Professional Documents
Culture Documents
Executive Summary 4
Background 6
Effective Models 8
Recommendations 10
Cost Analysis 14
Conclusion 15
Call to Action 16
Appendices 23
COVER PHOTOS Left: From the book Finding Grace: The Face of America’s Homeless. Photography by Lynn Blodgett.
Published by Earth Aware Editions. Copyright © 2007; Right: Step Up on Fifth in Santa Monica
THE BUSINESS LEADERS TASK FORCE ON HOMELESSNESS Letter from the Co-Chairs
We must act now. Our current economy demands that every last tax dollar be spent in the most
efficient and economical way. We cannot continue to simply manage homelessness in our communities;
we must take action to end it.
The federal government has just launched a national plan that sets bold goals to end chronic and
veteran homelessness in the next five years and a path to end all other forms of homelessness.
We join with our national partners in these commitments.
There is a role for each of us in this work. We urge everyone in our community to partner with us in building
a region in which all our residents can thrive, in which our goals are matched and fueled by our fiscal
responsibility and in which, at long last, our homeless population is home for good.
Communities across the country have made significant The foundation of a re-imagined system is the notion that
reductions in chronic and veteran homelessness by housing stability is a critical first step on the road to well-
investing in proven solutions. Homelessness in Denver ness. Vital health, mental health, and other supportive
has decreased by 64%. New York City has reduced services are then provided after individuals are housed,
homelessness by 29%. enabling them to better address these challenges.
Throughout Los Angeles County, there are innovative This approach is cost-effective because it drastically
organizations, governments and communities suc- reduces individuals’ stay in shelter or on the streets.
cessfully implementing these solutions. Our homeless By focusing resources on rapid access to permanent
services system is outdated, however, and we now housing with supportive services provided after housing,
manage homelessness, rather than end it. We need the system can permanently house more people for the
to shift away from a system that is cumbersome and same cost, with higher rates of retention and success
confusing, to an efficient system focused on housing in housing.
our homeless neighbors.
RESOURCES CONSUMED BY HOMELESS INDIVIDUALS
INVESTING IN SOLUTIONS IS COST EFFECTIVE Total: 48,000 Total: $875 million
People
100%
ANTELOPE VALLEY
2,419 Homeless People
• Chronic | 445
• Vets | 372
CENTRAL LA
11,093 Homeless People
• Chronic | 3,153
WEST LA • Vets | 1,652
5,538 Homeless People
• Chronic | 1,779 EAST LA
• Vets | 891 4,517 Homeless People
SOUTH BAY • Chronic | 994
7,863 Homeless People SOUTH LA
• Vets | 722
• Chronic | 1,886 8,514 Homeless People
• Vets | 1,293 • Chronic | 2,134
• Vets | 1,373
Chronically homeless people are not only frequent users For these reasons, the U.S. Interagency Council on
of our mainstream resources, but they also utilize a Homelessness has just released a federal plan that
significant portion of the homeless system resources. prioritizes ending chronic homelessness in the next
five years. This federal priority enables us to harness
the tremendous local and national political will to end
RESOURCES CONSUMED BY HOMELESS INDIVIDUALS chronic homelessness in our region by 2016.
RJ’S STORY
RJ was a veteran who struggled with depression and alcoholism after leaving the
service. He found it hard to keep a job and his relationships with his family and
friends had all broken down. Penniless and homeless, he realized he needed help.
RAPID TRANSITION TO PERMANENT HOUSING Homeless veterans and chronically homeless individu-
als thrive in permanent housing when we quickly assess
Communities across the country have dramatically their needs and match them to appropriate permanent
reduced chronic and veteran homelessness by focusing housing resources, coupled with supportive services. In
on quickly moving homeless individuals into permanent this model, temporary housing programs play a critical
housing and providing the supports they need to thrive. role in triaging individuals and connecting them to
Individuals better recover from chronic health, mental housing and services.
health and substance abuse challenges when they have
the stability of a permanent home first. Newly Homeless Veterans: Affordable
Rental Housing
Over 6,000 men and women who have served our
country are newly homeless. For this group, the effective
solution is rapid placement in affordable rental housing
in the community with linkages to supportive services.
ED’S STORY
Ed was in his usual spot on the sidewalk of Skid Row when the team of
volunteers found him. He’d been living on the streets for over thirty years,
except for the occasional stay in a Skid Row hotel when he could find
temporary work. He was an alcoholic and his health had deteriorated so
much that he was at risk of dying on the streets.
Permanent
Transitional
Housing
Affairs A RE-IMAGINED SYSTEM
Supportive
Housing
Law
Enforcement Criminal
Justice
Currently, a sizable array of stakeholders and organiza- Foster Care System
System
tions provide meals, transitional shelter, health care, Public
Veterans ALIZED DATAB Benefits
outreach, and other critical services to our homeless Affairs CEN
TR AS
E
neighbors, but their efforts are frustrated—and often de- ATION & P
LOC LA
NG C Emergency
feated—by a fragmented system that is not functioning in Response Teams
SI
EM
Transitional
Permanent
HOU
Substance
Drop In/ Abuse
Community Health Treatment
Centers Clinics
Safe Havens Health
Services
HELMUT’S STORY
Helmut was 80 when he was evicted from his apartment in Hollywood
where he’d lived for 40 years. With a limited income, he couldn’t afford
the security deposit on a new apartment and was forced onto the streets.
He slept on bus benches at night and recycled cans and bottles during
the day to survive.
Turnover in Existing PSH Units 650 850 1200 1600 1700 6,000
New Construction or Rehab
Ready for Lease 500 500 500 500 500 2,500
Scattered Site Units
in Existing Buildings 550 550 700 800 900 3,500
Services
We must target and reallocate On-site services provide the stability that allows
chronically homeless individuals to address their chron-
existing resources to create access ic conditions and retain their housing. The County of Los
to 12,000 units of permanent Angeles and cities throughout our region currently ex-
pend over $400 million on critical health, mental health,
supportive housing for chronically substance abuse and additional services for homeless
homeless individuals. and at-risk individuals each year. By repurposing a
portion of existing City and County resources to provide
services for the newly housed, the system can function
Capital far more effectively. It will help people stabilize in hous-
For every million dollars in local funds invested in capital ing, rather than trying to manage their symptoms from
for permanent supportive housing, we are able to lever- the streets. This will also unemcumber public systems
age approximately $4 million in State and Federal funds. currently overburdened by chronically homeless people
Therefore, by investing $30 million in local funds, we will cycling in and out of emergency services. The annual
be able to leverage $120 million in federal capital funds. funding needed to deliver these new services in perma-
This secures the $150 million needed to build or reha- nent supportive housing will be $14 million in 2011 and
bilitate at least 500 new units of permanent supportive increase to $86 million by 2015.
housing for chronically homeless individuals throughout
Over $875 million in public funds are invested each year Top Cost Quartile
to primarily manage homelessness, rather than end it. of Homeless $650,000,000
Individuals
Foundations, corporations, and individual donors invest
another $100 million each year. By shifting to an inte-
grated system focused on permanent housing, we can
generate tremendous efficiencies that can enable these Cost of Permanent
$230,000,000
Supportive Housing
resources to be invested in truly ending homelessness.
We are mindful of the challenges our proposals present. Coordinating the efforts of a multi-
plicity of local, state and national government entities will be daunting work. Instituting an
innovative, consolidated approach in a dizzying patchwork of agencies, developers, existing
social service and rehabilitation nonprofits, the faith-based community, the philanthropic
community and the public at large will be difficult.
Yet for all the challenges, impediments and competing interests which would otherwise
dampen our efforts to forge a better system, we hold firm to our conviction: Homelessness
must end and ending homelessness begins by solving chronic and veteran homelessness.
We have before us the proven means to end homelessness in our community while saving
millions of dollars and thousands of lives. We know that business as usual does not work.
We have unassailable facts and figures and we have evidence, right before our eyes each
night on streets, that what we have done is insufficient and needlessly expensive.
We can make our communities better, stronger, safer and far more
humane. Our commitment and our collective action will ensure our
success. We can and will bring our homeless neighbors home for good.
FOURDevelopers
Housing KEY STRATEGIES
Construct permanent supportive housing for
chronically
In orderhomeless
to create individuals in communities
a cost-effective and efficient system that will end
throughout our region. Partner with services
chronic and veteran homeless by 2016 and create a path to ending
providers to locate critical supportive services
all homelessness, we must employ four key strategies focused on
in this housing.
creating an integrated system grounded in access to permanent
Law Enforcement
housing, and scale permanent supportive housing:
The Business Leaders Task Force on Homelessness All Stakeholders will com-
will create the cross-sector leadership group that will mit to hold themselves and
ensure ongoing implementation of the Home For Good others accountable to fol-
plan. The Task Force will release regular updates on the low through on the action
progress of the plan, track key benchmarks, and provide items in the pages that
follow.
ratings on key action items for each sector.
FOUR KEY STRATEGIES
Strategy 1: Align Goals to Integrate Our System
We must create system-wide accountability by establishing consistent standards and measures of success, which are
then carefully and regularly evaluated. This is only possible if we establish key benchmarks and set shared goals for
quickly transitioning individuals into permanent housing with access to the supports they need to thrive.
Create common mission, Sign on to Home For Good and agree to hold All Stakeholders 2010
benchmarks, and action steps themselves and others accountable for ongoing
to achieve goals and ensure implementation.
accountability.
Release periodic progress reports on Task Force 2011-2015
Home For Good implementation.
Align goals for services and housing providers to Task Force, in collabora- 2011
focus on rapid transitions to permanent housing tion with public and
with supportive services. Key principles for this private sector funders,
work are outlined in Appendix C. providers, and faith
community
Integrate the system by Provide capacity building and technical United Way; Corporation 2011-2015
focusing on permanent assistance for organizations shifting to new for Supportive Housing;
housing outcomes. permanent housing models. Common Ground; Enter-
prise Community Partners
Align Continuum of Care
outcomes with requirements Adopt aligned goals determined during previous Services and housing 2012
set forth in the HEARTH Act. year and work together to coordinate services providers, including faith
and housing in each region. community
Conduct periodic assessments of service Task Force, with public and 2012-2015
providers’ performance on aligned outcomes. private sector funders
Create vital linkages between Integrate law enforcement as a critical link Task Force convenes; 2011-2015
law enforcement and homeless between homeless individuals and homeless Cities/County law
services system to ensure home- services and housing providers. enforcement and home-
less individuals have access to 2011: Convene regional law enforcement and less services and housing
services and housing. services and housing providers to create a plan providers implement
to formalize linkages.
2012-2015: Implementation.
Track progress of individuals Implement HMIS to track progress of individuals Continuums; Emergency 2011-2015
accessing housing and and families receiving services. Shelter/ Transitional
services and target housing Baseline: 31%. 2011: 50%; 2013: 85%; 2015: 95% Housing Providers
and services resources.
Implement HMIS to track housing placements Continuums; Permanent 2011-2015
and stability and available housing resources. housing providers
Improve scoring on McKinney Baseline: 9%. 2011: 15%; 2013: 40%; 2015: 80%
Vento applications to HUD.
Oversee implementation of HMIS among public Continuums; Board of 2012-2015
sector departments. Supervisors; VA
Enroll individuals in Medicaid and build upon Housing and services 2011-2015
successful service delivery and payment models providers
that use Medicaid as a payer for services in
permanent supportive housing.
Provide funding for innovations Provide funding to support innovations in Private sector funders 2011-2015
in permanent supportive housing placement and retention.
housing.
Provide services to rapidly Shift McKinney Vento funds to outcomes-based Continuums 2011-2013
house all homeless populations, contracts, focused on permanent housing
in alignment with HEARTH Act outcomes.
requirements. 2011: Evaluate and create plan for transition;
2013: plan fully executed.
Increase individuals’ Enroll chronically homeless individuals in ap- DPSS; DMH; DHS; VA;
income. Shift individual subsidy propriate entitlement benefits, including SSI and Providers 2011-2015
from County budget to federal VA benefits, as applicable. Increase approval rate
source when possible. of SSI applications from 40% in 08-09 to 70% in
12-13.
Enable non-chronically Fully implement the restructure of the General Board of Supervisors; 2011-2014
homeless individuals to access Relief program, to include 10,000 rental subsi- DPSS
permanent housing with short dies for homeless individuals by 2014.
term supports.
Convert a portion of existing temporary housing VA 2011-2015
funding (per-diem funds) to support innovative
transition in place programs.
Provide capital funds to help Continue the City of Los Angeles Permanent LAHD; LA County CDC 2011-2015
fund 500 new construction and Supportive Housing Program and City of Industry
rehab units per year. Special Needs Housing Programs at current
capital and project-based rental subsidy levels.
Set aside at least 20% of all affordable hous- City and County Housing 2012-2015
ing funds for permanent supportive housing, Departments and
including HOME, redevelopment tax increment Redevelopment Agencies
low-moderate income housing set-aside funds
and Neighborhood Stabilization Program funds.
Increase local funds from state Advocate for increased and targeted state and Task Force, in partnership 2011-2015
and federal sources to provide federal resources for the region. Advocacy will with all stakeholders
permanent housing with access include revision of the federal funding formula
to supportive services. to ensure more equitable distribution of federal
funds, targeted housing voucher and capital
funds programs, establishing affordable housing
trust funds, establishing a state interagency
council on homelessness, and other critical state
and federal policy.
Shorten development timeline. Align distribution of philanthropic funds for Private sector funders 2012-2015
capital, operating, and services funds for
permanent supportive housing, in collaboration
with public sector funders.
Advocate for federal initiatives that streamline Task Force, in partnership 2011-2015
funding. with all stakeholders
Streamline funds to better
coordinate and invest in local Mobilize the business community to LA Area Chamber of 2011-2015
solutions. advocate on homelessness policy priorities Commerce
through annual Access Sacramento and
Access DC.
4,805 $507,580,980
25% Most Costly 4,805 $112,379,340
2,403 $31,806,108
* Assumptions are based on the need for full capital, operating and services dollars for all 2,500 new construction and rehab units; operating and services for
3,500 scattered site units; operating dollars for 1,000 turnover units and services dollars for 3,000 turnover units.
Capital costs: $300,000 per unit; operating costs: $8,000 per unit; services costs: $10,000 per unit.
THE COST AN
Nearly all operating costs can be covered by rental subsidies that exist within our system.
The chart below demonstrates one scenario for providing the new rental subsidies needed each year.
1
United Way of Greater Los Angeles. Homeless Cost Study, 2009.
2
Flaming, Daniel, Patrick Burns, Michael Matsunaga, Gerald Sumner, Manuel H. Moreno, Halil Toros, and Duc Doan.
Where We Sleep: Costs When Homeless and Housed in Los Angeles. Los Angeles: Economic Roundtable, 2009.
3
Los Angeles Homeless Services Authority. 2009 Greater Los Angeles Homeless Count Report, 2009.
4
City of Long Beach. City of Long Beach 2009 Count, 2009.
5
City of Glendale. 2009 Homeless Count, 2009.
6
City of Pasadena. 2009 Homeless Count: Final Report, 2009.
7
United Nations Centre for Human Settlements. United Nations: Global Report on Human Settlements, 1995.
8
Flaming et al., Where We Sleep, 18.
9
Tsemberis, Sam, Leyla Gulcur, and Maria Nakae. Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals
With a Dual Diagnosis. American Journal of Public Health, 2004.
10
Tsemberis, Sam and Ronda Eisenberg. “Pathways to Housing: Supported Housing for Street-Dwelling Homeless Individuals
With Psychiatric Disabilities.” Psychiatric Services 51.4 (2000): 487 - 493.
11
Wilkins, Carol. “Housing Opportunities for Persons with Mental Illness.” Corporation for Supportive Housing, 2009.
12
“The Impact of Supportive Housing on Surrounding Neighborhoods: Evidence from New York City.” New York University’s
Furman Center for Real Estate & Urban Policy, 2008.
13
Flaming, Daniel, Michael Matsunaga, and Patrick Burns. Tools for Identifying High-Cost, High-Need Homeless Persons.
Los Angeles: Economic Roundtable, 2010.
14
Burt, Ph.D., Martha R. “Hilton Foundation Project to End Homelessness for People with Mental Illness In Los Angeles: Changes in
Homelessness, Supportive Housing, and Tenant Characteristics since 2005.” Corporation for Supportive Housing.
15
Abt Associates Inc., Khadduri, Jill, Leopold, Josh, Sokol, Brian, and Spellman, Brooke. “Costs Associated With First-Time
Homelessness For Families and Individuals.” Department of Housing and Urban Development, 2010.
16
Flaming et al., Where We Sleep, 18.
The Business Leaders Task Force on Homelessness, a joint initiative of United Way
of Greater Los Angeles and the Los Angeles Area Chamber of Commerce, is comprised of business
leaders from throughout the county who have come together with a commitment to end chronic and
veteran homelessness in our region. The Task Force promotes permanent solutions to homelessness
in partnership with local and national public sector, faith, nonprofit, and civic leaders.
Since 2009, the Task Force has examined the challenges and opportunities involved in ending
homelessness in our communities. By learning from local and national experts about solutions that
work, the Task Force has taken the leadership needed to create a bold path to ending homelessness.
The Task Force wishes to thank all those who have informed their learning over the past year,
and express sincere appreciation for the invaluable partnership of leaders in Los Angeles and
throughout the country.
CO-CHAIRS
RENEE WHITE FRASER, PH.D.
Fraser Communications, Inc.
JERRY NEUMAN
Sheppard Mullin Richter & Hampton LLP