The current issue of HUD’s peer-reviewed journal, Cityscape, includes an article on the Silicon Valley Triage Tool that was developed by the Economic Roundtable. This statistical model provides a fair, objective tool for triage—prioritizing which individuals should have immediate access to permanent supportive housing. Santa Clara County voters have approved major investments in affordable housing for people experiencing homelessness, but the number of individuals who need housing still substantially exceeds the amount of housing that is available for them.
Within the past year, Los Angeles County and City voters approved $4.75 billion for services and housing to combat homelessness. The Greater Los Angeles Homeless Count is crucial for identifying how this money should be used to help people escape homelessness. The Count is an increasingly comprehensive effort to count and describe Los Angeles’ homeless residents, but it is not yet sufficiently accurate to identify year-to-year changes in homelessness.
This paper explains the methods used to develop the Silicon Valley Triage Tool for identifying homeless individuals in jails, hospitals and clinics who have continuing crises in their lives that create very high public costs. The model is very robust and accurate, taking advantage of advanced prediction methodologies and a unique and exceptionally valuable database created by Santa Clara County, home to Silicon Valley, linking service and cost records across county departments for the entire population of residents who experienced homelessness over a six-year period – a total of 104,206 individuals.
San José, California's third most populous city, regulates rent increases for older apartment units through its Apartment Rent Ordinance (ARO). To help inform policy deliberations by the San José City Council and Housing Department staff, this report analyzes demographic characteristics of ARO tenants, characteristics of ARO apartments, compares ARO allowable rents increases with Rent Stabilization Ordinances in other cities, analyzes the debt-service pass-through, and financial outcomes of ARO rental properties.
Why the Silicon Valley Triage Tool is Important: The number of homeless people needing housing far exceeds the available housing supply, and there is not a fair, objective system for prioritizing who gets to be housed. The triage tool addresses this problem by identifying individuals for whom the solution of housing costs less than the problem of homelessness.
This report identifies the characteristics of the most vulnerable, distressed and costly homeless residents of Santa Clara County to guide strategies for stabilizing their lives through housing and supportive services, improving their wellbeing and reducing public costs for their care. The county spent $520 million a year providing services for homeless residents over the six years covered by this study. Costs are heavily skewed toward a comparatively small number of frequent users of public and medical services. Individuals with costs in the top 5% accounted for 47 percent of all costs and had average costs of over $100,000 per year.
Evaluating the outcomes for 163 hospital patients screened from April 2011 to May 2013 by the 10th Decile Project in Los Angeles, which works with hospitals to identify the 10 percent of homeless patients with the highest public and hospital costs – the 10th decile – and provide immediate services for placing these individuals into permanent supportive housing.
This study extrapolates data about public costs for homelessness in Los Angeles County to clients of three San Francisco Collaborative Courts: Drug Court, Community Justice Center (CJC) and Behavioral Health Court. This information identifies the probable level of engagement by health care providers, public assistance agencies and the jail system in providing services to different cohorts of court clients that are experiencing homelessness. For clients with the most acute problems, who have recurrent encounters with hospitals and jails, information about high public costs associated with homelessness can point the way toward cost-effective investments in housing and supportive services that reduce net public outlays.
New development solves housing problems for some workers by creating new jobs that pay sustaining wages. At the same time, it creates additional demand for affordable housing because some of the workers who will be employed will not earn enough money to afford market-rate rental housing. This report analyzes a possible affordable housing benefit fee for new development in Los Angeles. If approved, this fee would recover a portion of the public cost for meeting the demand for affordable housing that results from new development.
Inadequate housing takes different forms, all of which are detrimental to the well-being of families and individuals. The most prevalent problem is housing that costs more than households can afford to pay. The causes include a housing inventory that has grown slightly less than the population and renter incomes that have increased much less than the cost of housing.
The triage tool, or crisis indicator, identifies homeless individuals in hospitals and jails who have continuing crises in their lives that create very high public costs. This redesigned tool is four times more accurate than the earlier screening tool released in 2010. The tool is developed for use in jails, hospitals and clinics where homeless individuals with high levels of need and high public costs are most likely to be found. Discovery of the exceptionally high public costs for people in the 10th cost decile has led to interest in identifying these individuals and giving them high priority for access to permanent supportive housing. This group accounts for well over half of all public costs for homeless adults, and their costs decrease by 86 percent when they live in permanent supportive housing.
Counties bear large hidden costs for individuals with disabilities who are indigent or homeless. This includes costs for health care, jails and probation in addition to readily identifiable county costs for public assistance. A large share of this cost is health related – costs that the federal and state governments would pay through Medi-Cal if the individuals were receiving Supplemental Social Security Income (SSI).
The central question investigated in this study is the public costs for people in supportive housing compared to similar people that are homeless. The typical public cost for residents in supportive housing is $605 a month. The typical public cost for similar homeless persons is $2,897, five-times greater than their counterparts that are housed. This remarkable finding demonstrates that practical, tangible public benefits result from providing supportive housing for vulnerable homeless individuals. The stabilizing effect of housing plus supportive care is demonstrated by a 79 percent reduction in public costs for these residents.
The most concrete characteristic of a recession is that demand disappears for some of the commodities produced by workers and unwanted unemployment is imposed on a large segment of the labor force. With growing job losses in the current recession it is important to know, whose boat falls when the economic tide recedes?
A comprehensive strategy with 25 actions, accountable agencies, timelines, and performance benchmarks to prevent and end homelessness in Los Angeles County. From 2002 through 2004 the Economic Roundtable and the Institute for the Study of Homelessness and Poverty at the Weingart Center carried out research, listened to ideas from community stakeholders, and met with public officials in order to prepare this strategic plan for ending homelessness in Los Angeles County.
How do people change their lives? What kinds of help do working poor parents need to lift their families out of poverty? What obstacles do they face in trying to get a sustaining job? More than eight thousand people answered these questions through a survey undertaken to learn directly from working welfare parents and other poor families about the problems they face and the kinds of help they need to become self-sufficient.