A report analyzing the 2009 spike in deaths among Santa Barbara’s homeless population was released last week by county Public Health Department officials. Though it doesn’t fully explain why so many homeless people died last year and in the early part of this year, it does illuminate the web of factors behind homeless peoples’ greater vulnerability to death and where the county is failing to help them.
The report, completed by the Homeless Death Review Team and commissioned by the Board of Supervisors in February, is replete with charts, tables, and pie graphs analyzing all the various illnesses that plagued the 45 homeless individuals who died in the county between January 2009 and March 2010. One drawback of the analyses is that in eight of the 45 cases, or 18 percent, no cause of death was included on death certificates. On the other hand, medical records revealed a good deal of information about these individuals’ encounters — or lack of encounters — with public health and mental health systems.
An “overwhelming” number had an addiction to alcohol or drugs, read the report, and the prevalence of mental illness among the 45 was very high. In fact, half of the 45 had a diagnosed mental health condition, yet only 16 made any contact with Alcohol, Drug, and Mental Health Services (ADMHS). “This does suggest a need to explore ways to improve mental health outreach efforts [to the homeless] and coordination of care between public health and ADMHS providers,” the report states.
When people received services from both the county Public Health Department and ADMHS, the report went on, no communication was reportedly occurring between departments. This means clinicians had no knowledge of what kinds of prescription drugs or other treatments another health worker was prescribing, fueling the potential for abuse of medications and overmedicating.


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This article contains very important information. It points out very serious weaknesses in our local healthcare and mental health systems. I truly hope the individuals that that have the capabilities to look at the breakdown in intra-agency communication, will look at this problem. It not only is a detriment to those needing the assistance provided by these agencies, it has been a death sentence for many.
Had this breakdown in communication been addressed, it is possible that my brother, as well as many others, might still be alive today.
As always, thank you for caring Isabelle!
JenniferinSB (anonymous profile)
August 6, 2010 at 3:52 a.m. (Suggest removal)
Is this report online? I looked but couldn't sort through the Public Health department website.
Chester_Arthur_Burnett (anonymous profile)
August 6, 2010 at 7:33 a.m. (Suggest removal)
Let me make this very simple for you... The more people you have living somewhere, the more people you will eventually have dying there too. Congratulations Santa Barbara on attracting massive numbers of both living and dying homeless people. This report would only be useful if it was presented as a ratio of deaths-to-total-homeless, then compared to other cities.
LogicCannon (anonymous profile)
August 6, 2010 at 8:52 a.m. (Suggest removal)
Our family has lived here since 1977. Is that long enough to be considered from Santa Barbara? My brother ended up homeless here through tragic circumstances, as I am sure most others have as well. I doubt most people would say, "Hey I think I will be homeless and go live in Santa Barbara!" It is continually written the homeless come here but most I know of have been here longer than a lot of people that consider themselves from SB.
Also, this article talked about a serious breakdown of services. Hopefully the point will not be missed.
I despise being hateful in comments but would LogicCannon have been happier if my homeless brother from SB died somewhere else? I am greatful that he was here and I was able to love him until the end.
JenniferinSB (anonymous profile)
August 7, 2010 at 12:36 p.m. (Suggest removal)
Hey JenniferinSB!
That's my plan for a RETIREMENT, leave the East Coast with the tens of thousands of others and come to California, esp. Santa Barbara to live on the streets and die, cold, stoned and alone. It beats fighting the System which is already pitted against the masses anyway.
Charles.
dou4now (anonymous profile)
August 7, 2010 at 8:34 p.m. (Suggest removal)
Jennifer... I dont even know where to start with your ridiculous comment. Are you saying that while you were living in Santa Barbara your brother became homeless and died in the street while you were "loving him to the end"? You mention a "breakdown of services", how about a beakdown of family? I cant imagine a scenario where one of my sisters becomes homeless living on the streets in the town where I live, and somehow I think that she is someone elses responsibility. That she should be a burden on my neighbors and my city instead of taking her in myself.
And what is your issue with my comment exactly? My point was simply that the article gives no frame of reference. If 45 homeless people die and we only have 45 homeless people living here to begin with, yeah thats a problem. But if 45 people die out of 10,000, and the national average is 500 homeless deaths out of 10,000, then hey, all of a sudden it looks like Santa Barbara actually has some pretty amazing services set up doesnt it?
Also, I dont know if you have had the opportunity to speak with any homeless people who are not in your immediate family, but I suggest you go an take a poll during a peak tourism weekend like fiesta days. You will find, as I did, that many of the street people here have come via train from Santa Maria, Lompoc, LA etc. Not only that but some of them are not even homeless!! Just taking advantage of generous tourists and peeing on Starbucks during a long weekend of crack and meth.
LogicCannon (anonymous profile)
August 8, 2010 at 2:46 p.m. (Suggest removal)
I would like to present the urban nomads (homeless) that I & my friends serve & befriended to shed some light on who they are from what you judge them to be:
Rose: Husband died, has 3 girls in college, house was reposessed, living in her car in shock. JF: 18 yrs old dumped out of the fostercare system because he no longer provided money to the family who housed him, totally unprepared & untrained to be on his own, works part time in a grocery store.
JJ: Horrible accident, many back surgeries & drug related afflictions, had to choose between her rent or paying her health insurance. She could not be without insurance, so lives without a home. Very vulnerable.
LG: Beloved wife died of cancer in his arms; son died of cocaine overdose same week. Buried both & wandered in his grief. Is a drunk in cancer pain himself, but builds bikes & repairs wheel chairs for homeless in need.
I could go on and on. In this economy, without any jobs in SB, & a state that is bankrupt, we are sure to face many, many more homeless. And of all the places to choose, as you and I did, it is the most beautiful, clean, medium weather: points they take into consideration for the safety of their nomadic lifestyle. We also have the least amount of services available. No women's shelter. No mom and child shelter.
Homelessness has been in this city since WW2. I have read articles from the 50's, 60's, 70's etc. A movie was even made about SB's homelessness in the 1970's. It is not going to go away. We need more people to reach a hand out & up to aide agencies in helping them get back up on their feet. We don't send street friends to over-burdened agencies, we care for them as we can ourselves & it is working. We are volunteers with compassion. In the last 6 months 10 have gotten off the streets or gone home with out help.
If each one of us would reach out to one person and get to know them and befriend them, you would find your judgement vanish and you might be useful in helping them recover or even save their life!
lifesaver (anonymous profile)
October 21, 2010 at 10:21 a.m. (Suggest removal)