Overdue for Change

1. Overdue for Change The Transformation of Homeless Housing and ServicesNeeded in Westchester

2. Crises Bring Radical Change • Evolution lurches ahead when crises happen • Our current budget crisis will force an evolutionary “lurch” in homeless programs • Most of our homeless housing and services use models developed in the 1980s • Few will exist in their current form by 2015 • Programs have two choices: evolve or die

3. THE CORE OF OUR CURRENT HOMELESS SERVICES

4. The Central Assumption You cannot be “Housing-Ready”until you are “Treatment-Ready.”

5. The Central AssumptionMade Sense During the 1980s Most local shelters were invented in the early 1980sduring the height of massive deinstitutionalization of the mentally ill and the sudden onset of the crack epidemic

6. System Change #1: We need fewertransitional shelter beds

7. Why We Need Fewer Shelter Beds Reason #1: They are too expensive. • Biggest shelter cost is 24/7 monitoring • 19 beds = 10 FTEs for 24/7 monitoring • You don’t need 24/7 monitoring just because you fell behind on your rent

8. Why We Need Fewer Shelter Beds Reason #2: The # of homeless people in Westchester is at record lows.

9. Why We Need Fewer Shelter Beds Reason #3: We have more access to housing subsidies.

10. Why We Need Fewer Shelter Beds Reason #4: We don’t need to “fix” every problem before we rehouse someone.

11. Why We Need Fewer Shelter Beds Reason #5: Treatment readiness does not have to precede housing readiness.

12. Why We Need Fewer Shelter Beds Reason #6: Sometimes shelters are not a pipeline to housing, but a barrier to it. • Providing 24/7 monitoring makes substance use MORE problematic • ANY substance use is intolerable in supervised shelters • But only extreme or disruptive substance use prevents retention of private housing

13. Why We Need Fewer Shelter Beds Reason #7: HUD no longer values them. • HEARTH goal: rehousing in 30 days • The more long-term transitional shelter beds we have, the more points we’ll eventually lose

14. System Change #2: We need to invent Fast Track shelters.

15. PHASE DURATION 1. Rapid Assessment 1-2 weeks 2. Housing Placement 30 days? 3. Housing Stabilization 3-6 months Fast Track Shelter Components

16. Housing Stabilization Services • Brief and time-limited • Goal-oriented • Establish key linkages • Teach core competencies (budgeting, life skills, etc.)

17. Who Needs Fast Track Housing? • People recently evicted solely for non-payment of rent • People with a history of successful independent living • People who will not refrain from drug or alcohol use but who are non-violent and unlikely to disrupt the neighborhood • People in early stages of mental health engagement who are too afraid to stay in a congregate shelter • People who are too emotionally volatile to safely remain in a congregate shelter • People unwilling to turn over income for congregate shelter who would be willing to contribute to the cost of private transitional or permanent housing

18. System Change #3: We need centralized countywide or regional housing search and placement.

19. System Change #4: We need to change shelter funding mechanisms to reward rapid rehousing.

20. System Change #5: We need to create amore complete continuum of housing retention services.

21. Type of Service Target Population Care Coordinators(ICM, SCM, ACT, etc.) Severely mentally ill “Recovery buddies” Selected substance abusers “Housing Crisis Response Teams” Other mentally ill or substance abusing people Eviction Prevention Network No major mental health or substance abuse issues Continuum of Housing Retention Services Needed

22. Where will people find housing? • Units open up with every eviction • More HUD housing subsidies are available • DSS now offers rent supplements for formerly homeless • DSS now allows shared housing without penalties • We need to upgrade substandard housing

23. System Change #6: We need to link housing search and eviction prevention programs. (Every eviction = a rehousing opportunity.)

24. System Change #7: We need to re-establishuse of the Spiegel Act,but this time do it with the cities.

25. How to Use The Spiegel Act • The Spiegel Act allows DSS to withhold rents from substandard units until upgraded • DSS should partner with cities to identify 1-3 most substandard buildings in each city • DSS should withhold rent • City should impose fines for building and fire violations plus penalties for back taxes • County, city and/or a CBO should offer HOME loans for building improvement

26. System Change #8: We need to expand our continuum of housing programs, looking at both housing readiness and treatment readiness.

27. The New Housing Paradigm: Distinguishing Treatment Readiness from Housing Readiness

28. THE KEY QUESTION: Not “Will You Completely Abstain From All Alcohol, Drugs and Sex?” But “Do You Need Expensive24-Hour Monitoring?”

29. A New Paradigm of Needs

30. TWO MODELS OF SUPPORTIVE INDEPENDENT LIVINGFor Individuals Who Are NOT Treatment-ReadyBut ARE Housing-Ready (i.e. Do Not Need Supervision)

31. TWO MODELS OF SUPERVISED CONGREGATE CAREFor Individuals Who Are NOT Treatment-Ready And NOT Housing-Ready (i.e. Need Supervision)

32. A NEW HOUSING PARADIGM:An Efficient, Flexible and Cost-Effective SystemThat Addresses Different Levels of Individual Need