Housing for persons with mental illness Holly Salazar, Assistant Director Behavioral Health Services April 13, 2017

Behavioral health services (BHS) Overview BHS system of care: Fiscal Year 2015-2016 Total Unique Clients: 71,596 Substance Use Disorder: 11,490 Mental Health: 60,106 Adult and Older Adults: 42,805 Transition Age Youth (ages 16-25): 7,527 Older Adults: 5,592

Behavioral health services (BHS) Overview Serious mental illness (SMI) SMI is a mental health disorder that is severe in degree and persistent in duration, which impairs functioning and interferes substantially with activities of daily living, and May result in an inability to maintain independent functioning without treatment, support and rehabilitation for a long or indefinite period of time.

Behavioral health services (BHS) Overview We promote recovery and well-being through prevention, treatment and intervention, as well as integrated services for clients experiencing both mental illness and substance use disorders. Outpatient Mental Health Case Management Crisis Walk-In/Urgent Care Rehabilitation & Recovery Emergency Psychiatric Acute Care Residential Treatment Long Term Care

Housing first concept Why is County Behavioral Health Services tied to housing?

Mental health services act (MHSA) Passed in California as Proposition 63 in 2004 Funded by a 1% tax on personal income over $1 million. MHSA Housing Program developed to offer financing and capital funding for the development of permanent supportive housing

Mental health services act (MHSA) housing program Provides funding for permanent rental housing and shared housing Partnership between: County Behavioral Health Services (BHS) California Housing Finance Authority (CalHFA) Department of Health Care Services (DHCS) Developers work with service providers (full service partnerships) and County

Mental health services act (MHSA) housing program 10% of units (at least 5) must be dedicated to MHSA tenants Subsidies to ensure affordability Units set aside for at least 20 years; most for 55 years Through partnership with the Regional Continuum of Care Council (RCCC), 178 Shelter Plus Care and other vouchers provide additional housing subsidies

Mental health services act (MHSA) housing program Mhsa tenants: Serious Mental Illness Homeless or At-Risk of Homelessness Low Income

Mental health services act (MHSA) housing program Since 2005: Established Full Service Partnership (FSP) program for homeless: treatment + an array of housing options Allocated approximately $3 million annually exclusively for housing support Provided wrap-around services, intensive case management, mental health treatment and housed over 1,200 homeless clients 90% of clients in permanent supportive housing

Mental health services act (MHSA) housing program Key activities: 2005 - 2006 Contracted with Corporation for Supportive Housing for consulting services Developed MHSA Strategic Housing Plan (updated annually) Established Housing Council to provide recommendations for homeless and housing development

Mental health services act (MHSA) housing program Key activities: 2007 to present Allocated to the MHSA Housing Program $33 million: Created 241 permanent supportive housing units for homeless individuals with serious mental illness and Leveraged over $450 million and 1,304 other affordable housing units across San Diego County

Citronica I Hotel Churchill MHSA housing developments Lemon Grove Downtown San Diego

Tavarua Senior Housing MHSA housing developments Tavarua Senior Housing Carlsbad Cedar Gateway Downtown San Diego

Mental health services act (MHSA) housing program Key activities: 2015 to present Allocated an additional $10 million to the MHSA Special Needs Housing Program (SNHP) to support another 69 permanent supportive units in development San Diego County Housing & Community Development (HCD) joined the Health & Human Services Agency (HHSA) Initiated Board of Supervisors driven Project One for All initiative

Project one for all January 2016 Point in Time Count: 8,692 homeless in San Diego County 4,940 unsheltered 8% self-identify as having Serious Mental Illness (SMI) Established Project One for All initiative to provide treatment to all persons experiencing homelessness who have serious mental illness Approximately 1,250 people

Outreach Treatment Housing Outcomes Project one for all Four key components: Outreach Treatment Housing Outcomes

Fair housing for persons with mental illness Community perceptions NIMBYism Price of homes will go down Crime will go up in neighborhood Regulation ADA Accommodations Service and Support Pets Smoke Free Housing

Fair housing for persons with mental illness Ongoing process to educate Clients Programs Communities Housing Developers and Property Managers

Contact Information For Further Questions: Piedad Garcia, Ed.D., LCSW Deputy Director, Behavioral Health Services County of San Diego, Health and Human Services Agency Piedad.Garcia@sdcounty.ca.gov