1. Lessons from Columbus, Ohio Holly S. Kastan Advisory Board Community Shelter Board Barbara Poppe Executive Director Community Shelter Board bjpoppe@csb.org 614.221.9195

2. Overview zCSB model zInitiatives yRebuilding Lives yPrevention zManaging for results zClosing thoughts

3. The Community Shelter Board zThe Community Shelter Board was created in 1986 to respond to the growing needs of homelessness in Franklin County. z"It is unacceptable for anyone in our community to go without food or shelter for even one night." Mel Schottenstein, CSB Founder

4. CSB’s Founders zPublic/Private Partnership: yCity of Columbus yFranklin County Commissioners yUnited Way of Franklin County yGreater Columbus Chamber of Commerce yMetropolitan Area Church Council yADAMH Service Board yColumbus Foundation yLeo Yassenoff Foundation

5. Mission zCSB, by coordinating community-based efforts, fostering collaboration and funding services, assists families and individuals in Central Ohio to resolve their housing crisis.

6. Organizational Methods zcollaboration with other systems zraise and distribute money zadvocacy zcommunity education regarding homelessness z assure accountability z coordination with partner agencies z practice fiscal conservancy z continue research and data analysis for effective planning

7. Funders Public zCity of Columbus (40%) zFranklin County (26%) zOhio Housing Trust Fund (5%) zOther (2%) zHUD SHP (1%) Private zFundraising (13%) zUnited Way of Central Ohio (13%)

8. Framework zPrevention zDiversion zMinimize shelter stay zMove to appropriate housing quickly zCreate permanent supportive housing zMeasures results and manage for outcomes

9. Initiatives zRebuilding Lives zPrevention

10. Rebuilding Lives A new strategy to end homelessness

11. Rebuilding Lives zRebuilding Lives has two goals: yTo provide long-term, permanent housing solutions to end the cycle of long-term homelessness yTo maintain an emergency shelter system for people with short-term crises.

12. Rebuilding Lives Results Improved safety net  3 new emergency programs  Resource centers operational in all adult shelters  Improved coordination among programs New housing  372 units of permanent supportive housing  Serves most chronically homeless from streets/shelters New thinking  Housing is solution not shelters

13. Supportive Housing Tenant Profile (7/1/02-6/30/03) zWhere did they come from? y100% experienced long-term homelessness y44% came from emergency shelter y35% came directly from streets zWho are they? y95% male y78% 35-54 years y65% black; 29% white y60% had no income at intake to housing y21% Veterans

14. Supportive Housing Results (7/1/02-6/30/03) zTenants y475 housed yAverage cumulative length of stay = 397 days y> 80% maintained housing for year or more zShelters yDespite economic downturn, shelter utilization has not increased

15. Supportive housing is cost-effective SystemDaily cost Supportive housing$36 Jail$58 Detox$191 State psychiatric hospital$482 Inpatient medical hospital$1,085 Rebuilding Lives Funder Summit, March 2003

16. Rebuilding Lives PACT Team Initiative (RLPTI) zCollaborative Initiative to Help End Chronic Homelessness zComprehensive approach – multi-agency, multi-disciplinary zHousing First – scattered site permanent supportive housing zAccess to Health Care and Income – replication of PACT model and Maryland SSI Outreach project

17. RLPTI Target Population zExperienced chronic homelessness – living on streets and in shelters zSerious mental disabilities with co- occurring substance abuse disorders and/or physical disabilities zEstimate of annual prevalence of target population = 410 persons

18. RLPTI Local Collaborative System zADAMH Board zCommunity Research Partners zCommunity Shelter Board zContinuum of Care Steering Committee zCounty Department of Job/Family Services zRebuilding Lives Funder Collaborative Providers z Chalmers P. Wylie VA Outpatient Clinic z Community Housing Network z Corporation for Supportive Housing z Metropolitan Housing Authority z Neighborhood Health Centers z Southeast, Inc.

19. Replicating Best Practices with a Columbus Twist zPathways to Housing yLow demand, scattered sites rental housing and public housing yEvidence-based practices -- PACT (Program of Assertive Community Treatment) multi-disciplinary treatment team plus IDDT (Integrated Dual Disorder Treatment) for persons with dual diagnosis of mental illness and substance abuse yMulti-Agency PACT team services which includes VA, Neighborhood Health services, and housing provider

20. Replicating Best Practices with a Columbus Twist zMaryland SSI Outreach Project yOutreach, record collection, application completion and advocacy ySSI/SSDI and/or Veterans benefits yCounty Department of Jobs/Family Services SSI unit will be benefits coordinator

21. Planned RLPTI Client Outcomes z156 adults (47 Veterans) participate in initiative {impact = 40% of target pop.} z80% remain in housing for 12+ months z90% increased income w/in 12 months z60% improved behavioral health w/in 12 months

22. Planned RLPTI Community Results zReduce chronic homelessness zImproved transition of target population from homeless-specific services systems to mainstream systems of support zImproved collaboration among housing/service providers and mainstream agencies

23. Homelessness Prevention Closing the front door to homelessness

24. Prevention zCoordinated services with centralized fiscal agent zSatellite partners provide housing counseling, landlord advocacy, financial planning, and assistance with applications zClient financial assistance to avoid eviction or move to more affordable housing

25. Prevention Results Ends homelessness  95% of households receiving financial assistance resolve crisis.  98% do not subsequently enter shelter Cost effective  $432/hh served

26. Managing for Results

27. zMeasure progress - HMIS yClient yProvider yFunder yCommunity zOutcomes-based funding zLeverage community resources zCommunicate the successes

28. Benefits of CSB Model zPublic/private partnership zIncreased system planning, service coordination, accountability zAbility to establish community-wide policy zMore effective monitoring of programs to ensure high quality services zMore effective communication

29. Challenges to ending chronic homelessness zPermanent Supportive Housing yStable operating subsidies yStable services funding yCapital development grants zSystems Integrations to Prevent Homelessness yCooperation among local, state and federal agencies yRe-entry policies that prevent discharge to homelessness

30. Lessons from Columbus, Ohio Holly S. Kastan Advisory Board Barbara Poppe Executive Director