There’s something jarring about walking towards the U.S. Capitol and being surrounded by rows of tents that so many District of Columbia residents call home. Just blocks from the White House, there are encampments of people living without adequate shelter, access to food, or healthcare. In a city rich with resources and arguably the center of power in the United States, nowhere is it more obvious where we as a nation have made the political choice to intentionally value certain lives over others.

Dear Student Coalition, 

The application process is now open, and all students are invited to apply for the 2022-2023 Street Medicine Institute Student Coalition (SMISC) Leadership Team! You will find the application link at the bottom of this message.

I will be the first to admit it. Even though I am a “child of the sixties”, my personal and professional life have generally followed the straight and narrow. Yet, I always felt motivated by the challenging words and actions of John F. Kennedy, Martin Luther King, Jr, St. Teresa of Calcutta, and Paul Farmer. And, what about the admonition from the New Testament: “Whatsoever you do to the least of my brothers and sisters, so you do unto Me”? Even my high school teacher charted my trajectory with the adage “To whom much is given, much is to be expected”.

Dr. Kaitlin Schwan is Executive Director of the Women’s National Housing and Homelessness Network and a Senior Researcher at the Canadian Observatory on Homelessness. She teaches social policy at the University of Toronto’s Faculty of Social Work, where she is appointed Assistant Professor, Status Only. She is the former Senior Researcher for the UN Special Rapporteur on the Right to Adequate Housing and Director of Research for The Shift, where she worked in countries around the world to advance the right to housing. Dr. Schwan completed her PhD in Social Work at the University of Toronto in 2016 and has over 15 years of research and policy practice focused on homelessness prevention and human rights, particularly for women and youth. She uses research to build bridges between evidence, advocacy, policy, and lived expertise to advance housing justice in Canada and internationally.  

As we approach the 18th International Street Medicine Symposium in Toronto this September, we thought it would be a good time to provide some background on our annual meeting. Around 2004, I was approached by a funder who wanted to support the replication of the “Operation Safety Net model” of street care. Although not entirely unique, it was one of only a few programs truly committed to full time medical street work. The first other program I learned about was Calcutta Rescue under the leadership of Dr. Jack Preger in India. When I visited Jack in December of 1993, the experience was an epiphany. I will never forget the feeling of realizing I was not alone. Prior to that, I thought I might be the only physician crazy enough to provide medical care under bridges. Even though Pittsburgh and Kolkata were radically different, the same forces of exclusion and the same passion for social justice were obvious. Not long thereafter, I learned of the Boston Healthcare for the Homeless program and the pioneering work of Jim O’Connell and his colleagues. After visiting them on street rounds, I knew this was a new field of medicine – even if it did not yet have a name.

Now in its second year, the Seed Grant program has been designed to assist eligible entities in the creation of new Street Medicine programs in their local communities. The program facilitates and enhances the direct provision of health care to the unsheltered homeless where they live by providing communities and clinicians with expert training, guidance, and support to develop and grow their own Street Medicine programs. This year, we were delighted to have received over twenty deserving and qualified applications.

We invite you to review our 2021 annual report, outlining our accomplishments and activities for the year.