The street psychiatrist: Earning trust with vulnerable patients

Street psychiatrist Liz Frye sees her caregiving work as a kind of apology for the traditional health care system’s shortcomings.

Mar 19, 2025 - 09:35
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The street psychiatrist: Earning trust with vulnerable patients

When psychiatrist Liz Frye first encounters a potential patient, she knows she is entering the conversation at a disadvantage. She works with people who are unhoused and living on the streets — many who’ve likely had negative experiences with health care workers in the past. 

“It’s important for me to offer a different experience for the person sleeping outside and to recognize that they have no reason to trust me,” said Frye, who has been a street psychiatrist for 16 years, first in Atlanta and more recently, in Pittsburgh. She is also chair of the board of directors at the Street Medicine Institute.

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