1. Introducing the SAMHSA ToolKIT on Permanent Supportive Housing
Anne Cory Corporation for Supportive Housing MHSA Small County TA Call 8/18/10

2. SAMHSA’s KIT (Knowledge Informing Transformation)
This KIT is part of a series of Evidence-Based Practices KITs created by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services

3. SAMHSA’s KIT (Knowledge Informing Transformation)
Two philosophical tenets steer these KITs:
Consumers and families have a right to information about effective treatments and, in areas where EBPs exist, they have a right to access effective services.
Mental health services should have the goal of helping people achieve their personal recovery goals; develop resilience; and live, work, learn, and participate in the community.

4. SAMHSA’s KIT (Knowledge Informing Transformation)
Each KIT provides the EBP’s practice philosophy, beliefs, and values that guide the following:
Clinical judgments;
Specific treatment components;
Structured service-delivery components; and
Evaluation components.
KITs outline the essential components of each EBP and give you suggestions collected from those who have successfully implemented them within mental health systems and agencies.

5. SAMHSA’s KIT (Knowledge Informing Transformation)
The KITs are primarily geared toward five critical groups of stakeholders:
Public mental health authorities;
Agency administrators and program leaders;
Clinical supervisors and direct service practitioners;
Consumers of mental health services; and
Family members and other supporters.

6. SAMHSA’s KIT (Knowledge Informing Transformation)
The Permanent Supportive Housing KIT has 8 booklets:
How to Use the Evidence-Based Practices KITs
Getting Started with Evidence-Based Practices
Building Your Program
Training Frontline Staff
Evaluating Your Program
The Evidence
Tools for Tenants
Using Multimedia to Introduce Your EBP

7. How to Use the Evidence-Based Practices KITs
Provides background on the Evidence-Based Practices KITS
Definition of terms
Overview of this KIT
While many mental health agencies provide excellent services, the opportunity to integrate the best that science has to offer into the service delivery system has compelled many agencies to implement EBPs.

8. Getting Started with Evidence-Based Practices
Getting Started with Evidence-Based Practices gives you an overview of the activities that are generally involved in implementing evidence-based practices (EBPs) and tells you how to make EBPs culturally competent. This booklet addresses EBPs generally rather than the specific practice of Permanent Supportive Housing and is particularly relevant to the following:
Mental health authorities; and
Agency staff who develop and manage EBP programs.

9. Building Your Program
Building Your Program is intended to help mental health authorities, agency administrators, and Permanent Supportive Housing program leaders think through and develop the structure of Permanent Supportive Housing programs.
Understanding Permanent Supportive Housing
Tips for Mental Health Authorities
Tips for Agency Administrators and Program Leaders

10. Building Your Program
Additionally, Building Your Program includes more detailed sections on the following topics:
Sources of Funding;
Local and State Housing Plans;
Evaluating a Housing Market; and
Phases of Housing Development.

11. Building Your Program Appendix A: Case Study—Housing Support Teams
Appendix B: Sample Job Description—Housing Support Team Housing Specialist
Appendix C: Case Study—Washington, D.C.
Appendix D: Case Study—Allegheny County, Pennsylvania
Appendix E: State Housing Agencies
Appendix F: Memorandum of Understanding Between a Public Housing Agency and a Mental Health Authority

12. Training Frontline Staff
This workbook will help program leaders teach their staff members about the principles, processes, and skills necessary to deliver effective Permanent Supportive Housing.
The basic elements of Permanent Supportive Housing;
The theory behind the Permanent Supportive Housing model;
The core processes that programs follow; and
The types of services that program staff provide.

13. Evaluating Your Program
Evaluating Your Program shows how to evaluate the effectiveness of your Supportive Housing program and ensure its fidelity to the model presented in this KIT. It includes the following:
A Fidelity Scale;
The General Organizational Index; and
Scoresheets for the scale and the index.
You will also find instructions for conducting assessments and tips on how to use the data to improve your program.

14. Evaluating Your Program
Key stakeholders who are implementing Permanent Supportive Housing programs may find themselves asking two questions:
Does the Permanent Supportive Housing program, as implemented, follow the basic principles and elements of the Permanent Supportive Housing model?
Has Permanent Supportive Housing achieved the expected results?

15. Evaluating Your Program
To answer the first question, collect process measures (by using the Fidelity Scale and General Organizational Index), which capture how services are provided.
To answer the second question, collect outcome measures, which capture the program’s results.

16. Using Multimedia to Introduce Your EBP
Using Multimedia is a collection of educational tools to help you introduce Permanent Supportive Housing to a variety of groups including the following:
Mental health authorities; Community members;
Consumers; Families and other supporters; and
Housing providers.
These materials can be used during inservice training meetings and for community presentations to educate other stakeholder groups.

17. Tools for Tenants Tool 1: What Is Permanent Supportive Housing?
Tool 2: How Can You Afford a Place of Your Own?
Tool 3: Your Housing Preferences
Tool 4: What Is a Lease?
Tool 5: Your Support Needs
Tool 6: Being a Good Tenant
Tool 7: Time to Move On?
Tool 8: Fair Housing Is Your Right!

18. Statement of Principle
Federal law requires public mental health systems to provide services in integrated community settings, and Permanent Supportive Housing is a proven approach for doing so. It presents an alternative to hospitals, shelters, and other settings that segregate people by disability, such as nursing homes, board and care homes, and other residential care facilities, in which residency is tied to receiving the particular services the facility offered.

19. More Statement of Principle
Living in custodial settings often causes people to withdraw from community life and to lose daily living and interpersonal skills.
Institutionalization often causes people to lose contact with family and friends and lose a sense of community.
Institutionalization carries a social stigma; having a history of institutionalization can increase the chances that someone will experience overt discrimination.

20. Why We Do This Work
Having a place to call home is necessary for adequate psychological health. It is very difficult for people with psychiatric disabilities to stabilize their psychiatric condition or begin to move toward recovery without having a place to call home.
A home is a universal human need.

21. PSH Systemwide Approach
Support for Permanent Supportive Housing as a Systemwide Approach
Permanent Supportive Housing is an effective approach that can be adopted system-wide, rather than as a selective approach available only to a select few. It is now recognized that people with serious mental illnesses and other disabilities have the right to be full members of the community, and Permanent Supportive Housing has been shown to support that goal.

22. Support for PSH
In 2005, the National Association of State Mental Health Program Directors revised its Position Statement on Housing and Supports for Individuals with Mental Illness. This new statement, a dramatic call to action, reaffirms the commitment of state mental health authorities to Permanent Supportive Housing.
This position statement calls for the following:

23. Support for PSH
The development and sustainability of decent, safe, and affordable housing;
The availability of flexible and individualized, quality housing services and supports;
Housing policies that do not tie the status of mental health treatment to acquiring and protecting housing;
A more active and determined effort of the federal government to protect and bolster federal housing policies and programs; and
Leadership by state mental health authorities in the housing arena, especially in housing development.

24. For more information contact CSH anne.cory@csh.org www.csh.org