This document summarizes a presentation on addressing homelessness in Philadelphia. It discusses how permanent housing does not have to be forever if residents receive appropriate supportive services and can eventually transition to affordable housing alone. It provides an example where 87.5% of residents remained stably housed after moving out of permanent supportive housing. The presentation emphasizes individualized services, coordination between housing and services, using data to evaluate outcomes, and addressing the needs of special populations like youth. It advocates for a public health approach that focuses on prevention and recovery.

1. Utah Homelessness Summit
November 18th, 2015
Marcella A. Maguire, Ph.D.
FLOW: Why Permanent Does Not Equal
Forever
The Philadelphia Experience
SUPPORTING RECOVERY, RESILIENCE & SELF-
DETERMINATION

2. To End Homelessness, People Need
DBHIDSR E C O V E R Y , R E S I L I E N C E & S E L F - D E T E R M I N A T I O N
Affordable Housing
• Safe
• Neighborhoods that
Support Recovery
• Accessible
• Affordable
Supportive Housing
• Affordable Housing
PLUS
• Individualized Services
Services to meet the
needsOR

3. R E C O V E RY, R E S I L I E N C E & S E L F - D E T E R M I N AT I O N
When People with Disabilities
Recover, then they too only need
Affordable Housing
DBHIDS

4. Recovery Oriented System of Care
R E C O V E R Y , R E S I L I E N C E & S E L F - D E T E R M I N A T I O N DBHIDS
Primary
Focus
Community
Life
In the model, clinical care is viewed as one of
many resources needed for successful
integration into the community.
Work or
School
Treatment
& Rehab
Social
Support
Belonging
Family
Housing
Peer
Support
Faith

5. Traditional Programs vs.
Recovery Oriented System
Traditional System Recovery Oriented System
You need treatment What do you need?
This is what you need What do you want?
Your goal is to be abstinent and manage symptoms
What do you want your future to look like?
This is the program What do you want to work on?
If you leave, you’re done If you leave, we want you to come back anytime
DBHIDS.R E C O V E R Y , R E S I L I E N C E & S E L F - D E T E R M I N A T I O N

6. Health and Behavioral Health systems have people with Housing needs
as well.
Respect each other’s expertise.
Increased capacity with Partnerships
Wave of the Future, eg recent HUD 811 awards.
AND
Population Health considerations
http://portal.hud.gov/hudportal/HUD?src=/program_offices/housing/mfh/progdesc/disab811
If you need to partner with Supportive Services Funders and Providers-
What’s in it for them?
DBHIDSR E C O V E R Y , R E S I L I E N C E & S E L F - D E T E R M I N A T I O N

7. • Supportive Services
– Assertive Community Treatment
– Targeted Case Management
– Mobile Psychiatric Rehabilitation Services
– Peer Support
• Treatment Services
– Full Continuum of Services available based on need
Services Provided
DBHIDSR E C O V E R Y , R E S I L I E N C E & S E L F - D E T E R M I N A T I O N

8. Who was eligible?
DBHIDS
Who moved from
PSH?
R E C O V E R Y , R E S I L I E N C E & S E L F - D E T E R M I N A T I O N

9. 948 Participants
(2012-2014)
• 27% from
Congregate Care
• 32% from Current
Homelessness
• 41% from Project
Based Permanent
Supportive Housing
Programs
PSH Outcomes
Philadelphia Clearinghouse (2012-2014)
DBHIDSR E C O V E R Y , R E S I L I E N C E & S E L F - D E T E R M I N A T I O N
Outcomes
87.5%
remain in stable
housing and are
not using crisis
services
11.5%
are no longer
in PSH
1%
deceased

10. LESSONS LEARNED
DBHIDS
THIS DOES NOT NEED TO BE A SLIDE
IT IS ONLY A PLACEHOLDER

11. Arthur C. Evans Jr.

12. • Individualized Services
• Keep people with lived experience as part of every aspect of the
system
• Coordination between Services and Housing at all levels of
government.
• Memorandum of Understanding between the City/COC and the
Housing Authority
• Watch your data carefully
– Be ready to change when your outcomes do
– Data keeps you honest
Lessons Learned
DBHIDSR E C O V E R Y , R E S I L I E N C E & S E L F - D E T E R M I N A T I O N

13. • A Public Health Approach – Moving Upstream
• Health Homes
• Adapting FLOW through a congregate care
system to prioritize people experiencing
homelessness
• Assume that with the right supports people
recover and eventually need less supports
• Capitalizing on opportunities with Home and
Community Based Waiver Services
• How do we serve Youth?
DBHIDSR E C O V E R Y , R E S I L I E N C E & S E L F - D E T E R M I N A T I O N

14. THE NORTH PHILADELPHIA BEACON PROJECT PORCH LIGHT INITIATIVE, YEAR 3
© 2013 City of Philadelphia Mural Arts Program / James Burns — 2701 N. Broad Street — Photo by Steven Weinik
Contact Information:
Marcella.Maguire@phila.gov
www.dbhids.org
Twitter: @Cella65 @DBHIDS
Paper Link:
http://www.williamwhitepapers.com/pr/Recovery%20and%2
0Harm%20Reduction%20In%20Philadelphia.pdf