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    Estimating Cost Savings Associated with HUD-VASH Placement
    (U.S. Department of Veterans Affairs, 2014-04) Culhane, Dennis
    Existing research suggests that Veterans experiencing homelessness make disproportionate and costly use of acute health, mental health and substance abuse treatment services, but that placement in programs like the US Department of Housing and Urban Development-VA Supportive Housing Program (HUD-VASH) can result in substantial reductions in the utilization of these services and associated costs. Several studies have demonstrated that, for certain high need individuals and Veterans, cost savings resulting from the reduction in these acute care services subsequent to placement in permanent supportive housing (PSH) can substantially or completely offset the cost of providing PSH and may even result in net cost savings. Building on this body of research, this brief summarizes the results of an evaluation that examined VA health, mental health and substance abuse services costs among HUD-VASH tenants who moved into HUD-VASH during Federal Fiscal Year (FY) 2010. We assessed these costs prior and subsequent to their entry into HUD-VASH housing and estimated potential cost savings associated with HUD-VASH placement.
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    Examining sustainment of an evidence-based kindergarten literacy curriculum
    (University of Pennsylvania, 2023-05-01) Fink, Ryan; Suwak, Katarina; Lawson, Gwendolyn; Spilliane, Maurice
  • Publication
    Older Adults Sheltered Under Project RoomKey: A Client Population Profile and Recommended Approach to Ensure Retention of Housing through the Coming Transition Period
    (2020-05-15) Culhane, Dennis
    "In response to the COVID-19 pandemic, Los Angeles County has, to date, executed agreements with 32 hotels/motels and is working with the Los Angeles Homeless Services Authority (LAHSA) to utilize these sites as emergency housing for high vulnerability homeless persons under Project Roomkey. This report is based on 1,498 persons housed through Project Roomkey as of April 30, 2020. A total of 297 of these persons provided with emergency housing are at least 65 years of age (19.8 percent). A Long-Term Housing Strategy Built on Two Objectives, Thee Commitments, and a Familiar Model: This report recommends a strategic approach to transitioning older adults from Project Roomkey to long-term housing arrangements that adopts a variant of the Rapid Re-Housing (RRH) model as a basic framework and places a premium on health and safety from exposure to COVID-19. The strategy would pursue basic two objectives: - Objective 1: Ensure all Project Roomkey clients are placed into safe permanent or interim housing upon moving out of the participating hotels and motels. - Objective 2: Housing placements of older adults out of Project Roomkey must include services that effectively address client vulnerabilities. To achieve these objectives, the County and LAHSA must commit to the following through a coordinated and collaborative effort with cities and with a broad range of stakeholders that straddle government jurisdictions: - Where continued occupancy in hotels participating in Project Roomkey is not possible, immediate placement of all clients in permanent housing or a on a rapid path to permanent housing arrangements that are safe and do not introduce added health risks. - Provision of Housing Stabilization Case Management Services to all clients, encompassing mainstream benefits enrollment (e.g. SSI, SSDI, GR, CalFresh), housing transition counseling, landlord negotiation, coordination of move-in assistance, and transition to community health and service supports. A flexible approach in fitting clients to a diverse range of possible long-term subsidized housing options on a client-by-client basis, one informed by specific needs and vulnerabilities and oriented around safety from potential COVID-19 exposure through opportunities for self-isolation and quarantine."
  • Publication
    Los Angeles County's Homelessness Initiative (HI): Annual Performance Evaluation: Year Three Outcomes
    (2020-01-06) Culhane, Dennis
    In February 2016, the LA County (LA County) Board (Board) formally approved a comprehensive set of strategies to combat the County’s homeless crisis. Coordinated by the CEO’s Homeless Initiative (HI), the HI strategies are the product of a collaborative process that involved not only County but also non‐County stakeholders, including cities, municipal leaders, community organizations, advocates, and concerned citizens. The strategies are grouped into six focus areas seeking to (a) prevent homelessness, (b) expand subsidized housing, (c) increase income among those who are homeless or are at risk of becoming homeless, (d) enhance homeless case management and supportive services, (e) create a coordinated homeless services system, and (f) expand affordable and homeless housing.