Missouri Division of Alcohol and Drug Abuse

1
Missouri Division of Alcohol and Drug Abuse

• Using Block Grant and Other Funding to Serve
  Homeless Persons
• May 20, 2003
• Jefferson City, MO
• Michael Couty,
• Director, Division of Alcohol and Drug Abuse
  mzcoutm_at_mail.dmh.state.mo.us

2
Missouri State Overview

• 5.6 Million Residents
• 115 Counties
• Mix of Rural, Suburban and Urban
• Communities and Issues

3
Need for AOD Homeless Housing

• Based on 2001 Missouri Association of Social
  Welfare (MASW) data, the homeless population in
  Missouri is estimated at about 48,000 individuals
  and families
• 37,350 individuals and families are sheltered
• 11,000 individuals and families are unsheltered
• About 21,000 of these individuals and families
  have unmet needs for both housing and addiction
  services.

4
Need for AOD Homeless Housing

• The 2001 MO Association of Social Welfare (MASW)
  study also shows that 44 of the homeless in MO
  are alcohol or substance involved.
• During Fiscal Year 2002, ADA programs in MO had
  38,914 substance abuse treatment admissions---
  3,065 of these were homeless persons (CTRAC DATA)

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2001 Homeless Client Admissions
Male 2,365 77 Female 700 23
Primary Substance of Abuse Cocaine 30.8
Alcohol 29.5 Crack 29.3
Marijuana 5.9 Opiates 4.5
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2001 Homeless Client Admissions
Principal Referral Source Self/Family-Referral
64.0 Criminal Justice 13.7 Health
Care Provider 12.4 Community Program
9.9
7
Missouri Funding

• The Department of Mental Health (DMH) serves as
  a conduit for Federal and State funding.
• In Missouri, the Substance Abuse Prevention and
  Treatment (SAPT) Block Grant is the primary
  source of Federal funding for addiction treatment
  and prevention services.
• DMH uses these Federal dollars in combination
  with State aid and other funds to support a broad
  range of local programming efforts.

8
HUD Funding (2002)
(Missouri has 18 HUD SC Programs)
______________________________________________
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Block Grant Funds

• Block Grant funds support a broad range of
  treatment and prevention services in MO.
• In terms of services to homeless, funds are used
  to match HUD rental assistance funding and to
  support needed case management not fundable
  under Shelter Plus Care.

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Missouris Treatment Admissions(FY 2002)

• Service Total Served
• Residential 6,779
• Detoxification 5,172
• Outpatient 26,963
• Methadone 371
• CSTAR Women and Children 5,187
• CSTAR Adolescent 3,274
• CSTAR General Adult
  9,691
  
  

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Homeless Tx Services

• Outreach/evaluation/referral services through
  scheduled visits to shelters, primarily in the St
  Louis and Kansas City areas.
• Crisis services are provided in many Missouri
  communities that do not have large-scale homeless
  shelters.

12
Homeless Tx Services

• A critical component of DMHs continuum for
  homeless persons involves outpatient client
  treatment programming, in conjunction with
  supportive, permanent housing for clients, such
  as Shelter Plus Care or community residence
  services.

13
Homeless Housing Services Shelter Plus Care

• Shelter Plus Care (SC) is the core of our
  homeless services approach and an excellent
  linkage between two systems -- services and
  housing.
• DMH currently works with nonprofit service
  providers, including the Community Action
  Agencies to operate 18 of the 21 Shelter Plus
  Care programs in MO which provide rental
  assistance to over 700 units and 1300 individuals
  and their families.
• HUD provides rental assistance DMH provides
  administrative oversight participating providers
  are responsible for treatment and supportive
  services.

14
Homeless Housing Services Shelter Plus Care

• ? SC utilizes the HUD Continuum of Care (CoC)
  planning model. There are currently 9 Continuums
  of Care in MO. DMH Housing staff coordinates the
  State Continuum of Care which covers 98 of the
  115 counties. CoC planning helps communities
  develop a common vision and goals, provides an
  excellent framework for
• determining housing needs among various target
  populations in a given community and for
• identifying and accessing resources in a
  coordinated manner.

15
Homeless Housing Services Shelter Plus Care

• SC grantees must match the rental assistance
  provided by HUD with an equal value of supportive
  services appropriate to the target population.
• (The services match is typically funded through a
  combination of State and Block Grant funds.)
• Many providers have also independently pursued
  and received HUD Supportive Housing awards,
  Section 8 rental subsidies and other Federal and
  State homeless assistance funds.

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MO Homeless Housing Initiatives

• Amethyst Place, located in Kansas City, provides
  independent, supportive housing to homeless women
  and their children.
• DMH is a partner in two proposals submitted by
  Missouri for the Collaborative Initiative to Help
  End Chronic Homelessness initiated by the
  Interagency council on Homelessness. (One in
  Kansas City and One in St. Louis.)

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Other Housing Resources in MO

• Various other sources for homeless people with
  chemical addictions, mental illnesses or
  co-occurring disorders --
• HUD Shelter Plus Care, Supportive Housing
  Program, Section 8 - Housing Choice Vouchers,
  Section 811 Supportive Housing for Persons With
  Disabilities, Section 8 Mainstream for persons
  with disabilities, Public Housing Program, Home
  Investment Partnership Program, Community
  Development Block Grant.
• VA VA's Supported Housing Program, H U D -
  VASH
• PATH Projects for Assistance in Transition
  from Homelessness

18
Homelessness Initiatives

• The MO Governor's Committee to End Homelessness
  attended the 3rd annual Policy Academy in Atlanta
  in January 2003
• Homeless Missourians Information SystemHUD
  funded program to establish data system to track
  all services delivered to persons experiencing
  homelessness in the State Continuum of Care
  process. This will eventually link with other
  HMIS systems in the urban areas of MO.
• Transition from Prison to Community Housing
  Committee developing recommendations to improve
  discharge planning to increase number of people
  released from correctional institutions into
  permanent housing situations with connections to
  needed services to succeed.

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Current Housing Services Priorities

• DMH providers need to develop and institute
  housing assistance services that focus on
• assessment of clients housing needs and level
  of readiness for housing
• treatment and discharge planning that identifies
  appropriate housing options to be pursued
• case management to ensure integration of all
  treatment, support and housing services

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Current Housing Services Priorities

• linkages with local public and private housing
  agencies, other DMH providers of
  homeless/housing services along with all CoC
  groups.
• housing resource development, to increase
  affordable housing options, including ownership,
  subsidies and other fiscal resources.
• State and community advocacy for safe, suitable
  housing options with appropriate supports for all
  DMH consumers.