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Hope for the Hopeless
      A Path to Housing First


Designs, Land, Prototype, Services, Funding
     & Sustainable Community Living

         Supportive Housing for the New Age
            Homelessness Can Be Ended
Other Communities are doing
               Housing First

    Many definitions, many approaches

    Confusing to some, does mean housing before..

    Local model will be developed with consensus

    Existing providers don't support Housing First

    Why Housing First?
    
        Sobriety vs Recovery

    Why is it a Health Safety Net Council issue?
    
         Save taxpayers, jails, hospitals & mental health
         provider $ - do more with existing $
Pathways to Housing – NY -
                creator
Pathways to Housing was founded by Dr. Sam Tsemberis in 1992, and is
  widely credited as being the originator of the Housing First model of
  addressing homelessness among people with psychiatric disabilities.


The Housing First model is simple: provide housing first, and then
  combine that housing with supportive treatment services in the
  areas of mental and physical health, substance abuse, education,
  and employment. Housing is provided in apartments scattered
  throughout a community. This "scattered site" model fosters a sense
  of home and self-determination, and it helps speed the
  reintegration of Pathways’ clients into the community.
Housing First Works

    Comparing PSH to Housing First programs
    
        Pathways to Housing
    
        100,000 Homes Campaign

    Choose focus population
    
        Chronic often first – prioritize as to vulnerability
    
        Health & wellness, safety, prevention of deaths
    
        Our model – under-served populations

    Funding
    
        PSH traditionally HUD voucher based
    
        Ours, combination faith-based, SIB & L3C (hybrid)
Sample results from other
              communities, states

    98% reduction in emergency room visits and 62% reduction in emergency
    room costs (Mondello 2007)

    95% cut in mental health inpatient hospitalizations (Moore 2006)

    71% decrease in Medicaid reimbursement costs (Andersen 2000).

    97% reduction in nursing home nights (Nogaski 2009)

    84% reduction in tenants “days spent in correctional facilities” (Culhane
    2002)

    87% decrease in sobering center admissions (Larimer 2009)

    84% reduction in detoxification costs (Perlman 2006)

    (For more examples from Denver, see Graph #1).





Caution: These statistics & data are not for Savannah – our stats must be developed
independently & together in order to quantify our own savings & costs for models that
we all agree on!
Caution: These statistics & data are not for Savannah – our stats must be developed
independently & together in order to quantify our own savings & costs for models that
we all agree on!
Caution: These statistics & data are not for Savannah – our stats must be developed
independently & together in order to quantify our own savings & costs for models that
we all agree on!
Respite care, completing the healing




Caution: These statistics & data are not for Savannah – our stats must be developed
independently & together in order to quantify our own savings & costs for models that
we all agree on!
We seek to modify, adapt the
         model for Savannah

     Community based “recovery”

     Experienceing homelessness in similar ways
       
           Group & individual counseling, supportive
       
           Not enabling, no pity parties allowed

     Separate population focused housing
    communitites

     Proven recovery & counseling services model

     Adaptation of housing first as it relates to
    required participation in services
Why Housing First Now?

    Savannah needs new approaches to chronic &
    under-served homeless populations

    Chronic because we've been ignoring them
       
           Hard problem to solve – one size doesn't fit all

    Family, Women & Children's homelessness
       
           Ignored also, but GA 49 out of 50 in 2009 study
       
           Savannah is in GA, must be ignoring them too!

    Youth, Prison reentry, mental health
       
           (ODR has no housing component!)
A vision in Marin County CA
Homeward Bound

  Partnership

  Homeless Continuum

  Land, OMA Village, story!

  Designs
  
     Container Housing
  
     Builder, doing container housing already
  
     Applying to Family Homelessness
Caution: These statistics & data are not for Savannah – our stats must be developed
independently & together in order to quantify our own savings & costs for models that
we all agree on!
Savannah's Justification




Caution: These statistics & data are not for Savannah – our stats must be developed
independently & together in order to quantify our own savings & costs for models that
we all agree on!
What is Homelessness
HousingFirstSavannah.com
Founding Partners

    HIS Advocacy

    HUGS, Heads Up Guidance Services

    Trident Sustainability
HousingFirstSavannah.com

    Executive Summary

    Jobs, container housing model

    Unique Services (proven) model

    Outreach model

    Entire community benefits

    Taxpayer savings
    
       Aug 22, 2010, $2.1M taxpayer cost in SMN
       article?
Popular question:
How many homeless in Savannah?

    If we rely on PIT numbers then...

    100KHomes registry model

    Atlanta model of outreach, Hands On ATL

    Surveys, Vulnerability Index from 100KHomes

    VAT, Vulnerability Assessment Tool, DESC.org
    −   Other communities taking it to this level
    −   Surveys, gather data, document, pictures

    Savannah data exists, 100KHomes, GAEH @ Stand
    Downs two years (75 registered)
HousingFirstSavannah.com
Two pieces of property on Wheaton St

    Land plots adjoining

    2.1 acres

    6 acres

    NIMBY should be minimal

    Close to main target demographic – tents
    around CNI / ESG neighborhoods
Outreach, streets, bridges,
            tent cities
•
City of Atlanta, Mayor
     www.unshelterednomore.org

    Partners

    Funding, Bloomberg Philanthropies

    311 system redesign

    100KHomes.org partnership

    Advisory Board
Funding for Savannah's
                 Housing First?

    Community effort to end homelessness

    Not just the job of government, social services

    Jobs for homeless to stabilize
    −   Multiple types of jobs, new entrepreneurs

    Interfaith efforts, more than street ministries

    Social Impact Bonds

    Not government money for housing or programs

    Taxpayer savings though as justification

    Pay for Success model of funding, SIBs

    Social Good investors – private, L3C, B-Corp
Health Impact Bond: The Next SIB?
    by David Friedkin (03/25/2013)

    There is growing momentum in the US around Social Impact Bonds, and Pay for
    Success strategies in general. With the New York City Social Impact Bond already
    announced and under way, proponents of the model are hoping to adapt it to
    produce positive outcomes in cases of health and the environment as well. The
    latest development occurred on March 25, 2013 and will target Fresno, CA. The
    California Endowment awarded a $660k grant to Social Finance US "to launch a
    demonstration project to improve the health of low-income children with asthma
    and reduce the costs that result from emergency treatments."

    Press Release

    Other Social Impact Bond Projects (USA):
    
        Prison Recividism – Rykers Prison, NYC, Youth population
    
        Homelessness – Boston, MA
    
        Federal Govt – in budget FY 2013 - $100M to test SIBs for govt funded projects
    
        Coming from UK where successful method for funding Social Good Projects

Investors doing Soical Impact Bond investing:

  Private investor groups interested in Social Good & Pay for Success models

  Governments

  Social investment “venture” funds
What is Homelessness
Resources to learn more
         about homelessness
• Here's something on the 60 minutes segment on families
  living in their cars:
  http://www.cbsnews.com/video/watch/?id=7389750n&tag=cont
                     got a lot of awareness on issue!
• Littlest Nomads is kids segment - 4 minute trailer:
  http://www.youtube.com/watch?v=fbSgzEQJXs8
• One page - what is homelessness:
   http://hearus.us/pdf/CTL-homelessness_causes-1pg.pdf
• Overall page on Understanding Homelessness:
  http://hearus.us/understanding-homelessness.html
Testimony, Background
            Marvin Heery
                      Recent interviews can
• Click to add text
                        serve as way to learn
                        more about the
                        Advocacy
                      • Thecoastalsource.com
                      • SavannahNow.com
Contact Us, Get Involved!
                              Marvin Heery
          Homelessness in Savannah Advocacy ==> Housing First Savannah ==>
                               Savannah Interfaith Taskforce

           info@homelessnessinsavannah.org
     912.659.0696 mobile                     678.632.4663 office

On Social Media, Facebook, Twitter & Blogs:
Savannah Area Interfaith Taskforce on Ending Homelessness – Page, Group
Housing First Savannah Blog, Twitter
Homelessness in Savannah Advocacy Blog, Twitter
Chatham savannahsafetynetcouncil 3-26-13-v1.2

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Chatham savannahsafetynetcouncil 3-26-13-v1.2

  • 1.
  • 2. Hope for the Hopeless A Path to Housing First Designs, Land, Prototype, Services, Funding & Sustainable Community Living Supportive Housing for the New Age Homelessness Can Be Ended
  • 3. Other Communities are doing Housing First  Many definitions, many approaches  Confusing to some, does mean housing before..  Local model will be developed with consensus  Existing providers don't support Housing First  Why Housing First?  Sobriety vs Recovery  Why is it a Health Safety Net Council issue?  Save taxpayers, jails, hospitals & mental health provider $ - do more with existing $
  • 4. Pathways to Housing – NY - creator Pathways to Housing was founded by Dr. Sam Tsemberis in 1992, and is widely credited as being the originator of the Housing First model of addressing homelessness among people with psychiatric disabilities. The Housing First model is simple: provide housing first, and then combine that housing with supportive treatment services in the areas of mental and physical health, substance abuse, education, and employment. Housing is provided in apartments scattered throughout a community. This "scattered site" model fosters a sense of home and self-determination, and it helps speed the reintegration of Pathways’ clients into the community.
  • 5. Housing First Works  Comparing PSH to Housing First programs  Pathways to Housing  100,000 Homes Campaign  Choose focus population  Chronic often first – prioritize as to vulnerability  Health & wellness, safety, prevention of deaths  Our model – under-served populations  Funding  PSH traditionally HUD voucher based  Ours, combination faith-based, SIB & L3C (hybrid)
  • 6. Sample results from other communities, states  98% reduction in emergency room visits and 62% reduction in emergency room costs (Mondello 2007)  95% cut in mental health inpatient hospitalizations (Moore 2006)  71% decrease in Medicaid reimbursement costs (Andersen 2000).  97% reduction in nursing home nights (Nogaski 2009)  84% reduction in tenants “days spent in correctional facilities” (Culhane 2002)  87% decrease in sobering center admissions (Larimer 2009)  84% reduction in detoxification costs (Perlman 2006) (For more examples from Denver, see Graph #1).  Caution: These statistics & data are not for Savannah – our stats must be developed independently & together in order to quantify our own savings & costs for models that we all agree on!
  • 7. Caution: These statistics & data are not for Savannah – our stats must be developed independently & together in order to quantify our own savings & costs for models that we all agree on!
  • 8. Caution: These statistics & data are not for Savannah – our stats must be developed independently & together in order to quantify our own savings & costs for models that we all agree on!
  • 9. Respite care, completing the healing Caution: These statistics & data are not for Savannah – our stats must be developed independently & together in order to quantify our own savings & costs for models that we all agree on!
  • 10. We seek to modify, adapt the model for Savannah  Community based “recovery”  Experienceing homelessness in similar ways  Group & individual counseling, supportive  Not enabling, no pity parties allowed  Separate population focused housing communitites  Proven recovery & counseling services model  Adaptation of housing first as it relates to required participation in services
  • 11. Why Housing First Now?  Savannah needs new approaches to chronic & under-served homeless populations  Chronic because we've been ignoring them  Hard problem to solve – one size doesn't fit all  Family, Women & Children's homelessness  Ignored also, but GA 49 out of 50 in 2009 study  Savannah is in GA, must be ignoring them too!  Youth, Prison reentry, mental health  (ODR has no housing component!)
  • 12. A vision in Marin County CA Homeward Bound  Partnership  Homeless Continuum  Land, OMA Village, story!  Designs  Container Housing  Builder, doing container housing already  Applying to Family Homelessness
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  • 22. Caution: These statistics & data are not for Savannah – our stats must be developed independently & together in order to quantify our own savings & costs for models that we all agree on!
  • 23. Savannah's Justification Caution: These statistics & data are not for Savannah – our stats must be developed independently & together in order to quantify our own savings & costs for models that we all agree on!
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  • 31. HousingFirstSavannah.com Founding Partners  HIS Advocacy  HUGS, Heads Up Guidance Services  Trident Sustainability
  • 32. HousingFirstSavannah.com  Executive Summary  Jobs, container housing model  Unique Services (proven) model  Outreach model  Entire community benefits  Taxpayer savings  Aug 22, 2010, $2.1M taxpayer cost in SMN article?
  • 33. Popular question: How many homeless in Savannah?  If we rely on PIT numbers then...  100KHomes registry model  Atlanta model of outreach, Hands On ATL  Surveys, Vulnerability Index from 100KHomes  VAT, Vulnerability Assessment Tool, DESC.org − Other communities taking it to this level − Surveys, gather data, document, pictures  Savannah data exists, 100KHomes, GAEH @ Stand Downs two years (75 registered)
  • 34. HousingFirstSavannah.com Two pieces of property on Wheaton St  Land plots adjoining  2.1 acres  6 acres  NIMBY should be minimal  Close to main target demographic – tents around CNI / ESG neighborhoods
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  • 46. Outreach, streets, bridges, tent cities •
  • 47. City of Atlanta, Mayor www.unshelterednomore.org  Partners  Funding, Bloomberg Philanthropies  311 system redesign  100KHomes.org partnership  Advisory Board
  • 48. Funding for Savannah's Housing First?  Community effort to end homelessness  Not just the job of government, social services  Jobs for homeless to stabilize − Multiple types of jobs, new entrepreneurs  Interfaith efforts, more than street ministries  Social Impact Bonds  Not government money for housing or programs  Taxpayer savings though as justification  Pay for Success model of funding, SIBs  Social Good investors – private, L3C, B-Corp
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  • 51. Health Impact Bond: The Next SIB? by David Friedkin (03/25/2013) There is growing momentum in the US around Social Impact Bonds, and Pay for Success strategies in general. With the New York City Social Impact Bond already announced and under way, proponents of the model are hoping to adapt it to produce positive outcomes in cases of health and the environment as well. The latest development occurred on March 25, 2013 and will target Fresno, CA. The California Endowment awarded a $660k grant to Social Finance US "to launch a demonstration project to improve the health of low-income children with asthma and reduce the costs that result from emergency treatments." Press Release Other Social Impact Bond Projects (USA):  Prison Recividism – Rykers Prison, NYC, Youth population  Homelessness – Boston, MA  Federal Govt – in budget FY 2013 - $100M to test SIBs for govt funded projects  Coming from UK where successful method for funding Social Good Projects Investors doing Soical Impact Bond investing:  Private investor groups interested in Social Good & Pay for Success models  Governments  Social investment “venture” funds
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  • 55. Resources to learn more about homelessness • Here's something on the 60 minutes segment on families living in their cars: http://www.cbsnews.com/video/watch/?id=7389750n&tag=cont got a lot of awareness on issue! • Littlest Nomads is kids segment - 4 minute trailer: http://www.youtube.com/watch?v=fbSgzEQJXs8 • One page - what is homelessness: http://hearus.us/pdf/CTL-homelessness_causes-1pg.pdf • Overall page on Understanding Homelessness: http://hearus.us/understanding-homelessness.html
  • 56. Testimony, Background Marvin Heery Recent interviews can • Click to add text serve as way to learn more about the Advocacy • Thecoastalsource.com • SavannahNow.com
  • 57. Contact Us, Get Involved! Marvin Heery Homelessness in Savannah Advocacy ==> Housing First Savannah ==> Savannah Interfaith Taskforce info@homelessnessinsavannah.org 912.659.0696 mobile 678.632.4663 office On Social Media, Facebook, Twitter & Blogs: Savannah Area Interfaith Taskforce on Ending Homelessness – Page, Group Housing First Savannah Blog, Twitter Homelessness in Savannah Advocacy Blog, Twitter