Federal Partnershipsto Prevent and End Homelessness

Mark JohnstonDeputy Assistant Secretary for Special Needs

Office of Community Planning and DevelopmentU.S. Department of Housing and Urban Development

Overview

• USICH Federal Plan• Federal Collaboration

– HUD-HHS Homeless Initiatives– HUD-VA Homeless Initiatives

• Local Collaboration

USICH Federal Strategic Plan

• Chairman and Secretary Shaun Donovan• Executive Director Barbara Poppe and staff• Emphasis: Federal collaboration• First comprehensive Federal Plan

USICH Federal Strategic Plan

• Highlights several areas in regards to housing– Affordable Housing

• National Housing Trust Fund• More vouchers

– Permanent Supportive Housing• Prevent and end chronic homelessness

– Retool the Homeless Crisis Response System• Prevention• Rapid Re-Housing• Strategic use of HUD funds, including Transitional Housing

Federal Collaboration

• One program cannot end homelessness by itself• Engage targeted and mainstream programs

HUD-HHS Homeless Initiatives

• HUD requested $85 million for 10,000 vouchers– Families with Children Demonstration– Chronically Homeless Individuals and Families

Demonstration

• Connect mainstream HUD and HHS resources• Competitive application• Critical opportunity for Continuum of Care involvement

Chronic Demonstration

• Collaborate internally and externally at HUD and HHS• Targets chronically homeless individuals and families• Seeks to show how mainstream programs (Housing

Voucher Choice and Medicaid) can work together– HHS requested $16 million in SAMHSA wraparound funding

• Will also show how to form effective workingrelationships at Federal, State and local levels

HUD-VA Homeless Initiatives

• HUD-VA Supportive Housing (HUD-VASH)• Veterans Homelessness Prevention Demonstration

HUD-VASH

• For 2011, Congress to provide 10,000 more vouchers– 40,000 vouchers total (2008-2011)

• HUD and VA collaboration: identification of need,capacity, allocation and implementation

• Housing First model• Timely lease-up is critical• Continuum of Care needs to be actively engaged with

the local VA

Veterans Demonstration

• Collaboration of HUD, VA, and Department of Labor– HUD $10 million for housing assistance– VA $5 million for health care assessment and services– DOL will provide education and job training

• Announced 5 sites—near military bases– Targets veterans from wars in Iraq and Afghanistan– Urban and rural

• Similar in design to HPRP

Local Partnerships

• Build upon Federal partnerships– Having better Federal partners will help at state/local level

• Collaborate to continue momentum of HPRP– Federal, state, and local levels (resources at all levels)– Carefully assess effectiveness of HUD and other resources

locally– Collaborate locally—for example on Prevention and Rapid

Re-Housing: ESG, FEMA, VA

U.S Department of Health and HumanServices: Homelessness Activities

David HarrisOffice of the Assistant Secretary for Planning and Evaluation

U.S. Department of Health and Human Services

Overview

• Overview of HHS

• Relevant HHS Programs & Funding

• HHS and the USICH “Opening Doors”Federal Strategic Plan

• Affordable Care Act

• HHS Homelessness Initiatives

Overview of HHS

• Principal agency for protecting the health of all Americans andproviding essential human services to those in need

• 11 operating divisions

• Administer more than 300 programs

• FY 2010 budget is over $850 billion

• Key HHS agencies with programs serving homelessness -- ACF,CMS, HRSA, SAMHSA

HHS Activities Related to HomelessnessHHS Activities Related to Homelessness

• Funding

Health and human services programs

• Research

Evaluating programs, identifying “what works”

• Policy

Assessing policy options, making policy recommendations

• Collaboration

Working with HUD, VA, ED, and the USICH

HHS Funding Related toHHS Funding Related toHomelessnessHomelessness

• Targeted programs: designed specifically for individuals orfamilies who are experiencing homelessness.

• Mainstream programs: designed to serve those who meetthe eligibility criteria set for the program, generally low-income populations, and often times persons experiencinghomelessness may be eligible for services funded throughthese programs.

FY 2010 HHS Funding for TargetedHomelessness Programs (dollars in millions)

HHS Targeted HomelessnessPrograms

FY 2010 FY 2011

Health Care for the Homeless $185.5 $211.9

Programs for Runaway &Homeless Youth

$115.7 $115.7

Projects for Assistance inTransition from Homelessness

$65.0 $70.0

Grants for the Benefit ofHomeless Individuals

$42.8 $47.4

Services in Supportive Housing $34.6 $42.0

Title V / Surplus Property --- ---

Total $ for HHS HomelessnessSpecific Service Programs

$443.6 $487.0

HHS Mainstream Programs Relevant to HomelessnessHHS Mainstream Programs Relevant to Homelessness

HHS Mainstream Programs HHS Agency

Access to Recovery SAMHSA

Child Support Enforcement Program ACF

Children’s Health Insurance Program CMS

Community Mental Health Services Block Grant SAMHSA

Community Services Block Grant ACF

Community Health Centers HRSA

Family Violence Prevention and Services Grant Program ACF

Head Start ACF

Maternal & Child Health Services Block Grant HRSA

Medicaid CMS

Ryan White CARE Act HRSA

Social Services Block Grant ACF

Substance Abuse Prevention & Treatment Block Grant SAMHSA

Temporary Assistance for Needy Families ACF

U.S. Interagency Council on HomelessnessU.S. Interagency Council on HomelessnessOpening Doors Federal Strategic PlanOpening Doors Federal Strategic Plan

• HHS has a strong presence in the Federal StrategicPlan

• Emphasis on individuals, families with children, andyouth tie to HHS programs and initiatives

• The landmark Affordable Care Act will be critical toadvancing the goals of the Strategic Plan

• Working to improve access to HHS mainstreamprograms

Affordable Care Act

• The health reform law provides health insurance coverageexpansions, payment innovation and incentives, quality initiatives,innovative demonstration programs, and greater access toprevention services

• Low income households will be eligible for Medicaid and theChildren’s Health Insurance Program (CHIP)

• The federal government will help states pay for the coverageexpansions

• The law provides significant new funding for Community HealthCenters (CHCs)

HHS/HUD CollaborationHHS/HUD Collaboration

• In FY 2010, HHS and HUD initiated a collaboration to betterintegrate housing, health, and human services deliverysystems

• The goal of the collaboration is to identify concreteopportunities in three areas:

• Homelessness• Community living (focusing on persons with

disabilities and the elderly)• Livable homes and communities (macro-level

housing and community planning, design, andhealth)

HHS/HUD CollaborationHHS/HUD Collaboration

Two proposals are included in the FY 2011 budget:

1. Coupling Housing Assistance with Comprehensive HumanServices to Reduce Homelessness among Families withChildren

• Recent increase in homeless families• HUD vouchers for homeless/at-risk families• PHAs need to show integrated service programs

HHS/HUD CollaborationHHS/HUD Collaboration

2. Coupling Housing Assistance, Health Care, and SupportiveServices to Assist Chronically Homeless Individuals andFamilies with Special Needs

• Many chronically homeless individuals have substanceabuse and/or mental health problems

• Proposal will target homeless, single, childless adultsenrolled in Medicaid

• HUD voucher will subsidize permanent housing• HHS will fund wraparound supports to improve health

outcomes

VA Working towards EndingHomelessness among VeteransPartnering with Federal Agencies in Coordination with the ICH Plan

Vince Kane, MSWDirector, VA Supportive Housing (VASH)

National Center on Homelessness among Veterans

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Strategy to End HomelessnessAmong Veterans

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Outreach/Education

Prevention

Treatment

Housing andSupportive

Services

Income/Employment/Benefits

CommunityPartnerships

Ending Veteran Homelessness

Changes in Veterans Homelessness - Point in Time

-

50,000

100,000

150,000

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

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• One of the VA’s Transformation Initiatives (T-21)• High Priority Goal for the Secretary• Getting to Zero in Five years (now 4 years)

How USICH Plan is Aligned WithVA Plan to End Homelessness

Strong correlation between VA’s Five Year Plan and USICH Federal Strategic Plan

Focus on:– Collaboration– Targeted outreach– Housing– Prevention– Treatment– Access to employment and benefits– Improved quality of life for Veterans and their families

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Coordination of Plans and Priorities

INCREASE LEADERSHIP, COLLABORATION, ANDCIVIC ENGAGEMENT

• Objective 1: Provide and promote collaborativeleadership at all levels of government and acrossall sectors to inspire and energize Americans tocommit to preventing and ending homelessness.

• Objective 2: Strengthen the capacity of public andprivate organizations by increasing knowledgeabout collaboration, homelessness, and successfulinterventions to prevent and end it.

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VA Actions• Active participants at Federal and local level by VA• Operation Plans for VISNs & local Medical Centers

with community participation• Community based service centers• Call Center 1-877-424-3838• Joint Training• HMIS participation• Creation of Homeless registry• HUD and VA high performance goal• VA National Center on Homelessness• Implementation of evidence based and emerging

best practices (Housing First)• HUD-VA Prevention Pilot

Coordination of Plans and Priorities

INCREASE ACCESS TO STABLE ANDAFFORDABLE HOUSING

• Objective 3: Provide affordable housing to peopleexperiencing or most at risk of homelessness.

• Objective 4: Provide permanent supportivehousing to prevent and end chronic homelessness.

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VA Actions• Expand HUD-VASH and focus on the most

vulnerable Veterans (potential of 40,000 vouchersin FY 11)

• Coordinate with HUD to develop a VeteranAffordable Housing Voucher Program (FY12)

• Grant & Per Diem

• Contract Residential Treatment

Coordination of Plans and Priorities

INCREASE ECONOMIC SECURITY

• Objective 5: Increase meaningful and sustainableemployment for people experiencing or most atrisk of homelessness.

• Objective 6: Improve access to mainstreamprograms and services to reduce people’s financialvulnerability to homelessness.

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VA Actions• Expand access to VA vocational and VA benefits

services

• Prevention Grants

• Supportive Services for Veterans and Families

• Expand Therapeutic Work Opportunities (CWT)

• Coordinate with Labor, Social Security, Justice andHHS

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Coordination of Plans and Priorities

IMPROVE HEALTH AND STABILITY

• Objective 7: Integrate primary and behavioral health careservices with homeless assistance programs and housing toreduce people’s vulnerability to and the impacts ofhomelessness.

• Objective 8: Advance health and housing stability for youthaging out of systems such as foster care and juvenile justice.

• Objective 9: Advance health and housing stability for peopleexperiencing homelessness who have frequent contact withhospitals and criminal justice.

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VA Actions• Increase and integrate mental health substance use and primary

care services• New case management models integrating intensive mental health

case management with HUD-VASH• HHS Demonstration projects related to Child Support• SSVF grants have a rapid re-housing component• Screening for homelessness in our ERs• VA Residential Rehabilitation & Treatment Programs• Dental Services• VA actively developing Medical Home Model• Women’s health services• Justice Outreach & Diversion

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Coordination of Plans and Priorities

RETOOL THE HOMELESS CRISIS RESPONSESYSTEM

• Objective 10: Transform homeless services tocrisis response systems that prevent homelessness andrapidly return people who experience homelessness to stablehousing.

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VA Actions• Increase use of HCHV contract housing with supportive services as

an alternative to shelter care

• SSVF grants have a rapid re-housing component

• Screening for homelessness in Emergency Rooms

The Way Ahead

• Partnerships and collaborations are key atFederal, regional and local levels

• Infrastructure to support greater coordinationat all levels inside and outside VA

• Create learning communities that share data,best practices and are results driven

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