, effectively relieving pressure on emergency services and contributing to significant reductions in 911 calls.

What makes the 93% housing retention rate so successful?

The 93% housing retention rate in San Francisco is a significant marker of success because it means that 93% of individuals who exited homelessness did not return to the homelessness system within 12 months, comfortably exceeding the city’s target of 85%.

This exceptional long-term stability is largely attributed to how modern street outreach has transformed into a professional, housing-focused pipeline rather than simply providing short-term survival aid. The success of this retention rate is driven by several critical practices:

  • Continuity of Care and “Warm Handoffs”: Navigating local bureaucracies can be incredibly overwhelming for individuals dealing with chronic health issues or trauma. Instead of merely handing out a flyer with a list of resources, outreach workers walk with clients, drive them to appointments, introduce them to shelter staff, and stay with them throughout the intake process. This hands-on approach is what prevents vulnerable people from slipping through the cracks.
  • Long-Term Trust Building: Successful programs require workers to build trust over weeks or months to help individuals accomplish practical milestones, such as overcoming complex government bureaucracy to replace lost identification cards.
  • Targeted Matching: Outreach teams integrate with localized data systems to assess people directly in the field, ensuring they are accurately prioritized and matched with the right open shelter beds, rapid rehousing, or permanent supportive housing.
  • Adequate Resourcing: Regional data consistently shows that when these targeted outreach teams are deployed with adequate resources, they are highly effective at achieving these exceptional long-term housing stability rates.

How does Coordinated Entry Integration prioritize the most vulnerable?

Coordinated Entry Integration prioritizes the most vulnerable by bringing the assessment process directly to people living on the street. Rather than waiting for individuals to seek out services, outreach teams use localized data systems, such as the Homeless Management Information System (HMIS), to assess individuals in the field.

This direct, field-based assessment allows outreach workers to identify the most vulnerable people sleeping outside and ensure they are seamlessly matched and prioritized for available resources, such as open shelter beds, rapid rehousing programs, or permanent supportive housing.

The effectiveness of this system has made it a focal point for local housing advocates in the sources. For example, in Sonoma County, advocates have praised the Coordinated Entry System as a carefully built, proven, and effective tool, expressing concern when local government plans—like the draft Behavioral Health Services Act 3-Year Integrated Plan—fail to utilize it. To maximize its impact, advocates have proposed solutions such as requiring 100% of rooms for homeless individuals in county-owned facilities to be filled exclusively through the Coordinated Entry System.

What is the role of the Street Crisis Response Team?

The Street Crisis Response Team (SCRT) is a multidisciplinary outreach group utilized in San Francisco as a key component of the city’s “Home by the Bay” strategy.

Its primary role is to proactively handle non-violent, health-focused crises for individuals living on the streets. Working alongside other groups like the SF Homeless Outreach Team (HOT), the SCRT engages vulnerable individuals during these crises to offer immediate assistance and provide direct shelter placements.

By dispatching specialized teams to manage these health-related emergencies, the SCRT directly relieves pressure on traditional emergency services, contributing to the broader citywide effort that has successfully reduced 911 calls by 30% to 60% in targeted neighborhoods.

How does the Homeless Management Information System work?

The Homeless Management Information System (HMIS) is a localized data system used by county outreach teams to collect data and assess individuals directly in the field.

When used effectively, HMIS is the technical backbone for Coordinated Entry Integration. Outreach workers use the system during street engagements to evaluate an individual’s needs on the spot, ensuring that the most vulnerable people sleeping outside are prioritized and seamlessly matched with open shelter beds, rapid rehousing programs, or permanent supportive housing.

However, the system’s effectiveness relies heavily on how well it communicates with other local government databases. For example, in Sonoma County, homeless data is collected through HMIS, but the county’s Behavioral Health Department uses a completely separate data system called SmartCare (or Smart Key). Local advocates have identified this lack of integration as a major systemic weakness, noting that without integrating the two systems, data becomes disjointed, making it difficult to accurately track a person’s homeless outcomes alongside their clinical visits. This fragmentation creates a risk that vulnerable individuals will “fall through the statistic crack”.

To address these data problems, local advocacy groups like Homeless Action! have proposed the immediate, formal integration of HMIS and SmartCare, while organizations like HEAPA are actively developing projects to help case managers better communicate and collect data across these amalgamating county systems.

What is the SmartCare data system used for?

SmartCare (sometimes referred to as Smart Key) is the primary data system used by Sonoma County’s Behavioral Health Department.

It currently operates as a completely separate system from the Homeless Management Information System (HMIS), which the county uses to track homeless data. Local advocates point out that the lack of integration between these two databases is a major systemic weakness, making it difficult to accurately track a person’s clinical visits alongside their homeless outcomes.

To prevent vulnerable individuals from slipping through the cracks due to disjointed data, advocacy groups have proposed the immediate, formal coordination of SmartCare and HMIS. Meanwhile, organizations like HEAPA are working on upcoming projects to train case managers on how to better communicate and collect data across these amalgamating county systems.

What is the goal of the California Transparency Project?

While the sources do not explicitly define a single overarching “goal” or mission statement for the California Transparency Project, they outline its active initiatives, which demonstrate a focus on improving agency communication, expanding government transparency, and increasing citizen involvement in strategic planning.

Specifically, the project aims to achieve these objectives by:

  • Improving Communication and Data Management: The project purchased digital personal assistant devices for several agencies to test their effectiveness and produced instructional videos showing users how to provide meeting reports with these devices.
  • Increasing Public Transparency: The project requested copies of all service contracts issued by the Departments of Health Services and Human Services for the 2025–2026 fiscal year and made them publicly available online.
  • Prioritizing Citizen Access: The project called for the convening of NOFA (Notice of Funding Availability) planning committees across several groups—including the Sonoma County Community Development Commission, the Santa Rosa Housing Authority, the Sonoma County Homeless Coalition, and the Behavioral Health Boards—to prioritize citizen access to strategic planning and help coordinate their work.

Excellent- now put something up about the big Street Outreach that nobody knows the success of.. (Teddie Pierce, Another Board Member)

Street outreach is one of the most critical, challenging, and misunderstood components of the modern homelessness response system. When people think of outreach, they often picture workers handing out blankets or water bottles. While emergency survival aid is part of the job, the true “success” of modern street outreach lies in its evolution into a professional, housing-focused pipeline.

National Alliance to End Homelessness

Rather than just managing the crisis of unsheltered conditions, successful outreach teams act as mobile case managers who meet people where they are to actively end their homelessness.

1. Shifting from “Band-Aids” to Housing

Historically, street outreach was focused purely on harm reduction and basic survival. Today, successful programs are strictly housing-focused. Outreach workers build trust over weeks or months to accomplish the practical milestones required to get someone off the street:

  • Document Readiness: One of the biggest barriers to housing is a lack of identification. Successful outreach teams turn “impossibilities into successes” by helping individuals replace lost birth certificates, social security cards, and state IDs, and navigating complex government bureaucracy. HomeFirst
  • Coordinated Entry Integration: Teams use localized data systems (like the Homeless Management Information System, or HMIS) to assess individuals directly in the field. This ensures that the most vulnerable people sleeping outside are prioritized and seamlessly matched with open shelter beds, rapid rehousing programs, or permanent supportive housing.

2. Real-World Success Models

Across the country, targeted outreach models combined with rapid funding are showing measurable success:

  • The “Pathway Home” Initiative (Los Angeles County): This encampment resolution program specifically pairs street outreach with immediately available interim housing. Instead of just asking people to move along, outreach teams bring entire encampments indoors together, offering a comprehensive suite of medical care, mental health support, and dedicated case managers. LA County Homeless Initiative
  • Family Reunification Programs: Often, the fastest route out of homelessness is reconnecting individuals with support systems they already have. Outreach workers frequently find success through structured “return home” initiatives—gaining an individual’s trust, locating family members in other cities or states, and coordinating safe travel and warm handoffs. Downtown Development District
  • Multidisciplinary Teams: Some of the most successful urban outreach programs now utilize hybrid teams that include peer navigators (individuals with lived experience of homelessness), mental health professionals, and substance use counselors. This allows teams to provide trauma-informed care and immediate medical or psychiatric support directly on the sidewalk.

3. The Power of “Warm Handoffs”

In professional street outreach, success is rarely defined by handing someone a flyer with a list of resources. Because navigating a fragmented system is incredibly overwhelming—especially for those dealing with chronic health issues or severe trauma—success relies on warm handoffs.

An outreach worker doesn’t just tell someone where a clinic or shelter is; they walk with them, drive them to appointments, introduce them to the shelter staff, and stay with them through the intake process. This continuity of care is what prevents vulnerable people from slipping through the cracks.

The Underlying Challenge: Street outreach workers are highly effective at building trust and preparing people for housing, but their ultimate success is entirely dependent on the availability of low-barrier shelters and affordable housing. Outreach can bridge the gap, but it requires a robust housing continuum to permanently resolve the crisis.

National League of Cities

Would you like to look at specific local outreach programs or data for a particular region?Yes

What are the specific street outreach programs and success statistics for the Bay Area and Northern California?

In the Bay Area and Northern California, street outreach has evolved from basic survival aid into a data-driven, coordinated effort to transition unsheltered people directly into housing and shelter. Local municipalities and regional Continuums of Care (CoCs) track these metrics closely, and recent reports reveal clear evidence of progress, alongside ongoing challenges.

1. Santa Rosa and Sonoma County (Northern California)

Sonoma County and its largest city, Santa Rosa, have demonstrated measurable success by combining street outreach with expanded affordable and interim housing infrastructure.

Local News Matters

  • Steep Overall Declines: The Point-in-Time (PIT) Count revealed that the total number of individuals experiencing homelessness countywide dropped by 23%, falling to 1,952 individuals—the lowest total recorded since the count began in 2007 (Sonoma County Department of Health Services, 2025). In Santa Rosa specifically, homelessness dropped by 16% (City of Santa Rosa, 2025). Nearby Rohnert Park saw an even more dramatic 60% reduction in overall homelessness, including a 78% drop in unsheltered individuals, which local officials directly attributed to targeted outreach and the 2022 opening of Labath Landing, an interim housing site (Local News Matters, 2025). SRCity.org+ 2
  • Street Outreach Transition Rates: In the city of Santa Rosa, street outreach teams have become highly effective at creating a direct pipeline off the streets. During the 2024–2025 fiscal year, city-funded programs engaged thousands of individuals, successfully helping nearly 30% of all unsheltered people met through street outreach transition into formal shelters or permanent housing (City of Santa Rosa, 2025). SRCity.org
  • Targeted Subpopulation Success: Regional outreach coupled with dedicated housing vouchers led to a 39% reduction in homeless veterans countywide (Sonoma County Department of Health Services, 2025).
  • The Chronically Homeless Challenge: Despite these outreach successes, the data highlights a major systemic bottleneck: the number of individuals experiencing chronic homelessness (those on the street for over a year with a disabling condition) rose by 20% (Sonoma County Department of Health Services, 2025). This underscores the fact that while outreach workers are successfully engaging people, the most vulnerable require longer-term permanent supportive housing (PSH) slots, which remain in short supply.

2. San Francisco and the “Home by the Bay” Strategy

San Francisco relies heavily on multidisciplinary street teams—including the Street Crisis Response Team (SCRT) and SF Homeless Outreach Team (HOT)—to handle non-violent, health-focused crises and provide direct shelter placement.

  • Substantial Housing Placements: San Francisco’s overarching strategic initiative reported that between July 2023 and June 2025, the homelessness response system successfully supported 10,300 people in moving from homelessness into permanent housing (SF.gov, 2025). SF.gov
  • High Housing Retention Rates: One of the most significant statistical successes of the Bay Area system is what happens after outreach connects someone to a home. In San Francisco, 93% of individuals who exited homelessness did not return to the homelessness system within 12 months, comfortably exceeding the city’s 85% target (SF.gov, 2025). SF.gov
  • On-Demand Placements via the RESTORE Project: San Francisco expanded its RESTORE project, an outreach initiative designed to provide immediate substance use treatment and nighttime shelter placements directly from the street, serving more than 2,500 clients (SF.gov, 2025). Additionally, street outreach and neighborhood-based ambassador programs contributed to a 30% to 60% reduction in 911 calls in the specific neighborhoods where they were deployed, proving that proactive street engagement relieves pressure on emergency services (SF.gov, 2025). SF.gov

3. Berkeley and the East Bay

In the East Bay, specialized outreach models have been tested to bridge the gap between psychiatric crisis and housing.

  • The HOTT Model: The City of Berkeley’s Homeless Outreach Treatment Team (HOTT) is a prominent example of a specialized outreach pilot (City of Berkeley, 2023). Funded largely by the Mental Health Services Act, HOTT utilizes an evidence-based framework known as Critical Time Intervention (CTI) (City of Berkeley, 2023).
  • Vibe of the Program: Rather than focusing on short-term fixes, the team focuses entirely on building long-term, trusting relationships with highly vulnerable unhoused individuals who have severe mental health needs, physically navigating them through the fragmented county system to achieve long-term housing stability (City of Berkeley, 2023).

Summary of Regional Success Data

The overall picture of street outreach in Northern California shows that the mechanics of outreach are working. When teams are deployed with adequate resources, they are achieving high transition rates (such as Santa Rosa’s 30% pipeline success) and exceptional housing retention rates (such as San Francisco’s 93% stability rate). The primary constraint on these programs’ success remains macro-economic: a severe regional shortage of affordable housing units and state/federal budget cuts that restrict the number of permanent beds outreach teams can offer to the people they engage on the street.

SRCity.org

References