1. Affordable Housing, Opportunity Neighborhoods, and Behavioral Health June 20, 2013 National Neighborhood Indicators Partnership Eleanor Tutt eleanor@rhcda.com

2. Behavioral Health Network Collaboration between: –Providers –Advocacy Organizations –Government Leaders –Community Members Seven counties Four Continuum of Care regions

3. Regional Housing Collaborative Plan GOAL: Persons with behavioral health needs will be able to afford housing of their choice in their community and will have fair and equitable access to the resources available for the larger low-income population.

4. Two Key Questions How much affordable housing do we need for persons with behavioral health needs? Where should it be located within the region?

5. How much affordable housing do we need? Difficult to separate the needs of behavioral health clients from other low income households Both groups compete for limited resources Total affordable rental housing need Total Behavioral Health need Behavioral Health Homeless

6. Housing Cost Burden: Total Need County Occupied Rental Units Renter Households with Housing Cost Burden (>30%) Percent with Housing Cost Burden Franklin8,2024,256 52% Jefferson11,3165,353 47% Lincoln2,4791,226 49% St. Charles23,8899,406 39% St. Louis City73,65539,039 53% St. Louis County108,05554,197 50% Warren2,3471,321 56% Total229,943114,798 50%

7. Additional Vouchers Needed County Individuals Treated for Behavioral Health Vouchers (SCLP, S+CARE, Disabled HUD Housing Choice) Remaining Need (Low Estimate) Franklin1,364 184524 Jefferson3,250 3141,223 Lincoln1,149 250318 St. Charles2,888 313824 St. Louis City11,169 2,3723,548 St. Louis County8,064 2,1481,897 Warren613 146199 Total28,497 5,7278,500

8. Homeless Behavioral Health Need Corporation for Supportive Housing conducted analysis City of St. Louis 782 PSH units needed for homeless or at-risk persons with serious mental illness Working to identify whether data is available that would allow for approximation of CSH methodology in remaining six counties

9. Where should housing be located? Where do voucher holders currently live? Are there neighborhoods that appear to meet the stated needs of voucher holders that do not have voucher holders living there? What barriers might be preventing voucher holders from moving to those neighborhoods?

10. Existing Voucher Programs Supported Community Living Program (SCLP) Shelter Plus Care (S+CARE) HUD Housing Choice Vouchers –Persons with behavioral health needs are a subset of voucher holders with disabilities

11. Where do SCLP voucher holders currently live?

12. Where do S+CARE voucher holders currently live?

13. Where do HUD voucher holders with disabilities live?

14. Where do all voucher holders combined currently live?

15. Data-Informed Discussions “These counties may have shorter waiting lists for vouchers than neighboring St. Charles County.” “This area doesn’t have much rental housing at all.” “I know a landlord here who is willing to work with my clients. I refer people here often.” “As a voucher holder, I tried to find a home here, but couldn’t.”

16. Mentioned by 4 of 4 Groups –Affordability –Independence –Access to transportation Mentioned by 3 of 4 groups –Employment opportunities –Access to housing resource information Focus Groups: Housing Satisfaction Elements of Opportunity Neighborhoods

17. Opportunity: Transportation Access 83% of existing SCLP and S+CARE voucher holders live within a 5 minute walk of public transportation (bus or light rail) 79% of all voucher holders live in Census Tracts served by public transportation

18. Opportunity: Employment Access 55% of all voucher holders live in “job rich areas” – Census Tracts with a higher than median concentration of jobs However, many job-rich areas lack a significant number of voucher holders

19. Opportunity: Employment Access Job ConcentrationVoucher Concentration

20. Transportation, Employment, “Fair Share”

21. Caveats/Limitations Current location of voucher holders is a single year snapshot (2009) Focus groups interviewed a small subset of total persons with behavioral health need We did not try to fully define “opportunity neighborhood,” but looked at two elements emphasized by the focus groups

22. Caveats/Limitations Strategies could include ensuring housing is available in opportunity neighborhoods and/or encouraging transit and job growth in areas where housing is already available. Maps were produced to spark discussion and are not final recommendations; RHCDA is one voice in an ongoing, cross-sector planning effort