US San Diego, California, Seeks to Save Money by Helping Chronically Homeless

08:50  06 june  2018
08:50  06 june  2018 Source:   usnews.com

Megyn Kelly questions Starbucks’ new bathroom policy: Will draw ‘a mass of homeless people’ to cafes

  Megyn Kelly questions Starbucks’ new bathroom policy: Will draw ‘a mass of homeless people’ to cafes NBC's Megyn Kelly on Tuesday questioned Starbucks' new policy that allows non-customers to sit in the stores and use its restrooms, saying that it could lead to a mass of homeless people occupying cafes.Kelly shared the criticism as a panel on her show "Megyn Kelly Today" discussed Kelly shared the criticism as a panel on her show "Megyn Kelly Today" discussed Starbucks' anti-bias training that is taking place Tuesday in more than 8,000 stores across the country.

“If we don’t divert others in a few more years, they become chronically homeless ,” Roberts said. “Somehow we have to figure out what sources of money we can get so 17,599 people are not trying to get into a bed or some San Diego Hopes a Building Can Help Fix a Broken Homelessness System.

19, 2017 photo, homeless people stand among their items along 17th Street in San Diego . Other studies of chronically homeless people who moved into supportive housing show drastic decreases in hospital and nursing home stays Opinion: Supremes co-founder seeks fix to copyright law injustice.

A homeless woman walks with her belongings in the East Village area of downtown San Diego, Calif., on Tuesday, Sept. 26, 2017.: A homeless woman walks with her belongings in downtown San Diego, Calif., in September 2017. © (Sandy Huffaker/The Washington Post/Getty Images) A homeless woman walks with her belongings in downtown San Diego, Calif., in September 2017.

San Diego County is relying on data to serve more than 1,000 of its neediest residents, and hopes to save millions of dollars in the process.

Nearly 8,600 people in the county of more than 3 million residents are homeless, more than half living within the city of San Diego, according to the county's 2018 point-in-time report conducted in January. Only New York City, Los Angeles County and King County, which encompasses Seattle, had larger homeless populations in 2017, according to the U.S. Department of Housing and Urban Development, and a recent poll showed 60 percent of respondents think San Diego's homelessness problem is getting worse.

Price of lunch with Warren Buffett climbs to over $3 million

  Price of lunch with Warren Buffett climbs to over $3 million The price of a private lunch with investor Warren Buffett could set a record this year. Bidding has already surpassed $3 million.The online auction that raises money for the Glide Foundation's work to help the homeless in San Francisco wraps up Friday night at 9:30 p.m. CDT. Bids had climbed past $3.2 million by Friday morning.

lin Columbus, Philadelphia, San Diego , Birmingham, Boston, and Seattle, we sought community-wide approaches to These plans usually have at least two aspects- helping chronically homeless people leave homelessness for Also in San Diego the Homeless Outreach Team (HOT) Program asked

Used with permission of the United Way of San Diego , California . “Made possible by the health care law—the Affordable Care Act—the awards will support 26 innovative projects nationwide that will save money , deliver high quality medical care and enhance the health care workforce,“ notes CMMI.

In San Diego County, more than 2,000 people are chronically homeless, according to the point-in-time report, meaning they have a disabling condition such as a substance abuse disorder or serious mental illness and have been homeless for a stretch or stretches totaling at least a year.

The chronically homeless tend to show up in emergency rooms, jails and shelters more often than those who lose their homes because of a job loss, surprise medical bill or another economic shock, leading to expenses for public and private agencies that amount to millions of dollars.

"We've got these larger economic and social forces going on. The people who get pushed out the bottom are the most vulnerable," says Rick Gentry, president and CEO of the San Diego Housing Commission, which operates within the city of San Diego and focuses its homelessness-fighting efforts on veterans, families and people who have behavioral health issues.

The Latest: Suspect arrested after shooting in San Diego

  The Latest: Suspect arrested after shooting in San Diego The Latest on a shooting in downtown San Diego (all times local):12:25 p.m.Police say a suspect has been arrested following a shooting near the route of an annual marathon in downtown San Diego.Officials said Sunday that there is no threat to the community and the Rock 'n' Roll San Diego Marathon has resumed.There were no additional details immediately available.There was a heavy police response following reports of a shooting not far from City Hall shortly before noon.___11:55 a.m.Authorities are responding to reports of a shooting in downtown San Diego not far from the finish line of an annual marathon.

Help End Homelessness . Become an Advocate. Support Our Work. Homelessness costs taxpayers a lot of money . Take, for example, the infamous case of Murray Barr, aka “Million Dollar Murray,” a chronically homeless man in Reno, Nevada who accrued more than a million dollars in

Karen is chronically homeless . Lane is homeless for the first time. NVH has provided a safe environment while she seeks employment and finding long transition shelter. P.O. Box 80427 San Diego , CA 92138 (619) 687-3720 | sdrminfo@sdrescue.org.

"They tend to have mental health or substance abuse issues. They may have employability problems or a lack of extended family to fall back on when times are tough," Gentry says. "They don't have the resiliency to fend for themselves."

The chronically homeless and super-users of health care services like emergency rooms and ambulances are key populations the county and its partners are targeting through its Whole Person Wellness initiative, a pilot program funded by approximately $22 million in federal dollars that the county is slated to match during the next three years. Case management teams work to identify participants for the project and connect them with housing, health care and other services, as well as measure their progress and serve as points of contact for up to two years.

The service teams are comprised of a social worker and peer-support specialist – someone who has been homeless previously and may have had behavioral health issues – who are then supported by a nurse, a housing navigator and a mental health specialist.

Reggie Bush’s civil lawsuit seeks damages after 2015 injury in St. Louis

  Reggie Bush’s civil lawsuit seeks damages after 2015 injury in St. Louis Reggie Bush’s civil lawsuit against the owners and operators of the former Edward Jones Dome and the now Los Angeles Rams began in a St. Louis courtroom Tuesday. The former NFL running back claims he injured his knee, ending his season, when he slipped on a “concrete ring of death” as he was pushed out of bounds in a November 1, 2015, game against the Rams.Bush played for the 49ers at the time.He played 13 games for Buffalo in 2016 but had only 12 carries.“You can see, it’s like all of a sudden he’s running on an ice rink,” Bush’s lawyer Tim Cronin told jurors in opening statements, via the St. Louis Post-Dispatch.

1 In Columbus, Philadelphia, San Diego , Birmingham, Boston, and Seattle, we sought community-wide approaches to ending chronic street homelessness . These plans usually have at least two aspects— helping chronically homeless people leave homelessness for good by establishing

In addition to the outreach of the SRH Trust, local programs, such as Project 25 in San Diego , are successfully housing, treating, and transitioning chronically homeless clients back into society. This bipartisan effort wants to re-appropriate money by way of Prop 63 to help the homeless of California .

"How do we take a multisymptomatic person and better manage their care so, one, we improve their stability, but two, we're managing costs? Because we knew what the cost implications were from leaving them untreated," says Nick Macchione, director of the county's Health and Human Services Agency, which manages the initiative.

Similar programs have been approved in approximately 25 other California counties and are being administered through a Medicaid Section 1115 waiver, which allows states to test new health care approaches.

While different jurisdictions may be administering Whole Person Care slightly differently, the underlying theory of each program is that the coordination of health and social services will result in better patient outcomes and a more efficient use of public dollars.

Several counties are using data-sharing to coordinate services. In San Diego, members of the service integration teams will receive a text message when one of their patients is admitted to a hospital so they can immediately assess the situation and intervene.

Judge: Oklahoma man convicted in 1992 homeless man's death is innocent

  Judge: Oklahoma man convicted in 1992 homeless man's death is innocent An Oklahoma County judge has ruled Monday that a man convicted in the 1992 murder of a homeless man is innocent. Johnny Tallbear has served 26 years and he has always maintained his innocence, officials said. He was convicted of first-degree murder in the death of a homeless man known as "Pops.

Getting homeless people off California streets is tough. One lawmaker has an idea. | We’ve seen hepatitis A outbreaks in San Diego and Monterey, E. coli outbreaks on the American River. The money would help offset losses in value to the low-income housing tax credit program spurred by

It saved millions that would have otherwise been spent on things like emergency room treatment for the chronically homeless . He believes regional efforts since, particularly Project One for All, are likely to help San Diego pull in more money .

Whole Person Wellness also will have its own module within the county's data management platform, ConnectWellSD, so partners can easily share and access information about, for example, a patient's health care interactions or dust-ups with law enforcement.

That's additionally how the Health and Human Services Agency will track the program's outcomes and estimate expected cost savings.

"We all know whether it's the jails, (emergency department), other government safety nets, human services or health care providers, we all need that data, with obviously vigilant privacy in maintaining that," Macchione says. "Being able to really treat and help them with that Whole Person Wellness approach … is an amazing pilot that's allowing us to pull in the digital platform, that digital backbone, and also players that really haven't been in this space, like health plans."

The main way the county is identifying potential participants is through insurance claims data from major health plans in the area, which are sharing claims from as recently as 2017. After pinpointing patients enrolled in Medi-Cal – the state's Medicaid program – with medical costs of $20,000 or more in a single year, the county will cross-reference those names against data from their homeless management information system and internal behavioral health information.

How to save $100,000 for retirement by age 35

  How to save $100,000 for retirement by age 35 Money you save by age 35 has 30 years to compound before retirement.Accumulating a large nest egg is easier if you begin saving at a young age. The money you stash in a 401(k) by age 35 has 30 years to grow before retirement at age 65. Compound interest will do much of the work of building wealth for retirement. Here's what it takes to save $100,000 by your mid-30s.

But that program ended before the project broke ground, leaving the city to scrounge money together for the project. The increase in calls about the chronically homeless – who often suffer from mental illness, substance San Diego Hopes a Building Can Help Fix a Broken Homelessness System.

The purpose of the San Bernardino County Homeless Partnership is to end chronic homelessness The primary goal of these activities will be to help chronically homeless persons obtain appropriate Many will also reduce greenhouse gas emissions and save Americans money by retrofitting housing

"We can see people who have had multiple psychiatric emergencies, or touches with law enforcement for mental health reasons," says Susan Bower, assistant director of integrated services with the county's Health and Human Services Agency. "So we're identifying that group and giving their names to the services integration teams so they can work … with their community contacts to find those individuals."

The goal is to serve 1,049 patients in all, recruiting through street outreach via "people who have experienced challenges themselves (who can) develop that trust and rapport with this population and really understand where they're coming from," Bower says.

The county also is beginning to take referrals for potential participants from hospitals and other community partners, who tend to know which patients could be a good fit for the program because they turn up so often. If those patients aren't enrolled in Medi-Cal – a requirement for the program because it's run through a Medicaid waiver – the county can help enroll them and bring them into the Whole Person Wellness group.

"We've got hospitals who are seeing people five, six, seven times, over and over in the emergency department," Bower says. "To tell the hospital, 'Oh, sorry, they're not on our list,' isn't going to work, so we've definitely opened it up so that we can accept community referrals."

And to ensure Whole Person Wellness is a long-term initiative, San Diego County plans to reinvest the money it saves back into the program.

The program is based partially on Project 25, a supportive housing pilot the county collaborated on with local homeless services provider Father Joe's Villages between 2011 and 2013, funded by a $1.5 million grant from United Way. The goal was to identify 25 chronically homeless people who were super-users of public services, and use a "housing first" model to help them get back on their feet.

Arrest after homeless man's belongings thrown in lake

  Arrest after homeless man's belongings thrown in lake An Oakland, California man dubbed "Jogger Joe" was seen on video throwing a homeless man's belongings into a lake; now an arrest has been madeA man who was caught on camera throwing a homeless man's belongings into a lake last week has been arrested.

San Diego International Triathlon. A Short Walk Home. Project 25 is a groundbreaking Permanent Supportive Housing program that supports people who are chronically homeless and frequent users of emergency services Since Project 25 began, it has saved the community more than .3 million

In accordance with California Senate Bill 375 (SB 375), which seeks to reduce greenhouse gas (GHG) emissions Chronically Homeless Individuals. Chronic homeless are considered by HUD to be an unaccompanied The chronic homeless population in the City of San Diego is estimated to be 1,687.

Such an approach puts homeless people in permanent housing first and then connects them with supportive services as necessary, rather than enrolling them in services while they're living in temporary shelters or making their housing contingent upon staying sober, attending health classes or fulfilling other requirements.

The model, increasingly favored by the U.S. Department of Housing and Urban Development in recent years, is based on the premise that getting someone out of a volatile living situation is key to helping them recover from an addiction, hold a steady job or otherwise begin to stabilize their life. If someone is living in a temporary shelter while battling substance abuse or other issues, it can be too difficult to focus on getting their life back on track, says Gentry, of the San Diego Housing Commission, which has been involved with the implementation of both Project 25 and Whole Person Wellness.

"Sometimes what the emergency and interim shelters tend to be are not always the best for that," Gentry says. "So housing first is, get them a place to live and then have them deal with whatever issues are contributing to their being homeless in the first place."

Project 25 ended up taking 36 people for the initial pilot, none of whom have wound up back on the streets since the program began. The average number of yearly hospitalizations plummeted from 10 to two, and nearly $2.1 million was saved in ambulance rides, jail days and other public services between 2010 and 2013, according to an analysis that included 28 of the original patients.

The sharp declines in costs and service utilization shows initiatives like Project 25 can be "hugely successful," says the Rev. Jim Vargas, a Roman Catholic deacon and president and CEO of Father Joe's Villages, which still operates the program today with about 50 to 60 participants.

This Ohio neighborhood wants to pay homeless people to pick up trash

  This Ohio neighborhood wants to pay homeless people to pick up trash A program to pay homeless people to pick up trash in an Ohio neighborhood could begin soon. The Columbus Dispatch reports that organizers are seeking $40,000 from the city of Columbus to launch a yearlong pilot program in the city's Franklinton neighborhood. The goal would be to pay homeless people $10 an hour to clean up homeless camps and surrounding areas. Organizers also hope to direct participants to resources that will help them find jobs, housing and medical treatment. One of the groups behind the effort, a charity called Jordan's Crossing, helped run a similar, but smaller program, in Franklin Township earlier this year. Franklin Township Trustee John Fleshman says workers cleaned up more than 5,000 pounds of garbage.

California Grants for the Homeless : 40 Homeless Grants for California . Grants to San Diego Area, California Nonprofits, Agencies, and Schools for Health and Wellnes Applications are invited from qualifying nonprofits seeking to expand, offer new services, or otherwise assist individuals in need. One moment please Close. Save changes.

Charles West, 54, has been with Project 25 since January 2015, when he says he was discharged after 13 months in the hospital for health complications from alcoholism and drug use. It took some time, but he's now sober, taking classes at San Diego City College and living in an apartment provided by Father Joe's Villages.

A native of Memphis, Tennessee, who had been homeless for about five years, West credits the program with saving his life and encouraging him to regain some independence.

"I think all big cities should have something like this," West says. "At least to give some people that are very sick a chance to get back on top. And if they can't, at least they tried to help them. That's all anybody can do. You can lead a horse to water, but you can't make them drink."

A key difference between Project 25 and Whole Person Wellness is that Father Joe's Villages administers essentially all of the services it provides – housing, mental health and other individualized care– whereas the county is connecting patients with those services, maintaining relationships with participants and tracking their progress.

"In a broad context (Project 25) definitely shaped our thinking," Macchione says. "The key takeaway back then was we were treating all a person's needs, from getting them off the street and housed to getting them food, getting them medication, getting them stabilized. We called it a full-service partnership."

Vargas says he'd like to expand Project 25 further, but funding has been a major challenge. Despite the savings to hospitals and other public agencies, they have not been willing to fund it, he says. So while Father Joe's Villages gets some grant money for Project 25, it is largely privately funded.

"You'd think everybody in the community would look at this – the various entities, the health care system and so forth – and think, 'Wow, this is incredible and we should provide the funding so this continues,'" Vargas says. "But the reality is that hasn't happened. … We have continued with the program, but we truly don't have the funding we need to make as much of an impact as we know we can make."

That's a lesson Macchione and his team drew on when initiating Whole Person Wellness. Instead of petitioning the region's hospitals to consider funding the program once the three-year grant is up, Macchione wants health insurers to pay for it – if the county can demonstrate "true savings," he says.

In July 2019, the county also will work with Medi-Cal Managed Care to implement a Health Homes initiative, a care management mechanism created through the Affordable Care Act for Medicaid beneficiaries with complex chronic or mental health conditions – a target population similar to those the Whole Person Wellness initiative seeks to reach.

"Locally, we're starting to think with the health plans, 'How does Health Homes work as the sustainability (model) for Whole Person Wellness?'" Bower says. "It's just the idea of braiding funding across different sectors so that we can pull this whole thing together."

Copyright 2017 U.S. News & World Report

This Ohio neighborhood wants to pay homeless people to pick up trash .
A program to pay homeless people to pick up trash in an Ohio neighborhood could begin soon. The Columbus Dispatch reports that organizers are seeking $40,000 from the city of Columbus to launch a yearlong pilot program in the city's Franklinton neighborhood. The goal would be to pay homeless people $10 an hour to clean up homeless camps and surrounding areas. Organizers also hope to direct participants to resources that will help them find jobs, housing and medical treatment. One of the groups behind the effort, a charity called Jordan's Crossing, helped run a similar, but smaller program, in Franklin Township earlier this year. Franklin Township Trustee John Fleshman says workers cleaned up more than 5,000 pounds of garbage.

—   Share news in the SOC. Networks

Topical videos:

This is interesting!