Aurora@home

1. Aurora@Home Aurora’s Collaborative Plan to Help Families In Need Aurora@home Plan Overview & Next Steps Aurora@Home Initial Board Recruitment Mtg Thursday, January 26, 2012 Presented by: GilanaRivkin

2. Aurora@Home is a community-based and community-driven collaborative initiative, informed by a collective community voice and vision to organize and expand our collective actions toward a strategic goal: to keep our families safe and secure, to support our at-risk families and to support families in finding housing Purpose & Vision

3. core partners • Aurora Housing Authority • Adams County • Arapahoe County • Arapahoe House • Aurora Housing Corporation • Aurora Mental Health Center • City of Aurora • Metro Community Provider Network • Mile High Council/Comitis

4. aurora@Hometarget populations At-Risk [Prevention Initiative] • at-risk of losing their homes or • not currently in a stable housing arrangement Displaced [Re-Housing Initiative] • Those who have already lost their housing. Aurora families who are: Both single and two parent or caregiver households with at least one child 17 years of age or younger

5. Housing Planning = Cost Savings The cost-benefit of getting people into housing is far greater than the cost-benefit of leaving people unhoused Comprehensive efforts include planning for the full housing continuum, with supportive services Cost-benefits accrue even further as planning efforts result in leveraged dollars, and attract increased funding streams Vast majority of those with mental health and substance abuse issues are housed and employed. (OSHA, HUD, SAMHSA, privately funded studies, etc.)

6. Cost Studies I………….. • California • Ave. cost to cure each alcohol-related illness is ~ $10,660 • The one-time cost for substance abuse treatment is about $8,360 for those housed, and about $14,740 for unhoused • Los Angeles, CA Placing only four chronically homeless individuals into permanent supportive housing saved the city more than $80,000 per year • (2009) Identifying ~ 110,000 low-income single adults with disabilities eligible for SSI but not enrolled and facilitating enrollment. • Statewide benefit: $2,151,400,000 and 4,310 new jobs

7. Cost Studies II…………. Seattle, WA Participants in Housing First program cost $2,449 less per person/month than those who were in conventional city shelters Portland, OR Housing + intensive services to homeless individuals with mental illness and addictions = health care and incarceration costs reduced from $42,075 to $17,199. Portland, ME Permanent supportive housing for rural homeless individuals showed a 57% reduction in costs for mental health services over 6-month period - partly due to 79% drop in costs for psychiatric hospitalizations

8. Cost Studies Iii………….. • New York City Each unit of permanent supportive housing saved $16,282 in public costs for shelter, health care, mental health, and criminal justice • Oklahoma City, OK Over one year period (2009-2010): Total cost of homelessness = $28,746,094 • A single chronically homeless man not served in the homeless system during that time cost more than $160,000 • Boston Health Care for the Homeless Program • Average annual health care cost for individuals on the street $28,436 v. $6,056 for formerly homeless now in housing • Ohio • Cost to provide a mental health program $30/day • Prison $60/day - MH inpatient $450/day - Med inpt $1500/day

9. Denver Ave cost per homeless individual over 2-year period Detox $10,373 Incarceration $1,798 Emergency Room $5,256 Outpatient healthcare $1,747 Inpatient healthcare $10,378 Shelter costs $14,688 $43,239 Once housed, total costs over a 2-year period reduced to $11,694

10. HUD: COSTS - 1st Time Homelessness for Individuals and Families • Individuals • Transitional housing proves more expensive than permanent supportive housing (services offered through homeless system rather than by mainstream service providers) • The 10% of individuals with highest daily costs incur ~ 83% of total costs • Families • ES is usually equally or more expensive than TH and PSH (families often given private rooms or apts, and there are fewer units), and with fewer positive long-term outcomes • Overall………… • Costs of providing homeless housing exceeds FMR cost of providing rental assistance (without supportive services) • Average costs for individuals ($1,634-$2,308) is lower than for families ($3,184 to $20,031) who have higher daily costs and longer stays

11. Key initiatives: Prevention & Re-Housing • Prevention • Ensure rapid and timely access to services through a coordinated intake and data delivery/data-sharing system • Coordinate and expand the availability of prevention services for at-risk families • II. Emergency Shelter & Rapid Rehousing • Identify existing capacity and gaps across the housing continuum • Develop short- and long-term housing plans based on identified shelter and housing gaps • Explore and develop opportunities to leverage housing resources and collaborative relationships • Build upon, improve and coordinate current efforts that help displaced families obtain and retain housing Objectives & Strategies Productive Elements 4 Goals overview

12. Structure for Key initiatives • Provide & Implement Supportive Services • Develop procedures to help at-risk and displaced families obtain benefits for which they are eligible • Develop and provide access to employment services to help families obtain jobs and maintain appropriate housing • Develop and provide client-driven support services to help families be successful with their housing and employment goals, including increased access to intensive primary health, substance abuse, and mental health service • Provide service navigation to help coordinate service delivery and improve program outcomes • IV. Develop & Promote Responsive Infrastructure & Sustainability • Develop tools and procedures to comprehensively assess the needs of at-risk and displaced families to identify the most responsive set of services Objectives & Strategies Productive Elements 4 Goals overview

13. Governance Structure Operations Team

14. Needs & responses Current Levels of Knowledge & Data Families & Children – largest & growing population in need Education & Employment – for sustainable, living wage jobs Household & Family Skills – family & home stability indicators Health – medical, mental health, substance abuse, child health Diversity – developing culturally responsive methods and means for families to access services Coordinating private & public resources – streamlining access What we know

15. Continuum & Complexities of Family Needs, including Children and Childcare Needs Housing Projections Actual Numbers in need Unmet needs & gaps in services Housing type & geographic distribution, projected numbers of units needed, and public-private partnerships Infrastructure collaboration and developing strategic and cohesive community service-provision Developing & Emerging More Robust Key Areas of Data/Information for Full Spectrum of Needs & Resources What We will learn

16. I. Infrastructure & Convening the Board II. Program operations III. Data-sharing process & agreements IV. Formalize cross-agency collaborations V. Establish Working Committees Furthering Knowledge, Infrastructure & Housing/Service Development Moving to implementation

17. Pilot project implementation • Develop criteria for eligibility • Identify range of services & create partner agreements • Design service navigation pipeline • Identify and serve 25 eligible families • Evaluation, System Adjustment • Plan for full implementation

18. Implementing a new system • Stages of development • Year 1: A time of many changes, new information, frequent issues, rapid decisions. CHAOS • Year 2: Things begin to run smoothly, only major issues tend to become prominent but systems in place to address; begin to identify growth areas. • Year 3: System runs smoothly, new programs and services can be absorbed more easily. A time for growth and enrichment. • Two key factors • Systemic & operational design, policies, procedures • Stable partner commitment

19. Components: a Strong and Sustainable system Program & Service Delivery System $$$$ Capacity Structure Positive Outcomes Strategic Planning & Development Operational Management Stability

20. Other benefits • Service cohesion & coordination • Streamlining access, leveraging efficiencies • Working toward long-term housing goals • Raises awareness, measures community need • Reduces cyclical access • The power of collective voice & impact • Real-world benefits: • Leverages collaborative system for increased access to funding • Cost-reductions and community-wide high-impact outcomes • Cohesive and coordinated community-wide planning

21. Discussion