Health Works!

Health Works! provides integrated behavioral health and primary care services to all Pathways DC clients through an on-site, walk-in Unity Health Care clinic, ACT peer health educators, and a RN nutrition specialist. Integrated health staff provides services in three ways, first through community outreach, second, in client’s homes lastly at medical appointments in the clinic. Health Works also provides onsite wellness groups in diabetes education, nutrition, and healthy relationships and community wellness events, all of which partner with Unity Health Care’s Nurse Practitioner to provide brief group education in preventive care and health management.

Integrated Care for the Chronically Homeless

The Houston Integrated Care for the Chronically Homeless Initiative was born out of the Texas 1115 Medicaid Waiver program and the City of Houston Health and Human Services Department. The 1115 Waiver incentivized the development of innovative care delivery models and created new funding pools to ensure providers are reimbursed for providing quality care to vulnerable individuals. The new care delivery models are designed to meet the goals of improved access, increased coordination of care, improved health status, and reduced costs.

Cross-Sector Approach to Aging in Supportive Housing

Emily Martiniuk

CSH Summit Discussion Highlights  Cross-Sector Approach to Aging in Supportive Housing

Last month, experts in healthcare, supportive housing, philanthropy, policy, systems change and research came together as part of CSH’s fourth annual national Summit to offer perspectives on the current state of an aging population in supportive housing.

Emily Martiniuk, a supportive housing resident and graduate of the CSH SpeakUp!program, kicked off a dynamic discussion by describing how, on the brink of retirement, her life suddenly turned upside down when she found herself without a home. She urged the audience to consider: “If homelessness happened to you, what would you want it to look like?”

Together with an active audience, experts in the field like Dr. Margot Kushel of University of California San Francisco (UCSF), Thomas Hart from United Health Care, Andy Perry and Pascale Leone from CSH, Erika Hartman from LA’s Downtown Women’s Center, and Colleen Bain from National Church Residences grappled with this question and sought to identify not just the major challenges facing seniors struggling with housing insecurity, but also creative solutions that leverage cross-sector resources and momentum.

Acknowledging that demographic shifts track toward an older supportive housing tenancy that faces complex behavioral and physical health challenges, the group stressed the need for new, bold approaches to serving older adults. However, effectively leveraging cross-sector resources and capitalizing on momentum will require careful, intentional attention to four key themes:

Increased Understanding of the Population

Identifying the problem is the first step to solving it. Obtaining concrete data on the size and characteristics of the population is crucial to resource management. An evidence base also will help make the case for additional resources and encourage traditionally siloed sectors, such as healthcare and housing, to quantify the overlap in their populations and the potential cost-savings of joint initiatives such as value-based payment arrangements.

Focus on Equity

Members of the audience raised the importance of not just developing new programs but carefully measuring who gets access to them and why. Are there disparities in terms of race, ability, ethnicity, age, or gender and sexual identity? Are the models designed to assist, such as Coordinated Entry, using eligibility criteria that disproportionately disfavor older adults or members of other groups? Stakeholders need to carefully evaluate not just the intent but the impact of their mission.

Staff Training and Capacity Building

Supportive housing sites face a changing tenancy, and with it, a need for staff trained in issues ranging from dementia care to limited mobility, to elder care law and end of life planning. Buildings need to be designed to accommodate the physical needs of older adults to be adaptable to promote healthy aging in place. Trainings on everything from best practices for care coordination to staffing plans and enhanced service models will be crucial in equipping supportive housing to meet older tenants’ needs.

Partnerships

Innovative partnerships are key to meeting the interrelated health, housing, social and long-term needs of aging adults. Recent partnerships tackling older adults’ health and housing needs, such as collaborations between health centers and PACE* programs and a joint initiative between the Texas Medicaid Agency and Housing Finance Agency, are a promising start.

All participants agreed recent funding initiatives and innovative projects across the country, combined with a growing determination in the healthcare community to confront social determinants of health, offer promise of a supportive housing industry better equipped to meet the growing demand for units and services.

*Program of All-Inclusive Care for the Elderly

A special thanks to the AARP Foundation for sponsoring this event.

Indiana Supportive Housing Institute Underway!

CSH and the Indiana Housing and Community Development Authority (IHCDA) are working with teams from six Indiana communities participating in the 2018 Indiana Supportive Housing Institute. Communities include: Bloomington, Johnson County, Kokomo, Lebanon, New Albany and two groups in Indianapolis. Since the first Institute began several years ago, eight classes of teams have graduated, resulting in over 1,400 supportive housing units added or under development in the state. This year’s Institute is made possible through the generosity of several sponsors, including:

  • Anthem – Premier Sponsor
  • Indiana Division of Mental Health and Addiction – Champion Sponsor
  • Ice Miller, LLP – Community Builder
  • Indiana Federal Home Loan Bank – Community Builder
  • CareSource – Community Builder
  • MHS Indiana – Community Builder
  • Butler Human Services – Friend

Over the next five months, the seven teams selected from the six Indiana communities will work closely with CSH and IHCDA through a series of targeted training and group exercises. They also will be provided technical assistance and presented with pre-development financing opportunities. The Institute will culminate with the Finale in May where teams will present their plans to create supportive housing to a group of public and private investors. Participating 2018 teams:

Team Lead: Centerstone Indiana
Participating Organizations: Milner and Caringella, Inc.
Development Location: Bloomington

Team Lead: Kids in Crisis- Intervention Team, Inc. (KIC-IT)
Participating Organizations: Pioneer Development Services, Inc.; Valenti Real Estate Services, Inc., CR Morphew Consulting LLC, United Way of Johnson County Development
Development Location: Johnson County

Team Lead: Kokomo Housing Authority
Participating Organizations: Four County Counseling Center; Advantix Development Corporation; Flaherty and Collins Properties
Development Location: Kokomo

Team Lead: Herman & Kittle Properties, Inc.
Participating Organizations: Youth and Family Health Network; Integrated Wellness, LLC
Development Location: Lebanon

Team Lead: BWI, LLC
Participating Organizations: LifeSpring Health Systems
Development Location: New Albany

Team Lead: Englewood Community Development Corporation
Participating Organizations: Merchants Affordable Housing Corp.; Outreach, Inc; Adult and Child Health
Development Location: Indianapolis

Team Lead: Lutheran Child and Family Services of Indiana/Kentucky, Inc.
Participating Organizations: TWG Development, LLC; TWG Management, LLC
Development Location: Indianapolis

LA Health & Housing Symposium Part II

Last October, CSH convened the first of three Los Angeles Health and Housing Symposiums at the California Community Foundation’s Palevsky Center.

The second – Part II – was held today in LA at that same venue, where CSH highlighted health and housing organizations that are successfully coordinating care for homeless Medi-Cal beneficiaries.

A packed house learned from national and local experts how healthcare institutions are collaborating with federally qualified health centers (FQHCs), homeless services providers, and supportive housing providers to serve beneficiaries experiencing homelessness.

Several panelists and presenters discussed the nuts and bolts of deepening community partnerships, clarifying partner roles, and expanding and sustaining integrated services for homeless beneficiaries in today’s fast-moving environment.

Did you miss the first Symposium – Part I ? Materials from that forum are listed below:

CSH-SIF Evaluation Summary Released

Spurred by investments from the Corporation for National and Community Service, CSH has been leading a five-year national demonstration to create and evaluate supportive housing for healthcare’s highest need, highest cost beneficiaries experiencing homelessness. An evaluation of that demonstration now examines the theory that when individuals with significant health costs who also experience homelessness are identified and have access to affordable housing and wrap around services, they will experience increased housing stability and improved health, and decrease the use of costly, crisis health care services.

A five year Randomized Control Trial (RCT)  evaluation of CSH-SIF has been conducted by an interdisciplinary team of researchers from New York University, led by Principal Investigator Beth C. Weitzman, PhD. This evaluation is the first RCT evaluation of a national supportive housing demonstration of this scale.

Through the CSH Social Innovation Fund Initiative (CSH-SIF) nonprofits in four communities are implementing an enhanced supportive housing model. Programs across all four demonstration sites encompass the following five elements found to be essential to the achievement of Initiative goals:

With an initial target of housing 549 people nationally, all four CSH-SIF sites far exceeded their original targets.

Total Number Housed by CSH-SIF

 

Housing Retention Rate

Based on program data

Primary Health Insurance Retention Rate

Based on program data

726

86%

93%

The New York University evaluation contains several key components to assess both program implementation and impacts across sites, including a series of visits to all program sites, a pre/post participant survey, and cost effectiveness and impact analyses.

CSH-SIF Evaluation Summary

CSH-SIF Evaluation One Pager

Connecticut BOS Applications for New Supportive Housing

The Connecticut Balance of State Continuum of Care (CT BOS) is seeking applications for new supportive housing and rapid re-housing projects. Projects may be funded through both permanent housing bonus and/or any available reallocation funds. HUD has not yet announced the amount of funds that will be available.

The following types of new projects will be considered:

  • New permanent supportive housing (PSH) projects that will serve 100 percent chronically homeless individuals and families including youth/young adults experiencing chronic homelessness.
  • New rapid rehousing (RRH) projects that will serve homeless individuals and families, including youth, coming directly from the streets or emergency shelters, or meeting the criteria of paragraph (4) of the HUD definition of homeless. (See Project Application Appendix for Definition of Category 4 – fleeing domestic violence, dating violence, sexual assault, stalking or other dangerous situations).

Click here to access the CSH CT BOS page, which hosts the application, additional details and instructions on how to apply. Agencies in corrective action are not eligible to apply for new funds; corrective action letters will be sent out next week. Please contact us at ctboscoc@gmail.com if you have questions.

All applications are due by COB on Friday, June 23, 2017 and should be sent to: ctboscoc@gmail.com.

CSH Says “Yes-In-My-Backyard” (YIMBY) in Los Angeles

When they approved $1.2 billion last November to create affordable supportive housing and then authorized the collection of nearly $3.5 billion in taxes over the next decade to fund critical services to keep people housed and healthy, voters in the County and City of Los Angeles signaled their steadfast determination to address homelessness in their communities. CSH is proud to have actively supported both ballot measures and recognizes some of the hardest work lies ahead, especially when it comes to siting new housing for very low-income residents.

To ensure the voter’s decisions and new resources result in the affordable housing needed to end homelessness, CSH and our partners are now building bridges with neighborhood leaders, grassroots organizations, local providers and community activists to ignite “Yes-In-My-Backyard” (YIMBY) in Los Angeles.

Because myths surrounding affordable supportive housing are not confined to one town or city, CSH has years of experience as a national nonprofit working to ensure public participation and backing for the siting of supportive housing, which can take the shape of one apartment building or affordable units scattered throughout existing neighborhoods.

Our 25 years of work on quality supportive housing has produced a blueprint on site selection criteria and search strategies, which includes guidance on community acceptance.

Using our expertise as the solid foundation for a community-wide network, CSH is joining the United Way, and a coalition of community partners, to ensure the groundwork is laid for Angelenos to embrace more supportive housing in their neighborhoods through a “Yes-In-My-Backyard” (YIMBY) campaign similar to those unfolding in New York City and San Francisco.

CSH gratefully acknowledges support received from the Community Progress Makers Fund, Citi Foundation, which is helping to advance our efforts to elevate and expand the “Yes-In-My-Backyard (YIMBY) Los Angeles campaign.

Scaling Data Integration Request for Proposals: Advancing Pay for Success

 

CSH is seeking eligible and qualified state and local governments or tribes that are interested in participating in a new project that will inform the development and use of an integrated tool focused on criminal justice and homelessness data. Selected participants will receive technical assistance to access and integrate data from the homeless and criminal justice systems to target supportive housing in order to spur greater coordination/integration between the homeless/housing and criminal justice systems, and to advance Pay for Success. Access the full RFP here.


Release Date of this RFP: March 8, 2017
Live Bidders’ Webinar/Teleconference: March 20, 2017; 1:00pm ET
Registration Link: Register here for the March 20 introductory webinar. All Webinars will be recorded and made available at www.csh.org/pfs

Instruction for Submitting Written Questions
Submit to: pfs@csh.org

Please submit all questions by 5pm Eastern Standard Time on April 5, 2017 in order to ensure a response.

Due Date/Time and Instructions for Submission of Optional Notices of Intent to Apply
Interested applicants are strongly encouraged to submit Notices of Intent indicating the intention to submit full proposals. Notices of Intent should be submitted via email.

Due Date: March 27, 2017

Submit by email to: pfs@csh.org

Due Date/Time and Instructions for Submission of Full Proposal
Applicants must submit all application materials electronically. The application narrative must be submitted using the provided PDF application form. Attachments must also be submitted electronically. Late submissions will not be accepted.

Due Date/Time: April 7, 2017; 8:00pm Eastern Standard Time

Submit by email to: pfs@csh.org

Interview Stage
Following the review and ranking of the written applications, CSH will schedule phone interviews with the top-ranked applicants. Final determinations will be made based on the results of the interview stage.

Anticipated Announcement Date of Service Recipient Awards
Approximately May 5, 2017


Register here for the CSH Webinar that will review the RFP seeking eligible projects and discuss the new tool in more detail. This technical assistance opportunity provided by CSH is made possible through grants CSH received through the Pay for Success (PFS) program of the Corporation for National and Community Service’s Social Innovation Fund (SIF) and the Laura and John Arnold Foundation.

A Roadmap to End Homelessness in Vermont

“Is it actually possible to end homelessness in Vermont? A new report prepared for the legislature looks at whether the state is on the right track in tackling the problem, and maps out what it would take to make homelessness a thing of the past.” Vermont Public Radio and NPR looked at the report’s conclusions, the progress that’s been made, and what’s still to be done.

Listen to the interview with Larry Oaks, who led the team from CSH that prepared the report, and Vermont Secretary of Human Services Al Gobeille. Click here for access to the full recording. And click here to read more about how Vermont Governor Phil Scott is now leveraging the CSH recommendations to create affordable housing in his state.

Download the full report, Vermont Roadmap to End Homelessness.