Corporation for Supportive Housing is expanding and replicating supportive housing models that combine health, housing and social services to improve the health and housing outcomes from homeless individuals with complex health needs who frequently multiple public crisis systems.
Based in New York City, Corporation for Supportive Housing (CSH) is an established leader in the supportive housing movement. CSH’s SIF initiative supports an integrated approach to addressing chronic homelessness with individuals with complex health needs. CSH works with selected subgrantees to work with public agencies in identifying frequent users of public health systems and provide supportive housing tied to client-centered, integrated primary and behavioral health services. Coordination of these much needed services and the public systerms that serve these frequent users has great potential for impact to the challenges facing a vulnerable population.
- CSH’s subgrantees have placed a combined 234 participants in supportive housing in its various sites.
- CSH has successfully matched its $2.3M federal award with private funds from various health focused foundations.
- CSH has an approved evaluation plan which will compare and assess each subgrantee, measuring success in integration of housing, care management and primary/behavioral health care including housing stability, health outcomes, reduced use of crisis health services, access and utilization of primary health services and preventive care and public costs.
Nonprofits Receiving Social Innovation Fund Awards from the Corporation for Supportive Housing
|Catholic Social Services of Washtenaw County||Economic Roundtable|
|Connecticut AIDS Resource Center (CARC)||Tenderloin Neighborhood Development Corporation (TNDC)|
Catholic Social Services of Washtenaw County
Ann Arbor, Michigan
Initial Award Amount: $200,000
Area Served: Washtenaw County
This project, lead by Catholic Social Services of Washtenaw County, will serve 110 homeless frequent users of crisis health services in Washtenaw County and surrounding areas. Housing resources will be brought together through the participation of key providers of supportive housing, affordable housing and portable housing voucher-based subsidies (Section 8 and Shelter Plus Care), including the Ann Arbor Housing Commission, Avalon Housing, the Shelter Association of Washtenaw County and the Plymouth Housing Commission. Access to coordinate primary and behavioral health care will be facilitated through an intensive case management team that coordinates with a larger multi-disciplinary care team. The larger care team will be comprised of a multi-disciplinary group of psychiatrists, medical doctors, medical case managers, substance abuse providers, homeless outreach workers and shelter staff. The core group of intensive case managers – the Housing and Care Coordination Team (HCCT) – will serve as the central organizing entity and owner of the coordinate care plan to effectively create a patient-centered medical home for clients. The HCCT will be housed at Catholic Social Services, the project’s lead agency, with the larger care team reflecting the broad array of health care providers in the community whose collaboration is critical to the program model. Outcomes to be affected include housing stability, improved health, and reduction in use and cost of crisis health care services. A broad set of stakeholders on the applicant team (including the Washtenaw Health Plan) suggests strong systems change potential and sustainability and brings geographic diversity to the mix of subgrantees, both in terms of being in the Midwest and representing a mid-sized city/county.
Connecticut AIDS Resource Center (CARC)
Initial Award Amount: $400,000
Area Served: State of Connecticut
CARC’s project, Connecticut Integrated Healthcare and Housing Neighborhoods, will build upon Connecticut’s success with supportive housing as central to the statewide approach to ending chronic homelessness, and will create a health home outreach model linking primary care, behavioral healthcare and supportive housing. The program will serve 160 adults across the State of Connecticut who are homeless with chronic behavioral health and substance abuse conditions and/or other chronic health problems and who are high utilizers of crisis health services, paricularly emergency departments, inpatient units and detox facilities. The program partners will implement a highly coordinated local strategy that combines assertive outreach, care coordination through a multidisciplinary team approach and benefits assistance, integrated with permanent supportive housing. Program activities are intended to increase access to health services for vulnerable populations; increase coordination between primary health care systems, behavioral health care services and community organizations; and improve health outcomes and reduce high costs associated with high crisis health service use. This statewide strategy for implementation has incredible potential for systems change and sustainability, particularly in relation to tapping into Medicaid to provide long-term support to program activities. An evaluation of this effort will provide a roadmap for other state Medicaid programs attempting to do the same thing.
Los Angeles, California
Initial Award Amount: $375,000
Area Served: Los Angeles County
This project will be carried out in Los Angeles County by a team of 38 social service, housing and healthcare organizations. It will move 107 high-need, high-cost homeless individuals into permanent supportive housing using the triage screening tool developed by the Economic Roundtable. These are frequent users of emergency health services who, in the absence of ongoing case management and permanent affordable housing, will have ongoing health crises and be frequent users of emergency health services. All team members will use a "whatever it takes” approach to reach and retain the individual, with the ultimate goal of increasing housing stability, reducing the use of costly crisis health services, and improving health. The overall goal is to provide patient-centered health homes with fully integrated comprehensive health, mental health, substance use and housing treatment with a seamless, no-wrong-door, non-linear, holistic, client-driven model that incorporates an ongoing array of opportunities to achieve overall health and wellbeing. They are using an innovative predictive algorithm for identifying frequent users that can be replicated and scaled in other jurisdictions if successful.
Tenderloin Neighborhood Development Corporation (TNDC)
San Francisco, California
Initial Award Amount: $425,000
Area Served: City/County of San Francisco
The Tenderloin Neighborhood Development Corporation, together with its partners the San Francisco Department of Public Health (SFDPH) and the San Francisco Health Plan, will use CSH and Social Innovation Fund funds for services to be provided in a new supportive housing development, the Kelly Cullen Community (KCC), located in the Tenderloin Neighborhood of San Francisco. Scheduled to open in December 2012, the KCC is the renovation of a YMCA building that will create 172 units for chronically homeless people who are high users of crisis health services. It will also house an integrated housing and behavioral health clinic on the ground floor. KCC will expand/scale up SFDPH’s Direct Access to Housing program, which provides on-site management, medical and behavioral care and targeted property management services for formerly homeless adults with a history of chronic medical and psychiatric disorders. Outcomes to be impacted include decreased homelessness, improved health, and decreased use of costly crisis health care services. The Direct Access to Housing program has been at the forefront of providing housing with wrap around services, and as such will be a resource for the other three subgrantees as CSH facilitates a Social Innovation Fund learning community. They will add to a CSH evaluation by serving a large number of people and providing an example of single-site housing.