Meeting the goals of the federal plan to end chronic homelessness will take a community wide systemic approach, strategic use of multiple funding streams and a broad coalition of partners. This presentation, prepared for the 100K Homes Team and Rapid Results Boot Camp events, outlines detailed steps undertaken in Philadelphia to meet those goals.

1. 1
Rapid
Results
Acceleration
Boot Camp

2. 2
Key Highlights
• Data Driven Decisions
• Using Mainstream Resources
especially Medicaid
• FLOW
• Targeting/Prioritization

3. 33
Data Driven Analysis and Decision Making
• Is permanent supportive housing being used in a strategic
manner that prioritizes those that need it most (as
opposed to first come, first serve)?
• Is permanent supportive housing being implemented using
a housing first model?
• Is the CoC taking all necessary steps to implement a
coordinated assessment system?
• Are project recipients using all funding sources as
efficiently as possible?

4. 44
Philadelphia, PA
• Whose in Philadelphia?
− 1.5 million people
− Percentage below the poverty level =
25.6%
− Average Monthly enrollment in
Medicaid in 2012 = 470,159
− Unique individuals enrolled in
Philadelphia Medicaid in 2012 =
569,236

5. 55
Data Driven Analysis and Decision Making
• Where are we on ending Chronic Homelessness?
− Unsheltered PIT count in January 2013 = 524
− Unsheltered count in August 2012 = 665
− Number of unique persons seen by street outreach services
in 2012 = 5,570
− Estimated number of Persons experiencing homeless in
Philadelphia in 2012: approximately 20,000
• Homeless Death Review Process to Identify System Gaps
• Joining the campaign
− Chronic and vulnerable estimated at 1,157
− Current Housing Placement rate averaging 22.2 persons

6. 6
Housing First
• Successes
– Started in 2003 with
federal grant support
– Now 525 services slots
and 447 subsidies
• Challenges
– Ideology
– HHS grants end
– Expected impact on PIT
counts
– Capacity
• Solutions
– Sharing national best practices
and leaders
– Housing First and supportive
housing are cost effective and
assist those considered “hardest
to serve”
– Coordination and partnership
with Medicaid funded supports

7. 7
Strategic Partnerships: You are
Building a Team– Successes
• Advocacy Community
• Academic Community
• Behavioral Health System
• Medicaid Leaders
• Housing Authority
• Downtown Business
leaders
– Challenges
• Different Agendas
• Needs Strong Leadership
• Solutions:
– No one thinks chronic
homelessness is a good
idea. Build from there.
– Take the time to build
and maintain
relationships
– Pragmatism over
ideology
– What do each of your
partners need and want?

8. 8
Mainstream Resources
• Successes
– Partnering with Medicaid
– Partnering with the Housing
Authority
– Partnering with the State Housing
Finance Agency
• Challenges
– Building the Coalition
– Having dedicated and RENEWING
resources because you need
FLOW.
– Maintaining the partnerships
when leaders change
• Solutions
– Rule making and Implementation
time of the Affordable Care Act
(ACA) is NOW and is a unique
opportunity
– Housing Authorities have various
pressures including diminishing
resources, persons with significant
service needs and increased central
office focus on serving homeless and
the disabled.
– Partnerships on Low Income
Housing Tax Credit (LIHTC) Projects
to ensure completion and
maintaining high occupancy rates.

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FLOW
• Key Concepts:
− Flexibility - Livability
− Outcomes - Wellness
• Flow of access to mainstream resources to support persons as
they..
• Flow out of programs with a specialized level of service that
can be decreased due to..
• People Recover! Formerly homeless persons recover from
the trauma of homelessness as well as other disabilities. They
are now some of your most strategic and supportive allies in
the cause of ending homelessness, because THEY KNOW.

10. 10
Targeting and Prioritization
• Successes
– 100K Homes
– Outreach Focus List
– Priority List (s)
• Challenges
– Capacity. NEED FLOW.
– Too Many lists
– Need increased services to
support many challenging
persons
– Sometimes you have to say NO.
• Solutions
– 200 Housing Choice vouchers
a year.
– Respect each others lists
– Permanent Supportive
Housing Clearinghouse
– Everywhere you say NO, you
have to give a reason and
another option.

11. 11
Marketing and Building on Your
Success
• Successes
– Strongest advocate is a strong
peer network.
– Housing First has grown from an
initial project of 35 subsidies.
– Yearly Reports, luncheon
• Challenges
– Dedicated staff to this task
– Building Capacity
– Time, energy, funding
• Solutions
– Good people like to
learn new skills
– Small local
foundations, or new
foundations love to
support a small but
valuable portion of
the work.
– STEAL good ideas.
100K Homes team
has a LOT of them.

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Contact Info:
Marcella.Maguire@phila.gov
www.dbhids.org
Twitter: @Cella65
@PhillyRecovery