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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: [email protected]: @Cella65 @DBHIDSPaper Link: http://www.williamwhitepapers.com/pr/Recovery%20and%20Harm%20Reduction%20In%20Philadelphia.pdf