05-1106Council File # ��lo W
Resolution #
Green Sheet # `�`J 0
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RESOLUTION
CITY OF-SAINT PAUL, MINNESOTA
Presented By
Referred To
�a
Committee: Date
WHEREAS, the Saint Paul City Council and the Ramsey Count Boazd established the City of Saint
PauURamsey County Homeless Advisory Board; and
WHEREAS, the City of Saint PauURamsey County Homeless Advisory Board recognizes that residents who
experienced long-term homelessness have been homeless for at least one year or have experienced multiple
episodes of homelessness in the past three yeazs; and
WHEREAS, the Homeless Advisory Board esfimates that Ramsey County will need 920 units of permanent
supportive housing to end long-term homelessness in Ramsey County by 2010; and
WHEREAS, the development of permanent supportive housing will require financial commihnents from
federal, state, and local governments as well as private sources for the capital improvements, operational
costs, and supportive services that are needed to end long-term homelessness in Ramsey County; and
NOW, BE IT RESOLVED that the Saint Paul City Council accepts the Plan to End Homelessness
Saint Paul-Ramsey County, Part One: Ending Long-Term Homelessness with recognirion that specific
opportuniries for housing developments and funding sources may evolve over the course of this five-year
Plan; and
BE IT FURTHER RESOLVED, that the City Council calls on the City of Saint Paul/Ramsey County
Homeless Advisory Board to monitor the implementation of the Plan.
t5
Requested by Department of:
Plannina & Economic DeveloDment
BY: ��
Approved by Financial Services
1� � -, _
Adopted by �
Adoption Ce:
By:
Approved by
By:
Rv•
� Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet �
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� PE — p���ng&EconomicDevelopment 17-NOV-OS ! Green Sh.eet NO: 3028857
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' CoMact Person 8 Phone:
� Jce Coilins
I 266-6020
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Number
For
Routing
Order
i Must Be on Council Agenda by (Date):
i
�
ueoartment sertt �o Nerson �mna�
0 Plaooine & Economic Develoo eoar[ment Director � �'��
1 Ciri Attornev Ciri Attornev '�� f� 2�+T
2 'Mavor's O�ce Mavor/Assistant i
3 �Council Ciri Council �
Total # of Signature Pages _(Clip All Lowtions for Signature)
Action Requested:
The City/County Homeless Advisory Board requests that the Ciry Council accept the Plan to End Homelessness Saint Paul - Raznsey
County: Part One: Ending Long-Term Homelessness.
rcecommenaanons: approve �H� or Ke�ea �rq:
Planning Commission
CIB Committee
Civil Service Commission
rersonai sernce contrects must answer tne rouowmg cduest�ons:
1. Has this person/firm ever worked under a contract for this departmenY?
Yes No
2. Has this personffirm ever been a city employee?
Yes No
3. Does this person/firm possess a skill not normally possessed tiy any
current city employee?
Yes No
Explain all yes answers on separate sheet and attach to green sheet
Initiating Pro6lem, Issues, Opportunity (Who, What, When, Where, Why):
The City/County Homeless Advisory Boazd estimates that 920 households who experience long-term homelessness need perix�anent
supporiive in Ramsey County.
Advantaqes if Approved:
With the development of peimanent supportive housing, it is possible to end long-term homelessness in Ramsey County.
Disadvantapes If Approved:
None.
DisadvantaqeslfNotApproved:
Citizens of Ramsey County will continue to pay higher costs for social services, medical services, and criminal justice to address the
issues continually faced by long-term homeless residents.
Transaction: �
Funding Source:
CosURevenue Budgeted:
Activity Number:
Financial I nformation:
(Explain)
I�� -//��
Plan to End Homelessness
Saint Paul-Ramsey County
PART ONE: ENDING LONG-TERM HOMELESSNESS
Presented to: Mayor of Saint Paui, Randy Kelly
Rainsey Counry Board of Commissioners
Saint Paul Ciry Council
Submitted by: Ramsey Counry/City of Saint Paul Homeless Advisory Board
September 2005
Q5-//6(0
Table of Contents
1. Executive Summary
2. Inttoduction
• A Call to Acrion
` Why Is This So Important>
• Mission, DeSnitions and Scope
� Local Context and Existing Efforts
• Planning Process aad Public Input
3. Overview of I.ong-Term Homelessness
• The National Perspective
• The State Perspective
• The Ramsey Counry-Saint Paul Petspective
4. Strategies to End Long-Term Homelessness
` Linkuig the Plan to Broader Systems Change
• Cxeate Supportive Housing
■ Pxevent Long-Term Homelessness
■ Increase aad Leverage Public Investxnent
• Impxove Coordination and Delivery of Services and Housing
■ Build a Community Response to Homelesmess
' SpeciSc Strategies for Implementing Recommendauons
5. Implementarion and Oversight Responsib�7ities
6. Financing Plan for Supportive Housing
7. The Rationale for Supportive Housing
' Resident Outcomes
• Efficient Use of Scaxce Resources
• Ramsey County Example: Hearth Connection
• Improving and Investing in the Community
8. Suppornive Housing Models
■ Housing Models: Single-Site, Scattered-Site, Mixed Income/Use
■ Service Models: Sobriety-Based, Haxm Reduction, Housing Fitst
9. Appendices
• Glossary and Acronyms
• Backgxound Reference Materials
• Financing Plan Assumprions
• Public Comtnent on Plan
• Authori�+ a Resolutions
PLAN TO END NOMELESSNESS
SAINT PAUL-RAMSEY GOUNTY
�. .�. . :� a.
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he mission is clear: end homelessness in Saint Paul and Ramsey Counry. To fulfili this
bold but xealistic vision, the Ramsey County/City of Saint Paul Homeless Advisoxy
Board is crafiing a two-part plan. This xeport is Part One and fulfills the reguest for a
plan to end long-tecm homelessness. Part Two will focus on ending all homelessness and
will be pxesented to the City and County by March 1, 2006.
Homelessness is a tragedy for everyone experiencing it An affordable and safe home is the
foundation for stable and fi'lflll+ a lives. Homelessness is also a wasteful and unnecessary c�ain on
our public resoutces. Research has clearly demonsteated that homelessness, especially long-terrn
homelessness, in�eases the use of expensive crisis seroices such as emetgeucy medical cace,
psychiatdc hospitalizations, and incarceration. People experiencing long-tean homelessness
(lasring one yeaz or longet ox ha�ing frequently tepeated episodes of homelessness) make up a
small percentage of everyone who is homeless over the course of a year, but utilize a hugely
dispxoportionate share of oux public xesources being spent to addxess homelessness.
Moreover, public expenditures in these crisis systems of care often fail to successfuIly serve people
experiencing long-texm homelessness. Fortunately, there are solutions, including supportive
honsing and prevention and outeeach strategies, that provide bettex outcomes for people
eaperiencing long-texm homelessness. Utilizing these and other strategies, we will moze effectively
and effidendy use public and private xesouxces and end the horrible rycle of homelessness so
many people face. Most importandy, encling this cyde will enable people to achieve the broadex
goal of �eatex self-xeliance and self-det��nation.
Lor�g-Term Homelessness in Saint Paul and Ramsey County
On a single night in October 2003, more than 700 people were egperiencing long-texm
homelessness in Ramsey County and the City of Saint PauL These single aduks, families, and
unaccompanied youth have languished on the steeets and cycled in and out of nwnexous crisis
related public systems, including jails, community mental health insututions, detoa facilities, etc.
According to the Wilder Reseazch Center, it is estixnated that one-third of people expedencing
long-tenn homelessness are fauiilies, while the r2II731lllllg two-d�ds axe single adults (and a small
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PIAN TO END MOMELESSNESS
5 A 1 N T P A U L- R A M S E Y C O U N T Y
number of unaccompanied youth). Additionally, Wilder estimates that among the long-temi
homeless in Ramsey County:
■ 52% reported tUat they had a serious os pexsistent mental illness
� 30% ate employed
• 33% reported a chemical dependency pxoblem
■ 24% xeported a dual diagnosis of both mental illness and chemical dependency
Accoxding to the Wilder Survey, the State projects that by 2010, Ramsey County and Saint Paul
will need 920 units of supportive housu�g fox people who have e�cpexienced long-term
homelessness. This number xecognizes the unforti.inate xealiry that in the next few years, there will
be an incxease in the number of households e�eriencing long-term homelessness.
F6ve Strategies to End It
The federal goverrunent and the State of Minnesota, in
addition to othex communities across the country, have
identified solutions to ending this vicious cycle o£ long-
texm homelessness. The solutions xange from prevenring
long-term homelessness in the first place to cxeating
permanent supporrive housing opportunities that
pxovide people with affordable housing linked to the
support senrices they need to maintain their housing. In
Ramsey County and Saint Paul, the Homeless Advisory
Boaxd has developed five over-arching steategies for
ending long-term homelessness in our community, with
corresponding benchmarks for measl our success.
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Progress Measure:
920 ututs of permanent supportive housing fox people eYpexiencing long-term homelessness will
be developed between 2006-2010, with an approaimate annual tazget of 160 units each of the fisst
two yeaxs, and 200 units in each of the last three yeaxs.
• a. � " - s s a
Progress Measure:
We will achieve a zero growth-xate in the nuxnber of people meeting the definirion of long-term
homelessness by 2010, based on Wildex surveys.
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PLAN TO END XOMELESSNESS
S A 1 N T P A U L- R A M S E Y C O U N T Y
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Pmgress Measures:
1) More than $130 million will be invested from public and private sources to finance the capital
costs, rental subsidies, and suppott services necessaty to house people esperiencing long-term
homelessness.
2) The Ramsey Counry Housing Endowment Fund will be xefinuiced and designated as a flexible
fund to provide gap funding far supporrive housing capital, operations ox services needs.
Recommer�datian #4:
imprave Coordination and �e(ivery of Services and Housing
Piogress Measures:
1) By the end of 2006, pezsons identified as meeting the definition of long-texm homelesmess will
have a full review of eligibility for publicly fianded progr'dnls, and applications will be submitted
and tracked fox all eligible progxams.
2) By the end of 2007, the County and City will have developed formal pxotocols with publicly-
funded instirutions (�nduding jaiLs, community mental health institutions, foster caxe, etc.) to
include housing and seivice plans designed to prevent people from being dis�ha a d into
homelessness.
Recommendatian #5:
Build a Community-Wide Response to Homelessness
Progress Measures:
1) By 2008, there will equirable distribution of suppomive ho"�'� thxoughout Ramsey County,
including at least 150 units of scattered-site and/ox single-site supportive housing in subuiban
Ramsey County, with an equal commitment continuing through 2010.
2) By the end of 2007, there will be active participation in the crafting of solutions to
homelessness in Ramsey County by broadly tepresenrative o a ni�ations, including the Saint Paul
and sub�ban police, Cl�a.mbers of Commerce in Saint Paul and suburban communities, State and
County corrections depait�nents, elected officiaLs from at least five suburban munidpalities, and
local hospitals.
a
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PLAN TO END XOMELESSNE55
SAINT PAUL-RAMSEY GOUNTY
Financing Plan for Supportive Housing
New Construction (207 units)
MN State General Obligation Bond
Private Tax Caedit Eqiuty (.NIEIEA Allocation)
Private Tag Caedit Equ¢y (C"nyallocation)
Ciryof Saun Paul (HOME, mBG, STAR, etc )
Acquisition and Rehab (345 umts)
Gcyof Sairn Paul (HOME, mBG, STAR, etc)
RamseyCoumyHRA (represeming RamseyCountysubuxi�an comrrn,r,;r�PC)
(HOME, �BG, Endowment Fund, etc )
Mwnesota Housing Fimance Agency
Housing Fo�tdations
NIHFAState AppropriatedProgian�s
Private Foundations
MNDepattment of Coxrections
Dept of Housing & U�an Development
Rexrtal Assistance (920 umts) (�368 r�ts �srane�ttlsitehrra»�
�tt
Fedexal Govexntnent (Section 8, Shelter Plus Caxe, etc )
Mf State Appropxiations (EI E F�TF, etc )
Suppo� Services (920 units) (iszla�ng368 r�¢ts cfsra�lsitehasir�
DI� Long TermHomless Supportive Sernices Gxarns
DI
(ie, Ccr�2yMaualHeul� MA, orplayrrzrnserrzc8, E�Or�nFtt� etc)
Total
$33.7 m�lion
$15_0 m�7lion
$10.0 m�llion
$4.0 nv7lion
$47 m�ion
$30.8 m�llion
$3.8 m�llion
$8S m�7lion
$7S m�lion
$3.0 m�lion
$6.0 nn'Nion
$1.0 m�7lion
$1.0 m�7lion
$1.0 m�7lion
$36.0 m�lion
$24.0 mi7lion
$12.0 m�llion
$30.8 m�lion
$6.0 m�7lion
$24.8 m�7lion
$13L3 million
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PLAN TO END HOMELESSNE55
SAINT PAUL-RAMSEY COUNTY
lntroduction
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Why ls This So Impartant?
Homelessness is a uagedy for evexyane egperiencing it. An affozdable and safe home is the
foimdation for stable and fiilfi7ling lives. Homelessness is also a wasteful and wmecessazyc�ain on
our public �soucces. Reseaxch has clearly de�nsuated that ho�lessness, espec�all}' long term
ho�lessness, incxeases the use of e8pensive crisu seivices such as emecgency medical c�ze
psychiatric hosprtalizarions, and 'mca�erarion.3 People egperiencmg long term homelessness
(lasting one yzar or longer or ha�ing frequernly repeated episodes of ho�lessness) make up a
small percentage of every�ne who is homeless over the coucse of a year, but w�7izs a hugely
dispmpoxrionate shace of our public iesouices being spent w address ho�lessness.
Moreover, public expendituies in rhese crisis systems of cue often fa1 w successfullyserve people
experiencing long term homelessness. Fommately, the� aze soludons, mcluding suppomve
housing and p�vermon and ouaeach suategies, tbat pmvide beaer outcomas for people
experiencimg long tean homelessness. ilalizmg these and other scrategies, we w�ll �m effectively
and efficiently use public and private reso�es and end the homble cycle of home]essness so
manypeople face.
Mission
The mission is cleaz: end ho�lessness m Saim Paul and Ramsey Coimty. To fulfill tivs bold buc
realistic vision, the Homelessness Advisory Boazd is pmducing a plan in two paxu. 'This
docun�em is Part One and fulfills the xequest for a plan to end long term homelessness. Paxt Two
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PLAN TO END XOMELESSNESS
SA�NT PAUL.-RAMSEY COUNTY
will focus on ending all homelessness and will be pTesented to the Ciry and County by Match 1,
2006.
This document sets forth a detailed plan that focuses our collective efforts to end long-term
homelessness on a number of ovexarching srrategies:
' Cxeating supportive housing
■ Preventing homelessness
• Increasing and levexaging public invesrment
■ Impxoving coordination and delivery of services and housing
• Building a community-wide response to homelessness
It is the intent of the Homeless Advisory Board to conrinue its woxk in implemenring the plan in
four primary ways:
• Advocating fox the resoutces and policy chaages needed to implement the plan
■ Advising the Cicy and County on stxategies fox best achieving the gnals
• Monitoring pxogxess on the steategies and action steps identified
■ Repordng back to the City and Counry annually on progress made
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The Saint Paul/Ratnsey plan was developed as a complementaty effort to the State's Business
Plan to End Long-Te�m Homelessness.a The focus on people experiencing long-term
homelesmess is consistent with the State's plan and many of the policies and pxoposals
xecommended will complement ongoing efforts at the
State level.
Having said that, the Homeless Advisoiy Boasd has
defined "long-teim homelessness" in a manner similar
to the State of Mmnesota, but with an expanded
definition fox families e�exiencing homelessness.
Defining various subpopuladons among people
eapeciencing long-texm homelessness is more art than
sdence. For the putposes of this report, long-term
homelessness fox single aduks and unaccompanied
youth is defined as eYperiencing homelessness at least
four times in the last d�ee yeazs, ox continuously for
more than one year.
With xegard to families, in order to be more responsive to the unique needs of children, and
reco �um?in g that intexgenerational homelessness leads to long-term homelessness, the Homeless
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PLAN TO END XOMELESSNESS
S A 1 N T P A U L- R A M S E Y C O U N T Y
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Advisory Boazd has defined long-tertn homelessness for families as egperiencing two ox more
episodes of homelessness that have resulted in shelter stays. The Homeless Advisory Board �
recogirizes this definition may need 5ne-tuning over time.
Wl�ile these definitions limit the scope and nuxnbex of people considexed long-texm homeless, the
rationale is sound. It focuses our efforts first on encling homelessness for people with the greatest
baxriexs to housing. People e�pexiencing long texm homelessness often have issues, induding
mental and chemical heakh pxoblems and chronic health condirions that hinder their ability to
inaintain stable housing. In addition, people e��eriencing long-tenn homelessness often cycle in
and out of a wzde array of cosrly public systems including emergency moms, detox faciliries,
community mental heakh insritutions, and jails.
Local Context and Exis#ing Ef#orts
Ramsey Count�� and the City of Saint Paul have a long track xecoxd of seroing people experiencing
homelessness in the community. The City and County tecendy completed work on a five-year
plan (1999-2004) to build affoxdable and supportive housing that netted positive results, but
significant work xexnains.= The City and the County k�ave xenewed and re-energized the�
co�nmirment to setve people expeiiencing long-tenn homelessness, and address the bxoader
homelessness issue. The Ciry and the County have e�sring pamiexships and saengths tUat must
be utilized in this effort Among the e�sting efforts that must be engaged axe:
Continuum of Caze
The Rainsey County Continuum of Cate, a community wide planni� effort to develop prioriries
for addressing homelesmess, is azguably the stcongest in the State, and is responsible fox attra�-++na
more than $4.5 million in federal H(JD McKinney-Vento funding each peac. The Continuum of
Care is the central cooxdinating body for assessing the needs of people egperiencing homelessness
in the County and allocaring federal resources to pxogranls and pxojects based on a community
r anki a pxocess.
Saint Paul/Ramsey County Funders Council
The Funders Council is a forum fox funders of supporrive and affoxdable housing to meet and
discuss projects and funding priorities and problem-solve on issues. The Fundexs Council meets
monthiy and has proven to be an effective mechuusm for resolving a wide xange of fmaucing
issues in supportive hoLtisiug.
Existing Affordable Housing Policy
In 1999, the Saint Pau1 City Council adopted an affoxdable housing policy which requ�es that
20% of all new housing production be designated as affordable hol,Ci a. � 1?uring 2002-2005, the
City's Housuig 5000 Pxogram created ov� 5,000 housing units, of which over 1,000 will be
affoxdable to low and moderate income households.
Cuttent Investments
Both the City and County have existing progrdtns and infeastcuctute that provide housing and
support sexvices to people eaperiencing homelessness. Both units of govemment l�ave invested
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( PLAN TO END NOMELESSNESS
SAiNT PAUL-RAMSEY COUNTY
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significant amounts of local dollus to finance supportive housiug, induding STAR funds,
� Emergency Shelter Grant funds, HOME funds, and Community Development Block Grant
(CDBG) funds, and CountS� human service dollars, to finance supporrive housing, tcansitional
housing, sheltex, and prevention psogruns. Additionally, the County invests significandy in human
' services, including menral health and children services, rl�at pTOC�de critical caze to people
expeuencing homelessness.
� Existing Snpportive Housing
The City and County have both invested significant xesouxces to �eate suppomive housing fox a
wide aisay of populations d�oughout the County. Collecrively, these projects prove the value of
� cxearing supportive housing, and proof that if the City and Counry partner with the State, fedexal
goverlunent, and local developexs and sen�ices providers — we can c�eate the supportive housing
we need to end long-term homelessness.
Existing Transitional Housing
Th�e is a substantial amount of transitional housing in Ramsey County that provides invaluable
housing and senrices to people e�pexiencing homelessness. Transitional housing projects provide
a wide-array of case management and other services to cransirion people from homelessness to
other housing oprions.
State Investtnent and Engagement
Through its Business Plan to End Long-Texm Homelessness, the State of Minnesota is planning
to commit substantial xesouxces to deuelop supportive housing fox the long-term homeless
population ovex the next several years.� These resouxces, which include funds fox capital,
operaring and services costs, will create at least 4,000 additional supportive housing units. The
plan will contdbute significandy to Saint Paul and Runsey Count�s efforts to end homelessness,
in part because about 25% of these units are expected to be located in Saint Paul and Ra.tnsey
County.
In ordex to succeed in this endeavor, the City and County must build upon existing partnexships,
and woxk to address new, cooxdinated ways of fixnding housing and services.
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The Homeless Advisoiy Board was joindy cxeated by the Ramsey Counry Boaxd and the Ciry of
Saint PauL The Homeless Advisory Board is charged to inform the County and City on
homelessness and to advise rhe City and County on the strategies and reso�ces xequired to
address the issue. The board has moxe than 20 members, including people e�cpexiencing
homelesmess, employees of City and County govemmen� sexvice providers and communiry
leaders in supportive housing, and concerned dtizens 8
Targeted outreach to consumers was conducted through interviews conducted by the X
Committee (a group of people e�periencing homelessness advocating for themselves), public
meetuigs conducted by the Homeless Advisoiy Boazd at Dorothy Day Center, Listening House,
YWCA, the Family Sexvice Center and SafeZone, and discussions and interviews in a number of
PLAN TO END XOMELESSNE55
S A 1 N T P A U L- R A M 5 E Y G O U N T Y
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supportive housing communities. Bxoader public input was generated thxough a numbex of
venues, including the Saint Paul Public Schools, the Rauisey County Mental Health Community �
Ad�risory Committee, the Chamber of Commerce, rhe Saint Paul Police Depamnent, etc. The
Mayor of Saint Paul also conducted a number of Stceet Beaz meerings, inchiding meerings at
Listeniug House and St Christophei's, to solicit input from people e�cperiencing homelessness. �
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PLAN TO END XOMELESSNESS
SAINT PAUL-RAMSEY COUNTY
Overview af Long-Term Homelessness
The National Perspective
V ✓ �//V (.//
It is estunated that in the United States, there axe between 2.1 and 3.5 million people experiencing
homelessness each yeaz.9 On any given night, 850,000 fanvlies, individuals and youth are
homeless. The number of people expexienang homelessness has inc�eased dramatically over the
last ten years, with more and more of them being childxen. Additionally, the number of people
e�periencing homelessness who suff� from mental illness, chemical dependency, and/or oth�
disabling conditions has also increased significandy, while employment among the same
population has slighdy deaeased.
This increase in homelessness t�as not gone unnoticed. Beginning in 2002, the federal government
began to focus its effort moxe on people esperiencing "chronic homelessness." The fedexal
deSniuon of a person experiencing "chronic homelessness" is a disabled and unaccompanied
individual who has been homeless continuously for one yeax or longer or who has had at least
four distinct episodes of homelessness in the past thtee yeazs. The U.S. Deparanent of Health
and Human Services estimates that this population is 10% of the people experiencing
homelessness in oux country, but utilizes 50% of homeless resources.��
With ti�is new focus on ending chxonic homelessness, the federal government has begun to
advance innovative solutions to homelessness, committing to c�eating 150,000 new units of
supportive housing, and promoting legislation to prevent and end homelessness.» To this end, the
United States Congress has direaed the Department of Housing
and Urban Development to conuxut at least 30% of its McKinney-
Vento Homeless Assistance Grants fox permanent supportive
housing.�� Finally, across the country 49 states and more than 200
localities have developed plans to end homelessness that aze
focused on pxevenring homelessness, al� ing public policy and
funding st�eams, and creating suppoxave housing.�3
�. #.
Not surprisingly, homelessness in Mimiesota has grown
significandy as well. The Wflder Reseaxch Cent� conducts a
statewide survey every three yeaxs of people e�periencing
homelessness, and fox the fixst time, collected information about
those eYperiencing long-te�n homelessness.�a
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PLAN TO END XOMELESSNESS
S A I N T P A U L- R A M S E Y C O U N T Y
P A M 1 L 1 E S A N D L O N G-
TERM HOMELESSNESS
National studies shaw tt�at cl�ildsen who are
homeless fall behind their peers
educationally and developmentally; they also
sufFer from poorec heaklv Because it is so
important to nutmre the next generation —
and prevent their futuce homelessness — die
Homeless Advisory Boazd t�as adopted a
bzoad� definition of long-texm homeless
fan�ilies: a defrnition that will allow us to
focus more xesources on homeless diildren.
The fedual govenunent includes only single
adults in its definition of ckuonic (or long-
tean) homelessness; the State includes
families — but only those fatnilies that would
meet the fedual definition. Ramsey County
and Saint Paul recognize the need to focus
mose on cUildzen, and provide them with
suppostive housu�g. This is proving to be an
effecrive intexvention co help these families
find stability and help their d�ildten develop
friends, find adult role models and sray in
school.
According to the 2003 data, those expeuencing long-teun
homelessness in the state include:
Approgimately 3,300 individuals, youth and
fau�ilies with childxen over the coutse of a fiill year
in M�nnesota.
■ Of these, 2,800 wexe adults and unaccompanied
youth
500 wexe cl�ildxen e��euencing homelessness with
theix parents.
In response to the increasing number of people
P�p encing homelessness as a long-teun condition and
the focus on the fedexal level, the State of NTinnesota, in
Febmuy of 2004, unveiled its Business Plan to End Long-
Tenn Homelessness by 2010. The p]an called for the
creation of 4,000 units of supportive housing by 2010.
Incorpoxated into the plan is a concrete fmancing plan,
along with several recommendations to incxease resouzces
taxgeted to people experiencing long-teun homelessness in
the State of Mmnesota.
The Ramsey County — Sain# Paul
Perspective
Homeiessness in Saint Paul and Rauisey County is also on the rise. On a single night in 2000, the
Wildex Research Center identified 1,067 men, women and childxen who were homeless. In 2003,
this number incteased to 1,471, 52% of whom reported being homeless for a year or longex or
had experienced at least four episodes of homelessness in
the last three years. Wild� estimates that on any given
night there aze 1,600 people who are homeless in Ramsey
County.
Significant incxeases in both adult men and women
accounted for this surge in homelessness. In addition,
given the large numbex of people believed to be
unsheltered, living in camps, vehicles or othex places not
fit fox hlm�zn habitation, both the 2000 and 2003 data �e
likely to be significant undercounts of people who aze
homeless.
Ethnicity/Race of Peopie
Euperiencing Homelessness in
Ramsey County
American
Intlian 1
4% I �AfipnAmencan
Whi[e I . Afnran �Other
32� � OHispanic
Hispanicpry�¢r `�� OWhite
12% z/ �American Indian
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PLAN TO END NOMELESSNESS
S A t N T P A U L- R A M S E Y G O U N T Y
Broad �ew of Homelessness
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Not surprisingly, the number of people being sheltered in Ramsey County is also on the rise. A
look at the people sheltered in Ramsey Countp ovet the past several yeaxs also shows a significant
increase. In 2003, Wild� Reseasch Center teported that em�gency sheltex use trends were towazd
moie frequent and shorter stays. �> However, mare tl�an half of all adult sheltex usexs 1�ad more
than one stay d 2003, which accounted fox 81 % of the total stays.
The Ramsey County Continuum of Caze also conducted a count of people e�eriencing
homelessness that live outside, in cars, or in places not meant for human habiration.16 This count
was completed by identifying people who stay outside and connecdug with them to identify other
people who ue also outside. They identified 150 people ouuide on the night of the count. It is
believed that this repxesents an und�count of those who are living outside. It did not xepresent an
actual head count as it is difficult to get volunteers to go to places where people live outdoors in
the middle of wint�.
Ramsey County homeless shelter use, 7998-2003
4,500
� ���
3,500
d
t 3,000
N
C
p� 2��J�0
C
T
y 2�0��
�
E 1,500
z
1,000
soo
Source WAtler Research Centeq Emer9ency shetlers, hansNOnal �ousinq, antl bat[ered women's
shelte5 RamseyCOUnryEatawllectiooproject,MirteenYnannuafreport(December2f104)
-� AII
Adult males alone
y�r.rra�
-„+;` Adufts with children
�Adult females alone
It should also be noted (as illustrated in the chart above) that thexe is a dispxopoxdonate number
of African Americans, Native Americans and Latino people who are homeless. More spedfically,
about 50% of the homeless in Rauzsey Counry are African American while African Americans
only compxise 12% of Ratnsey County residents. The Homeless Advisoxp Board recognizes and
strongly opposes the underlying societal radsm and discrimination ln housing and employment
that contributes to the over-representation of people of colox experiencing homelessness.
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PLAN TO END MOMELESSNESS
SAINT PAUL-RAMSEY COUNTY
Long-Term Homelessness
Based on Wilder's count and analysis of the 2003 Statewide Swvey of People Without Pennauent
Shek�, the Srate deteimined that 3,300 households in Minnesota aze experiencing long-temz
homelessness.�� The State plan calls fox creazing an additiona14,000 units of supportive housing by
2010 to address the current and futuxe need Of these 4,000 units, 920 will be needed in Ramsey
County and Saint PauL We address the importance of creating suppordve ho ]ater in this
document As a general matter, supporave housing is important because people who have been
homeless for a long time face a aumber of chaltenges. Wilder has found, for esample, that among
the long-texm homeless popularion across the state and in Ramsey Countp, they estimate that
approximately:
■ 30% are employed
• 52% reported that they had a serious ox peLSistent mental illness.
• 33% xeported a chemical dependency problem
■ 24% reported a dual diagnosis of both mental illness and chemical dependency and
• 48% xeported a chronic health condition
It should also be noted that domestic violence is a significant factox leacling to homelessness for
many wornen and children.
As the pteceding facts and figures clearly demonstcate, the pxoblem of long-temz homelessness in
Ramsey County and Saint Paul presents a significant challenge to oi� community and to all levels
of govemment that seek to addtess it But it is solvable problem. The numbexs in Saint Paul and
Ramsey County indicate the need to cxeate 920 units of suppoxrive housing over the ncYt five
yeaxs (with ongoing invesm�ent requued to inaintain the supportive honsing�. Collectively we ha�e
the resources, knowledge, and e�erience to make it happen. Having considered the unique needs
of homeless youth, homeless families living with children, and single adults; we will work to cxeate
supportive honsiug tUat is xesponsive to specific needs of fanvlies and youth, and we will identify
and change public policies that have advezse impacts on each of these sub-popularions.
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P L A N T O E N D N O M E L E S S N E 5 S
S A 1 N T P A U L- R A M S E Y C O U N T Y
D�-l/bl�
Strategies to End
Long-Term Homelessness
Linking the Plan to Broader Systems Change
Tn oxder to meet the goal of ending long-term homelessness, thete must be significant investment
of energy, iesources, and political will from all levels of govemment, the plulanthropic
commuuity, and the community at large. These investrnents in ending long-teLm homelessness
must not come at the expense of existing pxograms if we are to be successful. Additionally, ending
long-texm homelessness must be connected to broader efforts addressing the basic issues of
people experiencing homelessness. Notably, the common theme in all consumer input xeceived
was the need to inc�ease and impxove access to jobs, child care, affoxdable housing,
transportauon, and health care fox people experiencing long-t�m homelessness. Key issues that
must be addressed in our bxoader effort include:
■ Affoxdable Housing: Housu�g (whether it is
� connected to services or not) must be affordable
to people, generally repxesenring no moxe than
30% of their income.
� � Health care: Access to affoxdable health care
with adequate coverage that addresses the
� complex needs of many people eaperiencing
long-te�m homelessness, including flexible and
compxehensive mental health sexvices.
� • Transportarion: Access to a public transportation
system that is located neax the housing,
employment, and sen>ices that people need.
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� Employment: Availability of (and access to} jobs
that provide livable wages in order to
significandy and reliably inc�ease incomes.
■ Child care: Access to affordable childcare fox
fainilies with childTen that need a safe place for
children while a pasent is at woTk or going to
school.
� It should also be noted that homelessness in Ramsey
County reaches beyond City and County lines, and
successful strategies will require regional platu�ing and
I coordination, spedfically with the metro counties of
Anoka, Cuver, Dakota, Hennepin, Scott, and
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COUTX & LONG•TERM
XOMELESSNESS
A conservative estimate is that 1 out of every 5
youth experiencing homelessness will e�cperience
long term homelessness (homeless fox more than
a year or four or mose episodes of homelessness
in the past three years). Accosding to the WIldu
Reseazch Cente�'s study on homeless youth,
21.7% of all homeless yourh k�ave experienced
long-term homelessness.�a
Howev�, homelessness among youth (aged 12 to
21) is difficult to measure. Many youth who
experience abuse, se�al assauk, abandonment,
and chtonic neglect from families ofren seek
refuge with altexnative family members ox dose
friends. "Couch hopping" aznong dvs young
population is pervasive according to information
xeceived from Ramsey Counry homeless youth
service providers. Given the mansient nature of
youth populations, many youth may not be
homeless for long period of times. Even short
term aisis and homelessness, however, can lead
to se.YUal exploitation, physical assault, and a Fvgh
inadent of inenral illness and chemical/alcohol
addicrion — leading to long term consequences.
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PLAN TO END MOMELESSNESS
SAINT PAUL-RAMSEY COUNTY
Washington. Bxoader systems improvements and xegional coop�ation will all be pxominendp
featuted in Part II of out plan which is scheduled fox release in Match 2006.
This plan focuses our community efforts on five essential recommendations designed to end
long-temi homelessness. For each of the xecommendadons, there is a specific and measuxable
bencl�mark that will track o� progress towazd accomplishing our goal of ending long-tenxi
homeIessness. The recommendations and henclunarks aze as foflows.
Recommendatian #1: Create Supportive Housing
Progress Measure:
920 units of peimanent supportive housing for people expeuencing long tenn homelessness will
be developed between 2006-2010, with an appxoximate annual taxget of 160 units each of the fust
tcvo years, and 200 units in each of the ]ast thxee years.
Recammendatiar� #2: Prevent l.ang-Term Homelessness
Progress Measure:
We will achieve a zc�o growth-xate in the number of people meetu�g the definition of long-term
homelessness by 2010, based on Wilder sLUVeys.
Recorr�mendation #3: Increase and Leverage Pub(ic Investment
Progress Measures:
1} More than $130 million will be invested from public and private sources to finauce the capital
costs, renral subsidies, and support services necessazy to house people eYpexiencing long-temi
homelessness.
2) The Ramsey County Housing Endowment Fund will be xe6nanced and designated as a flexible
fund to pxovide gap funding for supportive ho"�'� capital, opecations or services needs.
Recorr�mendation #4: Improve Coordination and Delivery of Services
and Hausing
Pmgress Measures:
1) By the end of 2006, pecsons identified as meeting the defuution of long-temi homelessness will
have a full review of eligibility fox publicly funded pxograms, and applications will be submitted
and tracked for all eligible pxogruns.
2) By the end of 2007, the County and City will have developed fom�al pxotocols with publicly-
funded institutions (mcluding jaiLs, community mental health insututions, foster caxe, etc.) to
indude housing and sexvice plans designed to pxevent people fcom being dischaiged into
homelessness.
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PLAN TO END XOMELESSNESS
S A 1 N T P A U L- R A M S E Y G O U N T Y
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Recommendation #5: Build a Community-Wide Response to
Homelessness
Progress Measuces:
1) By 2008, there will equitable distribution of supporrive housing
throughout Ramsey County, induding at least 150 units of scattexed site
and f or single site supportive housuig in sub�ban Ramsey County, with
an equal cominitment continuing through 2010.
2) By the end of 2007, thexe will be utive pamicipation in the aafting of
solutions to homelessness in Ramsey County by broadly representarive
ox ni� ations, induding the Saint Paul and suburban police, Chamb�s of
Commerce in Saint Paul and sub�ban coxnmunities, State and Counry
corxections deparanents, elected officiaLs from at least five suburban
municipaliries, and local hospitals.
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For each of the five xecommendations, rlus plan has identified a number of strategies designed to
move us toward the achievement of each recommendation.
The full engagement of our community in oux efforts to end long-term homelessness and
changing community economic and social conditions ovex the nest five yeass will undoubtedly
result in the refinement and addition or replacement of steategies. Nevertheless, the strategies
listed below have been spedfically identified as aitical steps in our efforts to end long-term
homelessness
a:ts +a s
Suppoxtive housing provides affordable housing in conjuncrion
with tailoxed support sen*ices to the families, single adults, and
unaccompanied youth that need them. The creation of 920
units of supportive housing in Ramsey County ovex the nest
five years is the comerstone of the plan to end long-term
homelessness.
Approximately two-thirds of the units will provide supportive
housing tailored to the spedfic needs of single adults, with a
small portion specifically dedicated to the needs of homeless
youth. The xemaiiung one-third will pxovide suppoxrive
housing to faulilies experiencing long-term homelessness, with
W M A T K 1 N D O F H O U S I N G
D O Y O U W A N T?
"A one-bedroom apartment that's not in
the middle of some ghetto. Oftentimes a
person can't get out of bad habits because
the only apartment they can afford are in
bad neighborhoods."
Homelees single adult
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PLAN TO END XOMELESSNESS
SAINT PAUL-RAMSEY COUNTY
a strong focus on the specific needs of families and children. These units will be equitably
dispexsed tt�oughout Ramsey County, with a significant mm�bex of them located in Saint Paul,
but a substantial numb� also located in subutban Rainsey County.��
Based on data from the DU�lder Research Center and a number of state agencies, the estimated
cost of creating these units over the next five years is appxo�ivately $26 million a year.� These
xesouxces wi11 be secured from a vety wide array of fed�al, state, local, and philanthropic soutces
(see financing plan section fox details).
In creating these suppoxtive ho»C1� units, the City
and County should follow the guiding principles:
� Ens�e maximum choice for residents
WXAT ARE YOUR DREAMS
F O R T N B F U T U R E?
• Locate housing neaz teansit, employment, and
suppon services
■ Be affoxdable, c'ha �a no moxe than 30% of
income for xent
Zoning ordinances play a critical role in the ability to
site housing fot people experiencing long-term
homelessness. Saint Paul's oxdinances tecognize the
need for specialized housing oppoitunities while
main taini a the chaxacter of the Cit�s divetse
neighborhoods. Suburban Ramsey municipalities talie
the appxoach of only pexmitting named housing types
and requ�e a special conditional use petmit for almost
eveciy other type of housing.
(1�es�mues fiom homelersper3oru)
` get a job and get off the stceets."
` Snd an affoxdable place to call home."
`�'o find a job wh�e I can woik until I
ret�e.
"To become self suffident and never temm
to sheltec."
` take some coLUSes in school and do
bener
Both systems pxesent their own opportunities and barciers in cxeating a variety of ho fcom
which people experiencing homelessness could benefit Both systems can be used to fostex
sensible groarth; both can be used to block change. To fadlitate the development of housing
tacgeted to the long-tenn homeless population the Homeless Advisoxy Board believes the
following should be addressed:
In Saint Paul
• Exanvne whether the density zestriction and distance xequixement substantially impair the
ability of housing pxoviders to site new projects or egpand existing ones.
• Egaznuie whether the existing zoning code tias had the effect of distributing supportive
housing throughout the City.
• F.,ngage the Homeless Advisory Board and the homeless pxovider community to work
with the planning coinmission to detem�ine wl�ich, if any, cl�uiges need to be made to the
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PLAN TO END XOMELESSNESS
S A 1 N T P A U L- R A M 5 E Y C O U N T Y
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zo nina code in ord� to faalitate the siting of permanent supportive housing for the long-
teun homeless popularioa
In Ramsey County
� ■ Exauune whether existing suburban municipal codes have the effect of distributing
supportive housu�g thxoughout suburban Ramsey Counry ox aeating areas of over
concentration.
� Ramsey County should work with the various suburban municipalities to create a
supportive climate for the acceptance of supportive housing in locations that have access
to employment, transportation, and supportive services.
2. Prevent Long-Term Homeiessness
Pxevention
• Continue to access funding from the State's Family Homeless Pxevention Assistance
Prograzn.
• Utilize Em�genry Shelter C_'rrant funds to finance shelters and pxevention acdvities with
successfulteack xecoxds.
• Support tenant advocacy focused on preventing homelessness, and continue to target
Community Development Block Gxant (CDBG) funds for that purpose.
• Extend the Count�s sheltex stay policy beyond 30 days to give people more time to find
suitable housing. Fox e�casnple, run a pflot project extending the stay from 30 to 60 days.
■ Increase the stock of affordable housing available to people expexiencing long-texm
homelessness.
Increasing incomes
■ Impxove and expaud outeeach efforts by the Ramsey
County Woxkforce Development Centers to better seive
the unique needs of people experiencing long-t�xn
homelessness.
• City and County staff, along with homeless sexvice
providers, should access funding tl�ough the Department
of Human Seivices to expand advocacy efforts focused on
increasing access to Supplemental Security Income (SS�.
Sniular efforts should be made to assist people in accessing
other benefits including Veterdns' benefits.
W H A T D O Y O U N E E D
T O S E G U R E A N D
K E E P H O U S 1 N G?
"I need a livable wage job and
supportive sexvices to help me be
suceessfiil in housing."
-Ho-melerryoutb
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PLAN TO END XOMELESSNESS
SAINT PAUL-RAMSEY COUNTY
■ Eapand efforts to link suppoxrive housing oprions to e�sring and new supported
employment programs.
Dischazge p �217Tllilp
A vital component of the prevention strategy is impxoving the dischuge planni a pxacrices of
public insritutions. To that end, we recommend the following.
■ Establish a discharge p �anni a advisory gxoup comprised of City and County staff fcom
co�ections, foster caxe, human services, housing, detox facilities, and hospitals to
cooxdinate the dischaxge of people to the streets.
• Develop and fund a pilot program that places supportive sexvice providers with
experience worl�ng in coxrecrions d�ecdy into jails and prisons to connect and assist
people pxeparing to leave the system.
Outreach
Fna � people who are e�:periencing long-term
homelessness is fundamental to hol,ci a and serving
people. To improve outceach to people e�cperiencing long-
tean homelessness, we tecommend the following:
• Expand outreach prograins. Local homeless
ourreach provid�s should apply for at least
$150,000 of funding available through a new State
homeless outeeach pilot
■ The City and County must raise $75,000 ox more
locallv to provide matching funds fot State funds
dedicated to outreach.
� The City and County should work with homeless service pxovid�s to idenrify the most-
frequent users of emexgency systems and help coordinate resoutces to move thein fxom
shelters to supportive housing.
• Expand the partnership between the Saint Paul Police and homeless suvice pxoviders
and establish agreed upon pxotocols for coordination and assisting people on the steeets.
Pzeservation
Pxeservation of decent, safe, affordable housing in Ramsey County and Saint Paul, particularly
housing with fedexal renral assistance payments, is a critical part of both homeless prevention and
long-te�n homeless inteivention efforts.
� Ensi�e that all existing suppoxrive housing has the necessaxy operating subsidies and
sexvice dollats necessary to continue op�ation.
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PLAN TO END NOMELESSNESS
SAINT PAUL•RAMSEY COUNTY
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■ Maintain the existing stock of valuable transitional housiug, priinarily through
� invesunents from the Depamnent of Human Seroices and the HL1D McKuuiey-Vento
progrdms.
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• Work with exisring landloxds involced with the Secrion 8 pro�am to ens�e the long-
tenn affoLdability of properties, possibly including new ownership.
3. Increase and Leverage Public (nvestment
To actrieve the stated goal, significant addirionai invesrment and/ox xed�ecting of exisring
� resources will be tequired from all levels of govemment as well as philanthxopy and the broader
community. Detailed below are specific acrion steps to be taken by government to meet the goal.
The City of Saint Paul
■ Tazget a significant amount of locally conttolled dollars to supportive housing pzojects
serving long-term homeless populations.
■ Create a Housing Trust Fund, by investing $1 million annually in supportive housing.
Saint Paul Public Housing Authority
■ The Saint Paul PHA should explore ways to target more
Section 8 vouchers to people experiencing long-term
homelessness, and continue to assess the viability of
pxoject-basingvoucheLS to supportive housingprojects.
Metropolitan Housing and Redevelopment Authoriry
■ The Metro HRA should e�loze ways to target more
Section 8 vouchers to people e�periencing long-texm
homelessness, and continue to assess the viability of
projecabasing vouchers to supportive housing projects.
Ramsey County
W H A T O N E T N 1 N G
WOULD YOU
C H A N G E A B O U T
S X E L T E R?
"T'he 30-day stay policy. It is not
enough time to get srabilized befoxe
having to go right back on the
street"
Mul�lererporaesfvmyouth, ringle
adultt, and farr�ik'zr that have ctayed in
County rhelter
• Impxove access to Medicaid waivered services £ox people
� expexiencing long-tenn homelessness, including Community Altematives for Disabled
Individuals (CAD�.
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• F�pand Assexdve Community Treatment (ACl) to pxovide the necessary supports far
clients qualifying as "seriously and persistendy mentally ill."
■ Invest in the necessuy support services and housing opdons fox youth agiug out of (and
in) foster care to keep them off the steeets.
■ Invest $6 million in the Ramsey Counry Housing Endowment Fund and pxovide some
prioxity fox use as rent subsidies for long-term homeless pxojects.
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PLAN TO END XOMELESSNESS
SAINT PAUL-RAMSEY GOUNTY
■ Focus siguificant County HOME and CDBG dollaxs to pxojects and pxogiams sen�ing
the long-tean homeless popularion.
■ Ramsey Count}�s Housing and Redevelopment Authority (FIItA) should prioritize
funding for pxojects tUat serc*e the long-term homeless population_
■ Pxioritize pxojects that serve long-te�m homeless populations in applications for fedezal
funcling through the Continuum of Caxe pxocess.
The State of Minnesota
The Govemor and State Tzgislatuxe must fiilly fund the State of Mmnesota Business Pian to End
I.ong-Texm Homelessness. The City of Saint Paul and the Ramsey County should acdvely lobby
the Legislature to do the following.
• Maintain 25% taxgering of Low Income Housing Tax Cxedits to supporrive housing
projects, and continue to award additional points for projects focused on longaelm
homelessness.
• Increase fixnding for the HoLtisu�g Txust Fund by $4 million in the 2008-2009 biennium,
and pxovide at least level funding thereaftec, with priority given fox xental subsidies
seiving the long-team homeless population._
■ Continue the investment of $10 million in the Supportive Housing Sexvices Grants
program in the 2008-2009 budget, with ongoing base funding thexeafr.er.
■ Allocate at least $50 million in General Obligation bonds for supportive housing
collectively in 2006 and 2008.
■ Increase funding for the Bridges pxograin by $700,000 fox the 2008-2009 budget
• Maintain flexibility of the Group Residential Housing (GRF3) program to bettee sexve the
long-tenn homeless population.
The FedeLal Govemment
Invesunent from the federal govemment is vital to our effort to end long-te�n homelessness. The
fedexal govuvinent plays a key xole pxoviding much needed resources to local communities. The
City and the Counry should acdvely lobby the Minnesota Delegation to support a numb� of
federal initiatives that are cenrtal to tivs efforC
� Full funding of all exisring Secrion 8 Housing Choice Voucheis and advocate fox new,
incremenral voucheis razgeted for long-term homelessness.
■ Support exisring legislation establishing a National Hovsiug Trust Fund.
• Inaease funding for the McKimiey-Vento Homeiess Assistance Grants to $1.45 billion
annualIy.
� Authorize and fund the Services fox Ending I,ong-Texm Homelessness Act (SELHA) at
$70 million in FY2006, with annual increases.
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! PLAN TO END NOMELESSNESS
SAINT PAUL-RAMSEY COUNTY
���!`�l�
� �' �e� . � �is. u a.• �>, u.� '• �• .u• �.� �-' . �: , �� .�•
� �� �'�r.i • 1 ► • u.� ' u�• - • I \ u�m• �• • v
•• ♦nr�:� �+i� � n :.uvu1 u �• u•
' 4. Improving the Coordination and Delivery of Services and Housing
W4u1e fmancial xesources aze crnical w success, sigr�`uxnt imProvements in the coordination and
, delivery of sexvices aze necessary to im�rove rhe efficiency and effecaiveness of supportive
housmg pxogra�. Mo� specifically, rhe foIlowing policyand syste� issues �st be addtessed
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Cooidiffition of heahh caxe sexvices
■ The Coumy should ide�dy clie�s who aze e�periencing long term homelessness and
idernifyt�eir eligb�layfor seivices, includ'mg General Assisrance and Genexal Assistance
Medical Cate, Disab�iry, Mwnesota Faanly Im�esanent Progiam, Medical Assistance and
MwnesotaCare. The Coimty should have a sranda�3 pmceduce for inroaring and
following up on Social Seauaydisab�1ayapplicarions.
■ For people who have Medical Assisrance, the County should detemvne optional and
waivered seivices for which they might be eligible, including Aduh Rehab�7itative NTental
Heakh Services, Assertive ComnninuyTreaunent, Comm�mityAhematives forDisabled
Individuals and Tranmatic Brain Injurywaivered services and case manage�nt
Coonli�tion with coxrectional systems
The Counry Human Services and Community Corrections depanmenu should assemble
a suppoxtive housing rask fox�e that works with suppoxtive hot�sing providexs to
undesstand the secvices component of suppomve housing and look for ways w connect
community providess to sustainable sou�es of seivice revenue and to explore how best
w coordinate criminal jusdce and human sexvices for �sidents of supportive housing.
Coondination widi fosterca� and oti�eryouth sexvices
� ■ Panicipate in discl�acge planning for youth aging ouc of foster caze and actively seek
special designated scate and federal funding tazgeting tivs gronP as well as discl�azge
planning for people leaving memal heahh residential treaunent fac�7ities and coixearonal
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Offer better coopenrion between Counry ch�1d pmtection and communit�based
Programs in assisting homeless Youth, m�ludin$:
o All youth aged 16 yeacs or oker mtut have an Independent Living Plan
developed before theylea�e foster care.
� o County case manage�s should assist youth fom�erly in foster care or the
cornctional system m developing uansidon case plans through their 20th year (as
allowed under state law). Case worke� should use fam�• group conferencing
' mom often w find strength-based, familgfocused stabiliry plans for youch
uansirioning from out of-home p]acemnts.
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PLAN TO END NOMElE55NE55
SAINT PAUL-RAMSEY COUNTY
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Cooxdination a�ng fimdeis of housug and services
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5. 8ui(ding a Community-Wide Response
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• Increase participation m the e�sting "Police/Provider Foxum that provides a venue for
open comffiuiication becween police and providexs.
� E�pand cross-naining oppommities for the police and social sexvice provide� to leam
from on�another and foster a greater balance between enforce�nt and'mteivemion.
• Egpand the use of wm�nity policing and incxease rhe number of officeis to
accommodate this effective but labor-irrtensive piacrice.
Egpand acti� subiaban community involvemexrt
■ Ramsey Coiuuy, in conjunction with the Mayor of Saint Paul and the M[V Izague of
Caies should convene a ��*n*nn of Ramsey County ciaes to seaue commitme� w a
xegional response w long texm homelessness thmugh mvesanent in the State's Ending
I.ong Texm Homelessness Iniriative Fund and the Ra�ey CountyEndowme� Fund
sa
��-/IOL�
PLAN TO END NOMELESSNESS
S A 1 N T P A U L- R A M S E Y G O U N T Y
Expand active suburban community involvement
• Ramsey Counry, in conjunction with the Mayoz of Saint Paul and the MN T��e of
Cities should convene a suirunit of Ramsey County dties to sec�e commitments to a
xegional response to long-te�m homelessness fl�sough investment in the State's Ending
I.ong-Tetm Homelessness Initiative Fund and the Ranisey County Endowment Fund_
• Participation in the Homeless Advisory Board should be e�randed to include greater
partidpation by suburban munidpaliues.
Engage divetse community groups
• Meet xegiilady with members of the Chamber of Commerce, and establish a business
leadetship committee to assist in moving the plan fonvazd.
• Convene rebnilar meetings with Meteopolitan Intexfaith Council of Affoxdable Housing
(NIICAFn and the Saint Paul Council of Churches to increase awaxeness of long-term
homelessness and further engage faith-based oxganizarions in suppoxting and creating
supportive housing.
■ Collaborate with a wide-arxay of advocacy organizations that aze focused on issues
affectu� people expexiencing long-teim homelessness. Specific efforts should be made to
woxk collectively with mental health, chemical health, housing, and homeless advocates.
■ F a ae the Minnesota Council of Foundations in an effort to educate local foundations
on the issue of long-terrn homelessness, and encourage them to invest in solutions to end
it
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P L A N T O E N D X O M E L E$ 5 N E S S
SAINT PAUL-RAMSEY COUNTY
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The Homeless Advisory Board, at the direction of the Saint Paul City Council and Ramsey
County Board of Coinmissioneis, will oversee the implementarion of the plan to end long-tenn
homelessness. In doing so, the Homeless Advisory Board will be the xesponsible enrity fox
establishing sub-committees to focus on the implementation of specific steategies and the
ovexazching xecommendations. Responsibility for tracl�ng pxogxess may be assigned to existing
groups (e.g., the Ramsey County Continuum of Caxe, the Homeless Advisory Board zoning
comxnittee) ox may create new strategy spedfic task gxoups. Additionally, the Homeless Advisoty
Board will be xesponsible for developing and pxesenting xegular xeports on the implementadon of
the plan to end long-texm homelessness fox the Saint Paul City Coundl, the Office of the Mayox,
and the Ramsey County Boarcl of Commissioners.
Financing Plan for Supportive Housing
The creation of 920 units of supportive honsing fox famiIies, single adults and unaccompanied
youth is the comeestone of the plan. Tl�is numbex includes appxoximately two-thitds of the units
for single adults, and one-third of the units for families. Based on Wflder xesearch and intexviews
with youth sexvice providers in Ramsey County, it is estimated that up to sixtp units will be fox
long-term homeless youth. The units will be dispexsed equitably throughout the Ciry of Saint Paul
and suburban Ramsey County, with a siguificant number of units in rhe City of Saint Paul and a
substantial numb� in suburban Ramsey County, Additionally, sixty percent of the units will be
new construction or rebabilitation of existing buildings, and the other forry percent will be
scattered site units. Outlined in the following chart is an estimate of the soutces and uses of
fivancing ovex the next five yeazs.
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� PLAN TO END NOMELESSNESS
SAINT PAUL-RAMSEY GOUNTY
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Sources & Uses: Supportive Housing Production
Financing Plan Estimate 2006-2010
New Construction (207 writs) $33.7 million
MN State General Obligazion Bond $15.0 m�7lion
Private Taa Credit Equity(MHFA A�) $10.0 m�lion
Private Tag Caedit Equity(Cilycdloralia� $4.0 million
City of Saint Paul (HOME, CDBG, STAR, etc) $4J m�7lion
Acquisition and Rehab (345 units)
Cicyof Saint Paul (HOME, CDBG, STAR, etc)
RamseyCountyHI2A(HOME, CDBG, Eredacarre�atFzmdetc)
(�2qaau�iBRanaey C',�xrr2ysub�Zri cprrarerratia)
Mnnesota Housing Finance Agency
Housing Foundations
MHFA State Appropriated Progruns
Private Foundations
MN Department of Correcaons
Rex►tal Assistance (920 units)
(Indiukng368 sraueredsite rqrits)
Federal Governmem (Se�t 8, SI.�IterPlus C'ar� �
1VIHFA State Appropriations (ELfiIF, HTF, etc)
Seivices (920 Units)
DHS I.ong Term Homeless Supportive Services Grants
DHS/Ramsey County (ze Camty �uall�ultl�, MA, etcJ
Total
$30.8 million
$3.8 million
$8.5 million
$7S million
$3.0 mllion
Sb.o million
$1.0 million
$1.0 million
$36.0 million
$24.0 million
$12.0 million
$30.8 a�illion
$6.0 million
$24.8 million
$731.3 million
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27
V ��/! v�
PLAN TO END XOMELESSNE55
SAINT PAUL-RAMSEY COUNTY
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� PLAN TO END NOMELESSNE55 �� O �
S A 1 N T P A U L- R A M S E Y C O U N T Y
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The Rationale for Supportive Housing
� r�aoss the country and h�e in ivlinnesota, supportive housing is proving to be a sound, long-
tem7 solution fox housing and helping people who have experienced long-teun homelessness.
Numerous studies clearly demonstxate tl�at suppoxtive ho""� is, fundamentally:
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� An effective intervention ti�at leads to better outcomes fox residents
■ An e£fident investment of scarce public and private money
• An e£fecrive tool for impxoving communiues
Suppoxtive housing has been extremely successful in helping people who face the most comples
challenges individuals and families who axe not only homeless, but who also have veiy low
incomes and serious, pexsistent issues that may include substance use, mental illness, and chronic
health conditions--to live moxe stable, productive lives.
Resident Outcomes
Thousands of people who lang�ushed on the steeets and in shelters for years are now in
supportive housing and improving their lives. Accoxding to a numbex of recent studies, people
who have moved from the streets into supportive housing have experienced xemarkable results,
including.�
■ Increased housing stability: Once in suppoxtive hoLtisang, many studies suggest that
upwaxds of 80% of them remain housed after one yru.2�
■ Posirive impacts on heakh: Studies show decreases of more than 50% in tenants'
em�genry room visits and hospital inpatient days; and decreases in tenants' use of
emergency deto�ficarion sen*ices by more than 80%.�
� Positive impacts on employmen� Studies indicate increases of 50% in eamed income and
40% in the rate o£ pamicipant employment when employment sexvices are provided in
supportive housing.�
• Positive impacts on treating mental illness: In one study, 83°/o of people with mental
illness provided with supportive housing remained housed a ye� later, and expexienced a
decrease in symptoms of schizophrenia and depxession.�a
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� Reducing or ending substance use: A recent study of people leaving chexsiical dependency
teeatment pxogxams found that 57% of those living independendy remained sober; 56%
of those living in a halfway house remained sober, while 90% of those living in supporrive
housing xemained sobex.0
Lt]
PLAN TO END HOMELESSNESS
S A 1 N T P A U L- R A M 5 E Y G O U N T Y
Efficient Use of Scacce i�esources
In addition to ptoviding bettex outcomes fox people, suppoxtive housing is also proven to be an
effective and effident use of scazce public xesouxces. A growing body of evidence is
demonstrating the success and cost effectiveness of supportive housing. Among the findings:
Providing ongoing public services for people with mental illness who are involved ia the
crim;nal justice system ofren costs Ramsey County more than $100,000 a year per petson.
A xecent article in the Saint Paul Pioneer Pxess Pxam;nina low-level aime offenders with mental
illness, and the costs related to seiving them, found some s*art11 a resuks26 Accorcling to Ramsey
County, the cost of seiving a single individual meeting the criteria fox mental health court includes
a wide amay of services, induding but not limited to:
Service
Aveiage of 8 emeLgency rooms visits
5 months in a regional tceafinent center
Policeinvolvement
Mental healnc �ase manageuient
Adutt Detention Center
Cost
$19,200
$69,000
$6,750
$9,500
$3,500
Providixg supportive housing is often no more eapensive, and frequendy cheapez than
many altematives.
According to the "Cost of Seiving Homeless Individuals in Nine Ciries" study of homeless single
aduk completed by the Lewin Gtoup in Novemb� of 2004, providing supportive housing is a
less expensive alternative than other services accessed by people experiencing long-teim
homelessness.� Outlined below is a summazy of the cost per day in the Cities of Columbus and
Seatde.
Columbus
Supportive housing
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P�on
Mental hospital
$30.48
�70.00
$59.34
$451.00
Seattle
Supportive Housing
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Prison
Mental hospiral
$26.00
�s�.��
$95.51
$555.00
In addition, a study conduaed by the University of Pennsylvania Cent� fox l�tental Heaith Policy
and Services �acked 4,679 homeless people with psychiatric disabilities who w�e placed into
3,615 units of supportive ho„c±n� in New Yark City.� The study compared the costs of seiving
these individuals while homeless to the costs of providing supportive honsiug and found tha�
Inchiding the cost of suppoxrive housing, it costs the public only $1,908 more a year to
provide service-enriched ho »Ci a to a pexson with mentally illness than it does to allow
him ar her to reu�ain homeless.
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� P L A N T O E N D X O M E L E 5 S N E 5 S
SAINT PAUL-RAMSEY COUNTY
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• Partidpants used an average of ��'40,449 in publicly funded services oves the couxse of a
� yeat while homeless. Once placed into supportive housing, parricipants reduced their use
of publidy funded seivices bp an average of �12,145 per yeax.
� • Accounting for the natucal tumovet that occuts as some of the xesidents move out of
service�nriched housing, these serc�ice xeduction savings tcanslate into �16,282 per pear
for each unit of housing constructed.
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Supportive housing leads to significant reductions in the utilization of crisis seivices,
including detox facilities by single adults.
In 1998, Hennepin County issued xeports on the Gle�ood Residence and Anishinabe Wal�aguu
suppoxtive housing in Minneapolis that serve forcnerly homeless men and women wath late-stage
alcoholism.� These studies found tha�
• Average detoa admissions for xesidents with a prior detox history decreased from SA to
2.4 annually fox Glenwood residents, and from 18.0 to 2.5 annually for Anishinabe
Wal�agmz residents, resulting in an estimated annual savings of between $2,086 and
$5,012 pex tenant
• The annual cost savings in detox use alone covers 24% of the Glenwood's annual
operating costs.
• The annual nuxnber of aiinival bool�ngs fox residents decreased 29% p� year, and the
average nuxnber of days spent in the Adult Detenrion Center pex year dropped by 69%.
Supportive housing £or fatnilies significandy reduces their reliance on other cosfly public
systems, including chemical dependency services and foster caze.
� In 2002, Hennepin County began an evaluation of 43 families living in two supportive housing
pro A O Y3R7 s to deteiinnie whether supportive housing reduces county-funded crisis services in child
proteccion, outof-home placements and substance abuse treatment30 The study looked at Counry
� crisis sen*ice expenses sis months before and six months after fuz�ilies moved into supportive
housing. This evaluation found that:
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• Cxisis costs declined by an average of $6,200.
• Although County spending remained about the same, the amount spent on aisis seivices
decseased from 88% to 22%.
• There was a sigxrificant reduction in costs associated with chemical health teeatment
• Childxen spent few� days in fostex care.
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PLAN TO END NOME�ESSNESS
S A 1 N T P A U L- R A M S E Y C O U N T Y
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Ramsey County Example: Hearth Connection
Heardi Connection manages a pilot project cureendy opexaring in Ramsey and Blue Earth
Coundes that is focused on encliag long-term homelessness. The pflot works with both fauvlies
and single aduks, and in addition to providing housing, it provides a variety of sexvices to assist in
keeping the person housed and achieving other goals azound health and self-reliance. Accoxding
to recent data that track participanu for nine months:
• Paxtidpants increased the numbex of nights spent in their own ho�'�i a by a factox of five,
fxom 26 nights to 131 nights.
• Partidpants expeiienced a decrease in mental heakh symptoms, equivalent to the
elimination of one symptom.
� On average, partidpants used a drug ar drank to intoxication five fewer days each month.
Fox only the paxticipants with atleast one use-day at baseline, the dectease is neady 10
( 31
Nights in Housing
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Mental Health Symptoms
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drr►proving and investing ir� the Corrimunity
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The most frequent acgiunent made against supportive housing is rl�at the value of adjacent and
near-by pxopexties will plmnmet The evidence suggests othexwise. A compxehensive evaluation
of the Connecticut Suppoxtive Housing Demonstxation Progtaui induded an assessment of
property values of a number of neighboxhoods where supportive ho""� developments were
located.� The study looked at sales data of commercial buildings befoie and aftes the
developments w�e built and found that in seven out of eight insrances pmperry values actually
increased. Sevexal of these azeas experienced incrcases of more tU.w $12 weighted aver�ge per
squarefoot
The Connecticut evaluation also found that the development of supportive ho1,C1 a can pxovide
additional economic and fiscal benefits to the community. Economic benefits ase derived from
developino costs and operaring expenses of supportive housing projects that were directly
32
BasNnre f�Gne MaM
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� PLAN TO END XOMELESSNESS
5 A 1 N T P A U L- R A M S E Y C O U N T Y
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invested into the economy; fiscal benefits result from property raxes and other expenses that are
� paid d�ectly to the muniapality. The studv found that the eight dec=elopments had an overall
economic and fiscal benefit of ovex S29 million. Accounting fox indirect benefits that xesult £rom
the economic activitc generated by the arailation of additional dollaxs in the local economy,
ditect and ind�ect fiscal and economic benefits added up to nearlv 5114 million.
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P L A N T O E N D N O M E L E S S N E S S
S A I N T P A U L• R A M S E Y G O U N T Y
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People experiencing long-texm homelessness have a variery of needs and there are inany diff�ent
models of supportive honc'� to meet those needs. Suppottive ho a, broadly speal�ng, is the
combination of housing and supportive sexvices designed to help tenants, based on their needs
and desires, to maintain their housing and improve the� quality of life. In fact, supportive housing
has two distinct elements: the housing models themselves; and the setvice models that aze used to
ptovide sexvices to residents.
F�st and foremost, supportive housing includes a landlord tenant relationship, wheth� it is
between the tenant and a sexvice pxovider or the �ovider and landlord/ company.
Secondly, thete are services offered in conjunction with housing, although accessing services is
usually not a requixement of tenancy. There aze three primary ho modeLs used fox creating
the actual supportive housing units: single-site; scattered-site apartments; and mixed income/use.
Single-Site
Single-site housing units aze located in one building or one area. Single-site suppordve housing
can be as small as a dupleg with two units, as latge as an apartment building with twenty units, or
]atger. Suppordve services aze often made accessible on-site to tenants. E�mples of single-site
supportive housing in Saint Paul include:
New Foundations/Csestviewis a multi family supportive housing community for families
with children recov Eflll J A from chemical dependency.
Wilder's American House is a Single-Room Occupancy (SRO) Supportive Housing
prograui which provides housing for low income, single adults.
Clustered or Scattered-Site
Scatteted-site supportive housing consists of single-family homes, townhouses, duplexes or
apartments thxoughout the community. Pxoviders of scattered-site supportive hollC;na generally
woxk with ]andloxds to either mast� lease units, or have the tenants themselves lease the unit
Provid�s go to rhe tenants to provide supportive services or the sexvices may be located in close
pro.�mity to tenants. E.Yamples of scattered site supportive ho11C1� in Saint Paul and Ramsey
County include:
Guild Inc.'s Delancey Street Works wirh landlords to help single individuals expexiencing
long-term homelessness obtain and mauitain housing. Units axe scatteted in apartments
across Saint Paul and Ramsey County.
� Wilder ROOF Program: Woxks with homeless faxnilies and assists them in seaviug
housing in the community, and provides supportive seivices.
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PLAN TO END NOMELESSNESS
SAINT PAUL-RAMSEY COUNTY
Muced Use and/or Mixed Income Supportive Housing
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� Miged inwme supportive ho1,S1� incoipoxates market rate, affordable, and/or supportive
housing together, while miaed use housing often includes commercial uses in the same building.
Mixed use/mixed income suppoxtive housing works for individuaLs and fauiilies with a range of
� abiliries and needs. It xe-essablishes pattems of neighboxing, mi�in,i�es the isolation of low-
income people, and reduces the concentration of poverty in housing.
�, � Seventh Street Ianding is home to single youth, at least 18 years old, who ue
tcansitioning out of foster caze with no place to go or who were previously homeless. In
addition to provicling single-site units, Seventh Stceet Ianding also has a commeraal
� component to the pxoject on the first floor that, through the commercial tenants,
provides the youth with employment oppoitunities.
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Supportive Housing Service Models
There are a variery of service models that are incorpoxated into supporrive housing to meet the
diff�ent needs of people and populations experienang long-texxn homelessness. Seivices that axe
often connected to supporrive housing include:
• Employment teainina programs
• Safery planning services for domestic abuse
■ Parenting and clvld development services
• Chemical dependency treatment/support groups
• Mental health support5
• Life sl�lls pxograms
� Health caxe supports
■ I.egal aid sexvices
� Family xeunification senrices
• Education attainment progxams
Partidpation may range from completely voluntary to mandatoiy. Supportive housing providers
look to xesidents' needs to detennine the level of services needed. Some key service models
include:
� Housing First: Housing First advocates that many families and individuals eaperiencing
� homelessness should be xelocated into permanent housing as quickly as possible, with the
provision of case mauagement and/or othex supportive services available to help people rebuild
� their lives. The model is premised on the belief that many vulnexable and at-risk fa.nulies and
individuals are moxe responsive to interventions and social services support after they are in their
" own housing, xathei than while living in shelter or on the streets. With pexmanent housing, these
families and individuaLz can begin to regain the selfconfidence and control over their lives they
�' lost when they became homeless. This approach acknowledges that fox some individuals, lifelong
support may be xequired to prevent reoccurcence into homelessness.
�
�
s5
�
PLAN TO END XOMELESSNESS
5 A i N T P A U L• R A M S E Y G O U N T Y
Hazm Reducrion: Haun reduction is a set of strategies that encoutages clients and sexvice
providers to xeduce the l�um done by drug/alcohol use, negative choices, and hamzfixl behaviot.
In suppordng clients in o ini � access to tooLs to impxove their health and lifestyles, l�a.mi
reduction recognizes their competence to protect and help themselves, their loved ones, and their
communities. Ultimately harm reduction is about meering people whese they are at It is about
building uvsring xelationstrips as a way to engage people, while always exploring options and
slowly offering them an altemative, including sobriety that may help them in some way.
Sobriety-Based: Sobriety-based supportive housing is a sexvice strategy that nuttuxes sobriety
and a strong sense of commuaity. The housing itself offers a sober environment free of alcohol
and dcugs, and is designed fox those who want to remain chemically/akohol free and live in a
drugfree community. Sobriery is generally enforced.
Overall, thexe is no "one-size fits all" supportive housing model. Given the comple�ry and variety
of challenges people experiencing long-term homelessness face, we must utilize all of the
afoxemendoned service and ho�'�ina models, and provide oprions to people so they can choose
the approach tl�at best sexves them.
36
PLAN TO END IiOMELESSNESS
S A 1 N T P A U L- R A M 5 E Y C O U N T Y
�
Endnotes
b�-11D�
� � Ramsey County Boazd Resolution #2005-198; Pused unanimously ibfay 17, 2005.
- Saint Pau1 Ciry Coundl Resolution #OS-514; Passed unanimously June I5, 2005. See Appendis 5 foz copies of the
zesolution5.
� � Saint Paui Mayor Randy Kell�s State oE the Ciry Address, Apa126, 2005; Domthy Day Centei, Saint Paul
3 Calhane, D., etal., Tbe Nem York, New York Agreemext Co.ct Stxdy: Tbe Impa�t ofSupporizve Hounng on Se'vice.r UreforHamele.rr
MentalllllndivzduaG;The Corpoxation fox Sappomve Housing, May 2001.
� - Black, Kendall and Cho, Rictiaxd, New Beginningr. The Need forSupportive Houring for Previously Inrarcerated People, Common
Gxound Community and Cocpontion fox Supportive Housing, 2004.
- U.S. Depaztments of Justice, I.abor, and Heal[h and Human $ervices; Tbe I[eport of the I�e-entry Po7iey Council,� Palicy
Statememt 19: Housing. Page,25G,� 2004
� ^ Minaesota Depaztmeats of Human Services, Coxxections and Housing Fiaance; Ending LongTemr Homek.rrne.rr in N(inne.rota:
Aeport amd Bsuime.cr Plan of the Working Gmup on I.ong-Ternr Homelzrmesr, Manh 2004
htlp: / /wwm.mhfa..rtate.mm.u.r/multifamily/LTH.htm
> Elwood, Ron, et.al., SaintPaul — I?amre� County Five-YearLaw Imome Houring and Homede.c.r Senrz<es Pkr, Apol 1999. Available
by e-mail at: jun.andezson(t�.cosamse;�mn.us
- Saint Paut / Ramsey Counry Homeless Advisory Boaxd; Final Statur Report on the Five-Year Pdan; May 2005; Available by
e-mail at: jim.andexson@co.runsey.mn.us.
� 6 Sunt Paul Ciry Coundl Ho�sing Affordability Poliry; Council File 99-90; Adopted Apri121, 1999.
� Minnesota State Departments of Human Sexvices, Coaecdons and Housing Finance; Ending Long-Term Homedes.rne.rs in
Minnerota; Acliort and Buanes.r Plan of tbe [P/orking Grosrp on I.ong-Term Homeler.cne.rr, Manb 2004
e Fox a complete list of the Hometess Advisory Boazd membexskup, e-mail to: jim.andexson@co.runsey.mn.us.
� � Burt, Mattha, A�bat A�ill itTake to End Homele.srnecr, 2'he Urban Ins6tute, Ocrober 2001.
- Burt, M. , Axon, I„ and Valente, J; He�ingAmerica'.r Homele.rr. Emeigency Shelter orA,�ordabde Hou.nng?,� The Uxban Instimre
Press, 2001.
10 U.S. Department of Health and Human Seivices, Endz'ng Cbmnir Homelessne.cr: Strategier forAction; Aeportfrom tbe Seeretary i
Work Group os� Ending Chmni� Homeles.rness, Page 10; Mazch 2003.
�� FedezalIntengeary Council on Homelessness; website: httn:l/o.ww.ich.¢ov1
12 Fox infoxmanon on the McKinney-Vento Homeless Assistance pxogxazns, go w:
h�tt ://aww.hud.gov/offices/cpolhomeless/index.cfm
� � Infoxmation on dties, couaties and zegions who have developed plans to rnd homelessness go w the Fedual Intexagenry
Council on Homelessness website: htto://wurn ich.gov/
�^ Wildec Reseazch Center, Statearide Survey of People IV'ithaut Permanent Sbelter, Rnmrey County Rigionad Data Tabler, tYlay 2004;
btlD �l 1 www.va/der:o�g[�ior[rummarv
� 15 Wildu Reseaz'ch Centex; Emergrncy Sbelters, Tranritional Hauring arrd Battered Women i Sbelter.r. Aam.rey Cauxty Data Colkdion
Pm�er; TbirEeentb Annual Report,� Deceenber 2004; bttp: J/vunv.wilder my/reborUummarv
�� Ramsey County Continuum oE Care; 2005 Ezhibit >: AppJication for fun&ng to HUD forMrKinney T/ento HomelersA.r.rsrtance
� Funding,� May 2005; Available by e-maii at: jim andersonrco.ramsev mn.us
�� Wi1du Reseazch Cen2er, Stateunde Suruey ofPeapk A!itbout Pemianent Sheker, i�amsey County kegional Data Tabler, May 2004;
http.:i /wnnv. urzlder. oro
18 Wiidex Reseazch Center, Homekrr in Minne.rata.� A Clo.rerIook,� Youtb ar,d YaungAdrsUs On Their Own; 2003 Stateaide Suroey of
� Peop/e WitbaulPernrmtentShelter, Febntary2005; httb'//mww.mildero�deadmin/urer u�iload/retearch/Homele.crYoutb.mem 4-
� OS Ol.fldf
�� Saint Paui / Ramsey Countg Homeless Advisoxy Boazd; Zoning and I.and Use Sub-Conunittee; Committee Aemmmendahru;
� Fox a copy e-mail io: jss.andexson(t�.co.ramsec.mn.us
37
P L A N T O E N D X O M E L E 5 S N E S S
S A I N T P A U L- R A M S E Y C O U N T Y
�° Culhane, Denxus, ecal.; May 2001; The Impad of Supportive Hozuing on tbe Uta6�ation of the Pub6rHealth, Corredioru and
Eme'genc� Sbelter Syrtemr. Tbe NewYork / NeaYork Agreemeut Co.rt Study: Tbe Impad ofSappor[ive Hoxuing on Sezicer Ure for
Homelesr Mentally Zlllmdividvalr,
- United States Depattment of Health and Human Seivices, Substance Abuse and Mental Health Sexvices Administtation
(SAMHSA); 2003; Blueprint for Change: Endmg Long-Term Homelermesr forPenoru mith Seriour Mentad Illner.res and Co-Orcurrzng
SubstonceAbrr.re Darorden,� DHHS Publiration No. SMA-043S70; Rockville, MD.
- New Freedom Commission on Menial Health; June 2004; Subrammittee on Hoauing mrd Homele.rmzrr. Ba�kgroxxd Paper,
DHHS PubNo. SMA-04-3584. R«kvilie, MD; SAMSHA's National Mental Health Infotmarion Center (800) 789-2G47
Z� Tsemberis, S.; Housing FirctAppzae�b; The Encydopedia of Homelessness, Sage Publicaaons: Thousand Oaks, CA.
- C arlin� P J.; Houring and SsPporUforPersanr watb Mentad Illnerr. Eme�gzngApproaches to Auearcb and Prarkse; HospitaL and
Commuoity Psychiatry; 1993.
� Prosdq Tony, Coxpoxarion fox Supportive Hou"� Srr�por[ive Hoxring and Itr ImpaiY on the Pub&c Healtb Cririr of
Homekr.rmes.r, 2000; �:/lwwn�.csh.oig/html/supportive�mpatt-final.gdf
- Hennepin County; Anisln'nabe Waksagun Aesrdents' Use ojEme�genry Seivi�e.r rrt Henmepin Connty, Minnerota; March 2001;
h ptt :!/uvm..mncounties.org/macssa/hest prectices archive/chemical dependenwhtm
� Long, David, with Doyle, Heathes, and Amendolia, Jean; Tbe NeztStep: )ob.r Initiative Con-Effeclruener.rAnaly.ri.r, Final Aepart,�
April 1999
�^ Cu[hane, Dennis, etal.; May 2001; The Impart ofSupponive Hounng on tbe UtikZatiom afthe Prsblir Healtb, Cone�koru and
Eme'geney S/xlterSyrtemr. Tbe Neri York / New York Agnement Cost Study: Tbe Impad of SuppaTive Hoursng on Sersnre.r U.re for
HomelessMentally IQlndz�rzduaL; www.csh.o a
u Ibid.
�� Sc Paul Pioneei Pxess; Coun Seekr He� Not]aid for tbe Menta11y7d1� June 13, 200i; Souxce: Ramsey County
'� The Lewin Group; CorEs ofJ'e'virsg Homelesr Indrvidaak srs Nine Cilies,�November 2004.
�$ CuRiane, Demis, ecal.; May 2001; The Impad ofSxpportive Hau.rsng on tbe Utik�atiom of tbe PublieHealtb, Correetiomr and
Eme�geney SheBerSy.rtemr. Tbe NewYork / NewYark Agreement Cost Stmdy: The Impad of Sarpporlive Hou.ring on Senncer Ure for
Homelest Merttally Zlllmdavidualr, anca-.csh.o �
�� Aratbinabe Wakvigen AesidenGr' Use ofEme�genry Senntes in Hennepix Cmtnfy, Minne.rota Adult Sexvices Chemical Health
Division, Hennepin Covntp. Mazch, 2001.
� Summaty of Key Research Findings to Date on Cost-Effectiveness of Supportive Housing fox Fami]ies." Hennepin
Counry CFilldren, Family, and Adult Sexvices Department April, 2003.
31 The National Centez on Faxnily Homelessness; Tbe Mixmesota Snppo,tive Hounng and Managed Can Pilot,Qualstative
Evaluatiox: YearTbree,� Januazy 2005
32 Shexwood, Ka,v�, Univ�sity of Pennsylvania Health System, Depaztmeat of Psydvatey
Centex for Mental Health Policy and Seivices Research; Cannec[icnt Srrppor(ive Hou.rsng Deman.rtration Program Evaluation
I�port,�]anuazp 2001.
Nore: All of the apprndices listed in the ieport can be obtained by contaeti¢g.
Jun Andexson - Ramsey CounN
(651) 266-4116
jun.andexson@co.runsey.mn.us
Joe Collins - Ciry of Saint Paul
(651) 2GG6020
joe.collins@d.StpauLmu.us
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