homeless and housing coordinators 9 th annual meeting fresh start housing tri-city mental health...
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Homeless and Housing Coordinators
9th Annual Meeting
Fresh Start Housing
Tri-City Mental Health Center
August 1, 2006
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Tri-City Mental Health
Moderator Kevin Rice, LCSW
Presenters
Paul Crane, MFT, AB2034 Supervisor
Gilbert Saldate, MHRS, Housing Supervisor
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Fresh Start Housing
A Master Lease Approach To Ending Homelessness
Main Reason for Master Lease
NIMBYISM
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Mental Health Diagnosis –At Initial Evaluation
5.61
21.35
16.85
41.57
31.46
0 10 20 30 40 50
Other
Bipolar
Schizoaffective
Schizophrenia
Major Depression
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Substance Abuse Diagnosis –At Initial Evaluation
1.59
3.17
55.564.76
7.94
22.22
4.76
0 10 20 30 40 50 60
ETOH Abuse
ETOH Depen
Amphet Depen
Cannabis Depen
Cocaine Depen
Opioid Depen
Polysub Depen
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Housing Program … In The Beginning
Orange Grove – 2 Bedrooms Tasman – 4 bedrooms and 5 beds La Sena – 4 bedrooms, 5 beds Laurel – 2 bedrooms Webber –
• House – 2 bedrooms• Smaller house – 2 bedrooms
Alvarado –• House – 5 bedrooms, 5 beds• Bungalows – 8 small units with one bedroom each
Washington – House with 1 bedroom
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Whatever It Whatever It TakesTakes
Harm Harm ReductionReduction
Housing Housing FirstFirst
Our Guiding Principles… In the Beginning
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Philosophy As Practiced
When Housed, Consumers Will…
Want to Change
Participate in Their Treatment
Decrease Their Substance Use as a Coping Mechanism
Do Whatever It Takes to Thrive
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Success in Housing
At the Expense of:
Mental Health Treatment
Substance Abuse Treatment
. . . But . . .. . . But . . .
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How They Arrived
HOMELESSNESSHOMELESSNESS
SUBSTANCE SUBSTANCE ABUSE ISSUESABUSE ISSUES
MENTAL HEALTHMENTAL HEALTHISSUES/SYMPTOMSISSUES/SYMPTOMS
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Clinical Component
Intensive Case Management Practiced
Housing Was Part of The Clinical Model
Housing Became a Clinical Tool (A Third Component)
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Treatment Component
HOUSINGHOUSING
MENTAL MENTAL HEALTHHEALTH
TREATMENTTREATMENT
SUBSTANCE SUBSTANCE ABUSEABUSE
TREATMENTTREATMENT
No Holistic ApproachNo Holistic Approach
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Outcome
Drugs a Problem
Prostitution
Subletting of Rooms
Moved-in Homeless Friends
Housing Became a Flophouse
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Outcome
Clinical Issues
Entitlement Issues Abounded
• Many said, “You can’t make me do anything and you have to give me a place to stay.”
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Outcome
Neighbors Began To Complain Complained To City Council Members of
Pomona, Claremont and La Verne
Tri-City is a Joint Powers Authority Governed by these Cities
Police Frustrated
Landlords Confused
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Program Overhaul
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Our Guiding Principles…Now
Housing Is A Right
Responsibility Is A Choice
Self-Sufficiency Is Achievable
Natural Consequences Motivate Change
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What Changed
Housing Contract
Housing was Separated from Clinical
Housing Coordinator Became a Landlord and Contract Monitor
Issues Began to Be Addressed
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Housing First Became a Tiered Model
Emergency Shelter Emergency Shelter (as needed)(as needed)
Sober Living
Fresh Start Housing (transitional housing)
Permanent Housing Shelter Plus Care Certificate
Independent Living
Natural Consequences Were The Key
Consumer Chose Living Situation By Life Choices
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LeaseAgreement
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What Changed – Clinical
Personal Services Coordinator (PSC) Became an Independent Consumer Advocate
PSC Works with Consumer and Reports Problems to the Program Supervisor
Program Supervisor Informs Housing Coordinator of Problems
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Holistic Approach
HomelessnessHomelessnessHousingHousing
Mental HealthMental HealthSubstance UseSubstance Use
Health ProblemsHealth ProblemsFamily ProblemsFamily Problems
CommunityCommunityFinancialFinancial
And So ForthAnd So Forth
Deal With Deal With Consumer NeedsConsumer Needs
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Advocacy – Problem Solving
IdentifiedIdentifiedProblemProblem
ConsumerConsumer
Self-AdvocateSelf-Advocate
PSC PSC
ConsumerConsumerAdvocateAdvocate
HousingHousingCoordinatorCoordinator
Advocate ForAdvocate ForOther Other
ResidentsResidents
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Resolution – Plan of Action (POA)
Consumer Agrees to POA
PSC and Housing Coordinator Inform Program Supervisor of POA
Program Supervisor and PSC Further Operationalize the POA
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GOAL
Identified ProblemIdentified Problemand POAand POA
Program SupervisorProgram Supervisor PSCPSC
Housing CoordinatorHousing Coordinator
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Result
Consumer
PSC
Program Supervisor
Housing Coordinator
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New Philosophical Practice
Develop Internal Locus of Control
Become Self-Motivating
End Homeless Cycle
Make Program Obsolete For Person – Develop Consumer Independence
Set Goals For Self and Achieve Them
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Does It Work?
“Lady in White”
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Fresh Start Housing
Tri-City Mental Health Center
Pomona, CAServing the cities of Pomona, Claremont and La
Verne
Wishes to express its thanks and appreciation for being invited to
present at the 9th Annual Homeless and Housing Coordinators Meeting