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Solving Homelessness

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

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Solving Homelessness

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  1. Solving Homelessness Common Ground Rosanne HaggertyKnoxville, TN – March 2005

  2. Core Ideas • Information: Counting and differentiating the individuals and the costs • Targeting: Focus on the most vulnerable (chronic/primary homeless) • Housing First • Prevention • Governance: integration,coordination and accountability for results • Communication: homelessness is solvable, one person at a time • Leadership: political will expressed from the top

  3. TOTAL: 44,133 • 1. HRA – 2,359 • 1832 adults + 155 • families (x3.4) • 2. HPD – 1438500 adults + 276 • families (x 3.4) • 3. HASA/AIDS – 1750 • 4. DHS - 38,5868501 adults + 30,085 • family members • 03/04 Homelessness in New York City

  4. Discharge Planning - Foster Care

  5. Discharge Planning – Jail Population

  6. 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.

  7. HIGH COST MEDICAID PATIENTSAn Analysis of New York City MedicaidHigh Cost Patients - March 2004 DISTRIBUTION OF PATIENTS AND EXPENDITURES ADULTS - AGE 18-64 - DISABLED 77.3% Disabled [Non-HIV/Alc/Drug/Schiz/SNF/ICF]

  8. 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

  9. Boston Health Care for the Homeless Study Utilization of Medical Services by the Cohort 1999-2003 (N = 119) • Emergency Room Visits 18,384 • Medical Hospitalizations 871 • Respite Admissions 836

  10. 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

  11. S2hi – Street to Home Initiative

  12. S2hi – Street to Home Initiative Profile – Street Homelessness in West Midtown • 76% diagnosed with SPMI • 90% current or history of substance abuse • 56% MI and Substance abuse • 98% MI or Substance abuse • 33% Major physical health concern • 50% Receive SSI at intake • 25% Receive PA at intake • Mean time on streets = 7.7 years • Median time on streets = 6 years

  13. S2hi – Street to Home Initiative Results

  14. Housing First Pathways 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 City’s 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.

  15. Supportive Housing • Integrated, 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

  16. Supportive Housing Qualities of Supportive Housing • Immediate solution to homelessness • Comprehensive services prevent future homelessness, build tenant capability to participate in mainstream society • Sustainable • Cost effective

  17. Supportive Housing Financing Supportive Housing • Dedicated 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)

  18. Supportive Housing Financing Supportive Housing • Tax 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)

  19. Supportive Housing

  20. Prevention Foster Care: • Foyers (Europe, North America) • First Place (California) • Resettlement packages (Great Britain) Prisons: • Maryland Reentry Partnership Initiative (REP) • Illinois Department of Corrections • Department of Correction/Department of Homeless Services Task Force (NYC)

  21. Prevention Brownsville, NY Population: 85,000 Percentage of families below poverty line: 28.6 Percentage 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%

  22. Common Ground’s Homelink Daycare/after school link Landlord organizing and outreach Eviction prevention Family mediation Landlord mediation Housing reclamation and improvement New Housing Development Prevention • Crisis intervention • Home visits • Community organizing • Legal assistance • Flexible cash assistance • Education links • Healthcare link • Employment links

  23. Governance Philadelphia 6th largest US City • 850 street homeless in center city 2001; 40 in 2005 • Centralized activities of 17 city agencies through assistant managing director of city • Centralized services intake to assure coordination with all city services and reduce “creaming” • Weekly street counts and on-going data matching between agencies • Bi-weekly progress meeting of all stakeholders: city agency staff; downtown businesses, not for profit providers

  24. Communications • Problem is Solvable • Issue is personal • Role for each of us

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

  26. 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

  27. Solutions • Information: Counting and differentiating the individuals and the costs • Targeting: Focus on the most vulnerable (chronic/primary homeless) • Housing First • Prevention • Governance: integration,coordination and accountability for results • Communication: homelessness is solvable, one person at a time • Leadership: political will expressed from the top

  28. Common Ground Community We are solving homelessness through innovative programs that transform people, buildings, and communities.

  29. Solving Homelessness Common Ground Rosanne HaggertyKnoxville, TN – March 2005

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