9.14.2012

" I totally understand the 'no money, no mission' paradigm. I also know that without collaboration and resource sharing, true, lasting change is not possible."

Dr. Centrone elucidates a common situation those experiencing homelessness know all too well in just about every city in the country.  It is certainly true that in some towns providers have more effectively collaborated to accomplish far more together than they ever could have individually, but the truth is that even in most of those places, increased collaboration among agencies, services and resource allocators continues to be elusive and below the level that is actually available.

Homeless services have never been at the top of the priorities list for funding opportunities from their local, state and federal purse-holders.  They've always had to fight for very scarce resources and for a very long time, because so little was known about both the numbers of homeless in a given community and how best to serve them, oversight was....tepid; how does one provide oversight if one doesn't know the scope of - or the remedy(ies) needed to - correct the problem?  

As a result, agencies have learned to be protective of their funding streams while at the same time figuring out for themselves how best to address the niche they carved out as a result of the funding stream.

Let me explain:
 WARNING: BRAIN GLAZING FUNDING INFORMATION COMING!
grants are narrowly targeted. It's not like an agency can send in a "proposal" with a vague and overly broad request to "help people who are homeless" to someone like Housing and Urban Development (HUD) or the Substance Abuse and Mental Health Services Administration (SAMHSA)  That proposal must be pretty specific to the announcement of funding opportunity (a Request For Proposal/RFP. or Request for Application/RFA).  As a result, organizations often find themselves building their approach around a specific RFP, which then also essentially ties their hands to remain within the parameters of the requirements laid out in the RFP.

Because these funds originate at the Federal level (usually), it's challenging, to say the least, for Federal policy makers seeking to provide some help to local entities for their problems or issues to know exactly what this might entail.  They work around this in a couple of ways; first, by providing "block grants" to states so that the state itself can decide what priorities it will set and then release RFPs for the available funds. Second, the feds put out federal RFPs (duh) targeting specific approaches known as Evidence Based Practices (EBPs) or Promising Practices.   

Understand I'm being overly broad and vague myself on this as I don't want to put you to sleep, nor am I in any way, shape or form a Subject Matter Expert (SME) on grants and funding procurement.  But I do know probably just enough about them to be dangerous to myself and others with it, and part of this danger I think many of us share when we apply for funding at the local level.

This is because as I mentioned earlier, we find ourselves tied to the requirements - and the restrictions - within the grant itself.  And if the grant is disbursed over a period of years, as many of them can be, whole departments; hell, whole organizations may be built upon them.

This is a key point, because what then becomes an issue - sometimes the overarching issue - is keeping that funding in order to keep the staff employed in order to keep bringing the service(s) to the population being served; the “no money, no mission” paradigm. 

There's little incentive to collaborate or to share resources because a. the requirements of the grant narrow the scope of what the agency is able to do, and b.the agency is already running on a shoestring and the last thing they want to do is to give a competitor for those scarce resources any of the goodies - or the inside info around the grant requirements -  they worked their tails off to get for themselves. There's also little incentive to change funding streams, since winning a grant is always "iffy" and it used to be much easier to write a continuation application rather than a new RFP. 

Let be LOUD and clear here; agencies DO want to collaborate, and they often DO SO even when they know it can be potentially harmful to the funding they receive for the job they're doing.  It's just that for a very long time, there wasn't really a directive to find ways to to collaborate, nor was there a paradigm shift from - and this is a critically important point - managing homelessness to ending homelessness. 

Over the last 5-7 years, the Federal government has ramped up their investigative efforts around homelessness and have begun to understand much more clearly the scope of the problem. This in turn has helped to identify the remedies needed to accomplish this shift.

What they've discovered is what most folks on the ground providing services have known for quite some time; the precursors leading to - as well as the issues chaining people to - homelessness are varied, complex, and there is no "one size fits all" answer.

And, s it is so often, when we figure out one thing, new challenges and barriers suddenly materialize or come more sharply into view as a result.

Now one of the bigger problems we're all facing is getting people to understand the need for the paradigm shift from management of homelessness to the idea of ending homelessness, and this is no easy task.  People have some very deeply held beliefs around the causes and conditions of homelessness, and there are widely held stereotypical beliefs that, while often erroneous, continue to be pervasive and hard to eliminate.

All of this "discovery" and tactical shifting takes time, especially when it must come from something like the Federal government, who is as far removed from the realities of the daily life on the ground in Murfreesboro, TN or Round Rock, TX or Davenport, IA., as is a citizen of Zimbabwe.

The key here of course is to raise awareness, but it is also to ensure that as money flows from federal to state to local programs, those programs are evaluated based on outcomes tied tightly to ending - not managing - homelessness.  If, as your program has contact with individuals experiencing homelessness, you are releasing them back onto the streets when your "treatment" is complete rather than being able to release them into housing, we need to rethink continuing funding to this organization under a homeless services grant. 

Let me be crystal clear here; services to address the immediate needs of those experiencing homelessness are essential and must be continued.  HOWEVER, these services should NOT be stand alone services, and we must begin to hold agencies accountable for helping to end homelessness with every individual they engage with who is currently experiencing homelessness. If your service is not directly connected in some way, shape or form in the measurable reduction of people experiencing homelessness in your community, funding for your program should come from some other source to allow the scarce dollars allocated to homelessness to be used solely to assist with ending it. 

I know this sounds a little extreme, but if we want to reduce the costs associated with homelessness and bring an end to the scourge itself, there is only one real answer:
we must put people into houses. 

Slaying the Ego in Homeless Services Delivery by Wayne Centrone


At the end of our talk today at the San Diego, California Region IX Health Care for the Homeless Conference, I had an opportunity to speak with a service provider. He told me about his efforts to get organizations to build a coalition in his community. He told me about the six months it took him to schedule the first meeting of the homeless services agencies in his area.
He told me that he had not given up hope that the coalition will pay off with great dividends. I complimented him on his efforts and reassured him that his efforts would indeed pay off. I told him that he may never know the impact of his efforts, but, I told him, if his efforts led to ending the experience of chronic homelessness for one person, then it was worthwhile.
I enjoy speaking at these conferences. They are full of amazing people working in homeless services. I love to reconnect with old friends, inspiring thought leaders, and change agents. The people who work in homeless health clinics, supportive housing programs, mental health and substance use treatment programs around the country are gifted and courageous people.
I spoke at this conference with my colleague Steven Samra. We talked about our work on a new model of outreach we are calling “Housing-Focused Outreach” (HFO). Steven and I, along with the leadership and thoughtful intellect of Ken Kraybill, have been incubating the ideas of HFO for a few years. Our ideas are not unique. They are born from the work of Dr. Sam Tsemberis at Pathways to Housing, and the visionary work of the 100,000 Homes Project. Our ideas are also born from our years of experience in serving people experiencing homelessness and the work we have all been doing over recent years in visiting supportive housing programs around the United States.
The talk was about shifting the paradigm of service delivery. We are considering how to develop and operationalize a new model to impact agency level activities. A summary of our conversation, a work in progress, looks like this:
(1) In order to truly end chronic homelessness, we [homeless service providers, peers, and advocates] need to lead with housing and build effective bridges to supportive services.
(2) The only way to ensure adequate access to housing and supportive services is to build bridges of collaboration with a number of organizations and resources.
We talk about the fact that most communities around the country have the pieces to put together a really effective model to end chronic homelessness. The issue, however, is that these pieces are fractured and disjointed from one another. Our main predicate for the Housing Focused Outreach model is training service providers to be experts in building partnerships.
When we give this talk, we hear repeatedly how little collaboration actually occurs on the ground. I hear over and over again at talks like this: “Oh, that [collaborating with partner agencies] won’t work . . . we are all fighting for the same pot of money, and we can’t really collaborate or we will lose our agency level effectiveness.”
Don’t get me wrong, I totally understand the “no money, no mission” paradigm. I also know that without collaboration and resource sharing, true, lasting change is not possible. I am not sure how we can get more people invested in the idea that collaboration is one of greatest and most underutilized tools. One thing I do know: it will take some serious ego slaying and a strong commitment to service.

9.06.2012

The Journey of Recovery Continues...

Whenever I'm in my home in Tennessee and I get to pining away to return to my home of 25 years in the mountains of the West, I go often in my mind to the glorious sunsets; the breathtaking beauty of the morning after a heavy (6-8 feet) snowfall when the sun rises and turns the snow into a trillion sparkling diamonds and the snow underneath is a translucent, glacier-blue; the smell of pine so heavy in the air after a summer rain you can cut it with a knife; the intricacies and mysteries of the granite that reminds me the world is alive below the surface; the crystal clear rivers that make waterfall seekers crazy because there's just not enough time to go sit next to them all. So much stunning beauty that it almost creates a "beauty-fatigue" because you just can't absorb any more, yet the flow is continuous, like the flow of the rivers throughout the mountains. 

I remember the dreams I had as a young man, who,
was born in the summer of his 27th year
Comin' home to a place he'd never been before
He left yesterday behind him, you might say he was born again
You might say he found a key for every door...
I came West convinced that Id been born again, hoping to start a life of honorable intent and community engagement. 

And then I remember the pain of the culture shock, the failure of my dream, again and again, the return to that which I knew best, a life of drug use, abuse and survival. I remember the unspeakable misery of a heroin and cocaine addiction and a life out of control; the poverty and anguish I forced upon myself and my family. Perhaps worst of all, I remember living homeless, strung out and time spent not caring whether I lived or died.   And I remember why I don't live in the mountains of California and Nevada any more.  

Visiting the West periodically for my work as I continue into my 13th year of recovery is a bittersweet time for me, and I can't tell if I'm maturing further - growing emotionally each time I come here - or I'm being tugged to return here by old hopes and the omnipresence of the Ancients that are infused in everything around me.  There's a sense of spirituality I only get when I'm in the West, and it's I think because I can connect to the cycles involving the earth; wind, water, rock, that remind me everything is renewed, over and over, and we are a part of it all because the atoms that make up our bodies have been around since the earth began precipitating out of the dust cloud in space.

I'm trying to figure out for myself what keeps me longing for a return to the West, yet when I get here, I'm filled with angst, a level of dread, a desire to leave just as quickly as I've come back even, tho I want to wander into all the beauty and rekindle my relationships with the Ancients.

But I've never had a better life than the one I've made with my loving significant other, Dorothy while in the state of Tennessee, and while I'm not in agreement at all with the politics of ANY area of the South, I have to say that Tennessee has treated me beyond well, allowed me to build a life I only dreamed of when I was eking out an existence in the West.

The recovery journey continues, but once again, I'm reminded with my visit to Santa Cruz, CA this week, that the journey does not include a return to the Golden State....

9.05.2012

"Pew surveys and economic data have shown the middle class is smaller, poorer, and less optimistic than ever."

"While the Great Recession destroyed many decent-paying jobs, the recovery has mainly added low-paying ones, according to the National Employment Law Project. And most of the people who became re-employed after losing jobs during the recession are earning less than they used to, according to the U.S. Department of Labor."
As a person in my 50s, the news for those of us who are older and trying to survive the economic climate that Obama inherited from devastation of the Bush Presidency is very disconcerting and alarming.  It also helps me understand why elderly homelessness is increasing and is projected to worsen considerably through 2020....


Middle Class Meltdown At DNC

Posted: Updated: 09/05/2012 3:00 am

CHARLOTTE, N.C. -- As a lawyer, city council member, and former mayor, Jill Duson figured she would not be unemployed for long when she lost her job as director of Portland, Maine's Department of Rehabilitative Services following a change of administration in January 2011.
She was wrong: Duson spent six months unemployed before taking a part-time seasonal sales job at L.L. Bean.
"I've experienced the meltdown of this economy," Duson, 58, said in an interview next to a melting ice sculpture outside the Democratic National Convention on Tuesday. The 2,000-pound sculpture, a project by artists Nora Ligorano and Marshall Reese, had spelled "MIDDLE CLASS," but "CLA" was all that remained after three hours in the Carolina sun. (The artists crafted a similar sculpture last week for the Republican convention in Tampa, Fla.)
middle class
Melting ice is an apt metaphor for the middle class. Pew surveys and economic data have shown the middle class is smaller, poorer, and less optimistic than ever.
Workers in their 50s are less likely than the overall working population to be unemployed, but more likely to experience prolonged unemployment if they do get laid off -- even if they have advanced degrees.
Duson got educated, married, and had saved money. She said the repercussions of losing one job seemed too severe.
"I was first-generation out of poverty and it didn't take much to push me back," she said. "I've done what I thought I was supposed to do."
Now she's doing what she can. In addition to her retail job and position on the Portland City Council (which she said pays a $5,000 annual stipend), Duson said she's picked up another part-time gig as a city agency's compliance manager.
"Between those three jobs, I will make just about half of what I made before," Duson said.
No wonder: While the Great Recession destroyed many decent-paying jobs, the recovery has mainly added low-paying ones, according to the National Employment Law Project. And most of the people who became re-employed after losing jobs during the recession are earning less than they used to, according to the U.S. Department of Labor.
Duson and her son, Nathan Davis, a 20-year-old college student, are both delegates to the Democratic National Convention and strong supporters of President Barack Obama. Republican presidential candidate Mitt Romney has contended that Obama can't tell voters they're better off than they were four years ago. HuffPost asked Duson if she's better off.
"Certainly not financially," Duson said. "But in terms of feeling my government is going in the right direction, yes."
Duson has directly benefited from the Obama administration's policies. She was one of the few beneficiaries of the short-lived Emergency Homeowner Loan Program, which offered forgivable loans to homeowners who suffer dramatic reductions in income. Republicans in the U.S. House of Representatives voted to repeal the program.
"We would have lost our house," Duson said.


Demographics of Homelessness Series: The Rising Elderly Population

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National Alliance to End Homelessness

Report | April 1, 2010




This is a small excerpt of the report. For more information and to read the full publication, please download the PDF provided





There is some troubling evidence that homelessness is beginning to increase among elderly adults. In addition, there are demographic factors — such as the anticipated growth of the elderly population as baby boomers turn 65 years of age and recent reports of increases in the number of homeless adults ages 50 to 64—that suggest a dramatic increase in the elderly homeless population between 2010 and 2020. While the country’s changing demographics may make this finding unsurprising, it has serious implications for providers of homeless services and should be deeply troubling to the policymakers that aim to prevent poverty and homelessness among the elderly through local and federal social welfare programs.

This paper provides an assessment of the recent and projected changes in homelessness among the elderly and assesses the ability of public affordable housing programs to handle the projected growth in elderly persons at-risk of housing instability and homelessness.

Homelessness Among the Elderly

While there is a fair amount known about elders experiencing poverty and about the general homeless population, there is relatively little known about the elderly homeless population. There are some things, however, that we do know:

Incidence

The elderly population has historically been underrepresented among the homeless population. The limited national homelessness data that have been collected over the past two decades are consistent in revealing that homelessness is much more prevalent among younger adults than among older adults and the elderly. A 1996 national study by the Urban Institute found that, while those over age 55 represented 28 percent of the general adult population, they made up only 8 percent of the homeless population.

Changes
There is very limited national data on the changing demographics of the homeless population, but the data that do exist show that homelessness among the elderly and older adults is modestly increasing. HUD’s first Annual Homelessness Assessment Report to Congress (AHAR), which covered a three-month period ending in April 2005, estimated that 2.4 percent of sheltered homeless adults were older than 62 years of age.3 HUD’s fourth AHAR, which covered the twelve-month period ending September 2008, showed that 2.8 percent of sheltered homeless adults were older than 62 years of age.4 To the extent that the two data points are comparable, they suggest very modestly increasing representation of the elderly among the homeless.

Demographic Changes Among the Elderly

There are two primary demographic factors that contribute to the projected increase in homelessness among the elderly. One is the overall growth in the elderly population, which is expected to more than double in size between now and 2050. The other factor is the relative stability in the proportion of the elderly population facing economic vulnerability. Together, these factors signal an increase in elder economic vulnerability and homelessness.

The Growing Elderly Population

There are more Americans over the age of 65 today than ever before and the number is rapidly increasing. During the past century, the number of elderly people has grown from 3.1 million in 1900 to 37 million in 2008—an increase of over 1,100 percent. The proportion of elderly Americans has also increased since 1900, when adults ages 65 and older made up only 4.1 percent of the population.9 Today, at 37 million, elderly Americans make up 12.6 percent of the population.


Economic Vulnerability among the Elderly

Poverty among elderly Americans has been relatively low since the 1960s. In 1959, the poverty rate for elder Americans was 35 percent. This fell to approximately 15 percent by 1975, due in large part to increases in government programs such as Social Security. Since that time, poverty rates among the elderly have steadily declined, remaining between 9 and 11 percent for the past decade. According to the 2008 American Community Survey, 9.9 percent of people over 65 years of age had annual incomes below the poverty threshold of $10,326 for a single person and $13,030 for a couple. A measure of even greater economic vulnerability is the proportion of elderly persons in deep poverty — earning only half of the poverty threshold. In 2008, there were over 969,925 elderly persons, or 2.6 percent of the elderly population, in deep poverty.

Projected Increase in Homelessness among Elderly

In the most recent AHAR, HUD estimates that there were 43,450 sheltered homeless people over the age of 62 in 2008. Because of anticipated increases in the elderly homeless population as the general population ages, a projection of the elderly homeless population is made in this paper. It is based on the following assumptions:
  • The elderly population will increase as projected by the U.S. Census Bureau through 2050.
  • The rate of deep poverty in the elderly population will remain constant at 2 percent through 2050, as it has remained since 1975.
  • The 2008 ratio of 1 sheltered elderly homeless person to every 22 elderly persons in deep poverty remains constant thorough 2050. 

As such, homelessness is projected to increase by 33 percent from 44,172 in 2010 to 58,772 in 2020 and will more than double between 2010 and 2050, when over 95,000 elderly persons are projected to be homeless.

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