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Supportive Housing = Health Care

Supportive Housing = Health Care. May 3, 2016 Indiana Primary Health Care Association Conference. Lori Phillips-Steele Director, CSH Indiana. Jane Bilger Senior Program Manager, CSH National Consulting Team. About CSH. Advancing housing solutions that:. CSH HRSA Frequent User T/TA.

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Supportive Housing = Health Care

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  1. Supportive Housing = Health Care May 3, 2016 Indiana Primary Health Care Association Conference

  2. Lori Phillips-Steele Director, CSH Indiana Jane Bilger Senior Program Manager, CSH National Consulting Team

  3. About CSH Advancing housing solutions that:

  4. CSH HRSA Frequent User T/TA • GOALS: • Foster and expand Health Center collaboration with other health system stakeholders, and supportive housing • Improve healthcare outcomes for extremely low-income individuals who frequently use crisis systems, have housing instability, and lack a connection to primary and preventive care services. PARTNERS: Deep collaboration with Also partnering with: NACHC CHPS HRSA BPHC

  5. Ice Breaker: Acronyms

  6. What is Supportive Housing? Permanent, affordable, independent, tenant centered, flexible, voluntary

  7. Supportive Housing is the Solution Supportive housing combines affordable housing with services that help people who face the most complex challenges to live with stability, autonomy and dignity.

  8. Who Lives in Supportive Housing?

  9. CSH Dimensions of Quality Supportive Housing

  10. Single or Scattered Site • Will the Units Be Located in One Building or Scattered Throughout Multiple Properties or Buildings? • Will the Units be Owned or Leased?

  11. Supportive Housing = Health Care

  12. Health and Housing Partnerships

  13. Frequent User System Engagement Communities spend billions of dollars on services that bounce vulnerable people between crisis services. CSH's FUSE model helps break that cycle while increasing housing stability and reducing multiple crisis service use. http://www.csh.org/fuseRC Policy and Systems Reform Data-Driven Problem-Solving Targeted Housing and Services Convene multi-sector working group Create supportive housing , develop recruitment process Cross systems data match Troubleshoot housing placement and retention barriers Recruit and place clients into housing, stabilize with services Track Implementation Measure outcomes, impact and cost effectiveness Enlist policymakers to bring FUSE to scale Expand model and house additional clients

  14. University of Southern Indiana (USI) Study of Supportive Housing • IHCDA commissioned the University of Southern Indiana (USI) to study supportive housing in Evansville, IN • Mix of scattered site and single site • Mix of family and individuals • USI Study demonstrates effectiveness in the following areas • Improving residents’ lives • Generating significant cost savings to public systems • Benefitting the local community

  15. USI Study – Cost Savings

  16. USI Study – Improved Quality of Life • Reported Quality of Life Post-entry • 81% of tenants have lived in their IPSHI apartment for over one year • 69% reported increased school attendance for their children • 67% reported higher level of involvement in their children’s education • 63% reported better relationships with family members • 53% increase in community involvement • 58% reported that conditions of their neighborhood as better

  17. Health Outcomes and Saving $$ Cost Savings Health Outcomes • Direct Access to Housing in San Francisco found that supportive housing reduced nursing home costs by $24,000. • Chicago – Permanent supportive housing saved almost $25,000 per person, per year • Downtown Emergency Shelter Center in Seattle showed 41 percent in Medicaid savings by reducing ER visits and hospital inpatient stays. • Portland, Maine - Medicaid costs were reduced by almost $6,000 • SF study found 5-year survival rates of 81% for PLWAs in supportive housing compared with 67% who remained homeless • Chicago study found 55% survival for PLWAs in supportive housing compared with 35% of control group, and lower viral loads among housed group • Seattle study found 30% reduction in alcohol use among chronic alcohol users in SH • Denver study found 50% of tenants improved health status and 43% had improved MH

  18. CSH Guidance Document

  19. Framework for Building Partnershps

  20. What’s in it for Health Centers? • Make the Case • Make the Case

  21. What’s in it for Supportive Housing Providers? • Make the Case • Make the Case • Make the Case

  22. The Right Structure • Make it Work

  23. Identify Potential Partners • Make it Happen • Make it Happen Find a local health center: findahealthcenter.hrsa.gov Find a local housing provider: portal.hud.gov/hudportal/HUD?src=/states

  24. Focus on Indiana Partnerships • What is the motivation? • What are the barriers? • What are the next steps?

  25. Community: Evansville • Project Goals/ Objectives: • Identify high cost and most vulnerable across multiple systems • Create a more efficient and humane system to address the needs of the target population • Name & Role(s) of Project Partners • Community Mental Health Center • St Mary’s Medical Center • ECHO Community Health, Inc. • Vanderburgh Health Department • Initial Target Systems: • Coordinated Entry • Coordinated Health Needs Assessment • Vanderburgh Mental Health and Drug Court • Homeless Medical Respite • Future Initiatives: • New PSH development • On-site Medical Clinic

  26. Community: FUSE South Bend • Project Goals/ Objectives: • Identify high cost and most vulnerable across multiple systems • Provide PSH to stabilize • Coordinate continuum of care services to improve outcomes and reduce costs • Name & Role(s) of Project Partners • City of South Bend • United Way, South Bend Heritage Foundation • Memorial Hospital • Oaklawn and Michiana Health Network • Indiana Health Center • Neighborhood Development Associates, Bradley Management • Targeted Population • Population Defined: chronically homeless frequent users of crisis systems • High incidences of mental illness and/or substance addictions • New 32 units of PSH

  27. Community: Penn Place in Indianapolis • Project Goals/ Objectives: • Reduce housing and service barriers for chronically homeless & frequent users of crisis care systems • Build partner capacity for quality/low barrier PSH using Housing First/harm reduction approach • Project Start Date: December 2015 • Average Timeframe Program Enrollment & Move-in:1 month • Name & Role(s) of Project Partners • EskenaziHealth & Midtown Mental Health • Horizon House • BWI, LLC & Indianapolis Housing Agency • Targeted Population • Population Defined: chronically homeless frequent users of ERs, ambulances, criminal justice • # Targeted: 42 • # Housed to-date: 42 • Other Key Partners • CSH • IUPUI – School Public Health

  28. Community: Penn Place in Indianapolis • Outcomes Tracking: • 1 year pre and post activity and costs • Health outcomes related to use of community health resources • Reduced barriers to accessing housing • Housing retention • Strategies: • Data sharing MOU to identify frequent users and highest vulnerability • Flexibility in tenant screening criteria • Targeted Housing First Training across service and property management staff • Additional Services: • Substance use and mental health • Employment and empowerment • Peer engagement • Other: library and other health resources

  29. IPHCA May 2016 - CSH Resources CSH FUSE Guide http://www.csh.org/fuseRC CSH Health and Housing Partnership Guide www.csh.org/wp-content/uploads/2015/12/CSH-Health-Housing-Partnerships-Guide.pdf CSH Supportive Housing Training Center https://csh.csod.com/LMS/catalog/Welcome.aspx?tab_page_id=-67&tab_id=20000484 CSH HRSA Technical Assistance and Training www.csh.org/hrsata

  30. IPHCA May 2016 - CSH Contacts Lori Phillips Steele Lori.phillips-steele@csh.org Jane Bilger jane.bilger@csh.org

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