Corporation For Supportive Housing: Fairfax County Housing Options: Permanent Supportive Housing March 2012

1. Fairfax County Housing Options:
Permanent Supportive Housing
CORPORATION FOR SUPPORTIVE HOUSING
MARCH 2012
WWW.CSH.ORG

2. Corporation for Supportive Housing
CSH is a national non-profit organization and community
development financial institution that helps communities
create permanent housing with services to prevent and end
homelessness.
Founded in 1991, CSH advances its mission by providing
advocacy, expertise, leadership, and financial resources to
make it easier to create and operate supportive housing.

3. Our Structure
CSH headquarters are in New York
with program staff deployed from
20 communities in 14 states and
the District of Columbia.
Field
National Program
Business Support and Management
Communications and Fund Development

4. Our Supportive Housing Partners
Developers Property Service
(for-profit and Management Providers and
nonprofit) Firms Agencies
Consultants,
Scattered Site
TA Providers,
Owners and Public Agencies
Financial
Operators
Institutions
Elected and
Advocacy Philanthropic
Appointed
Partners Stakeholders
Officials

5. CSH: 20 Years of Leading the
Supportive Housing Movement
Reduces Stress on
Emergency Systems
Serves as a Tool for
Economic Development
Provides Housing
for People Leverages Other
Resources
Supportive Revitalizes
Housing Communities

6. CSH Lending: Our Products
Predevelopment Acquisition Predevelopment Initiation
Loans (PALs) Loans (PILs)
• Site acquisition Loans cover expenses in the
• Feasibility studies earliest stages of predevelopment
• Fees for engineering and other • Site assessment and feasibility
consultants • Assembling development team
• Construction financing • Options and deposits
• Mini-perm loans

7. Our Policy Sector Reach
Corrections /
Criminal
Housing / Justice
Social
Community
Services
Development
Health / Native
Hospitals Americans
Supportive
Housing
Behavioral
Employment
Health
Veterans
Child Welfare
Affairs
Aging

8. CSH Public Policy
Approach Products and Services
• Developing and disseminating • 10-year Plan development and
outcome data implementation support
• Educating and engaging policy • Federal, state, county and local
• Offering practical advice to advocacy
public sector investors • Designing and advocating
• Serving as a neutral broker friendly policies
• Engaging mainstream systems
• Convening and galvanizing
policymakers
• Structuring loan funds

9. CSH Impact: By the Numbers
• Catalyst for 143,000 units of • Over $200 million in loans
supportive housing • Nearly $100 million in grants
• Over 40,500 people living in • $2.16 billion leveraged by state
CSH-backed supportive and local policy efforts in last 3
housing years
• Working in # communities • $2.69 billion leveraged by federal
• 50,000 people trained in last public policy efforts in last 3years
5 years

10. Implementing DC’s Ten-Year Plan
- Unit Goal
2,000 Units for Individuals
500 Units for Families
- Financial Modeling
How much will unit creation cost?
What type of units will exist?
Where will the resources come from?
- Restructure Interagency Council for Homeless

11. Continued work on DC’s Ten-
Year Plan
• Annual Revisions
o Revising the Need
o Updating the Financial Model
• Combining Resources
o Agency Partnerships to Apply for Funding
o Consolidated RFP
• Right-Sizing the System
o ICH 5-Year Strategic Plan
o Annual Work Planning Goals

12. Targeting and Priority
Populations
• Every public service system has “hot spots”: high
need, complex clients who consume a
disproportionate share of system resources and
attention:
• Frequent users of hospitals and health care
• Frequent users of jails and correctional facilities
• Families with chronic child welfare involvement

13. Supportive Housing is a Solution
for System “Hot Spots”
• Studies have shown supportive housing to:
• Reduce hospital admissions from 27-77%
• Reduce jail use by more than 50%
• Reduce psychiatric hospitalizations by 49%
• Detox use by more than 80%
• Child welfare system involvement by more than 60%

14. Frequent User Systems
Engagement (FUSE) Initiatives
• Use supportive housing to break costly cycle of frequent
jail and shelter use
• Evaluation results show 90% housing retention, 92%
reduction of homeless shelters, and 53% reduction in
jail use
Frequent User Case Study
DHS DOC DHS DOC DHS DOC DHS DOC DHS DOC DOC DHS DOC DHS DOC DHS DOC DHS
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Neither System

15. High Utilizers of Public Services with Poor
Outcomes
• Billings’ (2006) analysis
of NYC Medicaid claims
data found that:
• 20% of adult disabled patients
subject to mandatory managed
care account for 73% of costs
• 3% of patients accounting for
30% of all costs for adult
disabled patients

16. Annual Savings from Reducing Hospital
Admissions for Frequent Users
70%
Supportive Housing’s $18,234
60% Minimum Hospitalization
Reduction Potential $15,195
50%
$12,156
40%
$9,117
30%
$6,078
20%
$3,039
10%
$-
0%
$- $2,000 $4,000 $6,000 $8,000 $10,000 $12,000 $14,000 $16,000 $18,000 $20,000
Assumptions: Targeting people with 3+ hospital admissions per year, with average stay per admission of 5
nights@ per night cost of $2,026

17. Advancing FUSE Nationally
• CSH implementing • Planning/exploring new
FUSE in: initiatives in:
• New York City • Rhode Island
• Cook County, IL • Newark, NJ
• Hennepin County, MN • Franklin County, OH
• Connecticut
• District of Columbia
• Seattle
• Denver