Housing strategies for the csat treatment for homeless persons grantee meeting june 2 2003
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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.

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Housing Strategies For the CSAT Treatment for Homeless Persons Grantee Meeting June 2, 2003

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Housing strategies for the csat treatment for homeless persons grantee meeting june 2 2003

Carol Wilkins

Corporation for Supportive Housing

[email protected]

Housing StrategiesFor the CSAT Treatment for Homeless PersonsGrantee Meeting June 2, 2003


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.

For more information and resources to help in your community

visit our web site www.csh.org


Why do people become homeless

Poverty

Poor health

Mental illness

Drug use

Multiple evictions

Past abuse, domestic violence

Little education

Unemployed / Underemployed

Children with behavioral problems

Why Do People Become Homeless?


People disabled by mental illness and or substance abuse problems are priced out of housing

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 Continues

People Disabled by Mental Illness and/or Substance Abuse Problems Are Priced Out of Housing


What is supportive housing

Supportive Housing is

PERMANENT AFFORDABLEHOUSINGcombined with a range of

SUPPORTIVE SERVICES

that help

PEOPLE WITH SPECIAL NEEDS

live stable and

INDEPENDENT

lives.

WHAT IS SUPPORTIVE HOUSING?


Combines housing and services

HOUSING

PERMANENT: Not time limited, not transitional;

AFFORDABLE: For people coming out of homelessness; and

INDEPENDENT: Tenant holds lease with normal rights and responsibilities.

SERVICES

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


Supportive housing types

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


Who is supportive housing for

People who are homeless or

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?


Supportive housing is for people who

BUT FOR HOUSING 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 range of services to support tenants in their goals

A broad array of services available

Mental health and substance use management and recovery

Vocational and employment

Money management & benefits advocacy

Coordinated support / case management

Life skills

Community building and tenant advocacy

Medical and wellness

A range of services to support tenants in their goals


Services are voluntary for the tenants not the staff

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”


Housing strategies for the csat treatment for homeless persons grantee meeting june 2 2003

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 services

Service strategies anticipate and help to manage the risks and consequences associated with substance use and relapse


Supportive housing provides opportunities for tenants to

Access appropriate care for and manage chronic health and mental health conditions

Take steps toward achieving and maintaining sobriety

Achieve housing stability

Work

Socialize

Be leaders in their community

Connect with the wider world

Pursue goals and interests

Supportive housing provides opportunities for tenants to


Housing strategies for the csat treatment for homeless persons grantee meeting june 2 2003

“The 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


Housing strategies for the csat treatment for homeless persons grantee meeting june 2 2003

“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


Why supportive housing current approach is not solving the problem for many homeless people

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 Pennsylvania

WHY SUPPORTIVE HOUSING? Current approach is not solving the problem for many homeless people

  • Research indicates that approximately 15% of people who experience homelessness are chronically homeless


Supportive housing works as documented by researchers across the country

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


Supportive housing is cost effective new york new york cost study

Study: 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


Supportive housing works as documented by researchers across the country1

Positive impacts on employment status.

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


Roles in supportive housing

DEVELOPER

RENT SUBSIDY PROGRAM MANAGERS

OWNER

PROPERTY MANAGER

SERVICE PROVIDER(s)

TENANT

COMMUNITY… 

Roles in Supportive Housing


Approaches housing side

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 housing

Approaches: HOUSING SIDE


Approaches service side

Services located on-site with housing

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 location

Approaches: SERVICE SIDE


Supportive housing models

Scattered-site

Single-site

Clustered

Shared housing

Mixed populations

Supportive Housing Models


Housing strategies for the csat treatment for homeless persons grantee meeting june 2 2003

Partnerships in Supportive Housing

Service Provider

Housing Provider


Housing strategies for the csat treatment for homeless persons grantee meeting june 2 2003

Benefits of Partnerships in Supportive Housing

  • Responds to the Need for Housing with Services in your Community

  • Capitalizes on the Expertise of Housing Providers and Service Providers

  • May Provide Access to Specialized Funding Sources

  • Opportunity for Creative Tension Between Service Provider and Property Manager

25


The challenges of creating and operating supportive housing

The Challenges of Creating and Operating Supportive Housing

  • Finding and securing capital funding for projects with little or no excess cash flow to cover debt

Financing Supportive Housing:

  • Securing operating and service funding, or rent subsidies

  • Piecing together several funding sources for one development – or to provide housing & services to the same person / target population

  • Scarce resources & increasing competition


Housing strategies for the csat treatment for homeless persons grantee meeting june 2 2003

The Challenges of Creating and Operating Supportive Housing

Sustaining Supportive Housing:

  • Maintaining and renewing operating and service funding over the long haul

  • Creating and fostering good working partnerships between property managers and service providers

  • Improving and adapting services to increase tenant access, needs and interest


Phases of housing development

CONCEPT

PRE-DEVELOPMENT / FEASIBILITY

DEVELOPMENT

OPERATIONS

PHASES OF HOUSING DEVELOPMENT


Types of funding

TYPES OF FUNDING:

  • PRE-DEVELOPMENT

  • PERMANENT - CAPITAL

  • OPERATIONS

  • SUPPORTIVE SERVICES


Development operating loop

DEVELOPMENT-OPERATING LOOP

DEVELOPMENT

(1 - 4 years)

OPERATIONS

(15 - 30 years)

SOURCES:

Federal, State, Local,

Private, Other

SOURCES:

Tenants Rents, Reserves,

Rental Subsidies

USES:

Site Acquisition; Construction,

Permits, Professional Fees,

Soft Costs

USES:

Maintenance & Repairs,

Taxes, Insurance,

Utilities, Other


Supportive housing as a national strategy to end chronic homelessness

Millennial Housing Commission Report

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 Action

SUPPORTIVE HOUSING AS A NATIONAL STRATEGY TO END CHRONIC HOMELESSNESS


Housing strategies for the csat treatment for homeless persons grantee meeting june 2 2003

“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


Focus on ending chronic homelessness

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) years

Focus on Ending Chronic Homelessness


Expanding housing opportunities for people with mental illness and or substance abuse problems

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 problems

Expanding housing opportunities for people with mental illness and/or substance abuse problems


Housing strategies for the csat treatment for homeless persons grantee meeting june 2 2003

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.


Compact to end long term homelessness goals

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


Compact to end long term homelessness strategies

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


Compact to end long term homelessness strategies1

Increase resources 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


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