Andy Hutzel Over-the-Rhine Community Housing. Gregg Pieples Greater Cincinnati Behavioral Health. Carey Carr SARDI -Wright State University

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1 Andy Hutzel Over-the-Rhine Community Housing Gregg Pieples Greater Cincinnati Behavioral Health Carey Carr SARDI -Wright State University

2 70 units of housing 45 Scattered-site units 25 Congregate units (Jimmy Heath House) Population: Chronically Homeless Chronic Public Inebriates Utilizing Housing First Model Official Start Date: October 2009

3 Drop Inn Center (Cincinnati s largest shelter) and City s Continuum of Care sought to create housing project for those living at the shelter long-term - (The keep alives ) Sobriety could not be a requirement 4 sites reviewed from Corporate community disapproved of the model blocked the project

4 HUD SHP funds awarded Community-wide taskforce established Homeless Coalition City of Cincinnati County United Way Alcohol, Drug, & Mental Health providers Shelters, homeless individuals Immergence of OTRCH Taskforce Requested OTRCH own and manage the project Immergence of Developer 3CDC Health Foundation of Greater Cincinnati (innovative funder for over 20 counties) Leadership & funding

5 Dec 2007: Congregate site location finalized 2008 Site Financing: HUD SHP, Federal Home Loan Bank, City HOME funds, multiple local foundations 2009: Operations and Services 2010: Program overview and design Major Partners: HUD, Health Foundation of Greater Cincinnati, SAMHSA, Greater Cincinnati Behavioral Health Services, Alcoholism Council, SARDI P2R Selection Committee and Advisory Board Reps County Recovery Board, Police, Homeless Outreach teams, Hospitals, Continuum of Care Administrator, Area Religious Coalition, Homeless individual, Hospital, Treatment provider, County Jail Visit Peers, Cite Research treat them like partners Corporation for Supportive Housing - Supportive Housing Institute (14 training days over several months)

6 People get housed! 35 in scattered site / 25 in congregate setting Major partners OTRCH, GCB, AC, SARDI Weekly coordination meetings Introduce project to personnel in traditional settings treatment providers, social security office, hospitals, jail/courts, health clinics, job training, etc Participate in creating new service delivery systems McMicken Health Clinic Important Role of Research Wright State University

7 25 Apartment Units Historic Over-the-Rhine 24 Hour Front Desk Staff Office Space for Service Team

8 Funding: SAMHSA Grant Partnership Substance Abuse Mental Health Housing Healthcare 5 FTE s Two agencies - One Team Services Care Management / Counseling / Groups

9 Weekly Groups Individual Counseling Care Management Vocational Assistance Health / Wellness

10 Continuum of Care Alcoholism Council Substance Abuse Housing Homeless Housing MH&RS Board Shelter Staff Criminal Justice Healthcare for Homeless Cincinnati Police Consumer Group Religious Community Research / University

11 Oversight Four Main Players MH - GCB SA Alcoholism Council Housing - OTRCH Research Wright State University Monthly Review Services Admissions Operations

12 Overview Monthly Meetings Partners OTRCH / GCB / AC Shelter Outreach Workers Police Local Business Charge Referral / Recruit Prioritization Connection to Services

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14 A systematic way to improve and account for public health actions Multiple methods and approaches to evaluation work P2R s evaluation blends traditional and participatory approaches using quantitative and qualitative methods

15 Partnership approach to evaluation o Stakeholders actively engage in the development and implementation of the evaluation 1. Planning and design of the evaluation 2. Gathering and analyzing data 3. Identifying evaluation findings, conclusions, and recommendations 4. Disseminating findings

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17 1. Planning and design of the evaluation Grant-writing process involved multiple stakeholders, including evaluation Helped identify & prioritize relevant research questions Helped select appropriate measures Ensured participant burden was minimized

18 2. Gathering and Analyzing data Used multiple methods to gather data o Clients: Surveys, focus groups o Staff: Fidelity checks, focus groups o Stakeholders: Administrative data Analysis conducted by evaluator but shared with stakeholders

19 Current - SAMHSA Alcohol Use Statistically significant reduction in average # days used alcohol in the past 30 days days at baseline to days at follow-up (n=58) Amount of Use Statistically significant reduction in average # days used alcohol to intoxication (5+ drinks in one sitting) in past 30 days at baseline to 6.98 at follow-up Arrests Statistically significant reduction in average # days arrested in past 30 days.33 at baseline to.05 at follow-up Sustainability Cost Study University Hospital Shelter System Mental Health & Recovery Board Arrest / Jail days

20 3. Identifying evaluation findings, conclusions, and recommendations o Using data to inform service provision o Working to integrate client feedback into service delivery model o Providing bi-annual program updates to P2R s Advisory Board

21 4. Disseminating findings via Partner newsletters Funder reports Grant applications Conferences & publications P2R Sustainability Committee Continues to discuss dissemination strategies

22 Fosters Input, participation, and power-sharing among stakeholders invested in the program and its impact Enhances The utility and credibility of the evaluation Builds Sustainability

23 Centers for Disease Control and Prevention. (1999). Framework for Program Evaluation in Public Health. Morbidity and Mortality Weekly Report, 48(RR11), Zukoski, A., & Luluquisen, M. (2002). Participatory Evaluation: What is it? Why do it? What are the challenges? Community-Based Public Health Practice Policy & Practice, Issue #5, 1-6.