3 New York- the one we know and love There but for the grace...your picture is not here.
4 Drop in Homeless Count Draws Skepticism New YorkDrop in Homeless Count Draws SkepticismBy JULIE BOSMANCity officials said on Wednesday that the number of homeless people living on the streets in New York has declined by 30 percent in one year, prompting one prominent advocacy group to immediately dismiss the estimate as far-fetched. ………………………………………………………… REALLY?People Do not want to believe that there is a problem. You have to admit you have an issue before you can face it… That is where our agency comes in. We are down home Peer to Peer nothing fancy just goo plain living HOME Housing Options Made easy. It is not just an acronym it is what we do.
5 Home is where the heart is. =H O M EHome is where the heart is.
6 History of Housing Options Made Easy, Inc. Housing Options began in 1990, when a group of past and present mental health peers recognized the need to advocate for better and safer housing for individuals being discharged from the hospitals. By the time of the agency’s 10th anniversary the agency went from a few crisis beds to 180 beds covering four counties - Erie , Cattaraugus, Chautauqua, and Allegany. Since 2006 Housing Options Made Easy has expanded services to include Niagara and Monroe counties and currently we have over 390 scattered site apartments.
7 Housing Options Made Easy, Inc. Who we areHousing Options Made Easy, Inc.is a not-for-profit supported housing and community support agency developed and operated by and for recipients of mental health services.
8 Housing Options Made Easy, Inc. Mission StatementTo achieve complete social equality for individuals with mental illness by providing supported housing and other services so that individuals may live with dignity and have choices in the community.
9 Housing Options Made Easy, Inc. Vision StatementHousing Options is a not-for-profit supported housing and community support services agency developed and operated by and for recipients of mental health services.Housing Options is committed to decreasing stigma by increasing awareness of mental illness through information, education and advocacy. Efforts are focused on recipients, family members, community members, and mental health providers.Housing Options is building a continuum of accessible services that will meet the needs of recipients. These services will promote empowerment, wellness, and recovery. We respect the uniqueness and individuality of each person and their right of choice.Inherent in this is an understanding and acceptance of the corresponding responsibility accompanying individual decisions.
10 There is no medicine like hope, no incentive so great And no tonic so powerful As the expectation Of something better tomorrow.Orien Swett Marden
11 Guiding Principles Agency provides services that are peer driven Our board is to be no less than 51% peersMajority of staff are recipientsWe believe in the housing first modelTreat people as individuals and not diagnosesDevelop services that reflect individualityRespectful treatment and understanding of individual choiceEncourage self responsibility and community integration in personal decision making
12 I am not interested in the past I am not interested in the past. I am interested in the future, for that is where I expect to spend the rest of my life.Charles F. Kettering
13 Guidelines for Services To be an eligible recipient of services, you must meet the following guidelines.Be at least 18 years of age.Provide documentation of low income statusHave a primary psychiatric diagnosis (Axis 1) with DSM IV codeBe functionally disabled in at least three of the following areas:Self-Care~Social functioning~Activities of daily living~Self-direction~Ability to concentrate
14 What makes us unique?Nearly all of our staff and board are mental heath peers20 years of housing and peer workWe work with individuals and familiesSupports for our clientPeer and person centered policy and proceduresTrue empowerment and choiceWorking with the psychiatric centersOur training programsMulti county involvement: urban, rural and very ruralCommunity integrationTremendous cost savings to funding governmental sources
15 What we do Supported Housing Believe that healing is possible Peer Advocacy ServicesLong Term Care ServicesMentor/Support for Other Peer Run AgenciesAdvocacy TrainingSelf-help Support GroupsCommunity EmpowermentFriendship LineBenefit Advisement and trainingsFamily and Parenting Support/LinkageBelieve that healing is possibleRecognize the power of the individualFocus forward not backwardFocus on life rather on illnessRecognize that big problems don’t necessarily need big solutionsKeep hope aliveAccept backslidingParticipation not being a spectator
16 Individual/Family Assistance Since 2002 we have assisted over 250 familiesWe are currently serving 59 familiesSupportive Housing Program for Individuals/FamiliesHousing stabilityCommunity and school stabilityCreating meaning and purpose in lifeMotivating for recovery/wellnessImproving self-esteem
17 Supportive Housing Program for Individuals/Families (Continued) Providing opportunities for love and supportHelping individual and families to feel connected to others and integrated into the communityCreating natural support opportunities through the activities of other family membersProviding a valued social and family roleAssisting with educational/vocational and employment opportunities
18 Supportive Housing Program for Individuals/Families (Continued) We work with families in overcoming the following barriers:Avoiding treatment because of fear of loss of custodyHaving increased symptoms during pregnancyHaving disrupted sleep because of child care and feeding schedulesDealing with the stresses of parentingDealing with limitations of financial, housing, work, and social opportunitiesFacing the potential trauma of loosing child custodyFacing prejudice and stigma because they are parents with mental illnessParent needing to be hospitalizedSupporting and providing referrals for separation, divorce, domestic violence
19 Supportive Housing Program for Families (Continued) Services offered to families in addition to what we offer everyone:Being role models of successful parents with mental illnessPeer sharingInforming of state laws regarding custody and abuseModeling parenting skillsConnecting with appropriate and needed parenting and child servicesAssisting with referrals regarding pregnancy careHelping with family reunification
20 Supportive Housing Program for Individuals and Families (Continued) OutcomesReduced stigmaCommunity integrationProductive rolesReduced crisisesHousing stabilityFinancial stabilityEducational stabilityCost savingsIncreased social supportImproved social functioningImproved self-esteem and empowermentIncreased family stabilityStrengthened self advocacy
21 Current Housing Programs County Program Type # of Beds Allegany OMH SHP 9 Cattaraugus OMH SHP 82 HUD SHP 12 HUD SHP 6 apartment 6 Chautauqua OMH SHP 35 HUD SHP 7 HUD SHP 5
22 Current Housing Programs County Program Type # of BedsErieOMH SHPLONG Term SHPHUD S+CHUD S+CHUD SHPNiagaraOMH SHPMonroeLong Term SHPTotal:
23 The Chinese symbol; for crisis connotes danger and opportunity In the middle of difficulty lies opportunity Albert Einstein
24 Long Term SH Program 2 transitional apartments in Erie County Training program within the RPC and BPC Psychiatric Hospitals and facilitiesCommunity self-help groupsApartments stay open for 90 days if clients needs re-hospitalization or because of other issuesClient choose the apartment of their choice within the community that is supportive to their recovery efforts.BPC – 18 clients have been in the program 2 years or more. 18 clients have been in the program 1 year or more. (36) 17 clients have been in the program 6 months or more. (53) 9 clients have been in the program 3 months or more. (62)Staff see them on a ongoing basis and they receive the benefits that all our agency clients receive.
25 Long Term Stay continued, BPC: 73 referrals, only 3 denials (6 went back, not ready or turned down the program)70 admissions for the 2+ year program49 in program21 discharges – 30%6 were in the program less than 6 months-.28%14 in program more than 6 months-66%12 re-hospitalizations and 1 returned to our program, 17%2-arrested2 in school6 volunteering and/or working4 deaths
26 Long Term Stay continued, RPC 1 clients have been in the program 2 years or more13 clients have been in the program 1 year or more14 clients have been in the program 6 months or more (27)12 clients have been in the program 3 months or more (40)44 referrals, NO denials44 admissions35 currently in the program9 discharges-20%8 re-hospialized-18%8 volunteering and/or working1 death
27 Long Term Stay continued Approximate Psychiatric hospitalization Cost:RPC- approximately $225,000 per year or $ a dayBPC- approximately $207,000 per year or $ a dayApproximate cost savings or cost reallocations:BPC program- $13,403,250RPC program-$5,625,000Total: $19,028,250This is an approximate number I have gotten from NYSOMH and does not include soft costs like ICM, CM and ACT services which in many cases are no longer needed.Our cost: approximately: $8, annually or $23.00 a day, which includes:security deposit, first months rent, ongoing peer services, start-up furniture and household items, bus pass, and client would pay 30% of their income towards their rent and we would pay the difference. Other miscellaneous costs: utilities, food, moves, pest spraying and damage as examples.
28 Long term stay continued: Our reason for successConsumer choiceTraining programs and relations that have been developedPartnerships we have made with the psychiatric centersTransitional apartments and the type they are!Person centered and integrated community services and supportsPeer role modelingTrainings for the traditional staffBenefits in placeFear taken awayCommunity integrationGood follow-upRealistic goals for the individualsPerson centered discharge goals
29 What is our Peer Training Program? 1. Housing Options Made Easy offers different levels of Peer Specialist Training:New and ongoing employee training, Peer Advocacy Training, College-based Peer Specialist Training, and Long Term Care Transitional Training Programs.Our college-based training is designed to prepare peer providers to function in a variety of roles as peer in the workplace.Our Long Term Care Training assists individuals who are currently residents of psychiatric hospitals to gain skills, confidence, and support as they transition into living independently in the communities of their choice.Our Peer Advocacy and Empowerment training prepares peers to obtain jobs, sit on boards and get involved in their community.Our employee training (see table of content handout)2 . Housing Options also provides benefit advisement and training.
30 Warm Line Services It’s your call 1-877-IAM-HEREFREE * SUPPORTIVE* CONFIDIDENTAL* NON CRISISOur callers talk about a variety of topics and sometimes they just call to tell us about their day, to check in and let us know how they are doing.We are there to listen and to offer support or suggestions when requested or desired. Our Friendship Line is a peer run line which is available during hours most traditional providers offices are closed.
31 Employment Recruitment and Peer Support Average employee years of service: 8 yearsFlexibility within the employee handbookPeer to Peer supervisionHR consultantsMedia advertisementOur training programPromotional opportunities with good benefit packageFlexible hoursHiring people within the counties we serveDevelopment of teamsTQM style to encourage employee investment and feeling of ownershipContingency managementPartnerships and collaboration within New York State and each community we serve
32 Supporting Data Since 2002 our recipients have reported: 90% have less need for crisis intervention99% have found their housing stability has improved96% that their ability to live more independently has improved94% indicate improvement in daily living skills90% have reported an improvement in social and personal relationships*Please see our website for additional information
33 Service Delivery Tips What we can do to build strong peer run agencies that empower those we serve… Include peers in program planning, implementation, and evaluation.Involve peers in identifying and developing curriculum for staff training.Appoint peers to sit on agency governing and advisory boards.Educate all agency staff on appropriate methods for addressing clients with mental illness. Use person first language in all agency communication and correspondence.Support staff who disclose having a mental illness, other disability, or history of homelessness.
34 Where are we headed? Expanding of our training programs Working with diversion populations: Vets, transitional youth criminal justice and aging out populationsWorking within more counties and psychiatric centersBeing involved with more state and national initiativesBecoming more nationally focused and looking into other states to help strengthen their peer movement.Continue with the agency mentorship programSupporting home-ownershipProviding more peer job opportunitiesDeveloping a peer run community residence healing centerPublishing our materialBecoming a best practice
35 firstname.lastname@example.org or Questions and AnswersJoe Woodward is available to provide dynamic, interactive presentations, workshops and strategic planning sessions for state agencies, non-profit organizations, community boards and peer organizations.Please contact him at:or, ext. 14
37 ResourcesHOME website for more information Mental Health Information Network mhepinc.org Consumer White Paper Information on Co-Occurring Disorders Parenting Resources
38 Resources ContinuedMental Health Empowerment Project, Inc.Copy of Printable Advanced DirectivePrintable Health Care Proxy FormsParent Support Network
39 If you would like to receive a copy of this power point presentation please contact Joe Woodward, Executive Director Housing Options Made Easy, Inc. 75 Jamestown Street Gowanda, New York Thank you for time!