Slide 1

**Supporting Housing and Recovery for People with Substance Use
Disorders**

**Vicki Skryha, MSW**

**Office of Mental Health & Addiction Services**

**Oregon Department of Human Services**

**National Learning Meeting**

**October 2004**

Slide 2

**Alcohol and Drug-Free (ADF) Housing Assistance Services**

-   Several A&D Treatment Enhancement & Housing Initiatives proposed in
    1999

-   In looking for revenues to fund, TANF and State general funds
    identified as sources

-   \$2 million in TANF and additional State general funds approved to
    support these, including three (ADF) Housing Initiatives

Slide 3

**Why Housing?**

-   Provides support for clean and sober living

-   Provides foundation needed in order to pursue employment, re-unite
    with children, etc.

-   Affordable housing is scarce in today's housing market

-   Decreases demand for more intensive residential treatment programs

Slide 4

**Where Do People Live?**

-   CPMS data on living arrangement at time of service enrollment

-   For fiscal year ending June 30, 2003

-   Limitations -- not a current snapshot; represents where people were
    living when they began receiving services

Slide 5

This pie chart shows the living arrangements of 58,304 alcohol and drug
free (A&D) adults throughout the state by percentage. Those living in
own home at 43.3%, with spouse or significant other at 8.8%, with
parents or relatives at 22.8%, with friends or others at 10.0%,
institutions or group homes at 7.6%, homeless at 6.8%, and other or
unknown at 0.6%.

Slide 6

This pie chart shows the living arrangements of 6,8012 A&D youths
throughout the state by percentage. Those living with parents or
relatives at 75.7%, with friends or others at 1.9%, institutions or
group homes at 12.4%, homeless at 0.6%, other or unknown at 7.6%, own
home at 1.3%, and with spouse or significant other at 0.4%.

Slide 7

This chart on this slide displays trends in homelessness from statewide
data on A&D adult current living situations. The data is broken down by
year:

1997-98 3,438 homeless were served, 7.0% of the total number served were
homeless, and 48,487 was the total number served

1998-99 3,570 homeless were served, 7.0% of the total number served were
homeless, and 50,759 was the total number served

1999-00 3,633 homeless were served, 6.8% of the total number served were
homeless, and 53,398 was the total number served

2000-01 3,701 homeless were served, 6.5% of the total number served were
homeless, and 56,367 was the total number served

2001-02 3,813 homeless were served, 6.6% of the total number served were
homeless, and 57,539 was the total number served

2002-03 3,9701 homeless were served, 6.8% of the total number served
were homeless, and 58,304 was the total number served

Percentage increase from 97-98 to 02-03 of number of homeless served:
15.5%

Percentage increase from 97-98 to 02-03 of total number served: 20.2%

Slide 8

**Homelessness in 2002--03**

-   Previous data based on most recent living situation; homeless
    enrollments over the course of a year are actually higher

-   4,795 (8.2%) adults were enrolled as "homeless" at some point in
    2002--03

-   52 (0.7%) children were enrolled as "homeless" at some point in
    2002--03

Slide 9

**A Note on Residential Treatment Capacity**

-   Prior to February 2003: 489 beds

-   Reduced by 115 to 372 beds (Feb. 2003)

-   60 beds being restored: 422 beds

Slide 10

**Alcohol and Drug Free Housing**

-   What ADF Capacity Exists in Oregon?

    -   about 850 men, women, and children in Oregon Recovery Homes
        (Oxford Houses)

    -   144+ people in recovery in ADF housing funded with OHCS CFC
        funds.

    -   485 families/individuals in "RFP 458" projects

    -   Other \[Central City Concern has 500+ADF units, La Casa Vida,
        and others?\]

    -   Guesstimate: about 2,500 ADF housing units?

Slide 11

This bar graph shows the current capacity of A&D housing types. Alcohol
and drug free housing capacity is 2,500, residential treatment facility
capacity is at 422, and total number served is 58,504.

Slide 12

**ADF Housing Initiatives**

ADF Housing Assistance Services (RFP 458)

Slide 13

**RFP 458 - Housing Assistance Services**

-   Initially funded in 1999--2001 biennium; continued in 2001--03 and
    2003--05

-   Housing coordination and/or rent subsidies provided for 485 families
    and individuals in recovery per year

-   Eight projects funded in Coos, Josephine, Lane, Lincoln, Linn,
    Multnomah, and Washington counties and Siletz tribe

Slide 14

**RFP 458 Housing Assistance (Annual Report Data for 2002-03)**

-   Of eight projects:

    -   two serve families only

    -   two serve singles only

    -   four serve both families and single individuals

-   Sex: 62% Females; 38% Males

-   Average Age: 33 years

    -   (range: 15 to 58 years)

-   Homeless: Varies 60--70%

Slide 15

**RFP 458 Housing Assistance (Annual Report Data for 2002--03, cont.)**

-   Household Composition:

    -   Total of 485 served: 242 parents (family households) and 243
        single individuals

    -   Of families, 89% are single parents, and of these, 94% are
        female-headed households

    -   A total of 365 children in the 233 families

Slide 16

This bar graph shows the education levels of clients gathered from the
annual report data for 2002-03. 33.2% of clients received less than 12
years of education, 51.1% received 12 years or earned a GED, and 15.1%
received more than 12 years.

Slide 17

This pie chart shows the racial/ethnic makeup of clients gathered from
the annual report data for 2002-03. The client group was 82.2% White, 6%
Black/African-American, 6% American Indian/Native American, 3%
Multi-racial, 2% Hispanic/Latino, and 1% Asian/Pacific Islander.

Slide 18

This pie chart shows the type of substance abuse experienced by clients
gathered from the annual report data for 2002-03. 8% abused alcohol
only, 27% abused drugs only, 62% abused drugs and alcohol, and 3% were
unknown.

Slide 19

This bar graph shows the average income at enrollment and exit for
clients, gathered from the annual report data for 2002-03. Average
income at enrollment was \$423, while average income at exit was \$579.

Slide 20

**RFP 458 Housing Assistance (Annual Report Data for 2002--03, cont.)**

-   Average Length of Stay: 160 days

-   Of 337 who exited program, most common reasons for leaving:

    -   33% successful; met program goals

    -   29% evicted for non-compliance

    -   8.6% moved without notice

    -   6.8% left for alternative housing

    -   5.3% needs could not be met

Slide 21

**RFP 458 Housing Assistance (Annual Report Data for 2002--03, cont.)**

-   Of 337 who exited program, most common destinations:

    -   24% rental housing or apartment (no subsidy)

    -   24% moved in with family/friends

    -   16% subsidized housing

    -   3% jail/prison

    -   6% non-housing

    -   27% other/unknown

Slide 22

**Two Other Housing Initiatives**

-   Oregon Recovery Homes

-   ADF Housing Development

Slide 23

**Oregon Recovery Homes**

-   Contract with Ecumenical Ministries of Oregon

    -   Revolving loan fund

    -   Outreach coordinators

-   Primarily supports "Oxford House" model

-   Currently 110 Oxford Houses in Oregon accommodating about 850 people
    in recovery

-   Oregon Housing and Community Services recently funded a second
    Outreach Coordinator

-   Oxford House Leadership Summit held in March 2004 (supported with
    CSAT funds)

Slide 24

**Oregon Recovery Homes (cont.)**

-   Data from 2001 Survey:

    -   77.4% of Oregon Oxford House residents had been homeless;
        average length of homelessness was 9.5 months

    -   Mean age: 36 years, 2 months

    -   Average education: 12.23 years

    -   Employment rate: 84.3%

    -   Mean monthly income: \$1,467

    -   Residents with history of jail time: 90%

    -   Prior residence: 48% from home/apartment; 18% from jail; 16%
        from homelessness; 11% from rented room; 6.3% from hospital or
        halfway house

Slide 25

**ADF Housing Funds in the CFC through Oregon Housing and Community
Services**

-   Initially funded in 1999--2001 biennium; continued in 2001--03 and
    2003--05

-   \$2 million in OMHAS funds to date awarded through OHCS Consolidated
    Funding Cycle (CFC) for "alcohol and drug-free (ADF)" housing

-   Housing will accommodate 144+ people in recovery.

    -   *includes recovery homes, apartment units and single room
        occupancy housing*

-   16 projects funded in 10 counties

Slide 26

**Other Notes**

-   Also support "damp" housing (tolerates some level of substance use)
    --- especially for people with co-occurring mental illness and
    substance abuse

-   "Housing First" approaches

    -   Second Safe Haven in Eugene

    -   Central City Concern "Community Engagement Teams" in Portland

    -   Prescott Terrace in Portland