By Kris Kuntz
Last week my friend Jeanine passed away. She was found unconscious in her apartment. Jeanine suffered from several health complications including a seizure disorder, bouts of depression, and a long history of drinking. The doctors concluded that her body essentially shut down and that nothing could have been done, although it is hard to believe given her athletic 6’2” frame, outgoing personality, and the fact that she walked five miles every day. She was only 52.
I met Jeanine three years ago in the San Diego County women’s jail after her name was brought up among police officers and paramedics as our city’s most frequent user of the ER and jail. I was there to talk with her about a program called Project 25. Started in 2011, Project 25 was conceived of by the United Way of San Diego County with support from CSH. The United Way provided the majority of the funding with the County of San Diego, the City of San Diego and the San Diego Housing Commission playing important roles in both financial support and programming. The idea was simple: target the most costly and frequent users of public resources who were living on the streets of San Diego and, using a Housing First model, provide them with permanent housing and intensive wraparound services. Father Joe's Villages managed the services, oversaw the housing, and collected the data to demonstrate the program’s effectiveness and savings to the community.
The program started with 25 people, grew to 35, and then added Jeanine as the 36th person in the program after officials in the city asked Project 25 to work with her. Like others in the program, Jeanine was initially resistant to the concept. I would like to say that she agreed to participate on our first meeting in jail and things were perfect from there on out, but that’s not the case. We followed her in and out of jail and the ER numerous times before she finally trusted us enough to let us into her life. Once she did, Jeanine was quickly placed into her own apartment and from there the real stabilization began.
06/25/2015 - A Closer Look: Opening Doors, As Amended in 2015 - Spotlight on Changing of the Goal of Ending Chronic Homelessness
To accompany the release of Opening Doors, as amended in 2015, we will be taking a closer look at each of the four key updates to the document this week. We’ll be sharing comments from partners, community members, and the USICH staff on how the updates are impacting their daily work, helping to prevent and end homelessness across America, as well as highlight the key changes around the updated topic.
Spotlight on Changing of the Goal of Ending Chronic Homelessness
“The national goal and deadline for ending chronic homelessness set by Opening Doors enabled states like Utah to generate the momentum and energy needed to achieve our goal. And if Utah can do it, anyone can do it. Moving the target date for ending chronic homelessness in 2017 still gives states, counties, and cities the hard deadline they need to cultivate champions and re-purpose existing resources, while securing additional resources needed to achieve the goal.
– Lloyd Pendleton, Former Director, Homeless Task Force, State of Utah
Among people experiencing homelessness, there is a subset of individuals who experience homelessness for long periods of time, and/or in repeated episodes over many years—people experiencing chronic homelessness. These men and women commonly have a combination of challenges including mental health problems, substance use disorders, and complex health conditions that worsen over time and often lead to an early death. Studies have found that people experiencing chronic homelessness cost the public between $30,000 and $50,000 per person per year through their repeated use of emergency rooms, hospitals, jails, psychiatric centers, detox and other crisis services, the use of which make little improvements to their health and well-being. Given the cost it bears in human lives and public dollars, ending chronic homelessness is a moral and fiscal imperative.
The solution to end chronic homelessness is permanent supportive housing, which combines affordable housing with tailored, supportive services. This combination of housing and support helps people achieve housing stability, connections to care, and improved health and social outcomes.
On any given night, we know that nearly 85,000 Americans with disabling health conditions who have experienced homelessness for long periods of time—some for years or decades—can be found sleeping on our streets, in shelters, or other places not meant for human habitation. These men and women experiencing chronic homelessness commonly have a combination of mental health problems, substance use disorders, and medical conditions that worsen over time and too often lead to an early death.
Without connections to the right types of care, people who are experiencing chronic homelessness cycle in and out of hospital emergency departments and inpatient beds, detox programs, jails, prisons, and psychiatric institutions—all at high public expense. Some studies have found that leaving a person to remain chronically homeless costs taxpayers as much as $30,000 to $50,000 per year.
By Richard Cho
Five years since the passage of the Affordable Care Act, many of the major objectives of the law are being met; more than 16 million Americans have gained health coverage, bringing the number of people without insurance down to historic lows. Included in the newly insured are approximately six million of the lowest income Americans, who have gained access to public health insurance through Medicaid and the Children’s Health Insurance Program (CHIP). And while the data is limited on the specific number of people experiencing homelessness who have gained coverage, we have numerous reports that enrollment in Medicaid and other types of health insurance among people experiencing homelessness has grown significantly. With so many people now able to access health care coverage, the results are in: the Affordable Care Act is working.
Of course, increasing access to health coverage is only one objective of the law. The other major objective is to shift the focus of health care away from procedures and treatments and towards the overall quality of care and people’s health outcomes. For people who experience homelessness, we know that having stable housing is essential to health. Stable housing not only has direct benefits on health—reducing exposure to high-risk behaviors and the negative effects of life on the streets—but it also creates a platform for better care. Thus, for people experiencing homelessness, the ultimate measure of whether or not the Affordable Care Act is working may be the degree to which it can incentivize the health care system to address housing needs as a foundation for better health.
05/07/2015 - Medicaid is a Game-Changer for Ending Chronic Homelessness, But to Win, We Have to Play
By Richard Cho
It has been proven time and time again that for people experiencing chronic homelessness and suffering from chronic health conditions, the path to improved health begins with stable housing, namely through supportive housing. Supportive housing (also known as ‘permanent supportive housing’) has been shown to improve physical and behavioral health outcomes for people experiencing chronic homelessness, while simultaneously lowering health care costs by decreasing emergency room visits and hospitalizations. In most communities today however, the services that make supportive housing so effective are still funded by a patchwork of public and private sources, or in some cases, are severely under-funded. Fortunately, thanks to the Affordable Care Act we now have the potential to create a more systematic and sustainable way to finance services in supportive housing -- through Medicaid.
The truth is, this isn’t all new. Medicaid has covered these types of supportive housing services for a long time. After all, one of Medicaid’s first authorities allowed states to cover primary care case management. What is new is the Affordable Care Act, which by increasing the coverage of people experiencing homelessness under Medicaid and by shifting the focus of health care on value rather than volume, creates new opportunities to increase the role of Medicaid in covering services in supportive housing. At the same time, Medicaid is a Federal and state program and the decision to cover these services under Medicaid rests with the states. Whether states do so will depend on the degree to which they are made aware of the cost-benefit of helping people access and obtain housing as opposed to cycle in and out of emergency rooms, inpatient hospital beds, shelters, and the streets.
We all have the responsibility of educating states about the cost-effectiveness of supportive housing and the opportunity to cover services in supportive housing under Medicaid. Here are four things you can do to ensure your state includes these services:
By Rudy Trinidad
Sonia Niznik (pictured right, with her Case Manager, Rudy Trinidad) was taking shelter from Arizona’s dry summer heat at a “cooling center” provided by a local church when a team of outreach workers began conducting screenings using the Vulnerability Index-Service Prioritization and Decision Assistance Tool (VI-SPDAT). At the time, Sonia had been without a home for about three years.
Sonia’s interview was part of the first wave of VI-SPDAT assessments conducted for Tucson’s Coordinated Entry pilot. The Coordinated Entry system is designed to prioritize and assist Veterans and chronically homeless individuals based on their level of vulnerability and embraces a “housing first” philosophy, operating with harm reduction principles within the safe environment of a home.
Sonia was the first individual matched with housing under the new system. To date, more than 80 Veterans and chronically homeless individuals have been matched with housing and about 15 clients have been able to move into permanent housing through this system.
I, Rudy Trinidad, a Housing Navigator and Case Manager for the Pasadera Behavioral Network, met Sonia a week and a half after she filled out the VI-SPDAT. When I met her, she had a big smile on her face. She was amazed that she was contacted about permanent supportive housing (PSH) so quickly after completing the survey. I helped her prepare the documentation she needed to qualify for the Pasadera PSH program, which is funded through the Department of Housing and Urban Development (HUD) Continuum of Care. She chose a place in a recovery based living community to help her address her substance use issues, which contributed to the job loss that led to her homelessness. A few weeks later, she had her own fully furnished studio apartment.
04/23/2015 - Federal Partners Move Forward on HMIS Alignment & Integration, Announce MOU on Roles & Responsibilities
The U.S. Department of Housing and Urban Development’s Office of Community Planning and Development, the U.S. Department of Health and Human Services’ Administration for Children and Families and the Substance Abuse and Mental Health Services Administration, and U.S. Department of Veteran Affairs’ Veteran Health Administration have recently announced a Memorandum of Understanding (MOU) that sets forth shared understanding of each agency’s respective roles and responsibilities regarding the use of Homeless Management Information Systems (HMIS).
We know that using data to make smart decisions drives improvement in results. The more effectively we can collect, analyze, share, and coordinate around a common set of data, the more effectively we can inform action to end homelessness. For most communities, Homeless Management Information Systems (HMIS) are the primary data systems to capture information about families, youth, and individuals experiencing homelessness as well as information about the provision of housing and services to homeless individuals and families and persons at risk of homelessness.
HMIS helps us not only understand the impact our programs are having, it helps us better understand who our programs are engaging and how effective that engagement is. Action is underway now at the Federal level to integrate and align HMIS across Federal programs, which will help break down silos between services and programs and improve the effectiveness of our services and programs.
04/23/2015 - The Supportive Housing Opportunities Planner (SHOP) Tool: Setting a Path to End Chronic Homelessness Locally
By Lindsay Knotts
Much of my passion for ending homelessness comes from my time on the front-lines where I worked to connect very vulnerable people – adults with disabling conditions who had often spent years without a safe and stable place to call home – to permanent supportive housing. Even in my small city, there were times when units were not available for people who needed them the most. We simply didn’t have enough permanent supportive housing units, and even the units that we had were not always being targeted to people experiencing chronic homelessness. We know that this is too often the case in many communities across the country.
The Obama Administration is committed to ending chronic homelessness nationally in 2017. Achieving this goal nationally is only possible if we achieve it locally. To do so, communities across the country must have enough available permanent supportive housing units to serve people currently experiencing chronic homelessness and to prevent people with disabling conditions from becoming chronically homeless in the future.
A critical first step to achieving our shared goal is to determine the specific combination of strategies needed to increase the availability of permanent supportive housing locally, which really depends on each community’s supply and availability. Some communities with a large supply of permanent supportive housing can make significant progress towards the goal just by improving the targeting of existing units. Most communities will also need to create new supportive housing through both targeted grants and mainstream resources.
04/16/2015 - The Time to Seize Historic Opportunities is Now - A Message from Matthew Doherty, USICH Executive Director
By Matthew Doherty, Executive Director
It is truly an honor to have this opportunity to serve as Executive Director of the U.S. Interagency Council on Homelessness (USICH) and to help carry forward the great work of this agency and of my predecessors. It is also a distinct privilege to work with the fantastic team of staff we have at USICH, both the team working here in DC and our Regional Coordinators working out in the field. Finally, I am humbled by the many sacrifices that my husband, Dean Thorp, is making so that I can step into this role.
USICH’s work is successful because of our strong partnerships with other Federal agencies and their incredibly committed leaders and staff, and because of the collaborative efforts of dedicated people working in states and local communities. Together, we are at a critical point in our efforts to prevent and end homelessness in the United States; we’ve made unprecedented progress and can point to substantial accomplishments under all of the objectives within Opening Doors, but clearly there remains much more work to be done. While we have seen significant reductions in the numbers of people experiencing homelessness documented through the annual Point-in-Time (PIT) count, the fact that the 2014 PIT count identified 578,424 people experiencing the crisis of homelessness, and other data such as from HUD’s Worst Case Housing Needs report, serve as a staunch reminder that housing affordability, housing instability, and homelessness continue to be national challenges—challenges that we must and can successfully address.
As described in Opening Doors, our focus is on ending homelessness for all populations, and we must seize this historic opportunity to expand housing for every child, youth, family, and individual struggling to achieve stability within our communities.
03/23/2015 - Mayor Rothschild Shares His Experience of Participating in the 2015 PIT Count with Labor Secretary Thomas Perez
By Jonathan Rothschild, Mayor of Tucson
I was happy to welcome U.S. Secretary of Labor Thomas Perez to Tucson earlier this year for our annual Point In Time Count, also known as the Street Count. The Street Count helps communities determine service needs by interviewing their homeless population. That information is then forwarded to our federal partners, who use it to allocate resources. At the Street Count, volunteers and staff from government and social service agencies canvass – in Tucson’s case, the surrounding desert – as well as underpasses, culverts, shelters, soup kitchens, and other areas where folks experiencing homelessness are known to gather.
Not every mayor meets a member of the President’s cabinet wearing blue jeans and hiking boots, but then, homeless camps in the desert are a far cry from Capitol Hill. Secretary Perez arrived at our meeting place ready to work. After talking with some of the other canvassers, we headed out to a camp about 20 minutes away, on the southeast side of Tucson.
By Robert Pulster
I was proud to stand with Connecticut Lieutenant Governor Nancy Wyman to support the March 9 launch of Connecticut’s 100-day effort across four communities to accelerate efforts to end homelessness. This exciting 100-day effort was brought together by the Connecticut Coalition to End Homelessness and Journey Home of Hartford. The Connecticut-based Rapid Results Institute, which developed the “100-Day” rapid results approach and has led similar efforts across the nation to successful outcomes, will facilitate. It is clear that Connecticut is successfully building its organizing efforts across the state that will feed momentum toward ending Veteran homelessness by 2015 and chronic homelessness by 2016.
Connecticut has mobilized advocates, activists, and service providers, together with support from state and federal officials, to forge new ways to coordinate and use existing resources more effectively to end homelessness in their communities. The HUD Field Office, led by Suzanne Piacentini, has been a key partner along with Dr. Laurie Harkness of the VA’s Errera Community Care Center. The Connecticut effort is a stand-out model, the first statewide implementation of the Rapid Results approach, with nearly the entire state participating. Participating communities include Greater Hartford, Fairfield County, and eastern Connecticut. Last year, a similar effort in New Haven led to the housing of 160 people who had long been experiencing homelessness in that community. In less than six months, this effort decreased that city’s chronically homeless population by more than 75 percent.
By Matthew Doherty and Beth Sandor
In our shared mission to end homelessness, we know that data drives results. It drives the strategies and implementation of Opening Doors: Federal Strategic Plan to Prevent and End Homelessness, a framework for action for partners at every level of government and the private and nonprofit sectors. It drives tools and practices of the Zero: 2016 effort to help 71 communities do whatever it takes to end Veteran homelessness this year and chronic homelessness by the end of 2016. And it drives the day-to-day efforts of people across the country working tirelessly to assist each and every person experiencing homelessness in their communities to achieve their goals of permanent housing. Data is at the very core of creating a housing system built for zero and achieving an end to homelessness.
Today, Zero: 2016 communities are confirming and committing to one of the most integral pieces of data in their efforts to end homelessness - their Veteran and chronic homelessness Take Down Targets. These Take Down Targets represent the total number of Veterans experiencing homelessness who will need to be connected to permanent housing in order to end Veteran homelessness by the end of this year, and the total number of individuals experiencing chronic homelessness who need to be connected to permanent housing in order to end chronic homelessness in these communities by the end of 2016.
A message from USICH Interim Executive Director Matthew Doherty
This week, President Obama put forward a 2016 Budget that again demonstrates his Administration’s deep commitment to ending homelessness. As Interim Executive Director of the U.S. Interagency Council on Homelessness, I am pleased to share that this Budget calls for the investments needed to end chronic homelessness in 2017, make significant progress toward ending homelessness among families, children and youth in 2020, and sustain efforts to end Veteran homelessness in 2015. In his Budget, the President calls for nearly $5.5 billion in targeted homelessness assistance. In addition to targeted homelessness assistance, the Budget also includes key investments to mainstream programs needed to end homelessness, such as 67,000 new Housing Choice Vouchers to support low-income households, including families experiencing homelessness; survivors of domestic and dating violence; families with children in foster care; youth aging out of foster care; and Veterans experiencing homelessness, regardless of their discharge status.
By Robert Pulster
Massachusetts has a lot to cheer about this week, from the Patriots big win on Sunday to recent efforts to end chronic homelessness through a statewide initiative. The Super Bowl victory was all about teamwork and leadership and the new initiative will require these same virtues.
The Pay for Success initiative is based on the demonstrated success of Home & Healthy for Good (HHG), a statewide permanent supportive housing program administered by the Massachusetts Housing and Shelter Alliance (MHSA). MHSA has served as the state’s leading advocate for supportive housing and has advanced Housing First approaches to end homelessness. HHG has demonstrated that providing low-threshold housing and supportive services to chronically homeless individuals is less costly and more effective than managing their homelessness on the street or in shelter. As of January 2015, HHG has placed 813 chronically homeless individuals into permanent supportive housing.
By Diane Kean
Over the past two weeks, communities across the country have organized thousands of volunteers to conduct the 2015 Point-In-Time (PIT) Count, an opportunity to measure our progress as well as identify people in need—including Veterans—and connect them with a path to permanent housing. As always, Federal partners were on hand to help, including Labor Secretary Thomas Perez, HUD Secretary Julián Castro, OMB Director Shawn Donovan, VA Secretary Robert McDonald and White House Chief of Staff Denis McDonough. The Administration has come out in full force to demonstrate our deep partnership with communities and our unwavering commitment to ending homelessness.
We have compiled just some of the photos, blogs, news articles and captions from PIT Count volunteers at the Departments of Housing and Urban Development, Health and Human Services, Veterans Affairs, and Labor, and USICH and we would like to see more! Share your PIT Count experiences with us using Twitter with the hashtag #PITCount.
A Message from Matthew Doherty
As I come to the end of my first week as Interim Executive Director of USICH, I am acutely aware that there are only 11 months to reach our goal to end Veteran homelessness in 2015. But I also see communities all across the country accelerating their efforts to get the job done. We’ve already seen what’s possible when a community sets goals, focuses on permanent housing outcomes, and works together to solve problems. Just a few weeks ago, New Orleans Mayor Mitch Landrieu announced the city had effectively ended Veteran homelessness, becoming the first major U.S. city to achieve the goal and doing it a full year ahead of schedule. Other communities are also on track to meet the goal, and just yesterday I joined local leaders in Los Angeles as they renewed their pledge to end Veteran homelessness by the end of 2015—a pledge made more confident by their achievement of having ended homelessness for 3,375 Veterans in 2014. There’s no question that our shared goal remains in reach; our progress is proof of that. Our progress is proof that ending Veteran homelessness – and all homelessness - is possible. Right now, communities across the country are performing their annual Point-in-Time Counts, an opportunity to measure our progress as well as identify people in need—including Veterans—and connect them with a path to permanent housing.
By Richard Cho
On January 7, 2015, New Orleans announced that it had achieved an end to homelessness among Veterans. In doing so, New Orleans has become the first major city in the U.S. to achieve this goal, and well ahead of the Administration’s goal of ending Veteran homelessness across the nation by the end of 2015.
It is nothing short of remarkable that New Orleans was able to identify and engage every single Veteran experiencing homelessness in their community and provide them with ready access to permanent housing. Through this process and with Federal and local resources, New Orleans brought the number of Veterans experiencing homelessness down from the hundreds to a single digit number and that is certainly worthy of all of the praise and attention New Orleans is receiving.
But what is equally if not more important than bringing their numbers down is what New Orleans has done to create a system that will ensure that homelessness among Veterans remains a rare, brief, and non-recurring experience. In other words, it is not only hugely significant that New Orleans has ended homelessness for the Veterans who are experiencing homelessness today, but that they have the resources, capacity, and system in place to assist all Veterans experiencing or at-risk of homelessness in the future.
By Liz Osborn
For communities across the country, 2014 has been another year of continued progress in the effort to end homelessness. From the 2014 Point in Time (PIT) count data showing a 10 percent decline in overall homelessness since 2010, to 351 mayors, governors, and local officials joining the Mayors Challenge to End Veteran Homelessness, we have gained incredible momentum over the past year. Here are just a few of the events that helped to drive progress in 2014.
By Marley Duchovnay
I was eight or nine when the idea of working with people experiencing homelessness first crossed my mind. It had been a long day and some relatives and I were walking to dinner. The city was crowded and as we passed under a building’s scaffolding, through the fast-walking legs of adults, I saw a man crouched by the edge of the sidewalk. What struck me was that everyone ignored him. It seemed to me that I was the only one who could see him. Once we reached the restaurant I broke into tears. When I got home I explained what happened to my mom. “Maybe you can work with the homeless when you’re older” she said.
By Richard Cho
As the year draws to a close, I am struck by how far we have come in our effort to end homelessness. 2014 has indeed been a historic year. We have an Administration and White House that is fully committed to ending homelessness among populations, starting with Veterans in 2015, and where this commitment is not just a set of words, but a set of actions and a clear plan with clear measures. Mayors, governors, and county executives are themselves stepping up with commitments, followed by actions. Communities across the country are working hard to achieve their own local goals, bringing partners to the table, setting 100-day targets, creatively leveraging all resources possible, and helping hundreds of people every day to unlock doors to their own homes and to new lives.
By Matthew Doherty, Kelly King Horne and Libby Boyce
All across the country, communities are developing coordinated entry systems to streamline and facilitate access to appropriate housing and services for families and individuals experiencing homelessness. In the Greater Richmond area of Virginia and in Los Angeles County, California—like in other places—efforts to bring these systems online are in full swing.
Let’s hear from Richmond and Los Angeles County, who presented at the December 2014 full Council meeting regarding their local efforts to implement coordinated assessment, their successes, their lessons learned, and the challenges that they continue to tackle.
By Maria Foscarinis and Laura Green Zeilinger
Around the country, more communities are working in partnership with the Federal government to develop housing crisis response systems that effectively prevent and end homelessness. No longer can there be any question that ending homelessness is possible, if we dedicate resources and energy to this goal. This shift brings with it the opportunity for us to meet the basic human rights of everyone in our community—when we put people first and focus on the human need for housing and proven, cost-effective solutions, we can make a difference.
By Matthew Doherty
Many readers have likely heard about the great progress being made toward ending homelessness in Salt Lake and Utah. Earlier this fall, I had the privilege of joining more than 475 people for the 11th Annual Utah Homeless Summit organized by Utah Department of Workforce Services’ Housing and Community Development Division. The Summit also coincided with the release of Utah’s 2014 Comprehensive Report on Homelessness prepared by the State Community Services Office. The report describes the remarkable progress Utah has made under its ten-year plan to end both chronic and Veteran homelessness by the end of 2015, documenting that “Chronic homelessness has declined 72 percent since 2005 and chronic homelessness among Veterans has reached an effective zero.” Such progress should help convince skeptics that making progress on homelessness can be a reality in communities all across the country. Summit participants spent the day both celebrating Utah’s progress and engaging in dialogue to ensure that progress is sustained.
11/20/2014 - National Hunger and Homelessness Awareness Week Prompts Us to Look Ahead and Take Action
by Laura Green Zeilinger
This week is Hunger and Homelessness Awareness Week, a time when many Americans are engaged to help our neighbors who live without food security and without a safe and stable place to call home. For those of us who work to end hunger and homelessness year-round, this week provides a fresh opportunity to gain new ground, to meet and recruit new partners, to share meals with neighbors, and to extend a helping hand. It’s an opportunity to look forward and take action, a time to focus intently on the steps we need to take together to end hunger and homelessness once and for all.
by Paul Gionfriddo
When we see people who are homeless on our streets and in our parks, and take some time to think about them, we might feel pity, sympathy, annoyance, fear, or a host of other emotions.
But we probably never think “that person could be me.”
We just assume that people who are homeless have always lived like that. They’re homeless, their parents were homeless, maybe even their grandparents were homeless. And we assume that they are homeless by choice.
They are not. They are homeless because we have made them so.
by Richard Cho
Two new documents released by HHS on October 10 make it clear, once and for all, that the services provided in permanent supportive housing can indeed be covered and financed by Medicaid. These documents include Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants of Permanent Supportive Housing and Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices from the Field. Specifically, Medicaid can cover things like case management, services goal setting and services coordination, health care navigation, rehabilitation, skill building around activities of daily living, and other supports that are critical to tenancy. The time is now to seize the opportunity, bring supportive housing to scale, end chronic homelessness, and bend the Medicaid cost curve.
10/31/2014 - Good News from New Orleans: Federal and Community Collaboration Helped Transform This Veteran’s Life
By DaVaughn Phillips
Mr. H. seems like a completely different person from the man I met just a few months ago. He is thriving in his own home, with a stable income to maintain his living expenses and support his family. More importantly, he has regained the strength, motivation, and courage he needed to become self-sufficient and to serve as a positive role model for his children. After three years of working in New Orleans to help people achieve permanent housing, it never ceases to amaze me how rewarding it feels to play a role in such a transformation.
10/30/2014 - Partnerships for Opening Doors – Ending Homelessness through Meaningful and Sustainable Employment
“One of the best ways to eliminate homelessness is to get people jobs,” said Labor Secretary and Chair of the U.S. Interagency Council on Homelessness (USICH) Thomas Perez at the Partnerships for Opening Doors summit, which took place at the Labor Department's headquarters in Washington, DC, on October 16, 2014.
Co-hosted by the Departments of Labor (DOL) and Housing and Urban Development (HUD), USICH and the Butler Family Fund, the day-long national summit focused on integrating employment and housing strategies to prevent and end homelessness. Leaders from 11 communities representing Workforce Investment Boards, Continuums of Care, state Workforce Development Councils, advocacy and community-based and national nonprofit organizations engaged in intensive discussions to identify key actions for Federal partners to take to improve access to meaningful and sustainable employment, skills training, and supportive training for people experiencing or at-risk of homelessness.
By Eric Tars
Earlier this year, Jerome Murdough, a homeless Veteran, died tragically of dehydration and heat exhaustion in an overheated prison cell after being arrested for “trespassing” because he sought warmth and shelter in an enclosed stairwell of a Harlem public housing building during a week of sub-freezing temperatures. Every day, people who experience homelessness are subjected to local laws and ordinances that challenge their human rights and create real and lasting barriers. Jerome Murdough should have never been in that jail cell in the first place. If Jerome Murdough was served by a system that approached housing as a human right—and homelessness as something to solve rather than something to criminalize—he might still be alive today.
By Jay Melder
Reallocations will help communities make the system changes needed to end homelessness, and in this year’s Continuum of Care NOFA, there is once again a strong emphasis on reallocations. As in FY 2013, HUD is allowing reallocations of funds to new permanent supportive housing for people experiencing chronic homelessness and rapid re-housing for families with children. HUD and USICH encourage CoCs to take full advantage of reallocations, shifting funds away from underperforming or less cost-effective programs and toward evidence-informed models.
by Mark Putnam
People experiencing homelessness need homes. This is the simple solution to ending homelessness, right? The complexity comes in finding, and funding, the homes. Read on to find out how stakeholders in King County, Washington, are succeeding at both.
09/17/2014 - Building Systems to End to Homelessness: HUD’s FY 2014 Continuum of Care Program Competition
The Notice of Funding Availability for the Fiscal Year 2014 Funds in the FY 2013 - FY 2014 Continuum of Care (CoC) Program Competition asks CoCs to continue investing in what works and to target interventions appropriately to needs. It calls on CoCs to make the final push to reach our goal of ending chronic homelessness, make greater progress on family homelessness, and build the partnerships needed to reach and engage Veterans and youth experiencing homelessness in services. Although the policy priorities and many aspects of this NOFA remain the same as in FY 2013, there are also some changes and new elements.
On Friday, September 19, USICH is hosting a webinar to help CoCs understand the FY 2014 NOFA and suggestions on how to make it successful. Meanwhile, here are some key highlights that CoCs should know.
The 25 Cities Effort is designed to help communities intensify and integrate their local efforts to end Veteran and chronic homelessness. Fresno launched its local 25 Cities Effort in May 2014, setting a goal to house 60 high-priority individuals. Local stakeholders, however, were in for a surprise when one activity at an introductory meeting challenged everything they thought they knew about working together to connect individuals in need with housing. Here's what they learned.
By Debbie Thiele and Katy Miller
This week CSH, in partnership with the Washington Low Income Housing Alliance, published Creating a Medicaid Supportive Housing Services Benefit. In the white paper CSH lays out an easy-to-follow framework for states that want to create a Medicaid benefit to pay for the services in supportive housing. The framework consists of five action steps: 1) Determine benefit eligibility criteria; 2) Define the package of services to be delivered; 3) Align the state Medicaid plan; 4) Establish a financing and reinvestment strategy; and 5) Operationalize the benefit.
At an individual level, the turmoil that comes from not having a safe place that is home is a crisis. It is a crisis that without adequate resolution gets worse. Although there are programs that provide housing and services for people, we will never have an adequate response that is at the pace and scale needed as long as it depends on people in crisis being required to navigate multiple programs in an attempt to get their needs met. Responding in a person-centered way to homelessness requires that programs are operating as a system. Making this shift is not simple, but it is being done in more and more communities throughout the country, and a systems approach is essential to achieving an end to homelessness.
Seattle-based nonprofit housing provider DESC will create new units of permanent supportive housing in the Interbay neighborhood downtown. The units will serve 97 people who are experiencing homelessness and live with health issues.
Without housing options, people often are forced to rely on culverts, public parks, streets, and abandoned buildings as places to sleep and carry out daily activities that most reserve for the privacy of their own home. As communities recognize and struggle with the fact that people without homes often live in public spaces, multiple strategies arise. Unfortunately, many of these strategies include policies that criminalize homelessness. In a new report, In the Public Eye, author Lucy Adams, of Australia’s Justice Connect and guest blogger at USICH elevates the conversation.
Next week, the National Alliance to End Homelessness will host its annual conference in Washington, DC, convening policymakers and practitioners who are working across the country to prevent and end homelessness. The three day event will offer more than 100 workshops and sessions and will feature plenary remarks from First Lady Michelle Obama, in-coming HUD Secretary Julián Castro, Senator Cory Booker, and USICH Executive Director Laura Zeilinger. USICH and federal partners are looking forward to participating in conversations with stakeholders in preconference and workshop sessions throughout the week. We hope that this guide to our participation will help our partners connect with the USICH team at the conference. We’re looking forward to seeing you.
by Eric Grumdahl, USICH Policy Director
For many people confronting homelessness, employment can mean the difference between housing and homelessness. The Workforce Innovation and Opportunity Act (WIOA), signed into law by President Barack Obama on Tuesday, fosters local innovation and focus on providing employment supports for people experiencing homelessness, by clarifying that the central purpose of the workforce system is to support people with significant barriers to employment. In doing so, WIOA and the President’s job-skills agenda will accelerate progress on ending homelessness.
07/09/2014 - Supportive Services for Veteran Families: A Powerful Tool to Keep Veterans and Their Families Home
by Peter Nicewicz, USICH Management and Policy Analyst
Based on previous analysis, we already knew that the VA's Supportive Services for Veteran Families program is not only effective, but it is cost-effective as well. It now costs only about $2,400 to serve each Veteran household through the program, a 12 percent decrease since its first year of operations.
So what makes SSVF such an effective program in ending and preventing homelessness for Veteran households? There are several key ingredients.
Like most partnerships, one of the most critical ingredients is empathy. We have to be able to understand one another's incentives and find the common ground that aligns our work together. We shouldn’t just invite our partners to our meetings. (Who has time to attend someone else’s meetings?) We need to make “my” meetings “our” meetings. To do so, we have to work to understand what is important to our partners and create a space for honest dialogue and mutual understanding about where our efforts should support one another. We have to show that this is not only a good use of their time, but that we are focused on helping our partners succeed at their mission. And that, of course, is how together we succeed at our mission.
By Amy Sawyer, USICH Regional Coordinator
Through the 25 Cities initiative spearheaded by the U.S. Department of Veterans Affairs, communities have been invited to convene local leaders eager to build on their successes, identify new strategies, act decisively to strengthen their coordinated response systems and, in the process, end Veteran homelessness. To get started, teams of dedicated individuals are meeting for two-day-long intensive work sessions that drive a sophisticated planning process, resulting in specific action steps that will be carried out in months – not years.
by Laura Green Zeilinger, USICH Executive Director
Yesterday marked the fourth Anniversary of the launch of Opening Doors, the first-ever Federal Strategic Plan to Prevent and End Homelessness. In four years, we have changed the trajectory of homelessness in America. In just the first three years of implementation, Opening Doors led to significant reductions in homelessness, including an eight percent reduction in homelessness among families, a 16 percent reduction in chronic homelessness, and a 24 percent reduction in homelessness among Veterans. And we are hopeful that we will be able announce even greater reductions when the 2014 Point-In-Time Count data are available later this year.
The progress we are making across the nation has proven that Opening Doors is the right plan with the right set of strategies. Opening Doors also provides a foundation and scaffolding upon which we can continue to innovate and refine the solutions that will end homelessness in this country.
This year, we’re considering amending the plan again to include more of what we’ve learned from our progress.
by Richard Cho, USICH Senior Policy Director
I must make a confession. When I first came to Washington to work for USICH, I was a bit skeptical about how sold the Federal government was on Housing First. I knew that Housing First was mentioned in Opening Doors, but did the Federal government truly embrace it? After all, it was not so long ago that terms like "harm reduction" were considered four-letter words by the Federal government.
So imagine my happy surprise when I discovered that I was flat-out wrong. In the first, of what I learned would be many, interagency meetings on chronic homelessness, Housing First adoption was discussed as a primary strategy for accelerating progress. And one of the very first tasks I was given was to help provide a clear, operational definition of Housing First. The result of that work is USICH's Housing First Checklist, a tool that communities can use to adopt Housing First across their programs and overall community response. Not only does this Administration fully believe in Housing First, but it is working to make Housing First the underlying approach behind every community's response to homelessness.
By Matthew Doherty, USICH Director of National Initiatives
I recently partnered with the San Diego Regional Continuum of Care Council (RCCC) to host a first-of-its kind discussion locally, billed as Housing First: A Community Conversation for San Diego. I was joined by 25 RCCC members and other stakeholders ready to engage in the dialogue – especially meaningful to me given I live and work in San Diego.
Recognizing that not everyone had the same understanding or support for Housing First approaches, our discussion was structured as a dialogue in which people could express any concerns, questions or disagreements. We wanted to make sure that we could get issues out on the table in a safe environment so that future conversations and trainings could be structured to address the issues raised and help more people, programs, and agencies move toward Housing First approaches in practice. To achieve that purpose, we established rules for the conversation, asked ourselves a few key questions, and identified several topics to discuss when we met again.
By Jay Melder, USICH Director of Communications and External Affairs
Today, Community Solutions’s 100,000 Homes Campaign announced it has achieved its goal to connect 100,000 people experiencing chronic homelessness to safe, stable housing—101,628 people, to be exact.
At an event on Capitol Hill, former Army Private First Class Alvin Hill, a Veteran from Washington, DC, shared his story of returning home to civilian-life, losing his job and his apartment, and falling into years of homelessness. Mr. Hill remarked that it was “a tragedy that anyone who would put his life on the line for America could return home to sleep on the streets.” In April, Alvin Hill became the 100,000th person to achieve permanent housing through the 100,000 Homes Campaign.
We congratulate Mr. Hill and we congratulate Community Solutions and all of the local and federal partners who have teamed-up to get the job done. This is an incredible milestone.
Here are three things everyone should know about what reaching milestones like this one really means:
05/07/2014 - In One Year, New Orleans Reduced Veteran Homelessness by 43%, Chronic Homelessness by 30%
By Robert Pulster, USICH Regional Coordinator
Over the course of just one year, New Orleans has reduced homelessness among Veterans by 43 percent and chronic homelessness by 30 percent. In one year, New Orleans reduced unsheltered homelessness by 21 percent, 85 percent since 2011.
Since 2007, New Orleans has reduced overall homelessness by 83 percent, showing steady annual decreases since 2009. The number or people experiencing homelessness in New Orleans is now three percent below the number of people counted before Hurricane Katrina in 2005. This is a stunning achievement.
By Jay Melder, USICH Director of Communications and External Affairs
USICH invited two community leaders to come to DC and discuss the impacts that Federal partnerships have had on local efforts to end homelessness. Mandy Chapman Semple from the City of Houston and Amy Schwabenlender from the Valley of the Sun United Way in Phoenix are working to end homelessness in their communities by taking strategic actions to maximize Federal, State, and local resources, increase evidence-based housing and services models like permanent supportive housing, and focus on outcomes. The results are clear: ending homelessness is possible and within our reach.
By Eric Grumdahl, USICH Policy Director
Today, the Department of Housing and Urban Development (HUD), the Department of Health and Human Services (HHS), and the Department of Veterans Affairs (VA) released the 2014 HMIS Data Dictionary and HMIS Data Manual, with an effective date of October 1, 2014. This joint release demonstrates the significant collaboration between the three agencies to support data collection on homelessness across their programs and systems.
By Richard Cho, USICH Policy Director
President Obama has requested an increase of $301 million in HUD’s Homeless Assistance Grants. At a time of budgetary and fiscal challenges, $301 million sounds like a lot of money. In my view, it’s a small price to pay to achieve an end to chronic homelessness and save the lives of roughly 100,000 people. It’s especially small when compared to the cost of doing nothing, not only in terms of human lives, but also in real taxpayer dollars.
The cost of doing nothing is simply too high.
By Laura Green Zeilinger, USICH Executive Director
The Obama Administration, in partnership with communities across the country, is changing the trajectory of homelessness through the implementation of Opening Doors: Federal Strategic Plan to Prevent and End Homelessness. USICH is proud to release our Annual Update to Congress on the progress of Opening Doors.
In March, I had the privilege of going on a ride-along in the HOT van with Sergeant Schnell and his partner, Officer John Liening. I’ve known Sergeant Schnell and Officer Liening for about 10 years or more. The HOT and SIP teams are profiled in USICH’s publication Searching Out Solutions, and they have provided training to police departments in many other parts of the country. But this was my first chance to witness, in person, their daily efforts to create meaningful alternatives to criminalization for the vulnerable men and women who are living unsheltered on the streets of my hometown, San Diego.
USICH Regional Coordinator Amy Sawyer explains why policies that criminalize homelessness are not only morally wrong but also ineffective solutions to ending homelessness in communities.
By Liz Osborn, USICH Management and Program Analyst
In this blog, Liz Osborn answers the question: What benefits and challenges do organizations face when addressing the issue of homelessness from a human rights perspective?
Jim Ryczek (pictured right), Executive Director of the Rhode Island Coalition for the Homeless, recounts the journey he and his friend and fellow advocate John Joyce (pictured left) embarked upon in order to create a bill of rights on behalf of people experiencing homelessness in Rhode Island.
Setting up a coordinated assessment system is complex and doesn’t happen magically. But don’t let that stop you. Putting coordinated assessment in place doesn’t start with the challenges. It starts when communities decide that the challenges are worth facing.
Discover how the Wichita Police Department has made an impact in ending homelessness.
Find out what Houston is doing to help end homelessness.
10/21/2013 - Leveraging the Affordable Care Act to Solve Homelessness: A Message to CoCs and Ten-Year Plan Leaders
How can we make the best use of the Affordable Care Act to solve homelessness? USICH Executive Director Barbara Poppe poses five questions for communities to consider.
The expansion of Medicaid coverage under the Affordable Care Act (ACA) will mean that millions of currently uninsured adults will be eligible for coverage, including many formerly homeless individuals residing in supportive housing.
Many states are still opting out or remain undecided about whether to participate in Medicaid expansion. One factor these states might consider in evaluating or re-evaluating their decision to participate is the impact of Medicaid expansion on homelessness in their state. But the benefits don’t stop there. State budgets, hospitals, health care providers, and Americans in general also stand to gain from Medicaid expansion.
More than 20 organizations joined together to create the Skid Row Coordinated Entry System, in alignment with the Home For Good campaign in Los Angeles. The goal was to make systematic changes that would foster collaboration. For the first time, a system permanent supportive housing services for chronically homeless individuals were being examined, re-imagined, and improved.
Rapid re-housing is working. And it’s working in Washington, DC, which, in terms of housing unaffordability and poverty rates, is among the most challenging places in the country to live.
Randle Loeb, a Denver-based advocate for people experiencing homelessness writes about the importance of navigators and peer mentors.
Atlanta’s work shows how an engaged team can leverage the 100-day challenge from a Rapid Results Boot Camp to bring in meaningful partners. It can energize an entire community while building momentum so the work goes past the 100-days and becomes a cultural shift for everyone working in the system.
Two years ago, the United Way of Greater Los Angeles and the Los Angeles Area Chamber of Commerce joined forces to create the Home for Good campaign to end chronic and Veteran homelessness in Los Angeles County. Earlier this month, Home For Good held a stakeholder Convening in recognition of the mid-point of its 5-year action plan, with many federal partners participating, including VA Assistant Secretary Dr. Tommy Sowers, HUD Acting Assistant Secretary Mark Johnston, and USICH Executive Director Barbara Poppe.
The U.S. Department of Housing and Urban Development (HUD) Office of Special Needs Assistance Programs (SNAPs) launched an effort to clarify their priorities and outline the changes HUD would like Continuums of Care to propose in the forthcoming FY 2013 Notice of Funding Availability competition.
06/20/2013 - Ending Chronic Homelessness: A Message to Continuum of Care & Ten-Year Plan Leaders from Barbara Poppe
Not long ago, I sat in the same place that you are sitting, managing the Continuum of Care and leading our community's ten-year plan to end homelessness. You have challenging jobs to do and I know you are balancing many competing issues and priorities. I've been fortunate to visit communities that are making great progress, and to support and work with communities that still struggle. Now I would like to share some reflections on the lessons I've learned from you, my colleagues, in our mission to end homelessness. Thank you for listening and especially for acting.
Today I want to address chronic homelessness, which is the first goal in Opening Doors. We have fewer than 1,000 days to bring the number of people experiencing chronic homelessness to zero; every day and every minute counts. For people living with disabilities and disabling conditions, every day or minute spent on the streets is another day or minute spent struggling to survive. So this message is a call to action. I am reaching out to ask, are we doing everything we can do to end chronic homelessness by 2015? Here are the top-ten questions you and the leaders of your ten-year plan should consider (not likely to be picked up by David Letterman but hopefully useful nonetheless).
Last month, over 600 practitioners, policymakers, advocates, and consumers gathered together in New Orleans at an event called the ‘Housing First Partners Conference.’ The 2 ½ day event was the first national conference focused exclusively on the Housing First approach of providing people experiencing chronic homelessness with affordable rental housing linked to services immediately and without treatment preconditions. Let not the significance of this event be missed. It marks the moment of Housing First’s acceptance and establishment as the central approach for helping vulnerable men and women experiencing chronic homelessness permanently exit homelessness and regain health, hope, and dignity. As this movement goes mainstream, I leave the Housing First movement with three pieces of advice to retain the spirit of ingenuity that led to its birth.