Carol Wilkins Corporation for Supportive Housing [email protected] Housing Strategies For the CSAT Treatment for Homeless Persons Grantee Meeting June 2, 2003. MISSION CSH helps communities create permanent housing with services to prevent and end homelessness.
CSH helps communities create permanent housing with services to prevent and end homelessness.
For more information and resources to help in your community
visit our web site www.csh.org
Past abuse, domestic violence
Unemployed / Underemployed
Children with behavioral problemsWhy Do People Become Homeless?
In 2000, people with disabilities receiving SSI needed to pay – on a national average – 98% of their SSI benefits to rent a 1-bedroom apartment
In 2000, there was not one single housing market in the country where a person with a disability receiving SSI benefits could afford to rent a modest efficiency or 1-bedroom unit
Because of their extreme poverty, the 3.5 million non-elderly people with disabilities receiving SSI benefits cannot afford decent housing anywhere in the country without some type of housing assistance
Source: Technical Assistance Collaborative Priced Out in 2000: The Crisis ContinuesPeople Disabled by Mental Illness and/or Substance Abuse Problems Are Priced Out of Housing
Supportive Housing is pay – on a national average – 98% of their SSI benefits to rent a 1-bedroom apartment
PERMANENT AFFORDABLEHOUSINGcombined with a range of
PEOPLE WITH SPECIAL NEEDS
live stable and
lives.WHAT IS SUPPORTIVE HOUSING?
HOUSING pay – on a national average – 98% of their SSI benefits to rent a 1-bedroom apartment
PERMANENT: Not time limited, not transitional;
AFFORDABLE: For people coming out of homelessness; and
INDEPENDENT: Tenant holds lease with normal rights and responsibilities.
FLEXIBLE: Designed to be responsive to tenants’ needs;
VOLUNTARY: Participation is not a condition of tenancy; and
INDEPENDENT: Focus of services is on maintaining housing stability.COMBINES HOUSING AND SERVICES
Apartment buildings exclusively housing formerly homeless individuals and/or families.
Rent subsidized apartments leased in open market.
Apartment buildings with mixed income households, including the formerly homeless.
Long-term set aside of units within privately owned buildings.
Services integrated within existing affordable housing developments.
Single family homes, including shared housing environments.SUPPORTIVE HOUSING TYPES
People who are homeless or individuals and/or families.
at-risk for homelessness
- and -
face persistent obstacles
to maintaining housing,
such as mental health issues,
substance use issues,
other chronic medical issues,
and other challenges.WHO IS SUPPORTIVE HOUSING FOR?
BUT FOR HOUSING individuals and/or families. cannot access and make effective use of treatment and supportive services in the community; and
BUT FOR SUPPORTIVE SERVICES cannot access and maintain stable housing in the community.SUPPORTIVE HOUSING IS FOR PEOPLE WHO:
A broad array of services available individuals and/or families.
Mental health and substance use management and recovery
Vocational and employment
Money management & benefits advocacy
Coordinated support / case management
Community building and tenant advocacy
Medical and wellnessA range of services to support tenants in their goals
Tenants choose as much or as little services as they desire – without having to move as their service needs change
Engagement is an ongoing activity to establish and sustain relationships
Begin with tenants’ practical needs and personal goals
Help tenants recognize the connection between recovery and getting what they want out of life
Housing is the base for engaging tenants in treatment and supports that can help achieve the primary goal of housing stability
The tenant is the host; service providers are guests“Services are voluntary for the tenants – not the staff”
Building or program design facilitates informal engagement with service providers and social activities that support recovery
Creating a strong and safe community to reinforce norms of behavior and hope for recovery and growth
Supportive housing tenants must pay rent and meet other lease obligations
Participation in services can help tenants meet their obligations, solve problems, and avoid eviction
Evictions are for failure to pay rent or for problem behavior – not for choices about participation in servicesService strategies anticipate and help to manage the risks and consequences associated with substance use and relapse
Access appropriate care for and manage chronic health and mental health conditions
Take steps toward achieving and maintaining sobriety
Achieve housing stability
Be leaders in their community
Connect with the wider world
Pursue goals and interestsSupportive housing provides opportunities for tenants to
“ mental health conditionsThe day I walked into Hudson View Commons with the keys to my own apartment was the first time I could see light at the end of a long, dark tunnel. Each day that light becomes brighter and brighter. Supportive housing is a true stepping stone.”
Mark Stavola, Tenant
Broad Park, CT
“I have 2 years clean and sober, a steady job, I pay my own rent – all of which I could not have done without supportive housing.”
Charlie Miller, Tenant
Canon Kip, CA
This 15% consumes more than half of all homeless shelter services – leaving the homeless services systems struggling to effectively serve those who could exit homelessness relatively quickly.
Dennis P. Culhane, University of PennsylvaniaWHY SUPPORTIVE HOUSING? Current approach is not solving the problem for many homeless people
80% of tenants coming from streets and shelters achieve housing stability for at least a year.
Emergency room and hospital visits drop by more than 50%.
Decreases in tenants use of emergency detox services by more than 80%.
Increases in use of preventive health care services, primary care and services to address substance abuse.SUPPORTIVE HOUSING WORKS As documented by researchers across the country
Study: housing stability for at least a year.The Impact of Supportive Housing for Homeless Persons with Severe Mental Illness on Use of Public Services in New York City
The cost of homelessness for persons with serious mental illness was more than $40,000 per year – with 86% of costs in health care and mental health systems.SUPPORTIVE HOUSING IS COST EFFECTIVE New York / New York Cost Study
Positive impacts on employment status. housing stability for at least a year.
Increases of 50% in earned income and 40% increase in rate of participant employment when employment services are provided in supportive housing.
Significant decrease in tenant dependence on entitlements.SUPPORTIVE HOUSING WORKS As documented by researchers across the country
DEVELOPER housing stability for at least a year.
RENT SUBSIDY PROGRAM MANAGERS
COMMUNITY…Roles in Supportive Housing
Services linked to existing housing projects for similar target population(s)
Leasing housing units in the private market (tenant, sponsor, or project based subsidies or “master lease”)
Set asides of units within other projects
Developing or purchasing housingApproaches: HOUSING SIDE
Services located on-site with housing target population(s)
Services located off-site and coordinated with housing
Services formally coordinated and delivered by multiple providers
Linkages to existing services in the community
Set asides or priority for supportive housing project residents at service delivery locationApproaches: SERVICE SIDE
Scattered-site target population(s)
Mixed populationsSupportive Housing Models
Partnerships in Supportive Housing target population(s)
Benefits of Partnerships in Supportive Housing target population(s)
Financing Supportive Housing:
The Challenges of Creating and Operating Supportive Housing target population(s)
Sustaining Supportive Housing:
CONCEPT target population(s)
PRE-DEVELOPMENT / FEASIBILITY
OPERATIONSPHASES OF HOUSING DEVELOPMENT
(1 - 4 years)
(15 - 30 years)
Federal, State, Local,
Tenants Rents, Reserves,
Site Acquisition; Construction,
Permits, Professional Fees,
Maintenance & Repairs,
Millennial Housing Commission Report target population(s)
Continuum of Care and HOPWA Programs
10-Year Plans to End Homelessness
US Conference of Mayors Recommendations
President’s Interagency Council on Homelessness and Collaborative Initiative to Help End Chronic Homelessness
President’s New Freedom Mental Health Commission
HHS Ending Chronic Homelessness: Strategies for ActionSUPPORTIVE HOUSING AS A NATIONAL STRATEGY TO END CHRONIC HOMELESSNESS
“As a nation, we must confront this problem and work to provide shelter and assistance to those in need. To enhance the quality of life for our citizens, my Administration remains committed to ending chronic homelessness…”President George W. BushMarch 18, 2003
As defined by HHS, HUD, and the VA for collaborative initiatives:
An unaccompanied homeless individual with a disabling condition who has either been continuously homeless for a year or has had at least four (4) episodes of homelessness in the past three (3) yearsFocus on Ending Chronic Homelessness
Eligibility criteria for the housing (or subsidies) targets people with disabilities and those who are homeless for the long-term
Outreach, marketing and tenant selection procedures and program rules facilitate access
Supportive services and property management practices are designed to help people achieve housing stability and reduce reliance on emergency care
Requires strategies for effectively engaging and housing people with ongoing or relapsing substance use problemsExpanding housing opportunities for people with mental illness and/or substance abuse problems
CSH, National Alliance to End Homelessness, working with providers, state and local governments, and advocates
are spearheading a national initiative
the Compact to End Long-Term Homelessness
that calls for the creation of
150,000 new units of supportive housing
nation-wide over the next 10 years.
Creating and sustaining at least 150,000 units of permanent supportive housing over the coming decade for people who are experiencing long-term homelessness.
Ending the practice of discharging large numbers of people into homelessness from hospitals, mental health and chemical dependency treatment facilities, jails, and prisons; and
Secure investments in additional affordable and supportive housing alternatives from mainstream systems, so that supportive housing is available to those who are homeless, or would likely be homeless without it.COMPACT TO END LONG-TERM HOMELESSNESS - GOALS
Renew – with predictability and stability – funding for rent or operating subsidies and services that sustain the supportive housing that now exists.
Focus resources from mainstream and targeted programs to create and sustain supportive housing.
Integrate and coordinate investments for housing and services to use resources efficiently and make it possible to takesupportive housing to a much larger scale.COMPACT TO END LONG-TERM HOMELESSNESS - STRATEGIES
Increase resources rent or operating subsidies and services to create and maintain supportive and affordable housing.
Invest in building the capacity of community groups and government to create and sustain high-quality supportive housing.COMPACT TO END LONG-TERM HOMELESSNESS - STRATEGIES