This report examines the operational challenges of the Skid Row Care Campus in Los Angeles and the broader systemic implications of California's homelessness strategies.

本報告旨在探討洛杉磯 Skid Row Care Campus 的運作挑戰，以及加州無家者策略在系統面上的更廣泛影響。

The Skid Row Care Campus, situated at 442 S. Crocker Street, functions as a harm-reduction health hub funded by Los Angeles County and operated by a consortium of nonprofit entities, including Homeless Health Care Los Angeles, Social Model Recovery Systems, and Wesley Health Centers. With an annual operational expenditure of approximately $26 million, the facility provides medical services, hygiene facilities, and case management. However, the site has become a focal point of contention due to a reported escalation in criminal activity. Data indicates that the Los Angeles Police Department responded to nearly 700 calls within the 400 and 500 blocks of Crocker Street during the current year, with four homicides recorded in the first quadrimester of 2026. Stakeholders, including the Downtown Industrial District Business Improvement District, have characterized the surrounding environment as one of systemic disorder, citing open-air narcotics distribution and public health crises.

Skid Row Care Campus 位於 S. Crocker Street 442 號，是一個由洛杉磯郡資助、由非營利組織財團（包括 Homeless Health Care Los Angeles、Social Model Recovery Systems 及 Wesley Health Centers）營運的減害健康中心。該設施年運作支出約 2,600 萬美元，提供醫療服務、衛生設施及個案管理。然而，由於據報犯罪活動升級，該地點已成為爭議焦點。數據顯示，洛杉磯警察局在今年內處理了約 700 起位於 Crocker Street 400 及 500 街區的報案，並在 2026 年第一季記錄了四起謀殺案。包括市中心工業區商業改善區（Downtown Industrial District Business Improvement District）在內的利益相關者，將周邊環境描述為系統性失序，並舉出公開販毒與公共衛生危機為例。

Institutional responses to these conditions remain divergent. Councilmember Ysabel Jurado has defended the campus as a necessary provision of dignity and essential services for a neglected population, arguing against the criminalization of poverty. Conversely, Mayor Karen Bass has acknowledged the associated problems and indicated that discussions with county officials are underway to resolve them. The County of Los Angeles maintains that it has augmented security and outreach efforts to mitigate these externalities.

制度對此類情況的反應仍分歧。市議員 Ysabel Jurado 為該校園辯護，認為對於被忽視的人群而言，提供尊嚴與基本服務是必要的，並反對將貧窮刑事化。相反，市長 Karen Bass 承認相關問題，並表示正與郡政府官員討論解決方案。洛杉磯郡則堅持其已加強保安與外展工作，以緩解這些外部影響。

On a systemic level, these localized failures are framed by some analysts as a consequence of the 'Housing First' mandate adopted by California in 2016. This policy framework prioritizes permanent subsidized housing without requiring sobriety or behavioral compliance. Critics, such as Michele Steeb, posit that the decoupling of housing from accountability and clinical treatment has precipitated a decline in public order and environmental stability. In Sacramento, this manifestation is evidenced by the removal of millions of pounds of waste from waterways and a reported doubling of the mortality rate among the homeless population over a three-year period. The tension between harm-reduction ideologies and the necessity for behavioral accountability remains a central conflict in the administration of California's social services.

在系統層面上，部分分析師將這些局部失敗視為加州在 2016 年採取的「住房優先」（Housing First）指令的後果。該政策框架優先提供永久性補貼住房，而不要求戒癮或行為合規。批評者如 Michele Steeb 認為，將住房與問責及臨床治療脫鉤，導致了公共秩序與環境穩定性的下降。在薩克拉門托，這一現象體現在水道中清理出數百萬磅廢棄物，以及據報無家者人口的死亡率在三年內翻倍。減害意識形態與行為問責必要性之間的緊張關係，仍是加州社會服務管理的核心衝突。

The current situation is characterized by a conflict between the implementation of harm-reduction services and the resulting challenges to public safety and environmental health in urban centers.

目前的情況特徵為減害服務的實施，與隨之而來的城市中心公共安全及環境健康挑戰之間的衝突。