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

2. Behavioral health services (BHS) Overview
BHS system of care: Fiscal Year
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

3. 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.

4. 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

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

6. 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

7. 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

8. 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

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

10. 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

11. Mental health services act (MHSA) housing program
Key activities:
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

12. 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

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

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

15. 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

16. 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

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

18. 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

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

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