Monthly Archives: December 2016

Understanding Permanent Supportive Housing

How’s Nashville partners have talked a lot about permanent supportive housing. It is the model that we strive to implement.

Dennis Culhane explains “permanent supported housing,” as he calls it, as follows:

“The term ‘permanent supported housing’ does not imply one specific program model, but rather a number of program types and housing arrangements.  Nonetheless, permanent supported housing is broadly defined as subsidized housing matched with accompanying supportive services. Providers of permanent supported housing cover a broad swath ranging from public entities to private nonprofit agencies.”

Continue reading the explanation on the bottom of page 7 in his 2010 white paper entitled Ending Chronic Homelessness:   Cost‐Effective Opportunities for Interagency Collaboration.

One key point is that people’s access to housing helps stabilizes their situation and allows them to deal with underlying issues that have led to the loss of housing to begin with. Permanent supportive housing moves away from the notion that people must follow a continuum of programs from which they graduate to become “housing ready” before they are allowed access to permanent housing.

That is not to mean that permanent supportive housing neglects the need for support services and supportive programs. On the contrary, while support services are not required for a person to sign a lease, service providers assisting people should learn to be assertive in linking people to services to help them maintain their housing.

It is imperative that we, the How’s Nashville partners as a community collaborative, connect people to the supports they need once they are in housing, whether that be health, mental health, educational or vocational training, etc.

Finishing the work we started

How’s Nashville partners have made great strides in assisting people who experienced chronic homelessness over the past four years. By working collaboratively our community was able to increase the average monthly housing placement rate for people experiencing chronic homelessness from 19 people per month to 55 people per month.

Ending chronic homelessness was the original goal of How’s Nashville. Meanwhile the How’s Nashville campaign has morphed into something bigger by aligning itself with the national goals of ending chronic, Veterans, families and children, and youth homelessness as outlined in the federal strategic plan to prevent and end homelessness (Opening Doors).

However, if our collaboration of the past few years has taught us anything, it is that keeping a clear a focus will help us move toward the finish line. With that in mind, a recently published document by the U.S. Interagency Council on Homelessness outlines 10 essential strategies to help reduce chronic homelessness:

  1. Start at the Top: Get state and local leaders to publicly commit to and coordinate efforts on ending chronic homelessness.
  2. Identify and be accountable to all people experiencing chronic homelessness, including people cycling through institutional settings.
  3. Ramp up outreach, in-reach, and engagement efforts.
  4. Implement a Housing-First system orientation and response.
  5. Set and hold partners accountable to ambitious short-term housing placement goals.
  6. Prioritize people experiencing chronic homelessness for existing supportive housing.
  7. Project the need for additional supportive housing and reallocate funding to take it to the scale needed.
  8. Engage and support public housing agencies and multifamily affordable housing operators to increase supportive housing through limited preferences and project-based vouchers.
  9. Leverage Medicaid and behavioral health funding to pay for services in supportive housing.
  10. Help people increase their income through employment opportunities and connections to mainstream benefits and income supports.

Read the full document published by the U.S. Interagency Council on Homelessness in December 2016.

Diversion needs to permeate our work

We, who work in the field of homelessness, are increasingly hearing about diversion.

Diversion is a strategy that prevents homelessness by helping people, who find themselves in a housing crisis and are seeking shelter, preserve their current housing situation or make immediate alternative arrangements without them having to enter shelter or any other literal homelessness situation.

Utilizing a strong diversion approach shifts how we talk to people when we first encounter them.

Rather than asking, “What programs are you eligible to enter and who has a bed?” a strong diversion focused coordinated entry system asks, “What would resolve your current housing crisis?”

The shift seems subtle, but has significant consequences and places households generally in a stronger position to deal with their crisis. The conversation any of our service providers should have at the front doors of a coordinated entry system should be focused on the household’s strength. If people are safe where they are – in a motel, in a doubled-up situation with families or friends – let’s try to help them address the problems of income, resolve conflict with co-inhabitants, mediate, etc. Work on the steps to find alternative housing while they remain where they are.

There will still plenty of situations, unfortunately, that will lead to shelter stays. But whenever possible, we need to consider a strong diversion strategy.


Learn more from this diversion-powerpoint shown at the National Alliance to End Homelessness Conference in 2015.