# Presentation: 386311

##   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

**  ****People with Substance Use Disorders**
- 			Vicki Skryha, MSW
- 			Office of Mental Health & Addiction
- 				Services
- 	 		Oregon Department of Human Services
-                         	National Learning Meeting
- 			October 2004

## 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

## 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

## 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

## Living Arrangement – A&D Adults(N = 58,304 statewide)

## Living Arrangement – A&D Youth(N = 6,812 statewide)

## Trends in Homelessness(from statewide data on A&D Adult current living situations)

## 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

## 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

## 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?**

## A&D Housing

## ADF Housing Initiatives

- ADF Housing Assistance Services
- (RFP 458)

## 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

## 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%

## 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

## RFP 458 Housing Assistance(Annual Report Data for 2002–03, cont.)Education Level (% of Clients)

## RFP 458 Housing Assistance(Annual Report Data for 2002–03, cont.)Race/Ethnicity (% of Clients)

## RFP 458 Housing Assistance(Annual Report Data for 2002–03, cont.)Type of Substance Abuse (% of Clients)

## RFP 458 Housing Assistance(Annual Report Data for 2002–03, cont.)Average Income at Enrollment and Exit

## 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

## 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

## Two Other Housing Initiatives  

- Oregon Recovery Homes
- ADF Housing Development

## 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)

## 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

## 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

## 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