Housing and Urban Health Program Update

Community and Public Health Committee of the San Francisco Health Commission October 16, 2012, Presented by Marc Trotz

The Housing and Urban Health (HUH) Section strives to improve the health and wellbeing of

homeless persons while reducing the costly over-utilization of emergency services. Central to

HUH’s approach is the philosophy that housing is healthcare.

HUH’s Main Services

Housing • Permanent Supportive Housing: Direct Access to Housing • Rental Subsidy Program for PLWH/A • LHH Scattered Site Rental Subsidy Program • Transitional Housing • Emergency Stabilization • HUH Support Services Team • Other Housing Related Contracts

Primary Medical and Psychiatric Care • The Housing and Urban Health Clinic @ 234 Eddy Street

Medical Respite and Sobering Center @ 1171 Mission Street

Summary of DAH Sites Current DAH Sites

Pacific Bay Inn (1999) 75

Windsor Hotel (1999) 92

LeNain Hotel (2000) 86

Broderick St. RCF (2001) 33

Star Hotel (2003) 54

Camelot Hotel (2003) 53

Civic Center Res. (2004) 60

Empress Hotel (2004) 90

West Hotel (2004) 40

Folsom/Dore (2005) 40

Plaza Hotel (2006) 106

Mission Creek (2006) 51

Arlington Residence (2006) 24

Bayanihan House (2006) 10

Eddy Street Apartments 15

Hotel Isabel (2006) 4

Knox Apartments (2006) 15

Willam Penn (2006) 10

Dalt, Ritz, Ambassador (2007)21

Cambridge (2008) 5

Parkview Terrace (2008) 20

Mosaica Apartments (2008) 11

990 Polk Street Apartments (2008) 60

149 Mason Street Apartments (2010) 55

Edith Witt Senior Community (2010) 27

Armstrong Place Senior Housing (2011) 23

Coronet Senior Housing (2011) 25

Aarti (2011) 40

Richardson Apartments (2011) 120

Dolores Hotel (2011) 53

Total Current DAH Units 1318

Pipeline Sites

Arlington Rehab 80

220 Golden Gate ((2012) 174

Mary Helen Rogers (2013) 20

Rene Cazenave Apartments (2013) 120

121 Golden Gate Community (2013) 18

Rosa Parks II (2014) 20

Total Pipeline Units 432

Access Points

• Acute and psychiatric hospital

• Long Term Care

• Intensive case management

• Primary care clinics

• Sobering & Respite Center

• Street outreach teams

Centralizing Access

In an effort to improve placement flow and maximize efficient use of residential resources, as of January 2013, all referrals to DAH will flow through the Office of Placement

Recent DAH Sites

• Opened March 2010 • New construction • Serves chronically Homeless adults with Special needs • 55 total units • 100% DAH

149 Mason Street

DAH Sites – Opened in 2011

Armstrong Place 5600 3rd Street, 116 total units; 23 DAH units

Edith Witt Senior Community 66 9th Street, 107 total units; 27 DAH Units

The Coronet 3575 Geary Street, 150 units; 25 DAH Units

Richardson Apartments September 2011

120 permanent units in Hayes Valley 100% Chronically Homeless from streets, stabilization units or institutions Owned and operated by Community Housing Partnership On-site Support Services provided by UCSF’s Citywide Case Management Team

Kelly Cullen Community The City’s Largest Supportive Housing + DPH’s Newest Health Center

Clinic Construction

Clinic Waiting Room

The New Clinic @ 230 Golden Gate • About 6 years ago, the City assisted TNDC in

purchasing historic Downtown YMCA (220 Golden Gate)

• Move TWHC and HUHC primary care homeless services to Primary Care & Wellness Center at 230 Golden Gate

– Create a safe, healing, inviting space

– Enhance services and coordination of patient care

– Attain sustainable and affordable primary care homeless services

Scope of Services across Sites

• 230 Golden Gate – Primary Care – Behavioral Health – Office-Based Opioid Therapy (OBOT) – Wellness – Specialty population services (e.g. HIV, women,

Transgender, Clinica Latina) - TBD

• 50 Ivy – Urgent care for homeless population – Dental services

• Community Sites

Decisions to Date

• About 4,500 patients will be assigned to a primary care provider at 230 Golden Gate

• Team-based, multidisciplinary care

• Services will be multi-modal (e.g., one-on-one, group-oriented, panel management, nursing case management)

Ongoing Activities

Steering Committee (meets monthly) • Provides input on the process and approach • Leads development of service model

improvements Workgroups: Patient data, Primary Care,

Behavioral Health TWHC/HUHC All-Staff Meetings (May +

November 2012) • Share progress updates with staff • Address staff questions and concerns

The Housing

Residential Lobby

The Gym

The Pool

before after

The End Thank you for the wonderful opportunity to work for DPH and all the support and guidance you have provided me and the Housing and Urban Health Team over the years. This wraps up 22+ years with the City, 16 of which have been with DPH. The Department has so many interesting and talented staff who I will miss seeing on a regular basis. Sincerely, Marc Trotz