SKID ROAD

JOSEPHINE ENSIGN

The Skid Road podcast amplifies a diversity of voices about homelessness and displacement in Seattle and in my hometown of Richmond, Virginia. The podcast series challenges us to learn from the past, from people with the lived experience of homelessness and displacement, and from people tasked with addressing homelessness in order to make more informed policy and program choices.

Episodes

  1. 09/30/2025

    A Conversation with Liz Rambus, RN

    Of all the oral history interviews I've done with people over the years, my conversation back in November 2017 with Liz Rambus best highlights what community health nursing can be, what the work can do to make a difference in the lives of people marginalized by poverty and racism. In this interview, Liz talks about her personal path into community health nursing and her work as a community health nurse with the Seattle Indian Health Board. She stayed in that job for many years and became a highly valued member of the health and social care team. (Her community health nursing position is open in case you know good nurses interested in applying.) Liz speaks of the importance of access to basic health care, respite care, permanent supportive housing, harm reduction services, empathy and community-building efforts. "We need a lot more education for people to learn to live together in this community and stop pushing aside the most vulnerable." It's heartbreaking (and infuriating) to me now to re-listen to her interview and what she says about the positive effects of ACA ("Obamacare") in expanding healthcare access for the Indigenous patients she cared for. Washington State was an early adopter of the Medicaid expansion made possible by the ACA. Those gains in healthcare access are being erased by the current Trump administration. Taking away people's access to healthcare (affordability and enhanced program expansion to health-promoting resources like supportive housing) certainly does not make America healthy again. These rollbacks of Medicaid across our country disproportionately affect the most vulnerable people in our society. It also affects working-class families.

  2. 1d ago

    A Conversation with Rev Rick Reynolds

    Here is my Skid Road project interview with Rev Rick Reynolds on March 6, 2017. 'Rev Rick' talks about how he became involved in street ministry and Operation Nightwatch, and what he has learned from his decades of work. One piece of wisdom he shares in this interview, included in my "Listening to Skid Road" 25-minute video (edited by Jill Freidberg in 2018), is this: The housing first model really makes sense, and I think it takes a lot of convincing people who aren't current in the science of it, or haven't thought it through much. Well, even some of the people in recovery that I know sometimes feel as though the Housing First model rewards bad behavior. But I keep thinking there's a lot of folks in housing that still struggle with mental health and addiction disorders. It's a lot easier to deal with when you're inside than when you're sleeping in the jungle or in a sort of tenuous shelter situation." As Housing First continues to be blamed for the increasing number of people experiencing various forms of homelessness in Seattle, it's important to listen to experts like Rev Rick. Also, it's important to remember that Housing First requires ongoing, excellent supportive services, including behavioral health, ideally co-located in the housing. Those services are expensive and too often lose funding or experience high staff and agency turnover. Housing First, done right, works for many people experiencing chronic homelessness. But it is not a panacea, as we are seeing here in Seattle. We still need emergency and longer-term shelter options for people, and much better access to street-based, outpatient, and inpatient behavioral health services.

About

The Skid Road podcast amplifies a diversity of voices about homelessness and displacement in Seattle and in my hometown of Richmond, Virginia. The podcast series challenges us to learn from the past, from people with the lived experience of homelessness and displacement, and from people tasked with addressing homelessness in order to make more informed policy and program choices.