1. Homes Within Reach November 17th, 2015 Marcella A. Maguire, Ph.D. County Housing Plans for Persons in Recovery from Behavioral Health Challenges: A Chance to Partner with Health Care Systems SUPPORTING RECOVERY, RESILIENCE & SELF-DETERMINATION

2. Recovery Oriented System of Care RECOVERY, RESILIENCE & SELF-DETERMINATION DBHIDS Primary Focus Community Life In the model, clinical care is viewed as one of many resources needed for successful integration into the community. Work or School Treatment & Rehab Social Support Belonging Family Housing Peer Support Faith

3. A County Behavioral Health/Mental Health Authority A County Drug and Alcohol Authority Health Choices, a state Mandatory Managed Care program that contracts with Managed Care Organizations (MCOs) who managed Medicaid Resources – Behavioral Health Managed Care Organizations (BH-MCOs) – Physical Health Managed Care Organizations DBHIDS RECOVERY, RESILIENCE & SELF-DETERMINATION 123rf 34656177_l.jpg All PA Counties now have

4. DBHIDS

5. To Engage Fully in Recovery, Persons with Disabilities Need DBHIDS RECOVERY, RESILIENCE & SELF-DETERMINATION Affordable Housing Safe Neighborhoods that Support Recovery Accessible Affordable Supportive Housing Affordable Housing PLUS Individualized Services to meet the needs OR

6. All PA County Behavioral Health Authorities are required to have a “County Housing Plan” Recovery Oriented Systems of Care Creating a Culture of Health Recognizing that Housing is a key component to People’s recovery Putting resources towards support those efforts Assuring that the spirit and letter of the Supreme Court Olmstead decision is followed. Supporting full community integration for people with disabilities. DBHIDS. RECOVERY, RESILIENCE & SELF-DETERMINATION

7. County Housing Plans can support Capital Project Based Operating Assistance Tenant Based Short Term Rental Subsidies (Bridge Program) - A Bridge to Mainstream Housing Resources Program Management Housing Contingency Funds Housing Support/Support Services- With a long term plan for Medical Assistance Reimbursement DBHIDS. RECOVERY, RESILIENCE & SELF-DETERMINATION

8. 948 Participants (2012-2014) 27% from Congregate Care 32% from Current Homelessness 41% from Project Based Permanent Supportive Housing Programs PSH Outcomes Philadelphia Clearinghouse (2012-2014) DBHIDS RECOVERY, RESILIENCE & SELF-DETERMINATION Outcomes 87.5% remain in stable housing and are not using crisis services 11.5% are no longer in PSH 1% deceased

9. THE NORTH PHILADELPHIA BEACON PROJECT PORCH LIGHT INITIATIVE, YEAR 3 © 2013 City of Philadelphia Mural Arts Program / James Burns — 2701 N. Broad Street — Photo by Steven Weinik Contact Information: Marcella.Maguire@phila.gov www.dbhids.org Twitter: @Cella65 @DBHIDS