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2.5 Employment and Community Engagement Strategies for Homeless People with Disabilities (Post)
 

2.5 Employment and Community Engagement Strategies for Homeless People with Disabilities (Post)

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This workshop will explore strategies to increase employment among people who have been chronically homeless and are disabled. Speakers will describe community partnerships and programs that increase ...

This workshop will explore strategies to increase employment among people who have been chronically homeless and are disabled. Speakers will describe community partnerships and programs that increase employment skills and job opportunities.

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    2.5 Employment and Community Engagement Strategies for Homeless People with Disabilities (Post) 2.5 Employment and Community Engagement Strategies for Homeless People with Disabilities (Post) Presentation Transcript

      • Evaluator: Heidi Herinckx, Assistant Director
      • Regional Research Institute for Human Services
      • Portland State University
      • CCC Staff: Rachel Post, L.C.S.W., Director of Supportive Housing and Employment
      • Study Period: July 2007-June 2009
      Central City Concern: Supported Employment
    • Recovery Oriented System of Care
      • Spans the stages of recovery and provide supports from initiation of recovery through maintenance and on to attendance to total quality of life in long-term recovery.
      • Addresses the multi-dimensional needs of individuals in culturally accessible manner to include treatment, primary and behavioral health care, housing and acquisition of income.
      • Peer supports are integral!
    • HADIN Referrals into 152 ADFC Trans. Units *Data represents all those entering between July 1,2007 and June 30, 2008 AND those exiting between July 1,2007 and 11/30/2008
    • ADFC Transitional Housing Outcomes 07/08
      • This program served 459 total customers in 152 units of ADFC Transitional Housing
      • Of those exiting the program, 58% (229 out of 398 people exiting) moved to permanent housing and completed their addiction treatment. Ninety-three percent of these were either employed or receiving federal disability entitlements.*
      • 73% of those who exited to permanent housing remained housed one year later.
    • Employment Access Center 2 NW 2 nd Ave. Supported Employment Programs
      • Growth Industry Trades Initiative (GITI):
      • $191,068 PDC Economic Opportunity Initiative for 2 Employment Specialists, .75 Supervisor working with 3 Supportive Housing Case Managers at Harris Bldg. Serves individuals for 3 years.
      • CCC Homeless Employment Services (CHES):
      • $300,000 PDC Economic Opportunity Initiative for 3 Employment Specialists, .25 Supervisor serving Mentor Program, JOIN & Harris Bldg. Serves individuals for 3 years.
      • CCC Employment Recovery Program (ERP):
      • $184,213 HUD McKinney/Spirit Mountain for 2 Employment Specialists and 2 Supportive Housing Case Managers. Serves individuals for 2 years.
    • Evidence-Based Supported Employment ( aka Individual Placement and Support)
      • Principles:
      • Competitive employment is the goal
      • Eligibility based on consumer choice
      • Rapid job search
      • Service Integration
      • Long term support
    • Benefits of Employment
      • Homelessness and Addiction are “diseases of losses” (friends, family, housing, income, appearance, skills, self-respect and HOPE).
      • Having a job is critical to ending homelessness.
      • Employment can reduce relapse and is associated with improved mental and physical health outcomes, particularly anxiety, depression and fatigue (Luchansky, Brown, et al. 2000)
    • RRI study
      • Using HMIS data from the city, employment data from programs and addictions treatment data supplied to RRI, this study examined employment outcomes over two year study period July 2007 through June 2009
    • SE client characteristics
      • HADIN referred homeless choosing recovery from
      • addictions, receiving outpatient treatment and
      • ADFC transitional housing.
      • 319 unduplicated clients enrolled in SE programs
      • 73% male
      • 66% Caucasian, 19% African American, 7% Native American, 4% Hispanic, 4% other
      • 100% homeless at time of entry into CCC programs
      • 70% with felony convictions
      • 28% met chronic homeless category
      • Average age 41
    • Employment Outcomes
      • 71% successfully placed into employment
      • 53% in full time jobs, 28% 21-31 hrs. per wk
      • Average wage $9.96 per hour
    • Placement by Sector
    • Job Tenure
      • 77% still employed after their participation in Supported Employment ended with average of 260 days employed.
      • Of remaining 23% whose jobs ended prior to program end, average tenure of 85 days.
    • Enrollee Treatment Outcomes
      • 155 of enrollees served by CCCRC
      • 72% completed treatment
      • 40% with known co-occurring mental
      • health disorders
      • Primary substance abuse diagnosis was 40% alcohol, 22% heroin and 16% amphetamine
    • Associated Costs for 160 study clients FY 08/09
      • ADFC Transitional Housing = $432,000
      • ($450 rent/operations per month x 6 months x 160 clients)
      • Employment Program = $312,160
      • ($1,951 per person x 160 clients)*
      • Supportive Housing Peer Case Management = $101,960
      • ($637 per client x 160 clients)
      • Outpatient A&D treatment = $144,000
      • ($300 per month x 5 months x 96)
      • TOTAL COST= $990,120
      • AVRG. PER PERSON= $6,188
      • * Clients receive ongoing Supported Employment assistance for 2-3 years)
    • Program Funding Sources for 160 clients
      • PDC EOI Employment Program= $280,610
      • Multnomah County Outpatient Treatment = $144,000
      • Multnomah County DCJ (10 units) $110,000
      • Fees (client fees based on 30% of income) $20,000
      • Supportive Housing (includes rent & supportive services):
      • HUD-McKinney Estate Units (56 clients) = $95,000
      • HUD-McKinney 20 Harris Units (21 clients)= $60,000
      • PHB City General Fund/ESG 75 Harris Units (79 clients) = $137,500
      • Gap (Central City Concern)= $143,010
      • TOTAL REVENUE= $990,120
      • AVERAGE COST = $6,188
      • Average cost to PDC= $1,754 Average leveraged= $4,434
      • * Additional services not included in this leverage include Primary Care at Old Town Clinic
    • Factors associated with competitive employment
      • Results of this study demonstrate no statistically significant differences in competitive employment rates for demographics including gender, race, diagnosis, completion of drug treatment, age, indicating that these SE programs were equally successfully employed men and women, ethnic minorities and whites, older clients and younger clients.
      • The variable that was significantly associated with employment was completion of CCC’s ADFC transitional housing program: 85% of those who successfully transferred to permanent housing were employed compared to 61% of those who exited the housing due to relapse or other program violations.
    • How these results compare to other studies
      • Competitive employment outcomes reported in studies of SE for adults with mental illness or co-occurring disorder average 61% (Bond, Drake, Becker, 2008).
      • In a study of indigent and chemically addicted adults, who received publicly funded treatment in Washington State, those who completed employment services AND drug treatment were more likely to be employed over the 54 month follow-up period and earned an average of $130 more per month than those who dropped out of treatment or employment services. 77% of clients were employed upon exit and 54% remained employed 3 years later (Luchansky, et al, 2000).
    • 2008 CCC Mentor/ADFC Study
      • A prior study of the CCC Mentor and ADFC program demonstrated that approximately half of graduates (49%) were employed.
      • Average monthly income from wages was $347.
      • With the addition of CCC’s supported employment programming- the % of those employed have increased substantially to 71%.
    • Oregon Center for Excellence Supported Employment
    • Limitations
      • The only data available for analysis was from administrative records which did not include qualitative measures or client report of the impact of employment on quality of life, standard of living, empowerment, or self sufficiency.
      • Little was known about clients’ prior work history, which has been found in other studies to be the major predictor of employment.
      • Because data used in these analyses came from three different data sources, some key variables such as level of education, co-occurring mental illness, and recent arrest history was known only for a subset of SE participants.
    • Future Research
      • Findings from this study indicate that supported employment is a critical ingredient in a recovery oriented system of care if employment and economic self sufficiency are to be attained.
      • CCC is unique in that it offers a complete array of services, housing, addictions treatment and supported employment.
      • Future research should include a comparison or control group. While randomization is often not possible, it may be possible to identify reasonable comparison groups that only receive some aspects of the complete treatment model.
      • It would also be beneficial to track clients over an extended period to determine long term employment outcomes.