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Australia 2 March 20051

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Information about Australia 2 March 20051
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Published on September 28, 2007

Author: Abbott

Source: authorstream.com

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Solving Homelessness :  Solving Homelessness Common Ground Rosanne Haggerty Australia – March 2005 Core Ideas:  Core Ideas Information: Counting and differentiating the individuals and the costs Values: Focus on the most vulnerable (chronic/primary homeless) Strategy: Attack from both ends: short term: Housing First long term: Prevention/Early Intervention for known at risk groups Governance: integration,coordination and accountability for results Communication: homelessness is solvable, one person at a time Leadership: political will expressed from the top Slide3:  Homelessness in New York City Discharge Planning - Foster Care:  Discharge Planning - Foster Care Discharge Planning – Jail Population:  Discharge Planning – Jail Population DHS Long Term Stayers:  DHS Long Term Stayers Long term shelter stayers - 730 nights out of past 4 years were spent in a shelter. Cost of shelter is approx $54/night. 17% of homeless use 50% or more of the resources. More than 40% have a mental illness. Calendar year adult shelter pop. in NYC was 8,612. Estimate Long term stayers at 17%, which is 1464. HIGH COST MEDICAID PATIENTS An Analysis of New York City Medicaid High Cost Patients - March 2004:  HIGH COST MEDICAID PATIENTS An Analysis of New York City Medicaid High Cost Patients - March 2004 Disabled [Non-HIV/Alc/Drug/Schiz/SNF/ICF] DISTRIBUTION OF PATIENTS AND EXPENDITURES ADULTS - AGE 18-64 - DISABLED 77.3% San Diego Findings:  San Diego Findings A study of 15 chronically homeless men over 18 months revealed $1,476,113 million total expenditures for medical services alone. All 15 were still homeless at end of the study period. Source: Dunford, J.V., Castillo, E.M., Lindsay, S.P. (1998) UCSD Medical Center Boston:  Boston Health Care for the Homeless Study Utilization of Medical Services by the Cohort 1999-2003 (N = 119) Emergency Room Visits 18,384 Medical Hospitalizations 871 Respite Admissions 836 Homelessness in New York:  Homelessness in New York Daily Census – New York (For March 4, 2005) 8,645 Families 8,540 Single Adults 35,854 Total Individuals An overwhelming percentage of homeless families come from certain poor neighborhoods Family Homelessness - Manhattan:  Family Homelessness - Manhattan Family Homelessness – Brooklyn:  Family Homelessness – Brooklyn Family Homelessness - Queens:  Family Homelessness - Queens Family Homelessness - Bronx:  Family Homelessness - Bronx Family Homelessness – Staten Island:  Family Homelessness – Staten Island S2hi – Street to Home Initiative:  S2hi – Street to Home Initiative S2hi – Street to Home Initiative:  S2hi – Street to Home Initiative 76% diagnosed with SPMI 90% current or history of substance abuse 56% MI and Substance abuse 98% MI or Substance abuse 33% Major physical health concern 50% Receive SSI at intake 25% Receive PA at intake Mean time on streets = 7.7 years Median time on streets = 6 years Profile – Street Homelessness in West Midtown S2hi – Street to Home Initiative:  S2hi – Street to Home Initiative Results Strategy – Housing First:  Strategy – Housing First Pathways to Housing (NYC) - placed over 400 chronically homeless mentally ill individuals directly from the street or hospital into permanent housing since 1992 with 88% retention rate over a five year period. Direct Access to Housing (San Francisco) - Placed 800 chronically homeless, heavy users of health, mental health system directly into hotels or other facilities leased from private owners and operated through contracts with not for profits or directly by City’s health department. Support services provided by health and housing departments. Project Connect (San Francisco) - Placed 76 chronic street homeless directly into pre-leased units. Support services provided by health and housing departments. Supportive Housing:  Supportive Housing Integrated, mixed income housing to create social networks, break down social stigma, de-concentrate poverty/special needs Platform for cost-effective, coordinated, outcome-focused service delivery Synergistic solution to multiple community needs: affordable housing, historic preservation; re-use of dormant properties; retail development; sustainable design; job creation; response to homelessness; support for artists and the arts Supportive Housing:  Supportive Housing Types of Supportive Housing Population focused (i.e., the elderly, the mentally ill) Mixed income Site-based Scatter site Supportive Housing:  Supportive Housing Qualities of Supportive Housing   Immediate solution to homelessness Comprehensive services prevent future homelessness, build tenant capability to participate in mainstream society Sustainable Cost effective Supportive Housing:  Supportive Housing Financing Supportive Housing   Dedicated low interest loan fund (New York City) State grant programs (New York, California) Blended agency funds –mental health, housing, social services (Connecticut) Tax incentives for creating affordable housing and restoring historic properties (US) Redirected funds from closure of large mental health institutions (New York State) Redirected funds from reduced usage of hospital services, welfare benefits (San Francisco) Redirected funds from reduced usage of hospital-based mental health services (Phoenix) Supportive Housing:  Supportive Housing Financing Supportive Housing   Tax on hotels, restaurants (Miami) Dedicated percentage of real estate transfer taxes (Denver) Dedicated bond issue (California) Mandatory developer contributions (Boston) Zoning bonuses and private developer incentives (New York City, elsewhere) Lottery (Great Britain) Redirected public land and buildings (Great Britain) Supportive Housing:  Supportive Housing Strategy - Prevention:  Strategy - Prevention Foster Care: Foyers (Europe, North America) First Place (California) Resettlement packages (Great Britain) Prisons: Maryland Reentry Partnership Initiative (REP) Illinois Department of Corrections Department of Correction/Department of Homeless Services Task Force (NYC) Strategy – Prevention:  Strategy – Prevention Brownsville, NY Population: 85,000 Percentage of families below poverty line: 28.6 Percentage of units that are public housing: 75% (highest % of NYCHA units in the city) Number of homeless families over 4 years: 858 * fifth highest unemployment rate in NYC at 14.1% Strategy - Prevention:  Strategy - Prevention Common Ground’s Homelink Daycare/after school link Landlord organizing and outreach Eviction prevention Family mediation Landlord mediation Housing reclamation and improvement New Housing Development Crisis intervention Home visits Community organizing Legal assistance Flexible cash assistance Education links Healthcare link Employment links Governance: Integration, coordination and accountability for results :  Governance: Integration, coordination and accountability for results Philadelphia 6th largest US City 850 street homeless in center city 2001; 40 in 2005 Centralized activities of 17 city agencies through assistant managing director of city Centralized services intake to assure coordination with all city services and reduce “creaming” Weekly street counts and on-going data matching between agencies Bi-weekly progress meeting of all stakeholders: city agency staff; downtown businesses, not for profit providers Communications:  Communications Problem is Solvable Issue is personal Role for each of us Leadership:  Leadership   Great Britain: Tony Blair   Rough Sleepers Initiative reduced chronic homelessness by 75% in four years Next Steps:  Next Steps   Closing the gap between what is known and what is practiced 175 mayors, county executives, governors developing ten-year plans to end chronic homelessness Covenant Initiative of US 46 mayors collaborating to implement best practices Solutions:  Solutions Information: Counting and differentiating the individuals and the costs Values: Focus on the most vulnerable (chronic/primary homeless) Strategy: Attack from both ends: short term: Housing First long term: Prevention/Early Intervention for known at risk groups Governance: integration,coordination and accountability for results Communication: homelessness is solvable, one person at a time Leadership: political will expressed from the top Common Ground Community:  Common Ground Community We are solving homelessness through innovative programs that transform people, buildings, and communities. Overview of Supportive Housing :  Overview of Supportive Housing Common Ground Rosanne Haggerty Australia – March 2005

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