Utah Homelessness SummitNovember 18th, 2015

Marcella A. Maguire, Ph.D.

FLOW: Why Permanent Does Not Equal ForeverThe Philadelphia ExperienceSUPPORTING RECOVERY, RESILIENCE & SELF-DETERMINATION

To End Homelessness, People Need

DBHIDSR E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

Affordable Housing• Safe• Neighborhoods that Support Recovery• Accessible• Affordable

Supportive Housing • Affordable Housing PLUS• Individualized Services to meet the needsOR

DBHIDSR E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

When People with Disabilities Recover, then they too only need Affordable Housing

Recovery Oriented System of Care

R E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N DBHIDS

Primary Focus

Community Life

In the model, clinical care is viewed as one of many resources needed for successful integration into the community.

Work or School

Treatment & Rehab

Social Support

Belonging

FamilyHousing

Peer Support

Faith

Traditional Programs vs. Recovery Oriented System

Traditional System Recovery Oriented System

You need treatment What do you need?

This is what you need What do you want?

Your goal is to be abstinent and manage symptoms

What do you want your future to look like?

This is the program What do you want to work on?

If you leave, you’re done If you leave, we want you to come back anytime

DBHIDS.R E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

DBHIDS

Health and Behavioral Health systems have people with Housing needs as well.

Respect each other’s expertise. Increased capacity with PartnershipsWave of the Future, eg recent HUD 811 awards. ANDPopulation Health considerations

http://portal.hud.gov/hudportal/HUD?src=/program_offices/housing/mfh/progdesc/disab811

If you need to partner with Supportive Services Funders and Providers-

What’s in it for them?

R E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

DBHIDS

• Supportive Services– Assertive Community Treatment– Targeted Case Management– Mobile Psychiatric Rehabilitation Services – Peer Support

• Treatment Services– Full Continuum of Services available based on need

Services Provided

R E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

Who was eligible?

DBHIDS

Who moved from PSH?

R E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

1. No late rental payments in the last year

2. No neighbor complaints

3. No inpatient hospitalizations for behavioral health needs

4. Agree to services for one year post HA lease up

DBHIDS

948 Participants (2012-2014)

• 27% from Congregate Care• 32% from Current

Homelessness• 41% from Project

Based Permanent Supportive Housing Programs

PSH OutcomesPhiladelphia Clearinghouse (2012-2014)

R E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

Outcomes

87.5% remain in

stable housing and are not using crisis

services

11.5% are no longer

in PSH 1% deceased

LESSONS LEARNED

DBHIDS

THIS DOES NOT NEED TO BE A SLIDEIT IS ONLY A PLACEHOLDER

Arthur C. Evans Jr.

DBHIDS

• Individualized Services • Keep people with lived experience as part of every aspect

of the system • Coordination between Services and Housing at all levels of

government. • Memorandum of Understanding between the City/COC and

the Housing Authority• Watch your data carefully– Be ready to change when your outcomes do– Data keeps you honest

Lessons Learned

R E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

• A Public Health Approach – Moving Upstream

• Health Homes• Adapting FLOW through a congregate

care system to prioritize people experiencing homelessness

• Assume that with the right supports people recover and eventually need less supports

• Capitalizing on opportunities with Home and Community Based Waiver Services

• How do we serve Youth?

DBHIDSR E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

THE NORTH PHILADELPHIA BEACON PROJECT PORCH LIGHT INITIATIVE, YEAR 3© 2013 City of Philadelphia Mural Arts Program / James Burns — 2701 N. Broad Street — Photo by Steven Weinik

Contact Information: Marcella.Maguire@phila.govwww.dbhids.orgTwitter: @Cella65 @DBHIDSPaper Link: http://www.williamwhitepapers.com/pr/Recovery%20and%20Harm%20Reduction%20In%20Philadelphia.pdf