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The Cottages At Hickory Crossing Dallas’ Premier Model of Permanent Supportive Housing

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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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slide1
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.”