1. Ending Homelessness – Achieving Self-Sufficiency

2. Homelessness Addictions Mental Illness Chronic Health Problems Trauma Lack of Insurance Unemployment Criminality Supportive Housing Comprehensive Solutions Integrated Healthcare Positive Peer Relationships Income & Employment

3. CCC Housing with LIHTC funding Biltmore Hotel Downtown Portland Golden West Hotel Downtown Portland Chez Ami Apartments New Construction Clackamas County Estate Hotel Downtown Portland

4. CCC Housing with LIHTC funding Henry Building Downtown Portland Hotel Alder Downtown Portland Madrona Studios North Portland Mark O. Hatfield Building Downtown Portland

5. CCC Housing with LIHTC funding Richard L. Harris Building New Construction Downtown Portland Sally McCracken Building Downtown Portland Shoreline Hotel Downtown Portland

6. Housing Choice: Different Housing for Different Needs 1,600 units Specialized housing: –Recovery Families –Recovery HIV/AIDS –Veterans Grant Per Diem –Housing First Scattered Site –Low barrier housing for residents with significant criminal histories

7. CCC Health Services Primary care Mental health services Addiction treatment programs

8. Recovery Mentor Program Housing and peer mentors for early recovery, many ex-offenders – housed in LIHTC funded Estate Building Successful supportive housing model for people with addictions Successful outcomes: o 75% gain permanent housing and employment o 1 year post-exit: over 85% still housed and employed Housing has a major impact on alcohol and drug treatment completion: In 2013, 72% of clients of the outpatient CCC Recovery Center treatment program who were in the Mentor program successfully completed treatment, compared to an overall completion rate of 47%

9. Making the Case for Supported Housing Julie, before : 35-year-old African American female removed from home at age 4 due to physical abuse by heroin addicted parents. History of drug abuse and homelessness from age 16. 50 times in jail with longest stay 30 days. 30 drug related emergency room visits. 3 hospitalizations due to stab and gunshot wounds while living on the streets.

10. Julie, Services received from CCC: Hooper Detox Stabilization Center November 2008 Alcohol and Drug Free Community transitional housing with peer mentor in LIHTC-funded Harris Building Community Volunteer Corps Supported Employment Making the Case for Supported Housing

11. Julie, after : Clean and sober since November 2008 Employed since November 2009 with employer paid health insurance. Moved into own apartment in March 2011. Zero hospital admissions, emergency room or jail visits. Making the Case for Supported Housing

12. Recuperative Care Program RCP serves approximately 200 individuals facing homelessness per year, funded by hospitals and managed care In last year: 75% had their acute medical condition resolved, 82% placed in housing or appropriate placements on discharge Victor’s Story After 12 years of diabetes and unstable housing, at age 62 Victor lost his job and was sleeping in doorways. Diabetes reached dangerous level, medications often stolen After several hospitalizations, Victor stabilized in CCC’s respite care housing RCP and Old Town Clinic. CCC helped him secure social security benefits and permanent housing.

13. Making the Case: National Data Evaluations of supportive housing demonstrate significant improvements in housing stability, reductions in days of homelessness, and reductions in the utilization and costs of public services such as: emergency shelter hospital emergency room inpatient care sobering centers jails

14. Making the Case: National Data Source: USICH, Opening Doors

15. Promising practice: Enterprise Healthcare and Housing Enterprise Foundation funded collaboration to connect residents within four affordable housing sites (including Section 8 and Public Housing) to primary care while lowering the number of calls to emergency services from those sites. Partners: CCC, Innovative Housing Inc., Northwest Housing Alternatives

16. Future CCC LIHTC projects 60 units of affordable housing for families housing in Clackamas County with on-site supportive services. Excellent access to public transit, employment and educational opportunities

17. Additional Resources on Healthcare and Housing connections Corporation for Supportive Housing U.S. Interagency Council on Homelessness National Healthcare for the Homeless Council