2. Overview of Permanent Supportive Housing and Recovery Support Webinar - June 15, 2011, 2-3:30 pm ET

3. Webinar Agenda 2:00 Logistical Announcements 2:05 Welcome Message 2:10 Presentations 3:05 Question & Answer Session 3:30 Conclude Webinar

4. Asking Questions We invite you to ask questions using the Q&A box at the top of your screen. The presenters will answer as many questions as possible at the conclusion of the presentations.

5. Click here for Q & A

6. Type your question here. Click “ask” or hit “enter”

7. Learning Objectives Become familiar with the core elements of SAMHSA's Permanent Supportive Housing Evidence-Based Practices KIT (PSH Toolkit). Understand how to best align your program with the core elements of the PSH toolkit. 7

8. Learning Objectives Be able to identify the issues that need to be addressed, the questions to ask, and the stakeholders who need to be engaged during the planning and development of a permanent supportive housing program. 8

9. Dr. Fran Randolph Director of the Division of Services and Systems Improvement in the Center for Mental Health Services, SAMHSA

10. Welcome

11. Ann V. Denton Director, SAMSHA’s Services in Supportive Housing Technical Assistance Center

12. SAMHSA’s Permanent Supportive Housing Evidence-Based Practices ToolKIT. http://store.samhsa.gov/product/SMA10- 4510?WT.ac=AD20100918HP_SMA10-4510

13. Core Elements of Permanent Supportive Housing

14. A consumer’s need for housing is no different than your need for housing.

15. What is Permanent Supportive Housing? Decent, safe, and affordable community-based housing that provides residents with the rights of tenancy under state/local landlord tenant laws and is linked to Voluntary, flexible support and services designed to meet residents’ needs and preferences.

16. Supportive Housing Philosophy People with serious mental illnesses and other disabilities have the same rights and opportunities as all citizens to choose, obtain, and live in regular community housing. People have the right to receive, refuse, and direct their own support services.

17. Core Elements  Access: Housing First  Permanent: Rights of Tenancy  Safe, decent, affordable  Integrated  Separates housing from services  Provides choice  Tailored services

18. Housing First Access, support, retain housing. Everything else follows: Make return to permanent housing immediate. People move directly into affordable rental housing in residential areas from shelters, streets, or institutions. Home-based services are provided as long as needed.

19. Permanent: Rights of Tenancy Residents have full legal rights in a tenant-landlord relationship. Tenants are responsible to abide by the normal standards of behavior/conduct outlined in a lease. Distinct from “program” rules. Permanent: length of stay is determined by the agreement between the landlord and tenant.

20. Safe, Decent, Affordable Meets Housing Quality Standards

21. Would you want your mom living there? 21

22. Housing Affordability  Tenants/residents pay a reasonable amount of their income towards rent and utilities.  HUD affordability guidelines = 30% of adjusted income for housing expenses.  Reality: People on SSI often pay 60 - 80% of their income towards housing that is substandard.

23. Integration Housing is located in regular residential areas. Housing is scattered site: Large, homogeneous, congregate sites can become mini-institutions; or Mixed populations in the building or neighborhood: avoid the creation of mental health ghettoes. Tenants participate in community activities and receive community services. Natural supports are encouraged.

24. Choice

25. Permanent Supportive Housing Models Scattered – site  Individual units dispersed throughout an area  Apartments, condos, single family houses  Owned or leased  Conforms with local zoning

26. Permanent Supportive Housing Models Single-site mixed-population  Large building or complex with multiple units  Serves more than one type of tenant:  Low income families  People with mental health problems  Seniors  Students  Homeless adults  Often includes “set-asides” for specific target group(s)  Can be owned or “master-leased” by housing agency

27. Services It is not “placement.” It is not a cookie-cutter approach.

28. Tailored Services  Services in supportive housing are  Individualized  Voluntary  Recovery-focused  Ongoing, shoulder-to-shoulder  Flexible: type, location, intensity & frequency of services meet changing needs of resident.  Include risk management and crisis planning.

29.  Participation in specific support services is NOT required in order to get or keep housing.  Various approaches :  Legal separation between housing management and service delivery.  Functional separation – Distinct housing and service staff roles.  Operational separation – Service providers are based off-site. Separation of Housing & Services

30. SAMHSA ToolKITs SAMHSA’s ToolKITs, including the PSH ToolKIT, offer states, providers, consumers and family members resources to implement and assess clinical practices that work!

31. Support for Evidence-Based Practices “The emphasis on implementing evidence-based practice (EBP) stems from a consensus that a gap exists between what we know about effective treatments and the services currently offered.” SAMHSA. Permanent Supportive Housing: How to Use the Evidence-Based Practices KITS. HHS Pub. No. SMA-10-4509, Rockville, MD: CMHS, SAMHSA, U.S. Department of Health and Human Services, 2010, page 1.

32. Support for Evidence-Based Practices Evidence-based practices are linked to predictable, beneficial outcomes for participants. If those outcomes are desired in your system, then implementation of the evidence-based practice is a necessary step! Implementation must be accomplished with attention to “fidelity” to the model.

33. PSH Fidelity The Permanent Supportive Housing ToolKIT, in “Evaluating Your Program,” offers a fidelity scale. The purpose of the fidelity scale is to offer providers and communities the opportunity to conduct a self-assessment.

34. Dimensions of PSH Fidelity Choice Separation of housing and services Decent, safe, and affordable housing Integration Access to housing Flexible, voluntary services

35. Joseph Tardella Executive Director, Southwest Counseling Solutions, Detroit, Michigan

36. The Detroit Experience Learning objectives: Identify the issues to be addressed, the questions to be answered, the tasks to be completed and the stakeholders to be engaged when planning a PSH program Understand how best to align your program with the PSH Toolkit

37. The Detroit Experience What HMIS tells us about Detroit: In 2010, over 20,000 unduplicated individual/families we’re served 12,600 individuals, 7,400 individuals living in families 5% increase over 2009 4,700 PSH units

38. The Detroit Experience: Organizational Planning Identify the need Identify who you intend to serve

39. The Detroit Experience: Organizational Planning Articulating your permanent supportive housing solution

40. The Detroit Experience: Organizational Planning Assessing organizational readiness

41. The Detroit Experience: Organizational Planning Assessing community readiness

42. The Detroit Experience: Organizational Planning Build it, Buy it, Partner for it

43. The Detroit Experience: Organizational Planning Assessing the funding climate

44. The Detroit Experience: Organizational Planning Selecting a housing model

45. The Detroit Experience: Organizational Planning Single site housing considerations

46. The Detroit Experience: Organizational Planning Scattered site housing considerations

47. The Detroit Experience: Organizational Planning The use of rental subsidies

48. The Detroit Experience: Organizational Planning Developing your service delivery model

49. The Detroit Experience: Organizational Planning Evaluating your program

50. QUESTIONS & ANSWERS

51. Click here for Q & A

52. Type your question here. Click “ask” or hit “enter”

53. SAMHSA’s Permanent Supportive Housing Evidence-Based Practices ToolKIT. http://store.samhsa.gov/product/SMA10- 4510?WT.ac=AD20100918HP_SMA10-4510

54. For More Information: Ann Denton, Director of SAMHSA’s Services in Supportive Housing Technical Assistance Center adenton@ahpnet.com Joseph Tardella, Executive Director, Southwest Counseling Solutions jtardella@swsol.org Justine Hanson, Deputy Project Director, SAMHSA’s Homelessness Resource Center jhanson@center4si.com

55. Upcoming Webinar June 21, 2-3:30 pm ET “Financing of Permanent Housing for Individuals with Co-Occurring Mental and Substance Use Disorders: Challenges, Successes, and Lessons Learned” Register: https://www.mymeetings.com/emeet/rsvp/index.jsp? customHeader=mymeetings&Conference_ID=75806 17&passcode=5820599 https://www.mymeetings.com/emeet/rsvp/index.jsp? customHeader=mymeetings&Conference_ID=75806 17&passcode=5820599

56. Thank You Thank you for your participation in today’s SAMHSA webinar. Materials from today’s presentation will be available on SAMHSA’s Homelessness Resource Center website within 7 days: http://homeless.samhsa.gov/ http://homeless.samhsa.gov/ Click “Training”  “HRC Webcast Presentations”