Shelter Partnership Homeless Older Adults Strategic Plan shelterpartnership

1. Shelter Partnership Homeless Older Adults Strategic Plan www.shelterpartnership.org

2. Shelter Partnership Homeless Older Adults Strategic Plan Overview • Goals: • Assess needs • Identify barriers • Produce action plan

3. Shelter Partnership Homeless Older Adults Strategic Plan Overview • Product: A Strategic Plan to House Homeless Older Adults in Los Angeles • Guides policy • Informs stakeholders • Stimulates development

4. Shelter Partnership Homeless Older Adults Strategic Plan Overview • Advisory Committee: • Developers • Service providers • Professors • Government stakeholders • Formerly homeless older adults

5. Shelter Partnership Homeless Older Adults Strategic Plan Overview • Interview: • Special needs developers • Senior housing developers • Government stakeholders • Homeless older adults Review: • Best practices • Literature • Los Angeles data

6. Shelter Partnership Homeless Older Adults Strategic Plan Mission Creek, San Francisco Mercy Housingmercyhousing.org Best Practices

7. Shelter Partnership Homeless Older Adults Strategic Plan Plaza Hotel, San Francisco Community Development Corporationwww.sfgov.org/site/moh Best Practices

8. Shelter Partnership Homeless Older Adults Strategic Plan Potiker Family Senior Residence Senior Community Centers, San Diegoservingseniors.org Best Practices

9. Shelter Partnership Homeless Older Adults Strategic Plan Euclid House, New York City West Side Federation for Senior and Supportive Housingwww.wsfssh.org Best Practices

10. Shelter Partnership Homeless Older Adults Strategic Plan Euclid House, New York City West Side Federation for Senior and Supportive Housing Best Practices

11. Shelter Partnership Homeless Older Adults Strategic Plan Best Practices Woodstock Hotel, New York CityProject FINDprojectfind.org

12. Shelter Partnership Homeless Older Adults Strategic Plan Literature Review • Population • Physical health • Mental health • Substance use • Gender • Age • Model solutions

13. Shelter Partnership Homeless Older Adults Strategic Plan Literature Review • Population: • Large aging cohort • Boomers • Many risk factors • Population will double

14. Shelter Partnership Homeless Older Adults Strategic Plan Literature Review • Physical Health: • Chronic health issues • Physical health of those 15 years older • Exacerbated by homelessness • Interrelated • Emergency rooms as primary care • Survivor effect

15. Shelter Partnership Homeless Older Adults Strategic Plan Literature Review • Mental Health: • Far greater proportions than those • housed • 33% clinically depressed • Discharge often leads to homelessness

16. Shelter Partnership Homeless Older Adults Strategic Plan Literature Review Substance Use: • Over 50% with chronic alcohol problems • Drug use higher as those who started using in 1960 reach old age • Adept at concealing

17. Shelter Partnership Homeless Older Adults Strategic Plan Literature Review Gender: • Female:male ratio 30:70 • Women 1st homeless late in life • Women have more thought disturbances & less depression • Women drink less • Women fear shelters more

18. Shelter Partnership Homeless Older Adults Strategic Plan Literature Review Age: • More likely to abuse alcohol • Stay in shelters longer • Take longer to move to permanent housing

19. Shelter Partnership Homeless Older Adults Strategic Plan Literature Review Model Solutions: • Affordable housing with services • HEARTH (most often cited)

20. Shelter Partnership Homeless Older Adults Strategic Plan Los Angeles Data • Strategic Plan will include data from: • LA Homeless Services Authority • LA County welfare agency • LA County Department of Mental Health • New Image Shelter

21. Shelter Partnership Homeless Older Adults Strategic Plan Los Angeles Data • Largest Year-Round Shelter in Los Angeles County • Open from evening to morning • Two meals per day • Some services New Image Shelter 1500 clients 50 years and older

22. Shelter Partnership Homeless Older Adults Strategic Plan Los Angeles Data • Age • Income • Gender • Disability New Image Shelter Client Self-Reported • Education • Duration homeless • Reason Homeless • Veterans

23. Shelter Partnership Homeless Older Adults Strategic Plan Los Angeles Data • Age • Income • Gender • Disability New Image Shelter Client Self-Reported • Education • Duration homeless • Reason Homeless • Veterans

24. Shelter Partnership Homeless Older Adults Strategic Plan Los Angeles Data • Mean age 57 (Same for men and women) • Median age 55 (Same for men and women) • Youngest age 50 • Oldest age 91 New Image Shelter 1500 clients 50 years and older

25. Shelter Partnership Homeless Older Adults Strategic Plan Los Angeles Data New Image Shelter

26. Shelter Partnership Homeless Older Adults Strategic Plan Los Angeles Data New Image Shelter & Los Angeles Homeless Services Authority (LAHSA)

27. Shelter Partnership Homeless Older Adults Strategic Plan Los Angeles Data Percentages: Income Source at Entry One third have income from Social Security, SSI, or disability insurance New Image Shelter 1500 clients 50 years and older Some clients have multiple sources

28. Shelter Partnership Homeless Older Adults Strategic Plan Los Angeles Data New Image Shelter: clients 50 years and older reporting income • Mean income $ 660 • Median income $ 715 • 51% 62+ get Social Security or SSI

29. Shelter Partnership Homeless Older Adults Strategic Plan Los Angeles Data New Image Shelter clients 50 years and older reporting a disability • Physical disability 62% • Mental disability 27% • Both disabilities 11%

30. Shelter Partnership Homeless Older Adults Strategic Plan Developers’ Observations Respondents

31. Shelter Partnership Homeless Older Adults Strategic Plan Developers’ Observations The number one barrier to creating permanent housing for homeless older adults is funding. 2.No developer or housing provider targeted homeless older adults. 3. After an acclimation period of 6 months, previous homeless status was not a major distinguishing difference among tenants.

32. Shelter Partnership Homeless Older Adults Strategic Plan Developers’ Observations 4. The common problems hampering successful long- term tenancies are: Hoarding Clutter Anti-social behavior Need for health services Isolation Denial Inability to live alone

33. Shelter Partnership Homeless Older Adults Strategic Plan Developers’ Observations 5. Regulations do not allow for tenants aging-in-place to keep their units when they have long-term stays in hospitals or convalescent facilities. 6. Small units, both one bedrooms and SROs, are too small to accommodate live-in aides and wheelchair accessibility for tenants aging-in-place.

34. Shelter Partnership Homeless Older Adults Strategic Plan Developers’ Observations 7. The most important tenant service is case management/social work/RSC 8. Eligibility and Application updating processes prevented the homeless form securing housing.

35. Shelter Partnership Homeless Older Adults Strategic Plan Developers’ Observations Immediate response and change in policy: Menorah Housing Foundation

36. Shelter Partnership Homeless Older Adults Strategic Plan Homeless Older Adults Strategic Plan Funded by California Community Foundation & Corporation for Supportive Housing

37. Shelter Partnership Los Angeles For a copy of the Strategic Plan, to be released late 2007, email Steve Renahan, Consultant srenahan@shelterpartnership.org www.shelterpartnership.org