Point-in-Time count shows sharp rise in unincorporated unsheltered population; officials warn of methodological limits

Sacramento County
nnounced the results of the 2026 Point-in-Time (PIT) count on June 9, reporting an estimated 1,140 people experiencing unsheltered homelessness in the unincorporated county, up from 561 reported in 2024.

Trent Simmonds, interim CEO of Sacramento Steps Forward, the countycontinuum-of-care lead, described the PIT methodology: teams canvass a mix of pre-identified high-density tracks and randomly sampled low-density tracks to produce a statistically weighted estimate. He told the board the 2026 count deployed about 779 trained volunteers and logged more than 1,200 service contacts during canvassing.

Simmonds cautioned that PIT is a point estimate with known limitations — seasonal and weather-related visibility, volunteer coverage and differing intake practices at shelters can all change the results. "The count captures visibility," he said; "weather, volunteer coverage and methodology affect the estimate." He added that combining job loss, eviction and cost-of-living responses shows about 52% of self-reported drivers are economic or housing-related.

Supervisors and public commenters pressed for deeper, longitudinal analysis and asked staff to pair PIT data with HMIS, shelter intake and outreach case records to target interventions and better evaluate providers. Several supervisors suggested targeted follow-up interviews and a sample panel for deeper qualitative study. Trent and Emily (Dept. of Homeless Services and Housing) said staff are pursuing improved data integration and will provide updates on street-medicine partnerships, EMS-administered M.A.T. (medication-assisted treatment) and coordination with justice-involved services.

The board discussed ways to better use the PIT window to deliver immediate services through outreach and navigation teams, and requested a clearer roll-up of shelter and unsheltered figures for the county. Officials noted that while the statewide PIT trend is a roughly 2.8% decrease, local results vary by jurisdiction and data context.

What happens next: staff said they will pursue better HMIS and multi-agency data linkage, provide written summaries of street-medicine and One Community Health partnerships, and explore targeted sampling for richer qualitative follow-ups. The PIT estimate will be used in state and federal reporting and to inform county homelessness strategy.