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ON <br />Permanent Supportive Housing <br />The broad challenge of combating homelessness <br />includes many complicated components, <br />including the fact that the condition of <br />homelessness itself often exacerbates or <br />perpetuates specific problems. Sleeping on <br />the street exposes the homeless to danger, <br />incarceration, and/or the court system. The <br />uncertain nature of homelessness can also affect <br />a person's ability to get or keep a job, stay in <br />programs addressing drug or alcohol abuse, <br />properly care for their own health, or have a <br />sense of personal stability. Many chronically <br />homeless individuals experience a disability, <br />which may include mental health or substance <br />use issues. <br />With the above factors in mind, the Housing First model <br />has been identified nationally as a promising strategy for <br />reducing the impacts of chronic homelessness. Housing <br />First clients are provided with affordable housing <br />without special prerequisites or requirements, giving <br />them a dependable home base from which to deal with <br />other needs and challenges. For an example of a local <br />development based on Housing First principles, a 31 -unit <br />"Permanent Supportive Housing" (PSH) project located <br />at 1175 Lee Hill Road opened in November 2014. (The <br />project was funded in part through Worthy Cause II <br />funds.) <br />According to Boulder Housing Partners' first-year report, <br />75% of the original residents still lived at 1175 Lee Hill <br />after one year. Its residents had access to Medicaid/ <br />Medicare (25 residents); Supplemental Security Income <br />(11 residents); Aid to the Needy and Disabled (7 <br />Residents); and Social Security Disability Insurance (7 <br />residents). Also, 13 partner agencies provided a wide <br />variety of programs, such as art classes, cooking classes, <br />mental health support, and meals. <br />Building and managing permanent supportive housing <br />is an expensive endeavor, but it saves communities <br />significant amounts of money when considering the costs <br />of serving the same individuals through law enforcement, <br />incarceration, and emergency services. In the first year <br />at the new location, nine residents at the location on Lee <br />Hill were defined as justice system "high utilizers;' and <br />were challenged with significant mental health and/or <br />addiction problems. At the end of 10 months, however, <br />eight of these nine individuals remained housed. <br />In general, Housing First research suggests that <br />supportive housing significantly lowers emergency <br />services utilization, including interaction with the <br />criminal justice system, for high -need homeless <br />individuals. For example, a recent study in Denver found <br />that it costs an average community roughly $43,300 per <br />year for each chronically homeless person living on the <br />streets, while it costs about $11,700 to house and provide <br />case management for that individual in a Housing First <br />setting. <br />Worthy Cause will continue to support expansion of <br />permanent supportive housing options in Boulder <br />County. In 2015, the Boulder County Housing Authority <br />was awarded $1 million to add five PSH units for <br />individuals and 15 units for families at the Kestrel <br />development in Louisville. In 2016, Attention Homes in <br />Boulder received a $500,000 grant for supportive housing <br />units for youth. In both 2016 and 2017 $500,000 were <br />set aside for permanently supportive housing in Boulder <br />County, for project(s) that were not identified at the time <br />of this report. <br />All studies and statistics aside, at its base, permanent <br />supportive housing provides human beings the dignity of <br />a stable living environment and an opportunity to build a <br />better life. <br />9 Boulder County Worthy Cause 111 <br />14 <br />