# Presentation: 724490

## NEW YORK STATE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES

- Using Block Grant and Other Funding to Access Mainstream Services
- December 9, 2003
- Miami, FL
- Joan Disare,
-  Coordinator of Housing/Homeless Services joandisare@oasas.state.ny.us

## New York State Overview

-   18 Million Residents
-   64 Counties
-   Mix of Rural, Suburban and Urban
-      Communities and Issues

##  OASAS plans, develops and regulates the nation’s most extensive AOD system.
Directly operates 13 Addiction Treatment Centers --IP services to 10,000 per year 
Licenses, funds, and supervises some 1,400 local programs, serving about 125,000 persons on any given day
Oversees over 400 prevention providers, operating 1,700 programs

- Directly operates 13 Addiction Treatment Centers --IP services to 10,000 per year
- Licenses, funds, and supervises some 1,400 local programs, serving about 125,000 persons on any given day
- Oversees over 400 prevention providers, operating 1,700 programs

**New York State Overview**

## Need for AOD Homeless Housing

- Based on CoC data, the homeless population in NYS is estimated at about 72,000 individuals and families. (2/3 in NY City)
- About 31,000 of these individuals and families have unmet needs for _both_ housing and addiction services.
- Overall, between 30% and 50% of the homeless in NYS are alcohol or substance involved.

## 2002 Homeless Client Admissions

**2002 Homeless Client Admissions**

-  During Calendar Year 2002, OASAS treatment providers reported over 308,000 admissions –
**55,435** of these were homeless persons (18%)

## 2002 Homeless Client Admissions

_**Service**_**   **_**# Homeless**_**  **_**% Total Ads**_**  **_**% of Homeless**_
**Crisis****	****	****   36,196 ****	****    35.3****	****    65.3**
**Inpatient****	****    8,603       21.5****	****    15.5**
**Residential      3,034 ****	****    12.6****	****     5.5**
**Outpatient****	****    6,409 ****	****     5.1****	****    11.5**
**MMTP****	****    1,193        7.5****	****     2.2**
**TOTALS       55,435**           **18%**	      **100%**

**2002 Homeless Client Admissions**

## Need for AOD Services

***AOD Treatment Services = Homelessness Prevention***

## OASAS Funding

- OASAS serves as a conduit for Federal and State funding to localities and not-for-profit providers.
- In New York State, the Substance Abuse Prevention and Treatment (SAPT) Block Grant is the primary source of Federal funding for addiction treatment and prevention services.
-  OASAS uses these Federal dollars in combination with state aid and other funds to support a broad range of local programming efforts.

## OASAS Funding Process 

-  NYS budget process requires annual appropriation of all funds (including SAPT Block Grant) by the Legislature.
-  Based on the enacted Executive Budget, OASAS conducts an annual Budget/Contract Workscope Process to distribute funds.

## OASAS Funding (2002)

**OASAS Funding (2002)**

| Fund Type | State Total (millions) | Amount for Homeless* Services (millions) |
| --- | --- | --- |
| State Aid | $250 | $45 |
| SAPT Block Grant | $111 | $19 |
| HUD S+C | $7 | $ 7 |
| Other Federal/Special  | $30 | $ 4 |
| 
Total | $398 | $75 |

- _____________________________________________
- * Estimates based on 18% homeless admissions to Tx services

## Use of SAPT Block Grant

** ****Block Grant funds**** support a broad range of treatment and prevention services in NY:**
**66% for alcoholism and SA rehab services**
**24% for primary prevention**
**5% for HIV early intervention**
**5% for OASAS administration**

## In support of homeless, SAPT funds are used to provide part of the required 50% match for HUD rental assistance dollars. 

SAPT funds cover needed case management and support services, which are not fundable with Shelter Plus Care dollars.

**SAPT funds cover needed ****case management and support services****, which are**** **_**not fundable**_** with Shelter Plus Care dollars.**

**Use of SAPT Block Grant**

## OASAS currently works with 26 nonprofit service providers to operate 48 Shelter Plus Care projects operating over 800 rental units each year. 

 HUD provides rental assistance; OASAS provides administrative oversight; participating providers (“sponsors”) own or lease the housing and provide treatment and supportive services. 

-  HUD provides rental assistance; OASAS provides administrative oversight; participating providers (“sponsors”) own or lease the housing and provide treatment and supportive services.

**Homeless Housing Services – Shelter Plus Care**

## Local S+C grantees must match the rental assistance provided by HUD with an equal value of supportive services appropriate to the target population. 

The services match is typically funded through a combination of State and SAPT Block Grant funds. 

- The services match is typically funded through a combination of State and SAPT Block Grant funds.

**Homeless Housing Services – Shelter Plus Care**

## Other Homeless Housing Initiatives

- A special 1999 initiative in NY provided $2 million in SAPT funding to 30 providers for case management in Supportive Living, Shelter Plus Care and other independent housing programs. This funding has been maintained in subsequent funding cycles.

## Also, County “Demos” and Dual-Recovery Coordinator projects address needs for housing/homeless services.
 Many providers have also independently pursued and received HUD Supportive Housing awards, Section 8 rental subsidies and other Federal and State homeless assistance funds.

-  Many providers have also independently pursued and received HUD Supportive Housing awards, Section 8 rental subsidies and other Federal and State homeless assistance funds.

**Other Homeless Housing Initiatives**

## Accessing and Using SAPT Block Grant Funds

**1. Learn about the SAPT funding process **
_***Application Procedure***_*:  * Chief Executive Officer of the State/Territory must apply annually for an allotment by October 1.
_***Funding Formula***_*:  * Formula for allotments to the States by the CSAT are based upon weighted population factors.
_***Average SAPT Award***_: $26 million

## Accessing and Using SAPT Block Grant Funds

**2. ID your State Liaison for the Block Grant – **
- Contact/meet with a person with authority to commit funds
- Add liaison to your homeless team or council
- Develop MOU or interagency agreement

**3. Educate and Advocate at All Levels**