The Indiana Permanent Supportive Housing Initiative

1

• The Indiana Permanent Supportive Housing
  Initiative
• 2009 Report
• to the
• Transformation Work Group

2
Permanent Supportive Housing

• What is permanent supportive housing?
• A cost-effective combination of permanent,
  affordable housing with services that help people
  live more stable, productive lives

3
Permanent Supportive Housing

• Supportive Housing is for people who
• Are experiencing long-term homelessness
• Cycle through institutional and emergency systems
  and are at risk of long-term homelessness
• Are being discharged from institutions and
  systems of care
• Without housing, cannot access and make effective
  use of treatment and supportive services

4
IHCDA Transformation Shifts

• Fund solutions not programs
• DMHAs Transformation process is an opportunity
  for systems change integrate housing with the
  delivery of behavioral health services
• Housing is a necessary a piece of recovery not
  just a referral service
• Housing for individuals experiencing homelessness
  is not a solo act

5
Building a Supportive HousingInfrastructure
6
Supportive Housing Funds

• Supportive Housing Providers need
• Capital
• Bricks and Sticks
• One time funds
• Operating
• Funding to support building operations
• Typically provided through a subsidy
• Supportive Services
• Grants and contracts to fund staff salaries

7
2008 Achievements

• Genesis of IPSHI Supportive Housing White Paper
  presented to TWG
• Lt. Governor convened the April 28th Leadership
  forum to launch the IPSHI
• 2008 Supportive Housing Institute
• Nine Teams completed institute
• 320 units in pipeline
• Housing First Model

8
2008 Achievements

• Capital funds
• Modified the QAP to fund supportive housing
  through the LIHTC program
• Set aside HOME and Development funds
• Stimulus funds
• Operating Funds
• State Admin Plan revised to project base 20 of
  vouchers for supportive housing projects
• Working with other local PHAs to project base
  vouchers for supportive housing

9
2008 Achievements

• Service Model Development
• DMHA advanced IPSHI through the Division's
  Transformation Initiative
• -- Goal of Transformation is to transform
  Indiana's Mental Health and Addiction system to a
  Recovery Based Model that focuses on providing
  meaningful, consumer and family-centered services
  

10
2008 Achievements

• A cross-system Transformation Work Group (TWG
  Supportive Housing Task Force) identified housing
  as a critical component for individuals with
  mental illness and chronic addiction, invited
  IHCDA and CSH to join the group, and adopted
  IPSHI

11
2008 Achievements

• A subcommittee of the TWG Supportive Housing Task
  Force agreed to work with CSH and the Technical
  Assistance Collaborative (TAC) to identify a
  Model Service Delivery System in Indiana that
  integrates the goals of TWG and IPSHI

12
2009 Work Plan

• Increase supportive housing units to reduce the
  number of individuals experiencing long-term
  homelessness
• Add a minimum of 180 units to pipeline through
  the 2009 Institute
• A percentage of the units will target individuals
  with SMI/CSA being discharged from corrections
  and state hospitals who are at high risk of
  homelessness

13
2009 Work Plan

• Increase the capacity of local partners to
  develop permanent supportive housing
• Select ten teams for 2009 Institute
• Integrate homeless assistance providers and CMHCs
• Encourage collaboration with FQHCs
• Provide support for Institute teams
• Integrate Dimensions of Quality and Indiana
  Service Model into training

14
2009 Work Plan

• Reduce long-term homeless use of emergency
  systems of care and other high-cost systems
• Develop an Indiana frequent user demonstration
  project aimed at frequent users of shelter and
  jail
• One Institute team
• Develop assessment tool to identify individuals
  who frequently use jails, ERs, and shelters

15
2009 Work Plan

• TWG Supportive Housing Task Force
• Coordinate public/private work and funding to
  meet IPSHI production goals
• Develop Indiana service model around CSHs
  Dimensions of Quality
• Develop service funding pro-forma
• Support Institute teams

16
2009 Work Plan

• Develop a fidelity model for IPSHI project around
  Dimensions of Quality
• Administration Management and Coordination
• Physical Environment
• Access to Housing and Services
• Tenant Rights, Input, and Leadership
• Supportive Services Design and Delivery
• Property Management and Asset Management
• Data, Documentation, and Evaluation

17
2009 Work Plan

• Improve the homeless assistance system
• Access to employment/increase income
• Increase housing stability through a housing
  first/harm reduction model
• Increase access to appropriate mainstream
  resources
• Promote enhanced property management model for
  supportive housing projects

18
2009 Work Plan

• Increase Funding Steams
• Private Foundations
• HUD VASH
• CHEETA
• SAMHSA
• Maximize stimulus and recovery funds to meet
  IPSHI outcomes

19

• Questions?