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Hearth Outreach Program Social Innovation Forum June 16, 2009
Homelessness is a Prevalent Problem ,[object Object]
 15,000 in Massachusetts
 670,000 homeless in the US2 Source: National Alliance to End Homelessness and the City of Boston
% of Homeless Elders Has Tripled Since 1990 A third of Boston’s homeless adult shelter population is over 50 years old. 3 Source: Journal of Internal Medicine and the City of Boston
Boston Housing is Expensive ,[object Object]
Many elders earn less than the annual cost of housing
32% of US retirees have less than $10,000 in savings4 Source: US Census, American Community Survey, and the Employment Benefit Research Institute
Many Problems Lead to Chronic Elder Homelessness ,[object Object]
Debilitating health issues that prevent a return to work
Estrangement from, or no, family connections or social networks
Other older life crises, such as the death of a spouseBed line at Woods-Mullen Shelter (April 2009) 5 Source: Hearth Outreach
Traditional Solutions Do Not Work for Elder Homeless COMMUNITY COLLABORATORS ,[object Object],Hearth Housing & Services Hearth Outreach 1,000 elders placed 3,000 served  (capacity to help 250 elders annually) ,[object Object],7 sites, 136 units 6
Hearth Outreach Focuses on Elders & Their Unique Needs Social Security Veteran’s Benefits Geriatric Health Care Medicaid/Medicare HEARTH OUTREACH OPERATING MODEL food income insurance health care mental health substance abuse financial assistance legal  socialization stress management crisis services food income insurance health care mental health CONNECTION HOUSING SEARCH and CASE MANAGEMENT PLACEMENT and STABILIZATION Permanent elderly/disabled housing Connecting homeless elders Elder-specific supportive services Homeless Elders 50+ Safe, Affordable Permanent Housing 7
1. Connection (~2 months) Four Outreach case managers  visit 10 Boston shelter programs weekly Each case manager manages a  caseload of ~50 individuals 8
2. Housing Search and Customized Case Management (~14 months) Jane will edit and make less wordy. Words on this slide will become her talking points. 2. Housing Search and Customized Case Management Case managers help their clients navigate the housing application  process Customized case management  helps elders obtain needed social  support services 9
3. Placement and Stabilization (~6-8 months) Case managers assist clients with their move into housing They continue to check in  regularly to make sure they have  social services and community  support 10

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Hearth Presentation V12

  • 1. Hearth Outreach Program Social Innovation Forum June 16, 2009
  • 2.
  • 3. 15,000 in Massachusetts
  • 4. 670,000 homeless in the US2 Source: National Alliance to End Homelessness and the City of Boston
  • 5. % of Homeless Elders Has Tripled Since 1990 A third of Boston’s homeless adult shelter population is over 50 years old. 3 Source: Journal of Internal Medicine and the City of Boston
  • 6.
  • 7. Many elders earn less than the annual cost of housing
  • 8. 32% of US retirees have less than $10,000 in savings4 Source: US Census, American Community Survey, and the Employment Benefit Research Institute
  • 9.
  • 10. Debilitating health issues that prevent a return to work
  • 11. Estrangement from, or no, family connections or social networks
  • 12. Other older life crises, such as the death of a spouseBed line at Woods-Mullen Shelter (April 2009) 5 Source: Hearth Outreach
  • 13.
  • 14. Hearth Outreach Focuses on Elders & Their Unique Needs Social Security Veteran’s Benefits Geriatric Health Care Medicaid/Medicare HEARTH OUTREACH OPERATING MODEL food income insurance health care mental health substance abuse financial assistance legal socialization stress management crisis services food income insurance health care mental health CONNECTION HOUSING SEARCH and CASE MANAGEMENT PLACEMENT and STABILIZATION Permanent elderly/disabled housing Connecting homeless elders Elder-specific supportive services Homeless Elders 50+ Safe, Affordable Permanent Housing 7
  • 15. 1. Connection (~2 months) Four Outreach case managers visit 10 Boston shelter programs weekly Each case manager manages a caseload of ~50 individuals 8
  • 16. 2. Housing Search and Customized Case Management (~14 months) Jane will edit and make less wordy. Words on this slide will become her talking points. 2. Housing Search and Customized Case Management Case managers help their clients navigate the housing application process Customized case management helps elders obtain needed social support services 9
  • 17. 3. Placement and Stabilization (~6-8 months) Case managers assist clients with their move into housing They continue to check in regularly to make sure they have social services and community support 10
  • 18.
  • 19. Placed nearly 1,000 and assisted over 3,000 elders since 1995
  • 20. Over 96% of homeless elders placed in housing maintain their housing for at least a year, surpassing HUD’s benchmark retention rate of 71% over six months11
  • 21.
  • 22. Improve process for collecting, managing, and interpreting internal data
  • 23. Document the causes and demographics of elder homelessness in Massachusetts
  • 24. Develop a strategy to scale Outreach’s impact, by sharing its expertise in ending elder homelessness with othersTwo-year investment: $370,000 12
  • 26. Ways to Invest: Financial Support FINANCIAL SUPPORT $1,500 1 laptop computer $5,000One-time move-in costs (to purchase basic necessities) for 20 elders $40,000 1 additional case manager 14
  • 27.
  • 28. Cell phones and monthly cell phone service for outreach workers
  • 29. IT support to enhance existing data management system
  • 30. Outreach office space in Boston’s South End15
  • 31. Ending Elder Homelessness One Person at a Time Insert video here 16
  • 32.

Notas do Editor

  1. Elder homelessness has existed “under the radar” of many homelessness programs and funding sources. It is a complex problem with distinct challenges for which “traditional” approaches to ending homelessness such as job training and asset development are not applicable. Managing medications, maintaining a healthy diet, having regular access to physical and mental care, and developing social networks are just some of the elements of aging that are difficult for elders to manage when they don’t have a home. Think about all the things we do for our aging parents or grandparents, and imagine the people who are walking Boston’s streets, whom you might bump into, who (through no fault of their own) are not privileged enough to have safe homes or loving families. Here at Hearth, we work hard to ensure that homelessness is not the only outcome for elders with limited resources and personal difficulties.Hearth began as in 1991 as the committee to end elder homelessness. We run our own housing and supported services (7 sites, 136 units), but the main way to end elder homelessness is through outreach.