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Corporation For Supportive Housing: Fairfax County Housing Options: Permanent Supportive Housing
Fairfax County Housing Options: Permanent Supportive Housing CORPORATION FOR SUPPORTIVE HOUSING MARCH 2012 WWW.CSH.ORG
Corporation for Supportive Housing CSH is a national non-profit organization and community development financial institution that helps communities create permanent housing with services to prevent and end homelessness. Founded in 1991, CSH advances its mission by providing advocacy, expertise, leadership, and financial resources to make it easier to create and operate supportive housing.
Our StructureCSH headquarters are in New Yorkwith program staff deployed from20 communities in 14 states andthe District of Columbia. Field National Program Business Support and Management Communications and Fund Development
Our Supportive Housing Partners Developers Property Service (for-profit and Management Providers and nonprofit) Firms Agencies Consultants, Scattered Site TA Providers, Owners and Public Agencies Financial Operators Institutions Elected and Advocacy Philanthropic Appointed Partners Stakeholders Officials
CSH: 20 Years of Leading theSupportive Housing Movement Reduces Stress on Emergency Systems Serves as a Tool for Economic Development Provides Housing for People Leverages Other Resources Supportive Revitalizes Housing Communities
CSH Lending: Our ProductsPredevelopment Acquisition Predevelopment InitiationLoans (PALs) Loans (PILs)• Site acquisition Loans cover expenses in the• Feasibility studies earliest stages of predevelopment• Fees for engineering and other • Site assessment and feasibility consultants • Assembling development team• Construction financing • Options and deposits• Mini-perm loans
Our Policy Sector Reach Corrections / Criminal Housing / Justice Social Community Services Development Health / Native Hospitals Americans Supportive Housing Behavioral Employment Health Veterans Child Welfare Affairs Aging
CSH Public PolicyApproach Products and Services• Developing and disseminating • 10-year Plan development and outcome data implementation support• Educating and engaging policy • Federal, state, county and local• Offering practical advice to advocacy public sector investors • Designing and advocating• Serving as a neutral broker friendly policies • Engaging mainstream systems • Convening and galvanizing policymakers • Structuring loan funds
CSH Impact: By the Numbers • Catalyst for 143,000 units of • Over $200 million in loans supportive housing • Nearly $100 million in grants • Over 40,500 people living in • $2.16 billion leveraged by state CSH-backed supportive and local policy efforts in last 3 housing years • Working in # communities • $2.69 billion leveraged by federal • 50,000 people trained in last public policy efforts in last 3years 5 years
Implementing DC’s Ten-Year Plan- Unit Goal 2,000 Units for Individuals 500 Units for Families- Financial Modeling How much will unit creation cost? What type of units will exist? Where will the resources come from?- Restructure Interagency Council for Homeless
Continued work on DC’s Ten-Year Plan• Annual Revisions o Revising the Need o Updating the Financial Model• Combining Resources o Agency Partnerships to Apply for Funding o Consolidated RFP• Right-Sizing the System o ICH 5-Year Strategic Plan o Annual Work Planning Goals
Targeting and PriorityPopulations• Every public service system has “hot spots”: high need, complex clients who consume a disproportionate share of system resources and attention: • Frequent users of hospitals and health care • Frequent users of jails and correctional facilities • Families with chronic child welfare involvement
Supportive Housing is a Solutionfor System “Hot Spots”• Studies have shown supportive housing to: • Reduce hospital admissions from 27-77% • Reduce jail use by more than 50% • Reduce psychiatric hospitalizations by 49% • Detox use by more than 80% • Child welfare system involvement by more than 60%
Frequent User SystemsEngagement (FUSE) Initiatives • Use supportive housing to break costly cycle of frequent jail and shelter use • Evaluation results show 90% housing retention, 92% reduction of homeless shelters, and 53% reduction in jail useFrequent User Case StudyDHS DOC DHS DOC DHS DOC DHS DOC DHS DOC DOC DHS DOC DHS DOC DHS DOC DHS1-Jan-01 15-Jan-01 26-Jan-01 3-Feb-01 21-Feb-01 9-Mar-01 22-Mar-01 14-Jun-01 18-Jun-01 17-Jul-01 23-Jul-01 4-Aug-01 7-Sep-01 16-Oct-01 12-Nov-01 21-Dec-01 8-Mar-02 9-Mar-02 5-Apr-02 8-Apr-02 2-Aug-02 31-Dec-02 DHS DOC Neither System
High Utilizers of Public Services with PoorOutcomes • Billings’ (2006) analysis of NYC Medicaid claims data found that: • 20% of adult disabled patients subject to mandatory managed care account for 73% of costs • 3% of patients accounting for 30% of all costs for adult disabled patients
Annual Savings from Reducing HospitalAdmissions for Frequent Users 70% Supportive Housing’s $18,234 60% Minimum Hospitalization Reduction Potential $15,195 50% $12,156 40% $9,117 30% $6,078 20% $3,039 10% $- 0% $- $2,000 $4,000 $6,000 $8,000 $10,000 $12,000 $14,000 $16,000 $18,000 $20,000 Assumptions: Targeting people with 3+ hospital admissions per year, with average stay per admission of 5 nights@ per night cost of $2,026
Advancing FUSE Nationally • CSH implementing • Planning/exploring new FUSE in: initiatives in: • New York City • Rhode Island • Cook County, IL • Newark, NJ • Hennepin County, MN • Franklin County, OH • Connecticut • District of Columbia • Seattle • Denver