Georgia Department of Behavioral Health and Developmental Disabilities Georgia Housing Voucher and Bridge Funding Programs SFY 2013 A Year in Review

Settlement Agreement Requirements To provide Supported Housing and Bridge Funding to persons with Serious and Persistent Mental Illness. Priority Priority those currently being served in the State Hospitals those currently being served in the State Hospitals frequently readmitted to the State Hospitals frequently readmitted to the State Hospitals frequently seen in Emergency Rooms frequently seen in Emergency Rooms chronically homeless chronically homeless and/or who are being released from jails or prisons. and/or who are being released from jails or prisons.

100 Served by July 1, 2011 Result: % of Goal 500 Served by July 1, 2012 Result: % of Goal 800 Served by July 1, 2013 Result: 1, % of Goal % GHVP with “O” income 47% Monthly Program Payment$400,000 Average State Wide Rent $509.54

July 2011 July 2012July 2013 July 2011 July 2012July 2013 # % # % # % Homeless26 17% % % Intensive61 41% % % Hospitals11 7% 70 9% % Families33 22% 67 9% 89 8% Prisons 0 0 % 3 0% 5 0% Other20 13% % 104 9% Referrals

GHVP Status Report Total Authorized for Housing1,253 Total Authorized for Housing1,253 Total Number Served 1,002 Total Number Served 1,002 Current Residential Placements 762 Current Residential Placements 762 Total Program Months 11,520 Total Program Months 11,520 Approved and Looking for Housing 79 Approved and Looking for Housing 79 Number of Properties 350 Number of Properties 350 Number of Providers 45 Number of Providers 45 Number of Individuals Transferred to DCA HCV 55 Number of Individuals Transferred to DCA HCV 55 Number of Counties 74 Number of Counties 74 Hospital census decline from approximately 600 to <300 Hospital census decline from approximately 600 to <300

Performance Measures Housing Stability (# 6 months in Housing)55/680 92% DBHDD/HUD Standard77% DBHDD/HUD Standard77% Above (Below) DBHDD/HUD Standard 15% Above (Below) DBHDD/HUD Standard 15% Reengagement (# Successfully Engaged/# of “Negative Leavers”) 32/155 21% DBHDD Standard10% DBHDD Standard10% Above (Below) Standard 11% Above (Below) Standard 11%

Long Term Housing Stability Long Term Housing Stability SFY 2011 Program Participants 91 out of % SFY 2011 Program Participants 91 out of % SFY 2012 Program Participants 424 out of % SFY 2012 Program Participants 424 out of % SFY 2013 Program Participants 352 out of % SFY 2013 Program Participants 352 out of % SFY 2014 Program Participants 41 out of % SFY 2014 Program Participants 41 out of % Total Placed 908 out of % Total Placed 908 out of %

Bridge Funding Providing funds for deposits, household necessities, and living expenses until the individual receives supplemental income. Providing funds for deposits, household necessities, and living expenses until the individual receives supplemental income. 90 by 2011Actual % of Goal 90 by 2011Actual % of Goal 360 by 2012Actual % of Goal 360 by 2012Actual % of Goal 270 by 2013Actual % of Goal 270 by 2013Actual % of Goal

Bridge Funding % of Funds Total Spent % of Funds Total Spent Provider Fee23%$275,750 Provider Fee23%$275,750 Furnishings26%$315,050 Furnishings26%$315,050 Household Items 9%$108,274 Household Items 9%$108,274 Utility Deposits 5%$ 59,900 Utility Deposits 5%$ 59,900 Security Deposits 8%$100,274 Security Deposits 8%$100,274 1 st & 2 nd Month Rent23%$283,661 1 st & 2 nd Month Rent23%$283,661 Other 6%$ 72,331 Other 6%$ 72,331 Total $1,215,240 Total $1,215,240

Keys to Success Leadership, capacity, staff, and decision making authority at the regional level. Leadership, capacity, staff, and decision making authority at the regional level. Referral system based on meeting the individual’s needs. Referral system based on meeting the individual’s needs. Development of a strong hospital discharge- planning infrastructure made up of hospital staff, regional DBHDD staff, and providers expediting housing placements. Development of a strong hospital discharge- planning infrastructure made up of hospital staff, regional DBHDD staff, and providers expediting housing placements.

Keys to Success Strong coordination between PATH teams (People Assisting The Homeless) and ACT teams (Assertive Community Treatment) creating a seamless system of homeless outreach, service coordination, and housing (Atlanta including partnership with United Way) Strong coordination between PATH teams (People Assisting The Homeless) and ACT teams (Assertive Community Treatment) creating a seamless system of homeless outreach, service coordination, and housing (Atlanta including partnership with United Way) Conducted regional trainings during the year to develop provider understanding of community housing resources and program administration. Conducted regional trainings during the year to develop provider understanding of community housing resources and program administration.

GHVP’s Strategic Value As a “first in” resource, GHVP with it’s ability to quickly react and forge immediate cooperative relationships, can then bring other main stream resources (e.g. HCV) to bear, minimizing risk to those programs, or disrupting their more defined policies and procedures. As a “first in” resource, GHVP with it’s ability to quickly react and forge immediate cooperative relationships, can then bring other main stream resources (e.g. HCV) to bear, minimizing risk to those programs, or disrupting their more defined policies and procedures.

New Initiatives Collaboration with the Department of Community Affairs to transition those on the GHVP to that agency’s Housing Choice Voucher (HCV) program. Initial commitment of 50% of all vouchers turned over during the next 2 years. 55 transferred with new coordinated effort to accelerate use. Collaboration with the Department of Community Affairs to transition those on the GHVP to that agency’s Housing Choice Voucher (HCV) program. Initial commitment of 50% of all vouchers turned over during the next 2 years. 55 transferred with new coordinated effort to accelerate use. Partnership with the Veterans Administration. Providing bridge funding to those with a VASH housing voucher to expedite full rental assistance resource utilization (19 to date). Partnership with the Veterans Administration. Providing bridge funding to those with a VASH housing voucher to expedite full rental assistance resource utilization (19 to date). Alliance with the City of Atlanta’s “Homeless No More” program to move high risk chronic homeless individuals into a GHVP supportive housing voucher (21 to date). Alliance with the City of Atlanta’s “Homeless No More” program to move high risk chronic homeless individuals into a GHVP supportive housing voucher (21 to date).

Future Challenges Working with the Department of Corrections to create the necessary transition infrastructure to move those with SPMI from the prison system that require housing support and are ineligible for other forms of assistance. Working with the Department of Corrections to create the necessary transition infrastructure to move those with SPMI from the prison system that require housing support and are ineligible for other forms of assistance. Programmatic evaluation that measures GHVP’s impact on homelessness, hospital utilization, emergency room visits, and incarceration. Programmatic evaluation that measures GHVP’s impact on homelessness, hospital utilization, emergency room visits, and incarceration. State wide cross agency data system to target resources and measure outcomes across agency silos. State wide cross agency data system to target resources and measure outcomes across agency silos. Expanding supply of available 1 bedroom units. Expanding supply of available 1 bedroom units.

Additional Resource Strategies (Supply) Additional Resource Strategies (Supply) Outreach to other Public Housing Authorities with rental assistance (PHAs) for a person with a disability preference. Outreach to other Public Housing Authorities with rental assistance (PHAs) for a person with a disability preference. Creation of preferences in existing tax credit properties Creation of preferences in existing tax credit properties Outreach to existing PHA owned properties for preferences. Outreach to existing PHA owned properties for preferences. Outreach to existing USDA Section 515 properties in rural areas that have rental subsidies. Outreach to existing USDA Section 515 properties in rural areas that have rental subsidies.

Implementation Strategies Implementation Strategies “Mental Health First Aid” to property mangers to gain wider property owner acceptance of target population. “Mental Health First Aid” to property mangers to gain wider property owner acceptance of target population. “Housing 101” training to providers to increase knowledge of other community resources. “Housing 101” training to providers to increase knowledge of other community resources. Regional “Boot Camps” to bring wide range of stakeholders together to create unified streamlined local systems together. Regional “Boot Camps” to bring wide range of stakeholders together to create unified streamlined local systems together.

Implementation Strategies Implementation Strategies Encourage a Georgia Supportive Housing Conference to examine strategies annually. Encourage a Georgia Supportive Housing Conference to examine strategies annually. Create prison and jail discharge planning infrastructure of transition specialists linked to DBHDD’s regional and provider network. Create prison and jail discharge planning infrastructure of transition specialists linked to DBHDD’s regional and provider network. DBHDD and DCA to meet quarterly and report on effectiveness of reaching the DOJ goal and adjust committed resources as indicated. DBHDD and DCA to meet quarterly and report on effectiveness of reaching the DOJ goal and adjust committed resources as indicated. Regular reporting to the wider advocate community and Georgia General Assembly on progress. Regular reporting to the wider advocate community and Georgia General Assembly on progress.