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THE GOOD LIFE

Guidebook
 For Impact Measurement
THE GOOD LIFE

Guidebook
 For Impact Measurement
          v 1.0
INTRODUCTION


          research

          Ravi Hanumara
          Robert Taunton
            Seth Olsen

      White Papers
          Ravi Hanumara
          Rachel Goldman

          Partners
          Better Tomorrows
           Project Access
              Life Steps

     Special Thanks
           John O’Donnell
            Caleb Roope
           Geoffery Brown
             Steve White
              Jon Webb
            William Hirsch
           Jim Silverwood
            John Huskey
            Aaron Mandel
             Gary Downs
           David Reznick
             Suzie Hsieh




      Listed above are some of
       our most notable recent
          accomplishments.

         This information is
             compiled by
     Center for the Greater Good
       430 East State Street
          Eagle, ID 83616

      See contact page for full
            disclaimer.

      All rights reserved © 2012
     Center for the Greater Good
www.CenterforGreaterGood.com | Center for Greater Good | Introduction | 5




Close-up on:
The Good Life
CEO and Founder, John Belluomini, takes the stage
What began as the personal mission of the              we have focused on 4 main areas found to limit
Center for the Greater Good’s founder, John            one’s potential to achieving self-sufficiency:
Belluomini, is now a comprehensive tool aimed          economic stability, education, health and social
at reinvigorating communities by focusing on the       responsibility. With the help of LifeSTEPS, we
people who live in them. John’s vision to create       have drilled down into each of these areas,
a stable living environment for the working class      identified interventions and found programs to
as a means to eradicate poverty is the driving         help people reach positive outcomes.
force behind this guidebook.                           This is just the beginning. It is our collaborative
Reflecting on the positive interventions he            partnerships and the knowledge they have
received from teachers in school, John began           shared with us that have enabled us to
his research on the cause and effects of what          envision the future of sustainable financial and
keeps communities in intense poverty and               healthy community development practices.
what helps create more stable middle-class             We understand the interconnected nature of
environments. After over 3 years of research,          the issues supporting poverty. We are here to
we are now releasing this guidebook to share           collaborate and share resources so that we may
our findings and perpetuate a more holistic            all study, evolve and enhance what truly makes
approach in community rehabilitation: focus on         communities thrive; the people.
the people first.
Our research has shown us two main things:
the essential need
for people-driven
interventions and
the importance of
properly tracking
and measuring
the success
of intervention
programs. Here you
will find our research
summarized and
our methodology for
impact measurement
outlined.
In this guidebook
Contents.



    Section 1
    Outcome
   Evaluations
     Criteria
        p.8

                                            Social
                                          Obligation
                                              p.48




      Economic             Childhood       Health &
      Stability            Education       Wellness
         p.10                 p.20           p.28




   White
               White                    White      White
   Paper-
             Paper- Life               Paper-    Paper- Air
 Financial
               Skills                  Obesity    Quality
  Freedom
                p.18                     p.36       p.44
    p.16
Section 2
     Core &
   Enhanced
    Services
      p.54                                  White
                                           Paper-
                                          Outcomes
                                             p.76




                                                         Section 3
                                                           White
      Senior           Family                            Paper-The
     Services         Services                          Continuum
        p.56             p.66                              Fund
                                                            p.78




     Housing          Cycle of
                                                 End
   Types Chart       Assessment
                                                 p.94
       p.82              p.86




 White
                   White       White
 Paper-
                   Paper-      Paper-
Citizens
                 Community   Open Space
  First
                    p.90        p.92
   p.84
Outcomes evaluations criteria

                         Section 1

          Outcome
        evaluations
Outcome Evaluations Criteria
The charts in this section describe the thought process behind
Center for the Greater Good’s Outcome Evaluations Criteria.
The first step toward measuring outcomes is to identify a broad
problem. Broad problems (such as Economic Instability, Poor
Education, or Deteriorating Health) typically have multiple
causes and require a variety of interventions.
Our process breaks each broad problem into sub-concerns and
identifies a positive outcome for participants. Through research
and strategic partnerships, Center for the Greater Good has
identified one or more interventions for each sub-concern.
We intend to use the identified interventions to communicate
with social service providers the best methods for impacting
residents in a meaningful and measurable fashion. Measurement
indicators provide insight on the progress of interventions and
feedback on how to move forward.


MethoDology
Our process behind developing our Outcomes Evaluations
Criteria began with countless hours of research and numerous
interviews with housing developers, social service providers, on-
site resident coordinators and other field experts. We eventually
identified four main concerns which act as barriers to ending
transgenerational poverty. After identifying the concerns, we
created an information matrix of sub-concerns cross-referenced
with our database of articles; this allowed us to identify indicators
which have been linked to the concerns.
Through a year long collaboration with leading national and
regional non-profit social service providers we have identified
interventions to address each of the indicators we set out to
study.
“Real
  change
   can be
achieved!”
    -Christoph Gabler, Senior Vice President, AEGON




                                                9
Outcomes evaluations criteria




                                YOUR COMMUNITY’S

                                ECONOMIC
                                STABILITY
                                Concerns associated with the
                                individual economic household
                                stability effect the community
                                including youth, adults and
                                seniors.
www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 11



Primary Concern: Economic Stability

Sub Concern: Alleviating Poverty
Primary Impact             Current Conditions                                     Service Intervention
Children             ü   The number of unemployed persons                        Crisis prevention;
                         increased 60% from 2008-2009. Less affluent             partnering with local
Adults               ü   households are more likely to have unmet                stores for employment;
Seniors                  needs, less stable employment, and less                 food banks; relocation
                     ü   comprehensive medical coverage. Three                   counseling; referrals to
Community                quarters of all households with incomes below           agencies.
                     ü   the poverty line spend over 50% of their
Primary Outcome          incomes on rent, eliminating funds for fresh
                         food, utilities, medical care or childcare. About
Families and individuals
                         26% of renters spent more than half of their
stabilized/successfully
                         pre-tax incomes on rent and utilities in 2009.
housed.


Sub Concern: Barriers to Home Ownership
Primary Impact             Current Conditions                                 Service Intervention
Children                  Low-income residents saddled with low              Credit counseling; financial
                     ü    savings, poor credit and lacking the               literacy and family savings
Adults
                     ü    understanding of the pathway to home               courses; home ownership
Seniors                   ownership.                                         educational courses.

Community

Primary Outcome
Increased income, improved credit scores, readiness for home purchase through increased
savings and contributions to IRA’s.


Sub Concern: Limited Mobility Options
Primary Impact             Current Conditions                                 Service Intervention
Children             ü    Low-income residents who rely on                   Van pools or vouchers for
                          public transportation lack access to jobs,         tickets on public transit.
Adults               ü    educational opportunities and needed
                          services, if transportation is not available
Seniors              ü    or has limited service.
Community            ü
Primary Outcome
Increased income and educational achievement.
Outcomes evaluations criteria




 Sub Concern: Poor Socioeconomic Success
 Primary Impact            Current Conditions                           Service Intervention
 Children             ü    Adult outcomes are far worse for poor        Jobs skills and job
                           children than non-poverty children. The      readiness training; ESL
 Adults               ü    likelihood of not completing high school     courses; financial literacy
 Seniors                   is three times greater. The likelihood       and family savings courses;
                           of having a non-marital birth is 3 times     income supplements to
 Community            ü    greater. A third of poor children spend      further education; child
                           half their early adult years in poverty.     care; partnerships with
                           Only a third of poor boys go on to have      local businesses to hire
                           consistent employment in early adulthood.    graduates of computer
                                                                        training courses.

 Primary Outcome
 Removes barriers to continuing education. Improved job skills and job readiness. Increased
 employment and average wage and income. Improved English test scores. Child care allows
 single parents to be employed and gain education. Increased educational level correlates to higher
 standard of living, improved lifestyle and higher self-esteem.


 Sub Concern: Risk of Homelessness
 Primary Impact            Current Conditions                           Service Intervention
 Children             ü    Homelessness is a condition that erodes      Emergency assistance;
                           a family’s sense of security, privacy,       eviction prevention
 Adults
                      ü    stability, control and emotional and         counseling; resident
 Seniors                   physical health. Homelessness increased      advocacy and counseling;
                      ü    3% from 2008-2009 and homeless               temporary cash assistance;
 Community                 families increased 4% (highest of all sub-   mediation services for
                      ü    populations). About one quarter to one       tenants in housing; referrals
                           third of homeless individuals have serious   to other support services;
                           mental illness. Homeless children suffer     supportive housing;
                           from malnutrition, lead poisoning and        partner with local stores
                           other serious medical conditions. 30% of     and agencies to provide
                           parents report chronic medical issues.       provisions and employment.
 Primary Outcome
 Lower eviction rate and family stabilization. Reduced frequency of unwanted moves disrupting
 educational instruction and academic performance.
www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 13




                 Three quarters of all impoverished
                  households spend over 50% of
                      their incomes on rent.
                                                                     -National Alliance to End Homelessness




L
     ack of shelter is one of the five      percent of family income. The threshold     the term “shelter poor” in the late 1980’s
     elements that define poverty. The      has been raised to 30 percent, which is     for households that cannot meet their
     classification of ‘severe burden’ is   the rent standard for most government       needs for food, clothing, medical care
defined as spending over 50% of one’s       housing programs today.                     and transportation at an adequate level


                                            I
income on shelter. A variety of factors        ndividuals on the lowest rungs of the    after paying for housing.


                                                                                        D
contribute to the disproportionate cost        income ladder suffer the most from               isproportionate housing costs
of housing. Personal choice might be a         high housing costs. Whereas most                 mainly contribute to suppressing
component, but do public policies also      Americans can plan for the unexpected,              the success potential of low-
need to be re-examined?                     the future, and take vacations, those       income individuals. The consequences


I
   n 1937, the National Housing Act         in poverty are often unable to enjoy a      to a high cost of living shows in the
   created the public housing program.      high quality of life after paying housing   health, happiness, education level and
   It was designed to serve low-income      expenses. Because of this, households       relationships of the inflicted individual.
families. The Brooke Amendment to the       at the bottom rungs of income ladder        Without adequate housing, children of
1968 Housing and Urban Development          are more likely to be severely housing      low-income individuals are doomed to
Act established the rent threshold of 25    cost-burdened. Michael Stone coined         follow in their parents’ footsteps.
The national
poverty rate is
the highest it
has been for
the last 11 years.
              -2010 US Census
15
WHITE PAPER
  REPORT
www.CenterforGreaterGood.com | Center for Greater Good | Reports | 17

Financial Freedom
Many low-income communities have social services provided on site. However, most of these
services do not reach full effectiveness as they are often underfunded and lack real outcome
measurements. These services are sustained mainly on periodic grants, which means services are
typically the first thing to go when cash flow becomes tight.
The Continuum Fund speaks to many of the problems that both service providers and non-profits
encounter. The fund seeks to provide a social services budget of $80,000 per 100 units per year;
funding one Community Coordinator full time per 100 Units.
By including the funding for on-site services and Community Coordinators in our model we are able
to supply reliable cash flow for the organizations we work with; allowing them to serve the community
rather then search for grant funding.
With reliable funding Community Coordinators are able to:
     --     Reach out and collaborate with other non-profits in the surrounding areas to bring in even
            more services.
     --     Partner with small businesses and entrepreneurs to provide job opportunities as well as
            financial education to residents.
     --     Leverage technology to incorporate resident and investor feedback.
     --     Leverage technology to track and measure outcomes.


HOW OUR FINANCIAL MODEL WORKS
Center for the Greater Good’s Continuum Fund supplies low cost capital to community development
projects. A percentage of the interest paid back by the property, the fund pays for the social services.
Because the on-site services and Coordinator are funded by the debt service and cash flow of the
project, the consistency and effectiveness of the integrated social services is supported. Ultimately,
this enables the Community Coordinator and service organizations to focus on creating impact rather
than spending time and resources applying for grants.
WHITE PAPER
  REPORT
www.CenterforGreaterGood.com | Center for Greater Good | Reports | 19

Life Skills and Entrepreneurship
Life Skills and Entrepreneurship are key to breaking the cycle of poverty. In low-income community
developments, it is not uncommon to find high levels of unemployment and low levels of education.
Very essential skills from household maintenance to balancing one’s checkbook are often
overlooked skill-sets. By fostering life skills, not only are residents able to take care of themselves,
but also have a stable and healthy lifestyle for their whole families.
Entrepreneurship is a key element in economic growth and a powerful force that can effectively help
break the cycle of poverty. Through hands-on learning programs we can provide the necessary skills
and training on how to create, run and prosper from running one’s own business. The tools for both
personal and financial growth go hand-in-hand - benefiting the entire community.


LIFE SKILLS
The issues we all deal with in life are diverse, and so to are the skills we need to navigate through
our path everyday. Life skills are a key component to an individual’s success in life; promoting a
greater sense of competence, usefulness, power, and sense of belonging. Ranging from practical
skills to communication, the broad scope of life skill programs offered is truly dependent on the
specifics of each community. It is here that we support the essential elements true to everyone’s
lives: decision making and values clarification.


ENTREPRENEURSHIP
Center for Greater Good recognizes the research and policy work of the Kauffman Foundation on
the subject of entrepreneurship. The foundation’s efforts to advance education, training and grants
to support this subject are invaluable. Education prepares one to become an entrepreneur, and
the economic system gives a person the opportunity to be one. Entrepreneurship not only breaks
individuals out of the cycle of poverty, but also promotes job creation, and solves many economic
and social services concerns. We support entrepreneurial opportunity and foster potential through
education and training programs.
Outcomes evaluations criteria




                                YOUR COMMUNITY’S

                                Childhood
                                education
                                 Educated children someday
                                 grow into educated adults.
                                 The strongest strategy for
                                 poverty alleviation is to end
                                 it before it begins; before it
                                 becomes a cycle.
www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 21




Primary Concern: Education

Sub Concern: Low Educational Attainment
Primary Impact            Current Conditions                                 Service Intervention
Children            ü    A 1995 longitudinal study revealed that            Early childhood education;
                         poor children who did not attend after-            after-school programs
Adults              ü    school programs are six times more likely          and learning centers;
Seniors                  to drop out of high school, three times            computer training;
                         more likely to be suspended, twice as              resident scholarships;
Community           ü    likely to be arrested by senior year, and          student employment in the
                         are 75% more likely to have tried smoking          community.
                         or drugs by senior year. A 2011 study
                         found that one in six students not reading
                         proficiently in third grade dropped out; a
                         rate four times that of proficient readers.
                         22% of children that lived in poverty do not
                         graduate versus 6% that have never been
                         poor.
Primary Outcome
Reduced grade retention rate, improved rate of high school completion, better scholastic placement
and more years of completed education or vocational training. Lower rates of suspension, juvenile
arrest, and violent arrests. Improved physical and psychological health.
Low-income
six times more
     out of high
students are
likely to drop
school.
 -National High School Center




                                23
Outcomes evaluations criteria


 Sub Concern: Household Overcrowding
 Primary Impact             Current Conditions                            Service Intervention
 Children                  Low-income children can be trapped            Relocation counseling;
                      ü    in noisy and over-crowded home                financial literacy and family
 Adults               ü    environment not appropriate for academic      savings courses.
 Seniors                   performance.

 Community



 Primary Outcome
 Improved study environment and academic performance.




 Sub Concern: Childhood Mobility
 Primary Impact            Current Conditions                            Service Intervention
 Children             ü    The lower the family income, the              Eviction prevention
                           more likely the family is to move. This       counseling; resident
 Adults               ü    contributes to poor achievement, grade        advocacy and counseling;
 Seniors                   retention and dropout rates through           temporary cash assistance;
                           disruption of academic performance.           mediation services for
 Community                 Mobile children must change teachers,         tenants in housing court.
                           curricula and friends; more likely to
                           receive poor assessments and incomplete
                           school records. Children suffer from
                           anxiety and depression, making it difficult
                           to keep friends.




 Primary Outcome
 High rate of eviction prevention; family stabilization. Reduced frequency of unwanted moves.
 Improved academic achievement. Improved physical and psychological health.
www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 25




                Children from low-income families
                are raised in environments that do
                 not promote their cognitive and
                        social development
                                                     -Jane Waldfogel, Columbia University School of Social Work




E
      ducation is an integral component        For children who are raised in poor         make $9,000 more. In contrast, college
      contributing to transgenerational        conditions, it is common to miss school     graduates make an average salary of
      poverty. To thouroughly examine          due to housing related illnesses or drop    $51,206; which increases to $74,602
concerns of education and indicators of        out of high school all together; both of    upon completion of a master’s degree.


                                                                                          I
student success, one must consider the         which will cause a student to achieve           n order to be a financially successful
entirety of a student’s life; especially his   less throughout his or her lifespan than        adult, proper education is crucial.
or her home environment. Conditions            higher income counterparts will. The            In order to be successful in school
such as over-crowded living conditions,        inevitable next step for impoverished       as a child, it is neccessary to have a
lack of study space, chronic illnessess,       children is to continue on the path of      stable home environment. Through
or reduced parental support can affect         trans generational poverty in adulthood.    strategic interventions early in life, low-


                                               T
whether or not a child is successful in             he U.S. Census Bureau reports          income children will eventually become
school.                                             on individuals who never achieve       financially self-sufficient in adulthood;


T
      here is an undenyable correlation             a high school diploma, saying on       lessening their potential burden while
      between poor housing conditions          average they make $18,734 annually;         increasing their positive influence to
      and less than average education.         whereas a high school graduate would        society.
“All children
should have
the basic
nutrition
they need
to learn and
grow and
to pursue
their
dreams.”        -Michelle Obama
27
Outcomes evaluations criteria




                                YOUR COMMUNITY’S

                                Health &
                                Wellness
                                Mental and physical health
                                greatly affect one’s quality
                                of life. Simple interventions
                                can have a high impact on a
                                person’s health.
www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 29



Primary Concern: Health

Sub Concern: Housing Conditions
Primary Impact             Current Conditions                                   Service Intervention
Children                  Because of the great number of                       Relocation counseling;
                     ü    hours spent inside the house,                        household maintenance
Adults                    housing conditions are key factor in                 education.
                     ü    determining physical and mental health.
Seniors
                     ü    Overcrowding, poor repair, or health
Community                 hazards cause family stress. Children
                          are most vulnerable because they cannot
                          choose their living conditions. Low-
                          income children are disproportionately
                          disadvantaged by lead paint
                          contamination.
Primary Outcome
Improved health, IQ and lifetime earnings.


Sub Concern: Senior Physical and Psychological Health
Primary Impact             Current Conditions                                   Service Intervention
Children                  Seniors particularly rely on a fragile               Transportation to health
                          arrangement of paid and unpaid help to               services; medical house
Adults
                     ü    maintain independence. A 2006 AARP                   calls; cleaning service;
Seniors                   study indicated 36% of Section 202                   home delivered meals &
                     ü    residents over 62 years and 38% in                   groceries; guardianship;
Community                 LIHTC were frail or disabled. Many suffer            senior center; adult day
                          from loneliness and depression, and lack             care; financial management
                          treatment for chronic conditions.                    and assistance.
Primary Outcome
Increased independence for seniors. Improved medication and health management. Reduced
burden on family members for transportation to medical services. Reduced hospital and
emergency services visits. Reduced social isolation improves psychological health. Improved
fitness.
“Our
neighborhoods
are literally
making us fat.”
      -Susan H. Babey, PhD, Senior Research Scientist




                                                  31
Outcomes evaluations criteria


 Sub Concern: Personal Safety
 Primary Impact             Current Conditions                           Service Intervention
 Children                  Seniors living alone are at risk for injury   “ I am OK” Committees (Red
                           and death.                                    Cross seniors program);
 Adults                                                                  emergency preparedness.
 Seniors              ü
 Community

 Primary Outcome
 Safety net of a tight community saves lives.


 Sub Concern: Substance Abuse
 Primary Impact             Current Conditions                           Service Intervention
 Children                  Young persons affected by reduced             After-school programs;
                      ü    stability and safety are vulnerable           learning centers; parenting
 Adults
                      ü    to further victimization and negative         classes; job skills training;
 Seniors                   behavioral choices.                           youth employment in
                                                                         community.
 Community
                      ü
 Primary Outcome
 Reduced drug use; improved academic performance.


 Sub Concern: Disease prevalence
 Primary Impact             Current Conditions                            Service Intervention
 Children                  Asthma prevalence in 2009 was 8.2% of         Relocation counseling
                      ü    the population. Households with family        and services; diabetes
 Adults
                      ü    incomes below the federal poverty level       and obesity prevention
 Seniors                   have higher asthma prevalence than            programs; after-school
                      ü    those with higher incomes.                    programs.
 Community
                      ü
 Primary Outcome
 Reduction in diabetes and obesity rates. Decrease in respiratory related diseases from better air
 ventilation and higher quality living environment.
www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 33




                     Tobacco users who die
                prematurely deprive their families
                   of income, raise the cost of
                health care and hinder economic
                          development.
                                                                             -World Health Organization




D                                         L
      ue to the association between a          ow-income communities become         expendable income for treatments.


                                                                                    B
      lack of education, poor health,          particularly burdened by smoking           y identifying and implementing
      and decision making, individuals         and its effects. Cancer Research           effective interventions including
in poverty are more likely to smoke       UK reports that children whose parents          health education, health clinics,
compared to high income individuals.      smoke are three times more likely to      and healthy behaviors incentives, the
According to a 2008 Gallup survey,        become smokers than children who          degredation of health and eventual
34% of individuals in the $6,000-         grow up in smoke-free homes. Due          death of tobacco users in low-income
$12,000 income range are smokers. In      to increased exposure, they are also      communities can be avoided. The best
contrast, only 22% of individuals who     more burdened by the consequences         ouotcome is to educate the children to
make $30,000 more are smokers; this       of second hand smoke.                     prevent them from becoming smokers


                                          N
number is consistent with the worldwide           ot only are low-income earners    in the first place, but measures must
average. As income reaches $90,000                more likely to become smokers,    also be taken to free current users
per year, the number of smokers drops             but they are also less equipped   of their addiction so they can live
to 13%.                                   to deal with the effects of smoking due   longer, healthier lives with less health
                                          to lack of quality healthcare and less    expenses.
www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 35




                                                  “The poorest among
                                                  us suffer most because
                                                  they lack quality health
                                                  care and live in high-
                                                  risk environments.”
                                                               -Susan H. Babey, PhD, senior research scientist at the
                                                                           UCLA Center for Health Policy Research




Sub Concern: Wellness and Fitness
Primary Impact             Current Conditions                                        Service Intervention
Children                   There are direct links between income level             Health fairs, resident
                    ü      and health. A child’s health decreases                  activity programs; health
Adults              ü      dramatically when their parents are                     insurance education.
Seniors                    uneducated. It has been shown that a child
                    ü      is six times more likely to suffer form poor
Community                  health when his or her parents have not
                    ü      completed high school, compared to children
Primary Outcome            of parents with at least one college degree.
Increased access to
health services and
information. Seniors age
in place.


Sub Concern: Nutrition and Food Security
Primary Impact             Current Conditions                                   Service Intervention
Children            ü      Three fourths of all households with                Nutritional courses for
                           incomes below the poverty line spend                school-age children; grocery
Adults              ü      over 50% of their incomes on rent,                  delivery to seniors; on-site
Seniors                    eliminating funds for fresh food, utilities,        food banks; food co-ops.
                    ü      medical care or childcare.
Community

Primary Outcome
Improved health. Increased fresh food access and options, especially for seniors. Healthier fast
foods choices more consumption of whole grain foods, fruits and vegetables. Children more willing
to try new foods.
WHITE PAPER
  REPORT
www.CenterforGreaterGood.com | Center for Greater Good | Reports | 37

The Cost of Obesity

It is no surprise that poor nutrition has become increasingly common in the United States; it is a fact
that can be observed in the general population through obesity. What may come as a surprise is
the true cost of obesity, the underlying causes and the alarming rate at which it affects low-income
individuals when compared to their higher income counterparts. Weight-related medical costs are
estimated to have reached $147 billion in 2008 (that’s 9.1 percent of all medical spending) and show
no signs of subsiding. 1 Besides the obvious mobility disadvantage to being obese, it is known to
cause a series of physical and psychological ailments including: diabetes, heart disease, high blood
pressure, asthma, depression and anxiety. These are in addition to the social discrimination and the
stigma one faces as an overweight or obese member of society.2
The effects of obesity are lethal, and together cause an estimated 300,000 deaths per year in
the United States.3 According to the National Institute of Health, obesity and being overweight
are the second leading cause of preventable death in the United States.4 Low-income individuals
face a hardship when dealing with health issues because of their general lack of access to quality
health care, combined with a shortage of expendable income for medical expenditures and
higher deductibles. To make matters worse, low-income individuals are at higher risk of becoming
overweight or obese due to community infrastructure deficits such as the limited availability of fairly
priced produce and safe outdoor parks. In a 2010 study of more than 6,000 adults, BMI and income
were found to have an inverse relationship. Those with lower incomes were statistically more likely
to have higher BMIs and vice versa.5 According to a 2007 national study of 40,000 children, children
from lower income households had more than two times higher odds of being obese than children
from higher income households.6 Rates of severe obesity were also 1.7 times higher among low-
income children and adolescents nationwide.7
The mission for Center for the Greater Good is to eradicate poverty and create healthy communities
through innovative financial investments and distinctive strategies for community enhancement.
We have identified the following as contributing factors to the alarming poor health in low-income
communities:
     --           Limited resources and lack of access to healthy and affordable foods.
     --           Fewer opportunities for physical activity.
Instead of simply treating health conditions caused by poor nutrition, we are looking into the root of
the problem. Improved nutrition leading to reduced obesity is just one of the many ways in which we
are realizing our vision for healthy, stable communities in the United States.


Poor Nutrition in Low-Income Communities
Arguably, the main cause of disproportionate obesity in low-income communities in the United States
is limited access to resources such as healthy, affordable foods. The lack of high quality community
infrastructure in low-income areas, including full-service grocery stores and farmer’s markets8, fuel
1	        “Consequences of Adult Overweight and Obesity « Food Research & Action Center.” Food Research & Action Center. Web. 15 Nov. 2011. <http://
          frac.org/initiatives/hunger-and-obesity/what-are-the-consequences-of-adult-overweight-and-obesity/>.
2	        Consequences of Adult Overweight and Obesity
3	        U.S. Department of Health and Human Services. Overweight and obesity: a major public health issue. Prevention Report 2001;16.
4	        Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Executive summary. National Institutes of
          Health, National Heart, Lung, and Blood Institute, June 1998.
5	        “Relationship Between Poverty and Overweight or Obesity « Food Research & Action Center.” Food Research & Action Center. Web. 15 Nov. 2011.
          <http://frac.org/initiatives/hunger-and-obesity/are-low-income-people-at-greater-risk-for-overweight-or-obesity/>.
6	        Relationship Between Poverty and Overweight or Obesity
7	        Relationship Between Poverty and Overweight or Obesity
8	        Beaulac, J., E. Kristjansson, and S. Cummins. 2009. A systematic review of food deserts, 1966–2007. Preventing Chronic Disease
38 | Reports |Center for Greater Good | www.CenterforGreaterGood.com

this disparity. Residents are sometimes forced to shop for groceries in convenience stores and
other small stores, which do not offer the wide variety of fruits, vegetables, whole grains and low-
fat dairy products necessary to maintain a healthy diet.9 When healthy foods are offered, they are
often higher cost and lower quality than similar items in larger stores.10 Due to the high cost and low
quality of produce and dairy products at small grocery stores, households with limited resources are
sometimes forced to rely on cheaper, more densely caloric, non-perishable low-nutrition foods (such
as products containing processed sugar, refined grains and added fats) in order to minimize cost and
maximize caloric density.11 A 2009 study examining neighborhood disparities in food access found
that, “neighborhood residents with better access to supermarkets and limited access to convenience
stores tend to have healthier diets and reduced risk for obesity.”12
Low-income neighborhoods not only lack affordable sources of quality nutritious foods, they
commonly contain disproportionate amount of fast food restaurants (sometimes twice as many)13
which offer a low cost, convenient yet nutritionally void alternative to fresh, perishable foods.
According to a study conducted by UCLA, when asked, “46 to 49 percent of low-income teens
reported eating fast food on the previous day, compared with 37 percent of more affluent teens.”14
The scarcity of fresh, affordable, nutritious food makes it difficult for an individual with restricted
income and limited transportation to maintain a healthy diet. Unfortunately, nutrition is only half the
battle in the war on obesity.
Not only do low-income neighborhoods commonly lack community supporting retail such as full-
scale grocery stores, studies also show residents have less opportunity for physical activity. In
middle and upper class communities, it is easy to take for granted the presence of parks, trees, bike
paths and quality recreational facilities because they are abundantly available. In both urban and
rural low-income communities, green space is hard to come by and trees are few and far between.
When a park does exist, it is often ill equipped for safe inhabitance by children and even adults.
Crime, traffic, unsafe playground equipment, visual signs of trash and disrepair, and noise15 are just
some of the factors driving individuals away from public parks. Such conditions make it difficult for
them to lead active lives16, and in turn contribute to obesity.17 With parks in a state of disrepair and
the absence of bike paths, people end up spending more time engaging in sedentary activities such
as reading, watching TV, playing video games and using the computer.18 An excess of sedentary
activities can be detrimental to the development of children and teens who should be growing,
learning and exploring, socializing, developing new skills and establishing healthy habits before
transitioning into adulthood. The same UCLA study also found that, “56 percent of low-income teens
watch more than two hours of television per day, compared with 46 percent of more affluent teens.”19
Some might argue a sedentary after school lifestyle is not alarming for a teen, especially if he or
she attends public school with mandated Physical Education classes; but schools in low-income
communities have been reported to have less recess and lower-impact PE classes than other

9	      Beaulac , 2009
schools.20 In fact, of low-income teens surveyed, nearly one fifth of them admitted to not getting at
10	     Andreyeva, Tatiana, Michael W. Long, and Kelly D. Brownell. “The Impact of Food Prices on Consumption: A Systematic Review of Research
        on the Price Elasticity of Demand for Food.” Government, Politics, and Law. American Journal of Public Health, Feb. 2010. Web. 15 Nov. 2011.
        <yaleruddcenter.org>.
11	     Drewnowski A. Barratt-Fornell A. Do healthier diets cost more? Nutrition Today 2004:39:161-168.
12	     Larson, N.I., M.T. Story, and M.C. Nelson (2009). “Neighborhood Environments: Disparities in Access to Healthy Foods in the U.S.,” American Journal

13	     Driscoll, Gwendolyn. “Obesity among State’s low-income Teens Nearly Triple That of More Affluent Peers / UCLA Newsroom.” Home / UCLA
        of Preventive Medicine, 36(1): 74-81.e10.

        Newsroom. Web. 15 Nov. 2011. <http://newsroom.ucla.edu/portal/ucla/obesity-among-california-s-low-72532.aspx>.
14	     Driscoll, Gwendolyn
15	     Neckerman, K.M., M. Bader, M. Purciel, and P. Yousefzadeh (2009). “Measuring Food Access in Urban Areas,” National Poverty Center Working Paper,

16	     Powell, Lisa M., Sandy Slater, and Frank J. Chaloupka. “The Relationship between Community Physical Activity Settings and Race, Ehtnicity and
        www.npc.umich.edu/news/events/food-access/index.php

        Socioeconomic Status.” Evidence-Based Preventative Medicine I.2 (2004): 135-44. Open Mind Journals. Web.
17	     Singh, G. K., Siahpush, M., & Kogan, M. D. (2010). Rising social inequalities in US childhood obesity, 2003-2007. Annals of Epidemiology, 20(1), 40-

18	     Singh, 2010
        52.

19	     Driscoll, Gwendolyn
20	     Barros et al., 2009; UCLA Center to Eliminate Health Disparities, 2009.
www.CenterforGreaterGood.com | Center for Greater Good | Reports | 39

least 60 minutes of physical activity per week, as recommended by the Federal Dietary Guidelines
for Americans.21 Schools in low-income communities are often underfunded and do not offer the
variety of after school sports opportunities as one would find at an affluent school. Barely one third of
low-income teens were reported to be active participants in school sports teams, when almost half of
affluent teens do participate.22
The combination of poor quality food and sedentary lifestyles is leading to an epidemic of obesity in
low-income communities, causing children to become overweight and obese at an alarming rate. As
the children become teenagers and later adults, they lack the tools and education to help their own
children achieve a higher level of physical health.
Promoting Nutrition and Exercise for ResidentS
Center for the Greater Good has multiple strategies for battling obesity and promoting health in low-
income communities. We offer low interest loans for community revitalization projects and we offer
developer incentives for the creation of community support services and other improvements. One
of our strategies is to invest in community infrastructure. The current tax credit system encourages
the development of low-income housing in prime locations, walking distance to destinations such
as grocery stores, transit, parks and gyms. Housing ends up being built in prime locations, often
in middle to upper class communities, which is great for those areas and the residents of the
building. The trouble is, the system does nothing to improve communities that do not already have
the infrastructure in place. Center for the Greater Good invests in all kinds of community beneficial
projects such as: providing low cost commercial rental facilities for small businesses, and incentives
to bring grocery stores and other retailers to neighborhoods. After all, sometimes all it takes is one
project to fuel the revitalization of an entire area. Instead of moving people to areas with better
infrastructure already in place, we analyze market studies and resident input surverys to dictate
what the current infrastructure is lacking; this way, we know the project we invest in is going to be
successful. By bringing a neighborhood a grocery store, we are not only offering access to improved
nutrition; we are also giving citizens the opportunity to be employed at the grocery store. This
creates a cycle of benefits where the money invested directly impacts your community.
For projects built in infrastructure rich areas, Center for the Greater Good could potentially offer
bus passes to residents. Access to transit, in some cases, eliminates the need for a resident to own
a car; saving time and money for the resident, and reducing the strain on roads due to wear, tear
and traffic. Transit passes also allow residents to travel to grocery stores and recreation facilities
if there aren’t any within walking distance, improving their chance to engage in healthy activities.
Depending on the needs of individual communities, some housing projects contain a gym within their
facility, offering residents the most convenient, safe and cost effective access to the physical activity
everybody needs in order to live a healthy life.
The most important solution to the issue of deteriorating health in low-income communities due to
poor nutrition and lack of exercise is education. People cannot be expected to change their habits
if they are unaware of the resources provided to them, the importance of exercise and nutrition,
and how to use the gym and cook healthy, low cost meals. One of our main strategies for improved
nutrition in our residents is the existence of a community garden. A community garden is an
education tool disguised as a hobby. It can be tended to and enjoyed by residents of all ages, and
the food grown can be used in community meals. Residents can take pride in their own ability to
grow and cook healthy foods.




21	    Driscoll, Gwendolyn
22	    Driscoll, Gwendolyn
40 | Reports |Center for Greater Good | www.CenterforGreaterGood.com

Education and Access to Infrastructure are key to Breaking
the Cycle of Poor Nutrition
The obesity epidemic in the United States is a growing concern in all communities, but low-income
communities produce a disproportionate percentage of overweight and obese individuals. “Our
neighborhoods are literally making us fat,” said Susan H. Babey, one of the authors of UCLA’s policy
brief. “We need better strategies and more thoughtful urban planning if we are going to make our
towns and cities livable, not just places where we live.”23 Fortunately, Center for the Greater Good
offers an innovative financial model for community revitalization projects, bundled with community
support services to ensure success.




23	     Driscoll, Gwendolyn
BMI and
income have
   an inverse
 relationship.
       - Food Research & Action Center




                                  43
WHITE PAPER
  REPORT
www.CenterforGreaterGood.com | Center for Greater Good | Reports | 45

Resident Health, Practices and Materiality
The correlation between building materials and occupant health has become undeniable over the
past twenty years. As time goes on, it is clear the lower income population in the United States
bears the brunt of the damage. On average, Americans spend 90% of their time indoors.1 Besides
the obvious health benefits of spending time outdoors (such as natural Vitamin D exposure, mood
enhancement, and outdoor exercise), too much time inside can be dangerous if one occupies a
space with poor Indoor Air Quality (IAQ). According to the Environmental Protection Agency, indoor
levels of pollutants may be two to five times higher, and occasionally more than 100 times higher, than
outdoor levels.2 Exposure to indoor air pollutants has been linked to life threatening diseases, the
most common of which is asthma. One in five people have asthma. Every day, asthma in the United
States causes: 40,000 people to miss school or work, 5,000 people to visit the emergency room,
1,000 people to be admitted to the hospital for an average of 3 days, and 11 people to die.3
The annual cost of asthma in the United States is estimated to be nearly $18 billion, $10 billion of
which is the direct cost of hospitalization.4 With healthcare costs as high as they are, those who are
truly burdened by this disease are the low-income population. According to a UCLA study, a low-
income individual is twice as likely to visit the emergency department due to asthma when compared
to higher-income individuals, and once there, they are six times as likely to be hospitalized.5
“The poorest among us suffer most because they lack quality health care and live in high-risk
environments,” said Ying-Ying Meng, a Senior Research Scientist with the UCLA Center for Health
Policy Research. “That disparity also burdens our health system with costly emergency care and
hospitalizations and extracts the additional high cost of millions of lost days of work and school.”
Meng added, “Asthma has the potential to be debilitating, but it can be effectively controlled through
appropriate medical care and avoidance of triggers.”6 The Center for the Greater Good is dedicated
to solving the problem of poor health in communities, instead of simply treating the condition. We
have spent countless hours alongside our developer partners identifying the best practices in
community development building design, with the objective of reducing the effects of asthma and
other health concerns caused by poor IAQ.


The Air we Breathe is Slowly Poisoning Us
It is easy to identify the source of poor IAQ in buildings and to recognize how pollutants affect
the residents’ overall quality of life; the difficult part is eliminating them. Sources of indoor air
pollution may include: combustion sources; building materials and furnishings; household cleaning,
maintenance, personal care, and hobby products; central heating and cooling systems and
humidification devices; and outdoor sources such as radon, pesticides, and outdoor air pollution.7
The Center for Disease Control warns that indoor contaminants such as dust mites, molds,
cockroaches, pet dander, secondhand smoke and some chemicals can trigger asthma attacks.8
Moving forward, there are strategies to improving IAQ that have the potential to decrease the

1	    The Inside Story: A Guide to Indoor Air Quality. U.S. EPA/Office of Air and Radiation. Office of Radiation and Indoor Air
      (6609J) Cosponsored with the Consumer Product Safety Commission, EPA 402-K-93-007.
2	    The Inside Story
3	    Asthma and Allergy Foundation of America - Information About Asthma, Allergies, Food Allergies and More! Web. 13 Nov.
      2011. <http://www.aafa.org/display.cfm?id=8>.
4	    Asthma and Allergy Foundation of America
5	    Driscoll, Gwendolyn. “Asthma Disproportionately Affects Low-income Populations | UCLA Center for Health Policy
      Research.” UCLA Center for Health Policy Research. UCLA, 10 Dec. 2010. Web. 13 Nov. 2011. <http://www.healthpolicy.
      ucla.edu/NewsReleaseDetails.aspx?id=71>.
6	    Asthma Disproportionately Affects Low-income Populations
7	    “Indoor Air Home | Air.” US Environmental Protection Agency. Web. 13 Nov. 2011. <http://www.epa.gov/iaq/>.
8	    Asthma Prevalence, Health Care Use and Mortality: United States, 2003-05, http://www.cdc.gov/nchs/products/pubs/pubd/
      hestats/ashtma03-05/asthma03-05.htm
www.CenterforGreaterGood.com | Center for Greater Good | Reports | 47

burden of asthma and other preventable health concerns for communities; the greatest challenge is
completing renovation and demolition of existing structures without releasing harmful chemicals and
dust particles into the air and soil.


Best Practices in Healthy Building Design and Construction
The Center for the Greater Good works with foundations and investors to build communities in a
financially innovative way with innovation extending to every aspect of the projects we fund. We
strive for buildings that are designed with the resident’s health in mind. Our Best Practices in design
are focused around passive methods for improved materiality, increased natural light and improved
air circulation. The Center for the Greater Good encourages developers to invest in natural, durable
building materials that do not off gas. Ideal building materials contain recycled content; come from
natural, plentiful or renewable sources; have a resource-efficient manufacturing process; are locally
available; are salvaged, refurbished or remanufactured; are recyclable or reusable; durable; are
low or non toxic; output minimal chemical emissions; have a low VOC assembly; are moisture
resistant; and are healthfully maintained. We encourage developers to design buildings with
maximum indoor exposure to natural light as part of our commitment to further improve resident
health and reduce energy costs associated with lighting. The benefits of natural light include:
reduced energy consumption; reduction of mildew or mold buildup; natural vitamin D exposure;
increased productivity experienced for occupants; and improved interior visual appeal.9 We also
stress the importance of fresh air. Air circulation removes stale air and dissipates pollutants. Filtering
mechanically circulated air cuts down on the distribution of mold, mildew, dust, allergens, pet dander,
and other potentially dangerous particles.
The Center for the Greater Good does more than strive to build better quality buildings. We also
encourage the healthiest possible strategies of construction, maintenance and eventual demolition.
Our developer partners work with only the highest quality construction firms to ensure two concepts
on the job site: the proper installation and implementation of new building materials and strategies;
and the best practices for building construction, renovation and demolition. Many approaches with
the purpose of improving building efficiency and occupant health (such as the use of new materials
and construction methods) require special installation. It is important that time and care be taken
during the strategy implementation process to ensure the building functions as planned. The best
practices for building construction, renovation and demolition must also be followed to preserve IAQ
by reducing the release of contaminates into the air. Examples of practices include: the isolation of
construction work areas from occupied areas through the use of appropriate containment barriers;
the negative pressurization of construction work areas and/or the positive pressurization of occupied
areas to prevent the migration of air contaminants; and maintenance of an adequate unoccupied
buffer zone around the work areas to allow for construction or renovation traffic.


Improve the Quality of the Air, Improve the Quality of the Life
Asthma affects one out of five Americans, but it affects the low-income population at a far higher
rate, partially due to hazardous living conditions. Society will benefit from a reduction in asthma
among the low income population because it can recover some of the $18 Billion spent annually
on asthma treatment. Individuals and society will also benefit financially by missing work less due
to asthma symptoms. Children living an asthma free life will develop more active lifestyles and
miss school less often. The Center for the Greater Good, alongside our developer partners and
foundations, is investing in proactive solutions to poor health in communities.
9	     “Natural Lighting Strategies and Benefits | One Green Planet.” One Green Planet | One Green Planet | One Green Planet Is
       an Online Ecosystem That Draws Links between the World of Ecology, the Environment, Animals and Vegan Living. Web.
       13 Nov. 2011. <http://www.onegreenplanet.org/lifestyle/natural-lighting/>.
Outcomes evaluations criteria




                                 YOUR COMMUNITY’S

                                  Social
                                Obligation
                                 Households of lower income
                                 have higher levels of stress
                                 which is damaging to a child;
                                 especially when paired with
                                 criminal activity, neglect, or
                                 substance abuse.
www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 49




                  Lower-income youths can be
                  susceptible to illegal forms of
               income, leading to grave effects on
                            families.
                                                     -Children’s Environmental Learning and the Use, Design
                                                                         and Management of Schoolgrounds




I
   n low-income households where            child’s social behavior due to criminal     mental health problems, delinquency,
   the head of the family is lacking the    activity in the home is the consequence     teen pregnancy, school absenteeism
   education and opportunity to make        most readily observable. According to       and failure, isolation, and poor peer
a decent living to support his or her       the Office of Justice Programs, children    relations.” Children from these homes
family, some resort to illegal activities   growing up among the chaos of illegal       are also more likely to follow in their
to bring money into the household.          activity exhibit disorderly behavior        parents’ footsteps, engaging in criminal
Though the short term justification for     and experience delays in cognitive          activity themselves.
criminal activity may keep a family off     functioning, including “low self-esteem,
the streets, the long term effects for      a sense of shame, and poor social
children growing up in an unstable          skills.”


                                            o
household are almost immeasurable.                 bserving illegal activities in the


I
  nfants in homes with criminal activity,          home as a child and growing
  such as meth lab homes, are more                 up in an unstable environment
  likely to be severely neglected and       can lead to undesirable teen behaviors.
physically abused. The effects on a         Consequences include “emotional and
Single parent
households
experience high
stress due to
lower income
and lack of
support.
       - Child Welfare Information Gateway
51
52 | Section 1 | Center for Greater Good | www.CenterforGreaterGood.com




  Primary Concern: Social Responsibility

  Sub Concern: Crime
  Primary Impact                    Current Conditions                            Service Intervention
  Children                   ü     Lower-income youths can be susceptible         After-school programs;
                                   to illegal forms of income generation,         youth volunteer programs.
  Adults                           leading to potential incarceration, or
  Seniors                          death, with grave effects on families.

  Community
                             ü
  Primary Outcome
  Youths engaged in productive activities leading to reduced vandalism, violent crimes and drug use.
  Enhanced self-esteem.


  Sub Concern: Community Pride
  Primary Impact                    Current Conditions                             Service Intervention
  Children                   ü     High rates of resident mobility results in a   Neighborhood Watch;
                                   lowered sense of community commitment          Safe Neighborhood Action
  Adults                     ü     and attachments among residents,               Programs; neighborhood
                                   contributing to increased crime and drug       volunteer programs; youth
  Seniors                    ü     use.                                           volunteer programs.
  Community                  ü
  Primary Outcome
  Improved community safety from increased social relationships and trust.


  Sub Concern: Domestic Violence, Child Abuse/Neglect
  Primary Impact                    Current Conditions                            Service Intervention
  Children                         Children in low-income families are more       Family education and
                             ü     likely to be maltreated due to parental        life skills training; child
  Adults                     ü     stress.                                        protective services referrals.
  Seniors
  Community

  Primary Outcome
  Reduction in number of victims.
Children in low-income families, many times,
       are more likely to be maltreated.
                            -US Department of Health and Human Services
CORE & ENHANCED PROGRAMS

                         Section 2

               Core &
             enhanced
              services
Core & enhanced services
The Outcomes Evaluations Criteria document from Section 1
identifies the issues we seek to solve by offering on-site services
in the communities we are involved in. This section, the Core and
Enhanced Programs, is more specific about available programs
and the measurable indicators associated with each program.
The listed programs are divided into two main categories and
two sub-categories. The main categories are Family Housing and
Senior Housing, because they are typically housed in separate
locations and the residents have distinct needs. The sub-
categories are Core Programs and Enhanced Programs. Core
Programs are typical services which are already in place at many
housing facilities. Enhanced services are innovative solutions
which involve community interaction to solve the problem.


METHODOLOGY
Our process for creating the Core and Enhanced Programs List
included taking all the priority interventions and classifying them
into the four categories previously listed. With the help of Project
Access, LifeSTEPS, and Success Measures, we matched each
intervention with every affected indicator and significant research
data.
The evaluation method we created is different than the methods
already being implemented throughout the industry because it
utilizes a variety of data collection methods and types. We not
only record how many residents are receiving each service, but
we also analyze resident surveys and factual data, such as death
rate or change in GPA.
“We are a
constantly
 maturing
  species!“
     -Terry Mollner, Chair, Trusteeship Institute, Inc.




                                                 55
CORE & ENHANCED PROGRAMS




                             Programs for

                           Seniors
                           This section is a description
                           of our concerns, measurable
                           indicators, and interventions.
                           These strategies are to be
                           implemented at low-income
                           family housing facilities.
www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 57



Concern: Education
Core Services
Intervention                  Indicators with Outcomes
          Computer Training   Computer skill level

                              Number of residents achieving employment

                Art Classes   Number of residents attending	

                              Self-reported mental health improvement

          Community Library   Access to books


Enhanced Services
Intervention                  Indicators with Outcomes
               ESL Classes    Number of residents attending	

                              Number of residents completing

                              Improvement in communication skills
58 | Section 2 | Center for Greater Good | www.CenterforGreaterGood.com




  Concern: Health
  Core Services
                        Intervention         Indicators with Outcomes

              Referrals to Agencies          Number of residents referred

                   “I’m OK” Program          Number of volunteers checking on seniors

                      Health Classes         Self-reported health improvement

                                             Obesity rate	

                                             Number of hospital visits	

                                             Number of ER visits

                                             Self-reported diet improvement	

                   Growth Programs           Self-reported improvement	

                   Grocery Delivery          Number of residents receiving service

               Insurance Education           Number of residents with health insurance

              Household Education            Cleanliness of residence

                   Nutrition Classes         Number of residents attending
www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 59


                                  Number of nutrition related health issues

                                  Self-reported health improvement	

     Healthy Cooking Classes      Number of residents attending

                                  Self-reported diet improvement

Drug and Alcohol Awareness        Number of residents attending

                                  Substance abuse rate

              Fitness Classes     Number of residents regularly attending

                                  Obesity rates	

                                  Self-reported health improvement

         Community Gardens        Self-reported diet improvement

                                  Community pride

      Household Maintenance       Number of residents receiving service

                                  Percent of residences considered clean	

                  Health Fairs    Number of residents attending

                                  Self-reported health improvement

         Health Clinic On-Site    Number of residents served

                                  Self-reported health improvement

Transportation to Practitioners   Number of residents transported

   Food Banks and Donations       Number of residents served

   Fresh Fruit and Vegetables     Self-reported diet improvement

                   Counseling     Number of residents served

                                  Self-reported improvement in stress reduction


Enhanced Services
                Intervention      Indicators with Outcomes
       Health Adult Day Care      Number of residents served

                                  Self-reported physical and mental health
Who says you
can’t change
your stripes?   61
62 | Section 2 | Center for Greater Good | www.CenterforGreaterGood.com



  Concern: Economic Stability
  Core Services
                        Intervention         Indicators with Outcomes

                Crisis Management            Number of residents served

                                             Resolution success rate

                 Eviction Prevention         Eviction rate	

     Temporary Cash Assistance               Number of residents served

                                             Number of residents attending mandatory counseling

                                             Percent repayment	

        Financial Literacy Classes           Number of residents attending

                                             Default rates

                                             Credit scores

                                             Savings rate	

                                             Financial literacy

      Entrepreneurship Programs              Number of residents completing

                                             Number of businesses started

                                             Number of businesses that are going concerns	

              Local Retail Partners          Number of partners	

       Home Ownership Courses                Number of residents attending & completing

                                             Number of residents that purchase homes

  Enhanced Services
                        Intervention         Indicators with Outcomes
             Linkages to Discounts           Number of residents served

                                             Number of partner businesses

                 Mediation Services          Number of residents served
www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 63




                                  Percent of cases successfully resolved

          Supportive Housing      Number of residents served

                                  Number of hospital visits

                                  Number of ER visits	

       Guardianship Services      Number of residents served

Partnerships with Local Stores    Number of residents served

     Van Pools/ Bus Vouchers      Number of residents served

                                  Percent increase in access to education and employment

 Translation and Interpretation   Number of residents served
www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 65



Concern: Social Obligation
Core Services
              Intervention     Indicators with Outcomes

  Intergenerational Programs   Number of mentors	

                               Number of youth participating

                               Positive influence on youth	

                               Vandalism	

                               Substance abuse

                               Reading scores of students

                               Math scores of students

       Neighborhood Watch      Vandalism

                               Crime rate	

             Special Events    Number of events	

                               Number of residents attending	

            Personal Safety    Number of residents attending preparedness workshops	

                               Number of emergency drills
CORE & ENHANCED PROGRAMS




                             PROGRAMS FOR

                           Families
                           This section is a description
                           of our concerns, measurable
                           indicators, and interventions.
                           These strategies are to be
                           implemented at low-income
                           family housing facilities.
www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 67



Concern: Social Obligation
Core Services
Intervention                     Indicators with Outcomes
     Youth Volunteer Program     Number of youth participating

                                 Number of juvenile arrests

                                 Vandalism

                                 Substance abuse

           Youth Employment      Number of youth employed

         Mentoring Programs      Number of mentors

                                 Number of youth participating

                                 Positive influence on youth

                                 Vandalism

                                 Substance abuse

                                 Reading scores of students

                                 Math scores of students

           Parenting Classes     Number of parents attending and completing	

                                 Self-reported improvement in family life

     Child Protective Services   Domestic abuse reports

        Neighborhood Watch       Vandalism

                                 Crime rate

                Special Events   Number of events

                                 Number of residents attending

               Personal Safety   Number of residents attending preparedness workshops	

                                 Number of emergency drills
68 | Section 2 | Center for Greater Good | www.CenterforGreaterGood.com



  Concern: Education
  Core Services
  Intervention                               Indicators with Outcomes
       Early Childhood Education             Number of children attending

                                             Reading scores of students

                                             Percent of children prepared to begin elementary school

              After-School Tutoring          Number of children/youth attending

                                             Math scores	

                                             Reading scores

                                             Report cards-GPA

                                             Vandalism rate

                                             Substance abuse

                                             Number of juvenile arrests

                                             High school graduation rate

                                             Grade retention rate	

                  Computer Training          Computer skill level

                                             Number of residents achieving employment

                                             Unemployment rate

                    School Supplies          Number of children with supplies

  Summer Enrichment Programs                 Number of children/youth attending

                                             Substance abuse

                                             Vandalism rate

                                             Number of juvenile arrests	

                 Community Library           Access to books

                           Child Care        Stress levels of single employed parents

                                             Parent access to education and employment
www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 69


    Student Career Programs   Percent admittance to community colleges and universities

                              High school graduation rate

                              Standardized test scores

               GED Classes    GEDs attained

                              Math scores of students

                              Reading scores of students


Enhanced Services
Intervention                  Indicators with Outcomes
               ESL Classes    Number of residents attending

                              Number of residents completing

                              Self-reported improvement in communication skills

               Scholarships   Number of requests		

                              Number of residents served

                              Success rate to further education
49 percent
of American
babies born into
poor families
will be poor for
at least half their
childhoods.   -Urban Institute, 2010
71
72 | Section 2 | Center for Greater Good | www.CenterforGreaterGood.com



  Concern: Health
  Core Services
  Intervention                               Indicators with Outcomes
                    Health Referrals         Number of residents referred

    Health and Wellness Classes              Self-reported health improvement

                                             Obesity rate	

                                             Number of hospital visits

                                             Number of ER visits	

                                             Self-reported diet improvement

         Youth Obesity Prevention            Obesity rate	

                                             Diabetes rate	

      Health Insurance Education             Number of resident with health insurance

          Household Maintenance              Cleanliness of residence	

                 Nutritional Courses         Self-reported diet improvement

                                             Number of nutrition related health issues	

         Healthy Cooking Classes             Number of residents attending

                                             Self-reported diet improvement

    Drug and Alcohol Awareness               Number of residents attending

                                             Substance abuse rate

                     Fitness Classes         Number of residents regularly attending	

                                             Obesity rates	

                                             Self-reported health improvement

               Community Gardens             Self-reported diet improvement

                                             Community pride

                          Health Fairs       Number of residents attending

                                             Self-reported health improvement
www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 73


 Transportation-Van Pools    Number of residents transported

Food Banks and Donations     Number of residents served

Fresh Fruit and Vegetables   Self-reported diet improvement

               Counseling    Number of residents served

                             Self-reported improvement and stress reduction
74 | Section 2 | Center for Greater Good | www.CenterforGreaterGood.com



  Concern: Economic Stability
  Core Services
  Intervention                               Indicators with Outcomes
                 Resident Advocacy           Number of residents served

         Resolution Success Rate

                  Job Skills Training        Unemployment rate	

                                             Number of residents achieving employment	

                                             Income gains	

                                             Percent and age of trainees that find jobs

                                             Number of residents employed after 1 year

                             Job Fairs       Number of residents attending

                                             Unemployment rate	

                                             Income gains	

                 Eviction Prevention         Eviction rate	

     Temporary Cash Assistance               Number of residents served

                                             Number of residents attending mandatory counseling	

                                             Percent repayment	

        Financial Literacy Classes           Number of residents attending

                                             Default rates	

                                             Credit scores	

                                             Savings rate	

                                             Financial literacy	

        Entrepreneurship Courses             Number of residents completing

                                             Number of businesses started

                                             Number of businesses that are having concerns

     Partners with Local Retailers           Number of partners
www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 75


  Home-Ownership Education       Number of residents attending and completing

                                 Number of residents that purchase homes


Enhanced Services
Intervention                     Indicators with Outcomes
        Linkages to Discounts    Number of residents served

                                 Number of partner businesses

          Medication Services    Number of residents served

                                 Percent of cases successfully resolved	

 Partners with Local Retailers   Number of residents served

                                 Percent of cases successfully resolved	

                                 Number of graduates employed after 1 year	

          Supportive Housing     Number of residents served

                                 Number of hospital visits

                                 Number of ER visits	

Partnerships with Local Stores   Number of residents receiving products

   Van Pools or Bus Vouchers     Number of residents served

                                 Percent increase in access to education and employment

       Interpretation Services   Number of residents served
WHITE PAPER
  REPORT
www.CenterforGreaterGood.com | Center for Greater Good | Reports | 77

Measurements and Outcomes
Center for the Greater Good has done over a thousand hours of research into best practices
and programs to develop a comprehensive set of outcomes under categories such as Health,
Education, Economic Stability and Social Responsibility. Outcomes range from reducing eviction
rates, increasing education levels, improving overall health to increasing a sense of community,
green outcomes and encouraging entrepreneurship. Our approach ensures that measurements are
based on outcomes rather than the typical approach of simply measuring impact by attendance at
scheduled programming.
In collaboration with seasoned social service providers, we have created a list of interventions for
each desired outcome. Also, for each desired outcome, we have created a list of affected indicators
to be measured. The interventions are categorized into two menus - Core Programs and Enhanced
Programs.


True Impact
While we do track attendance, our measurements are designed to measure the effectiveness of
the programs. Each of the outcomes are mapped with specific indicators to assess the true impact
and effectiveness of the social services. For example, in the case of an after-school program, math
scores, reading scores, report cards (GPA), vandalism rates, substance abuse rates, juvenile arrest
rates, high school graduation rates, and grade retention rates are measured.


Accountability
Based on the metrics, progress towards outcomes can be accurately assessed. In case a particular
social service program does not show significant progress towards the desired outcomes, the
program can be re-analyzed, reinforced with additional resources, or replaced by another more
effective program. This keeps the providers accountable for ensuring the efficiency and efficacy of
the programs they provide.


Transparency
Measurements also serve the purpose of making the outcomes of any community completely
transparent. Technology tools coupled with scientific data analysis will be used to provide regular
progress reporting to foundations and investors.
In addition to providing these reports, Center for the Greater Good will also make the process of
creating the integrated social service plan, as well as the resulting measurements, publicly available
so that the model can be replicated in other communities.
WHITE PAPER
  REPORT
www.CenterforGreaterGood.com | Center for Greater Good | Reports | 79

The Continuum Fund

Abolishing Poverty Throughout a Lifetime
Many philanthropic ventures focus on a specific solution to a problem. However, when applied to
the problem of poverty, this way of thinking is flawed. There is not a singular reason for poverty
and therefore no singular solution. This is why Center for the Greater Good purposes addressing
people’s needs throughout their life, from birth to old age; the entire continuum. Our goal is to supply
people with the tools needed to live a life well above the poverty line and caters to the specific
challenges unique to each individual.


Housing
Supportive Housing – Extremely Low Income. The goal of this program is to assist the homeless.
Getting into a safe and healthy environment is the first step towards breaking the binds of poverty. In
addition to providing housing, supportive housing is closely tied to the services that help people work
through substance abuse, addiction/alcoholism, mental illness, HIV/AIDS, and other obstacles to
living a successful life.
Public Housing – Very Low Income. This program helps the individuals at the borderline of
homelessness. People often turn to illegal and dangerous activities in order to survive, by providing
public housing we are able to keep families moving up and out of poverty. With the burden of paying
rent reduced, individuals are able to focus employment and obtaining the life skills necessary to
break the binds of poverty.
Section 8 Housing – Income Ranges. This program provides vouchers to low-income individuals
or families so they can afford safe and decent housing in the private sector. This subsidized program
requires participants to contribute no more than 30 percent of their income to housing expenses
(rent and utilities). The participant is allowed to choose his or her own housing environment, as
long as it is at or below the ‘market average’ as determined by the U.S. Department of Housing and
Urban Development (HUD).
Senior Housing – Income Ranges. This category of housing is designed for seniors of many
income levels, especially those living on a fixed income. Senior housing is commonly equipped with
social services in the category of health and community involvement.
Low-Income Student Housing – Low Income. The purpose of this program is to open the
opportunity of higher education to people with a wider range of incomes and situations than the
current market. Low-income families typically face a barrier to entry when seeking to obtain self
sufficiency due to a lack of education; leading to limited career progression potential. Low-income
student housing is designed to meet the needs of individuals with or without families who seek to
further their education.
Workforce Housing– Low Income. This program serves to bridge the gap between dependence
and self sufficiency. Aimed at helping families and individuals with low cost housing when their
incomes do not support the most basic of needs. Through this program, tenants are obligated to pay
30% of the given rent themselves. This ensures that families have a safe and healthy environment
despite the fact that they could not afford it entirely on their own.
Market Rate – Average or Above Average Income. This is the ultimate goal. By improving health,
education, and income we strive to have every individual move into market rate housing. It is at this
point that we see people living self sufficient lives supported by themselves.
80 | Reports |Center for Greater Good | www.CenterforGreaterGood.com
www.CenterforGreaterGood.com | Center for Greater Good | Reports | 81

Health
Our goal is to maximize health throughout the entirety of each person’s life by focusing on the
following areas:
     --     Prenatal Care
     --     Mental Health
     --     Nutrition, Malnutrition, Asthma and Obesity
     --     Cancer
     --     End of Life Care/Funeral Services


Education
Poverty and poor education are a vicious circle. We encourage learning at every level by utilizing
these programs:
     --     Early Childhood Education
     --     GED Assistance
     --     Job Training
     --     College Prep
     --     Income Development
It is a fact, that in order for families to be self sufficient and remain above the line of poverty, income
has to increase. Our health and education programs heavily influence a person’s ability to earn
income, but that does not guarantee employment. To combat this, we equip individuals with the
specific tools to move up in the work force and provide opportunities for adequate employment.
Examples of programs that focus on employment are:
     --     General Education
     --     Degree/Certificate Assistance
     --     Interview Skills/Career Skills
     --     Job Preparation
     --     Networking Opportunities
     --     Job Placement
There is no “one-size fits all” for eradicating poverty, but when housing, health, education, and
income are addressed we will see improvements across the board. We aim to enable families and
individuals to take more than a step away from poverty, we want them to keep moving and improving
their lives until they are completely above the poverty line, which is why we choose to focus on the
full continuum of factors related to poverty. Through the combination of all of our programs, we can
help people throughout the entire process, and in time, we will see poverty in the United States
destroyed.
THE CONTINUUM FUND




                       Extremely
                      Low Income




                     Supportive Housing is                        The purpose of Public                           Section 8 Housing
Supportive Housing




                                                 Public Housing




                                                                                              Section 8 Housing




                     a temporary solution                         Housing is to provide                           vouchers allow recipients
                     to homelessness. Its                         stability to individuals                        to receive assistance,
                     purpose is to provide                        and families who are at                         keeping the freedom
                     safety to high risk                          risk of homelessness                            to choose their own
                     individuals and to help                      or were formerly                                housing. Freedom
                     them find permanent                          homeless. Residents                             lets recipients focus
                     housing. Services include                    are reintroduced into                           on friends, family and
                     encouraged sobriety and                      society and interventions                       increasing their income.
                     severe mental health                         are used to inspire them
                     interventions.                               to pursue financial self
                                                                  sufficiency.
www.CenterforGreaterGood.com | Center for Greater Good | Section 3 | 83

                                                                 Low-Income Senior




                                               Senior Housing
                                                                 Housing is designed to
                                                                 allow seniors to age in
                                                                 place and live out their
                                                                 lives in a healthy and
                                                                 productive fashion.




                                                                                                                           Above Average
                                                                                                                              Income




                    Workforce Housing helps                      Low-Income Student                                        Market Rate Housing
Workforce Housing




                                               student Housing




                                                                                                     Market Rate Housing




                    low wage employees live                      Housing is designed to                                    is the goal for all
                    in the neighborhoods                         support children, families                                residents housed by the
                    they work in, cutting                        and individuals who                                       Continuum Fund. Once
                    commute time and cost,                       wish to pursue higher                                     they achieve financial
                    improving the quality of                     education. Services focus                                 self-sufficiency, residents
                    life for individuals and                     on meeting students’                                      are educated, happy,
                    families. The time and                       needs and increases the                                   sober and involved in the
                    money saved allows our                       likelihood of completing                                  community. Residents no
                    the recipients to take                       school.                                                   longer need supportive
                    full advantage of the                                                                                  services.
                    interventions offered to
                    them.
WHITE PAPER
  REPORT
Good Life Guidebook by Center for the Greater Good
Good Life Guidebook by Center for the Greater Good
Good Life Guidebook by Center for the Greater Good
Good Life Guidebook by Center for the Greater Good
Good Life Guidebook by Center for the Greater Good
Good Life Guidebook by Center for the Greater Good
Good Life Guidebook by Center for the Greater Good
Good Life Guidebook by Center for the Greater Good
Good Life Guidebook by Center for the Greater Good
Good Life Guidebook by Center for the Greater Good
Good Life Guidebook by Center for the Greater Good
Good Life Guidebook by Center for the Greater Good
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Good Life Guidebook by Center for the Greater Good

  • 1. THE GOOD LIFE Guidebook For Impact Measurement
  • 2.
  • 3. THE GOOD LIFE Guidebook For Impact Measurement v 1.0
  • 4. INTRODUCTION research Ravi Hanumara Robert Taunton Seth Olsen White Papers Ravi Hanumara Rachel Goldman Partners Better Tomorrows Project Access Life Steps Special Thanks John O’Donnell Caleb Roope Geoffery Brown Steve White Jon Webb William Hirsch Jim Silverwood John Huskey Aaron Mandel Gary Downs David Reznick Suzie Hsieh Listed above are some of our most notable recent accomplishments. This information is compiled by Center for the Greater Good 430 East State Street Eagle, ID 83616 See contact page for full disclaimer. All rights reserved © 2012 Center for the Greater Good
  • 5. www.CenterforGreaterGood.com | Center for Greater Good | Introduction | 5 Close-up on: The Good Life CEO and Founder, John Belluomini, takes the stage What began as the personal mission of the we have focused on 4 main areas found to limit Center for the Greater Good’s founder, John one’s potential to achieving self-sufficiency: Belluomini, is now a comprehensive tool aimed economic stability, education, health and social at reinvigorating communities by focusing on the responsibility. With the help of LifeSTEPS, we people who live in them. John’s vision to create have drilled down into each of these areas, a stable living environment for the working class identified interventions and found programs to as a means to eradicate poverty is the driving help people reach positive outcomes. force behind this guidebook. This is just the beginning. It is our collaborative Reflecting on the positive interventions he partnerships and the knowledge they have received from teachers in school, John began shared with us that have enabled us to his research on the cause and effects of what envision the future of sustainable financial and keeps communities in intense poverty and healthy community development practices. what helps create more stable middle-class We understand the interconnected nature of environments. After over 3 years of research, the issues supporting poverty. We are here to we are now releasing this guidebook to share collaborate and share resources so that we may our findings and perpetuate a more holistic all study, evolve and enhance what truly makes approach in community rehabilitation: focus on communities thrive; the people. the people first. Our research has shown us two main things: the essential need for people-driven interventions and the importance of properly tracking and measuring the success of intervention programs. Here you will find our research summarized and our methodology for impact measurement outlined. In this guidebook
  • 6. Contents. Section 1 Outcome Evaluations Criteria p.8 Social Obligation p.48 Economic Childhood Health & Stability Education Wellness p.10 p.20 p.28 White White White White Paper- Paper- Life Paper- Paper- Air Financial Skills Obesity Quality Freedom p.18 p.36 p.44 p.16
  • 7. Section 2 Core & Enhanced Services p.54 White Paper- Outcomes p.76 Section 3 White Senior Family Paper-The Services Services Continuum p.56 p.66 Fund p.78 Housing Cycle of End Types Chart Assessment p.94 p.82 p.86 White White White Paper- Paper- Paper- Citizens Community Open Space First p.90 p.92 p.84
  • 8. Outcomes evaluations criteria Section 1 Outcome evaluations Outcome Evaluations Criteria The charts in this section describe the thought process behind Center for the Greater Good’s Outcome Evaluations Criteria. The first step toward measuring outcomes is to identify a broad problem. Broad problems (such as Economic Instability, Poor Education, or Deteriorating Health) typically have multiple causes and require a variety of interventions. Our process breaks each broad problem into sub-concerns and identifies a positive outcome for participants. Through research and strategic partnerships, Center for the Greater Good has identified one or more interventions for each sub-concern. We intend to use the identified interventions to communicate with social service providers the best methods for impacting residents in a meaningful and measurable fashion. Measurement indicators provide insight on the progress of interventions and feedback on how to move forward. MethoDology Our process behind developing our Outcomes Evaluations Criteria began with countless hours of research and numerous interviews with housing developers, social service providers, on- site resident coordinators and other field experts. We eventually identified four main concerns which act as barriers to ending transgenerational poverty. After identifying the concerns, we created an information matrix of sub-concerns cross-referenced with our database of articles; this allowed us to identify indicators which have been linked to the concerns. Through a year long collaboration with leading national and regional non-profit social service providers we have identified interventions to address each of the indicators we set out to study.
  • 9. “Real change can be achieved!” -Christoph Gabler, Senior Vice President, AEGON 9
  • 10. Outcomes evaluations criteria YOUR COMMUNITY’S ECONOMIC STABILITY Concerns associated with the individual economic household stability effect the community including youth, adults and seniors.
  • 11. www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 11 Primary Concern: Economic Stability Sub Concern: Alleviating Poverty Primary Impact Current Conditions Service Intervention Children ü The number of unemployed persons Crisis prevention; increased 60% from 2008-2009. Less affluent partnering with local Adults ü households are more likely to have unmet stores for employment; Seniors needs, less stable employment, and less food banks; relocation ü comprehensive medical coverage. Three counseling; referrals to Community quarters of all households with incomes below agencies. ü the poverty line spend over 50% of their Primary Outcome incomes on rent, eliminating funds for fresh food, utilities, medical care or childcare. About Families and individuals 26% of renters spent more than half of their stabilized/successfully pre-tax incomes on rent and utilities in 2009. housed. Sub Concern: Barriers to Home Ownership Primary Impact Current Conditions Service Intervention Children Low-income residents saddled with low Credit counseling; financial ü savings, poor credit and lacking the literacy and family savings Adults ü understanding of the pathway to home courses; home ownership Seniors ownership. educational courses. Community Primary Outcome Increased income, improved credit scores, readiness for home purchase through increased savings and contributions to IRA’s. Sub Concern: Limited Mobility Options Primary Impact Current Conditions Service Intervention Children ü Low-income residents who rely on Van pools or vouchers for public transportation lack access to jobs, tickets on public transit. Adults ü educational opportunities and needed services, if transportation is not available Seniors ü or has limited service. Community ü Primary Outcome Increased income and educational achievement.
  • 12. Outcomes evaluations criteria Sub Concern: Poor Socioeconomic Success Primary Impact Current Conditions Service Intervention Children ü Adult outcomes are far worse for poor Jobs skills and job children than non-poverty children. The readiness training; ESL Adults ü likelihood of not completing high school courses; financial literacy Seniors is three times greater. The likelihood and family savings courses; of having a non-marital birth is 3 times income supplements to Community ü greater. A third of poor children spend further education; child half their early adult years in poverty. care; partnerships with Only a third of poor boys go on to have local businesses to hire consistent employment in early adulthood. graduates of computer training courses. Primary Outcome Removes barriers to continuing education. Improved job skills and job readiness. Increased employment and average wage and income. Improved English test scores. Child care allows single parents to be employed and gain education. Increased educational level correlates to higher standard of living, improved lifestyle and higher self-esteem. Sub Concern: Risk of Homelessness Primary Impact Current Conditions Service Intervention Children ü Homelessness is a condition that erodes Emergency assistance; a family’s sense of security, privacy, eviction prevention Adults ü stability, control and emotional and counseling; resident Seniors physical health. Homelessness increased advocacy and counseling; ü 3% from 2008-2009 and homeless temporary cash assistance; Community families increased 4% (highest of all sub- mediation services for ü populations). About one quarter to one tenants in housing; referrals third of homeless individuals have serious to other support services; mental illness. Homeless children suffer supportive housing; from malnutrition, lead poisoning and partner with local stores other serious medical conditions. 30% of and agencies to provide parents report chronic medical issues. provisions and employment. Primary Outcome Lower eviction rate and family stabilization. Reduced frequency of unwanted moves disrupting educational instruction and academic performance.
  • 13. www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 13 Three quarters of all impoverished households spend over 50% of their incomes on rent. -National Alliance to End Homelessness L ack of shelter is one of the five percent of family income. The threshold the term “shelter poor” in the late 1980’s elements that define poverty. The has been raised to 30 percent, which is for households that cannot meet their classification of ‘severe burden’ is the rent standard for most government needs for food, clothing, medical care defined as spending over 50% of one’s housing programs today. and transportation at an adequate level I income on shelter. A variety of factors ndividuals on the lowest rungs of the after paying for housing. D contribute to the disproportionate cost income ladder suffer the most from isproportionate housing costs of housing. Personal choice might be a high housing costs. Whereas most mainly contribute to suppressing component, but do public policies also Americans can plan for the unexpected, the success potential of low- need to be re-examined? the future, and take vacations, those income individuals. The consequences I n 1937, the National Housing Act in poverty are often unable to enjoy a to a high cost of living shows in the created the public housing program. high quality of life after paying housing health, happiness, education level and It was designed to serve low-income expenses. Because of this, households relationships of the inflicted individual. families. The Brooke Amendment to the at the bottom rungs of income ladder Without adequate housing, children of 1968 Housing and Urban Development are more likely to be severely housing low-income individuals are doomed to Act established the rent threshold of 25 cost-burdened. Michael Stone coined follow in their parents’ footsteps.
  • 14. The national poverty rate is the highest it has been for the last 11 years. -2010 US Census
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  • 16. WHITE PAPER REPORT
  • 17. www.CenterforGreaterGood.com | Center for Greater Good | Reports | 17 Financial Freedom Many low-income communities have social services provided on site. However, most of these services do not reach full effectiveness as they are often underfunded and lack real outcome measurements. These services are sustained mainly on periodic grants, which means services are typically the first thing to go when cash flow becomes tight. The Continuum Fund speaks to many of the problems that both service providers and non-profits encounter. The fund seeks to provide a social services budget of $80,000 per 100 units per year; funding one Community Coordinator full time per 100 Units. By including the funding for on-site services and Community Coordinators in our model we are able to supply reliable cash flow for the organizations we work with; allowing them to serve the community rather then search for grant funding. With reliable funding Community Coordinators are able to: -- Reach out and collaborate with other non-profits in the surrounding areas to bring in even more services. -- Partner with small businesses and entrepreneurs to provide job opportunities as well as financial education to residents. -- Leverage technology to incorporate resident and investor feedback. -- Leverage technology to track and measure outcomes. HOW OUR FINANCIAL MODEL WORKS Center for the Greater Good’s Continuum Fund supplies low cost capital to community development projects. A percentage of the interest paid back by the property, the fund pays for the social services. Because the on-site services and Coordinator are funded by the debt service and cash flow of the project, the consistency and effectiveness of the integrated social services is supported. Ultimately, this enables the Community Coordinator and service organizations to focus on creating impact rather than spending time and resources applying for grants.
  • 18. WHITE PAPER REPORT
  • 19. www.CenterforGreaterGood.com | Center for Greater Good | Reports | 19 Life Skills and Entrepreneurship Life Skills and Entrepreneurship are key to breaking the cycle of poverty. In low-income community developments, it is not uncommon to find high levels of unemployment and low levels of education. Very essential skills from household maintenance to balancing one’s checkbook are often overlooked skill-sets. By fostering life skills, not only are residents able to take care of themselves, but also have a stable and healthy lifestyle for their whole families. Entrepreneurship is a key element in economic growth and a powerful force that can effectively help break the cycle of poverty. Through hands-on learning programs we can provide the necessary skills and training on how to create, run and prosper from running one’s own business. The tools for both personal and financial growth go hand-in-hand - benefiting the entire community. LIFE SKILLS The issues we all deal with in life are diverse, and so to are the skills we need to navigate through our path everyday. Life skills are a key component to an individual’s success in life; promoting a greater sense of competence, usefulness, power, and sense of belonging. Ranging from practical skills to communication, the broad scope of life skill programs offered is truly dependent on the specifics of each community. It is here that we support the essential elements true to everyone’s lives: decision making and values clarification. ENTREPRENEURSHIP Center for Greater Good recognizes the research and policy work of the Kauffman Foundation on the subject of entrepreneurship. The foundation’s efforts to advance education, training and grants to support this subject are invaluable. Education prepares one to become an entrepreneur, and the economic system gives a person the opportunity to be one. Entrepreneurship not only breaks individuals out of the cycle of poverty, but also promotes job creation, and solves many economic and social services concerns. We support entrepreneurial opportunity and foster potential through education and training programs.
  • 20. Outcomes evaluations criteria YOUR COMMUNITY’S Childhood education Educated children someday grow into educated adults. The strongest strategy for poverty alleviation is to end it before it begins; before it becomes a cycle.
  • 21. www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 21 Primary Concern: Education Sub Concern: Low Educational Attainment Primary Impact Current Conditions Service Intervention Children ü A 1995 longitudinal study revealed that Early childhood education; poor children who did not attend after- after-school programs Adults ü school programs are six times more likely and learning centers; Seniors to drop out of high school, three times computer training; more likely to be suspended, twice as resident scholarships; Community ü likely to be arrested by senior year, and student employment in the are 75% more likely to have tried smoking community. or drugs by senior year. A 2011 study found that one in six students not reading proficiently in third grade dropped out; a rate four times that of proficient readers. 22% of children that lived in poverty do not graduate versus 6% that have never been poor. Primary Outcome Reduced grade retention rate, improved rate of high school completion, better scholastic placement and more years of completed education or vocational training. Lower rates of suspension, juvenile arrest, and violent arrests. Improved physical and psychological health.
  • 23. students are likely to drop school. -National High School Center 23
  • 24. Outcomes evaluations criteria Sub Concern: Household Overcrowding Primary Impact Current Conditions Service Intervention Children Low-income children can be trapped Relocation counseling; ü in noisy and over-crowded home financial literacy and family Adults ü environment not appropriate for academic savings courses. Seniors performance. Community Primary Outcome Improved study environment and academic performance. Sub Concern: Childhood Mobility Primary Impact Current Conditions Service Intervention Children ü The lower the family income, the Eviction prevention more likely the family is to move. This counseling; resident Adults ü contributes to poor achievement, grade advocacy and counseling; Seniors retention and dropout rates through temporary cash assistance; disruption of academic performance. mediation services for Community Mobile children must change teachers, tenants in housing court. curricula and friends; more likely to receive poor assessments and incomplete school records. Children suffer from anxiety and depression, making it difficult to keep friends. Primary Outcome High rate of eviction prevention; family stabilization. Reduced frequency of unwanted moves. Improved academic achievement. Improved physical and psychological health.
  • 25. www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 25 Children from low-income families are raised in environments that do not promote their cognitive and social development -Jane Waldfogel, Columbia University School of Social Work E ducation is an integral component For children who are raised in poor make $9,000 more. In contrast, college contributing to transgenerational conditions, it is common to miss school graduates make an average salary of poverty. To thouroughly examine due to housing related illnesses or drop $51,206; which increases to $74,602 concerns of education and indicators of out of high school all together; both of upon completion of a master’s degree. I student success, one must consider the which will cause a student to achieve n order to be a financially successful entirety of a student’s life; especially his less throughout his or her lifespan than adult, proper education is crucial. or her home environment. Conditions higher income counterparts will. The In order to be successful in school such as over-crowded living conditions, inevitable next step for impoverished as a child, it is neccessary to have a lack of study space, chronic illnessess, children is to continue on the path of stable home environment. Through or reduced parental support can affect trans generational poverty in adulthood. strategic interventions early in life, low- T whether or not a child is successful in he U.S. Census Bureau reports income children will eventually become school. on individuals who never achieve financially self-sufficient in adulthood; T here is an undenyable correlation a high school diploma, saying on lessening their potential burden while between poor housing conditions average they make $18,734 annually; increasing their positive influence to and less than average education. whereas a high school graduate would society.
  • 26. “All children should have the basic nutrition they need to learn and grow and to pursue their dreams.” -Michelle Obama
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  • 28. Outcomes evaluations criteria YOUR COMMUNITY’S Health & Wellness Mental and physical health greatly affect one’s quality of life. Simple interventions can have a high impact on a person’s health.
  • 29. www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 29 Primary Concern: Health Sub Concern: Housing Conditions Primary Impact Current Conditions Service Intervention Children Because of the great number of Relocation counseling; ü hours spent inside the house, household maintenance Adults housing conditions are key factor in education. ü determining physical and mental health. Seniors ü Overcrowding, poor repair, or health Community hazards cause family stress. Children are most vulnerable because they cannot choose their living conditions. Low- income children are disproportionately disadvantaged by lead paint contamination. Primary Outcome Improved health, IQ and lifetime earnings. Sub Concern: Senior Physical and Psychological Health Primary Impact Current Conditions Service Intervention Children Seniors particularly rely on a fragile Transportation to health arrangement of paid and unpaid help to services; medical house Adults ü maintain independence. A 2006 AARP calls; cleaning service; Seniors study indicated 36% of Section 202 home delivered meals & ü residents over 62 years and 38% in groceries; guardianship; Community LIHTC were frail or disabled. Many suffer senior center; adult day from loneliness and depression, and lack care; financial management treatment for chronic conditions. and assistance. Primary Outcome Increased independence for seniors. Improved medication and health management. Reduced burden on family members for transportation to medical services. Reduced hospital and emergency services visits. Reduced social isolation improves psychological health. Improved fitness.
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  • 31. “Our neighborhoods are literally making us fat.” -Susan H. Babey, PhD, Senior Research Scientist 31
  • 32. Outcomes evaluations criteria Sub Concern: Personal Safety Primary Impact Current Conditions Service Intervention Children Seniors living alone are at risk for injury “ I am OK” Committees (Red and death. Cross seniors program); Adults emergency preparedness. Seniors ü Community Primary Outcome Safety net of a tight community saves lives. Sub Concern: Substance Abuse Primary Impact Current Conditions Service Intervention Children Young persons affected by reduced After-school programs; ü stability and safety are vulnerable learning centers; parenting Adults ü to further victimization and negative classes; job skills training; Seniors behavioral choices. youth employment in community. Community ü Primary Outcome Reduced drug use; improved academic performance. Sub Concern: Disease prevalence Primary Impact Current Conditions Service Intervention Children Asthma prevalence in 2009 was 8.2% of Relocation counseling ü the population. Households with family and services; diabetes Adults ü incomes below the federal poverty level and obesity prevention Seniors have higher asthma prevalence than programs; after-school ü those with higher incomes. programs. Community ü Primary Outcome Reduction in diabetes and obesity rates. Decrease in respiratory related diseases from better air ventilation and higher quality living environment.
  • 33. www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 33 Tobacco users who die prematurely deprive their families of income, raise the cost of health care and hinder economic development. -World Health Organization D L ue to the association between a ow-income communities become expendable income for treatments. B lack of education, poor health, particularly burdened by smoking y identifying and implementing and decision making, individuals and its effects. Cancer Research effective interventions including in poverty are more likely to smoke UK reports that children whose parents health education, health clinics, compared to high income individuals. smoke are three times more likely to and healthy behaviors incentives, the According to a 2008 Gallup survey, become smokers than children who degredation of health and eventual 34% of individuals in the $6,000- grow up in smoke-free homes. Due death of tobacco users in low-income $12,000 income range are smokers. In to increased exposure, they are also communities can be avoided. The best contrast, only 22% of individuals who more burdened by the consequences ouotcome is to educate the children to make $30,000 more are smokers; this of second hand smoke. prevent them from becoming smokers N number is consistent with the worldwide ot only are low-income earners in the first place, but measures must average. As income reaches $90,000 more likely to become smokers, also be taken to free current users per year, the number of smokers drops but they are also less equipped of their addiction so they can live to 13%. to deal with the effects of smoking due longer, healthier lives with less health to lack of quality healthcare and less expenses.
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  • 35. www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 35 “The poorest among us suffer most because they lack quality health care and live in high- risk environments.” -Susan H. Babey, PhD, senior research scientist at the UCLA Center for Health Policy Research Sub Concern: Wellness and Fitness Primary Impact Current Conditions Service Intervention Children There are direct links between income level Health fairs, resident ü and health. A child’s health decreases activity programs; health Adults ü dramatically when their parents are insurance education. Seniors uneducated. It has been shown that a child ü is six times more likely to suffer form poor Community health when his or her parents have not ü completed high school, compared to children Primary Outcome of parents with at least one college degree. Increased access to health services and information. Seniors age in place. Sub Concern: Nutrition and Food Security Primary Impact Current Conditions Service Intervention Children ü Three fourths of all households with Nutritional courses for incomes below the poverty line spend school-age children; grocery Adults ü over 50% of their incomes on rent, delivery to seniors; on-site Seniors eliminating funds for fresh food, utilities, food banks; food co-ops. ü medical care or childcare. Community Primary Outcome Improved health. Increased fresh food access and options, especially for seniors. Healthier fast foods choices more consumption of whole grain foods, fruits and vegetables. Children more willing to try new foods.
  • 36. WHITE PAPER REPORT
  • 37. www.CenterforGreaterGood.com | Center for Greater Good | Reports | 37 The Cost of Obesity It is no surprise that poor nutrition has become increasingly common in the United States; it is a fact that can be observed in the general population through obesity. What may come as a surprise is the true cost of obesity, the underlying causes and the alarming rate at which it affects low-income individuals when compared to their higher income counterparts. Weight-related medical costs are estimated to have reached $147 billion in 2008 (that’s 9.1 percent of all medical spending) and show no signs of subsiding. 1 Besides the obvious mobility disadvantage to being obese, it is known to cause a series of physical and psychological ailments including: diabetes, heart disease, high blood pressure, asthma, depression and anxiety. These are in addition to the social discrimination and the stigma one faces as an overweight or obese member of society.2 The effects of obesity are lethal, and together cause an estimated 300,000 deaths per year in the United States.3 According to the National Institute of Health, obesity and being overweight are the second leading cause of preventable death in the United States.4 Low-income individuals face a hardship when dealing with health issues because of their general lack of access to quality health care, combined with a shortage of expendable income for medical expenditures and higher deductibles. To make matters worse, low-income individuals are at higher risk of becoming overweight or obese due to community infrastructure deficits such as the limited availability of fairly priced produce and safe outdoor parks. In a 2010 study of more than 6,000 adults, BMI and income were found to have an inverse relationship. Those with lower incomes were statistically more likely to have higher BMIs and vice versa.5 According to a 2007 national study of 40,000 children, children from lower income households had more than two times higher odds of being obese than children from higher income households.6 Rates of severe obesity were also 1.7 times higher among low- income children and adolescents nationwide.7 The mission for Center for the Greater Good is to eradicate poverty and create healthy communities through innovative financial investments and distinctive strategies for community enhancement. We have identified the following as contributing factors to the alarming poor health in low-income communities: -- Limited resources and lack of access to healthy and affordable foods. -- Fewer opportunities for physical activity. Instead of simply treating health conditions caused by poor nutrition, we are looking into the root of the problem. Improved nutrition leading to reduced obesity is just one of the many ways in which we are realizing our vision for healthy, stable communities in the United States. Poor Nutrition in Low-Income Communities Arguably, the main cause of disproportionate obesity in low-income communities in the United States is limited access to resources such as healthy, affordable foods. The lack of high quality community infrastructure in low-income areas, including full-service grocery stores and farmer’s markets8, fuel 1 “Consequences of Adult Overweight and Obesity « Food Research & Action Center.” Food Research & Action Center. Web. 15 Nov. 2011. <http:// frac.org/initiatives/hunger-and-obesity/what-are-the-consequences-of-adult-overweight-and-obesity/>. 2 Consequences of Adult Overweight and Obesity 3 U.S. Department of Health and Human Services. Overweight and obesity: a major public health issue. Prevention Report 2001;16. 4 Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Executive summary. National Institutes of Health, National Heart, Lung, and Blood Institute, June 1998. 5 “Relationship Between Poverty and Overweight or Obesity « Food Research & Action Center.” Food Research & Action Center. Web. 15 Nov. 2011. <http://frac.org/initiatives/hunger-and-obesity/are-low-income-people-at-greater-risk-for-overweight-or-obesity/>. 6 Relationship Between Poverty and Overweight or Obesity 7 Relationship Between Poverty and Overweight or Obesity 8 Beaulac, J., E. Kristjansson, and S. Cummins. 2009. A systematic review of food deserts, 1966–2007. Preventing Chronic Disease
  • 38. 38 | Reports |Center for Greater Good | www.CenterforGreaterGood.com this disparity. Residents are sometimes forced to shop for groceries in convenience stores and other small stores, which do not offer the wide variety of fruits, vegetables, whole grains and low- fat dairy products necessary to maintain a healthy diet.9 When healthy foods are offered, they are often higher cost and lower quality than similar items in larger stores.10 Due to the high cost and low quality of produce and dairy products at small grocery stores, households with limited resources are sometimes forced to rely on cheaper, more densely caloric, non-perishable low-nutrition foods (such as products containing processed sugar, refined grains and added fats) in order to minimize cost and maximize caloric density.11 A 2009 study examining neighborhood disparities in food access found that, “neighborhood residents with better access to supermarkets and limited access to convenience stores tend to have healthier diets and reduced risk for obesity.”12 Low-income neighborhoods not only lack affordable sources of quality nutritious foods, they commonly contain disproportionate amount of fast food restaurants (sometimes twice as many)13 which offer a low cost, convenient yet nutritionally void alternative to fresh, perishable foods. According to a study conducted by UCLA, when asked, “46 to 49 percent of low-income teens reported eating fast food on the previous day, compared with 37 percent of more affluent teens.”14 The scarcity of fresh, affordable, nutritious food makes it difficult for an individual with restricted income and limited transportation to maintain a healthy diet. Unfortunately, nutrition is only half the battle in the war on obesity. Not only do low-income neighborhoods commonly lack community supporting retail such as full- scale grocery stores, studies also show residents have less opportunity for physical activity. In middle and upper class communities, it is easy to take for granted the presence of parks, trees, bike paths and quality recreational facilities because they are abundantly available. In both urban and rural low-income communities, green space is hard to come by and trees are few and far between. When a park does exist, it is often ill equipped for safe inhabitance by children and even adults. Crime, traffic, unsafe playground equipment, visual signs of trash and disrepair, and noise15 are just some of the factors driving individuals away from public parks. Such conditions make it difficult for them to lead active lives16, and in turn contribute to obesity.17 With parks in a state of disrepair and the absence of bike paths, people end up spending more time engaging in sedentary activities such as reading, watching TV, playing video games and using the computer.18 An excess of sedentary activities can be detrimental to the development of children and teens who should be growing, learning and exploring, socializing, developing new skills and establishing healthy habits before transitioning into adulthood. The same UCLA study also found that, “56 percent of low-income teens watch more than two hours of television per day, compared with 46 percent of more affluent teens.”19 Some might argue a sedentary after school lifestyle is not alarming for a teen, especially if he or she attends public school with mandated Physical Education classes; but schools in low-income communities have been reported to have less recess and lower-impact PE classes than other 9 Beaulac , 2009 schools.20 In fact, of low-income teens surveyed, nearly one fifth of them admitted to not getting at 10 Andreyeva, Tatiana, Michael W. Long, and Kelly D. Brownell. “The Impact of Food Prices on Consumption: A Systematic Review of Research on the Price Elasticity of Demand for Food.” Government, Politics, and Law. American Journal of Public Health, Feb. 2010. Web. 15 Nov. 2011. <yaleruddcenter.org>. 11 Drewnowski A. Barratt-Fornell A. Do healthier diets cost more? Nutrition Today 2004:39:161-168. 12 Larson, N.I., M.T. Story, and M.C. Nelson (2009). “Neighborhood Environments: Disparities in Access to Healthy Foods in the U.S.,” American Journal 13 Driscoll, Gwendolyn. “Obesity among State’s low-income Teens Nearly Triple That of More Affluent Peers / UCLA Newsroom.” Home / UCLA of Preventive Medicine, 36(1): 74-81.e10. Newsroom. Web. 15 Nov. 2011. <http://newsroom.ucla.edu/portal/ucla/obesity-among-california-s-low-72532.aspx>. 14 Driscoll, Gwendolyn 15 Neckerman, K.M., M. Bader, M. Purciel, and P. Yousefzadeh (2009). “Measuring Food Access in Urban Areas,” National Poverty Center Working Paper, 16 Powell, Lisa M., Sandy Slater, and Frank J. Chaloupka. “The Relationship between Community Physical Activity Settings and Race, Ehtnicity and www.npc.umich.edu/news/events/food-access/index.php Socioeconomic Status.” Evidence-Based Preventative Medicine I.2 (2004): 135-44. Open Mind Journals. Web. 17 Singh, G. K., Siahpush, M., & Kogan, M. D. (2010). Rising social inequalities in US childhood obesity, 2003-2007. Annals of Epidemiology, 20(1), 40- 18 Singh, 2010 52. 19 Driscoll, Gwendolyn 20 Barros et al., 2009; UCLA Center to Eliminate Health Disparities, 2009.
  • 39. www.CenterforGreaterGood.com | Center for Greater Good | Reports | 39 least 60 minutes of physical activity per week, as recommended by the Federal Dietary Guidelines for Americans.21 Schools in low-income communities are often underfunded and do not offer the variety of after school sports opportunities as one would find at an affluent school. Barely one third of low-income teens were reported to be active participants in school sports teams, when almost half of affluent teens do participate.22 The combination of poor quality food and sedentary lifestyles is leading to an epidemic of obesity in low-income communities, causing children to become overweight and obese at an alarming rate. As the children become teenagers and later adults, they lack the tools and education to help their own children achieve a higher level of physical health. Promoting Nutrition and Exercise for ResidentS Center for the Greater Good has multiple strategies for battling obesity and promoting health in low- income communities. We offer low interest loans for community revitalization projects and we offer developer incentives for the creation of community support services and other improvements. One of our strategies is to invest in community infrastructure. The current tax credit system encourages the development of low-income housing in prime locations, walking distance to destinations such as grocery stores, transit, parks and gyms. Housing ends up being built in prime locations, often in middle to upper class communities, which is great for those areas and the residents of the building. The trouble is, the system does nothing to improve communities that do not already have the infrastructure in place. Center for the Greater Good invests in all kinds of community beneficial projects such as: providing low cost commercial rental facilities for small businesses, and incentives to bring grocery stores and other retailers to neighborhoods. After all, sometimes all it takes is one project to fuel the revitalization of an entire area. Instead of moving people to areas with better infrastructure already in place, we analyze market studies and resident input surverys to dictate what the current infrastructure is lacking; this way, we know the project we invest in is going to be successful. By bringing a neighborhood a grocery store, we are not only offering access to improved nutrition; we are also giving citizens the opportunity to be employed at the grocery store. This creates a cycle of benefits where the money invested directly impacts your community. For projects built in infrastructure rich areas, Center for the Greater Good could potentially offer bus passes to residents. Access to transit, in some cases, eliminates the need for a resident to own a car; saving time and money for the resident, and reducing the strain on roads due to wear, tear and traffic. Transit passes also allow residents to travel to grocery stores and recreation facilities if there aren’t any within walking distance, improving their chance to engage in healthy activities. Depending on the needs of individual communities, some housing projects contain a gym within their facility, offering residents the most convenient, safe and cost effective access to the physical activity everybody needs in order to live a healthy life. The most important solution to the issue of deteriorating health in low-income communities due to poor nutrition and lack of exercise is education. People cannot be expected to change their habits if they are unaware of the resources provided to them, the importance of exercise and nutrition, and how to use the gym and cook healthy, low cost meals. One of our main strategies for improved nutrition in our residents is the existence of a community garden. A community garden is an education tool disguised as a hobby. It can be tended to and enjoyed by residents of all ages, and the food grown can be used in community meals. Residents can take pride in their own ability to grow and cook healthy foods. 21 Driscoll, Gwendolyn 22 Driscoll, Gwendolyn
  • 40. 40 | Reports |Center for Greater Good | www.CenterforGreaterGood.com Education and Access to Infrastructure are key to Breaking the Cycle of Poor Nutrition The obesity epidemic in the United States is a growing concern in all communities, but low-income communities produce a disproportionate percentage of overweight and obese individuals. “Our neighborhoods are literally making us fat,” said Susan H. Babey, one of the authors of UCLA’s policy brief. “We need better strategies and more thoughtful urban planning if we are going to make our towns and cities livable, not just places where we live.”23 Fortunately, Center for the Greater Good offers an innovative financial model for community revitalization projects, bundled with community support services to ensure success. 23 Driscoll, Gwendolyn
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  • 43. BMI and income have an inverse relationship. - Food Research & Action Center 43
  • 44. WHITE PAPER REPORT
  • 45. www.CenterforGreaterGood.com | Center for Greater Good | Reports | 45 Resident Health, Practices and Materiality The correlation between building materials and occupant health has become undeniable over the past twenty years. As time goes on, it is clear the lower income population in the United States bears the brunt of the damage. On average, Americans spend 90% of their time indoors.1 Besides the obvious health benefits of spending time outdoors (such as natural Vitamin D exposure, mood enhancement, and outdoor exercise), too much time inside can be dangerous if one occupies a space with poor Indoor Air Quality (IAQ). According to the Environmental Protection Agency, indoor levels of pollutants may be two to five times higher, and occasionally more than 100 times higher, than outdoor levels.2 Exposure to indoor air pollutants has been linked to life threatening diseases, the most common of which is asthma. One in five people have asthma. Every day, asthma in the United States causes: 40,000 people to miss school or work, 5,000 people to visit the emergency room, 1,000 people to be admitted to the hospital for an average of 3 days, and 11 people to die.3 The annual cost of asthma in the United States is estimated to be nearly $18 billion, $10 billion of which is the direct cost of hospitalization.4 With healthcare costs as high as they are, those who are truly burdened by this disease are the low-income population. According to a UCLA study, a low- income individual is twice as likely to visit the emergency department due to asthma when compared to higher-income individuals, and once there, they are six times as likely to be hospitalized.5 “The poorest among us suffer most because they lack quality health care and live in high-risk environments,” said Ying-Ying Meng, a Senior Research Scientist with the UCLA Center for Health Policy Research. “That disparity also burdens our health system with costly emergency care and hospitalizations and extracts the additional high cost of millions of lost days of work and school.” Meng added, “Asthma has the potential to be debilitating, but it can be effectively controlled through appropriate medical care and avoidance of triggers.”6 The Center for the Greater Good is dedicated to solving the problem of poor health in communities, instead of simply treating the condition. We have spent countless hours alongside our developer partners identifying the best practices in community development building design, with the objective of reducing the effects of asthma and other health concerns caused by poor IAQ. The Air we Breathe is Slowly Poisoning Us It is easy to identify the source of poor IAQ in buildings and to recognize how pollutants affect the residents’ overall quality of life; the difficult part is eliminating them. Sources of indoor air pollution may include: combustion sources; building materials and furnishings; household cleaning, maintenance, personal care, and hobby products; central heating and cooling systems and humidification devices; and outdoor sources such as radon, pesticides, and outdoor air pollution.7 The Center for Disease Control warns that indoor contaminants such as dust mites, molds, cockroaches, pet dander, secondhand smoke and some chemicals can trigger asthma attacks.8 Moving forward, there are strategies to improving IAQ that have the potential to decrease the 1 The Inside Story: A Guide to Indoor Air Quality. U.S. EPA/Office of Air and Radiation. Office of Radiation and Indoor Air (6609J) Cosponsored with the Consumer Product Safety Commission, EPA 402-K-93-007. 2 The Inside Story 3 Asthma and Allergy Foundation of America - Information About Asthma, Allergies, Food Allergies and More! Web. 13 Nov. 2011. <http://www.aafa.org/display.cfm?id=8>. 4 Asthma and Allergy Foundation of America 5 Driscoll, Gwendolyn. “Asthma Disproportionately Affects Low-income Populations | UCLA Center for Health Policy Research.” UCLA Center for Health Policy Research. UCLA, 10 Dec. 2010. Web. 13 Nov. 2011. <http://www.healthpolicy. ucla.edu/NewsReleaseDetails.aspx?id=71>. 6 Asthma Disproportionately Affects Low-income Populations 7 “Indoor Air Home | Air.” US Environmental Protection Agency. Web. 13 Nov. 2011. <http://www.epa.gov/iaq/>. 8 Asthma Prevalence, Health Care Use and Mortality: United States, 2003-05, http://www.cdc.gov/nchs/products/pubs/pubd/ hestats/ashtma03-05/asthma03-05.htm
  • 46.
  • 47. www.CenterforGreaterGood.com | Center for Greater Good | Reports | 47 burden of asthma and other preventable health concerns for communities; the greatest challenge is completing renovation and demolition of existing structures without releasing harmful chemicals and dust particles into the air and soil. Best Practices in Healthy Building Design and Construction The Center for the Greater Good works with foundations and investors to build communities in a financially innovative way with innovation extending to every aspect of the projects we fund. We strive for buildings that are designed with the resident’s health in mind. Our Best Practices in design are focused around passive methods for improved materiality, increased natural light and improved air circulation. The Center for the Greater Good encourages developers to invest in natural, durable building materials that do not off gas. Ideal building materials contain recycled content; come from natural, plentiful or renewable sources; have a resource-efficient manufacturing process; are locally available; are salvaged, refurbished or remanufactured; are recyclable or reusable; durable; are low or non toxic; output minimal chemical emissions; have a low VOC assembly; are moisture resistant; and are healthfully maintained. We encourage developers to design buildings with maximum indoor exposure to natural light as part of our commitment to further improve resident health and reduce energy costs associated with lighting. The benefits of natural light include: reduced energy consumption; reduction of mildew or mold buildup; natural vitamin D exposure; increased productivity experienced for occupants; and improved interior visual appeal.9 We also stress the importance of fresh air. Air circulation removes stale air and dissipates pollutants. Filtering mechanically circulated air cuts down on the distribution of mold, mildew, dust, allergens, pet dander, and other potentially dangerous particles. The Center for the Greater Good does more than strive to build better quality buildings. We also encourage the healthiest possible strategies of construction, maintenance and eventual demolition. Our developer partners work with only the highest quality construction firms to ensure two concepts on the job site: the proper installation and implementation of new building materials and strategies; and the best practices for building construction, renovation and demolition. Many approaches with the purpose of improving building efficiency and occupant health (such as the use of new materials and construction methods) require special installation. It is important that time and care be taken during the strategy implementation process to ensure the building functions as planned. The best practices for building construction, renovation and demolition must also be followed to preserve IAQ by reducing the release of contaminates into the air. Examples of practices include: the isolation of construction work areas from occupied areas through the use of appropriate containment barriers; the negative pressurization of construction work areas and/or the positive pressurization of occupied areas to prevent the migration of air contaminants; and maintenance of an adequate unoccupied buffer zone around the work areas to allow for construction or renovation traffic. Improve the Quality of the Air, Improve the Quality of the Life Asthma affects one out of five Americans, but it affects the low-income population at a far higher rate, partially due to hazardous living conditions. Society will benefit from a reduction in asthma among the low income population because it can recover some of the $18 Billion spent annually on asthma treatment. Individuals and society will also benefit financially by missing work less due to asthma symptoms. Children living an asthma free life will develop more active lifestyles and miss school less often. The Center for the Greater Good, alongside our developer partners and foundations, is investing in proactive solutions to poor health in communities. 9 “Natural Lighting Strategies and Benefits | One Green Planet.” One Green Planet | One Green Planet | One Green Planet Is an Online Ecosystem That Draws Links between the World of Ecology, the Environment, Animals and Vegan Living. Web. 13 Nov. 2011. <http://www.onegreenplanet.org/lifestyle/natural-lighting/>.
  • 48. Outcomes evaluations criteria YOUR COMMUNITY’S Social Obligation Households of lower income have higher levels of stress which is damaging to a child; especially when paired with criminal activity, neglect, or substance abuse.
  • 49. www.CenterforGreaterGood.com | Center for Greater Good | Section 1 | 49 Lower-income youths can be susceptible to illegal forms of income, leading to grave effects on families. -Children’s Environmental Learning and the Use, Design and Management of Schoolgrounds I n low-income households where child’s social behavior due to criminal mental health problems, delinquency, the head of the family is lacking the activity in the home is the consequence teen pregnancy, school absenteeism education and opportunity to make most readily observable. According to and failure, isolation, and poor peer a decent living to support his or her the Office of Justice Programs, children relations.” Children from these homes family, some resort to illegal activities growing up among the chaos of illegal are also more likely to follow in their to bring money into the household. activity exhibit disorderly behavior parents’ footsteps, engaging in criminal Though the short term justification for and experience delays in cognitive activity themselves. criminal activity may keep a family off functioning, including “low self-esteem, the streets, the long term effects for a sense of shame, and poor social children growing up in an unstable skills.” o household are almost immeasurable. bserving illegal activities in the I nfants in homes with criminal activity, home as a child and growing such as meth lab homes, are more up in an unstable environment likely to be severely neglected and can lead to undesirable teen behaviors. physically abused. The effects on a Consequences include “emotional and
  • 50. Single parent households experience high stress due to lower income and lack of support. - Child Welfare Information Gateway
  • 51. 51
  • 52. 52 | Section 1 | Center for Greater Good | www.CenterforGreaterGood.com Primary Concern: Social Responsibility Sub Concern: Crime Primary Impact Current Conditions Service Intervention Children ü Lower-income youths can be susceptible After-school programs; to illegal forms of income generation, youth volunteer programs. Adults leading to potential incarceration, or Seniors death, with grave effects on families. Community ü Primary Outcome Youths engaged in productive activities leading to reduced vandalism, violent crimes and drug use. Enhanced self-esteem. Sub Concern: Community Pride Primary Impact Current Conditions Service Intervention Children ü High rates of resident mobility results in a Neighborhood Watch; lowered sense of community commitment Safe Neighborhood Action Adults ü and attachments among residents, Programs; neighborhood contributing to increased crime and drug volunteer programs; youth Seniors ü use. volunteer programs. Community ü Primary Outcome Improved community safety from increased social relationships and trust. Sub Concern: Domestic Violence, Child Abuse/Neglect Primary Impact Current Conditions Service Intervention Children Children in low-income families are more Family education and ü likely to be maltreated due to parental life skills training; child Adults ü stress. protective services referrals. Seniors Community Primary Outcome Reduction in number of victims.
  • 53. Children in low-income families, many times, are more likely to be maltreated. -US Department of Health and Human Services
  • 54. CORE & ENHANCED PROGRAMS Section 2 Core & enhanced services Core & enhanced services The Outcomes Evaluations Criteria document from Section 1 identifies the issues we seek to solve by offering on-site services in the communities we are involved in. This section, the Core and Enhanced Programs, is more specific about available programs and the measurable indicators associated with each program. The listed programs are divided into two main categories and two sub-categories. The main categories are Family Housing and Senior Housing, because they are typically housed in separate locations and the residents have distinct needs. The sub- categories are Core Programs and Enhanced Programs. Core Programs are typical services which are already in place at many housing facilities. Enhanced services are innovative solutions which involve community interaction to solve the problem. METHODOLOGY Our process for creating the Core and Enhanced Programs List included taking all the priority interventions and classifying them into the four categories previously listed. With the help of Project Access, LifeSTEPS, and Success Measures, we matched each intervention with every affected indicator and significant research data. The evaluation method we created is different than the methods already being implemented throughout the industry because it utilizes a variety of data collection methods and types. We not only record how many residents are receiving each service, but we also analyze resident surveys and factual data, such as death rate or change in GPA.
  • 55. “We are a constantly maturing species!“ -Terry Mollner, Chair, Trusteeship Institute, Inc. 55
  • 56. CORE & ENHANCED PROGRAMS Programs for Seniors This section is a description of our concerns, measurable indicators, and interventions. These strategies are to be implemented at low-income family housing facilities.
  • 57. www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 57 Concern: Education Core Services Intervention Indicators with Outcomes Computer Training Computer skill level Number of residents achieving employment Art Classes Number of residents attending Self-reported mental health improvement Community Library Access to books Enhanced Services Intervention Indicators with Outcomes ESL Classes Number of residents attending Number of residents completing Improvement in communication skills
  • 58. 58 | Section 2 | Center for Greater Good | www.CenterforGreaterGood.com Concern: Health Core Services Intervention Indicators with Outcomes Referrals to Agencies Number of residents referred “I’m OK” Program Number of volunteers checking on seniors Health Classes Self-reported health improvement Obesity rate Number of hospital visits Number of ER visits Self-reported diet improvement Growth Programs Self-reported improvement Grocery Delivery Number of residents receiving service Insurance Education Number of residents with health insurance Household Education Cleanliness of residence Nutrition Classes Number of residents attending
  • 59. www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 59 Number of nutrition related health issues Self-reported health improvement Healthy Cooking Classes Number of residents attending Self-reported diet improvement Drug and Alcohol Awareness Number of residents attending Substance abuse rate Fitness Classes Number of residents regularly attending Obesity rates Self-reported health improvement Community Gardens Self-reported diet improvement Community pride Household Maintenance Number of residents receiving service Percent of residences considered clean Health Fairs Number of residents attending Self-reported health improvement Health Clinic On-Site Number of residents served Self-reported health improvement Transportation to Practitioners Number of residents transported Food Banks and Donations Number of residents served Fresh Fruit and Vegetables Self-reported diet improvement Counseling Number of residents served Self-reported improvement in stress reduction Enhanced Services Intervention Indicators with Outcomes Health Adult Day Care Number of residents served Self-reported physical and mental health
  • 60.
  • 61. Who says you can’t change your stripes? 61
  • 62. 62 | Section 2 | Center for Greater Good | www.CenterforGreaterGood.com Concern: Economic Stability Core Services Intervention Indicators with Outcomes Crisis Management Number of residents served Resolution success rate Eviction Prevention Eviction rate Temporary Cash Assistance Number of residents served Number of residents attending mandatory counseling Percent repayment Financial Literacy Classes Number of residents attending Default rates Credit scores Savings rate Financial literacy Entrepreneurship Programs Number of residents completing Number of businesses started Number of businesses that are going concerns Local Retail Partners Number of partners Home Ownership Courses Number of residents attending & completing Number of residents that purchase homes Enhanced Services Intervention Indicators with Outcomes Linkages to Discounts Number of residents served Number of partner businesses Mediation Services Number of residents served
  • 63. www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 63 Percent of cases successfully resolved Supportive Housing Number of residents served Number of hospital visits Number of ER visits Guardianship Services Number of residents served Partnerships with Local Stores Number of residents served Van Pools/ Bus Vouchers Number of residents served Percent increase in access to education and employment Translation and Interpretation Number of residents served
  • 64.
  • 65. www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 65 Concern: Social Obligation Core Services Intervention Indicators with Outcomes Intergenerational Programs Number of mentors Number of youth participating Positive influence on youth Vandalism Substance abuse Reading scores of students Math scores of students Neighborhood Watch Vandalism Crime rate Special Events Number of events Number of residents attending Personal Safety Number of residents attending preparedness workshops Number of emergency drills
  • 66. CORE & ENHANCED PROGRAMS PROGRAMS FOR Families This section is a description of our concerns, measurable indicators, and interventions. These strategies are to be implemented at low-income family housing facilities.
  • 67. www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 67 Concern: Social Obligation Core Services Intervention Indicators with Outcomes Youth Volunteer Program Number of youth participating Number of juvenile arrests Vandalism Substance abuse Youth Employment Number of youth employed Mentoring Programs Number of mentors Number of youth participating Positive influence on youth Vandalism Substance abuse Reading scores of students Math scores of students Parenting Classes Number of parents attending and completing Self-reported improvement in family life Child Protective Services Domestic abuse reports Neighborhood Watch Vandalism Crime rate Special Events Number of events Number of residents attending Personal Safety Number of residents attending preparedness workshops Number of emergency drills
  • 68. 68 | Section 2 | Center for Greater Good | www.CenterforGreaterGood.com Concern: Education Core Services Intervention Indicators with Outcomes Early Childhood Education Number of children attending Reading scores of students Percent of children prepared to begin elementary school After-School Tutoring Number of children/youth attending Math scores Reading scores Report cards-GPA Vandalism rate Substance abuse Number of juvenile arrests High school graduation rate Grade retention rate Computer Training Computer skill level Number of residents achieving employment Unemployment rate School Supplies Number of children with supplies Summer Enrichment Programs Number of children/youth attending Substance abuse Vandalism rate Number of juvenile arrests Community Library Access to books Child Care Stress levels of single employed parents Parent access to education and employment
  • 69. www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 69 Student Career Programs Percent admittance to community colleges and universities High school graduation rate Standardized test scores GED Classes GEDs attained Math scores of students Reading scores of students Enhanced Services Intervention Indicators with Outcomes ESL Classes Number of residents attending Number of residents completing Self-reported improvement in communication skills Scholarships Number of requests Number of residents served Success rate to further education
  • 70. 49 percent of American babies born into poor families will be poor for at least half their childhoods. -Urban Institute, 2010
  • 71. 71
  • 72. 72 | Section 2 | Center for Greater Good | www.CenterforGreaterGood.com Concern: Health Core Services Intervention Indicators with Outcomes Health Referrals Number of residents referred Health and Wellness Classes Self-reported health improvement Obesity rate Number of hospital visits Number of ER visits Self-reported diet improvement Youth Obesity Prevention Obesity rate Diabetes rate Health Insurance Education Number of resident with health insurance Household Maintenance Cleanliness of residence Nutritional Courses Self-reported diet improvement Number of nutrition related health issues Healthy Cooking Classes Number of residents attending Self-reported diet improvement Drug and Alcohol Awareness Number of residents attending Substance abuse rate Fitness Classes Number of residents regularly attending Obesity rates Self-reported health improvement Community Gardens Self-reported diet improvement Community pride Health Fairs Number of residents attending Self-reported health improvement
  • 73. www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 73 Transportation-Van Pools Number of residents transported Food Banks and Donations Number of residents served Fresh Fruit and Vegetables Self-reported diet improvement Counseling Number of residents served Self-reported improvement and stress reduction
  • 74. 74 | Section 2 | Center for Greater Good | www.CenterforGreaterGood.com Concern: Economic Stability Core Services Intervention Indicators with Outcomes Resident Advocacy Number of residents served Resolution Success Rate Job Skills Training Unemployment rate Number of residents achieving employment Income gains Percent and age of trainees that find jobs Number of residents employed after 1 year Job Fairs Number of residents attending Unemployment rate Income gains Eviction Prevention Eviction rate Temporary Cash Assistance Number of residents served Number of residents attending mandatory counseling Percent repayment Financial Literacy Classes Number of residents attending Default rates Credit scores Savings rate Financial literacy Entrepreneurship Courses Number of residents completing Number of businesses started Number of businesses that are having concerns Partners with Local Retailers Number of partners
  • 75. www.CenterforGreaterGood.com | Center for Greater Good | Section 2 | 75 Home-Ownership Education Number of residents attending and completing Number of residents that purchase homes Enhanced Services Intervention Indicators with Outcomes Linkages to Discounts Number of residents served Number of partner businesses Medication Services Number of residents served Percent of cases successfully resolved Partners with Local Retailers Number of residents served Percent of cases successfully resolved Number of graduates employed after 1 year Supportive Housing Number of residents served Number of hospital visits Number of ER visits Partnerships with Local Stores Number of residents receiving products Van Pools or Bus Vouchers Number of residents served Percent increase in access to education and employment Interpretation Services Number of residents served
  • 76. WHITE PAPER REPORT
  • 77. www.CenterforGreaterGood.com | Center for Greater Good | Reports | 77 Measurements and Outcomes Center for the Greater Good has done over a thousand hours of research into best practices and programs to develop a comprehensive set of outcomes under categories such as Health, Education, Economic Stability and Social Responsibility. Outcomes range from reducing eviction rates, increasing education levels, improving overall health to increasing a sense of community, green outcomes and encouraging entrepreneurship. Our approach ensures that measurements are based on outcomes rather than the typical approach of simply measuring impact by attendance at scheduled programming. In collaboration with seasoned social service providers, we have created a list of interventions for each desired outcome. Also, for each desired outcome, we have created a list of affected indicators to be measured. The interventions are categorized into two menus - Core Programs and Enhanced Programs. True Impact While we do track attendance, our measurements are designed to measure the effectiveness of the programs. Each of the outcomes are mapped with specific indicators to assess the true impact and effectiveness of the social services. For example, in the case of an after-school program, math scores, reading scores, report cards (GPA), vandalism rates, substance abuse rates, juvenile arrest rates, high school graduation rates, and grade retention rates are measured. Accountability Based on the metrics, progress towards outcomes can be accurately assessed. In case a particular social service program does not show significant progress towards the desired outcomes, the program can be re-analyzed, reinforced with additional resources, or replaced by another more effective program. This keeps the providers accountable for ensuring the efficiency and efficacy of the programs they provide. Transparency Measurements also serve the purpose of making the outcomes of any community completely transparent. Technology tools coupled with scientific data analysis will be used to provide regular progress reporting to foundations and investors. In addition to providing these reports, Center for the Greater Good will also make the process of creating the integrated social service plan, as well as the resulting measurements, publicly available so that the model can be replicated in other communities.
  • 78. WHITE PAPER REPORT
  • 79. www.CenterforGreaterGood.com | Center for Greater Good | Reports | 79 The Continuum Fund Abolishing Poverty Throughout a Lifetime Many philanthropic ventures focus on a specific solution to a problem. However, when applied to the problem of poverty, this way of thinking is flawed. There is not a singular reason for poverty and therefore no singular solution. This is why Center for the Greater Good purposes addressing people’s needs throughout their life, from birth to old age; the entire continuum. Our goal is to supply people with the tools needed to live a life well above the poverty line and caters to the specific challenges unique to each individual. Housing Supportive Housing – Extremely Low Income. The goal of this program is to assist the homeless. Getting into a safe and healthy environment is the first step towards breaking the binds of poverty. In addition to providing housing, supportive housing is closely tied to the services that help people work through substance abuse, addiction/alcoholism, mental illness, HIV/AIDS, and other obstacles to living a successful life. Public Housing – Very Low Income. This program helps the individuals at the borderline of homelessness. People often turn to illegal and dangerous activities in order to survive, by providing public housing we are able to keep families moving up and out of poverty. With the burden of paying rent reduced, individuals are able to focus employment and obtaining the life skills necessary to break the binds of poverty. Section 8 Housing – Income Ranges. This program provides vouchers to low-income individuals or families so they can afford safe and decent housing in the private sector. This subsidized program requires participants to contribute no more than 30 percent of their income to housing expenses (rent and utilities). The participant is allowed to choose his or her own housing environment, as long as it is at or below the ‘market average’ as determined by the U.S. Department of Housing and Urban Development (HUD). Senior Housing – Income Ranges. This category of housing is designed for seniors of many income levels, especially those living on a fixed income. Senior housing is commonly equipped with social services in the category of health and community involvement. Low-Income Student Housing – Low Income. The purpose of this program is to open the opportunity of higher education to people with a wider range of incomes and situations than the current market. Low-income families typically face a barrier to entry when seeking to obtain self sufficiency due to a lack of education; leading to limited career progression potential. Low-income student housing is designed to meet the needs of individuals with or without families who seek to further their education. Workforce Housing– Low Income. This program serves to bridge the gap between dependence and self sufficiency. Aimed at helping families and individuals with low cost housing when their incomes do not support the most basic of needs. Through this program, tenants are obligated to pay 30% of the given rent themselves. This ensures that families have a safe and healthy environment despite the fact that they could not afford it entirely on their own. Market Rate – Average or Above Average Income. This is the ultimate goal. By improving health, education, and income we strive to have every individual move into market rate housing. It is at this point that we see people living self sufficient lives supported by themselves.
  • 80. 80 | Reports |Center for Greater Good | www.CenterforGreaterGood.com
  • 81. www.CenterforGreaterGood.com | Center for Greater Good | Reports | 81 Health Our goal is to maximize health throughout the entirety of each person’s life by focusing on the following areas: -- Prenatal Care -- Mental Health -- Nutrition, Malnutrition, Asthma and Obesity -- Cancer -- End of Life Care/Funeral Services Education Poverty and poor education are a vicious circle. We encourage learning at every level by utilizing these programs: -- Early Childhood Education -- GED Assistance -- Job Training -- College Prep -- Income Development It is a fact, that in order for families to be self sufficient and remain above the line of poverty, income has to increase. Our health and education programs heavily influence a person’s ability to earn income, but that does not guarantee employment. To combat this, we equip individuals with the specific tools to move up in the work force and provide opportunities for adequate employment. Examples of programs that focus on employment are: -- General Education -- Degree/Certificate Assistance -- Interview Skills/Career Skills -- Job Preparation -- Networking Opportunities -- Job Placement There is no “one-size fits all” for eradicating poverty, but when housing, health, education, and income are addressed we will see improvements across the board. We aim to enable families and individuals to take more than a step away from poverty, we want them to keep moving and improving their lives until they are completely above the poverty line, which is why we choose to focus on the full continuum of factors related to poverty. Through the combination of all of our programs, we can help people throughout the entire process, and in time, we will see poverty in the United States destroyed.
  • 82. THE CONTINUUM FUND Extremely Low Income Supportive Housing is The purpose of Public Section 8 Housing Supportive Housing Public Housing Section 8 Housing a temporary solution Housing is to provide vouchers allow recipients to homelessness. Its stability to individuals to receive assistance, purpose is to provide and families who are at keeping the freedom safety to high risk risk of homelessness to choose their own individuals and to help or were formerly housing. Freedom them find permanent homeless. Residents lets recipients focus housing. Services include are reintroduced into on friends, family and encouraged sobriety and society and interventions increasing their income. severe mental health are used to inspire them interventions. to pursue financial self sufficiency.
  • 83. www.CenterforGreaterGood.com | Center for Greater Good | Section 3 | 83 Low-Income Senior Senior Housing Housing is designed to allow seniors to age in place and live out their lives in a healthy and productive fashion. Above Average Income Workforce Housing helps Low-Income Student Market Rate Housing Workforce Housing student Housing Market Rate Housing low wage employees live Housing is designed to is the goal for all in the neighborhoods support children, families residents housed by the they work in, cutting and individuals who Continuum Fund. Once commute time and cost, wish to pursue higher they achieve financial improving the quality of education. Services focus self-sufficiency, residents life for individuals and on meeting students’ are educated, happy, families. The time and needs and increases the sober and involved in the money saved allows our likelihood of completing community. Residents no the recipients to take school. longer need supportive full advantage of the services. interventions offered to them.
  • 84. WHITE PAPER REPORT