Homeless and Housing Coordinators

9th Annual Meeting

Fresh Start Housing

Tri-City Mental Health Center

August 1, 2006

Tri-City Mental Health

Moderator Kevin Rice, LCSW

Presenters

Paul Crane, MFT, AB2034 Supervisor

Gilbert Saldate, MHRS, Housing Supervisor

Fresh Start Housing

A Master Lease Approach To Ending Homelessness

Main Reason for Master Lease

NIMBYISM

Mental Health Diagnosis –At Initial Evaluation

5.61

21.35

16.85

41.57

31.46

0 10 20 30 40 50

Other

Bipolar

Schizoaffective

Schizophrenia

Major Depression

Substance Abuse Diagnosis –At Initial Evaluation

1.59

3.17

55.564.76

7.94

22.22

4.76

0 10 20 30 40 50 60

ETOH Abuse

ETOH Depen

Amphet Depen

Cannabis Depen

Cocaine Depen

Opioid Depen

Polysub Depen

Housing Program … In The Beginning

Orange Grove – 2 Bedrooms Tasman – 4 bedrooms and 5 beds La Sena – 4 bedrooms, 5 beds Laurel – 2 bedrooms Webber –

• House – 2 bedrooms• Smaller house – 2 bedrooms

Alvarado –• House – 5 bedrooms, 5 beds• Bungalows – 8 small units with one bedroom each

Washington – House with 1 bedroom

Whatever It Whatever It TakesTakes

Harm Harm ReductionReduction

Housing Housing FirstFirst

Our Guiding Principles… In the Beginning

Philosophy As Practiced

When Housed, Consumers Will…

Want to Change

Participate in Their Treatment

Decrease Their Substance Use as a Coping Mechanism

Do Whatever It Takes to Thrive

Success in Housing

At the Expense of:

Mental Health Treatment

Substance Abuse Treatment

. . . But . . .. . . But . . .

How They Arrived

HOMELESSNESSHOMELESSNESS

SUBSTANCE SUBSTANCE ABUSE ISSUESABUSE ISSUES

MENTAL HEALTHMENTAL HEALTHISSUES/SYMPTOMSISSUES/SYMPTOMS

Clinical Component

Intensive Case Management Practiced

Housing Was Part of The Clinical Model

Housing Became a Clinical Tool (A Third Component)

Treatment Component

HOUSINGHOUSING

MENTAL MENTAL HEALTHHEALTH

TREATMENTTREATMENT

SUBSTANCE SUBSTANCE ABUSEABUSE

TREATMENTTREATMENT

No Holistic ApproachNo Holistic Approach

Outcome

Drugs a Problem

Prostitution

Subletting of Rooms

Moved-in Homeless Friends

Housing Became a Flophouse

Outcome

Clinical Issues

Entitlement Issues Abounded

• Many said, “You can’t make me do anything and you have to give me a place to stay.”

Outcome

Neighbors Began To Complain Complained To City Council Members of

Pomona, Claremont and La Verne

Tri-City is a Joint Powers Authority Governed by these Cities

Police Frustrated

Landlords Confused

Program Overhaul

Our Guiding Principles…Now

Housing Is A Right

Responsibility Is A Choice

Self-Sufficiency Is Achievable

Natural Consequences Motivate Change

What Changed

Housing Contract

Housing was Separated from Clinical

Housing Coordinator Became a Landlord and Contract Monitor

Issues Began to Be Addressed

Housing First Became a Tiered Model

Emergency Shelter Emergency Shelter (as needed)(as needed)

Sober Living

Fresh Start Housing (transitional housing)

Permanent Housing Shelter Plus Care Certificate

Independent Living

Natural Consequences Were The Key

Consumer Chose Living Situation By Life Choices

LeaseAgreement

What Changed – Clinical

Personal Services Coordinator (PSC) Became an Independent Consumer Advocate

PSC Works with Consumer and Reports Problems to the Program Supervisor

Program Supervisor Informs Housing Coordinator of Problems

Holistic Approach

HomelessnessHomelessnessHousingHousing

Mental HealthMental HealthSubstance UseSubstance Use

Health ProblemsHealth ProblemsFamily ProblemsFamily Problems

CommunityCommunityFinancialFinancial

And So ForthAnd So Forth

Deal With Deal With Consumer NeedsConsumer Needs

Advocacy – Problem Solving

IdentifiedIdentifiedProblemProblem

ConsumerConsumer

Self-AdvocateSelf-Advocate

PSC PSC

ConsumerConsumerAdvocateAdvocate

HousingHousingCoordinatorCoordinator

Advocate ForAdvocate ForOther Other

ResidentsResidents

Resolution – Plan of Action (POA)

Consumer Agrees to POA

PSC and Housing Coordinator Inform Program Supervisor of POA

Program Supervisor and PSC Further Operationalize the POA

GOAL

Identified ProblemIdentified Problemand POAand POA

Program SupervisorProgram Supervisor PSCPSC

Housing CoordinatorHousing Coordinator

Result

Consumer

PSC

Program Supervisor

Housing Coordinator

New Philosophical Practice

Develop Internal Locus of Control

Become Self-Motivating

End Homeless Cycle

Make Program Obsolete For Person – Develop Consumer Independence

Set Goals For Self and Achieve Them

Does It Work?

“Lady in White”

Fresh Start Housing

Tri-City Mental Health Center

Pomona, CAServing the cities of Pomona, Claremont and La

Verne

Wishes to express its thanks and appreciation for being invited to

present at the 9th Annual Homeless and Housing Coordinators Meeting