Homes Within Reach

November 17th, 2015

Marcella A. Maguire, Ph.D.

County Housing Plans for Persons in Recovery from Behavioral Health Challenges:

A Chance to Partner with Health Care Systems

SUPPORTING RECOVERY, RESIL IENCE & SELF-DETERMINATION

Recovery Oriented System of Care

R E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N DBHIDS

Primary Focus

Community Life

In the model, clinical care is viewed as one of many resources needed for successful integration into the community.

Work or School

Treatment & Rehab

Social Support

Belonging

Family

Housing

Peer Support

Faith

• A County Behavioral Health/Mental Health Authority

• A County Drug and Alcohol Authority

• Health Choices, a state Mandatory Managed Care program that contracts with Managed Care Organizations (MCOs) who managed Medicaid Resources– Behavioral Health Managed Care

Organizations (BH-MCOs)– Physical Health Managed Care

Organizations

DBHIDSR E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

All PA Counties now have

DBHIDS

To Engage Fully in Recovery, Persons with Disabilities Need

DBHIDSR E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

Affordable Housing

• Safe• Neighborhoods that Support Recovery• Accessible• Affordable

Supportive Housing

• Affordable Housing PLUS• Individualized Services to meet the needsOR

All PA County Behavioral Health Authorities are required to have a “County Housing Plan”

Recovery Oriented Systems of Care

Creating a Culture of Health

Recognizing that Housing is a key component to People’s recovery

Putting resources towards support those efforts

Assuring that the spirit and letter of the Supreme Court Olmstead decision is followed.

Supporting full community integration for people with disabilities.

DBHIDS.R E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

County Housing Plans can support

Capital

Project Based Operating Assistance

Tenant Based Short Term Rental Subsidies (Bridge Program) - A Bridge to Mainstream Housing Resources

Program Management

Housing Contingency Funds

Housing Support/Support Services- With a long term plan for Medical Assistance Reimbursement

DBHIDS.R E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

DBHIDS

948 Participants (2012-2014)

• 27% from Congregate Care

• 32% from Current Homelessness

• 41% from Project Based Permanent Supportive Housing Programs

PSH OutcomesPhiladelphia Clearinghouse (2012-2014)

R E C OV E RY , R E S I L I E N C E & S E L F - D E T E R M I N AT I O N

Outcomes

87.5% remain in

stable housing and are not using crisis

services

11.5% are no longer

in PSH 1% deceased

THE NORTH PHILADELPHIA BEACON PROJECT PORCH LIGHT INITIATIVE, YEAR 3© 2013 City of Philadelphia Mural Arts Program / James Burns — 2701 N. Broad Street — Photo by Steven Weinik

Contact Information: Marcella.Maguire@phila.gov

www.dbhids.org

Twitter: @Cella65 @DBHIDS