Thinking About Reentry & Supportive Housing Georgia Supportive Housing Association 2013 Annual Conference Ryan Moser

CSH works to advance solutions that use housing as a platform for services to improve the lives of the most vulnerable people, maximize public resources and build healthy communities.

Maximizing Public Resources Public Systems CSH collaborates with communities to introduce housing solutions that promote integration among public service systems, leading to strengthened partnerships and maximized resources. Maximized Resources

What is Supportive Housing?  Housing where tenants have a lease  Affordable, ideally tied to 30% of a person’s income  Paired with voluntary and flexible services to support tenancy  ‘But For’ Rule

6 Basic Supportive Housing Types  Single-Site  Mixed-Tenancy  Scattered-Site

THINKING ABOUT REENTRY HOUSING NEEDS

We need to know what’s happening!

9 The Institutional Circuit of Homelessness and Crisis Service Systems The “institutional circuit”:  Indicates complex, co- occurring social, health and behavioral health problems  Reflects failure of mainstream systems of care to adequately address needs  Demands more comprehensive intervention encompassing housing, intensive case management, and access to responsive health care Detox Emergency Residential Program Jail Shelter Psychiatric Hospital Emergency Room

Olmstead and Mental Health Services Creedmoor Psychiatric Center, 2013

Aging and Correctional Health

We need to triage!

Individuals with disabilities such as serious mental illness and chronic health and substance abuse issues who will need longer-term services Low Need Individuals with limited employment history and educational achievement, and who may have substance abuse, health or mental health challenges Individuals who are able-bodied and employable, who face an income/affordability gap; also may need short-term assistance with community reintegration Criminal Justice and Housing Needs Moderate Need High Need

WHAT IS SPECIAL ABOUT REENTRY SUPPORTIVE HOUSING?

Specialized Eligibility

Assertive Recruitment Through Jail, Shelter, Hospital In-Reach 17 CourtsJail/PrisonStreetHospitalDetox Alcohol/Drug Treatment Shelter Psychiatric Hospital

Specialized Reentry Services  Critical Time Intervention  Criminal Justice Savvy – SPCTRM  Cognitive Behavioral Therapy  Plus Additoinal:  Employment  Addiction  Mental Health

Specialized Funding

EXAMPLES

Clear Metrics

High Utilizers – FUSE

23 The Jericho Project’s Edith W. MacGuire Residence, New York, NY  79 studio apartments for formerly homeless men and women with mental illness or substance abuse  Jericho’s supportive services model emphasizes helping tenants reach maximum potential including recovery from addiction, education and employment, and family reunification through a client-centered and non-coercive approach

Barry’s Story

Reductions in Jail and Shelter

NYC FUSE Cost Differential

ComparisonFUSE

Coordinate Effort

Returning Home Ohio  Focuses on people with mental illness and addictive disorders exiting prison  Includes ‘targeted prison in-reach programs’ and ‘moving on’ components  $3.9 Million investment over three years, increasing in 2014, by ODRC  Placed over 100+ into scattered-site supportive housing, reduced recidivism, reduced shelter use, increased service connection.

Returning Home Ohio

Adopt a whatever it takes approach!

32 Portland, OR – Central City Concern’s Housing Rapid Response  Supportive and transitional housing for “frequent flyers” of jails (no specific minimum # of arrests) - Currently serving 50 tenants  Police and outreach team identify homeless individuals with repeat prior arrests and transport them to CCC’s housing sites (pre-booking)  Tenants have 80% housing retention and 59% decrease in arrests after engagement in the program

 42 units of supportive housing, 30 for people leaving corrections who are homeless, 12 set aside for parolees.  Includes integrated financing from HUD McKinney Homeless grants, Low-income Housing Tax Credits, IL Dept. of Human Services, IL Dept. of Corrections, and others.  Conducts “in-reach” into correctional facilities to provide a smooth transition into supportive housing. St. Andrew’s Court, Chicago, IL

Castle and Castle Gardens, Fortune Society, New York, NY

Thank You Ryan Moser, CSH 61 Broadway, Suite 2300 New York City, NY , ext. 248