overview of permanent supportive housing and recovery support webinar - june 15, 2011, 2-3:30 pm et
TRANSCRIPT
Overview of Permanent Supportive Housing and
Recovery Support
Webinar - June 15, 2011, 2-3:30 pm ET
Webinar Agenda
2:00 Logistical Announcements2:05 Welcome Message2:10 Presentations3:05 Question & Answer Session3:30 Conclude Webinar
Asking Questions
We invite you to ask questions using the Q&A box at the top of your screen. The presenters will answer as many questions as possible at the conclusion of the presentations.
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Learning Objectives
• Become familiar with the core elements of SAMHSA's Permanent Supportive Housing Evidence-Based Practices KIT (PSH Toolkit).
• Understand how to best align your program with the core elements of the PSH toolkit.
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Learning Objectives
• Be able to identify the issues that need to be addressed, the questions to ask, and the stakeholders who need to be engaged during the planning and development of a permanent supportive housing program.
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Dr. Fran Randolph
• Director of the Division of Services and Systems Improvement in the Center for Mental Health Services, SAMHSA
Welcome
Ann V. Denton
• Director, SAMSHA’s Services in Supportive Housing Technical Assistance Center
SAMHSA’s Permanent Supportive Housing Evidence-Based Practices ToolKIT.
http://store.samhsa.gov/product/SMA10-4510?WT.ac=AD20100918HP_SMA10-4510
Core Elements of Permanent
Supportive Housing
A consumer’s need for housing
is no different than
your need for housing.
What is Permanent Supportive Housing?
Decent, safe, and affordable community-based housing
that provides residents with
the rights of tenancy under state/local landlord tenant laws
and is linked to
Voluntary, flexible support and services
designed to meet residents’ needs and preferences.
Supportive Housing Philosophy
People with serious mental illnesses and other disabilities have the same rights and opportunities as all citizens to choose, obtain, and live in regular community housing.
People have the right to receive, refuse, and direct their own support services.
Core Elements
Access: Housing First Permanent: Rights of
Tenancy Safe, decent, affordable Integrated
Separates housing from services
Provides choiceTailored services
Housing First
• Access, support, retain housing.• Everything else follows:
• Make return to permanent housing immediate.
• People move directly into affordable rental housing in residential areas from shelters, streets, or institutions.
• Home-based services are provided as long as needed.
Permanent: Rights of Tenancy
• Residents have full legal rights in a tenant-landlord relationship.
• Tenants are responsible to abide by the normal standards of behavior/conduct outlined in a lease.
• Distinct from “program” rules.
• Permanent: length of stay is determined by the agreement between the landlord and tenant.
Safe, Decent, Affordable
Meets Housing Quality
Standards
Would you want your mom living there?
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Housing Affordability
Tenants/residents pay a reasonable amount of their income towards rent and utilities.
HUD affordability guidelines = 30% of adjusted income for housing expenses.
Reality: People on SSI often pay 60 - 80% of their income towards housing that is substandard.
Integration
• Housing is located in regular residential areas.• Housing is scattered site: Large, homogeneous,
congregate sites can become mini-institutions; or• Mixed populations in the building or neighborhood: avoid
the creation of mental health ghettoes.• Tenants participate in community activities and receive
community services.• Natural supports are encouraged.
Choice
Permanent Supportive Housing Models
Scattered – site Individual units dispersed
throughout an area Apartments, condos,
single family houses Owned or leased Conforms with local zoning
Permanent Supportive Housing Models
Single-site mixed-population Large building or complex with
multiple units Serves more than one type of
tenant: Low income families People with mental health problems Seniors Students Homeless adults
Often includes “set-asides” for specific target group(s)
Can be owned or “master-leased” by housing agency
Services
It is not “placement.”
It is not a cookie-cutter approach.
Tailored Services
Services in supportive housing are Individualized Voluntary Recovery-focused Ongoing, shoulder-to-shoulder
Flexible: type, location, intensity & frequency of services meet changing needs of resident.
Include risk management and crisis planning.
Participation in specific support services is NOT required in order to get or keep housing.
Various approaches: Legal separation between housing
management and service delivery. Functional separation – Distinct housing
and service staff roles. Operational separation – Service
providers are based off-site.
Separation of Housing & Services
SAMHSA ToolKITs
SAMHSA’s ToolKITs, including the PSH ToolKIT, offer states, providers, consumers and family members resources to implement and assess clinical practices that work!
Support for Evidence-Based Practices
“The emphasis on implementing evidence-based practice (EBP) stems from a consensus that a gap exists between what we know about effective treatments and the services currently offered.”
SAMHSA. Permanent Supportive Housing: How to Use the Evidence-Based Practices KITS. HHS Pub. No. SMA-10-4509, Rockville, MD: CMHS, SAMHSA,
U.S. Department of Health and Human Services, 2010, page 1.
Support for Evidence-Based Practices
Evidence-based practices are linked to predictable, beneficial outcomes for participants.
If those outcomes are desired in your system, then implementation of the evidence-based practice is a necessary step!
Implementation must be accomplished with attention to “fidelity” to the model.
PSH Fidelity
The Permanent Supportive Housing ToolKIT, in “Evaluating Your Program,” offers a fidelity scale.
The purpose of the fidelity scale is to offer providers and communities the opportunity to conduct a self-assessment.
Dimensions of PSH Fidelity
• Choice• Separation of housing and services• Decent, safe, and affordable housing• Integration• Access to housing• Flexible, voluntary services
Joseph Tardella
• Executive Director, Southwest Counseling Solutions, Detroit, Michigan
The Detroit Experience
Learning objectives:• Identify the issues to be addressed, the
questions to be answered, the tasks to be completed and the stakeholders to be engaged when planning a PSH program
• Understand how best to align your program with the PSH Toolkit
The Detroit Experience
What HMIS tells us about Detroit:
• In 2010, over 20,000 unduplicated individual/families we’re served• 12,600 individuals, 7,400 individuals
living in families• 5% increase over 2009
• 4,700 PSH units
The Detroit Experience: Organizational Planning
•Identify the need•Identify who you intend to
serve
The Detroit Experience: Organizational Planning
Articulating your permanent supportive housing solution
The Detroit Experience: Organizational Planning
Assessing organizational readiness
The Detroit Experience: Organizational Planning
Assessing community readiness
The Detroit Experience: Organizational Planning
Build it, Buy it, Partner for it
The Detroit Experience: Organizational Planning
Assessing the funding climate
The Detroit Experience: Organizational Planning
Selecting a housing model
The Detroit Experience: Organizational Planning
Single site housing considerations
The Detroit Experience: Organizational Planning
Scattered site housing considerations
The Detroit Experience: Organizational Planning
The use of rental subsidies
The Detroit Experience: Organizational Planning
Developing your service delivery model
The Detroit Experience: Organizational Planning
Evaluating your program
QUESTIONS & ANSWERS
Click
here
for
Q &
A
Type your question here. Click “ask” or hit “enter”
SAMHSA’s Permanent Supportive Housing Evidence-Based Practices ToolKIT.
http://store.samhsa.gov/product/SMA10-4510?WT.ac=AD20100918HP_SMA10-4510
For More Information:
Ann Denton, Director of SAMHSA’s Services in Supportive Housing Technical Assistance
Joseph Tardella, Executive Director, Southwest Counseling [email protected]
Justine Hanson, Deputy Project Director, SAMHSA’s Homelessness Resource Center
Upcoming Webinar
June 21, 2-3:30 pm ET“Financing of Permanent Housing for Individuals with Co-Occurring Mental
and Substance Use Disorders: Challenges, Successes, and Lessons
Learned”Register:
https://www.mymeetings.com/emeet/rsvp/index.jsp?customHeader=mymeetings&Conference_ID=7580617&passcode=5820599
Thank You
Thank you for your participation in
today’s SAMHSA webinar. Materials from today’s presentation will be
available on SAMHSA’s Homelessness Resource Center website within 7
days: http://homeless.samhsa.gov/
Click “Training” “HRC Webcast Presentations”