Hearth Presentation V12

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  • 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.
  • Hearth Presentation V12

    1. 1. Hearth Outreach Program<br />Social Innovation Forum<br />June 16, 2009<br />
    2. 2. Homelessness is a Prevalent Problem<br /><ul><li> 3,800 in Boston
    3. 3. 15,000 in Massachusetts
    4. 4. 670,000 homeless in the US</li></ul>2<br />Source: National Alliance to End Homelessness and the City of Boston<br />
    5. 5. % of Homeless Elders Has Tripled Since 1990<br />A third of Boston’s homeless adult shelter population is over 50 years old.<br />3<br />Source: Journal of Internal Medicine and the City of Boston<br />
    6. 6. Boston Housing is Expensive<br /><ul><li>In Boston, 1 in every 5 elders lives below the poverty line
    7. 7. Many elders earn less than the annual cost of housing
    8. 8. 32% of US retirees have less than $10,000 in savings</li></ul>4<br />Source: US Census, American Community Survey, and the Employment Benefit Research Institute<br />
    9. 9. Many Problems Lead to Chronic Elder Homelessness<br /><ul><li>Financial problems
    10. 10. Debilitating health issues that prevent a return to work
    11. 11. Estrangement from, or no, family connections or social networks
    12. 12. Other older life crises, such as the death of a spouse</li></ul>Bed line at Woods-Mullen Shelter (April 2009)<br />5<br />Source: Hearth Outreach<br />
    13. 13. Traditional Solutions Do Not Work for Elder Homeless<br />COMMUNITY COLLABORATORS<br /><ul><li> Homeless Shelters</li></ul>Hearth Housing & Services<br />Hearth Outreach<br />1,000 elders placed 3,000 served <br />(capacity to help 250 elders annually)<br /><ul><li> Assorted Social Service Agency Partners</li></ul>7 sites, 136 units<br />6<br />
    14. 14. Hearth Outreach Focuses on Elders & Their Unique Needs<br />Social Security<br />Veteran’s Benefits<br />Geriatric Health Care<br />Medicaid/Medicare<br />HEARTH OUTREACH OPERATING MODEL<br />food income insurance health care mental health substance abuse financial assistance legal socialization stress management crisis services food income insurance health care mental health<br />CONNECTION<br />HOUSING SEARCH and<br />CASE MANAGEMENT<br />PLACEMENT and<br />STABILIZATION<br />Permanent elderly/disabled<br />housing<br />Connecting<br />homeless elders<br />Elder-specific supportive services<br />Homeless Elders 50+<br />Safe, Affordable Permanent Housing<br />7<br />
    15. 15. 1. Connection (~2 months)<br />Four Outreach case managers <br />visit 10 Boston shelter programs weekly<br />Each case manager manages a <br />caseload of ~50 individuals<br />8<br />
    16. 16. 2. Housing Search and Customized Case Management (~14 months)<br />Jane will edit and make less wordy. Words on this slide will become her talking points.<br />2. Housing Search and Customized Case Management<br />Case managers help their clients<br />navigate the housing application <br />process<br />Customized case management <br />helps elders obtain needed social <br />support services<br />9<br />
    17. 17. 3. Placement and Stabilization (~6-8 months)<br />Case managers assist clients with their move into housing<br />They continue to check in <br />regularly to make sure they have <br />social services and community <br />support<br />10<br />
    18. 18. Hearth Outreach Team Has Demonstrated Success<br /><ul><li>Works with over 250 elders annually who seek permanent housing
    19. 19. Placed nearly 1,000 and assisted over 3,000 elders since 1995
    20. 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 months</li></ul>11<br />
    21. 21. Two-Year Goals<br /><ul><li>Grow the program to serve 350-400 elders annually while maintaining high quality
    22. 22. Improve process for collecting, managing, and interpreting internal data
    23. 23. Document the causes and demographics of elder homelessness in Massachusetts
    24. 24. Develop a strategy to scale Outreach’s impact, by sharing its expertise in ending elder homelessness with others</li></ul>Two-year investment: $370,000<br />12<br />
    25. 25. Financial Sustainability<br />13<br />
    26. 26. Ways to Invest: Financial Support<br />FINANCIAL SUPPORT<br />$1,500 1 laptop computer<br />$5,000One-time move-in costs (to purchase basic necessities) for 20 elders<br />$40,000 1 additional case manager<br />14<br />
    27. 27. Ways to Invest: In-Kind<br />IN-KIND SUPPORT<br /><ul><li>Additional Outreach board members
    28. 28. Cell phones and monthly cell phone service for outreach workers
    29. 29. IT support to enhance existing data management system
    30. 30. Outreach office space in Boston’s South End</li></ul>15<br />
    31. 31. Ending Elder Homelessness One Person at a Time<br />Insert video here<br />16<br />
    32. 32. Questions?<br /><ul><li>Jane Erickson</li></ul>Director of Outreach<br />jerickson@hearth-home.org<br /><ul><li>Annie Garmey</li></ul> Director of Institutional Advancement<br />agarmey@hearth-home.org<br />17<br />

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