THE SOLUTION THAT SAVES Improving lives while reducing costs with permanent supportive housing
IS THERE A WAY FLORIDA CAN HELP PEOPLE CYCLING THROUGH COSTLY SYSTEMS OF CARE WHILE REDUCING COSTS TO THOSE SYSTEMS? To find the answer, Ability Housing of Northeast Florida in collaboration with area nonprofits and governmental entities will be creating The Solution That Saves, a Florida pilot to demonstrate that permanent supportive housing, affordable housing linked with individualized support services, is the most effective way to provide improved outcomes at less cost. Unstably housed persons with chronic health conditions are more likely to experience serious health issues that impact costly systems of care. Many become caught in a recurrent cycle of costly emergency medical care, institutionalization in psychiatric hospitals and facilities, jails and prisons, and living on the streets or in homeless shelters.
Providing housing with individualized supports helps individuals stabilize their lives, improve their health and self-sufficiency while also reducing costs to publicly funded systems, such as: • Medicaid • Indigent care • Criminal justice system • Emergency assistance
THE SOLUTION THAT SAVES The Solution That Saves is a pilot to demonstrate improved personal outcomes and reduced public expenditures by providing high utilizers of crisis services with permanent supportive housing. National research indicates the impacts will be significant; for the persons served as well as the systems of care. However, there is no Florida specific data. This pilot will assess personal outcomes as well as conduct a cost-benefit analysis of providing housing compared to public costs prior to participants’ housing. THE PILOT IMPLEMENTATION TEAM INCLUDES Ability Housing of
Northeast Florida, Inc., Emergency Services & Homeless Coalition (ESHC), Lutheran Services Florida, Mental Health Resource Center (MHRC), River Region Human Services (RRHS), and the U.S. Department of Veterans Affairs, North Florida / South Georgia Veterans Health System. Assisting with identifying pilot participants will be area hospitals, the Jacksonville Sheriff ’s Office and area service providers. At the state level, partners include: Florida Agency for Health Care Administration, Florida Department of Children and Families and Florida Housing Finance Corporation. In addition to state agencies, policy experts from Disability Rights Florida, Florida Alcohol and Drug Abuse Association, Florida Council on Community Mental Health and Florida Supportive Housing Coalition will participate. Health Tech Consultants, Inc. will be responsible for program evaluation, which will provide a cost-benefit analysis of the pilot’s implementation, demonstrate a replicable programmatic model, and explain lessons learned in addressing challenges and barriers. The evaluation is intended to lead to systemic changes on the local and state levels.
EXAMPLE OF SERVICE COST SAVINGS
Average Service Cost Prior to Housing
Average Service Cost Once in Housing
Observed change in average service cost per resident of Denver’s “Housing First Collaborative”— comparing usage in 24 months before and after entering permanent supportive housing. SERVICES: Detox, Emergency Room, Incarceration, Outpatient care,
PETRA AND LASHUN WERE HOMELESS FOR MANY YEARS, SUFFERING FROM SERIOUS HEALTH CONDITIONS. IN THE TWO YEARS PRIOR TO BEING HOUSED,
Inpatient care, Shelter costs
PETRA NEEDED MORE THAN $725,000 IN MEDICAL CARE. IN THE YEAR AFTER SHE
WHAT ’S NEXT? The implementation team will begin developing and providing permanent supportive housing while Health Tech commences the analysis. Outcomes of the assessment will be used to develop public policy.
HOW YOU CAN HELP The Solution That Saves needs to raise $250,000. This money will be used to operate the program and pay for costs related to program evaluation and impact measurement.
WAS HOUSED, HER HEALTHCARE COSTS WERE APPROXIMATELY $12,000.
EUNICE BRADLEY WENT FROM BEING HOMELESS TO WORKING AS A CERTIFIED HOUSING COUNSELOR, HELPING OTHERS AVOID HOMELESSNESS, BECAUSE OF PERMANENT SUPPORTIVE HOUSING. Bradley and her fiancĂŠ, an Army veteran, became homeless for six months due to unemployment. After being provided permanent supportive housing, Bradley was married, returned to school and obtained a business degree; helping her find a job helping others who are experiencing homelessness.
HOMELESSNESS COST PER PERSON PER DAY * U.S. Interagency Council on Homelessness
A ort fford ive abl Hou e & sing Em e rgen cy S h e lt er
D et ox
ital osp ic H iatr
cy R oom
rgen Em e
l In p
ABOUT ABILITY HOUSING Ability Housing of Northeast Florida is the only nonprofit in the region with a focus on developing and operating quality affordable rental housing for individuals experiencing homelessness, those at risk of homelessness and adults with a disability. The local nonprofit owns and manages Mayfair Village Apartments, Renaissance Village Apartments, Oakland Terrace Apartments and CASA, a single-family scattered site rental project. Together these properties total 255 affordable and
Without your support, we cannot develop
supportive housing units. Ability Housing also serves as the convening agency for the 100 Homes Jacksonville initiative, a collaboration of area nonprofits and governmental
entities, housing the community’s most vulnerable homeless persons and veterans. 100 Homes Jacksonville is among the highest performing communities within the national 100,000 Homes Campaign. Ability Housing has also taken a leadership role in increasing the community’s and state’s capacity to reduce the number of persons
To make your donation, visit www.abilityhousing.org/donate or call (904 ) 359-9650.
experiencing homelessness and enabling adults with a disability to live independently. For more information about Ability Housing, visit www.abilityhousing.org.
76 South Laura Street, Suite 303 AbilityHousing
Jacksonville, FL 32202