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Overview of Permanent Supportive Housing and Recovery Support. Webinar - June 15, 2011, 2-3:30 pm ET. Webinar Agenda. 2:00 Logistical Announcements 2:05 Welcome Message 2:10 Presentations 3:05 Question & Answer Session 3:30 Conclude Webinar.

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overview of permanent supportive housing and recovery support

Overview of Permanent Supportive Housing and Recovery Support

Webinar - June 15, 2011, 2-3:30 pm ET

webinar agenda
Webinar Agenda

2:00 Logistical Announcements

2:05 Welcome Message

2:10 Presentations

3:05 Question & Answer Session

3:30 Conclude Webinar

asking questions
We invite you to ask questions using the Q&A box at the top of your screen. The presenters will answer as many questions as possible at the conclusion of the presentations. Asking Questions
learning objectives
Learning Objectives
  • Become familiar with the core elements of SAMHSA\'s Permanent Supportive Housing Evidence-Based Practices KIT (PSH Toolkit).
  • Understand how to best align your program with the core elements of the PSH toolkit.
learning objectives1
Learning Objectives

Be able to identify the issues that need to be addressed, the questions to ask, and the stakeholders who need to be engaged during the planning and development of a permanent supportive housing program.

dr fran randolph
Dr. Fran Randolph
  • Director of the Division of Services and Systems Improvement in the Center for Mental Health Services, SAMHSA
ann v denton
Ann V. Denton

Director, SAMSHA’s Services in Supportive Housing Technical Assistance Center

samhsa s permanent supportive housing evidence based practices toolkit
SAMHSA’s Permanent Supportive Housing Evidence-Based Practices ToolKIT.

http://store.samhsa.gov/product/SMA10-4510?WT.ac=AD20100918HP_SMA10-4510

slide14

A consumer’s need for housing

is no different than

your need for housing.

what is permanent supportive housing
What is Permanent Supportive Housing?

Decent, safe, and affordable

community-basedhousing

that provides residents with

the rights of tenancy

under state/local landlord tenant laws

and is linked to

Voluntary, flexible support and services

designed to meet residents’ needs and preferences.

supportive housing philosophy
Supportive Housing Philosophy

People with serious mental illnesses and other disabilities have the same rights and opportunities as all citizens to choose, obtain, and live in regular community housing.

People have the right to receive, refuse, and direct their own support services.

core elements

Access: Housing First

Permanent: Rights of Tenancy

Safe, decent, affordable

Integrated

Separates housing from services

Provides choice

Tailored services

Core Elements
housing first
Housing First
  • Access, support, retain housing.
  • Everything else follows:
    • Make return to permanent housing immediate.
    • People move directlyinto affordable rental housing in residential areas from shelters, streets, or institutions.
    • Home-based services are provided as long as needed.
permanent rights of tenancy
Permanent: Rights of Tenancy

Residents have full legal rights in a tenant-landlord relationship.

Tenants are responsible to abide by the normal standards of behavior/conduct outlined in a lease.

Distinct from “program” rules.

Permanent: length of stay is determined by the agreement between the landlord and tenant.

safe decent affordable
Safe, Decent, Affordable

Meets Housing Quality Standards

housing affordability
Tenants/residents pay a reasonable amount of their income towards rent and utilities.

HUD affordability guidelines = 30% of adjusted income for housing expenses.

Reality: People on SSI often pay 60 - 80% of their income towards housing that is substandard.

Housing Affordability
integration
Integration

Housing is located in regular residential areas.

Housing is scattered site: Large, homogeneous, congregate sites can become mini-institutions; or

Mixed populations in the building or neighborhood: avoid the creation of mental health ghettoes.

Tenants participate in community activities and receive community services.

Natural supports are encouraged.

permanent supportive housing models
Scattered – site

Individual units dispersed throughout an area

Apartments, condos, single family houses

Owned or leased

Conforms with local zoning

Permanent Supportive Housing Models
permanent supportive housing models1
Single-site mixed-population

Large building or complex with multiple units

Serves more than one type of tenant:

Low income families

People with mental health problems

Seniors

Students

Homeless adults

Often includes “set-asides” for specific target group(s)

Can be owned or “master-leased” by housing agency

Permanent Supportive Housing Models
services
Services

It is not “placement.”

It is not a cookie-cutter approach.

tailored services
Services in supportive housing are

Individualized

Voluntary

Recovery-focused

Ongoing, shoulder-to-shoulder

Flexible: type, location, intensity & frequency of services meet changing needs of resident.

Include risk management and crisis planning.

Tailored Services
slide29

Separation of Housing & Services

  • Participation in specific support services is NOT required in order to get or keep housing.
  • Various approaches:
    • Legal separation between housing management and service delivery.
    • Functional separation – Distinct housing and service staff roles.
    • Operational separation – Service providers are based off-site.
samhsa toolkits
SAMHSA ToolKITs

SAMHSA’s ToolKITs, including the PSH ToolKIT, offer states, providers, consumers and family members resources to implement and assess clinical practices that work!

support for evidence based practices
Support for Evidence-Based Practices

“The emphasis on implementing evidence-based practice (EBP) stems from a consensus that a gap exists between what we know about effective treatments and the services currently offered.”

SAMHSA. Permanent Supportive Housing: How to Use the Evidence-Based Practices KITS. HHS Pub. No. SMA-10-4509, Rockville, MD: CMHS, SAMHSA, U.S. Department of Health and Human Services, 2010, page 1.

support for evidence based practices1
Support for Evidence-Based Practices

Evidence-based practices are linked to predictable, beneficial outcomes for participants.

If those outcomes are desired in your system, then implementation of the evidence-based practice is a necessary step!

Implementation must be accomplished with attention to “fidelity” to the model.

psh fidelity
PSH Fidelity

The Permanent Supportive Housing ToolKIT, in “Evaluating Your Program,” offers a fidelity scale.

The purpose of the fidelity scale is to offer providers and communities the opportunity to conduct a self-assessment.

dimensions of psh fidelity
Dimensions of PSH Fidelity
  • Choice
  • Separation of housing and services
  • Decent, safe, and affordable housing
  • Integration
  • Access to housing
  • Flexible, voluntary services
joseph tardella
Joseph Tardella
  • Executive Director, Southwest Counseling Solutions, Detroit, Michigan
the detroit experience
The Detroit Experience

Learning objectives:

  • Identify the issues to be addressed, the questions to be answered, the tasks to be completed and the stakeholders to be engaged when planning a PSH program
  • Understand how best to align your program with the PSH Toolkit
the detroit experience1
The Detroit Experience

What HMIS tells us about Detroit:

  • In 2010, over 20,000 unduplicated individual/families we’re served
    • 12,600 individuals, 7,400 individuals living in families
    • 5% increase over 2009
  • 4,700 PSH units
the detroit experience organizational planning
The Detroit Experience: Organizational Planning
  • Identify the need
  • Identify who you intend to serve
the detroit experience organizational planning1
The Detroit Experience: Organizational Planning

Articulating your permanent supportive housing solution

the detroit experience organizational planning2
The Detroit Experience: Organizational Planning

Assessing organizational readiness

the detroit experience organizational planning4
The Detroit Experience: Organizational Planning

Build it, Buy it, Partner for it

the detroit experience organizational planning7
The Detroit Experience: Organizational Planning

Single site housing considerations

the detroit experience organizational planning8
The Detroit Experience: Organizational Planning

Scattered site housing considerations

the detroit experience organizational planning10
The Detroit Experience: Organizational Planning

Developing your service delivery model

samhsa s permanent supportive housing evidence based practices toolkit1
SAMHSA’s Permanent Supportive Housing Evidence-Based Practices ToolKIT.

http://store.samhsa.gov/product/SMA10-4510?WT.ac=AD20100918HP_SMA10-4510

for more information
For More Information:

Ann Denton, Director of SAMHSA’s Services in Supportive Housing Technical Assistance Center

[email protected]

Joseph Tardella, Executive Director, Southwest Counseling Solutions

[email protected]

Justine Hanson, Deputy Project Director, SAMHSA’s Homelessness Resource Center

[email protected]

upcoming webinar
Upcoming Webinar

June 21, 2-3:30 pm ET

“Financing of Permanent Housing for Individuals with Co-Occurring Mental and Substance Use Disorders: Challenges, Successes, and Lessons Learned”

Register: https://www.mymeetings.com/emeet/rsvp/index.jsp?customHeader=mymeetings&Conference_ID=7580617&passcode=5820599

thank you
Thank you for your participation in

today’s SAMHSA webinar. Materials from today’s presentation will be available on SAMHSA’s Homelessness Resource Center website within 7 days: http://homeless.samhsa.gov/

Click “Training”  “HRC Webcast Presentations”

Thank You
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