Shelter and health

There is perhaps no greater barrier to health than houselessness. People who lack stable housing must often prioritize finding warmth, food and safe spaces to survive, leaving little time or energy to care for their health. In Oregon, most people who experience houselessness are unsheltered, meaning they live in areas not meant for human habitation like on a sidewalk or under a bridge.

HOUSING IS HOPE

In Oregon, there are over 20,000 people experiencing houselessness. Only 35 percent of them have a place to sleep indoors through emergency shelters or transitional housing. The state also has great inequities in houselessness, with Black people three times more likely to experience houselessness. Even more people face housing insecurity due to systemic racism and barriers, like a lack of affordable housing. In many cases, a missed paycheck or mental health crisis could mean losing the roof over your head.

Yet, Oregon has taken majors steps to increase affordable housing in the state. In the last five years, the state has built nearly 27,000 units of affordable housing, more than ever before. These units not only allow individuals to have agency over themselves and room to heal, but also ease impacts on community resources by decreasing costly visits to the emergency room. As we help more people find stable housing, individual health improves, raising the overall health of our community.

HOW PLACE MATTERS TO OUR HEALTH

Shelter and health

  • Social conditions

    Black people are three times more likely to experience houselessness due to systemic racism that has left these communities impoverished.

    Education, income,
    discrimination and structural
    racism are among the social conditions that can limit or
    expand a person’s ability to live a healthy life.

    Three people standing on boxes trying to grab apples from a tree. First person is the tallest with the shortest box. Second person is at middle length with the middle length box. Third person is at the shortest length with the highest box. All three people are able to grab apples from the tree.
  • Physical settings

    Houselessness and housing insecurity leads to increased levels of stress, raising cortisol levels in our bodies. Along with these added pressures to our mental health, the constant stress of finding or paying for housing leaves little time and energy to stay healthy.

    The locations where we live,
    work, learn, play or age, such as
    our homes, neighborhoods, workplaces, schools, parks,
    senior centers and public spaces, help determine how healthy we
    can be.

    A neighborhood showing a house next to an apartment building next to an office building.
  • Industry practices

    Racist housing practices like redlining still impact communities of color to this day.

    Companies sell things—they always have. But today, kids are surrounded by marketing that pushes harmful products, while low-income adults and communities of color are specifically targeted.

    An outdoor billboard showing a sugary drink advertisement for
  • People power

    Homes for Good provides housing for houseless individuals in the Eugene area, giving them an opportunity to take control of their lives and heal.

    Governments, communities and voters can change policies and environments in ways that make
    it easier or harder to make healthy choices.

    A group of diverse people speaking up at a forum

WATCH THE VIDEOS

  • Open Video Modal

    Patricia Dexter, Eugene Oregon
    Program participant, Homes for Good

    Patricia (00:02):
    I think the most important thing that someone who’s housed can do for someone who is not housed is to be compassionate. And just imagine what it’s like to be in that person’s shoes.

    My story really starts at a pretty young age. I was a young single mom of 16 years, and I was kind of out in the world on my own. I got into a relationship with a much older man, and it was unhealthy and toxic. And I spent 16 years in a domestic violence relationship. I had a surgery for a work-related condition and quickly got addicted to prescription pain pills. And that experience led me into substance use disorder.

    I really felt trapped in that there was no way out. I ended up turning to illicit street drugs in order to overcome that addiction with opiates and it just led me into years of being unhoused in homelessness.

    Title card (01:10):
    As of 2023, it is estimated that there are over 20,000 people in Oregon who are experiencing homelessness.

    Patricia (01:17):
    For me, the first time I actually realized that I was homeless with no place to go. I had no vehicle, no motel room. I had my belongings in my hands, and it was scary. I didn’t have medical insurance. I wasn’t going to a doctor regularly. I wasn’t eating well. And of course I was in active addiction. So I wasn’t able to access treatment because I didn’t have insurance. My substance use disorder had gotten to the lowest point. I was arrested and went to Coffee Creek. I spent five years in prison.

    Coming home from that experience, I came home healthy and ready to reenter my community. I had support and I had learned skills and tools and completed programs. And so I was able to be supported in my community by sponsors, transitional housing, Lane County Parole and Probation, and Homes for Good in a pilot program called The Way Home Program. And I was able to get into public housing through that program.

    Getting the keys to my first apartment was really, really special. It was the first time I had been housed in 13 years. Getting to walk into the apartment with my two children and have our own restroom, our own kitchen, our own bedrooms. To be able to know that I could regulate the heat. That I could put my own food (on the table), that we could wash our own clothes. I can’t describe the feeling. It was, very powerful and very meaningful and it, it was a blessing. And I still feel that joy today.

    To have Homes for Good come alongside me and to offer me housing. Despite my past and despite my experiences, I was beside myself. I was so elated and I suddenly had this self-worth. That I thought, oh my gosh, I can do this. There’s someone else that thinks I can do this and I’m gonna be okay.

    I believe that recovery is possible. And looking back on my personal experience, there is countless professionals that have seen potential in me or that advocated for me, or that had compassion for me, or that even just gave me encouragement. And I wanna be one of those people. I wanna be that person that gave just enough hope for someone to keep going on their journey.

    Title card (03:45):
    Housing is hope.

    Place Matters Oregon

    Housing: The Foundation of Hope

    After overcoming an addiction to opiates and time in prison, Patricia now lives a healthy, productive life. Crucial to her success was finding housing through Homes for Good, a non-profit helping houseless individuals. Hear Patricia’s inspiring story and her hope to help others just like her.

  • Open Video Modal

    Title card:
    As of 2023, of the 20,000 people experiencing houselessness in Oregon, only 35 percent are considered ‘sheltered’.

    Camryn Leland, Permanent Supportive Housing Coordinator at Homes for Good (00:06):
    Home means stability. Home means safety. It means comfort. Home is a place where you can drop your walls and feel vulnerable. I’m a firm believer that everybody is, a mental health crisis or two paychecks away from experiencing houselessness.

    Andrea Bell, Executive Director at Oregon Housing and Community Services (00:30):
    Someone’s access to housing is completely predicated upon their income and upon wealth. And without that, it inhibits your ability to have access to housing and therefore directly impacts your health, your wellness, not only on an individual level, on a community level, as well.

    Camryn (00:51):
    Being in a constant place of survival mode. It heightens your overall awareness. It creates physical sensations. So your cortisol is increased. You’re constantly on the lookout for trying to find and seek shelter safety. You really default back to primal instincts. And when you’re in that primal brain space, it does not allow you to have a proactive approach to your own wellbeing, which is really detrimental for people.

    Can you imagine going through chemo and being houseless? Things like that blow my mind because my father went through chemo and without us having a stable house and without us being able to have a home base to come back to – to not only physically heal, but emotionally heal. It would be so much harder on your body, on your soul, just like in general. And so I think being able to have those four walls, it’s just the first step, but it’s a really crucial first step.

    Andrea (01:50):
    One, we have income and wealth gaps that were systemically created. We have racial wealth gaps. There’s a reason why we have an over overrepresentation of certain communities that experience homelessness – that didn’t just come to be.

    Title card:
    In Oregon, Black people are over three times more likely to experience houselessness compared to their population size.

    Andrea (02:08):
    We have a playbook for understanding what works and we know time over time housing works. We need more affordable housing and we need to make sure that, people at all income levels can have access to affordable housing.

    Camryn (02:23):
    So, we have multiple programs. I think the biggest ones when we think of Homes for Good as a Section eight program, so that’s distributing vouchers. Mobile choice vouchers, and also housing choice vouchers. These are vouchers that individuals can take any rentals in Lane County and have subsidized rent essentially. Income-based rent is what subsidized rent is. In housing first, there’s no requirement for sobriety. There’s no requirement that you need to be in any sort of treatment. It’s completely up to what the individual is needing at that time.

    Andrea (02:56):
    Can you imagine sleeping outside or going from place to place with some uncertainty as to whether there will be a bed that night and then someone wants to have a conversation with you about what your goals are?

    Camryn (03:12):
    Being able to give people the space that they need, the way that we all get the space that we need, to breathe and make our own choices. I think, again, going back to sovereignty and the importance of folks having the right to choose, without creating the housing first model where it’s, entirely voluntary. I don’t think we would see people that are chronically houseless and have experienced it for a long time, be willing to move into housing.

    Andrea (03:40):
    Over the last four years or so, the state has built nearly 27,000 units of affordable housing here in the state of Oregon. We have never built that much affordable housing ever. On a year-to-year basis, we’ve almost quadrupled the amount of housing that we are building.

    Camryn (04:03):
    We’re really close to fully occupying the commons on MLK. So it’s a 51 unit, mid-rise. We serve the most chronically houseless individuals at that community. And so these are individuals that engage emergency systems often. Even within this year alone. I think in January we probably average between 30 and 40 calls for service, and by October we had maybe three. So just seeing the way you approach people with wraparound support, it allows for trust. It lowers that cortisol, it gets people out of this reactivity, the fight or flight. It’s really like a powerful thing to witness.

    Graphic:
    The ache for home lives in all of us. The safe place where we can go as we are and not be questioned. – Maya Angelou

    Title card:
    How can affordable housing bring hope to your community?
    Place Matters Oregon

    Fixing Housing in Oregon

    Andrea Bell, the Executive Director of Oregon Housing and Community Services, and Camryn Leland, the permanent supportive housing supervisor for Homes for Good, speak about the macro and micro solutions to Oregon’s houselessness issues.

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Time to get involved

Whether you have one minute or a full day, each of us has a role to play in making sure all Oregonians have the opportunity for a healthy life.

1 minute read time

Share a video

Personal stories show how housing affects our health. Share Patricia’s inspiring story of how she now lives a healthy, productive life.

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15 minutes read time

Get to know a partner

Homes for Good is Lane County’s housing agency. They help low-income residents with the logistics of affordable housing.

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5 MINUTES read time

Share the facts

Statistics prove how place matters to the health of our communities. Download and share web-friendly facts about housing in Oregon.

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