Carla I. Javits, President and CEO

1. Ending the Cycle of Homelessness and Incarceration Through Supportive HousingGrantmakers in HealthNovember 17, 2006 Carla I. Javits, President and CEO Andy McMahon, Senior Program ManagerCorporation for Supportive Housing

2. Corporation for Supportive HousingOur Mission CSH helps communities create permanent housing with services to prevent and end homelessness.

3. CSH Products and Services • High-quality advice and housing development expertise to assist project sponsors • Loans and grants to assist in the creation of supportive housing • Training and capacity building to strengthen the supportive housing industry • Public policy reform to make it easier to create and operate supportive housing.

4. Results of Our Work • Raised over $221 million to expand supportive housing nationwide • Leveraged over $1 billion in federal, state, and local public and private sector financing for capital, operating, and service dollars • Trained thousands of people to develop, manage, and operate supportive housing • Committed nearly $119 million in loans and grants to support the creation of 17,318 units of supportive housing, with an additional 11,882 units in the pipeline now

5. Results of Our Work The units in operation have ended homelessness for at least 21,000 adults and children

6. The Intersection of Health, Homelessness, and Incarceration

7. Complex Needs of Ex-Offenders • Every year, more than 650,000 people are released from prison, and more than 7 million different people are released from jail. • An estimated 42% of inmates in state prisons and 49% in local jails were found to have both a mental health and substance use issues. • More than one in three jail inmates report some physical or mental disability.

8. Complex Needs of Ex-Offenders • In 1997, individuals released from prison or jail accounted for nearly 25% of all people living with HIV or AIDS, 30% of people with Hepatitis C, and 30% of those diagnosed with tuberculosis. • Three out of four have a substance abuse problem • More than 10 percent of those coming in and out of jail and prison are homeless in the months prior to incarceration.

9. Intersection: Mental Health and Corrections

10. Why Should We Care? “Million Dollar Murray” Phenomenon • Richard B. is an actual case study from Chicago, Illinois • 42 years old and has a combined 21 years of homelessness • 3,758 days in a mental health/hospital setting during that time • 399 days in jail (This includes only 6 years of available data) • The Cost of Richard B.’s Homelessness • 3758 State Hospital Days $400 a day $1,503,200 • 399 Jail Days $70 a day $ 27,930 • TOTAL $1,531,130 Average Annual Cost for Richard $ 72,910

11. Why Should We Care? Example of Crisis System Costs – Columbus, OH

12. Returning Home An initiative to integrate systems and end homelessness for frequent users of jail and shelter

13. Central Premise of Returning Home Thousands of people with chronic health conditions cycle in and out of jail, shelter and the streets, and they are ill-served by the corrections and shelter systems at great public expense. Placing these people in supportive housing will improve life outcomes for the tenants, more efficiently utilize public resources, and likely create cost savings in crisis systems like jail and shelter.

14. Returning Home Highlights • Began in Spring 2006 • Funded largely through $6 million grant from Robert Wood Johnson • Primary focus on Los Angeles, Chicago, and New York City • Additional work in Michigan, New Jersey, Ohio, Rhode Island, and Minnesota • $2.4 million to be re-granted to partners “on the ground” • Advisory Board Co-Chaired by Justice Evelyn Stratton of the Ohio State Supreme Court and Martin Horn, Commissioners of Corrections, New York City

15. Returning Home Key Strategies • Assisting state and local government in identifying the population with high recidivism rates that could benefit from supportive housing. • Collaborating with government agencies and partner organizations to change public policy and promote more effective and efficient programs to serve ex-offenders. • Providing technical assistance to developers and providers who create supportive housing for ex-offenders.

16. Returning Home Key Strategies • Developing models for reinvestment of criminal justice resources into supportive housing. • Conducting a comprehensive evaluation to document expected cost savings. • Convening key leaders from various fields to share lessons learned and best practices. • Collaborating with various stakeholders to attract additional philanthropic and government investments.

17. Returning Home Goals and Outcomes • Creating 1,000 units of critically needed supportive housing for ex-offenders • Improving financial integration and policy coordination among corrections, housing, and human service agencies • Developing successful supportive housing models tailored to ex-offenders

18. Returning Home Goals and Outcomes • Documenting decreased recidivism rates for ex-offenders living in supportive housing • Demonstrating cost savings in participating correctional systems • Demonstrating on a national scale the power of supportive housing as a solution to the complex needs of ex-offenders with chronic health and mental health conditions

19. On-the-Ground ExamplesLos AngelesNew YorkChicago

20. Los Angeles $1.5 Million Pilot Program with the LA County Sheriff’s Department • Direct investment to support the integration of corrections, housing, and human services • Trained social workers to do jail “in-reach” to identify inmates with serious mental illness who could benefit from supportive housing • Create a network of supportive housing providers to collaborate with corrections staff to place the target population into supportive housing upon release • Provide time-limited rent subsidies for each inmate in the program to provide short-term stability

21. Chicago • St. Andrew’s Court • 42 units of supportive housing, 30 for homeless ex-offenders with disabilities and 12 for parolees. • Includes integrated financing from HUD McKinney Homeless grants, Low-income Housing Tax Credits, IL Dept. of Human Services, IL Dept. of Corrections, and others. • Conducts “in-reach” into correctional facilities to provide a smooth transition into supportive housing. • Delivers tailored, comprehensive support services to all residents, including mental health, substance abuse, and employment services.

22. New York City Frequent Users Service Enhancement (FUSE) program • Pilot program to increase collaboration between the Department of Homeless Services and the Department of Corrections. • Serves 100 frequent users of both systems. • More than 3,500 frequent users have been identified. • Targeted outreach underway to engage them and place them in supportive housing. • A network of providers created to engage and house the frequent users. • Multiple sources of financing, including Section 8 rental subsidies and NYC Mental Health services. • Investment from the JEHT Foundation for a “service enhancement.” • Through evaluation, FUSE hopes to demonstrate cost effectiveness and replace foundation funding with DOC resources.

23. Opportunities for Philanthropic Involvement

24. Opportunities for Philanthropy • Investing in research and evaluation work to demonstrate the efficacy of this approach • Investing in innovative program models designed to integrate financing mechanisms to serve people with chronic health conditions who cycle between jail and shelter • Investing in pilots and demonstrations focused on cross-agency collaborations • Supporting systems capacity through investment in intermediaries that facilitate partnerships and promote public policy reform and program integration