Download - Corporation For Supportive Housing: Fairfax County Housing Options: Permanent Supportive Housing
Fairfax County Housing Options:
Permanent Supportive Housing
CORPORATION FOR SUPPORTIVE HOUSING
MARCH 2012
WWW.CSH.ORG
Corporation for Supportive Housing
CSH is a national non-profit organization and community
development financial institution that helps communities
create permanent housing with services to prevent and end
homelessness.
Founded in 1991, CSH advances its mission by providing
advocacy, expertise, leadership, and financial resources to
make it easier to create and operate supportive housing.
Our Structure
Field
National Program
Business Support and Management
Communications and Fund Development
CSH headquarters are in New York
with program staff deployed from
20 communities in 14 states and
the District of Columbia.
Our Supportive Housing Partners
Developers (for-profit and
nonprofit)
Property Management
Firms
Service Providers and
Agencies
Scattered Site Owners and Operators
Public Agencies
Consultants, TA Providers,
Financial Institutions
Elected and Appointed Officials
Advocacy Partners
Philanthropic Stakeholders
CSH: 20 Years of Leading the
Supportive Housing Movement
Provides Housing
for People
Revitalizes
Communities
Reduces Stress on
Emergency Systems
Leverages Other
Resources
Serves as a Tool for
Economic Development
Supportive
Housing
CSH Lending: Our Products
Predevelopment Acquisition
Loans (PALs)
• Site acquisition
• Feasibility studies
• Fees for engineering and other
consultants
• Construction financing
• Mini-perm loans
Predevelopment Initiation
Loans (PILs)
Loans cover expenses in the
earliest stages of predevelopment
• Site assessment and feasibility
• Assembling development team
• Options and deposits
Our Policy Sector Reach
Supportive Housing
Corrections / Criminal Justice
Social Services
Native Americans
Employment
Veterans Affairs
Aging
Child Welfare
Behavioral Health
Health / Hospitals
Housing / Community
Development
CSH Public Policy
Approach
• Developing and disseminating
outcome data
• Educating and engaging policy
• Offering practical advice to
public sector investors
• Serving as a neutral broker
Products and Services
• 10-year Plan development and
implementation support
• Federal, state, county and local
advocacy
• Designing and advocating
friendly policies
• Engaging mainstream systems
• Convening and galvanizing
policymakers
• Structuring loan funds
CSH Impact: By the Numbers
• Catalyst for 143,000 units of
supportive housing
• Over 40,500 people living in
CSH-backed supportive
housing
• Working in # communities
• 50,000 people trained in last
5 years
• Over $200 million in loans
• Nearly $100 million in grants
• $2.16 billion leveraged by state
and local policy efforts in last 3
years
• $2.69 billion leveraged by federal
public policy efforts in last 3years
Implementing DC’s Ten-Year Plan
- Unit Goal
2,000 Units for Individuals
500 Units for Families
- Financial Modeling
How much will unit creation cost?
What type of units will exist?
Where will the resources come from?
- Restructure Interagency Council for Homeless
Continued work on DC’s Ten-
Year Plan
• Annual Revisions
oRevising the Need
oUpdating the Financial Model
• Combining Resources
oAgency Partnerships to Apply for Funding
oConsolidated RFP
• Right-Sizing the System
o ICH 5-Year Strategic Plan
oAnnual Work Planning Goals
Targeting and Priority
Populations
• Every public service system has “hot spots”: high
need, complex clients who consume a
disproportionate share of system resources and
attention:
• Frequent users of hospitals and health care
• Frequent users of jails and correctional facilities
• Families with chronic child welfare involvement
Supportive Housing is a Solution
for System “Hot Spots”
• Studies have shown supportive housing to:
• Reduce hospital admissions from 27-77%
• Reduce jail use by more than 50%
• Reduce psychiatric hospitalizations by 49%
• Detox use by more than 80%
• Child welfare system involvement by more than 60%
Frequent User Systems
Engagement (FUSE) Initiatives
• Use supportive housing to break costly cycle of frequent
jail and shelter use
• Evaluation results show 90% housing retention, 92%
reduction of homeless shelters, and 53% reduction in
jail use
Frequent User Case Study
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Neither System
High Utilizers of Public Services with Poor
Outcomes
• Billings’ (2006) analysis of NYC Medicaid claims data found that:
• 20% of adult disabled patients
subject to mandatory managed care account for 73% of costs
• 3% of patients accounting for 30% of all costs for adult disabled patients
Annual Savings from Reducing Hospital
Admissions for Frequent Users
Assumptions: Targeting people with 3+ hospital admissions per year, with average stay per admission of 5 nights@ per night cost of $2,026
$-
$3,039
$6,078
$9,117
$12,156
$15,195
$18,234
0%
10%
20%
30%
40%
50%
60%
70%
$- $2,000 $4,000 $6,000 $8,000 $10,000 $12,000 $14,000 $16,000 $18,000 $20,000
Supportive Housing’s
Minimum Hospitalization
Reduction Potential
Advancing FUSE Nationally
• CSH implementing
FUSE in:
• New York City
• Cook County, IL
• Hennepin County, MN
• Connecticut
• District of Columbia
• Seattle
• Denver
• Planning/exploring new
initiatives in:
• Rhode Island
• Newark, NJ
• Franklin County, OH