Department of Health and Human Services Archive
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.
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.
by Danielle Ferrier and Beatriz McConnie Zapater
There are nearly 6,000 unaccompanied youth in Massachusetts. Experiencing homelessness often prevents motivated, hard-working youth from graduating high school and achieving success. A Journal of Emotional and Behavioral Disorders article shows that without intervention, only about 27 percent of them will graduate high school. Opening Doors, the federal strategic plan to prevent and end homelessness, sets a goal of ending youth homelessness by 2020 by ensuring communities can connect youth with stable housing, permanent connections, education, and employment all while improving youths’ social and emotional well-being.
by Eric Grumdahl, USICH Policy Director
Ending youth homelessness means putting a system in place to do so in every community. Here, having a common purpose is a key ingredient. Luckily, at the interface of the child welfare system and the homeless response system, we should agree on a common purpose. The child welfare system wants to see successful transitions to adulthood, which includes all of the outcomes of the framework to end youth homelessness, including stable housing. The homeless response system is certainly eager to close what has been called a pipeline from child welfare to shelter, and to see youth in stable housing instead of outside a shelter door. We should not have to debate our shared purpose.
Where it seems to me that our efforts get stuck is...
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.
Yesterday, more than 600 providers and stakeholders from across the country joined us for a great discussion about what ending homelessness among families means and what achieving it will require. We were joined by Laura Zeilinger, USICH Executive Director; Ann Oliva, Acting Deputy Assistant Secretary for Special Needs and Director of the Office of Special Needs Assistance Programs at the Department of Housing and Urban Development (HUD CPD/SNAPS); Ali Sutton, Policy Advisor at the Department of Health and Human Services Administration for Children and Families (HHS ACF); and Debra Rog, Associate Director at Westat.
At the end of our discussion, we received a lot of really great questions, many of which we didn’t have time to answer. In this post, we provide responses to two of these questions and will be responding to more of these questions over the next few weeks.
05/05/2014 - The Chance to Grow Up to Be Whatever You Want: Expanding Access to Services for Children and Families
By Brock Grosso, HHS, Administration for Children and Families
Recently, I got to experience the intersection of policy and field work first hand when I took a trip to Baltimore with ACF staff members to see the great work being done in Baltimore by Health Care for the Homeless (HCH), an HHS funded health care grantee. HCH is doing everything it can to make sure that every young child who experiences homelessness has the chance to grow up to be whatever they want.
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 Lindsay Knotts, USICH Management and Program Analyst
Our partners at the Departments of Health and Human Services and Education just launched Birth to 5: Watch Me Thrive! – a coordinated, Federal effort to encourage healthy child development, universal developmental and behavioral screening for children, and support for the families and providers who care for them.
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.
07/16/2013 - Ending Family Homelessness: A Message to Continuum of Care & Ten-Year Plan Leaders from Barbara Poppe
Recently, I wrote about the urgency to increase our efforts to end chronic homelessness, suggesting key questions Continuums of Care and Ten Year Plan leaders should ask. Today I want to pose similar questions related to how we address family homelessness. People in families make up nearly 40 percent of the homeless population nationwide. To reach our goal of ending family and child homelessness by the year 2020, we must realign our programs and systems now. As a mother, this quote from Marian Wright Edelman tugs at me: “The future which we hold in trust for our own children will be shaped by our fairness to other people's children.” Shaping better community responses to family homelessness is about shaping our collective future. Thank you for stepping up to the challenge..
11/20/2012 - Keeping the Momentum for Ending Youth Homelessness: Reflections from Indianapolis and Beyond
Last week, the Family Youth Services Bureau of HHS’s Administration on Children, Youth, and Families hosted two days of training and workshops on addressing youth homelessness at the National Runaway and Homeless Youth Grantee Conference. More than 550 participants from around the country met in Indianapolis to share knowledge and learn from others as we work together to end youth homelessness by 2020.
The Runaway and Homeless Youth (RHY) provider community has thoroughly embraced the Opening Doors goal to end youth homelessness by 2020. The goal was mentioned throughout conference workshops, it was written in conference materials, and in the hallways of the hotel I heard this goal in discussions among providers, administrators, and policy professionals. It is inspiring to see the resounding commitment and enthusiasm for this ambitious goal has spread outside of Washington, DC and into communities throughout the country.
Given the momentum we have gained from Opening Doors and the USICH Framework to End Youth Homelessness, the RHY conference was ripe with opportunity to build more commitment and enthusiasm for the work ahead. The USICH Framework to End Youth Homelessness held a prominent spot on the conference agenda at a luncheon keynote session. Jennifer Ho provided an energetic keynote address about ending youth homelessness. She discussed two complementary strategies—getting better data on youth and building service capacity—included in the Youth Framework and explained why these strategies are important to our goal of ending youth homelessness.
What We're Talking About is a new weekly column from USICH Communications on the topics and issues in the news and on our minds. Topics range from international and national conferences, news from around the country, innovative work to highlight, and more. We look forward to catching you up news you may have missed and connect you to articles and resources.
This week the International AIDS Conference was in Washington, DC for the first time in 22 years, shining a spotlight on HIV/AIDS both in America and around the world. For us at USICH, this conference also pointed to the topic of housing instability and homelessness among those with HIV/AIDS in America. There are more than 1 million people in the United States currently living with HIV/AIDS, and for those with low incomes or experiencing homelessness, managing the disease is complicated and expensive...
When USICH released Opening Doors in June 2010, the Affordable Care Act had passed in March, just three months earlier. The second anniversary of Opening Doors occurred the same time that the Supreme Court delivered its ruling on the Affordable Care Act (ACA). Since the law was largely upheld, many of the provisions that will help us prevent and end homelessness are still in place. The provision giving states greater choice around Medicaid expansion, however, means that some of the original promise of the ACA in the fight against homelessness will be, in some parts of the country, up in the air, at least for a while.
Remaining provisions of the law that will prove helpful for populations experiencing homelessness are the expansion of affordable insurance coverage through state health insurance exchanges and the expansion of community health centers. Better access to affordable insurance that covers people with pre-existing conditions and does not limit coverage when you get sick can act as homelessness prevention for many.