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California’s Unhoused Seniors: a Crisis Within the State’s Homelessness Crisis

SAN DIEGO VOICE & VIEWPOINT — California’s homelessness crisis increasingly affects older adults, with nearly half of unhoused single adults in 2023 being at least 50 years old. This marks a significant increase from 1990, when this demographic represented only 11% of the unhoused population. Many seniors require housing connected to healthcare, transportation, and other supportive services to maintain independence.

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California’s Unhoused Seniors: a Crisis Within the State’s Homelessness Crisis

By Edward Henderson, California Black Media

California’s homelessness crisis is increasingly becoming an aging crisis, as a growing number of older adults experience housing instability at a stage of life when health challenges, fixed incomes and mobility limitations can make finding stability far more difficult.

Nearly half — about 48% — of single adults experiencing homelessness in California in 2023 were at least 50 years old, according to a University of California, San Francisco report. That figure represents a dramatic increase from 1990, when older adults accounted for just 11% of the state’s unhoused single adult population.

For many seniors, preventing homelessness requires more than an affordable apartment. It requires housing connected to healthcare, transportation, case management and other supportive services that allow older adults to remain independent while navigating the realities of aging.

“California’s population is rapidly aging, but our supportive housing systems have yet to catch up,” said David Lindeman, chair of the California Commission on Aging (CCoA), during the Commission’s annual information hearing titled “Nowhere to Go: Addressing the Crisis in Supportive Housing for Older Californians.

The hearing, held at the California Endowment in Sacramento, brought together housing advocates, government officials, service providers and individuals with lived experience to examine why so many older adults struggle to find housing designed to meet their needs.

One of those individuals was Sacramento resident Steve Gasco.

When Gasco, 61, moved back to California after living in Detroit, he found himself facing a challenge many older adults now experience: finding housing he could afford while preparing for retirement.

Gasco was paying about $1,300 per month for what he described as the most affordable apartment he could find in Midtown Sacramento. To make ends meet, he relied on gig work, including driving for Grubhub using an older vehicle. When his rent increased, he began searching for another option to avoid becoming unhoused.

That search eventually led him to the Wong Center, a 55-and-older affordable housing community in downtown Sacramento.

“Living at the Wong Center has been just such an amazing, fortunate experience,” Gasco told commissioners. “It doesn’t really have a lot of supportive services, but it’s a landing pad for a lot of older people.”

Gasco said the building has become more than a place to live for its approximately 150 older residents. It has become a community where neighbors support one another through the challenges of aging.

“There’s an old song: ‘I got no place to go, alone in a big city. Will you be a friend and help me?’” Gasco said. “And that plays in my mind because now it’s about 150 older people. I’m one of the youngest at 61, and people are in wheelchairs. People have different mobility issues.”

He said many older adults experience isolation and disconnection that can be difficult to capture through traditional discussions about mental health.

“We talk about behavioral health, but I’m not sure if that really captures the confusion a lot of people live in and the feeling of being disconnected,” Gasco said. “So, we’re starting to band together and help each other.”

Supportive housing seeks to address those challenges by pairing permanent housing with services tailored to residents’ needs. For older adults, those services may include help managing medications, accessing healthcare, arranging transportation and coordinating long-term care.

But advocates say California does not have enough supportive housing options available for older adults as the state combats a broader homelessness crisis that is the worst in the United States.

Black Californians are disproportionately represented in California’s aging homelessness population, because of longstanding disparities in housing, income, health, and wealth, experts say.According to the UCSF Benioff Homelessness and Housing Initiative’s California Statewide Study of People Experiencing Homelessness, Black Californians make up 31% of older adults experiencing homelessness, despite representing only about 6% of Californians age 50 and older.

Janelle Kazarus, CEO of El Hogar Community Services in Sacramento, told commissioners that many older adults fall into a gap between independent housing and institutional care.

“They require a level of support that falls somewhere between independent living and institutional care,” Kazarus said. “The middle ground is missing.”

Kazarus said her organization frequently works with older adults who are ready to transition into permanent housing but remain in shelters, hospitals, transitional housing or other temporary settings because appropriate options are unavailable.

“For older adults, behavioral health needs, housing is often the intervention that determines whether recovery is possible,” Kazarussaid. “We can stabilize symptoms, connect individuals to treatment, provide intensive case management and build trusting relationships. But without stable housing, those gains are difficult to sustain.”

Older adults experiencing homelessness also face barriers that younger people may not encounter. According to the U.S. Interagency Council on Homelessness, housing discrimination, limited income and age-related health conditions can all make securing permanent housing more difficult.

Research has also found that homelessness can accelerate the aging process. Chronic stress, exposure to the elements, untreated medical conditions, poor nutrition and limited healthcare access can contribute to earlier cognitive decline, mobility limitations and frailty among older adults experiencing homelessness.

While lawmakers in Sacramento are advancing a number of bills this session aimed at reducing homelessness, none specifically target the growing crisis of homelessness among older Californians. Current proposals focus on expanding access to sober living housing, strengthening statewide homelessness prevention planning, improving local coordination of homeless services, and creating an Office of Youth Homelessness Prevention.

Although advocates have warned that adults 55 and older are the fastest-growing segment of California’s unhoused population, no major stand-alone legislation this year is dedicated specifically to preventing or ending homelessness among older adults.

For Gasco, the issue comes down to recognizing older adults and ensuring they have the support needed to remain connected to their communities.

“We’re all still alive, and we just need a little help to maintain our dignity.”

Based on reporting by San Diego Voice & Viewpoint.



Activism

Oakland Post: Week of October 7 – 13, 2026

Oakland Post: Week of October 7 – 13, 2026

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Black History

Ghana’s Ministry of Foreign Affairs Publishes Global Circle’s Vatican Reparations Call in Special Edition Alongside Heads of State

GLOBAL CIRCLE FOR REPARATIONS AND HEALING — Ghana’s Ministry of Foreign Affairs has published the Global Circle for Reparations and Healing’s submission, “From Accra to the Vatican,” in a special edition of The Ghanaian Envoy. This marks the first time a sovereign state has incorporated the Reparations Presentment to the Holy See into its official record. The 175-page edition, titled “Creating A New World,” also documents Ghana’s campaign that led to UN Resolution A/RES/80/250, which recognized the trafficking and enslavement of Africans as the gravest crime against humanity.

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International responses to Ghana-led UN resolutions declaring the transatlantic enslavemen the gravest crime against humanity

“From Accra to the Vatican” appears in The Ghanaian Envoy Special Edition on UN Resolution A/RES/80/250 — the first time a sovereign state has carried the Reparations Presentment to the Holy See into its official record

ACCRA, Ghana / CHICAGO, Illinois — October 7, 2026 — The Global Circle for Reparations and Healing today announced that its submission to Ghana’s Ministry of Foreign Affairs, “From Accra to the Vatican: A Call for a Global Plan of Action on Catholic Church Redress”, has been published in the Special Edition of The Ghanaian Envoy, the official newsletter of the Ministry of Foreign Affairs of the Republic of Ghana. The 175-page edition, titled “Creating A New World,” documents the Ghana-led campaign that culminated on March 25, 2026, in United Nations General Assembly Resolution A/RES/80/250, which declared the trafficking of enslaved Africans and the racialized chattel enslavement of Africans the gravest crime against humanity.

The Global Circle’s submission, authored by Co-Convener Kamm Howard, appears in Part V of the edition, “What Repair Must Now Mean,” at page 161. It shares the volume with statements by President John Dramani Mahama of Ghana, President Joseph Nyuma Boakai Sr. of Liberia, President Netumbo Nandi-Ndaitwah of Namibia, President Bassirou Diomaye Diakhar Faye of Senegal, President Carlos Manuel Vila Nova of São Tomé and Príncipe, President Emmanuel Macron of France, Prime Minister Mia Amor Mottley of Barbados, United Nations Secretary-General António Guterres, Foreign Minister Samuel Okudzeto Ablakwa, African Union Commissioner Amma Twum-Amoah, CARICOM Reparations Commission Chair Sir Hilary Beckles, Nobel Laureate Wole Soyinka, Dr. Julius Garvey, and Congressional Black Caucus Executive Director Vincent Evans, among others.

The submission traces the Global Circle’s delivery of the Reparations Presentment to the Holy See in Vatican City on July 18, 2022, the document’s subsequent use by the former Vice President of Costa Rica and the Vice President of Colombia in their engagements with Pope Francis, and the partial response contained in Pope Leo XIV’s May 2026 encyclical Magnifica Humanitas. It argues that while three of the Presentment’s seven demands have entered the Church’s official language in diluted form, four remain wholly unmet: rescission of the papal bulls that authorized African enslavement, the Church’s call upon other offending Western nations to make redress, the establishment of a joint Vatican–African Diaspora–African Papal Commission on Reparations and Healing, and a substantial financial commitment to repair. The submission asks Ghana to adopt the Presentment as the reference instrument for a Vatican track within the Accra Next Steps Commitments and to convene a first meeting of Global African reparationists toward a collective response.

“For four years the Presentment has been a civil society document carried by civil society hands,” said Kamm Howard, Co-Convener of the Global Circle and Commissioner of the National African American Reparations Commission. “Ghana has now placed it in the official record of a sovereign state, in a volume that opens with a President’s address to the General Assembly and closes by asking what repair must mean. That is not a courtesy. It is a signal to every government, every reparations commission, and every African Catholic that the claim against the Holy See belongs on the state agenda, and that the state which broke the deadlock at the United Nations is prepared to see it there.”

The significance of the publication extends beyond the Vatican file. The Presentment was created as a legal claims instrument by Howard in 2014 and first delivered to corporations and institutions in the United States, where it secured significant concessions. Its appearance in a foreign ministry’s official publication, translated and distributed in English, French, Portuguese, Spanish, and Italian, establishes the reparations presentment as a recognized instrument of international reparatory diplomacy, one that other states and descendant communities can adopt without drafting a new framework of their own. The Global Circle has described this catalytic potential as the “N’namba Effect,” after the Evanston, Illinois, reparations initiative – led by N’nanba Robin Rue Simmons – that gave municipalities across the United States the model, permission, and courage to act.

“The Vatican told us in 2022 that it moves in fifteen-year increments,” Howard added. “Ghana has just demonstrated at the United Nations that a determined state can compress that timeline to a single vote. We are asking Ghana to do for the Church what it did for the General Assembly, and we are asking Global Africa to organize behind that ask with one document, one voice, and one set of demands.”

The Global Circle has written to President Mahama and Foreign Minister Ablakwa to express its gratitude and to propose that its Vatican and Interreligious Actors Working Group lead the first meeting on a collective Vatican response under the auspices of the Government of Ghana. The Global Circle has also formally advised the Congressional Black Caucus of the publication in connection with its pending request that the Caucus recognize the Presentment as the foundational document for reparations engagement with the Roman Catholic Church and join the Government of Ghana in this global call to action.

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About the Global Circle for Reparations and Healing

The Global Circle for Reparations and Healing was convened in 2022 to help build united global reparations front across Africa and its worldwide diaspora. In July 2022 the Global Circle delivered the Reparations Presentment to the Holy See in Vatican City. It co-organized Accra Summit I in August 2022 with the Government of Ghana and the Africa Transitional Justice Legacy Fund, and led the organization of Accra Summit II: Centering Healing Across Global Africa in March 2025 in partnership with the African Union. The Reparations Presentment to the Holy See is available in English, French, Italian, Portuguese, and Spanish at gcrh.org.

Media Contact

Global Circle for Reparations and Healing

Kamm Howard, Co-Convenor

Kammh369@gmail.com 773 520 0369

gcrh.org



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Black History

Listening as a Lifeline: A Doula’s Witness to Black Maternal Health

OAKLAND POST — Maternal mortality and pregnancy-related mortality use different time frames and methods and are not interchangeable. Finalized 2024 CDC data recorded 649 maternal deaths nationally. The overall rate was 17.9 deaths per 100,000 live births, but for non-Hispanic Black women it was 44.8, compared with 14.2 for White women and 12.1 for Hispanic women.

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Antoinette Stewart-Eneh.

Word Count: 1058

Note: Client A, B & C, names are withheld for privacy; these accounts reflect my recollections as their Doula.

Client A rocked her hips on a birthing ball, surrounded by pale wood and warm textiles in a softly lit Scandinavian-style office. I was her doula through a Southern California maternal health company combining nurse-led care, technology, and wraparound support.

She was a healthy Black woman in her thirties. Her baby girl was doing well; her partner took notes as we discussed labor and advocacy.

Then we turned to their chosen hospital. I knew it well—and remembered a phrase from another client’s experience: “Policy of Sovereignty.”

Client B had been told she needed a repeat cesarean as a precaution, though the reasoning was unclear. Her obstetrician, who performed her first cesarean two years earlier, had assured her throughout pregnancy that she was healthy, healed, and ready for a vaginal birth. We asked staff to review her chart, consult her obstetrician, and reconsider immediate surgery. Instead, they invoked the “Policy of Sovereignty.”

The physician on duty, we were told, had final authority, regardless of her established care plan. I asked whether an ultrasound or reassessing the baby’s position could offer clarity. Cesareans can be lifesaving. But were Client B’s history, informed consent, and circumstances guiding this decision—or was routine overriding individualized care? We kept asking for her obstetrician. Beneath every request was a deeper question: Was she being heard?

The Numbers Behind the Stories

Statistics arrive in clean columns. The experiences behind them do not.

Maternal mortality and pregnancy-related mortality use different time frames and methods and are not interchangeable. Finalized 2024 CDC data recorded 649 maternal deaths nationally. The overall rate was 17.9 deaths per 100,000 live births, but for non-Hispanic Black women it was 44.8, compared with 14.2 for White women and 12.1 for Hispanic women.

In California, Black birthing people experienced 56.5 pregnancy-related deaths per 100,000 live births during 2020–2022—3.8 times the White rate and four times the Asian rate.

As a doula serving Los Angeles and San Bernardino Counties, I see faces behind those numbers. I remember concerns raised softly, then firmly, then desperately. I am tired of watching Black families enter spaces meant to protect them, only to discover they must defend themselves while laboring, bleeding, trembling, or recovering.

Returning to Client A

Client A’s labor stretched nearly 48 hours. As her condition worsened, she, her partner, and I asked whether a cesarean should happen sooner. A provider questioned my place as a doula, then said she was next.

Six more hours passed.

She entered surgery visibly ill with a serious uterine infection, her baby malpositioned and stuck. Her partner later recalled the provider saying, “This baby would never have made it through the birth canal.”

Those words landed like a blow. Our urgency had been treated as ignorance. With Client B, we questioned why surgery was inevitable. With Client A, why it was delayed. Doula advocacy is not about one kind of birth. It is about informed consent, individualized care, and timely action. Hospital routine should never outweigh the person carrying the risk.

Survival Cannot Be the Standard

The Black maternal health crisis includes unequal care, untreated conditions, racial bias, delayed referrals, poor communication, and inadequate postpartum support. It is about birth plans respected only until a hospital becomes less busy and postpartum care that asks whether a mother survived, not whether she has what she needs to recover.

Survival cannot be the standard. Technology can support care, but it cannot replace human connection. An algorithm cannot detect fear in a patient’s eyes, and a mission statement alone cannot ensure adequate staffing or culturally responsive care.

The Story of Client C

Before I arrived, I heard the chaos through Client C’s phone. Staff struggled to locate her baby’s heartbeat on an external monitor as her fear and blood pressure rose. I pleaded for an internal electrode before surgery.

“There’s not enough time,” a nurse said.

“I would like to wait for my doula,” Client C called out.

But she was medicated, hurried through consent, and wheeled away while I listened.

In the operating room, after a shift change, another nurse placed an internal electrode and said, “The previous monitor wasn’t working.”

No one responded.

According to her father, the obstetrician avoided eye contact: “We need to move forward.”

Surgery may still have been necessary; that was not mine to determine. But if faulty equipment helped create the emergency, the family deserved acknowledgment and explanation—not silence. No family should have to wonder whether major surgery followed an unavoidable crisis or a machine failure no one recognized in time.

From Prevention to Accountability

After supporting nearly 100 families, I have learned that danger often begins before admission. I have urged clients to seek care—and heard why they feared returning: dismissed pain, harsh words, shame for asking questions.

Care cannot be holistic where Black families do not feel safe enough to speak or return. Representation matters, but providers of color cannot repair inequity alone. They need adequate staffing, mentorship, culturally responsive training, reliable equipment, and colleagues that are reflective of all the aforementioned. It’s not the Black providers job to care for just the Black patients, everyone should have the same goal.

The Momnibus Act, California’s Medi-Cal doula benefit, the Transforming Maternal Health Model and the Perinatal Equity Initiative require more than promises; they need sustained funding, reliable reimbursement and accountable implementation.

Birth should be sacred. Yet too many Black birthing people arrive carrying the burden of proving their pain is real. A doula can listen, educate, comfort, and advocate—but cannot repair a system that refuses to listen. The true measure of progress is what happens when a Black birthing person says, “Something is wrong.”

Are they believed? When equipment fails, is that failure acknowledged? Do families leave not merely alive, but safe, respected, supported, and whole?

Until those answers are consistently yes, California’s maternal health success story remains unfinished.

About the Author

Antoinette Stewart-Eneh is a mother of two, holistic maternal wellness advocate, and birth and postpartum doula who has supported families since 2019. She serves as program operations coordinator for Frontline Doulas, a volunteer client coordinator with the Joy in Birthing Foundation and a childbirth educator in South Los Angeles. She is studying to become a midwife and lactation educator.

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