Residential Options for Residential Options for ConsumersConsumers

Maggie DionneMaggie DionneSpring 2014Spring 2014

E-mail: E-mail: Margaret.Dionne@state.ma.usTel: 617-204-3761Tel: 617-204-3761

Assisted Living (ALRs)Assisted Living (ALRs)ALRs offer a combination of housing, meals and personal care ALRs offer a combination of housing, meals and personal care services to adults on a rental basis services to adults on a rental basis

ALRs do not provide medical or nursing services- not designed ALRs do not provide medical or nursing services- not designed for people who need serious medical carefor people who need serious medical care

Intended for adults who need help with activities such as Intended for adults who need help with activities such as housecleaning, meals, bathing, dressing and medication housecleaning, meals, bathing, dressing and medication reminders reminders andand who would like the security of having assistance who would like the security of having assistance available on a 24 hour basis in a residential/non-institutional available on a 24 hour basis in a residential/non-institutional environmentenvironment

Market rate is approximately $3500 to $4000/monthMarket rate is approximately $3500 to $4000/month

Some ALRs participate in the Medicaid Group Adult Foster Care Some ALRs participate in the Medicaid Group Adult Foster Care Program Program

Supportive HousingSupportive Housing"assisted living like" environment in public "assisted living like" environment in public elderly/disabled housingelderly/disabled housingBy pooling resources that are currently available By pooling resources that are currently available via an Aging Service Access Point (ASAP) and a via an Aging Service Access Point (ASAP) and a housing authority in an existing development, housing authority in an existing development, frail, low-income elders and the disabled have frail, low-income elders and the disabled have an opportunity to access a model of affordable an opportunity to access a model of affordable supportive housing that promotes independence supportive housing that promotes independence and aging in place. and aging in place.

Congregate HousingCongregate HousingShared living environment designed to integrate the Shared living environment designed to integrate the housing and services needs of elders and disabled housing and services needs of elders and disabled individualsindividualsDoes not offer 24-hour care and supervisionDoes not offer 24-hour care and supervisionServices are available based on program eligibility to aid Services are available based on program eligibility to aid residents in managing Activities of Daily Living in a residents in managing Activities of Daily Living in a supportive, but not custodial environment.supportive, but not custodial environment.Each resident has a private bedroom, but shares one or Each resident has a private bedroom, but shares one or more of the following: kitchen facilities, dining facilities, more of the following: kitchen facilities, dining facilities, and/or bathing facilities.and/or bathing facilities.Throughout the state there are many variations in size Throughout the state there are many variations in size and design and design

Continuing Care Retirement Continuing Care Retirement CommunitiesCommunities

CCRCs are different from other types of senior CCRCs are different from other types of senior housing because these communities provide housing because these communities provide housing, personal services, and health care, housing, personal services, and health care, usually at one location and at market rate. usually at one location and at market rate.

CCRCs offer an environment and the services CCRCs offer an environment and the services necessary for residents to "age in place." ….as a necessary for residents to "age in place." ….as a person’s personal and health care needs person’s personal and health care needs change, they are able to remain at the change, they are able to remain at the retirement community. retirement community.

Continuing Care Retirement Continuing Care Retirement CommunitiesCommunities

CCRCs often have a variety of housing on one campus, from CCRCs often have a variety of housing on one campus, from townhouses or "cottages" for independent living to studio townhouses or "cottages" for independent living to studio apartments for people in supportive living programs. In addition to apartments for people in supportive living programs. In addition to providing housing, CCRCs provide or make available some providing housing, CCRCs provide or make available some combination of the services and amenities listed below.combination of the services and amenities listed below.– Nursing and other health-care services Nursing and other health-care services – Meals usually in a community dining area Meals usually in a community dining area – Housekeeping Housekeeping – Emergency assistance Emergency assistance – Personal care assistance Personal care assistance – Recreational and social activities Recreational and social activities – 24 hour security 24 hour security – Building and grounds maintenanceBuilding and grounds maintenance

Residential Care FacilitiesResidential Care FacilitiesResidential Care Facilities (rest homes) are Residential Care Facilities (rest homes) are supportive housing environments for individuals supportive housing environments for individuals who are unable to live independently on their who are unable to live independently on their own, but do not need skilled services (a waiver own, but do not need skilled services (a waiver from DPH is available by individual to allow from DPH is available by individual to allow skilled care).skilled care).Although not providers of medical care, they are Although not providers of medical care, they are responsible for overseeing and coordinating the responsible for overseeing and coordinating the health care needs of residents health care needs of residents

Residential Care FacilitiesResidential Care FacilitiesRequired services include:Required services include:– Three meals per dayThree meals per day– Twenty-four hour supervisionTwenty-four hour supervision– Social and recreational activitiesSocial and recreational activities– Medication managementMedication management– HousekeepingHousekeeping– Linen and laundry serviceLinen and laundry service

Fees for Residential Care range from$1200 to $3000 per Fees for Residential Care range from$1200 to $3000 per month. Subsidy is available through Supplemental month. Subsidy is available through Supplemental Security Income (SSI) and the Emergency aid for Security Income (SSI) and the Emergency aid for Elderly, Disabled, and Children (EAEDC) programs. Elderly, Disabled, and Children (EAEDC) programs.

HOUSING OPTIONS FOR HOUSING OPTIONS FOR INDIVIDUALS DISABLED BY MIINDIVIDUALS DISABLED BY MIGroup residencesGroup residences with on-site staffwith on-site staffMulti-bedroom apartmentsMulti-bedroom apartments with flexible staffingwith flexible staffingIndependent housing -SRO, studio and one-bedroom units Independent housing -SRO, studio and one-bedroom units with or without case management staffwith or without case management staff

Eligibility: Eligibility: To be eligible for specialized services and To be eligible for specialized services and supports through DMH, the adult must:supports through DMH, the adult must:– Be 18 years of age or older;Be 18 years of age or older;– Have a qualifying mental disorder as the primary Have a qualifying mental disorder as the primary

disorder requiring treatment, anddisorder requiring treatment, and– Meet functional impairment and illness duration criteria.Meet functional impairment and illness duration criteria.

HOUSING OPTIONS HOUSING OPTIONS INDIVIDUALSINDIVIDUALS

DISABLED BY MRDISABLED BY MR

Development Centers Development Centers with 24 hour support with 24 hour support services. services. Residential homes Residential homes for people unable to live on for people unable to live on their own.their own.Eligibility: Eligibility: To be eligible for specialized services To be eligible for specialized services and supports through DMR the adult must:and supports through DMR the adult must:– Be 18 years of age or older;Be 18 years of age or older;– Reside and intend to remain in Massachusetts Reside and intend to remain in Massachusetts

permanently or for an indefinite period; andpermanently or for an indefinite period; and– Have mental retardation as defined in DMR Have mental retardation as defined in DMR

regulations.regulations.

HOUSING OPTIONS FOR HOUSING OPTIONS FOR INDIVIDUALS DISABLED BY INDIVIDUALS DISABLED BY

HIV/AIDSHIV/AIDSRental Start Up ProgramRental Start Up Program, run by AIDS Action Committee, provides funds , run by AIDS Action Committee, provides funds for deposits on apartments and temporary rental assistance and provides for deposits on apartments and temporary rental assistance and provides case management services.case management services.

Assisted Living Program Assisted Living Program (ALP) is a scattered site housing program (ALP) is a scattered site housing program located in multiple regions run by the Justice Resource Institute (JRI). ALP located in multiple regions run by the Justice Resource Institute (JRI). ALP connects participants with housing subsidies and services.connects participants with housing subsidies and services.

Tenant-Based Rental Assistance ProgramTenant-Based Rental Assistance Program provides Housing Choice provides Housing Choice Vouchers and links rental assistance with appropriate supportive services to Vouchers and links rental assistance with appropriate supportive services to assist individuals and families with AIDS or HIV.assist individuals and families with AIDS or HIV.

Project-Based Assistance AIDS Program Project-Based Assistance AIDS Program (PBA) provides Section 8 (PBA) provides Section 8 project-based units and links consumers with appropriate services.project-based units and links consumers with appropriate services.

HOUSING OPTIONS FOR HOUSING OPTIONS FOR INDIVIDUALS DISABLED BY INDIVIDUALS DISABLED BY

HIV/AIDSHIV/AIDS

Many of the HIV/AIDS housing options in Many of the HIV/AIDS housing options in Massachusetts require that applicants:Massachusetts require that applicants:– Demonstrate disability due to HIV/AIDS with a Demonstrate disability due to HIV/AIDS with a

physician letter;physician letter;– Fall below regional income limits;Fall below regional income limits;– Hold U.S. citizenship or eligible resident Hold U.S. citizenship or eligible resident

status; andstatus; and– Be homeless or at risk of being homeless.Be homeless or at risk of being homeless.

Independent ApartmentsIndependent ApartmentsThere are 46,300 units of public elderly/disabled There are 46,300 units of public elderly/disabled housing in Massachusetts. housing in Massachusetts.

HUD 202 program has built over 9,650 units of HUD 202 program has built over 9,650 units of subsidized housing for the elderlysubsidized housing for the elderly

The newly created Community Based Housing The newly created Community Based Housing Program has over 200 units of Program has over 200 units of affordable/accessible and or adaptable affordable/accessible and or adaptable apartments in the development pipeline for apartments in the development pipeline for elders and the disabled to live in integrated elders and the disabled to live in integrated housing in the community. housing in the community.

Homeless SheltersHomeless Shelters

In Massachusetts there are over 2900 In Massachusetts there are over 2900 beds for individuals and nearly 1900 units beds for individuals and nearly 1900 units for familiesfor families

Intended for a transitional, short-term stay Intended for a transitional, short-term stay only - however some families and only - however some families and individuals stay a long time and others individuals stay a long time and others come in and out of the shelter system come in and out of the shelter system

Mass Access Housing RegistryMass Access Housing Registry

www.massaccesshousingregistry.org

Funded by the Massachusetts Rehabilitation Funded by the Massachusetts Rehabilitation Commission, the Massachusetts Accessible Housing Commission, the Massachusetts Accessible Housing Registry is a free program that tracks vacancies of Registry is a free program that tracks vacancies of affordable and accessible apartments for people with affordable and accessible apartments for people with disabilities. Many managers and owners of accessible disabilities. Many managers and owners of accessible apartments in Massachusetts use the Mass Access apartments in Massachusetts use the Mass Access program to list their vacant, accessible units and to program to list their vacant, accessible units and to find tenants who need the accessible features of those find tenants who need the accessible features of those units. units.

Home Modification Loan Home Modification Loan ProgramProgram

The state-funded Home Modification Loan program The state-funded Home Modification Loan program (HMLP) provides loans to make access modifications to (HMLP) provides loans to make access modifications to the primary residence of elders, adults with disabilities the primary residence of elders, adults with disabilities and families with children with disabilities. These and families with children with disabilities. These modifications allow people to remain in their homes and modifications allow people to remain in their homes and live independently in their communities.live independently in their communities.

Contact: 617-727-5944Contact: 617-727-5944

Special Housing OpportunitiesSpecial Housing Opportunities

For: Non-elderly disabled Living in For: Non-elderly disabled Living in InstitutionsInstitutions– LHAND Special Purpose Housing VouchersLHAND Special Purpose Housing Vouchers– 811 Demonstration811 Demonstration

For Individuals and Families of Any AgeFor Individuals and Families of Any Age

The Community Based Housing Program(CBH)The Community Based Housing Program(CBH)

– CBH is a housing development program which provides capital CBH is a housing development program which provides capital funds to nonprofit developers who set-aside units for persons funds to nonprofit developers who set-aside units for persons with disabilities who are residing in institutions or at risk of with disabilities who are residing in institutions or at risk of institutionalization to transition to the community.institutionalization to transition to the community.

– Provides a housing preference for people who meet the Provides a housing preference for people who meet the following criteriafollowing criteria

Have a disabilityHave a disabilityNot consumers of DMH and DDSNot consumers of DMH and DDSAre in an institution or at-risk of institutionalizationAre in an institution or at-risk of institutionalization

– Units are fully accessible and affordable to people of very low Units are fully accessible and affordable to people of very low incomeincome

Housing Search AssistanceHousing Search Assistance

Independent Living CentersIndependent Living Centers

Housing Consumer Education Centers: Housing Consumer Education Centers: www.masshousinginfo.org

Listings:Listings:– www.masshousing.comcom– www.massaccesshousingregistry.orgwww.massaccesshousingregistry.org