mental health & homelessness a best practices approach florida mental health summit wednesday,...
TRANSCRIPT
Mental Health & Homelessness
a best practices approach
Florida Mental Health SummitWednesday, August 26, 2015
Homelessness
• HEARTH Act – Homeless Emergency Assistance and Rapid Transition to
Housing Act
– Defines homelessness for federal programs• “literally” homeless; includes persons in transitional housing and
shelters• Imminent risk of losing housing without network to secure other housing• Fleeing domestic violence
– Continuum of Care Homeless Assistance Grants
• Opening Doors – federal strategic plan to end homelessness
Homelessness in Florida
• 2015 Point In Time Count– 35,964 persons identified as homeless in 2015 Point In Time
Count– 33.6% reported having a mental illness
• 13% reduction in overall homelessness from 2014
• 2014 Point In Time Count– 19% were chronically homeless– Have a disability and been homeless for more than a year
or experienced homelessness 3 or more times in previous 4 years
Cycle of Chronic Homelessness
Emergency Departmen
tsStreet
Inpatient Beds
ShelterPsychiatri
c Hospitals
Jail
Hospital Readmissi
ons
Detox
Chronically homeless persons cycle in and out of
very high-cost crisis systems
Public Expenditures
Housing First
• Move into permanent housing FIRST
• Low barrier; no pre-conditions such as compliance with treatment or sobriety
• Voluntary supports provided – IF NEEDED – to help retain housing and access community-based care
Supportive Housing
• Affordable housing linked with voluntary, person-centered support services
• Target persons requiring intensive community-based supports
• Prioritize
• Is not necessarily “final” step on continuum of housing
Best Practices*
• Lease – all the rights and responsibilities of a lease
• Support services and property management separate and distinct roles
• Services are voluntary and consumer driven
• Integrated into the community
*See SAMHSA Supportive Housing Tool Kit for more information on evidence-based practiceshttp://store.samhsa.gov/product/SMA10-4510
Inclusive
Various models, but located in safe neighborhoods with access to:
• Transportation
• Employment
• Community-based services
• Shopping, recreation, socialization
*See SAMHSA Supportive Housing Tool Kit for more information on evidence-based practiceshttp://store.samhsa.gov/product/SMA10-4510
Improves Overall Health
• Supportive Housing provides:– Physical safety
• Reduces exposure - weather, disease, injury, violence…• Provides place to: sleep; address hygiene; keep food, medications,
clothing…
– Services that lead to improved health and stability– Improve access to health care– Engage person in own care management; promote lifestyle
changes
Reduce Use of Acute & Emergency Care
ER V
isits
Night
s Hos
pita
l Sta
y
Ambu
lanc
e Rid
es
Days i
n Res
pite
Days i
n Det
ox
Days i
n Pr
ison
0
2
4
68
10
1214
Average usage in 12 months before entering housingAverage usage in 12 months after entering housing
Usag
e P
er
Ind
ivid
ual
Ten
an
t
Source: Massachusetts Home and Healthy for Good; January 2015 Progress Report
10th Decile Outcomes
Learn More
Florida Institute on Homelessness & Supportive Housingwww.flainstitute.org
October 29 & 30, 2015Orlando, Florida
Substance Abuse & Mental Health Administrationwww.samhsa.gov
U.S. Inter-Agency Council on Homelessnesswww.usich.org
Sources
Housing is the Best Medicine; Supportive Housing and the Social Determinants of HealthCorporation for Supportive Housing; www.csh.org
Why Does a Health Care Company Care About Housing? UnitedHealthcare; www.uhc.com(handout from Supportive Housing Summit 2015)
Los Angeles Economic Roundtable
Florida Council on Homelessness 2015 Report
U.S. Department of Housing & Urban Development
