Tenderloin Neighborhood Development Corporation (TNDC)

In 1998 the San Francisco Department of Public Health – Housing and Urban Health Section (SFDPH-HUH) established Direct Access to Housing (DAH), a permanent supportive housing program targeting low-income San Francisco residents who are homeless / at-risk of homelessness and have special needs. A “low threshold” program that accepts adults into permanent housing directly from the streets, shelters, hospitals and long-term care facilities, DAH strives to help tenants stabilize and improve their health outcomes despite co-occurring mental health issues, alcohol and substance abuse problems, and/or chronic medical conditions.

Photo provided by TNDC

TNDC and partners San Francisco Department of Public Health (SFDPH) and San Francisco Health Plan (SFHP) are expanding SFDPH’s highly successful Direct Access to Housing (DAH) program by identifying, recruiting and providing housing and health care to homeless individuals with chronic health conditions at the newly constructed Kelly Cullen Community (KCC) supportive housing.

Located in the Tenderloin Neighborhood of San Francisco, the KCC is the renovation of a YMCA building that offers supportive housing units as well as an 11,000 square foot Federally Qualified Health Center on the ground floor. KCC provides on-site care management, medical and behavioral care, and targeted property management services to tenants.

CSH's Role

CSH awarded the Tenderloin Neighborhood Development Corporation an annual grant of $425,000 to expand the Direct Access to Housing (DAH) program to serve 172 individuals at KCC.  CSH has also created a  national learning network that includes TNDC and the other subgrantees which will:

  • create unique partnerships between community health and housing systems
  • engage policymakers
  • build an innovative model that can be replicated, extending the benefits of the pilot programs far beyond the initial tenants.

CSH is working with researchers from New York University to conduct a rigorous national evaluation testing the impact on housing and health outcomes, as well as on public costs, including Medicaid.


San Francisco Department of Public Health – Housing and Urban Health Section

San Francisco Health Plan (SFHP)

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