1. The Cottages At Hickory Crossing Dallas’ Premier Model of Permanent Supportive Housing A Status Report January 2011

2.  Metrocare Services: Behavioral health services, fiscal agent  Central Dallas CDC: Housing development  CitySquare: Case management, public relations lead  UT Southwestern: Program evaluation  Metro Dallas Homeless Alliance:Intake & referral  Dallas County Criminal Justice: Liaison to courts  Supporting Partners Funding leadership:  W.W. Caruth, Jr. Foundation  Meadows Foundation Project management:  Corporation for Supportive Housing Partners

3. Project Objective The Cottages at Hickory Crossing: A model permanent supportive housing community  Goal: Develop and implement Texas’ premier model of permanent supportive housing, providing:  On-site access to most services …including high-quality healthcare and social services  Integration of services …a team approach to housing, healthcare and social services  Improved behavioral health and physical health outcomes …and quality of life of individuals served by the program  Cost savings to taxpayers …through reduced expenditures on public safety, behavioral health and healthcare  Ongoing research and evaluation …of program and clinical outcomes to guide future programs

4. Project Concept  Target Population: Chronically homeless who are involved in the criminal justice system, mentally ill, and/or have substance abuse issues  Three-year Pilot: 50 units of permanent supportive housing with continued operation thereafter  Evidence-Based Service Design: Housing-first, integrated clinical and social services  Rigorous Evaluation: Including housing stability, public costs, and behavioral health outcomes

5. Project Location and Site

6. Unit Design bcWorkshop has developed a model for sustainable urban living, balancing living space with open space.

7. Tenant Selection  Tenants will be referred by: MDHA via The Bridge The Dallas County criminal justice system  Selection criteria include: Chronically Homeless Severe and persistent mental illness  Schizophrenia, bipolar disorder  Usually complicated by substance use history High cost to the public due to use of:  County jail  Homeless shelters  Emergency rooms

8. Pilot Project  W.W. Caruth, Jr. Foundation funded a transitional housing program that offered: Immediate relief for overcrowding at The Bridge An opportunity to pilot clinical approaches to this challenging population  Program Characteristics: Duration: February 2009 to November 2010 Total enrollments: 142 Clients (“Phase 1” only = 97 clients):  Male - 73%  African American - 69%; Hispanic – 5%  Bipolar – 46%; depression – 42%; schizophrenia – 12%

9. Pilot Project Outcomes  Housing Outcomes: Total permanent placements: 78 (55%) Unsuccessful admissions:47 (33%)  60% of these were in program’s first six months Left without being placed:17 (12%)  Functional Outcomes: Mental health symptoms decreased for all diagnoses ER visits:down 67% at 120 days Hospital days:down 67% at 90 days Jail days:down 80% at 120 days

10. Pilot Project Outcomes  Financial Outcomes: Cost per client served: $ 9,400 Cost per successful placement:$17,000 Comparison of average monthly program costs:  Pilot project:$ 1,400  Jail:$ 1,950  Hospital:$ 12,000  Community feedback: From CitySquare staff: “a marked difference between how well former COE residents are doing in permanent housing compared to the residents from shelters.”