Behavioral Wellness Community Housing and Support Services March 2019

Behavioral Wellness Housing Focus Increase and develop affordable housing opportunities for the department’s clients in cooperation with County partners Deliver various types of housing and adequate/flexible services to support recovery and independence Prevent homelessness and housing crises Step down from acute and out of country placements including Jail, PHF, and MHRC/IMDs

Examples: PATH, Good Samaritan, Salvation Army Temporary housing Crisis Residential Average: 15-30 days Max: 90 days Beds: 32 by end of FY 18-19 Cost per Bed $370 Current provider Anka Shelter Beds Average: Short Term Beds: 43 Cost per Bed $40 Examples: PATH, Good Samaritan, Salvation Army Daily cost per day examples and re order the costs

Licensed Board and Care Residences Short/Mid Term Residential Average: 180 days Beds: 12 Cost per Bed $137 Example: Alameda and CG Long Term Residential Average: 12-24 months Beds: 60 Cost per Bed $137 Examples: McMillan Ranch, Phoenix, Mountain House Daily cost and some explanation for them each

Partnership with SB City Housing Authority - Via Vida Master Lease - Rental Voucher and Community Based Provider Average: 180 days Beds: 5 Cost per Bed $45

Trends of Licensed Residential Care Beds in County Care

Leveraging care to support Permanent Supported Housing Permanent supportive housing combines affordable housing with voluntary support services to address the needs of homeless people. Be Well partners to provide case management services which are designed to build independent living and tenancy skills, connect people with community-based health care, substance use treatment and other local services. At Residences at Depot with 35 units includes a full time case manager will be on site in designated office space for the department. Annual cost of this staff is approximately $100,000 a year ongoing

Permanent supported housing Goleta Pescadero Lofts - 9 units Any quantification of the services we provide

MHSA funded permanent supported housing Santa Barbara Garden St. Apartments - 10 units

MHSA funded permanent supported housing Santa Maria Rancho Hermosa - 12 units

MHSA funded permanent supported housing Lompoc Home Base on G – 8 units

MHSA funded permanent supported housing Santa Maria Residences at Depot 35 units under construction

Other housing developed by leveraging funds 1992 HUD agreement to provide housing at Casa De Mural Currently this provides Permanent Supported Housing 2002 as Part of AB 2034 provided funds to Transitions Mental Health for property purchase of 6 units which still serve clients in Santa Maria

No Place Like Home (NPLH) Background Information: Dedicates up to $2 billion in bond proceeds to invest in the development of permanent supportive housing for persons who are in need of mental health services and are experiencing homelessness, chronic homelessness, or who are at risk of chronic homelessness. The bonds are repaid by redirecting funding from the Mental Health Services Act (MHSA). (estimate of 1.4 million for 20 years for our county)

No Place Like Home (NPLH) Purpose: To acquire, design, construct, rehabilitate, or preserve permanent supportive housing for persons who are experiencing homelessness, chronic homelessness or who are at risk of chronic homelessness, and who are in need of mental health services.

No Place Like Home (NPLH) Key features include: Counties will be eligible applicants (either solely or with a housing development sponsor). Funding for permanent supportive housing must utilize low barrier tenant selection practices that prioritize vulnerable populations and offer flexible, voluntary, and individualized supportive services. Counties must commit to provide mental health services and help coordinate access to other community-based supportive services.

No Place Like Home (NPLH) Population to be Served : Adults with serious mental illness, or children with severe emotional disorders and their families and persons who require or are at risk of requiring acute psychiatric inpatient care, residential treatment, or outpatient crisis intervention because of a mental disorder with symptoms of psychosis, suicidality or violence and who are homeless, chronically homeless, or at risk of chronic homelessness.

Current No Place Like Home status Current NPLH status: 50% of Departments No Place Like home technical assistance funds were allocated update to homeless plan spearheaded by County Housing and Community Development Department Notice of Funds (NOFA) release in October 2018 Letters of interest received from development partners Letters reviewed for site control, cost per unit, options for leveraging of county land Initial project prioritized to use of a portion of NPLH non-competitive funds for 13 units in Santa Maria Additional NOFA will be posted later this year Add slide for summation

Strategies and goals moving ahead Work to develop and create diverse housing options for individuals to meet their needs Develops individualized and flexible services to support recovery, independence and housing retention Develop data regarding housing as an intervention that leads to positive clinical outcomes including avoidance of relapse, vocational progress, and decrease in hospitalization and incarceration