HOUSING FIRST MERCER COUNTY, NEW JERSEY. Marygrace Billek, LCADC, LCSW Director of Human Services

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HOUSING FIRST MERCER COUNTY, NEW JERSEY Marygrace Billek, LCADC, LCSW Director of Human Services

A Little Background In 2008, Mercer Alliance convened its government partners in a year-long study process. Analyzed Dennis Culhane research on family shelter utilization. Researched National Alliance best practices around Rapid Rehousing. Looked internally at our HMIS Data for Emergency Shelter (ES), Transitional Housing (TH) projects.

What We Discovered People were staying in TH too long, and were not exiting to Permanent Housing. Long term stayers in TH were not those with highest need. 80% of persons in TH could be rapidly rehoused. Current system was NOT ending homelessness and was very costly- $5M from TANF agency alone. Need to look at reallocation of TH and moving towards Rapid Rehousing as a policy

2007 Implemented Housing First Housed 50 Clients including 10 families (expanded to 72 clients) 2009 HPRP & RRH Demonstration Grant TANF/Non-TANF County Welfare Agency changed processes to rapidly rehouse every family

2012 Housing First 10 Chronically Homeless CoC Family Vouchers Housed all families; Unable to identify 10 families that met the chronically homeless criteria Converted to PSH Vouchers (2015) Currently housed 10 families who are homeless with disabling conditions.

Mercer County Reduces Long Term Homelessness by 62% since 2007. Point in Time Count of Chronically Homeless in Mercer County CHANGING POLICY, CHANGES LIVES Mercer County adopted a HOUSING FIRST approach to help those with long histories of homelessness. This approach is based on the premise that the security of a home in necessary for everyone to function. Once stable, the person can, with supportive services, then address their behavioral health and medical problems. In Mercer County, homelessness rates among all individuals has been reduced by 48% since 2007. 840 Point in Time Count of Homeless Individuals by Year 535 515 477 416 551 Sources: onecpd.info/reports/coc_popsub Homeless Management Information System 367 431 436 2007 2008 2009 2010 2011 2012 2013 2014 2015 194 82 86 101 52 62 58 62 73 2007 2008 2009 2010 2011 2012 2013 2014 2015 Housing First has an impact! We now know that with the right program and supports, persons with long histories of homelessness and often times with mental health and substance abuse issues, can be housed and can remain in housing. Once stabilized in a home, they can begin to deal with their mental health and addiction problems. To date, over 287 homeless persons with long histories of homelessness, most with mental health or substance abuse problems, have been successfully housed. Only 7 tenants, of the 287 persons in the Housing First program, have returned to homelessness. Housing First saves medical costs. For those with Emergency Room or In Patient usage prior to enrollment, there has been a 50% decrease in the average annual costs of medical care. Many Housing First individuals have a history of frequent use of the healthcare system. Those with costs over $25,000 per year had these costs reduced to $5,269 per year after being housed (78% decrease).

Mercer County Reduces Family Homelessness by 79% since 2007. The one day Point in Time Count of the Homeless (PIT) is an indication that we are quickly moving people from homelessness to permanent housing. Mercer County, like many other localities, continues to see individual and families become homeless for a variety of reasons. However, we have learned how to move people rapidly out of homelessness and into homes through our Housing First and Rapid Rehousing programs. Therefore, on any one day, fewer people in Mercer County are homeless. On a single night in January 2015, 10,211 persons were homeless in New Jersey 600 persons were homeless in Mercer County. On any given day, homelessness in Mercer County has declined by 62% since 2007. 1598 Total Point in Time Count of Homeless Persons in Mercer County by Year 989 1062 901 843 1009 668 632 600 2007 2008 2009 2010 2011 2012 2013 2014 2015 Sources: onecpd.info/reports/coc_popsub Homeless Management Information System 271 Count of Homeless Families During Point in Time Count by Year 110 197 150 158 155 78 71 57 2007 2008 2009 2010 2011 2012 2013 2014 2015 Rapid Rehousing Works! Over the last 4 years the system to deal with family homelessness has been transformed. A comprehensive screening allows us to identify the truly homeless as well as those families who need one time interventions to prevent homelessness. Since 2010 over 1000 homeless families have been rapidly rehoused by moving into their own apartments within 54 days of entering the homeless system. Before the transformation, families were remaining in Emergency Shelters and Transitional Housing programs for up to a year. Over 2000 children, who were once homeless, are now living with their families in their own apartments, and attending schools in their own neighborhoods. Rapid Rehousing s case management services have helped families increase their earned income by 50%, reducing the length of time on public assistance from one year to 6 months on average. Rapid Rehousing decreases the the length of stay in emergency shelter by 36% meaning that families are able to be back in their own homes more quickly. Best of all, 94% of families who have been rapidly rehoused have not become homeless again.

Contact Information Marygrace Billek, LCADC, LCSW Director of Human Services mbillek @mercercounty.org (609) 989-6526