Saturday, July 21, 2012

Supportive Housing Approach Works to End Homelessness, Shows Positive Results


By Derek M. Fleming

Sacramento-Bill Lyons first became homeless in 2003. Like thousands of others across the country, Lyons fought against the demons of drug addiction and mental illness, but lost himself somewhere along the way. He became one of many who struggle to exist on the streets of Sacramento.

“I had come to the realization that I was probably going be homeless for the rest of my life,” Lyons said from a dining room chair in the living room of his apartment on a recent afternoon. The apartment is new, clean, and tastefully furnished. Light fills the spacious single room through large windows overlooking a manicured community courtyard.

Lyons is clean and sober now and beams hopefulness and positivity.

He was able to get off the street and into his own apartment in October 2011 because of the dedication of volunteers and activists, and a revolutionary national approach to solving chronic homelessness called Housing First.

The Housing First model places chronically homeless people, those who have a documented disability and have been homeless for more than one year, or more than three times in four years, in housing before addressing any other issues.

Traditional programs sought to cure problems like drug and alcohol abuse and mental illness first, resulting in meager accomplishments in reducing chronic homelessness. Housing First is an element of the federal Homelessness Prevention and Rapid Re-Housing Program (HPRP).

Since 2009, homelessness has declined in almost every demographic nationally, despite the poor economy. Proponents cite the successes of HPRP for keeping homelessness from spiraling out of control during the foreclosure crisis and the highest unemployment rates in recent history.

Sacramento ranks 29th on a list of the 100 metropolitan areas with the high homelessness nationally. An estimated 3,665 homeless live in Sacramento according to data compiled by HPRP officials for the department of Housing and Urban Development (HUD) in 2011. About 17 of every 10,000 residents in the Sacramento area are homeless.

Sacramento County has seen a 15.8 percent decrease in homelessness since 2007 and a 50.8 percent decrease of chronically homeless persons, largely as a result of HPRP programs, according to data compiled in 2011 for HUD.

A 2009 study conducted by USC in Los Angeles showed that removing just four chronically homeless people and placing them in supportive housing saved the city more than $80,000 annually by reducing emergency room visits and incarcerations. LA is home to more than 57,000 homeless.
Jake Maguire, spokesperson for Community Solutions, a national agency that helps communities form Housing First programs, said more communities each month are committing to Housing First approaches as a means of ending homelessness. More than 120 communities have initiated Housing First programs nationally.

“Homelessness is not viewed like other social problems,” said Maguire in a telephone interview. “People say, 'let's find a cure for cancer', but you don't hear people saying 'let's cure homelessness.'”

Providing housing for the homeless is a politically-charged topic, said Holly Wonder Stiles, director of development with Sacramento|Yolo Mutual Housing Association in a telephone interview. Many communities view affordable housing, particularly for the homeless, as detrimental to the community.

In 2003, a local organization aggressively set out to secure land for construction of Housing First-type properties in each of the Sacramento districts in response to county supervisors and city council members pushing back against the idea.

The group was not able to accomplish their goal, but they were able to secure three properties in Sacramento districts. Mutual Housing at the Highlands, the community Bill Lyons moved into, is one of these properties. After eight years of planning, Mutual Housing at the Highlands opened in October 2011. It contains 66 units reserved for formerly homeless.

“The financing for affordable housing projects is always a challenge,” said Wonder Stiles, “For homeless housing projects in particular it's that much more [challenging], so it took us that much more time to put together.”

Joan Burke, director of advocacy for Loaves and Fishes, one of Sacramento's homeless shelters and service providers, said advocates sought to house some of Sacramento's most vulnerable chronically homeless, disabled men who had been homeless for extensive periods of time.

“We moved in 21 homeless men who had been homeless an average of five to ten years.” Burke said in a telephone interview. “One man had been homeless 20 years. For some of these men, it had been so long since they slept under a roof that the first few weeks in their new apartments, they chose to sleep on the patio.”

The unique aspect of the Housing First approach is actually what comes after a person is placed in housing. Advocates line up services that the formally homeless need, like mental health services, medical care, and “whatever it takes,” said Burke.

A study conducted by the Journal of American Medical Association in the Seattle area showed the cost of supportive housing to be $2,449 less per person per month than traditional shelters, largely as a result of continued care. Several studies have shown untreated physical and mental ailments to be more expensive and more dangerous to communities.

On-site at the Mutual Housing at the Highlands community, three separate non-profit service providers have learned to work together to provide whatever it takes for the residents. NA and AA meetings are held on-site, residents have access to a state-of-the-art computer center, and advocates are on hand at all times. Lyons said he has even started to enjoy a weekly nutrition class he attends because he knows it is good for his health.

Lisa Carmona is also a resident at Mutual Housing at the Highlands. She became homeless after a long-term relationship fell apart and she was injured at work. Carmona was forced to give her children to her mother when she became homeless because she knew they would be safe.

“Being homeless is a very traumatic thing, its very hard on the body and on the mind,” said Carmona. “Not knowing when your gonna eat, what your gonna eat, where at, if you buy some food if it's gonna be taken or thrown away.”

Carmona said when she moved in, the program was overwhelming with support.

“It wasn't just here is your box, you can live in it,” Carmona said. “Here is some dishes, some food, a little bit of supplies, because we care. It's a very caring program.”

Journey Rivers said she had participated in two other housing programs in the past, but never one like Mutual Housing at the Highlands.

“This place has changed my life,” said Rivers. “They are helping me a lot to be a better mom for my baby. They are very encouraging.”

Housing First programs are expanding nation-wide with major efforts occurring in hundreds of cities and counties. A national campaign called 100,000 Homes is aiming to place 100,000 homeless in Housing First-type homes. Currently, 146 communities are participating.

The campaign works by connecting local activists with national support through use of web technology, including “webinars” and a dedicated online presence, Maguire said. This has allowed communities to streamline a process that often took a year or more to complete down to 30 days or less.

Debbie Thomas, director of Mary House at Loaves and Fishes, said streamlining the process is essential.

“Often, there are trust issues,” Thomas said. “Many of these people have been let down in the past. When it takes a long time, they sometimes give up.”

Long waiting lists and limited numbers of available units can be discouraging for people who don't know where they are going to sleep at night, Thomas explained.

The 100,000 Homes campaign aims to get communities to reduce the chronic homeless population by 2.5 percent monthly.

“This reduction puts communities on track to end homelessness within four years,” Maguire said.

Sacramento recently joined the 100,000 homes campaign. The program is being administered through Loaves and Fishes.

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