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Supportive Housing Plan TAC V

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Supportive Housing Plan TAC V Table of Contents Introduction and Acknowledgements 1 Executive Summary 3 Chapter One – Supportive Housing in Arlington County 9 I. Background on Supportive Housing 11 II. The Permanent Supportive Housing Model 12 III. Proven Effectiveness of Permanent Supportive Housing 13 IV. Recommended Arlington County Supportive Housing Typology 14 A. Permanent Supportive Housing 15 B. Transitional Housing 16 C. Residential Services Programs 16 D. Using the Typology 17 V. When Does Housing with Supports Become Supportive Housing? 17 VI. The Future Success of Arlington County’s Supportive Housing Initiative 18 Chapter Two: Need for Supportive Housing 20 I. Introduction: 20 A. Identified Need 20 B. Projected Need 20 II. Overview of Arlington County Demographic Characteristics 21 III. Supplemental Security Income Data 23 IV. Estimated Need for Supportive Housing among the DHS Target Populations Based on Prevalence Data and Associated Factors 25 A. People with Serious Mental Illness (Including Co-Occurring Disorders) 26 B. Youth with Serious Emotional Disturbance 26 C. People with Mental Retardation 27 D. People with Developmental Disabilities 27 E. People with Substance Abuse 28 F. People with Co-Occurring Mental Illness and Substance Abuse 28 G. People with Disabilities who are Homeless 28 H. Victims of Domestic Violence 29 I. People with Physical Disabilities 29 J. People with Traumatic Brain Injury 29 K. Elders 30 Arlington County Supportive Housing Plan TAC V. Summary of the Estimated Need for Affordable Supportive Housing for People with Disabilities in Arlington County 31 Chapter Three: Analysis of Housing and Services Resources 33 I. Housing Resources Available for Supportive Housing 33 A. Three Funding Components of Supportive Housing 33 1. Housing Capital Funding 2. Housing Subsidies 33 3. Supportive Services 34 B. Existing Project Commitments 35 C. Analysis of Housing Capital and Rent/Operating Subsidy Resources 37 Available for New Projects D. Units in Arlington County’s Affordable Housing “Pipeline” 41 II. Supportive Services Resources Available for Supportive Housing: Opportunities and Impediments 42 A. Opportunities: Current Arlington County Service Resources 43 B. Funding for Existing Arlington County Human Services 45 C. Impediments Related to the Arlington County System of Services and 46 Supports D. Use of Recurring LPACAP Funds for Services 49 Chapter Four: Housing Strategies 51 I. Overview of Housing Strategies 51 II. Analysis of Best Use of Remaining LPACAP Funds 52 III. Analysis of Best Use of Rental Subsidies 54 IV. Housing Strategy 1 – Small-Scale Supportive Housing Development 55 A. The Vision for the Supportive Housing Created through Housing Strategy 1 56 B. The Four Components of Housing Strategy 1 56 V. Housing Strategy 2 – Creating Supportive Housing with Committed Affordable Rental Units Supported by County Funds 58 The Vision for the Supportive Housing Created through Housing Strategy 2 59 VI. Housing Strategy 3 – Units Negotiated through the County’s Site Plan Process 60 The Vision for the Supportive Housing Created through Housing Strategy 3 61 VII. Arlington County’s Supportive Housing Initiative – A “Best Practice” Replication 61 VIII. Complementary Housing Strategies 64 A. Pooled Charitable Housing Trust 64 B. Shared Housing/Unrelated Disabled Households Model 64 Arlington County Supportive Housing Plan TAC C. Housing First 65 D. Adopt Bridge Subsidy Policies Within DHS Housing Grants Program 66 Chapter Five: Recommended Service Strategies 68 I. Introduction: General Approach to Service Delivery Models and Resources 68 II. Specific Supportive Housing Service Strategies 69 III. Service Strategy 1: Establish a Unified Supportive Housing Services 70 Coordination Unit Implementation Examples 73 Staffing Model and Budget Implications 75 Future Supportive Housing Services Coordination Unit Budget and 77 Staffing Considerations IV. Service Strategy 2: Permanent Supportive Housing Clearinghouse 78 V. Service Strategy 3: Flexible Pool of Funding 79 VI. Service Strategy 4: Enhancement of Community Support Team Services for Consumers with Mental Illness or Co-Occurring Mental Illness and Substance 81 Abuse VII. Service Strategy 5: Supportive Housing for Transition Age Youth 82 VIII. Service Strategy 6: Re-Contracting Residential Services 83 IX. Service Strategy 7: Administration, Training, and Quality Management 83 X. Use of LPACAP Funds 84 Appendices 91 A. Summary of TAC’s Interview Activities A1 B. Helpful Websites A5 C. Bibliography of Supportive Housing Materials A9 D. Recommended Supportive Housing Typology A36 E. Arlington County Current Supportive Housing Resources (DRAFT) A39 F. Best Practices Examples A43 G. Arlington County Supportive Housing Initiative Implementation Guide A58 H. Supportive Housing Financing Strategies A64 Arlington County Supportive Housing Plan TAC INTRODUCTION AND ACKNOWLEDGMENTS In July of 2004, the Arlington County Department of Human Services (DHS) contracted with the Technical Assistance Collaborative, Inc. (TAC) to assist County officials to develop a multi-pronged, proactive strategy to expand affordable, accessible, community-based supportive housing, including specific recommendations for DHS to best leverage Local Public Assistance Cost Allocation Plan (LPACAP) funding for this purpose. The scope of work included seven components: 1. Assess need for affordable housing and support services; 2. Research supportive housing best practices and models; 3. Evaluate and recommend support services strategies and funding opportunities; 4. Create supportive housing financial strategies; 5. Develop a Comprehensive Supportive Housing Plan; 6. Develop a Communications Plan; and 7. Provide consultation to specific supportive housing projects. Over a six-month period, TAC conducted a comprehensive analysis of resources that are being utilized at the state and local levels to meet the affordable housing and related service needs for low-income people with disabilities in Arlington County. During this time, TAC made a significant effort to involve as many Arlington County supportive housing stakeholders and citizens as possible in the development of the supportive housing strategy. This effort included: 59 separate interviews (40 on-site and 19 via telephone) with 65 different stakeholders; six focus groups with DHS consumers including current and potential tenants of supportive housing; three meetings with the Advisory Committee (three on-site and one via conference call); as well as presentations at the Consolidated Plan Forum, Community Service Board meetings and Housing Commission meetings. TAC also conducted numerous meetings and teleconferences with Arlington County staff. TAC is pleased to submit this Comprehensive Supportive Housing Plan containing specific recommendations to expand affordable, accessible, community-based supportive housing in Arlington County. This plan is the result of a truly collaborative process that involved hundreds of individuals and organizations. A complete list of stakeholders who played a role in the creation of this plan is included in Appendix A. TAC would like to extend a special thanks to: Marsha Allgeier, DHS Director; Cynthia Stevens, DHS Supportive Housing Coordinator; Ken Aughenbaugh, Housing Division Chief at the Department of Community Planning, Housing, and Development; and Fran Lunney, Coordinator of Housing Planning at the Department of Community Planning, Housing and Development. TAC would also like to thank the members of the Advisory Committee for their hard work, diligent reading, and their invaluable help and support during the process of preparing this plan. The following individuals served on the Advisory Committee: Arlington County Supportive Housing Plan - 1 - TAC Introduction and Acknowledgements Advisory Committee Marikay Crangle Dept. of Human Services, Behavioral Healthcare Division David Cristeal Dept. of Community Planning, Housing, and Development, Housing Division Siobhan Grayson Dept. of Human Services, Child and Family Services Division Bob Hynes Disability Advisory Board Dave Liebson Housing Commission Anna Maynard Dept. of Human Services, Aging and Disability Services Division Diane Mehlinger Health Center Commission Emilia Richichi Community Services Board Cynthia Stevens Dept. of Human Services, Supportive Housing Tony Turnage Dept. of Human Services, Economic Independence Division Arlington County Supportive Housing Plan - 2 - TAC EXECUTIVE SUMMARY Overview The Arlington County Department of Human Services (DHS) has an overall mission to maintain a healthy, stable, and safe community by focusing on prevention and promoting independence and self-sufficiency. Decent, safe, affordable, and accessible housing is central to this mission, including research-based “best practices” that are creating new models of supportive housing across the country. Through a federal revenue maximization effort called Local Public Assistance Cost Allocation Plan (LPACAP), DHS has set aside approximately $8.2 million in non-recurring capital funds and $1.075 million in ongoing funds to expand the creation of supportive housing for special needs populations served by DHS. The availability of these funds provided DHS with a unique opportunity to develop a comprehensive plan to expand state- of-the-art supportive housing in Arlington County. In July of 2004, DHS contracted with the Technical Assistance Collaborative Inc. (TAC) to assist with the development and implementation of new supportive housing. The scope of TAC’s work included assessing
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