1. LAPHAM PARK VENTURE Lapham Park Venture 1901 North 6 th Street Milwaukee, WI 53212 Partners: U.S. Department of Housing and Urban Development Housing Authority of the City of Milwaukee (HACM) Milwaukee County Department of Aging S.E.T. Ministry, Inc. Community Care Organization St. Marys Family Practice Clinic Lapham Park Resident Organization - 200 Units -

2. Assisted Living Facilities Models in Public Housing 2 Built in 1964 1993 – HACM Designated as Elderly Only 96% African-American and 56% Female 74% of Residents are Very-low income Median annual income is $7,553 Result of residents wanting improved services Primary Goal – Maintain and improve the quality of life and improve housing for elderly Secondary Goal – Determine if a continuing care retirement community can work within Public Housing and facilitate aging in place BACKGROUND LAPHAM PARK VENTUREMILWAUKEE, WI

3. Assisted Living Facilities Models in Public Housing 3 Model for Prevention, Assisted Living and Health Care Services: Congregate Meal site, Transportation, Case management and Long Term Care On-Site Primary Medical Care Physical Therapy and Prescription Management Design includes: Therapeutic Whirlpool – Health Need Crafts Room Movie Theatre Barber and Beauty Shop Billy Braggs Golden Gloves Gym Billiards Room [Note: Design based on Resident Survey] DESIGN / STAFFING 200 Units 1 BR190 2 BR10 LAPHAM PARK VENTUREMILWAUKEE, WI

4. Assisted Living Facilities Models in Public Housing 4 DESIGN / STAFFING (Continued) LAPHAM PARK VENTURE Mission: To create a supportive continuing care community where low income older adults can comfortably age in place. COMMUNITY CARE ORGANIZATION (CCO) (On-site medical care.) HOUSING AUTHORITY (HACM) (Building space, remodeling & renovation, liaison with the Resident Organization.) ST. MARYS FAMILY PRACTICE RESIDENCY PROGRAM (On-site physician services.) MILWAUKEE COUNTY DEPARTMENT ON AGING (Funding for case management, transportation, community-based long term care, operation of meal site.) S.E.T. MINISTRY (Outreach, on-site case management staff.) LAPHAM PARK RESIDENT ORGANIZATION (Advocates on behalf of residents, liaison between project partners and residents.) ST. MARYS FAMILY PRACTICE & COMMUNITY EDUCATION CENTER STUDENT PROGRAM (AHEC) (Nursing, medical and social work students provide home visits, health promotion programs and activities.) ALZHEIMERS ASSN. OF SOUTHEASTERN WI (Promotes and coordinates Circle of Friends focusing on socialization and management skills.) CHILDRENS OUTING ASSOCIATION (COA) (Intergenerational activities.) MARQUETTE UNIVERSITY (On-site student community service, assessment of elders functional status, review of facility policies and standards of operation.) SOCIAL DEVELOPMENT COMMISSION (SDC) (Manages meal program.) MATC (Dental hygiene students conduct assessments.) YWCA (On-site exercise programs, tutorial services.) LAPHAM PARK VENTUREMILWAUKEE, WI

5. Assisted Living Facilities Models in Public Housing 5 PROCESS CORE LAPHAM PARK VENTURE MEMBERS HACM: Existing HACM property - rehabilitation through liaison work with residents Milwaukee County Department on Aging: Congregate meal site, transportation, case-management and funding for community-based long term care S.E.T. (Services, Empowerment, Transformation) Ministry: On-site medical care including primary care, physical therapy and prescription management through Medicaid St. Marys Family Practice Clinic: On-site physician services to residents LAPHAM PARK VENTUREMILWAUKEE, WI

6. Assisted Living Facilities Models in Public Housing 6 Lapham Park Resident Organization: Provide assistance with Outreach to the Community and Organizes Social and Community-Based Activities Medicaid reimburses $94/day Residents pay $0 for Services WI State Supplement to SSI recipients is $83 200 units subsidized by HACM – Difference of resident payment (30% of income) and operational cost of unit HUD Funding: Rehabilitation Costs - $1.3 million - HUD Capital Fund PROCESS (Continued) LAPHAM PARK VENTUREMILWAUKEE, WI

7. Assisted Living Facilities Models in Public Housing 7 WI Medicaid Waiver Comparison: Nursing Home Residents vs. Lapham Park Residents Savings to State of WI – Over $1M On-site Clinic to Provide Routine Medical Assistance: Prescription refills, hospice care, dental care, Home Health Care, Physical Therapy and Podiatry Residents Interested in help are visited by S.E.T. Ministry, Inc. Residents are connected to 20 appropriate service providers and 200 specialists PROCESS (Continued) LAPHAM PARK VENTUREMILWAUKEE, WI

8. Assisted Living Facilities Models in Public Housing 8 PROCESS (Continued) FUNDING SOURCES AND USES Community Care Organization – Medicare and Medicaid Dollars $1,410,00033% Managed health care services for frail older adults; provides all medical, clinical and ancillary services necessary to support independent living HUD Capital Funding $1,300,00030% Gut rehab of basement of Lapham Park - HVAC work, plumbing and sewer work Private Foundations: Pettit Foundation; Helen Bader Foundation; Milwaukee Foundation: Faye McBeath Foundation; M&I Foundation $1,300,00030% Clinical space and community space including furnishings for the movie theater, town square, billiards room Milwaukee County Department on Aging – Older Americans Act $129,0003% On-site case management, elderly nutrition programs; housekeeping services Housing Authority $27,0001% Utilities WI Housing & Economic Development Agency $25,0001% Therapeutic bathing spa Milwaukee County CDBG $25,0001% A&E fees SET Ministry – Private Donations $20,0001% Special Needs TOTAL:$4,236,000 LAPHAM PARK VENTUREMILWAUKEE, WI $21,000 per unit

9. Assisted Living Facilities Models in Public Housing 9 MANAGEMENT / MARKETING Management Company: (Contract cost is $468K/Year) Friends of Housing is under contract with HACM Friends of Housing Provides Traditional Services: Maintenance Rent Collection Leasing Wait list is not site specific 2% turnover Marketing: Venture Partnership with social workers, hospitals, friends, and family allows word of mouth lease up LAPHAM PARK VENTUREMILWAUKEE, WI

10. Assisted Living Facilities Models in Public Housing 10 CHALLENGES/FAILURES/LESSONS LEARNED Think outside of the box and doing things a different way Sharing mutual information and risk taking Breaking down traditional agency barriers/territories Reallocation of each agencys resources with minimum start-up costs Resident-centered approach Collaboration between the public and private sector LAPHAM PARK VENTUREMILWAUKEE, WI

11. Assisted Living Facilities Models in Public Housing 11 Award: Ford Foundation and Harvard University Innovations in American Government ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS Town homes at Carver Park: (Complement to the site) Public housing development Friends of Housing is the Management Company and an LLC Partner in the tax credit application 18 months of rehabilitation - Town homes at Carver Park Opened in September 2002 122 unit mixed-income accessible development 51 public housing units 51 tax credit rental units 20 market rate units Also provides market rate housing LAPHAM PARK VENTUREMILWAUKEE, WI

12. Assisted Living Facilities Models in Public Housing 12 Economically integrated Carver Park neighborhood High level of accessibility for residents and visitors with disabilities Town homes serve families that need two to five bedrooms Town homes funded with a $9.1 million HUD Hope VI Grant combined with affordable housing tax credits Development includes 20 homes in the surrounding neighborhood for low and moderate income families under the HACM homeownership program HACM - Comprehensive public safety program in the neighborhood, which adjoins the rehabilitated Lapham Park assisted living development with Town homes at Carver Park ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS LAPHAM PARK VENTUREMILWAUKEE, WI

13. Assisted Living Facilities Models in Public Housing 13 LAPHAM PARK VENTUREMILWAUKEE, WI