01/27/2026
Founded in 2005, the Downtown Emergency Service Center’s 1811 Eastlake facility houses 75 formerly homeless adults diagnosed with chronic alcohol use disorders. The supportive housing model combines stable housing with onsite medical and case management services to support residents’ overall well-being.
On the second floor of the Downtown Emergency Service Center's facility, there's balcony garden with sculptures, flowers, an avocado tree and a cat sunning himself.
That's thanks to 72-year-old UW Medicine patient Randy Critz, who has remade the space that used to be where residents discarded items. Now, it offers him a source of calm. Much like the garden, Critz’s life has been transformed with careful tending. It’s a 20-year journey that has demanded both personal determination and care at Harborview Medical Center.
In 2007, he was hospitalized for a stroke that had caused temporary blindness in one eye. The care teams at Harborview have also treated his pneumonia, repaired a hernia, removed an appendix, performed colonoscopies and, recently, fixed an injured finger.
Along with improved physical health, Critz has found peace and purpose through his hobbies and his role as a respected elder.
Dr. Aynsley Duncan oversees medical care those living in the facility. She says that the best part of her job is "seeing people living their lives, which is a true privilege. The most rewarding part is really our patients, who are some of the most creative, resilient and hardworking people I've ever met.”
A supportive housing facility sitting next to I-5 in downtown Seattle might not be the first place you’d look for a brightly decorated, serene oasis.