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The Cottages At Hickory Crossing Dallas’ Premier Model of Permanent Supportive Housing A Status Report January 2011. Partners. Metrocare Services : Behavioral health services, fiscal agent Central Dallas CDC : Housing development CitySquare : Case management, public relations lead

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The Cottages

At Hickory Crossing

Dallas’ Premier Model of Permanent Supportive Housing

A Status Report

January 2011


Partners
Partners

  • Metrocare Services: Behavioral health services, fiscal agent

  • Central Dallas CDC: Housing development

  • CitySquare: Case management, public relations lead

  • UT Southwestern: Program evaluation

  • Metro Dallas Homeless Alliance: Intake & referral

  • Dallas County Criminal Justice: Liaison to courts

  • Supporting Partners

    • Funding leadership:

      • W.W. Caruth, Jr. Foundation

      • Meadows Foundation

    • Project management:

      • Corporation for Supportive Housing


Project objective
Project Objective

The Cottages at Hickory Crossing:

A model permanent supportive housing community

  • Goal: Develop and implement Texas’ premier model of permanent supportive housing, providing:

    • On-site access to most services

      …including high-quality healthcare and social services

    • Integration of services

      …a team approach to housing, healthcare and social services

    • Improved behavioral health and physical health outcomes

      …and quality of life of individuals served by the program

    • Cost savings to taxpayers

      …through reduced expenditures on public safety, behavioral health and healthcare

    • Ongoing research and evaluation

      …of program and clinical outcomes to guide future programs


Project concept
Project Concept

  • Target Population:

    • Chronically homeless who are involved in the criminal justice system, mentally ill, and/or have substance abuse issues

  • Three-year Pilot:

    • 50 units of permanent supportive housing with continued operation thereafter

  • Evidence-Based Service Design:

    • Housing-first, integrated clinical and social services

  • Rigorous Evaluation:

    • Including housing stability, public costs, and behavioral health outcomes



Unit design
Unit Design

bcWorkshop has developed a model for sustainable urban living,

balancing living space with open space.


Tenant selection
Tenant Selection

  • Tenants will be referred by:

    • MDHA via The Bridge

    • The Dallas County criminal justice system

  • Selection criteria include:

    • Chronically Homeless

    • Severe and persistent mental illness

      • Schizophrenia, bipolar disorder

      • Usually complicated by substance use history

    • High cost to the public due to use of:

      • County jail

      • Homeless shelters

      • Emergency rooms


Pilot project
Pilot Project

  • W.W. Caruth, Jr. Foundation funded a transitional housing program that offered:

    • Immediate relief for overcrowding at The Bridge

    • An opportunity to pilot clinical approaches to this challenging population

  • Program Characteristics:

    • Duration: February 2009 to November 2010

    • Total enrollments: 142

    • Clients (“Phase 1” only = 97 clients):

      • Male - 73%

      • African American - 69%; Hispanic – 5%

      • Bipolar – 46%; depression – 42%; schizophrenia – 12%


Pilot project outcomes
Pilot Project Outcomes

  • Housing Outcomes:

    • Total permanent placements: 78 (55%)

    • Unsuccessful admissions: 47 (33%)

      • 60% of these were in program’s first six months

    • Left without being placed: 17 (12%)

  • Functional Outcomes:

    • Mental health symptoms decreased for all diagnoses

    • ER visits: down 67% at 120 days

    • Hospital days: down 67% at 90 days

    • Jail days: down 80% at 120 days


Pilot project outcomes1
Pilot Project Outcomes

  • Financial Outcomes:

    • Cost per client served: $ 9,400

    • Cost per successful placement: $17,000

    • Comparison of average monthly program costs:

      • Pilot project: $ 1,400

      • Jail: $ 1,950

      • Hospital: $ 12,000

  • Community feedback:

    • From CitySquare staff: “a marked difference between how well former COE residents are doing in permanent housing compared to the residents from shelters.”


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