1. Unique Housing Partnerships Create Community Living Options
Jessa Johnson, Supportive Housing Policy Director, NC Department of Health & Human Services, Raleigh
Sarah Lancaster, Housing Supports Manager, Vaya Health, Western NC
Amy Modlin, Housing Director, Trillium Health Resources, Eastern NC

2. Expanded Legal Protections for People with Disabilities
The Americans with Disabilities Act of 1990
Prohibits discrimination and ensures equal opportunity
Olmstead ACT in 1999
Requires the elimination of unnecessary segregation of persons with disabilities and creation of opportunities for community integration
Additional Initiatives in the 2000s
Money Follows the Person
Expanded federal partnerships between housing, disability and Medicaid
Increased Oversight and Enforcement by US DOJ in 2009
North Carolina entered into Settlement Agreement in 2012

3. What Does Olmstead Look Like in North Carolina?
On August 23, 2012, the United States entered a comprehensive, eight-year Settlement Agreement with the State of North Carolina
The Agreement expands access to community-based permanent supportive housing that promotes inclusion and independence and enables individuals with mental illness to participate fully in community life
North Carolina implemented the Transitions to Community Living Initiative
In 2017, the US DOJ moved to enforce supportive housing and supported employment provisions of the Agreement
Increased efforts around accessing housing and identifying eligible individuals

4. What is the Transitions to Community Living Initiative?
In-Reach and Transition — Education and discharge planning efforts are provided to eligible individuals
Diversion — Choice regarding housing options provided to individuals
Housing — Community-based supportive housing with supportive services in the location of an individual’s choice
Supported Employment — Evidence-based services to assist individuals in preparing for, identifying, and maintaining integrated, paid, competitive employment
Assertive Community Treatment — An evidence-based treatment and support model of services offering intensive customized, community-based services for people with mental illness
Quality Management — Utilizing data to evaluate progress and outcomes

5. Transitions to Community Living Voucher
The state’s Local Management Entities/Managed Care Organizations (LME/MCOs) operate the TCLV program as subsidy administrator
TCLV is a tenant-based voucher program: the tenant can use the voucher with any landlord who accepts the voucher
Works throughout the private market
LME/MCO and/or supportive services providers support potential tenants throughout leasing and move-in process, and continue to provide ongoing tenancy support
Rent is negotiated and outlined with a Housing Assistance Payment contract
Housing must pass HUD Housing Quality Standard inspection

6. Community Living Housing Funds
In 2014, the North Carolina General Assembly established the Community Living Housing Fund (G.S. 122E-3.1) to provide funding for integrated, community based supportive housing for individuals participating in TCLI
The Fund is made up of unexpended, unencumbered DHHS funds that revert each year to NCHFA
DHHS and NCHFA worked to develop a process to release funds to local developers in collaboration with LME/MCOs, who are responsible for referrals and supportive services for tenants housed in units developed with these funds
These Funds can be used to set aside 20% of a new or rehab development for the target population

7. Partnership Process Prepare properly for public/private partnerships
Assess your capabilities
Create a shared vision
Understand your partners and key players
Be clear on the risks and rewards for all parties

8. Partnership Process
Establish a clear and rational decision-making process
Make sure all parties do their homework
Secure consistent and coordinated leadership
Communicate early and often
A partnership is a PROCESS not a PRODUCT. Successful navigation through the process has to result in net benefits for all parties.

9. Examples Unique Housing Partnerships
Public/Public
Public/Faith-based
Public/Private

10. Public/Public Partnerships
Who is considered a public partner?
What does a public/public partnership look like?
How does this partnership happen?
How does it grow?
Example

11. Faith-based Partnerships
What is considered a faith-based partner?
What does a public/faith-based partnership look like?
How does this partnership happen?
How does it grow?
Example

12. Public/Private Partnerships
Who is considered a private partner?
What does a public/private partnership look like?
How does this partnership happen?
How does it grow?
Example

13. Examples of Existing Partnerships
DHHS
NCHFA
Housing Authorities (Public Housing Authorities): City of Asheville, Northwestern Regional
County Governments: County Project Managers
City Councils
Affordable Housing Committees
Private, non-profit community development corporations: Mountain Housing Opportunities, W.N.C. Housing Inc.
Community-based agencies
Private landlords (landlord associations)

14. Accessing Affordable Housing Resources
What do we mean by affordable housing resources?
How do you access resources?
How do these resources create community living options?

15. Accessing Affordable Housing Resources Examples
Housing Choice Voucher, Project-Based Vouchers, Tenant- Based Vouchers, Permanent Supportive Housing Rental Assistance, Low-Income Housing Tax Credits, Targeted Units
Charitable Trust Funding – Kate B. Reynolds (rural communities)
Community Living Housing Funds
City Housing Bonds
Community Development Block Grant and Home Investment Partnerships
Private Landlords (landlord outreach and recruitment, NCHousingSearch.org

16. Q & A
Jessa Johnson, Supportive Housing Policy Director, NC DHHS:
Sarah Lancaster, Housing Supports Manager, Vaya Health:
Amy Modlin, Housing Director, Trillium Health Resources: