Transcript Document

UPDATES AND
ACCOMPLISHMENTS OF
NEW MEXICO’S
SUPPORTIVE HOUSING
INITIATIVE
NEW MEXICO BEHAVIORAL HEALTH
PLANNING COUNCIL
SEPTEMBER 18, 2013
1
What is Supportive Housing and
What does it mean for Consumers?
• Private subsidized rental housing in which tenant holds
individual apartment lease
• Linked with flexible, client-driven supportive services to
ensure consumers are successful tenants and can live
independently
• An SAMHSA evidence-based practice for resiliency and selfdetermination
2
TWO BASIC & CONNECTED PARTS
HOUSING
DEVELOPMENT/ MANAGEMENT
Housing Developers,
Owners, Property Managers
Determines Tenant Eligibility;
SERVICES
OVERSIGHT/PROVISION
Support Services Provider,
Agency, or Managed Care
Organization
[Case managers, CSWs, CPSWs]
Maintains Housing wait list
Provides support services and
teaches life skills to clients/tenants;
Liaison with property manager
regarding tenant landlord relations
3
What are the Basic Principles of Supportive Housing ?
Support services that promote independent living and focus on helping tenants
find, get, and keep housing;
Support services for consumers are individually tailored, flexible and voluntary;
and are not a condition of ongoing tenancy
Housing is not subject to time limitations only the lease time requirements
Leases are renewable if compliance with the lease and property rules are
maintained
To ensure tenants remain housed, ongoing and regular communication must
occur between Service providers (CPSW/CSW), property managers, and
tenants to resolve any difficulties
4
COST EFFECTIVENESS OF
SUPPORTIVE HOUSING
Costs less than other living arrangements (i.e.,
shelters, institutions, group homes, long-term care)
Research findings* consistently show the supportive
housing model as successful:
• Reduces public health expenses (i.e., 34% fewer ER visits and 40%
fewer inpatient hospital days in Denver; 56% fewer ER visits and 44%
fewer inpatient admissions in San Francisco,
• Reduces as much as 35% in homeless services, jail systems,
community police, transitional housing and residential treatment
• Denver Housing First, Cost Benefit Analysis, December 2006
• Martinez & Burt, Impact of permanent supportive housing on the use of
acute care health services by homeless adults. Psychiatric Services 57,
2006.
• Culhane,et. al., Public service reductions associated with placement of
homeless persons with severe mental illness in supportive housing,
Housing Policy Debate, 2002
5
WHAT DOES A TYPICAL
SUPPORTIVE HOUSING UNIT COST
VS. PUBLIC SERVICES USED WHILE HOMELESS?
Supportive
Housing
Annual
Amount
Public
Services
/Person*
/Person
Support Services
$ 5,000
Detox
Incarceration
Rental
Assistance
@ $720 FMR
+utility allowances
$9,960
Emergency Room
Outpatient
Inpatient
Shelter Costs
and admin fees
Total Annual
Cost
$14,960
Annual
Costs
Total Annual
Cost
* Denver Housing First, Cost Benefit Analysis, December 2006
$10,373
1,798
5,256
1,747
10,378
13,688
$ 43,239
6
Update on
New Mexico’s Supportive
Housing Initiative
7
NEW MEXICO’S LONG RANGE
SUPPORTIVE HOUSING PLAN
HTTP://WWW.BHC.STATE.NM.US/BHCOLLABORATIVE/HOUSINGINITIATIVE.HTML
Guiding Document
Develop 5,000 Units of Supportive Housing
Goal 1: Create Local Supportive Housing Partnerships
Goal 2: Create a ‘ Pipeline’ of Supportive Housing Units
Goal 3: Create Rental Assistance Opportunities
Goal 4: Develop Best Practices for ‘What Works’ for
Housing and Services
8
NM SUPPORTIVE HOUSING INITIATIVE
Transformative: Promotes best practices and interventions for
integrated, permanent supportive housing
Collaborative Partnerships: NM Mortgage Finance Authority;
Homeless C of C; Service Providers, Housing Developers; Public
Housing Authorities; multiple State Agencies
Innovative Approaches : Local Lead Agency framework serves
cross-disability populations; Linkages Program is HHS Identified
Best Practice
Leverages Funds and Efforts: Federal, State, and Local
resources for both housing development and mainstream support
services; HSD Supportive Housing Coordinator, position created
and funded by the SAMHSA -TSIG grant
9
FIRST PHASE ACCOMPLISHMENTS OF
10 YEAR PLAN
Goal
Accomplishments
Create a ‘ Pipeline’ of
Supportive Housing
Units
From 2009 – 2013 created 273 special needs units in 28
affordable housing complexes statewide in 14 New Mexico
counties
Create Rental Assistance
Opportunities
* Acquired 215 VASH vouchers, 50 FUP vouchers; 36
Linkages and 20 Transitions vouchers;
* created Statewide Section 8 HCV data base that tracks
waiting lists for vouchers for persons with disabilities
Develop Best Practices
for Housing Supports
and Services
* Initiated Local Lead Agency framework serves crossdisability populations;
* Linkages Program is HHS nationally recognized best
practice
10
An Overview of NM’s
Supportive Housing Programs
Move In Assistance and Eviction Prevention
Crisis Housing Program
Linkages Program
Transitions Program
Special Needs Housing via Local Lead Agencies
11
MOVE IN ASSISTANCE & EVICTION
PREVENTION PROGRAM
For persons diagnosed with Severe Mental Illness and a client of a state
funded behavioral health organization
No. Households
Served in FY12
356
No. of Beneficiaries
/Persons Served in FY12
804
Provides maximum of $500.00 one-time grant for expenses related to
housing (deposits , utilities and rental assistance ) and preventing eviction
Six Provider Sites and Counties Served
Mental Health Resources: Curry, Quay, Harding, De Baca, Roosevelt, Lincoln, Chaves,
Lea and Eddy Counties;
Presbyterian Medical Services (PMS): San Juan, McKinley, Cibola Counties;
La Frontera New Mexico: Dona Ana, Luna, Grant, Catron, Hidalgo, Otero, Sierra,
Socorro Counties;
Supportive Housing Coalition: Bernalillo County, Valencia, Torrance and Sandoval
County to include the City of Albuquerque and Rio Rancho service area.
Life Link: Santa Fe, Los Alamos, San Miguel, Guadalupe, and Mora Counties;
Tri-County Counseling : Taos, Rio Arriba, Colfax and Union Counties
CRISIS HOUSING PROGRAM
Provides transitional housing and support services
maximum 120-days
serves individuals diagnosed with severe mental illness,
who are being discharged from psychiatric centers, hospitals, jails or
other institutional settings and who have no imminent housing
available.
Two Locations:
No. of Beneficiaries
/Persons Served in FY12
25
Mental Health America, Las Vegas
Serves San Miguel County
Supportive Housing Coalition of New Mexico
 Serves Albuquerque and Bernalillo County
OXFORD HOUSE NEW MEXICO
PROGRAM
 Nationally recognized housing model for recovering
alcoholics and drug addicts
 Peer-run and governed, self-supported housing
 Provides peer support and structured living
environment to achieve the behavior change without
relapse
 Supported by NM Human Services Dept & Dept of
Corrections
 Currently Serves Albuquerque area
No. of Beneficiaries
/Persons Served in FY12
101 Adults; 5 Children
No. of Beneficiaries
/Persons Projected in FY13
175 beneficiaries
LINKAGES SUPPPORTIVE HOUSING PROGRAM
•
•
•
•
•
•
•
•
Program Eligibility
Person must have diagnosis of mental, behavioral or emotional
disorder; dual diagnosis and has resulted in functional impairment
extremely low income
homeless or precariously housed
Program Overview
36 Housing rental vouchers statewide in 3 cities
10% targeted to Native Americans off reservation
Joint Venture:
• New Mexico Mortgage Finance Authority manages the housing voucher
agencies
• HSD/Behavioral Health manages the Service Providers
National HHS recognized housing model
Participating Sites: Albuquerque, Silver City/Deming, Santa Fe
15
TRANSITIONS YOUTH SUPPORTIVE HOUSING
PROGRAM
• Children, Youth and Family Department program
• Funds 20 housing vouchers for Youth Ages 18 - 21
• Program provides supportive housing for Youth up to Age 21
transitioning out of Foster care and Juvenile Detention
• Program based in Bernalillo County -- but will accept youth
from around the state.
• CYFD will perform intake and work with Core Service Agencies
in Albuquerque.
• Bernalillo County Core Service Agency Providers:




UNM/Salud
All Faiths
YDI
HOGARES /OPEN SKIES
SPECIAL NEEDS HOUSING PROGRAM
AND THE
LOCAL LEAD AGENCY
IN YOUR COUNTY
17
Special Needs Housing Program
•
•
•
MFA gives bonus points to Housing developers who agreed
to reserve units /apartments for Special Needs
Households with Disabilities (SN) referred by Local Lead
Agencies (LLAs)
Properties receiving tax credits are required to
maintain/hold rent/income levels for a minimum of 30
years
Tax credit awards from 2009 to 2012 resulted in the
(re)development of 273 units designated for Households
with Special Needs
No. Special Needs Units
Cumulative Created
2009-2012
No. of Beneficiaries
/Persons Projected to Serve
when all units built
273
696
18
Who is an Eligible Special Needs Tenant?
Have Household income at or below 60% of area median income for the
County:
And
Special Needs Household or Dependent has one of the following:
o
o
o
o
o
o
o
Serious Mental Illness;
Addictive Disorder (i.e., individuals in treatment and demonstrated recovery);
Developmental Disability
Physical, sensory, or cognitive disability
Disability caused by chronic illness
Age-related Disability (i.e., frail elderly, or, young adults with other special needs , or,
Households/ individuals who are Homeless
And
Have a designated Services Provider (signed Commitment) to provide
needed services and to prevent tenant eviction
19
LOCAL LEAD AGENCY:
Determines Eligibility to Access Special Needs Housing
Special Needs Referrals
Housing
Property Manager
Leasing agent
Tenant- landlord relations
regarding housing unit
and property rules
Local Lead
Agency (LLA)
Pre-screens and refers
tenants; Maintains wait
list; Liaison between
service providers &
property manager
Tenant Services Support
& Eviction Prevention
Support Services
Provider /
Agencies
Refers prospective tenants
to LLA and provides support
services to clients
Providers/Agencies
• Physical, cognitive
disability services
•Homeless Services
•Mental Health & Substance
Abuse services, etc.
FOR THE CONSUMER: TWO PHASE
APPLICATION & ELIGIBILITY PROCESS
Phase I -- LOCAL LEAD AGENCY: reviews Special Needs
Application consumer screened; wait list order via Lottery
and referred by Local Lead Agency to LIHTC Property
Manager
Phase II -- LIHTC PROPERTY MANAGER: Final Consumer
Eligibility is Determined by Property Manager
• background check; credit check; income level, etc.
Special Note: Applications are reviewed and chosen by
date and time stamped on Property’s Application for
Residency form submitted to the Property Manager at
the apartment complex
NM COUNTY SERVED
LOCAL LEAD AGENCY
Bernalillo
HELP New Mexico, Inc.
Curry
Dona Ana
Eddy
Lea
Los Alamos
Luna
McKinley
Sandoval
San Miguel
San Juan
Santa Fe
Taos
Valencia
St. Martins Hospitality Center
Mental Health Resources, Inc.
La Frontera
Turquoise Health & Wellness
Help NM, Inc.
The Life Link, Inc.
La Frontera
Presbyterian Medical Services
Valle del Sol
NM Behavioral Health Institute &
Mental Health America
Presbyterian Medical Services
The Life Link, Inc.
Tri-County Community Services
Valle del Sol
22
HEALTHY HOMES SUPPORTIVE HOUSING PROGRAM
SUCCESS WITH CERTIFIED PEER SUPPORT WORKERS
Site Manager:
Program management and oversight,
Program activity reports, Workbook review,
TRAC info & data mgmt
CPSW Supervisor:
Supervise & support CPSWs,
PSH model, Document lessons learned
in supervision;
Lead Housing Support Groups
Housing Development Liaison:
Housing Inventory
Landlord Relationships
Local Lead Agency duties
Certified Peer Support Worker(s)
Consumer Outreach, Housing Placement
Skill Building for Housing Tenure,
Monthly Housing Site Visits
Janie McGuigan
Supportive Housing Coordinator
New Mexico Behavioral Health Collaborative
Human Services Department
[email protected]
505-222-4522
24