Read the article with four recommendations for City homelessness regarding exit options and tenancy sustainment.
"Engaging the Private Rental Sector to Address Homelessness" - Nicole Bramstedt, Gotham Gazette Op-Ed
The recent 40 percent increase in New York City street homelessness per the 2017 HOPE Count has brought much deserved attention to bringing those street homeless inside. It’s also important to assess efforts to permanently house those street homeless once they come inside. According to data from the Mayor’s Management Report, single homeless adults are increasingly bottlenecking in city shelters, and when they are housed, they too often return to shelter within a year. This indicates a lack of permanent housing exit options as well as homeless adults struggling to maintain tenancy once housed. While the private rental sector often causes homelessness, it may be part of the solution, particularly in the low-vacancy, high cost market of New York City.
Read the article with four recommendations for City homelessness regarding exit options and tenancy sustainment.
"Did Street Homelessness in New York City Really Just Increase by Nearly 40%?" - Jeff Foreman, Gotham Gazette op-ed
There were 3,892 unsheltered homeless people on the streets or outside in public places on the cold night this past February when New York City conducted its annual street homelessness count, according to the City’s own statistics released this month. That’s a jolting 39-plus percent increase in one year over the 2016 street homelessness count of 2,794.
For the last several years the Bronx Health and Housing Consortium has conducted their own fascinating count on the very same night as the city’s HOPE Count -- but counted inside in some of the emergency rooms in the Bronx. Consortium President Henie Lustgarten, an organizer of the project that began in 2014, spoke about how the project works.
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"Are New York City’s Public Hospitals Becoming the Main Provider of Inpatient Services for the Mentally Ill?" - NYC Independent Budget Office
The number of hospitalizations at public and voluntary hospitals in New York City has been declining for some time, falling from 1.3 million hospitalizations in 2009 to 1.1 million in 2014. This decline in hospitalizations is similar to national trends, as health care is increasingly provided in outpatient settings. One noticeable exception to this trend is the hospitalization of patients with mental illness by NYC Health + Hospitals, the city’s public hospital system. Mental health hospitalizations at NYC Health + Hospitals’ 11 hospitals grew by 20 percent in 2009-2014, increasing from 20,550 to 24,750. Over the same six year-period, mental health hospitalizations decreased by nearly 5 percent among the voluntary hospitals in New York City.
Read the report
New Report from National Low Income Housing Coalition Shows that High Cost of Rental Housing in the U.S. is Out of Reach for Millions
We are pleased to announce the release of Out of Reach 2017: The High Cost of Housing. This report, released today by the National Low Income Housing Coalition (NLIHC), reveals that on average a full-time worker in the U.S. must earn $21.21 per hour to afford a modest two-bedroom apartment and $17.14 to afford a one-bedroom apartment. The report indicates that housing costs are "out of reach" for both for the average renter and for millions of low-wage workers, seniors and people with disabilities living on fixed incomes, and other low-income households.
Out of Reach reports on the Housing Wage - the hourly wage a full-time worker must earn to afford a modest rental home without spending more than 30% of his or her income on housing costs - for every state, county, and metropolitan area in the country. The average hourly wage of renters in the U.S. is $16.38, $4.83 lower than the two-bedroom Housing Wage and nearly $1 lower than for the one-bedroom Housing Wage.
In no state, even those where the minimum wage has been set above the federal level, can a minimum wage renter working a 40-hour work week afford a modest two-bedroom rental unit. A worker earning the federal minimum wage of $7.25 per hour would need to work 117 hours per week for 52 weeks of the year (or nearly 3 full-time jobs) to afford a modest two-bedroom rental home and 94.5 hours per week (2.4 full time jobs) to afford a modest one-bedroom apartment.
U.S. Representative Keith Ellison (D-MN) wrote the preface for this year's report and was a guest speaker on a call to announce the launch of the report to the press.
The disparity between the Housing Wage needed to afford a rental home and workers' wages results in a shortage of 7.4 million rental homes nationwide that are affordable and available to extremely low income households, underscoring the need for greater investments in affordable housing solutions. NLIHC advocates for solutions like those in the United for Homes campaign and Mr. Ellison's "Common Sense Housing Investment Act" (H.R. 948), both of which call for modest reforms to the mortgage interest deduction - a tax expenditure that largely benefits wealthier homeowners who would be stably housed without the government's support - to generate billions of dollars in savings to reinvest in affordable rental housing programs.
Housing programs help health systems improve their communities' health outcomes. Read the article.
Assemblymember Andrew Hevesi’s Home Stability Support proposal could help end the record homelessness crisis by establishing a statewide rent subsidy for public assistance households facing eviction, homelessness, or loss of housing due to domestic violence or hazardous conditions. Read Assemblymember Hevesi's Op-Ed in the Queens Times.
Sign the petition for Governor Cuomo to support Home Stability Support (HSS).
Mayor Bill de Blasio announced the awarding of contracts to 11 organizations for the first 550 units of his supportive housing plan on Monday. Supportive housing is permanent affordable housing with services that help formerly homeless people and others who need help staying housed. The units will be for scatter-site housing, which is supportive housing in private apartments that also have funding for support services.
De Blasio's plan is to build 15,000 units over 15 years. Half of the units will be scatter site and the other half will be units located together in a building constructed for that purpose, called congregate supportive housing.
De Blasio announced his supportive housing plan in November 2015. Two months later, Gov. Andrew Cuomo announced his own plan to build 20,000 units of supportive housing statewide over 15 years. In the past, the city and state worked together on three joint supportive housing plans, called the New York / New York agreements.
Cuomo's plan is tied up until he and the Legislature can agree on a memorandum of understanding on how to allocate $2 billion of funding for affordable and supportive housing. The MOU was required under the budget deal negotiated between the governor and the Legislature in April.
De Blasio also released a report from his Supportive Housing Task Force on Monday. As reported by POLITICO New York in October, the task force is calling on the city to broadly target adults, families and youth and use a vulnerability index to target those who need the housing the most. This is a change from the previous supportive housing plan, where a specific number of units were targeted to very specific populations.
The report also calls on the city to allow people to be referred to supportive housing from places other than the Department of Homeless Services and calls on the city to proactively identify people who would benefit from supportive housing using data analysis.
See the report here
"Housing as Health Care: A Roadmap for States" - Flora Arabo, Sandra Wilkniss, Sally Malone and Frederick Isasi, National Governors Association Center for Best Practices
Evidence suggests that providing housing to certain high-need, high-cost patients can transform lives and have a very meaningful return on investment. Over the past three years, National Governors Association Center for Best Practices (NGA Center) has engaged in comprehensive technical assistance to 10 states and one territory--Alaska, Colorado, Connecticut, Kentucky, Michigan, New Mexico, Puerto Rico, Rhode Island,
West Virginia,Wisconsin and Wyoming—to develop statewide plans to establish or advance programs to improve outcomes and reduce cost of care for high-need, high-cost Medicaid enrollees.
Developed by the NGA Center through extensive consultation with senior state officials and other national experts, the road map provides a step-by-step guide for both the immediate need to support those state planning efforts and broad use by all governors interested in the promise of housing as an essential element of improved health and reduced utilization of costly health care services.
Download the full report
Special note: the Consortium, along with member organizations the Corporation for Supportive Housing and Montefiore Medical Center, are acknowledged in the report for our work to assist high-need, high-cost Medicaid enrollees.
"Tools + Tips for Providing Transitional Care Coordination Handbook" - Jacqueline Cruzado-Quinones, Alison O. Jordan, Robin Cagey
Read the Final Report on the work of the Transitional Health Care Consortium (THCConsortium) under a grant award to NYC Correctional Health Services on behalf of the THCConsortium, funded through the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB), Special Projects of National Significance (SPNS) “Enhancing Linkages to HIV Primary Care to Services in Jail Settings Initiative (EnhanceLink)” (2007-2012).
This Handbook describes the systems’ approach and interventionists’ work conducted by the THCConsortium, a collaborative led by NYC Correctional Health Services to inform and support warm transitions to community care after incarceration and includes representatives from NYC Health + Hospitals, city agencies (Departments of Correction, Human Resources Administration, and Health and Mental Hygiene), contracted providers (Public Health Solutions and The Fortune Society), and key community partner organizations (ASCNYC, Bronx Health Home, EAC Network, Exponents, Montefiore Medical Center, Palladia, VIP Community Services and Women’s Prison Association).
For a brief overview of the Transitional Care Coordination program through NYC Correctional Health Services, read and share this infographic informational sheet. For additional information, contact Alison O. Jordan at firstname.lastname@example.org.
Integrating Health Care and Supported Housing to Improve the Health and Well-Being of the Homeless: A Population Health Case Report - John Lovelace, National Academy of Medicine
Poor health is both a cause and a result of homelessness. According to the National Health Care for the Homeless Council, people who are homeless are three to six times more likely to become ill than those with stable housing and three to four times more likely to die prematurely. The average life expectancy in the homeless population is estimated to be between 42 and 52 years, compared to 78 years in the general population.
For many reasons, individuals who are homeless and need medical treatment do not receive it. Barriers to health care among homeless individuals include inability to pay, lack of knowledge about where to seek treatment, lack of transportation, difficulty completing forms, and self-consciousness about appearance and hygiene when living on the streets. Consequently, many homeless people use hospital emergency departments as their primary source of health care. Underuse of preventive and primary care services leading to mostly unplanned interventions in more costly settings contributes to poor health outcomes, high health care costs, and inadequate coordination of care for this high-need population subgroup.
Download the Report
Click here to view more Perspectives in the Population Health Case Report series.