Thu
Jul 22 2010
04:26 pm

Ran across this link in a recent TFP news article: The Blueprint to End Homelessness in the Chattanooga Region

From the executive summary:

The original Blueprint plan was intended to end long-term, or "chronic", homelessness. This emphasis reflected a body of research demonstrating that members of this group are underserved by existing efforts even as they use a disproportionate share of emergency services and resources. Under the leadership of the United States Interagency Council on Homelessness, a national consensus emerged that all levels of government must focus on improving efforts to house chronically homeless individuals and families. The Blueprint to End Homelessness in the Chattanooga Region is consistent with and complementary to the federal government’s efforts in this area.

The 2007 revision of The Blueprint has expanded its focus to include an equal emphasis on ending non-chronic homelessness as well, thus resulting in the removal of “Chronic” from The Blueprint title. Recent research on community plans to end homelessness found that “the majority of communities have, in their planning processes, looked beyond the chronically homeless population and created plans to end homelessness for all homeless people”.

This expanded focus highlights the fact that:

- Unless there is an equal effort to assist the non-chronic homeless population today, (comprising approximately 80% of the homeless population) there will be a constant influx of new chronically homeless people tomorrow.

- While the cost savings of helping a chronically homeless person are likely to be greater than the cost savings of helping a non-chronically homeless person, the consequences of not helping are the same: Tragedy and unrealized potential for a member of our community.

Although the above points were implicit in the original Blueprint, they are explicitly stated in the 2007 revision to help promote community awareness that homelessness (its tragedy, costs and challenges) extends well beyond the segment we call "chronically homeless".

whooshe65's picture

According to this plan, the

According to this plan, the Total amount spent in Chattanooga/Hamilton County in 2006 to provide all these services to the Homeless population of about 4000 individuals is on average, $ 1,831.00 per person, per year.

This figure does not include Case managment cost, if the individual is covered by Tenncare.

Chart 2: Spending on Homelessness in the Chattanooga Region
Type of Program Total Spending
Transitional Housing $1,827,000
Emergency Shelter 1,511,000
Primary Health Care & Clinical Services 1,122,000
Emergency Services 998,000
Permanent Housing & Supportive Services 995,800
Outreach & Case Management 295,000
Coordination, Planning & Advocacy 287,000
Re-housing Assistance 152,500
Employment Services 135,500
TOTAL $7,324,000

According to Dr. Nooe's 2006 Cost Study of the Homeless in Knoxville he looked at:

A local, one-year examination of twenty-five (25) homeless individuals in Knoxville, Tennessee, illuminates the cost of repeated cycling through jail, detox, hospitalization and homelessness.

The Total cost that Dr. Nooe stated in this study looking only at Jail, Emergency Room, Detox stays and transportation to these facilities was on average, $37,164.00 per year, in just these expenses.

How is it, that in Chattanooga, about 100 miles away in the same state, the cost to provide these services to a Homeless person is $1,831.00 per year and in Knoxville, according to Dr. Nooe,for only 3 of the above mentioned services, in the same calender year of 2006, the cost per person per year, averages $37,164.00?

I also want to point out the sources for the funding in Chattanooga.

Chart 3: Regional Funding Sources for Homeless Services
Funding Source Spending
Federal $2,905,000
State 481,000
County & City 691,500
Program Income 64,500
Philanthropy $3,182,000
Total $7,324,000

Does anyone else find this information curious?

rikki's picture

You misplaced the decimal

You misplaced the decimal point in $18,310, and Dr. Nooe's study includes jail costs, but those do not seem to be included in the Chattanooga figure. The two calculations are different, so they can not be directly compared. Furthermore, the point of launching the TYP is to bring down the per person costs.

Rehabbing historic properties like Minvilla was a poor choice on that front, among the several reasons why TYP needs to improve their site selection process.

whooshe65's picture

OK metulj,

How about this,

If the total population of Homeless persons in Chattanooga during 2006 was 4000. And according to the TYP, the Chronically Homeless are 15% of the Total, so in 2006, 600 of the Total in Chattanooga could be considered Chronically Homeless.

Again using Dr. Nooe's numbers, it would look something like this:
600 Chronically Homeless x $37,000 per year in cost = $22,000,000.00 Total spent during said year.

Yet in Chattanooga, they spent only $7.3 million during 2006 on the Total Homeless Population.

Are these services actually that much more expensive in Knoxville, or what?

Now I may not be nearly as learnid as you are, but something does not look right about that to me.

Bird_dog's picture

cost of just the housing part

I believe I understand the reasons for expensive new construction - access to federal funding. If we had a local source of money - as Chattanooga and San Antonio did - that would permit more sensible and less-expensive use of existing housing stock.

whooshe65's picture

Get a grip, $ 7,324,000.00

Get a grip,

$ 7,324,000.00 divided by 4000 = $1,831.00, thats
One thousand, eight hundred and thirty one dollars.

Realy, thats all that ya'll can come up with?

rikki, the emergency services category from Chattanooga, includes all emergency services, Jail, transportation to and from etc....

Please read the document before you start disagreeing with the facts.

whooshe65's picture

.

Keep Trying M.

rikki's picture

Realy, thats all that ya'll

Realy, thats all that ya'll can come up with?

You are comparing figures that differ by a factor of 20X. I was giving you the benefit of the doubt that the comparison was legitimate and that you might have made a math error. Instead, it appears you are making a bogus comparison and furthering your agenda with bad information.

A critique of Dr. Nooe's methodology in arriving at his $37k/yr figure would be interesting. If it's really as far off as you imply, it shouldn't be hard to find the flaws.

whooshe65's picture

rikki,

You may be onto something. Maybe some research group in Knoxville, should re-examine the one page Cost Study that Dr. Nooe produced four years ago, in 2006.

And maybe they could also document the Total cost of all the Homeless services provided in Knoxville. Wow, I think you may really be onto something.

It's interesting how the entire point of my posts on this thread is this very issue. Thanks for recognizing that.

whooshe65's picture

The Truth about Tenncare

Also from the Chattanooga plan comes this bit of revelation.

Community-based Supportive Services:
Formerly homeless people with psychiatric disabilities can receive case management services from case managers funded through TennCare. These case managers provide effective support to hundreds of people with disabilities housed in the community. However, TennCare pays for only three visits per month per client, making it difficult to provide an adequate amount of support for formerly homeless people with intensive service needs. TennCare will pay a higher reimbursement rate if the individual with mental illness has been hospitalized for more than 30 days in the past year. This more intensive level of case management allows ten visits per month, and is focused on providing the support and stability necessary to reduce the individual’s heavy use of hospitalization and other publicly-funded services.

This is what the Knoxville Ten Year Plan is counting on to provide the Mental Health services to the residents of PSH.

Robert Finley's picture

Public Conversation notes

This is what the Knoxville Ten Year Plan is counting on to provide the Mental Health services to the residents of PSH.

Not entirely. TennCare is part of the mix, of course, but it's not the whole story.

We touched on this in a very good discussion encompassing mental health service delivery this past Wednesday night. As usual, I've posted notes that I invite you to read and discuss.

My notes are as close to a transcript as I can get, so I'll summarize poorly for you: A quarter of the population experiences some kind of mental illness. Almost all people with mental illness can get better with treatment. Many treatment options are available in the community, and treatment services are available even for people who lack economic and other resources. Stigma of people with mental illness is unfounded and destructive. Hope, respect, and acceptance are healing. Supportive housing greatly increases the effectiveness of treatment and reduces costs; housing does not increase the cost burden on the service delivery systems that we already pay for.

I want to thank the 45 or so people who came out to the meeting. All of you contributed to an excellent conversation, and to what we hope is a growing understanding of a complex problem and its complex but effective solutions.

I also invite you to join us for the next Public Conversation. It happens on Wednesday, August 25, again at Cansler, and due to interest expressed here and elsewhere will address the topic of addiction treatment in our community.

Somebody's picture

A quick review of info from

A quick review of info from Chattanooga paints an interesting, if less than inspirational picture. It appears that Chattanooga got off to a bang with its original "blueprint," issued towards the end of Corker's last term as Mayor. That plan was largely abandoned after the election of Mayor Littlefield, in favor of developing a centralized complex of some sort at their old farmer's market. That was never implemented. Later the original blueprint received a review and update in 2007. After that, it would appear very little happened to implement that revised plan.

Perhaps this is Mr. Peabody's idea of of a homelessness plan, in that it doesn't seem to do much, but for the rest of us, it wouldn't appear to be the model to replicate.

whooshe65's picture

Please review this thread for

Please review this thread for accuracy. All of my comments come from the plans, the other commentors here do not want to recognise the truth, or are choosing to mis-represent the facts, to help support the disaster that is the current Ten Year Plan in Knoxville.

1) 5+ years into the plan & not one unit of housing opened by the TYP as of today.

2) As the City Council now recognizes, Knox County has withdrawn support for the plan. Refer to the April City Council meetings.

3) Three Failed attempts to Target Neighborhoods for PSH development.

4) Loss of trust for the Management of the TYP, enough so, that Akermann had to be brought in to help repair the image.

5) A Ballot referrendum drive underway to stop the current plan and stop the Flenniken project.

6) Questions about ties between Lawler/Wood and the Knoxville Leadership Foundation continue to go unanswered by the TYP or the Mayor's administration.

7) The debacle of Minvilla, original estimated cost $3.4 million, final cost $ 7.3 million. Possible final cost per unit $ 130,000.

8) No accounting of the finances of the office of the Ten Year Plan.

If anyone that looks at this blog, thinks that these things are good, than you are right, the plan is doing great. If you don't like these facts, put a post here and say it, don't let a few bullies, keep you off this Site.

Rachel's picture

1) 5+ years into the plan &

1) 5+ years into the plan & not one unit of housing opened by the TYP as of today.

We've had this discussion before. Cox Street is open.

It's hard to talk to someone who keeps repeating false information.

The TYP has a variety of problems. Discussion of them is helpful. Slinging stuff at the wall to see how much will stick is not.

whooshe65's picture

Rachel, Cox street is a Helen

Rachel,

Cox street is a Helen Ross McNabb development, that has nothing to do with the Ten Year Plan.

Neither the development of, nor the funding came through the TYP. It is owned by and run by Helen Ross McNabb.

Bird_dog's picture

TYP is about coordination of services among various providers,

including HRM. They (HRM) are a direct provider under the TYP umbrella. I heard a number close to 300 of individuals who are now in PSH managed by various agencies. Most of these units must have been existing housing stock. I don't think the TYP staff are direct providers of services.

"The top priority is to coordinate our community’s resources so that our community maximizes its ability to help homeless people off the streets and into a permanent home. The TYP is built on the platform of Permanent Supportive Housing."

whooshe65's picture

"TYP is about coordination of services among various providers"

This is interesting. Who does Southeastern Housing Foundation work for?

Bird_dog's picture

here's what I think

And I emphasize THINK - as this is still a mystery to me. There are government grants available to non-profits for affordable housing construction. And there are tax credits available - presumably to individuals - for affordable housing. How could a non-profit use tax credits if they are tax exempt? And there is the issue of using "historic" buildings... Regardless, it's the availability of these dollars that may be driving the push for expensive new construction. If private dollars were used prudently, more economical options might be pursued. But unless a major benefactor steps up, SHF is trying to accomplish two objectives: create PSH units with dollars that they can qualify for. Dollars that are tied to new construction and government requirements like Davis Bacon which is difficult for small contractors to comply with. The result is expensive. And I have to think that, compared to the streets, there is existing housing/apartment stock that is perfectly adequate and more homeless individuals could be housed for the same dollars...

Personally, I think it is unfortunate that SHF evolved from, as I understand it, a Lawler family business, and is now part of KLF - a highly respected non-profit. I have no idea if SHF has any other clients besides the TYP. Again, this is just my personal opinion. I support the TYP. The per unit costs for new construction - especially the "historic" overlays - seem wasteful to me, but then I'm notoriously frugal...

SnM's picture

Just curious

Seems like as good a thread as any to note: Someone made the observation to me:

Has anyone seen petition drives by the TYPOs?

Rachel's picture

I've heard they've had a

I've heard they've had a table set up in south Knoxville on a couple of Saturdays, but that's it.

Comment viewing options

Select your preferred way to display the comments and click "Save settings" to activate your changes.

TN Progressive

TN Politics

Knox TN Today

Local TV News

News Sentinel

    State News

    Wire Reports

    Lost Medicaid Funding

    To date, the failure to expand Medicaid/TennCare has cost the State of Tennessee ? in lost federal funding. (Source)

    Search and Archives