Annual Trends Among the Unsheltered in Three Los Angeles Neighborhoods: The Los Angeles Longitudinal Enumeration and Demographic Survey (LA LEADS) 2024 Annual Report
RAND Health Quarterly, 2025; 13(1):8
RAND Health Quarterly, 2025; 13(1):8
RAND Health Quarterly is an online-only journal dedicated to showcasing the breadth of health research and policy analysis conducted RAND-wide.
More in this issueSince fall 2021, RAND researchers have conducted ongoing enumerations and surveys of people experiencing unsheltered homelessness in three Los Angeles, California, neighborhoods: Hollywood, Skid Row, and Venice. These data were obtained to provide policymakers with a deeper understanding of trends in the number of, demographics of, and services being provided to unsheltered people in areas known to be epicenters of the homelessness crisis in Los Angeles.
The most recent full year of results from the ongoing Los Angeles Longitudinal Enumeration and Demographic Survey (LA LEADS) study revealed a meaningfully different picture of unsheltered homelessness in 2024 compared with past years. The number of unsheltered people declined, likely driven by increased throughput to interim and permanent housing assets. However, multiple measures of acuity among people remaining on the street appear worse, suggesting that extending the past year's progress may require additional strategies.
The most recent full year of results from the ongoing Los Angeles Longitudinal Enumeration and Demographic Survey (LA LEADS) study, a unique longitudinal study combining bimonthly enumerations and annual surveys of individuals experiencing unsheltered homelessness in three neighborhoods in Los Angeles, California—Hollywood, Skid Row, and Venice—revealed a meaningfully different picture of unsheltered homelessness in 2024 compared with past years. The number of unsheltered people declined, likely driven by increased throughput to interim and permanent housing assets. However, multiple measures of acuity among people remaining on the street appear worse, suggesting that extending the past year's progress may require additional strategies.
Our enumerations show that the number of people living on the streets in the LA LEADs study area dropped significantly in 2024 for the first time since the project began in 2021. Unsheltered homelessness across these three areas fell by more than 15 percent (500 people) in total. In the race to bring everyone indoors, this is an encouraging finding relative to two prior years of flat or growing unsheltered populations. However, a closer examination reveals that the relationship between this progress and specific city or regional policies remains unclear.
Geographically, a nearly 700-person decrease in the combined unsheltered populations of Hollywood (a 49-percent decline) and Venice (a 22-percent decline) was offset by a 170-person increase in Skid Row (9 percent). In Skid Row, a decrease in the average age of unsheltered residents, a decline in reported time on the streets, and an increase in reporting eviction as a cause of current homelessness suggest that there has been significant turnover in the unsheltered population but that, on net, outflows remained lower than inflows over the past year.
Demographically, rough sleeping (i.e., living literally unsheltered without a tent, makeshift shelter, or vehicle) showed no significant decline in any of the three LA LEADs neighborhoods. This most vulnerable form of unsheltered homelessness is also the most common in our study area, representing about 40 percent of the total unsheltered population that we enumerated as of December 2024. Of the remaining tent encampments in our combined study area, 80 percent are in Skid Row.
There is good reason to believe that some of these trends may be linked with at least two high-profile city policies—Inside Safe encampment resolutions (which move people from targeted encampments to hotels and motels for temporary housing and services) and the enforcement of the Los Angeles Municipal Code's 41.18 anticamping ordinance (which provides for the relocation or removal of persons dwelling in specified public areas). But the strength of such a connection is difficult to pin down. Record numbers of Inside Safe encampment resolutions are consistent with Hollywood's 2024 decline, but Venice saw virtually no engagements related to that initiative. Meanwhile, the equivalent of 12 percent of Skid Row's unsheltered population was cited for Los Angeles Municipal Code 41.18 violations in 2024, yet that neighborhood's unsheltered homeless population grew.1 Thus, crediting changes in unsheltered homelessness to specific programs—or understanding the relationship of those changes to new inflows of people—requires more study.
Regardless of its cause, the shift away from tent-dwelling toward rough sleeping presents clinical, tactical, and strategic challenges that the homelessness services system must address if 2024's progress is to continue. Clinically, already strained service providers may become further challenged as their average client becomes more vulnerable from the unique tolls of sleeping rough. Tactically, street outreach teams will likely become less efficient as their average client becomes more mobile and thus harder to maintain contact with. Strategically, encampment-based housing initiatives will become less effective as the number of encampments declines. Indeed, evidence for all of these shifts is already emerging in our demographic surveys.
We expanded our demographic survey effort in 2024 to more than double the number of respondents compared with 2023, allowing us to obtain more-reliable data on the unsheltered populations of Hollywood, Skid Row, and Venice. Notable findings from this year include the following:
On balance, our survey results point to either no change or a decline in multiple markers of well-being. While most of the population continues to express interest in becoming housed, the level of housing placement assistance remains low. Combined with evidence from our enumerations, these results suggest that additional policies will be needed to extend 2024's success. We hope the data and analyses presented here will help policymakers, service providers, and the broader community in the effort to create such policies.
Our findings support two overarching recommendations:
This research was supported by the Lowy Family and conducted in the Community Health and Environmental Policy Program within RAND Social and Economic Well-Being.
More in this issueRAND Health Quarterly is produced by the RAND Corporation. ISSN 2162-8254.
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