1. Supportive Housing: Community and Economic Impacts
couple on trauma informed care mostly focus on housing first and harm reduction services and principals. who should come?
All staff responsible for permanent supportive housing developments
Housing First and Harm Reduction are proven techniques for effectively housing community members who are struggling with substance use, mental health, and housing stability.
The purpose of this workshop is to provide valuable information to developers, property managers, maintenance staff, housing authority staff, owners, and service providers on Housing First and Harm Reduction strategies.
Housing First methods strive to quickly move people experiencing homelessness into independent and permanent housing, and then provide additional support and services as needed. You will learn the five core principles of Housing First, all based on the premise that people are better able to move forward with their lives if they are first housed.
Additionally, you will learn the eight central principles of Harm Reduction practice, making clear that it does not attempt to minimize or ignore the real and tragic harm and danger associated with addiction and mental health needs. Discussion will focus on the spectrum of behaviors, criteria, and policies that constitute successful reduction of harm.
While there is no “one size fits all” method for the Housing First and Harm Reduction principles, best practices and bottom-line analysis are increasing the prevalence of such models throughout the country
Zoe LeBeau, President; LeBeau Development

2. Supportive Housing
A combination of affordable housing and services intended as a cost-effective way to help people live more stable, productive lives. Permanent supportive housing is intended to be a pragmatic solution for assisting individuals and families to increase quality of life while reducing, to the extent feasible, the overall cost of care.
Zoe

3. Supportive Housing
Is widely believed to work well for households who have very low incomes and/or serious, persistent issues that may include substance abuse, addiction, mental illness, or other challenges toward obtaining/maintaining stable housing.
Zoe

4. Permanent Supportive Housing
Enables families and individuals to live independently, with improved health and greater participation in work and community.
Saves the tribe/community money by shifting resources from costly emergency services toward cost-effective, long-term solutions.

5. Why Supportive Housing
Reduces stress caused by doubled-up and overcrowding
Reduces use of crisis and institutional services
Significantly reduces recidivism rates
Ends cycles of homelessness
Produces better outcomes than the more expensive crisis care system

6. Who Lives Here? Families and Individuals who:
Are homeless, including those previously living on the streets and in shelters
Are living in overcrowded conditions and/or couch- hopping
Are being discharged from prison or other systems of care
Are living in places not meant for human habitation, i.e., cars, garages, abandoned buildings, etc.
Zoe

7. Target Populations Homeless Long Term Homeless/chronic homeless
Difficult criminal backgrounds
Fleeing domestic violence
Under educated
Mental and developmental disabilities
Generational poverty and homelessness
Chronic alcoholic and/or chemical use issues
Multiple detox admits
Several failed treatment attempts
Often been civilly committed
Dual diagnosis
Vulnerable

8. Desired Outcomes Reduces use of crisis and institutional services
Produce better outcomes than the more expensive crisis management system
Reduces recidivism rates
Reduces stress caused by doubled-up and overcrowding
Ends cycle of homelessness and increase housing stability

9. Benefits of Supportive Housing
Reduces stress caused by doubled-up and overcrowding
Reduces use of crisis and institutional services
Produces better outcomes than the more expensive crisis care system
Significantly reduces recidivism rates
Ends cycles of homelessness
Zoe

10. Supportive Housing Improves Lives
Research has shown permanent supportive housing has a positive effect on:
School Attendance
Employment Retention
Improved Physical & Mental Health
Housing Stability
Reduced Substance Use

11. Benefits of Supportive Housing
Affordable housing providers benefit lessening wear on housing stock, and creating opportunities for people
Human service providers benefit because clients have stable housing, increasing retention and efficiency for accessing/delivery of services
Local Government benefits because they increase housing stock and can save money by decreasing utilization of expensive crisis services

12. Supportive Housing Generates Significant Cost Savings to Public Systems
Increasing research including 6 different states and cities has shown PSH associated with reductions in:
Emergency Shelter Use
Hospitalization
Incarceration
Other Social Costs (detox, policing, courts, emergency/crisis services, etc.)
Journal of Behavioral Health Services & Research. Apr2010, Vol. 37 Issue 2, p p. 1 Chart.

13. Studies & Cost Savings
Osceola County Florida: 37 homeless individuals were incarcerated for 61,896 nights. Costing $6,417,905 over 10 years. Jail is not an affordable housing plan (2014, AHAR to Congress)
PSH saved over $15,000 per housed homeless person (2006, Denver Road Home)
PSH reduces annual cost of homelessness from $40, to $14, per year. (HUD, 2014)
One 85 unit “Moore Place” PSH in Charlotte, NC saves the community 1.8 million annually due to 447 fewer ER visits and 372 fewer nights spent in the hospital. (UNC, 2009)
In Santa Clara, CA $43,706 is estimated to be saved annually by housing the most chronically homeless individuals. These are the people with the most pressing health needs. (EconomicRoundtable.org, 2015)

14. Cost of Serving the Homeless Declines in Permanent Supportive Housing (2005-2008)
USICH.GOV, Opening Doors, 2010

15. Per-Person Annualized Cost of Public Services Before and After Entering PSH
Chart created from estimates located at:

16. Cost of Doing Nothing is not Nothing…
Nightly Cost Estimates – High/ Medium/Low *Based on analysis across 9 cities
Just an illustrated cost comparison of supportive housing and crisis management programs often ‘housing’ those who are homeless

17. Permanent Supportive Housing
ER visits reduced 57%
Emergency detox services down 85%
Incarceration rates down 50%
50% Increase in earned income of residents
40% Rise in rate of employment among tenants when employment services are provided
More than 80% of residents stay housed for at least one year
Zoe
Summary of key finding from studies across the country

18. …and it saves money
32% Reduction in service costs by providing Permanent Supportive Housing to people with disabilities who are experiencing homelessness in rural areas
57% Reduction on expenditures for Mental Health Services, illustrating a shift away from expensive inpatient care to less expensive community-based services
Permanent Supportive Housing placements reduced service costs: Shelters by 99%, Emergency Rooms by 14%, Incarceration by 95%, & Ambulance Transportation by 32%
Zoe
Rural Maine study in 2009
Many of the studies are much more dramatic, big cities, frequent users

19. Housing First: New model designed to end chronic homelessness.
People do not need to be “housing ready” in order to move and live successfully in housing.
Housing is a right. No one should be denied housing for any period of time because they did not meet pre-determined clinical goals or did not choose to participate in services.
Homelessness is a terrible treatment plan, whatever alcohol and drugs make bad – homelessness makes worse.
People who are homeless, who use drugs/alcohol and or who may have a mental illness can successfully keep and maintain housing.
Housing should never be used to coerce people into services they would otherwise not choose.
Housing and services are two separate areas with separate criteria for operation and evaluation.
Stress permanent, independent, affordable housing for people with disabilities who are homeless or at risk of homelessness; services are provided as part of the normal operation of the housing as a way of helping residents maintain the maximum possible level of independence, stability and participation in the general community.
Like other forms of housing – it typically looks and functions exactly the same way as any kind of permanent housing except that tenants have access to supportive services as one of the benefits of living there.
Enables families and individuals to live independently, with improved health, and greater participation in work and community
Saves public money by shifting resources from costly emergency services toward cost-effective, long-term solutions

20. Questions????

21. Thank You !!!