sacramento county homelessness...mar 25, 2019 · temporary housing/transitional housing programs:...
TRANSCRIPT
Cindy Cavanaugh, Director of Homeless InitiativesEduardo Ameneyro, Homeless Services Division
Manager
Sacramento County Homelessness
Care Coordination Meeting, March 25, 2019
Plan Elements
Describe magnitude and characteristics of homelessness, chronic homelessness and the NPLH target population
Inventory existing efforts underway and partners in ending homelessness
Describe current resources and identify critical gaps
Lay out County and stakeholder plans to address unmet needs in key focus areas
Sacramento County Homeless Plan
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Guiding Principles
Take a county-wide approach Set concrete goals
Provide frequent, coordinated communication
Expand opportunities for citizen involvement
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The State of Homelessness in Sacramento
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Race and Homelessness
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Gender and Homelessness
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People in Families(N=1,514)
Chronic Homelessness
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Mental Illness Among Homeless Chronically Homeless and Unsheltered Chronically Homeless
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Refined high-cost utilizers across HMIS, Sheriff, BHS systems
N = 250
Average annual cost (2015-16) = $42,383
$-
$20,000
$40,000
$60,000
$80,000
$100,000
$120,000
$140,000
$160,000
1 26 51 76 101 126 151 176 201 226
Summary of cost distribution across 250 high-utilizing homeless individuals in Sacramento County
Average annual cost to Sacramento County public systems across high-cost, PSH-fit 250 individuals (2015-16)1
Dollars (N=250)
250
1. Average annual cost calculated by averaging individual costs across analyzed systems in 2015 and 2016. Note that cost estimates are not exhaustive. Notable omissions include physical healthcare (deprioritized in part due to limited expected County budget impact), correctional health costs, and any reflection of impact on economic development. While costs are primarily County focused, some (such as billable BHS costs) may be reflective of other jurisdictional budgets; in other analyses, such as cost-benefit analysis, these costs are removed. “PSH-fit” estimated by reviewing 2015-2016 HMIS records, excluding individuals with any days spent in permanent supportive housing over the past 12 months, as well as those lacking (non-PSH) HMIS interactions in last 12 months, and focusing on those with longer and more-acute needs exhibited by a chronically homeless flag in HMIS and/or a recorded VI-SPDAT score >14 and/or a history of homelessness greater thank one year. 2. Average victimization cost based on estimates from McCollister et al. (The Cost of Crime to Society, 2010), intended to calculate the cost to society of various criminal acts, including both “tangible” costs (e.g., direct economic losses, property damage) and “intangible” costs (e.g., productivity loss, quality of life). Total victimization costs based on list of primary charges for top 250 population in 2015-16; for the sake of clarity (to smooth otherwise highly variable data), they have been averaged among this population, rather than applied to the relatively limited set of specific individuals to whom these victimization costs can be attributed. (Note that many charges, including most drug- and alcohol-related charges, do not incur a direct victimization cost.) 3. Assumes that high-utilizing homeless populations generate at least average costs to other County agencies. Includes non-specific core County costs (such as DHA – Admin, DHA – Aid Payments, Code Enforcement, Regional Parks, District Attorney) averaged across 2016 point-in-time count population. Key sources: Sacramento Steps Forward, Sacramento Sheriff’s Department, Sacramento Behavioral Health Services, Sacramento City and County Cost of Homelessness Estimates, McCollister et al.
Sheriff’s Department costs
BHS (Medi-Cal) costs
BHS (Non-Billable) costs
HMIS / Shelter costs
Other county costs3
Victimization costs2
County Flexible Supportive Re-Housing Program Top 250 and New Flexible Housing Pool
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Flexible Supportive Housing Program
Launched FSRP February 1, 2018
Two kinds of services:• Intensive Case Management • Property Related (tenant and owner)
• 3 community providers
• 2 community providers
In permanent housing as of March 2019 209 persons
Annual Costs (County General Fund) $3.4 Million
Flexible Housing Pool – Scaling Re-Housing Solutions
Expand/modify program with Flexible Housing Pool through HEAP• Short term assistance
Launch May 2019Serve up to 600 persons through shelter and outreach referrals
Applying FSRP Lessons to date Client Level CollaborationFlexibility – contracting, services, housingBuilding capacity: training,
One-Time State Funding through HEAP $8M, two years of operation
County Flexible Supportive Re-Housing Program Top 250
Notable Demographics of 191 participants, December 2018
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Formal Probation 132
Lifetime Sex Offender Registrant 15
Physical Disability 115
Mental Health Diagnosis 154
Substance Use Addiction 127
Co-occurring mental health issues and substance use disorders
112
System Resources and Programs Drop-In Center/Day Shelter Programs: Seven (7) programs
throughout the county.
Year-Round and Seasonal Overnight Shelters: Thirty-three (33) shelters with a total of 762 beds for singles, families, and youth.
Temporary Housing/Transitional Housing Programs: Sixteen (16) programs offering a total of 669 beds for singles and families.
Rapid Re-housing Programs: Ten (10) programs with 661 slots (permanent housing units or rooms) for singles and families.
Permanent Supportive Housing Programs: Twenty-seven (27) programs for chronically homeless adults or families and adults or families experiencing mental illness, housing a total of 3,028 people in 2,119 households.
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County ResourcesDepartment Activities
Office of the County Executive Homeless Coordination, Strategy and Policies
Child, Family, and Adult Services Child Protective Services, Bringing Families HomeAdult Protective Services, Sr. Safe House
Department of Human Assistance Targeted CalWORKS Programs, Homeless Services, funding outreach, navigation, shelter, re-housing, County Initiatives
Department of Health Services Behavioral Health – Mental Health Services and Alcohol and Drug Services; Primary Health; Public Health
Sacramento Housing and Redevelopment Authority
Pubic Housing Authority Finance, Emergency Solutions Grant, Community Development Block Grant, Affordable Housing Finance
Also: Environmental Management Department, Planning and Environmental Review,Parks Department, Probation Department, Public Defender, Sheriff’s Department, District Attorney
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New Initiatives and Change DriversActivity County
County of Sacramento
• Improve Family Crisis and Response Shelters• Full-Service Re-Housing Program• Flexible Supportive Re-Housing Program• Preservation of Mather Community Campus (MCC)• New Youth Services• Homeless Outreach, Navigation and Re-Housing Services• $44 million in expanded Mental Health resources from Mental Health
Services Act (MHSA)• DMS-ODS Waiver to expand substance abuse services• New Supportive Housing through No Place Like Home
City of Sacramento
• Homeless Triage Centers and New State Funding (HEAP)• Pathways to Health + Home: Reduce emergency and crisis medical
services by coordinating care, health and housing
SSF • New State Funding: HEAP and CESH to improve data, coordinated entry, standardization of services
SHRA • PHA Resources targeted to homeless persons and housing• Streamlined funding process for PSH
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Sunrise Pointe
Development Sponsor Jamboree Housing Corporation and TLCS, Inc.
Location City of Citrus Heights
NPLH Units/Total Units 22 NPLH units/46 Total Units
DevelopmentPopulation Targets
• All units: Families and Individuals experiencing homelessness
• NPLH Units: 40% chronically homeless, 30% homeless, 30% at risk of chronic homeless experiencing Serious Mental Illness
Services • All residents: 1.5 FTE and 15 hours/week resident services• NPLH residents: County behavioral services and
coordination of other supportive services for 20 years
Project Financing 9% tax credits, County Consortium HOME, conventional, deferred developer fee
NPLH Funding $3,019,967 Competitive
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Capitol Park HotelDevelopment Sponsor Mercy Housing California
Location City of Sacramento
NPLH Units/Total Units 65 NPLH units/134 Total Units
DevelopmentPopulation Targets
• All units: Individuals experiencing homelessness• NPLH Units: 40% chronically homeless, 30% homeless,
30% at risk of chronic homeless experiencing Serious Mental Illness
Services • All residents: 2 FTE and 20 hours/week resident services• Non- NPLH residents: 2.8 FTE case management services• NPL residents: County behavioral services and
coordination of other supportive services for 20 years
Project Financing 9% tax credits, general partnership equity, Affordable Housing Program (AHP), gap source to be identified
NPLH Funding $6,890,825 Competitive$2.8M Noncompetitive
Continuing Challenges
Lack of Affordable Housing
Entry Points are not coordinated
Lack of comprehensive, real-time data
No single system vision or oversight
17 December 12, 2018 Office of County Executive - Sacramento County Homeless Plan
Proposed Solutions
Prevent People from Becoming Homeless
• Strengthen diversion in shelter and navigation• Inventory and improve alignment of community based
services• Improve jail discharge• Improve hospital discharge
Improve Response to the Street Crisis and Improve Quality of Life
• Coordinate navigation and street outreach with community standards
• Regional law enforcement training for first responders• Protocols and education for managing and preventing
disease • Collaborate with impacted business districts
Expand and Improve Shelter and Interim Housing
• Low-barrier shelter expansion through HEAP• Community shelter standards• Improve shelter access through Bed Reservation and
Coordinated Entry
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Proposed Solutions
Expand Targeted Permanent Housing
• Implement Flexible Housing Pool (HEAP)• Coordinate Re-housing efforts with community standards• Evaluate and continue PHA efforts, including move-on and
convention housing initiatives• Inventory local gap financing across jurisdictions• Coordinate NPLH funding and fund new permanent
supportive housing
Leverage and Coordinate Mainstream and Other Resources
• Fully implement $4.4 million expansion• New grant for mentally ill homeless interfacing with jail• Coordinate DMC-ODS waiver with homeless system• Records expungement and jail diversion pilot• Coordinate on Health Homes implementation by Managed
Care• Improve connections to mainstream employment services
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Proposed Solutions
Strengthen System Leadership and Accountability
• Convene County interagency working group• Improve coordinated entry, program and system
evaluation using data• Improve coordination, governance, leadership through
Funder’s Collaborative, provider forums, training• Engage political leadership across County• Hold annual community meetings on Plan progress
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Resources
• Sacramento County Responding to Homelessness
http://www.saccounty.net/Homelessness/Pages/default.aspx
• Sacramento County Homeless Plan, Adopted December 2019
http://www.saccounty.net/Homelessness/Documents/HomelessPlan_Adopted_12-12-18.pdf
• Pay for Success Study by Social Financehttps://socialfinance.org/content/uploads/PFS-Persistently-Homeless-Sacramento.pdf
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