D. LAS NOTIFICACIONES EN LA LEY 30364 LEY PARA PREVENIR,
4. FORMULA LEGAL
The following tables display the findings from the nationwide canvass of Housing First programs conducted between December 2003 and January 2004. See table B–1 for characteristics of programs that the study team determined met the criteria for a Housing First model. See table B–2 for characteristics of programs that the study team determined met some, but not all, criteria for a Housing First model.96
96
Note that all information in the matrix may not be available for all programs for one of two reasons: due to the short timeframe of the study, some programs were unable to participate in a discussion of all aspects of their Housing First approach; and some programs were not eligible for this study so the study team did not discuss all aspects of the program’s approach.
Table B–1. Housing First Programs Populations Served
Provider Year First Client
Placed Program Scale Diagnoses Living on Streets
Identification of Clients
Immediacy of Placement into Permanent Housing Treatment Requirements Approach to Services Pathways to Housing, New York City, NY
1992 •465 total enrollment •3 placements per month •6% turnover during first year
of placement 90% dual diagnosis 50% (50% institutional discharges)
Outreach teams from community agencies, hospitals, prison
Clients move immediately into a scattered-site apartment where Pathways to Housing holds the lease
No treatment requirements prior to enrollment; clients must agree to 2 home visits per month
ACT team with off- site services; low demand approach to substance use Downtown Emergency Service Center, Seattle, WA
May 1994 •306 total enrollment •2–3 placements per month •6–7% turnover during first
year of placement 10% substance abuse only, 40% mental illness only, 50% dual diagnosis
30% Case managers and self-
referrals Clients move from a transitional to permanent housing placement in one of three buildings; clients hold their own leases
No treatment requirements prior to or after enrollment
Modified ACT team with on-site services; low demand approach to substance use
REACH, San
Diego, CA December 2000 •250 total enrollment (200 in permanent housing, 50 in transitional housing) •2 placements per month •25% turnover during first
year of placement
30% mental illness only, 70% dual diagnosis
80% Street outreach 20% of clients move into transitional housing prior to permanent placement, typically by choice; transitional housing is in the Metro Hotel, which may also serve as permanent housing for individuals who do not have Section 8 vouchers; clients hold their own leases
No treatment requirements prior to program enrollment; clients must meet with case manager twice a month
Modified ACT team; low demand response to substance use
Sunshine Terrace, Columbus, OH
July 2001 •130 total enrollment •16 placements per month •20% turnover during first
year of placement 20% mental illness only, 30% substance abuse only, 40% dual diagnosis
10% Outreach, shelters, street, hospitals, jail, veterans’ commission
Some clients have transitional moves prior to permanent placement in an SRO owned by the YMCA or other building owned by the Columbus Metropolitan Housing Authority; agencies that own the buildings hold the leases
No treatment requirements prior to or after enrollment Teams with community-based support services on-site
The Village, Los Angeles County AB 2034, Long Beach, CA
1999 •400 total enrollment •8 placements per month •10% turnover during first
year of placement
100% mental
illness 100% Streets, jail; members must be connected with a case manager to enter program
Clients may choose among a number of housing options, including transitional housing at hotels or shelters; clients hold their own lease
No treatment requirements prior to or after enrollment
Community-based services that meet clients “where they are”
Community Housing Network, Columbus, OH
February
1999 •109 total enrollment All mentally ill, most dual diagnosis
Not
available Mental health agency, homeless outreach team, shelters
Clients move into permanent supportive housing in buildings owned by the agency
No treatment requirements prior to or after enrollment Stages of change model to address substance use
Table B–1. Housing First Programs Populations Served
Provider Year First Client
Placed Diagnoses Living on Streets
Identification of Clients
Immediacy of Placement into Permanent Housing Treatment Requirements Approach to Services Program Scale Direct Access to Housing, San Francisco, CA December 1998 •393 total enrollment •30–40 placements per month
•33% turnover during first year of placement 80% disabled (substance abuse, mental health, medical disorders)
90% Street outreach teams, shelters, emergency department case management teams, primary care clinics, institutional settings
Immediate access to permanent housing in six facilities where the program holds the lease
No treatment requirements prior to or after enrollment
ACT teams with on- site services
Horizon House,
Philadelphia, PA March 2003 •40 total enrollment •5 placements per month •No turnover during first year
in placement
100% dual
diagnosis 100% Outreach teams, database of homeless Client chooses among several scattered-site apartments and clients hold their own leases
No treatment requirements prior to or after enrollment
ACT team with off- site services
Lamp Community, Los Angeles, CA
June 1991 •100 total enrollment •3–4 placements per month •1% turnover during first year
in placement
20% mental illness only, 80% dual diagnosis
90% Street and jail outreach,
safe haven project Client chooses to move directly into an apartment or to stay in the shelter first; client holds the lease for some housing locations and program holds the lease for others
No treatment requirements prior to or after enrollment
ACT team with on- site services
Table B–2. Possible Housing First Programs Populations Served
Provider
Year First Client
Placed Program Scale Diagnoses Living on Streets
Identification of
Clients Immediacy of Placement into Permanent Housing Requirements Treatment Approach to Services
Anishinabe Wakiagun, Minneapolis, MN
Not available •40 total enrollment 33% dual diagnosis, 67% substance abuse only
90% Local detox center, walk-
ins No transitional moves No treatment requirements prior to or after enrollment
ACT team with on- site services
Avalon Housing,
Ann Arbor, MI 1992 •116 total enrollment •1 placement per month •2% turnover during first year
in placement 25% no diagnosis, 30% dual diagnosis, 45% mental illness only
<10% Word of mouth, openings published in the paper, referrals from area service providers
Clients move directly into permanent housing owned by the program; clients hold their own leases
No treatment requirements prior to or after enrollment, unless housing is in jeopardy On-site multidisciplinary treatment team Canon Kip Community House, San Francisco, CA 1994 •103 total enrollment •1 placement per month •<10% turnover during first
year in placement
75–80% dual
diagnosis 90% Referral by social services providers Clients move from a waiting list into permanent housing provided through several city agencies; clients hold their own leases
No treatment requirements prior to or after enrollment
ACT team with on- site services Chicago Housing for Health Partnership, Chicago, IL 2003 •24 total enrollment 100% diagnosed with one of 10 identified chronic illnesses; 80% have a history of chronic substance abuse and 20%–30% have chronic mental illness Not
available Referrals from three local hospitals Clients must stay at an interim health facility for 1–12 weeks to stabilize following hospitalization and to determine the appropriate type of permanent housing, including scattered-site and group living
No treatment requirements prior to enrollment; clients must work with a case manager
Off-site services
Common Ground,
New York City, NY Early 1993 •270–350 total enrollment •<1 placement per month •<1% turnover during first
year in placement
60% dual
diagnosis Not available Referrals from Human Resources Administration, Housing Resource Center, and self-referral
Clients enter permanent housing in one of two buildings following a stay in shelter or transitional facility; clients hold their own leases
No treatment requirements prior to or after enrollment
ACT team with on- site services
Table B–2. Possible Housing First Programs Populations Served
Provider Year First Client
Placed Diagnoses Living on Streets
Identification of Clients
Immediacy of Placement into Permanent Housing Treatment Requirements Approach to Services Program Scale Commons at Grant, Columbus, OH
June 2003 •100 total enrollment •No new placements 50% low- income wage earners, 50% homeless with one verifiable disability (mental or physical) Not
available Not available Not available No treatment requirements prior to or after enrollment Not available Contra Costa County Public Health Homeless Program , Contra Costa County, CA 1997 •160 total enrollment •1 placement per month •<10% turnover during first
year of placement
60% dual
diagnosis 70% Psychiatric hospitals, detox, jail, facilities, transitional housing, multi- service centers, streets
Clients have to wait 90–120 days to secure a housing voucher; clients hold their own leases
No treatment requirements prior to or after enrollment
Modified ACT team with a low demand approach
Dwelling Place,
Grand Rapids, MI May 2002 for Ferguson; 1987 for DPI
•189 total enrollment •25% turnover during first
year in placement Ferguson— 20% mental illness only, 20% physical disability, 60% dual diagnosis; Dwelling Place Inn—25% mental illness only; 25% physical disability, 50% dual diagnosis
20% Social service agencies
and self-referral Clients immediately enter one of the program’s facilities where they hold their own leases
No treatment requirements prior to or after enrollment
ACT team with on- site services Housing Initiatives, Madison, WI January 1995 •64 total enrollment •1.5 placements per month •<1% turnover during first
year in placement
33% dual diagnosis, 67% mental illness only
1% Referrals by shelters and transitional housing staff, walk-ins
Clients move immediately into a program facility or scattered-site housing; clients hold their own leases and program writes a letter to landlords to guarantee rent
No treatment requirements prior to enrollment; clients must work with a case manager
ACT team with off- site services
Phoenix Programs, Inc., Concord, CA
Not available •20 total enrollment Mental illness Not
available Outreach, daytime homeless service centers Clients move directly into shared permanent housing owned by the program; the program holds a master lease
Clients are encouraged to be clean and sober and medication compliant
Assertive case management
Table B–2. Possible Housing First Programs Populations Served
Provider Year First Client
Placed ale Diagnoses Living on Streets
Identification of Clients
Immediacy of Placement into Permanent Housing Treatment Requirements Approach to Services Program Sc Project HOME,
Philadelphia, PA 1992 •98 total enrollment •5 placements per month •60% turnover during first
year in placement 100% mental illness, 32- 53% of which have a dual diagnosis 43% Homeless outreach programs, Department of Mental Health
Clients experience transitional moves through the safe haven; clients do not hold their own leases
Substance abuse treatment required at one of the housing facilities Case managers and psychiatrists Sacramento County, California AB 2034, Sacramento County, CA 1999 •100 total enrollment •<1 placement per month
32% mental illness only, 68% dual diagnosis
Not
available Referrals by the larger homeless system of care, the mental health homeless system of care, jails, and mental health crisis units
Clients typically have a transitional stay at a room and board house or transitional housing unit
No treatment requirements prior to or after enrollment
Modified ACT team with off-site services
Tellurian,
Madison, WI January 1988 •12 total enrollment •2–3% turnover during first
year in placement
40% mental illness only, 60% dual diagnosis
15–20% Self-referrals from street, police, cab drivers, shelters, and transitional housing
Not available Not available ACT team with on-
site services
The Wintonia,
Seattle, WA 1994 •89 total enrollment
•2 placements per month •3% turnover during first year
in placement 10% either substance abuse or mental illness only, 90% dual diagnosis
65% Clients are referred by other social service agencies and placed on a waiting list
Clients move directly into SRO housing, masterleased by the program
No treatment requirements prior to or after enrollment
On- and off-site services