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Solving Homelessness. Common Ground. Rosanne Haggerty Knoxville, TN March 2005. Core Ideas. Information: Counting and differentiating the individuals and the costs Targeting: Focus on the most vulnerable (chronic/primary homeless) Housing First Prevention - PowerPoint PPT Presentation

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  • Solving Homelessness

    Common Ground

    Rosanne Haggerty Knoxville, TN March 2005

  • Core IdeasInformation: Counting and differentiating the individuals and the costsTargeting: Focus on the most vulnerable (chronic/primary homeless)Housing FirstPreventionGovernance: integration,coordination and accountability for resultsCommunication: homelessness is solvable, one person at a timeLeadership: political will expressed from the top

  • Homelessness in New York City

  • Discharge Planning - Foster Care

  • Discharge Planning Jail Population

  • DHS Long Term Stayers Long term shelter stayers - 730 nights out of past 4 years were spent in a shelter. Cost of shelter is approx $54/night. 17% of homeless use 50% or more of the resources. More than 40% have a mental illness. Calendar year adult shelter pop. in NYC was 8,612. Estimate Long term stayers at 17%, which is 1464.

  • HIGH COST MEDICAID PATIENTSAn Analysis of New York City MedicaidHigh Cost Patients - March 2004Disabled[Non-HIV/Alc/Drug/Schiz/SNF/ICF]DISTRIBUTION OF PATIENTS AND EXPENDITURES ADULTS - AGE 18-64 - DISABLED77.3%

  • San Diego

    A study of 15 chronically homeless men over 18 months revealed $1,476,113 million total expenditures for medical services alone.

    All 15 were still homeless at end of the study period.

    Source: Dunford, J.V., Castillo, E.M., Lindsay, S.P. (1998) UCSD Medical Center

  • BostonHealth Care for the Homeless StudyUtilization of Medical Services by the Cohort1999-2003 (N = 119)

    Emergency Room Visits 18,384Medical Hospitalizations 871Respite Admissions 836

  • New York

    Daily Census New York (For March 4, 2005)

    8,645 Families

    8,540 Single Adults

    35,854 Total Individuals

    An overwhelming percentage of homeless families come from certain poor neighborhoods

  • S2hi Street to Home Initiative

  • S2hi Street to Home Initiative76% diagnosed with SPMI90% current or history of substance abuse56% MI and Substance abuse98% MI or Substance abuse33% Major physical health concern50% Receive SSI at intake25% Receive PA at intakeMean time on streets = 7.7 yearsMedian time on streets = 6 yearsProfile Street Homelessness in West Midtown

  • S2hi Street to Home InitiativeResults

  • Housing FirstPathways to Housing (NYC) - placed over 400 chronically homeless mentally ill individuals directly from the street or hospital into permanent housing since 1992 with 88% retention rate over a five year period. Direct Access to Housing (San Francisco) - Placed 800 chronically homeless, heavy users of health, mental health system directly into hotels or other facilities leased from private owners and operated through contracts with not for profits or directly by Citys health department. Support services provided by health and housing departments.

    Project Connect (San Francisco) - Placed 76 chronic street homeless directly into pre-leased units. Support services provided by health and housing departments.

  • Supportive HousingIntegrated, mixed income housing to create social networks, break down social stigma, de-concentrate poverty/special needs

    Platform for cost-effective, coordinated, outcome-focused service delivery

    Synergistic solution to multiple community needs: affordable housing, historic preservation; re-use of dormant properties; retail development; sustainable design; job creation; response to homelessness; support for artists and the arts

  • Supportive HousingQualities of Supportive HousingImmediate solution to homelessness

    Comprehensive services prevent future homelessness, build tenant capability to participate in mainstream society

    Sustainable

    Cost effective

  • Supportive HousingFinancing Supportive HousingDedicated low interest loan fund (New York City)State grant programs (New York, California)Blended agency funds mental health, housing, social services (Connecticut) Tax incentives for creating affordable housing and restoring historic properties (US)Redirected funds from closure of large mental health institutions (New York State)Redirected funds from reduced usage of hospital services, welfare benefits (San Francisco)Redirected funds from reduced usage of hospital-based mental health services (Phoenix)

  • Supportive HousingFinancing Supportive HousingTax on hotels, restaurants (Miami)Dedicated percentage of real estate transfer taxes (Denver)Dedicated bond issue (California)Mandatory developer contributions (Boston)Zoning bonuses and private developer incentives (New York City, elsewhere)Lottery (Great Britain)Redirected public land and buildings (Great Britain)

  • Supportive Housing

  • PreventionFoster Care:Foyers (Europe, North America)First Place (California)Resettlement packages (Great Britain)

    Prisons:Maryland Reentry Partnership Initiative (REP)Illinois Department of CorrectionsDepartment of Correction/Department of Homeless Services Task Force (NYC)

  • PreventionBrownsville, NYPopulation: 85,000Percentage of families below poverty line: 28.6Percentage of units that are public housing: 75% (highest % of NYCHA units in the city)Number of homeless families over 4 years: 858* fifth highest unemployment rate in NYC at 14.1%

  • PreventionCommon Grounds Homelink

    Daycare/after school linkLandlord organizing and outreachEviction preventionFamily mediationLandlord mediationHousing reclamation and improvementNew Housing Development

    Crisis interventionHome visitsCommunity organizingLegal assistanceFlexible cash assistanceEducation linksHealthcare linkEmployment links

  • GovernancePhiladelphia

    6th largest US City

    850 street homeless in center city 2001; 40 in 2005Centralized activities of 17 city agencies through assistant managing director of cityCentralized services intake to assure coordination with all city services and reduce creamingWeekly street counts and on-going data matching between agenciesBi-weekly progress meeting of all stakeholders: city agency staff; downtown businesses, not for profit providers

  • Communications

    Problem is Solvable

    Issue is personal

    Role for each of us

  • Leadership

    Great Britain: Tony Blair Rough Sleepers Initiative reduced chronic homelessness by 75% in four years

  • Next Steps

    Closing the gap between what is known and what is practiced

    175 mayors, county executives, governors developing ten-year plans to end chronic homelessness

    Covenant Initiative of US 46 mayors collaborating to implement best practices

  • SolutionsInformation: Counting and differentiating the individuals and the costsTargeting: Focus on the most vulnerable (chronic/primary homeless)Housing FirstPreventionGovernance: integration,coordination and accountability for resultsCommunication: homelessness is solvable, one person at a timeLeadership: political will expressed from the top

  • Common Ground Community

    We are solving homelessness through innovative programs that transform people, buildings, and communities.

  • Solving Homelessness

    Common Ground

    Rosanne Haggerty Knoxville, TN March 2005