Orange County NC Website
~5 <br />xii <br />hle antatlnn <br />1 <br />.~ <br />The Goals and Strategies are provided in the last section of this document and are j <br />presented with estimates on their timeframe for implementation, costs associated <br />with the effort, and natural partners. Start Time Frame refers to strategies to be <br />addressed starting in Year 1, Years 2 through 4, Years 5 through 7, or Years 8 <br />through 10, though a strategy begun in Year 1 may be pursued through all 10 years <br />of the plan. Estimated costs are less than $10,000 for Low, $10,000 to $50,000 for `~ 1 <br />Medium, and more than $50,000 for High. Natural Partners are those organizations <br />and agencies seen as having a direct organizational interest in pursuing that par- ~ <br />ticular strategy. The section also contains guidelines for plan implementation, the <br />structure of an Executive Committee to oversee the process, and staff to manage it. <br />Housing First Best Practice Example -Denver, Colorado <br />The following best practice example is one of several offered in Appendix D. '; <br />The Colorado Coalition for the Homeless (CCH) created 100 units for chronically <br />homeless individuals through the Denver Housing First Collaborative (DREG) in ~ <br />2003 with funding provided by a collaboration of federal agencies. The DHFC in- <br />volved CCH as the lead agency, the Denver Department of Human Services <br />(DDHS), Denver Health (DHHA), Arapahoe House, the Mental Health Center of <br />Denver (MHCD), and the Denver VA Medical Center. The housing first approach <br />has been incorporated as a priority strategy into Denver's Road Home -Denver's <br />Ten Year Plan to End Homelessness. Funding was provided for a second housing <br />first team at CCH (16th Street Housing First Program) to serve 50 additional chroni- <br />cally homeless individuals. <br />A cost-benefit study published by the Denver Housing First Coalition in December, <br />2006 examined health and emergency service records of a sample of participants <br />of the DHFC for the 24 month period prior to entering the program and the 24 <br />month period after entering the program. The total sample size for the study was <br />19 individuals, .based on their enrollment time in the program (24 months of enroll- <br />meet) and a willingness to release their medical information. For the sample, the <br />total emergency related costs for the sample group declined by 72.95 percent, or <br />nearly $600,000, in the 24 months of participation in the DHFC program compared <br />with the 24 months prior to entry in the program. The total emergency cost savings ~ <br />averaged $31,545 per participant. Specific results included reductions in detox vis- j <br />its by 82 percent, reduced incarceration days and costs of about 76 percent, and an I <br />overall reduction of inpatient medical costs of 66 percent. The study found the only ! <br />cost increase was in outpatient care, as "participants were directed to more appro- i' <br />priate and cost effective services..." <br />Scope of Services Recommended -The graphic on the following page provides a { <br />visual representation of the target populations and focus of the outcomes listed <br />above. While this plan specifically addresses the chronic homeless population, the <br />graphic shows that other homeless populations are also covered by the strategies <br />put forward. The color of each goal and strategy indicates the target population. <br />The abreviation(s) provided to the right of each strategy indicates the focus of the <br />~.__. _ __ <br />