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FT. LYON SUPPORTIVE RESIDENTIAL COMMUNITY ANNUAL REPORT: JULY 2015–JUNE 2016 Produced by the Colorado Coalition for the Homeless

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FT. LYON SUPPORTIVE RESIDENTIAL COMMUNITY ANNUAL REPORT: JULY 2015–JUNE 2016 Produced by the Colorado Coalition for the Homeless FT. LYON SUPPORTIVE RESIDENTIAL COMMUNITY ANNUAL REPORT: JULY 2015–JUNE 2016 Produced by the Colorado Coalition for the Homeless EXECUTIVE SUMMARY The Fort Lyon Supportive Residential Community provides transitional housing and supportive services to homeless and at-risk individuals from across Colorado, with a priority on serving homeless veterans. Situated on 552 acres in the Lower Arkansas Valley, the Fort Lyon initiative is a state-wide collaborative led by the Colorado Coalition for the Homeless, Bent County and the Colorado Department of Local Affairs. Under the direction of Governor John Hickenlooper, the former Veterans Administration hospital has been successfully repurposed, recently completing three years of program operation serving nearly 800 of Colorado’s most vulnerable citizens. In Fiscal Year 2016, Fort Lyon served 432 individuals, 88 of those being veterans. Fort Lyon residents represented a large portion of the state of Colorado, with the highest representative populations coming from Denver, El Paso, Jefferson, Arapahoe and Pueblo counties. Most residents arrived on campus with no cash income and multiple health conditions after experiencing homelessness for more than a year. Through person-centered and strengths-based case management, recovery-oriented peer support, direct access to post-secondary education, vocational training, and employment, the Fort Lyon program realized a 91% average monthly retention rate within its safe, trauma-informed environment. Eighty-three percent of residents participated in recovery-based support groups including New Beginnings early drug and alcohol education, Life Ring and Alcohol/Narcotics Anonymous. Through this cross-section of services and opportunities, the average resident stayed engaged in the Fort Lyon program for over 9 months, increasing their odds of obtaining long-term sobriety.1 Among those residents who left Fort Lyon in Fiscal Year 2016, 63% moved on to permanent or transitional housing destinations, with 40% securing permanent housing. The following report details program information from Fiscal Year 2016 including total resident and retention numbers, demographics, program participation, history of homelessness, income, health, and discharges 1 Broome, K., Flynn, P., & Simpson, D. (1999). Psychiatric Comorbidity Measures as Predictors of Retention in Drug Abuse Treatment Programs. HSR: Health Services Research, 34(3), 791-806. FT. LYON SUPPORTIVE RESIDENTIAL COMMUNITY JULY 2015–JUNE 2016 EXECUTIVE SUMMARY Key Findings: Population Overview • 432 residents served, July 2015–June 2016 • 91% average monthly retention rate • 79% of residents were homeless 12 months or more prior to entering the program • 40% exited to a permanent destination Resident Characteristics • 20% of residents served are Veterans • 80% of residents served are male and 20% are female • 59% enter the program with three or more known health conditions Income/Benefits Sources • 52% have one or more cash income source at exit Program Participation • 64% participate in job training opportunities • 27% participate in educational opportunities • 83% participate in recovery-based support groups Health Outcomes • Residents reported improvement across all health categories • Quality of life scores improved by 49% from entry to exit. • Depression scores decreased (improved) by 67% from entry to one month after exit. • Generalized anxiety scores decreased (improved) by 74% from entry to one month after exit. • Environmental quality of life scores improved by 86% from entry to six months after exit, exceeding the norm by 11.1 points Residents’ Satisfaction • 98% of residents surveyed agreed that the services they received help them deal more effectively with their problems. September 30, 2016 | Page 2 of 26 FT. LYON SUPPORTIVE RESIDENTIAL COMMUNITY JULY 2015–JUNE 2016 POPULATION OVERVIEW 1 Total Residents 250 200 91% average monthly 150 retention rate 100 Number of Residents 50 432 0 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun total served by the Total Exited 18 10 17 24 15 15 18 19 40 32 27 17 program, an 18% Total Active 194 198 203 199 215 209 211 217 201 193 192 204 increase over 2014-2015. 2 Length of Residency Length of stay, or residency, in programs like Fort Lyon is an indicator of improved health outcomes after discharge. Of the 228 residents who left the Fort Lyon program in Fiscal Year 2016, 107 individuals, or 48%, remained in the program for six months or longer. Compared to a study of a similarly-modeled program serving homeless adult men that reported 34% of participants stayed in the program six months or longer, Fort Lyon retained 41% more clients for at least six months.1 Length of Residency in Days 140 120 100 80 60 9 months 40 Number of Residents average time residents exiting the program stayed 20 engaged in services 0 <30 31-60 61-180 181-365 >366 Leavers 22 29 70 37 70 Stayers 28 22 54 44 56 Total 50 51 124 81 126 Length of Residency in Days 1 Mierlak, D., Galanter, M., Spivack, N., Dermatis, H., Jurewicz, E., & De Leon, G. (1998). Modified Therapeutic Community Treatment for Homeless Dually Diagnosed Men. Journal of Substance Abuse Treatment, 117-121. September 30, 2016 | Page 3 of 26 FT. LYON SUPPORTIVE RESIDENTIAL COMMUNITY JULY 2015–JUNE 2016 3 Residence Prior to Entry Residence Prior to Program Entry Emergency Shelter 96 Place Not Meant for Habitation 71 Staying w/ Family 58 Detox/Substance Abuse Treatment 55 Staying w/ Friends 49 Hotel/Motel 23 Transitional Housing 22 Jail 13 Rental/Other 11 PSH for Homeless Persons 8 Type of Residence Psychiatric 6 Other 5 Hospital 5 Rental/None 3 Safe Haven 3 Rental/VASH 2 Owned 2 0 20 40 60 80 100 120 Number of Residents 4 Length of Homelessness Prior to Entry 79% of residents were homeless for 12 months or more in the past three years prior to entry (n=240) September 30, 2016 | Page 4 of 26 FT. LYON SUPPORTIVE RESIDENTIAL COMMUNITY JULY 2015–JUNE 2016 41 Rental w/ subsidy* 9 14 5 DestinationFamily/temporary† atFamily/temporary Program Exit 9 18 10 Family/temporary 14 Rental w/ subsidy 15 10 17 Unknown / refused / other 11 5 17 Destination at Program ExitRental w/ subsidy 5 9 Friends/temporary 13 7 Friends/temporary† 10 Friends/temporary 7 9 Place not meant for habitation 8 7 41 RentalEmergency w/ subsidy* shelter 9 13 Place not meant for habitation 10 7 Emergency shelter 7 8 PSH for Family/temporary†homeless persons* 9 156 18 Emergency shelter 7 Rental/no subsidy 6 11 Unknown / refused / other 27 15 Place not meant for habitation Rental/no subsidy 11 11 Hotel/motel 7 2 9 Friends/temporary† 3 13 Rental/no subsidy* Hotel/motel 9 10 9 Unknown / refused 2 3 6 135 EmergencyHotel/motel shelterUnknown / refused 9 6 PSH for homeless persons 10 75 4 PSH for homeless persons*PSH for homeless persons 15 7 Family/permanent* Detox 4 5 1 7 Place not meant for habitation Detox 5 Family/permanentDetox 7 1 4 2 9 4 Type of Residence Type Rental/no subsidy* Family/permanent3 1 Type of Residence Friends/permanent* Psychiatric 2 3 2 Type of Residence Type Psychiatric 1 Hotel/motelJail/prison 2 9 3 Psychiatric 3 1 Jail/prison4 2 TransitionalFamily/permanent*Friends/permanent housing† 2 1 1 1 41 Friends/permanent 1 Hospital 1 7 1 Jail/prisonDetox 1 1 Hospital 1 Owned w/ subsidy 3 1 1 Type of Residence Friends/permanent* Owned/ no subsidy* 1 2 1 Owned w/ subsidy 1 Deceased 1 1 PsychiatricHospital 0 3 Deceased 1 Halfway house 2 1 TransitionalDeceased housing† 0 Halfway1 house Nursing home 1 1 Jail/prison 1 Halfway house† 0Nursing home 1 Transitional housing 1 Owned/ no subsidy* 1 Nursing home*Transitional0 housing 0 2 1 4 6 8 10 12 14 16 18 Hospital 0 0 5 0 10 2 15 4 Number206 of Residents258 1030 1235 1440 16 45 18 Deceased 0 Number of>90 Residents DaysNumber of Residents Length of Residency: >90 <90 Days Days >90 Days Halfway house† 0 *Permanent Destinations<90 †Transitional Days <90Destinations Days Nursing home* 0 Resident Exits to Permanent0 or Transitional5 10 Destinations15 20 25 30 35 40 45 Number of Residents >90 Days 40% 23%<90 Days of residents (90) exited to a permenant of residents (53) exited destination in 2015–2016, as compared to a transitional destination to 33% of residents (53) in 2014–2015 September 30, 2016 | Page 5 of 26 FT. LYON SUPPORTIVE RESIDENTIAL COMMUNITY JULY 2015–JUNE 2016 6 Residents’ Exits: Reasons for Leaving Reasons for Leaving Completed program 121 Non-compliance with program 36 Needs could not be met by program 32 Unknown/disappeared 23 Disagreement with rules/persons 10 Reason for Leaving Criminal activity/destruction of property/violence 4 Other 1 Left for a housing opportunity before completing program 1 0 20 40 60 80 100 120 140 Number of Residents 122 54% residents completed of leavers (122) completed the program or the program or left for left for housing opportunity in 2015–2016, as housing opportunity compared to 35% of leavers (56) in 2014–2015 September 30, 2016 | Page 6 of 26 FT. LYON SUPPORTIVE RESIDENTIAL COMMUNITY JULY 2015–JUNE 2016 RESIDENT CHARACTERISTICS 7 Age Age 62+ 31 55-61 92 45-54 181 35-44 75 Age Range 70% of residents served 25-34 45 are age 45 or older 18-24 8 0 50 100 150 200 Number of Residents 8 Gender 80% 20% of residents served of residents served are male (346 men) are female (86 women) 9 Ethnicity and Race ETHNICITY RACE Race Ethnicity Unknown 2% White 301 Black or African-American 64 Hispanic/ American Indian or Alaska Native 41 Latino 18% Multiple 13 Race Unknown 9 Native Hawaiian or Other Pacific Islander 3 Non- Asian 1 Hispanic 80% 0 50 100 150 200 250 300 350 Number of Residents September 30, 2016 | Page 7 of 26 FT.
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