1. YAY HOUSING…. I Think?
Derek Holt – Group Residential Housing/Top 51 Program Manager

2. Agenda • Housing First • Dimensions of Permanent Supportive Housing
• Exercise
• What comes after housing?
• Best Practices
• Conclusion
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Derek Holt

3. Why are we talking about this.!.!.!
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Derek Holt

4. We all know this, can I leave?
Refresher for direct service staff
Creation of Coordinated Assessment
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Derek Holt

5. Components of Housing First
Direct or nearly direct placement of consumers in housing
Not requiring consumers to participate in supportive services
Use of assertive community outreach to engage potential consumers
The use of harm reduction
Continuing to provide housing and services if consumers leave
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Derek Holt

6. Dimensions of Permanent Supportive Housing
Minnesota Department of Human Services states:
Choice in housing and living arrangements
Separation of housing and services
Decent, safe, and affordable housing
Housing integration
Rights of tenancy
Access to housing
Flexible, voluntary services
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Derek Holt

7. Strengths • Reduced days of stay in shelter • Supportive services
• Transition to community
• Client choice
• Encouraged higher utilization rate of community services
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Derek Holt

8. Weakness • Client can feel isolated • Landlords may get burned out
• Market rate rents create instability
• Low vacancy rate limits choice
• Transportation barriers
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Derek Holt

9. What do you know about camels?
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Derek Holt

10. I know They spite They have one or two humps
They retain water in humps
Used for transportation
They migrate
Hooves
Long eyelashes
Smelly
Live in desert
Mammals
Adapt to outside
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Derek Holt

11. What comes after housing?
• Need for social service communities to collaborate
• Using agreed upon fidelity standards
• Landlord engagement
• Tenant education
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Derek Holt

12. Housing Stability Best Practices
• Client is leader of goal plan
• Services are documented
• Staff in collaborative have clear roles
• Services are flexible and may not be forever
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Derek Holt

13. Community Services Housing Provider Primary Care County Client
Community Provider
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Derek Holt

14. Client does not understand lease expectations or seen lease
To Much
Not Enough
Case manager dictates
engagement time
Case manager utilizes
unnecessary
assessment/forms
Client does not understand lease expectations or seen lease
Client has limited
knowledge of
appointments
Case manager is
providing services
which they are not
trained or qualified for
Case manager migates all landlord conflict
Client does not
understand
additional
services they are
eligible for
Case manager is only provider on services team
Best
Client knows staff roles
Client completed tenant education
Client knows when to expect and purpose of meeting
Services:documentated with possible end date
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Derek Holt

15. Similar to camel’s voyage
• Clients become adaptive to environment
• We see our world and collaboration challenges biases
• Staff are historians for client
• Learning client’s story helps understand behavior
• Most important, we don’t know and always strive to learn
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Derek Holt

16. Conclusion • Must ensure separation between services and landlord
• Appropriate services are used and documented
• Tenants understand their lease and rights
• Staff in collaborative have clear roles
• Services are flexible, reevaluated and terminated when appropriate
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Derek Holt

17. Questions?
Separation of LL/CM
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Derek Holt

18. Contact: Derek Holt – derek.holt@cctwincities.org Separation of LL/CM
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Derek Holt

19. References
UD Department of Human Services. Permanent Supportive Housing An Evidence Based Practices and a Framework for Systems Change. Retrieved from
Watson, D., Wagner, D., & Rivers, M. (2013). Understanding the Critical Ingredients for Facilitating Consumer Change in Housing First Programming: A Case Study Approach. Journal Of Behavioral Health Services & Research, 40(2), doi: /s
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Derek Holt