The Brief

Inside a bright new building in the heart of Skid Row, homeless people hung out in a canopy-covered courtyard — some waiting to take a shower, do laundry, or get medication for addiction treatment. Others relaxed on shaded grass and charged their phones as an intake line for housing grew more crowded.

The Skid Row Care Campus officially opened this spring with ample offerings for people living on the streets of this historically downtrodden neighborhood. Pop-up fruit stands and tent encampments lined the sidewalks, as well as dealers peddling meth and fentanyl in open-air drug markets. Some people, sick or strung out, were passed out on sidewalks as pedestrians strolled by on a recent afternoon.

For those working toward sobriety, clinicians are on site to offer mental health and addiction treatment. Skid Row’s first methadone clinic is set to open here this year. For those not ready to quit drugs or alcohol, the campus provides clean syringes to more safely shoot up, glass pipes for smoking drugs, naloxone to prevent overdoses, and drug test strips to detect fentanyl contamination, among other supplies.

As many Americans have grown increasingly intolerant of street homelessness, cities and states have returned to tough-on-crime approaches that penalize people for living outside and for substance use disorders. But the Skid Row facility shows Los Angeles County leaders’ embrace of the principle of harm reduction, a range of more lenient strategies that can include helping people more safely use drugs, as they contend with a homeless population estimated around 75,000 — among the largest of any county in the nation. Evidence shows the approach can help individuals enter treatment, gain sobriety, and end their homelessness, while addiction experts and county health officials note it has the added benefit of improving public health.

“We get a really bad rap for this, but this is the safest way to use drugs,” said Darren Willett, director of the Center for Harm Reduction on the new Skid Row Care Campus. “It’s an overdose prevention strategy, and it prevents the spread of infectious disease.”

Despite a decline in overdose deaths, drug and alcohol use continues to be the leading cause of death among homeless people in the county. Living on the streets or in sordid encampments, homeless people saddle the health care system with high costs from uncompensated care, emergency room trips, inpatient hospitalizations, and, for many of them, their deaths. Harm reduction, its advocates say, allows homeless people the opportunity to obtain jobs, taxpayer-subsidized housing, health care, and other social services without being forced to give up drugs. Yet it’s hotly debated.

Politicians around the country, including Gov. Gavin Newsom in California, are reluctant to adopt harm reduction techniques, such as needle exchanges or supervised places to use drugs, in part because they can be seen by the public as condoning illicit behavior. Although Democrats are more supportive than Republicans, a national poll this year found lukewarm support across the political spectrum for such interventions.

Anthony Willis, who has an apartment on Skid Row, spends most of his time on the streets. He says he’s addicted to crack and alcohol.

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Angela Hart

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KFF Health News

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Los Angeles is defying President Donald Trump’s agenda as he advocates for forced mental health and addiction treatment for homeless people — and locking up those who refuse. The city has also been the scene of large protests against Trump’s immigration crackdown, which the president has fought by deploying National Guard troops and Marines.

Trump’s most detailed remarks on homelessness and substance use disorder came during his campaign, when he attacked people who use drugs as criminals and said that homeless people “have no right to turn every park and sidewalk into a place for them to squat and do drugs.” Health and Human Services Secretary Robert F. Kennedy Jr. reinforced Trump’s focus on treatment.

“Secretary Kennedy stands with President Trump in prioritizing recovery-focused solutions to address addiction and homelessness,” said agency spokesperson Vianca Rodriguez Feliciano. “HHS remains focused on helping individuals recover, communities heal, and help make our cities clean, safe, and healthy once again.”

A comprehensive report led by Margot Kushel, a professor of medicine at the University of California-San Francisco, this year found that nearly half of California’s homeless population had a complex behavioral health need, defined as regular drug use, heavy drinking, hallucinations, or a recent psychiatric hospitalization.

The chaos of living outside, she said — marked by violence, sexual assault, sleeplessness, and lack of housing and health care — can make it nearly impossible to get sober.

Skid Row Care Campus

The new care campus is funded by about $26 million a year in local, state, and federal homelessness and health care money, and initial construction was completed by a Skid Row landlord, Matt Lee, who made site improvements on his own, according to Anna Gorman, chief operating officer for community programs at the Los Angeles County Department of Health Services. Operators say the campus should be able to withstand potential federal spending cuts because it is funded through a variety of sources.

Glass front doors lead to an atrium inside the yellow-and-orange complex. It was designed with input from homeless people, who advised the county not just on the layout but also on the services offered on-site. There are 22 recovery beds and 48 additional beds for mostly older homeless people, arts and wellness programs, a food pantry, and pet care. Even bunnies and snakes are allowed.

John Wright, who goes by the nickname “Slim,” works as a harm reduction specialist at the new Skid Row Care Campus, a center that provides both harm reduction services and treatment for mental illness and substance use disorder.

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Angela Hart

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KFF Health News

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John Wright, 65, who goes by the nickname Slim, mingled with homeless visitors one afternoon in May, asking them what they needed to be safe and comfortable.

“Everyone thinks we’re criminals, like we’re out robbing everyone, but we aren’t,” said Wright, who is employed as a harm reduction specialist on the campus and is trying, at his own pace, to stop using fentanyl. “I’m homeless and I’m a drug addict, but I’m on methadone now so I’m working on it,” he said.

Nearby on Skid Row, Anthony Willis rested in his wheelchair while taking a toke from a crack pipe. He’d just learned about the new care campus, he said, explaining that he was homeless for roughly 20 years before getting into a taxpayer-subsidized apartment on Skid Row. He spends most of his days and nights on the streets, using drugs and alcohol.

The drugs, he said, help him stay awake so he can provide companionship and sometimes physical protection for homeless friends who don’t have housing. “It’s tough sometimes living down here; it’s pretty much why I keep relapsing,” said Willis, who at age 62 has asthma and arthritic knees. “But it’s also my community.”

Willis said the care campus could be a place to help him kick drugs, but he wasn’t sure he was ready.

Research shows harm reduction helps prevent death and can build long-term recovery for people who use substances, said Brian Hurley, an addiction psychiatrist and the medical director for the Bureau of Substance Abuse Prevention and Control at the Los Angeles County Department of Public Health. The techniques allow health care providers and social service workers to meet people when they’re ready to stop using drugs or enter treatment.

“Recovery is a learning activity, and the reality is relapse is part of recovery,” he said. “People go back and forth and sometimes get triggered or haven’t figured out how to cope with a stressor.”

Swaying public opinion

Under harm reduction principles, officials acknowledge that people will use drugs. Funded by taxpayers, the government provides services to use safely, rather than forcing people to quit or requiring abstinence in exchange for government-subsidized housing and treatment programs.

Los Angeles County is spending hundreds of millions to combat homelessness, while also launching a multiyear “By LA for LA” campaign to build public support, fight stigma, and encourage people to use services and seek treatment. Officials have hired a nonprofit, Vital Strategies, to conduct the campaign including social media advertising and billboards to promote the expansion of both treatment and harm reduction services for people who use drugs.

The organization led a national harm reduction campaign and is working on overdose prevention and public health campaigns in seven states using roughly $70 million donated by Michael Bloomberg, the former mayor of New York.

“We don’t believe people should die just because they use drugs, so we’re going to provide support any way that we can,” said Shoshanna Scholar, director of harm reduction at the Los Angeles County Department of Health Services. “Eventually, some people may come in for treatment but what we really want is to prevent overdose and save lives.”

Los Angeles also finds itself at odds with California’s Democratic governor. Newsom has spearheaded stricter laws targeting homelessness and addiction and has backed treatment requirements for people with mental illness or who use drugs. Last year, California voters approved Proposition 36, which allows felony charges for some drug crimes, requires courts to warn people they could be charged with murder for selling or providing illegal drugs that kill someone, and makes it easier to order treatment for people who use drugs.

Even San Francisco approved a measure last year that requires welfare recipients to participate in treatment to continue receiving cash aid. Mayor Daniel Lurie recently ordered city officials to stop handing out free drug supplies, including pipes and foil, and instead to require participation in drug treatment to receive services. Lurie signed a recovery-first ordinance, which prioritizes “long-term remission” from substance use, and the city is also expanding policing while funding new sober-living sites and treatment centers for people recovering from addiction.

‘Harm encouragement’

State Sen. Roger Niello, a Republican who represents conservative suburbs outside Sacramento, says the state needs to improve the lives of homeless people through stricter drug policies. He argues that providing drug supplies or offering housing without a mandate to enter treatment enables homeless people to remain on the streets.

Proposition 36, he said, needs to be implemented forcefully, and homeless people should be required to enter treatment in exchange for housing.

“I think of it as tough love,” Niello said. “What Los Angeles is doing, I would call it harm encouragement. They’re encouraging harm by continuing to feed a habit that is, quite frankly, killing people.”

Keith Humphreys, who worked in the George W. Bush and Barack Obama administrations and pioneered harm reduction practices across the nation, said that communities should find a balance between leniency and law enforcement.

“Parents need to be able to walk their kids to the park without being traumatized. You should be able to own a business without being robbed,” he said. “Harm reduction and treatment both have a place, and we also need prevention and a focus on public safety.”

Cindy Ashley hugs her companion dog on an afternoon in late May. She lost her housing due to the hospitalization and was homeless.

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Angela Hart

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KFF Health News

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Just outside the Skid Row Care Campus, Cindy Ashley organized her belongings in a cart after recently leaving a local hospital ER for a deep skin infection on her hand and arm caused by shooting heroin. She also regularly smokes crack, she said.

She was frantically searching for a home so she could heal from two surgeries for the infection. She learned about the new care campus and rushed over to get her name on the waiting list for housing.

“I’m not going to make it out here,” she said, in tears.

Federal prosecutors sent letters to county registrars across California on Friday demanding that local officials set aside and verify ballots that the Department of Justice said may belong to noncitizens, according to the Los Angeles County registrar and a letter obtained by The Associated Press.

The letters are the latest escalation in a legal battle between California and President Donald Trump’s Department of Justice, which has recently focused on the state in its efforts to root out noncitizen voting ahead of the midterm elections. Data shows illegal voting by people who aren’t U.S. citizens is incredibly rare, difficult to prove and has not been shown to change the outcome of races.

Earlier this month, the federal government targeted Los Angeles County and the California Secretary of State’s office in a lawsuit that aimed to block them from counting the votes of roughly 20,000 people who are “likely” noncitizen voters. A hearing on the case is scheduled for Tuesday.

The Trump administration asked the 9th Circuit court of appeals to rule on the lawsuit barring a decision from the district judge assigned to the case. They set a deadline for Saturday.

Now, according to the LA County registrar’s office, at least 18 counties across the state have received similar letters. They have been given a 48 hour deadline to provide identifying information corresponding with ballots that the federal government believes were sent to noncitizens illegally registered to vote. The letter requests that county officials also sequester any ballots where citizenship cannot be verified.

“Any election official who knowingly processes the ballot of a noncitizen is opening themselves to legal jeopardy,” said First Assistant U.S. Attorney Bill Essayli.

The Justice Department is asking counties to send information about the voters it suspects are noncitizens including social security numbers, ID information, a copy of their registration and more.

That information can help the government and state quickly assess each person suspected of illegally registering to vote, said the letter sent to San Bernardino County voting officials. The letter says the government’s list of suspected noncitizen voters includes 1,133 people from the inland Southern California county.

California’s secretary of state and the Los Angeles County registrar have opposed the federal government’s demands. In legal filings, lawyers for California say the request threatens to delay the certification of the vote and undermine the legitimacy of the November midterms. They have also argued that the federal government’s data is unreliable and that their demands risk disenfranchisement of citizens.

Voting is underway in California, with the state’s more than 23 million registered voters receiving ballots in the mail earlier this month. The state said in legal filings that over 330,000 mail-in ballots have already been counted.

The letters on Friday came on the heels of statewide sweep by federal authorities earlier in the week, where 28 people from the list of 20,000 were charged with illegally registering to vote. Some were also charged with illegally voting and lying on naturalization paperwork. Those charges could lead to years in prison.

The California State University faculty union is asking its members to authorize a strike, as negotiations with the California State University system remain stalled.

This summer, the California Faculty Association declared an impasse after 16 months of negotiation with the CSU. The union’s president said university officials negotiating with the union have “not been honest agents.”

If a majority of members approve the strike authorization, voting from Oct. 26 through Nov. 19, CFA leadership would be authorized to call a strike.

The union, which represents 29,000 professors and other university employees, is seeking salary increases, changes to faculty workloads and protections related to the use of artificial intelligence.

In recent weeks, CSU has reached tentative agreements with three unions: the Statewide University Police Association, the United Auto Workers Local 4123 and Academic Professionals of California. Together, the agreements cover 14,000 university employees.

The tentative agreements, which must be approved by union members and CSU’s Board of Trustees, include an 8% salary increase over two years, along with one-time raises negotiated by each bargaining unit.

It can be tough to be tall. I am 6 feet, hear me out.

And yes, complaining about being able to see over a crowd may sound silly. But height can be a love-hate relationship for many people, particularly towering women and children who feel like they just don’t fit in.

Well, that’s where a worldwide social club for tall people comes in, but whether it’ll reach its 100th birthday is in question.

Tall Clubs International is an organization spanning more than a dozen states and several countries that offers tall adults a chance to connect and commiserate. The original chapter, founded in Los Angeles in 1938, is called the California Tip Toppers.

To get into the L.A. group, men have to be 6 feet 4 inches or taller, and women have to be at least 6 feet. One of the tallest members of the organization is 7 feet 2 inches, and honestly, I couldn’t help but perk up at the opportunity to feel short for once in my life.

At 13, I was still growing at 5 feet 10, towering over almost every kid in my freshman high school class. One of the first questions people still ask me is whether I played volleyball or basketball, and I’ve learned to laugh at the look they get when I say I preferred theater.

“People see how tall you are, they expect ‘Oh, you're going to be great on the basketball court,’” said Michele Cripps, a 6-foot-1 member of the California Tip Toppers, who joined in 1996. She's married to William Walter Wiseman II, a fellow member. “Well, I'm sorry, white girls can't jump sometimes, and I'm one of them.”

Some of the tall club members are generational, encouraged to join by their parents or older relatives, which has started to pose its own problems as the chapters get older.

What’s the big deal anyways?

William Walter Wiseman II and Michele Cripps at the 2026 Tall Clubs International convention in Hollywood.

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Courtesy Michele Cripps and William Walter Wiseman II

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The chapters became a way for tall people to trade practical tips, like which stores sold pants that actually covered your ankles or shoes that didn’t need to be specially made.

“I was always being kidded about my pants being too short or my clothes not fitting correctly,” said Wiseman, who's nearly 6 feet 9 and also wasn’t much of a basketball player. “And as I grew as an adult, people are a little bit afraid to approach people that are tall.”

Wiseman has a good sense of humor about his height, cracking jokes that I’ve added to my arsenal when answering “how’s the weather up there?” But he doesn’t gloss over the pain points either — Wiseman can’t fit into cars or roller coasters, hotel beds are never long enough, and airplanes can be an expensive nightmare.

“It's not just the socialization of being tall, but it's also the physicality of it,” he said. “It's almost a handicap to be tall.”

Members of the Tall Club of Orange County at the 2026 convention.

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Courtesy Michele Cripps and William Walter Wiseman II

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Cripps said she was a skinny kid, but she couldn’t help but feel “huge” growing up a head above everyone else, which hurt her young self-esteem and made dating more difficult.

The clubs gave them both a chance to see eye to eye with a room full of people for the first time, and potentially even find a partner. Wiseman’s parents met in the Dayton Altitudians tall club in Ohio, decades before Wiseman and Cripps met through their own California clubs.

“The people that married inside the club stayed married,” said Wiseman, who lives in Torrance with Cripps. “The people that married outside of the club got divorced.”

A Dayton Daily News clipping of William Walter Wiseman II's father measuring tall teens in the Dayton, Ohio area from November 19, 1958. 

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Courtesy William Walter Wiseman II

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Future of the club in question

But now, the California Tip Toppers is having trouble bringing in new, younger members — a recruitment crisis that’s essentially dissolved groups in other areas, Wiseman said.

Members of the California Tip Toppers at the 2026 convention.

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Courtesy Michele Cripps and William Walter Wiseman II

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“We're facing the same challenges like all other clubs,” Cripps and Wiseman said, jumping in to finish each other’s thoughts. “Some of it could be generational. Some of it's that since COVID, the clubs have not been quite as active as they used to be. Some people [don’t have] homes to open up anymore … and we're all getting older.”

The club is at a crossroads: Get new members on board or fade away. The couple seems to have made it a mission to rejuvenate the California Tip Toppers, but Cripps was frank when she said they’re not sure how to get more people involved, whether it's fresh events or outreach opportunities.

At the end of the day, they’re hoping the club and the community it fosters can help others learn how to “stand tall” and be proud.

The clubs crown a new Miss Tall International at a formal pageant held during the annual convention. The former Miss Tall Clubs International that were at the 2026 convention from left to right: Susan Hopkins, 2019, from the Tall Club of Orange County, Martine Whitford, 1959, from the Los Angeles Higher Ups, Norma Forrest, 1996, from the Tall Club of Toronto and Mary Eleman, 2022, from the Central Arizona Tall Society.

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Courtesy Michele Cripps and William Walter Wiseman II

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Members of the Tall Clubs International convention committee.  From left to right: Barry Umbs from Milwaukee, William Walter Wiseman II from the California Tip Toppers, Jim Nelson from the Paramount Tall Club-Chicago and Michele Cripps from the California Tip Toppers.

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Courtesy Michele Cripps and William Walter Wiseman II

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“It’s a challenge, but it’s something that was given to us,” Cripps said. “I say as I've aged, I should have listened to my mother, I should have stood up tall.”

Moms everywhere, mine included, rejoice.

“Everybody wants to be something different than they have,” Cripps continued. “So, try and embrace what you have. Life is too short, and it goes too quick.”

Beyond the Rose Bowl and historic bungalows, Pasadena has stranger tales to tell. David Kalbeitzer has been seeking out those stories where rocket science meets the occult and ghosts haunt the city’s grandest buildings.

For Kalbeitzer, a Disney executive who investigates the paranormal in his free time, his fascination with the city’s mysterious side started when he bought a Victorian north of Old Town.

He sensed a spirit at the open house a dozen years ago and took it as a reason to move his family to Pasadena. Then he started learning the city’s history.

David Kalbeitzer, a paranormal investigator from Pasadena, is giving a talk about the city's strange history Saturday night in Old Town.

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Courtesy of David Kalbeitzer

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“I realized, ‘Oh, this place called us just as much as we were looking for it,’” he said.

On Saturday night, he’s sharing the lore he’s collected at Mesmer Mesmer an Old Town shop and event space. While the event is full, there’s a waitlist, and more talks featuring Kalbeitzer are in the works.

A city of ghost stories 

Ask Kalbeitzer about haunted Pasadena, and the list stretches from alleyways to the Colorado Street Bridge to Castle Green, the turreted former hotel overlooking Central Park.

“The Pasadena Playhouse theater is, you know, very haunted,” he added.

He says theatergoers have reported hearing disembodied voices.

Theatergoers over the years have described hearing voices and seeing apparitions at the Pasadena Playhouse.

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Jeff Lorch

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Courtesy of Pasadena Playhouse

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“And you look, and there’s no one there, or apparitions that have been seen sort of standing in the corner, and then you walk up, and they kind of disappear like shadowy figures,” he said.

As for the spirit that helped draw him to his current Pasadena home?

Kalbeitzer says she’s still around — and his psychic friend Michael Kouri shared her name: Dolores.

“It’s actually haunted by a very kind ghost that looks out for the house, protects my family and has been able to activate our alarm,” he said.

Having a Dolores in the house might send some people running, but Kalbeitzer said he grew up in a haunted house in Idaho Falls, Idaho.

And when his family moved to Charleston, South Carolina, a teenage Kalbeitzer started seeking out places known for paranormal activity.

Rocket science, ritual magic and mind-reading

Having lived in different neighborhoods in L.A., Kalbeitzer says there’s something uniquely otherworldly about Pasadena — and it goes beyond ghost stories.

He said the city has an energy that draws people exploring the unknown, perhaps most famously Jack Parsons.

The rocket pioneer who helped launch the Jet Propulsion Laboratory also practiced ritual magic at his Pasadena home with the likes of L. Ron Hubbard before he founded Scientology.

“Many people call it the occult," Kalbeitzer said. "I don’t know that I fully subscribe to that, but there is spiritualism and occult mixed in there."

Then there was Upton Sinclair, the muckraking author of The Jungle, whose interests while living in Pasadena extended to telepathy and séances.

Upton Sinclair, pictured with his wife Mary Craig Sinclair in 1935, several years after he published a book examining her reported telepathy.

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Los Angeles Times via Wikimedia Commons

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In 1930, Sinclair published Mental Radio, a book about experiments in mind-reading. Albert Einstein provided a preface. Yes, that Einstein, who would spend the following winter at Caltech expanding on the theories of relativity and cosmology.

“It’s the craziest mixture of things that were happening at that time and all of it at the same time,” Kalbeitzer said.

A presence in the shop 

The event couldn’t have found a more appropriate venue.

Since opening five months ago in Old Town, Mesmer Mesmer has embraced the dark and mysterious, offering tarot and crystal readings and hosting events on subjects such as hip-hop’s relationship with ghosts.

Tyke O'Brien opened her shop Mesmer Mesmer earlier this year to create a third space and offer books and esoterica alongside clothing.

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Tyke O'Brien

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At that event, a medium told owner Tyke O’Brien she could sense a presence in the shop, which formerly housed a bridal store.

“She goes, ‘Do you ever feel it?’ And I’m like, ‘I am such a bummer,” O’Brien recounted. “I wish I could say yes."

The same can be said for this writer who’s lived and worked in and around Pasadena for years without so much as a brush with the otherworldly.

Kalbeitzer, on the other hand, reports supernatural encounters all around town.

“Everyone has the ability to have those experiences," he said. "But I do think how you see yourself in the world has a lot more to do with it, and whether you want to have those experiences."