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Rapid Results

Acceleration Boot Camp

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Key Highlights

• Data Driven Decisions

• Using Mainstream Resources especially Medicaid

• FLOW

• Targeting/Prioritization

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Data Driven Analysis and Decision Making

• Is permanent supportive housing being used in a strategic manner that prioritizes those that need it most (as opposed to first come, first serve)?

• Is permanent supportive housing being implemented using a housing first model?

• Is the CoC taking all necessary steps to implement a coordinated assessment system?

• Are project recipients using all funding sources as efficiently as possible?

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Philadelphia, PA

• Whose in Philadelphia?− 1.5 million people− Percentage below the poverty level =

25.6%− Average Monthly enrollment in

Medicaid in 2012 = 470,159− Unique individuals enrolled in

Philadelphia Medicaid in 2012 = 569,236

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Data Driven Analysis and Decision Making

• Where are we on ending Chronic Homelessness?− Unsheltered PIT count in January 2013 = 524− Unsheltered count in August 2012 = 665− Number of unique persons seen by street outreach services

in 2012 = 5,570− Estimated number of Persons experiencing homeless in

Philadelphia in 2012: approximately 20,000

• Homeless Death Review Process to Identify System Gaps

• Joining the campaign− Chronic and vulnerable estimated at 1,157− Current Housing Placement rate averaging 22.2 persons

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Housing First• Successes– Started in 2003 with

federal grant support– Now 525 services slots

and 447 subsidies

• Challenges– Ideology– HHS grants end– Expected impact on PIT

counts– Capacity

• Solutions– Sharing national best practices

and leaders

– Housing First and supportive housing are cost effective and assist those considered “hardest to serve”

– Coordination and partnership with Medicaid funded supports

7Strategic Partnerships: You are Building a Team– Successes

• Advocacy Community• Academic Community• Behavioral Health System• Medicaid Leaders• Housing Authority• Downtown Business

leaders– Challenges• Different Agendas• Needs Strong Leadership

• Solutions: – No one thinks chronic

homelessness is a good idea. Build from there.

– Take the time to build and maintain relationships

– Pragmatism over ideology

– What do each of your partners need and want?

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Mainstream Resources• Successes

– Partnering with Medicaid– Partnering with the Housing

Authority– Partnering with the State Housing

Finance Agency

• Challenges– Building the Coalition– Having dedicated and RENEWING

resources because you need FLOW.

– Maintaining the partnerships when leaders change

• Solutions

– Rule making and Implementation time of the Affordable Care Act (ACA) is NOW and is a unique opportunity

– Housing Authorities have various pressures including diminishing resources, persons with significant service needs and increased central office focus on serving homeless and the disabled.

– Partnerships on Low Income Housing Tax Credit (LIHTC) Projects to ensure completion and maintaining high occupancy rates.

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FLOW

• Key Concepts:− Flexibility - Livability− Outcomes - Wellness

• Flow of access to mainstream resources to support persons as they..

• Flow out of programs with a specialized level of service that can be decreased due to..

• People Recover! Formerly homeless persons recover from the trauma of homelessness as well as other disabilities. They are now some of your most strategic and supportive allies in the cause of ending homelessness, because THEY KNOW.

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Targeting and Prioritization• Successes– 100K Homes– Outreach Focus List– Priority List (s)

• Challenges– Capacity. NEED FLOW.– Too Many lists– Need increased services to

support many challenging persons

– Sometimes you have to say NO.

• Solutions– 200 Housing Choice vouchers

a year. – Respect each others lists– Permanent Supportive

Housing Clearinghouse– Everywhere you say NO, you

have to give a reason and another option.

11Marketing and Building on Your Success

• Successes– Strongest advocate is a strong

peer network. – Housing First has grown from an

initial project of 35 subsidies.– Yearly Reports, luncheon

• Challenges– Dedicated staff to this task– Building Capacity– Time, energy, funding

• Solutions– Good people like to

learn new skills– Small local

foundations, or new foundations love to support a small but valuable portion of the work.

– STEAL good ideas. 100K Homes team has a LOT of them.

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Contact Info:Marcella.Maguire@phila.gov

www.dbhids.orgTwitter: @Cella65 @PhillyRecovery