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.
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.
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..
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).
"Big systems change requires big systems to change."
That's what the Chief Medical Officer for Health Share of Oregon told me was the approach to change that the new Coordinated Care Organization, created out of the State of Oregon's health reform plan, needed to take. I had a chance to meet leaders in this effort when I travelled to Portland September 19. One change that was visible was who was at the table. Big hospital systems are pairing up with nonprofits that have been delivering care on the streets and at community clinics, hoping to learn from the work that organizations like Central City Concern have been doing for years. One of the premises of health homes and accountable care organizations, called Coordinated Care Organizations in Oregon, is that the only way to achieve the "triple aim" of health reform that is, better care, better health, and lower costs, is to change the whole approach to patient care. That can start with big systems like hospitals and their data about who has multiple hospital admissions or many trips to the emergency room. And it also has to start with actual patient care.
Public Housing Agencies (PHAs) administer powerful resources for very vulnerable populations, making them critical partners for ending homelessness. That’s why CSH is proud to present a great new resource for PHAs and other stakeholders interested in pursuing supportive housing in their communities. Online now at csh.org/phatoolkit, this new resource provides tools, examples and advice for PHAs venturing into or expanding work in supportive housing.