Our Programs

Corporation for Supportive Housing

Grantee Information

 

Federal Award: $750,000 over 3 years
Focus Area: Economic Opportunity, Healthy Futures
Geographic Focus: Nationwide
Target Beneficiaries: Homeless individuals, disabled persons residing in institutional settings, super utilizers of health care settings and/or other crisis resources, families with high utilization of child welfare systems, young adults who are homeless, in foster care, and/or in the juvenile justice system
Collaborating Partners: Third Sector Capital Partners, Center for Health Care Strategies and Harvard Kennedy School Social Impact Bond Technical Assistance Lab
Funding Partners: Robert Wood Johnson Foundation, The Rockefeller Foundation, and Krengel Foundation

Through the 2014 Social Innovation Fund Pay for Success grant award, CSH selected six subgrantees to help strengthen the supportive housing creation pipeline of state and local governments, and service providers prepared to implement Pay for Success projects.

This project will provide technical assistance to these projects, building their capacity to pursue PFS pilots that improve outcomes and reduce costs for high-cost vulnerable populations, namely homeless individuals, disabled persons residing in institutional settings or super utilizers of health care settings or other crisis resources. CSH will provide a customized package of technical assistance and peer learning initiatives to prepare the six subgrantees to engage in PFS transactions by identifying evidence-based preventive interventions; conducting feasibility studies; preparing for PFS implementation; and analyzing alternate social finance strategies.

Based on CSH's work in this arena for the past three years, CSH believes that PFS financing can serve as a lever for changing how government allocates resources, shifting from high cost, crisis systems of care to less expensive, community-based interventions, namely supportive housing.



Entities Receiving Social Innovation Fund Awards from Corporation for Supportive Housing

Clark County, Nevada
Ending Community Homelessness Coalition, Inc (ECHO)
New York State Department of Health
Oklahoma Department of Mental Health and Substance Abuse Services
San Diego Housing Commission
State of New Mexico Human Services Department
Virginia Supportive Housing
Volunteers of America Delaware Valley (VOADV)
Washington State Health Care Agency

 


Clark County, Nevada

CSH and its partners will work with Clark County, Nevada to assess the feasibility of a PFS initiative to create supportive housing focused  on individuals cycling in and out of high cost systems, including the criminal justice system and/or emergency response teams, who have a history of homelessness. For this initiative, Clark County has identified the goals of: 1. Identifying the frequent user population, 2. Reducing the recidivism rate of the target population by 25 percent, 3. Providing 65 percent of the target population with supportive housing, and 4. For clients obtaining supportive housing, improve self-sufficiency indicators by 50 percent within the first year of services.
 
Among other technical assistance, CSH anticipates working with Clark County to develop methods that a) build on efforts currently underway to access data and use it to identify the target population and their costs in the status quo b) create a supportive housing model and plan that will meet the needs of the target population. This project will target Clark County, Nevada.
 


Ending Community Homelessness Coalition, Inc. (ECHO)
Austin, TX  

CSH and its partners, the Center for Health Care Strategies and Third Sector Capital Partners, will work with ECHO to assess the feasibility of a PFS initiative focused on creating supportive housing for vulnerable populations. Specifically, this project will target super utilizers of health care (including emergency department, outpatient, inpatient, and EMS), criminal justice and shelter services.

Among other technical assistance, CSH anticipates working with ECHO to develop methods that a) determine eligibility for the initiative across the three systems, and b) identify payment structures that reflect the distribution of cost benefits among jurisdictional units. This project will target the city of Austin and Travis County. This project builds on innovative community efforts to scale supportive housing and complements the statewide transition to integrated behavioral and primary healthcare via managed care organizations, and it is consistent with the Community Care Collaboration's plans to implement a patient-centered medical home model for low-income individuals with complex chronic health conditions.


New York State Department of Health

Albany, NY

The State of New York will be part of a cohort of state governments all interested in the use of the PFS model to provide persons residing in institutional settings with the opportunity to transition to community-based supportive housing. CSH’s work with New York State will focus on providing supportive housing to individuals who have spent at least one hundred and twenty consecutive days in a nursing home setting and who have the ability to live safely in the community. The geography is the State of New York including New York City.

CSH and the HKS SIB Lab will collaborate to provide a joint cohort-based model of technical assistance. Subgrantees will receive government-focused expertise on SIB development, evaluation design, and SIB procurement from the HKS SIB Lab and issue-specific expertise from CSH and its partners, the Center for Health Care Strategies and Third Sector Capital Partners, including expertise in the areas of Medicaid funding of institutional and community-based services and the creation and operation of high quality supportive housing including the design of service models best suited to meet the needs of the identified target population.


Oklahoma Department of Mental Health and Substance Abuse Services
 
CSH and its partners will work with the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) to assess the feasibility of a PFS initiative focused on creating supportive housing for young adults (18-25) with mental health, substance use, or co-occurring disorders who are without stable housing, have experienced homelessness or chronic homelessness. ODMHSAS will head the PFS team—leaders from the Oklahoma Department of Human Services, Oklahoma Office of Juvenile Affairs, Homeless Alliance, and Mental Health Association Oklahoma and their partners -- in a collaborative effort (Oklahoma’s Two Cities: One Mission) to align necessary resources for the state to move forward to end homelessness among young adults transitioning out of foster care and/or the juvenile justice system, and for those young homeless persons with mental health, substance use, or co-occurring disorders who are without stable housing, have experienced homelessness or chronic homelessness.
 
Among other technical assistance, CSH anticipates working with ODMHSAS to develop methods that: a) clearly define the target population using existing data and identifies the subset in need of supportive housing; b) creates a supportive housing model and plan that will meet the needs of the targeted youth. This project will target Oklahoma City located in Oklahoma County and the City of Tulsa located in Tulsa County. 
 


San Diego Housing Commission (SDHC)

San Diego, CA

CSH and its partners, the Center for Health Care Strategies and Third Sector Capital Partners, will work with the San Diego Housing Commission to assess the feasibility of a PFS initiative focused on creating supportive housing for vulnerable populations. Specifically, this project will target chronically homeless individuals with multiple emergency room and hospital admissions and a combination of identified high risk conditions.

Among other technical assistance, CSH anticipates working with the San Diego Housing Commission and its public and private partners in San Diego to outline a plan for training and mentoring community-based partners in order to ensure success in the PFS initiative. This project will target the city of San Diego. SDHC is one of 39 Public Housing Agencies with a Moving to Work designation within the United States. Due in part to the flexibility afforded through this designation, in addition to traditional tenant-based vouchers, the Commission partners with numerous local non-profit partners and landlords to provide rental subsidies through the use of sponsor-based and project-based rental vouchers.


State of New Mexico Human Services Department

Santa Fe, NM

The State of New Mexico will be part of a cohort of state governments all interested in the use of the PFS model to provide persons residing in institutional settings with the opportunity to transition to community-based supportive housing. Specifically, this project will target residents of health care institutions who prefer to live in the community and people who are at-risk of institutionalization. Further, members of the target population will be adults with diagnosable mental, behavioral, or emotional disorders of sufficient duration to meet diagnostic criteria for Serious Mental Illness (SMI) and whose eligible diagnosis has resulted in functional impairment which substantially interferes with, or limits, one or more major life activities. The project will target the counties of Bernalillo, Santa Fe, and San Miguel.

CSH and the HKS SIB Lab will collaborate to provide a joint cohort-based model of technical assistance. Subgrantees will receive government-focused expertise on SIB development, evaluation design, and SIB procurement from the HKS SIB Lab and issue-specific expertise from CSH and its partners, the Center for Health Care Strategies and Third Sector Capital Partners, including expertise in the areas of Medicaid funding of institutional and community-based services and the creation and operation of high quality supportive housing including the design of service models best suited to meet the needs of the identified target population.


Virginia Supportive Housing
 
CSH and its partners will work with Virginia Supportive Housing to assess the feasibility of a PFS initiative focused on creating supportive housing for vulnerable populations. In Richmond, Virginia, a small group of individuals plays a significant role in the escalating costs for correctional services and other emergency systems. These "super utilizers" have complex needs and ricochet between incarceration, hospitalization, detoxification services, and homelessness. Specifically, this project will target individuals in Richmond, Virginia and the surrounding counties who have had contact with both jails and hospitals more than four times over five years with at least one stay in each system in the last year.   
 
Among other technical assistance, CSH anticipates working with Virginia Supportive Housing to develop methods that: a) determine eligibility for the initiative across the 3 systems; b) identify payment structures that reflect the distribution of cost benefits among jurisdictional units. This project will target the Greater Richmond Continuum of Care which includes the City of Richmond, and the counties of Charles City, Chesterfield, Hanover, Henrico, New Kent, Goochland, Powhatan and the town of Ashland.
 


Volunteers of America Delaware Valley (VOADV) 

Collingswood, NJ

CSH and its partners, the Center for Health Care Strategies and Third Sector Capital Partners, will work with Volunteers of America Delaware Valley to assess the feasibility of a PFS initiative focused on creating supportive housing for vulnerable populations. Specifically, this project anticipates targeting super-utilizers with two or more (non-surgical, non-OB) hospital admissions within six months and two or more chronic illnesses who are also homeless or experiencing housing instability.

Among other technical assistance, CSH anticipates working with Volunteers of America and its partners including the Camden Coalition of Healthcare Providers (CCHP) to integrate individual level health care claim data with homelessness data, allowing for analysis and segmentation of the overall population to identify a subset of hospital super-utilizers who are homeless. In addition, CSH will work with VOADV to increase the capacity of local supportive housing providers to work with the vulnerable populations and to follow a high fidelity housing first model. The geographic focus is the City and County of Camden, New Jersey. The Camden Coalition of Healthcare Providers is poised to become a Medicaid Accountable Care Organization (ACO), enabling it to receive shared savings through ACO contracts with Medicaid managed care organizations (MCOs) based on improved quality and reduced costs.


Washington State Health Care Authority

Olympia, WA

The State of Washington will be part of a cohort of state governments all interested in the use of the PFS model to provide persons residing in institutional settings with the opportunity to transition to community-based supportive housing. Washington’s project will focus on providing supportive housing to residents of health care institutions who prefer to live in the community in order to ensure that Washingtonians with disabilities have an alternative to an institutional setting.

CSH and the HKS SIB Lab will collaborate to provide a joint cohort-based model of technical assistance. Subgrantees will receive government-focused expertise on SIB development, evaluation design, and SIB procurement from the HKS SIB Lab and issue-specific expertise from CSH and its partners, the Center for Health Care Strategies and Third Sector Capital Partners, including expertise in the areas of Medicaid funding of institutional and community-based services and the creation and operation of high quality supportive housing including the design of service models best suited to meet the needs of the identified target population.

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