Catholic Charities USA Healthy Housing Initiative YEAR ONE REPORT | JANUARY 2020 - JANUARY 20212 | Catholic Charities USA Healthy Housing Initiative While many organizations work to alleviate homelessness, our Catholic Charities network has been increasingly concerned about an oftentimes invisible subset of this group—those who have been chronically homeless, that is, without housing for over a year or more. Many people in this group live with coexisting health and mental health conditions that place them at extreme risk. They remain particularly vulnerable as a result of not knowing how to access the social safety net or adequate healthcare. Realizing that addressing the needs of this population is quite ambitious, we remain convinced that the Gospel compels us to set out on a path to tend to these individuals and families who exist along the margins of our society. To that end, Catholic Charities and Catholic Healthcare joined forces to establish a pilot program for healthy housing, specifically for the chronically homeless people with whom we interact, in five cities across the US. While the onset of the pandemic somewhat hindered the pace of development of the project, it has not deterred our efforts to work against challenges to move this initiative forward. Funding is in process, shovels are in the ground, and dignity is being restored. In the material that follows, you will see how each pilot city is moving ahead with establishing permanent supportive housing for previously chronically homeless families and individuals. This will certainly be a longterm project as we expand the pilot program to other cities in the US. We remain grateful for the prayers and support of so many individuals and organizations that partner with us in this mission-driven endeavor. Sister Donna Markham OP, PhD President & CEO, Catholic Charities USA PrefaceYear One Report January 2020 - January 2021 | 3 Introduction 4 CCUSA Healthy Housing Initiative (HHI) Year One 6 a. The Healthy Housing Initiative (HHI) team 6 b. HHI Official Launch 8 c. Building Relationships with Funders 8 d. Providing Technical Assistance and Consultation 8 e. Promoting Integrated Health Model 11 f. Publishing HHI Newsletter 13 g. Monitoring and Evaluation 13 h. Exploring HHI Expansion 14 CCUSA HHI Pilot Agencies • Catholic Charities of Southeast Michigan (Detroit) 16 • Catholic Charities of Southern Nevada (Las Vegas) 17 • Catholic Charities of Oregon (Portland) 18 • Catholic Charities of Eastern Washington (Spokane) 20 • Catholic Charities Archdiocese of St. Louis (St. Louis) 21 Summary and Next Steps 22 Contents4 | Catholic Charities USA Healthy Housing Initiative Introduction Within each city, HHI has three goals: • Reduce chronic homelessness in the five pilot cities by 20%; 8 2019 PIT Sheet • Decrease hospital readmission rate for the population by 25%; and • Connect 35% of those housed with primary and behavioral healthcare providers. Catholic Charities of Southeast Michigan (CCSEM Detroit) Catholic Charities of Southern Nevada (CCSN Las Vegas) Catholic Charities of Oregon (CCO Portland) Catholic Charities of Eastern Washington (CCEW Spokane) Catholic Charities Archdiocese of St. Louis (CCSTL St. Louis) The Catholic Charities USA (CCUSA) Healthy Housing Initiative (HHI) is a person-centered, comprehensive approach to address chronic homelessness ( 8 HUD definition) through the development of permanent supportive housing (PSH). Officially launched by CCUSA in January 2020, HHI is one of CCUSA’s eight strategic initiatives. With the approval and support of the local (arch) diocese, HHI is now active in five cities. The following Catholic Charities agencies are leading the development of PSH: 1. 2. 3. 4. 5.Year One Report January 2020 - January 2021 | 5 To achieve these goals, the use of repurposed surplus church property (where feasible) to develop the PSH is encouraged. Also, an Integrated Health Model of Care is the hallmark of the initiative. Therefore, each PSH project will be developed to include space for onsite and accessible: • Health services by local Catholic hospital system; • Behavioral health services by local Catholic Charities agencies supported by other mission-aligned organizations; • Case management services by local Catholic Charities agencies supported by other mission-aligned organizations; and • Property management services communicating with case management. Leaders within the participating Catholic Charities agencies and several CCUSA staff members invested significant time planning, preparing and laying the critical groundwork to launch the HHI pilot. Notably, CCUSA President & CEO Sister Donna Markham engaged and obtained support for HHI from the local (arch) diocese in each pilot city. She also presented and promoted HHI to executive leaders within Catholic hospitals and the Catholic Health Association. While other examples of pre-launch groundwork are mentioned in this report, this document predominantly captures the efforts and activities of the CCUSA HHI team and the five pilot city Catholic Charities agencies during the first official year – January 2020 to January 2021. This summary highlights the breadth, depth, progress, and complexities of this bold and exciting five-year strategic initiative. Ground Breaking for Cathedral Village - 110 New Affordable Apartments in North Portland, including PSH units for the Chronically Homeless.6 | Catholic Charities USA Healthy Housing Initiative During this first year, efforts and assistance provided by CCUSA to help the HHI pilot agencies move forward have been quite robust. Assistance included help with identifying property sites; establishing relevant partnerships; securing resources; and advancing integrated health and other services for the chronically homeless. a. The Healthy Housing Initiative (HHI) team In fall 2019, CCUSA assembled the Healthy Housing Initiative team (HHI team). The HHI team leads the HHI efforts at the national office and provides ongoing and tailored support to the five HHI pilot city agencies. Using their expertise and the talent of key CCUSA staff, the team supports the pilot city agencies by: • Providing technical assistance for housing development and health integration, • Facilitating the establishment of strategic partnerships, • Raising capital and other resources, • Promoting projects via publications, and • Hosting educational webinars. CCUSA Healthy Housing Initiative Year One: Year One Report January 2020 - January 2021 | 7 CCUSA HHI Team In the months leading up to the official launch of the initiative, the HHI team visited all five pilot cities at least once. In December 2019, the HHI team conducted a pre-HHI kickoff presentation to CCUSA staff. This presentation highlighted the social determinants of health as the core work of local Catholic Charities agencies; described the HHI Health Integration Model of Care; and detailed the profiles and progress of each pilot city’s effort. The presentation was well-received by CCUSA staff and generated interest in identifying ways to connect their programs to HHI. E. Lorraine Bell Chief Officer, Population Health Timothy Crawl-Bey Senior Director, Housing Strategy Katherine Komara Consultant, Behavioral Health Father Ragan Schriver Special Assistant to President, Strategic Initiatives Benjamin Wortham Vice President, Behavioral Health Integration Curtis Johnson Vice President, Affordable Housing Strategy8 | Catholic Charities USA Healthy Housing Initiative b. HHI Official Launch In January 2020, Sister Donna Markham, president and CEO of CCUSA, introduced HHI at 8 Opportunity Starts at Home - a National Press Club event in Washington, D.C. This served as the official launch of HHI, though the groundwork for the initiative started in 2018. c. Building Relationships with Funders Throughout 2020, CCUSA worked with HHI pilot city agencies to: identify resources; refer them to project professionals; and provide them with a list of local grantors. CCUSA also presented a $50,000 grant to each pilot. CCUSA connected the pilots to Enterprise Community Partners encouraging them to submit Section 4 HUD Capacity Grant applications. This resulted in CCO Portland receiving $50,000, and CCSEM Detroit receiving two grants for $60,556 and $30,000, respectively. d. Providing Technical Assistance and Consultation Before the official launch of HHI and throughout this first year, the HHI team held monthly meetings with the pilot city agencies and provided site-specific technical assistance and consultative support on a range of topics and processes. Year One Report January 2020 - January 2021 | 9 HHI Pilot City Specific Technical Assistance and Consultation • Collaborated with Ascension Health’s corporate office to support HHI on a local level, resulting in a growing partnership with Ascension St. Johns Hospital in Detroit • Assisted with the interview process to identify an affordable housing consultant to support the project • Connected the agency with other local affordable housing development partners, including the Detroit office of Enterprise Community Partners • Supported the planning process for the agency to provide services in Wayne County • Provided technical assistance analyzing and reviewing the Qualified Allocation Plan for LIHTC, and for drafting proposal for the City of Detroit RFP to acquire a site for PSH • Assisted agency with identifying and analyzing surplus church property for PSH Catholic Charities of Southeast Michigan (Detroit) • Supported the enhancement of the agency’s relationship with Common Spirit Health • Reviewed agency’s MOUs with local development partners and provided recommendations regarding relevant business terms and responsibilities under this agreement • Provided technical assistance analyzing and reviewing the Qualified Allocation Plan for LIHTC • Helped facilitate relationships with local funders Catholic Charities of Southern Nevada (Las Vegas) • Provided support for interviewing a PSH developer • Initiated a conversation with agency and local Catholic hospital about data collection to support HHI’s goals • Introduced agency to Enterprise Community Partners and provided technical assistance for a funding application, resulting in a $50,000 award for the project Catholic Charities of Oregon (Portland) St. Matthew’s school - future location of PSHNext >

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