Health, Housing and Homelessness
Health, Housing and Homelessness
Key Terms
Chronic Homelessness: Chronic homelessness is the state of experiencing homelessness for at least one year — or repeatedly — while struggling with a disabling condition such as a serious mental illness, substance use disorder or physical disability. (National Alliance to End Homelessness)
Permanent Supportive Housing: Permanent Supportive Housing (PSH) is an intervention that combines affordable housing assistance with voluntary support services to address the needs of chronically homeless people. The services are designed to build independent living and tenancy skills and connect people with community-based health care, treatment and employment services. (National Alliance to End Homelessness)
Point-in-Time Count: A point-in-time count is an unduplicated count on a single night of the people in a community who are experiencing homelessness. This count includes both sheltered and unsheltered populations. (National Alliance to End Homelessness)
Scattered-Site Housing: Scattered Site Permanent Supportive Housing places individuals experiencing homelessness in private market units scattered throughout a community. (United to End Homelessness)
Turnkey Property: A turnkey property is a unit that can be immediately occupied with minor upgrades.
Key Terms
Chronic Homelessness: Chronic homelessness is the state of experiencing homelessness for at least one year — or repeatedly — while struggling with a disabling condition such as a serious mental illness, substance use disorder or physical disability. (National Alliance to End Homelessness)
Permanent Supportive Housing: Permanent Supportive Housing (PSH) is an intervention that combines affordable housing assistance with voluntary support services to address the needs of chronically homeless people. The services are designed to build independent living and tenancy skills and connect people with community-based health care, treatment and employment services. (National Alliance to End Homelessness)
Point-in-Time Count: A point-in-time count is an unduplicated count on a single night of the people in a community who are experiencing homelessness. This count includes both sheltered and unsheltered populations. (National Alliance to End Homelessness)
Scattered-Site Housing: Scattered Site Permanent Supportive Housing places individuals experiencing homelessness in private market units scattered throughout a community. (United to End Homelessness)
Turnkey Property: A turnkey property is a unit that can be immediately occupied with minor upgrades.
HHI has now housed 564 formerly chronically homeless individuals. Those are real lives impacted, for the better, by ... Catholic Charities staff and healthcare professionals.
Kerry Alys Robinson
A Message from the President
Dear Friends,
As we wrap up the fourth year of the Catholic Charities USA Healthy Housing Initiative (HHI), we are more aware than we have ever been of the critical need for housing for all of our vulnerable sisters and brothers, especially those who are chronically homeless. A nationwide lack of affordable housing affects individuals and families from many income brackets, and none more so than those who struggle with the added burdens of physical or behavioral health challenges or substance use disorders that often render them chronically unsheltered.
The agencies taking part in the HHI work in collaboration with Catholic hospitals and healthcare partners to provide access to social services, primary medical care and behavioral health services while also housing these often fragile and always vulnerable clients.
When the HHI was launched in 2020, our team set ambitious –but, we felt, achievable – goals for the five participating Catholic Charities agencies. We wanted to reduce chronic homelessness in the pilot cities by 20%, reduce the frequency with which homeless individuals used emergency rooms and were readmitted to hospitals by 25% and connect 35% of newly housed clients to primary care and behavioral health services.
Heading into the fifth year of the Healthy Housing Initiative, the participating Catholic Charities agencies – located in Detroit, Las Vegas, Portland (Ore.), St. Louis and Spokane – have now housed 564 formerly chronically homeless individuals, or 80% of our goal. Those are real lives impacted, for the better, by the care and concern they have received from Catholic Charities staff and healthcare professionals across the country.
This work would not be possible without the support – financial and spiritual – of people like you. Your faith in the importance of the Healthy Housing Initiative and its mission to bring the love and compassion of Christ to those who so easily become lost, least and overlooked is key to its success, and for that you have our gratitude.
With deep gratitude,
Kerry Alys Robinson
President & CEO
The HHI team at CCUSA continues to be inspired by the hard work, grit and compassion of staff across the five agencies.
Catholic Charities USA Healthy Housing Initiative
The Catholic Charities USA (CCUSA) Healthy Housing Initiative is a person-centered, comprehensive approach to address chronic homelessness through permanent supportive housing (PSH) and social services, in collaboration with Catholic health care. The Healthy Housing Initiative is a five-year pilot (January 2020 to December 2024) with a target of housing 698 people by January 1, 2025. The five-year housing target goals listed herein for each city represent 20% of the U.S. Department of Housing and Urban Development’s 2019 point-in-time count numbers for each pilot community. Note that each of the five pilot agencies was already engaged in some work with the unhoused in their communities, for varying durations and under a variety of state and local conditions.
The five Catholic Charities agencies in the Healthy Housing Initiative and their Catholic healthcare partners:
- Catholic Charities of Southeast Michigan and Ascension Healthcare
- Catholic Charities of Southern Nevada and CommonSpirit Health
- Catholic Charities of Oregon and Providence Health Systems
- Catholic Charities of Eastern Washington and Providence St. Joseph Healthcare
- Catholic Charities Archdiocese of Saint Louis and Mercy Healthcare/SSM Health
Catholic Charities
of Southeast Michigan (Detroit)
Diocesan Director: Paul Propson
Bishop: The Most Reverend Allen Vigneron
Catholic Healthcare Partner: Ascension Healthcare
Number of chronically homeless persons housed to date: 17
Number of other homeless persons housed to date: 25
Total number of homeless persons housed to date: 42
Number of housing units authorized or under construction: 46, of which 25 are designated for permanent supportive housing (PSH)
Year Four Highlights
- Construction and renovations have begun on the Residences at St. Matthew project to convert the school into 21 income-restricted and 25 permanent supportive housing units. Programming will be provided in collaboration with Ascension Healthcare.
- The support of the Gerstner Helping Hands Grant allowed Catholic Charities of Southeast Michigan (CCSEM) to provide financial aid to 42 households experiencing homelessness.
- CCSEM provided over 10,000 food pantry visits in 2023 at two Catholic Charities Detroit sites.
- St. Leo’s Soup Kitchen, which operates out of CCSEM’s Center for the Works of Mercy, began serving hot meals in early 2023 and has grown to serve over 100 meals daily.
Year Four Reflection by the CCSEM Team
The words of Jesus proclaimed in Matthew 25:35-37 continue to inspire the work of CCSEM in the city of Detroit.
CCSEM’s Center for the Works of Mercy provides a space for those experiencing poverty and in need of help. The process of helping someone obtain healthy, secure and affordable housing starts with understanding the needs and barriers that are standing in their way. Our staff works diligently to assist individuals in accessing the services and resources they need to succeed in securing a place of their own and improving their well-being. The support is tangible in the form of food, clothing and hygiene supplies; help completing applications and applying for benefits and financial aid for housing; and help in accessing other resources. There are also the intangible benefits of a warm smile, encouraging words and the provision of hope. Mother Teresa once said, “Not all of us can do great things. But we can do small things with great love.”
Catholic Charities of Southern Nevada (Las Vegas)
Diocesan Director: Deacon Tom Roberts
Bishop: The Most Reverend George Leo Thomas
Catholic Healthcare Partner: CommonSpirit Health
Number of chronically homeless persons housed to date: 53
Number of other homeless persons housed to date: 339
Total number of homeless persons housed to date: 392
Number of housing units authorized or under construction: 5 vacant units
Year Four Highlights
- Client and case management: Dignity Health has contributed transportation services and reassured us of its commitment to support our case management program at St. Vincent Apartments.
- Touro Mobile Medical Health Clinic: The mobile clinic provides secure, convenient preventative treatment that may not otherwise be available or accessible to clients and residents.
- Nevada Behavioral Health: NBH offers mental and behavioral health services and weekly topical education to clients and tenants. Free transportation to NBH's site is available for individual sessions.
- Vaccination clinic: Touro University was first invited to St. Vincent Apartments during the pandemic to administer immunizations and offer preventive treatment to clients/tenants with financial, transportation or mobility issues. In addition, our case manager went door-to-door to inform clients/tenants of upcoming events and immunization clinics.
- Chamberlain University College of Nursing: On Fridays, Chamberlain student nurses visit Catholic Charities to educate clients and tenants on proper hygiene, the dangers of alcohol and drug use, diabetes, high blood pressure, mental health and other topics. The nursing students also conduct Q&A sessions.
Year Four Reflection by the CCSN Team
The implementation of case management at the St. Vincent Apartments has enabled us to offer essential wraparound services to our residents, who might not otherwise seek assistance. We have assisted approximately 115 people, many of whom have previously experienced homelessness for an extended time. They have transitioned from hopelessness to a place where hope is a genuine and palpable reality. After spending time in emergency shelters, encampments, on the streets and other places not meant for human habitation, many of our current residents now call St. Vincent home.
Our Residential Services Case Management Team oversees up to 120 active cases, ensuring clients remain secure, self-sufficient and hopeful. Case managers actively assist with needs and appointments such as medical, mental and dental health; Supplemental Nutrition Assistance Program (SNAP) and Medicare/Medicaid applications/renewals; Social Security, Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) benefits; Department of Motor Vehicles (DMV); transportation, clothing and food and nutrition; and crucial life skills so clients can maintain stable, healthy lives.
Success Story
The client approached the case management team and requested a walker due to scoliosis in his back. The client met with our case manager to complete the necessary paperwork and received a brand-new walker, provided by St. Vincent Apartments Case Management, on the same day.
Catholic Charities of Oregon (Portland)
Diocesan Director: Natalie Wood
Bishop: The Most Reverend Alexander K. Sample
Catholic Healthcare Partner: Providence Health Systems
Number of chronically homeless persons housed to date: 56
Number of other homeless persons housed to date: 89
Total number of homeless persons housed to date: 145
Number of housing units authorized or under construction: 295
Year Four Highlights
- We continued to make progress in the development of more affordable housing units and are mid-construction on two properties scheduled to be completed in summer 2024. Francis + Clare Place is a 61-unit, four-story permanent supportive housing (PSH) project in the Buckman Neighborhood in SE Portland. The land for this project was purchased by Catholic Charities of Oregon (CCO) from St. Francis of Assisi Catholic Church. The project will include 54 studio units and seven one-bedroom units. The second property, The Beacon at Glisan Landing, is a 41-unit, four-story PSH project in the Montavilla Neighborhood in Portland. The land was originally owned by regional government and was awarded to CCO through a bid process. The project will include 41 studio units.
- Supportive services for both projects will be provided by CCO in partnership with Cascadia Healthcare and the Native American Rehabilitation Association of the Northwest. The 24/7 on-site services will include case management; peer support; linkage to health care, mental health services and addiction treatment; and a food pantry.
- Good Shepherd Village is a 143-unit project in Happy Valley, a Portland suburb, consisting of one four-story building with 107 units and two three-story buildings with 18 units each. The land was donated to CCO by the John Brockamp family. The apartments range in size from studios to three-bedroom units. Of the total, 85 units are affordable up to 60% AMI (annual median income) and 58 units are PSH. CCO provides 24/5 on-site services including case management, resident services, health outreach and a food pantry. As of December 2023, 23 units were filled, including five residents who will occupy PSH units. This brought total occupancy to 45 (31% of all units).
- CCO continued to conduct on-site health fairs with Providence Health Systems, increasing health access for families, seniors and people with disabilities.
Year Four Reflection by the CCO Team
CCO continues to identify opportunities to serve the most vulnerable populations in the state with our healthcare partner, Providence Health & Services Oregon. Our experiences this year included:
- Ruth, 79 and living on Social Security, rolled up her sleeve for vaccinations during a health fair at Catholic Charities’ Sacred Heart Village in Portland. “I wouldn’t have made it to the doctor to do this,” she admits, giving a smile and a thumbs-up.
- At Kateri Park, a concerned Afghan refugee mother brought her preschool son to a team of Providence Health nurses who made him giggle with funny faces, examined him and referred him to a physician.
- A food pantry at McCoy Village brought fruits and vegetables to dozens of families of color who otherwise could not afford fresh food.
In year five, we look forward to partnering with Providence on a development in Newberg, Oregon, that will include eight recuperative care (respite) units. We are encouraged by the work already done and look forward to another year of serving those in need with innovative ways to improve health and human thriving.
Catholic Charities of Eastern Washington (Spokane)
Diocesan Director: Robert McCann
Bishop: The Most Reverend Thomas Daly
Catholic Healthcare Partner: Providence St. Joseph Healthcare
Number of chronically homeless persons housed to date: 385
Number of other homeless persons housed to date: 737
Total number of homeless persons housed to date: 1,122
Number of housing units authorized or under construction: 589 for 2024
Year Four Highlights
- In 2023, Catholic Charities of Eastern Washington (CCEW) opened two new buildings for supportive housing for individuals and families. In the spring, we opened Bishop Skylstad Commons, in Pasco, Washington, with 60 units of housing for homeless individuals. In Spokane, in partnership with a local behavioral health provider, we opened Mother Teresa Haven, with 48 units for families exiting homelessness or housing instability and 24 units for individuals.
- In 2023, we expanded our Stable Placements Program by adding a second case manager. This program works with clients in the Long Length of Stay (LLOS) wing of Sacred Heart Hospital in Spokane, assisting clients as they exit the hospital and helping to ensure they have the necessary support to avoid another stay. To date, over 95% of clients have successfully remained out of the LLOS wing. We are working to expand this service to Holy Family Hospital in 2024.
- In 2023, we housed a total of 285 new residents (heads of household and children).
Year Four Reflection by the CCEW Team
Catholic Charities Eastern Washington works to affirm the dignity of all people by developing and managing affordable, supportive housing communities. This was a very positive and productive year for our work with the Healthy Housing Initiative in service of that overarching goal.
In addition to the development and management of the Bishop Skylstad Commons and Mother Teresa Haven properties, our service staff works to provide comprehensive and varied case management approaches to assist residents in achieving stability, economic mobility and self-sufficiency. This includes peer support, healthcare coordination, behavior health and substance use disorder (SUD) services.
As we reflect on year four of this initiative, we are in awe of the success and resiliency of our clients. And as we move into year five, we are dedicated to continued improvement in physical and mental health outcomes for the most vulnerable in our community.
Catholic Charities of St. Louis
Diocesan Director: Jared Bryson
Bishop: The Most Reverend Mitchell T. Rozanski
Catholic Healthcare Partner: Mercy Healthcare/SSM Health
Number of chronically homeless persons housed to date: 53
Number of other homeless persons housed to date: 33
Total number of homeless persons housed to date: 86
Number of housing units authorized or under construction: 79
Year Four Highlights
- The Hospital to Healthy Housing grant concluded with great outcomes showing reductions in emergency department (ED) usage, post-housing and post-hospital intervention. The total number of homeless individuals served in coordination services was 492, with 30 served in housing. Of that 30, 25 moved to permanent housing.
- Hospital to Healthy Housing 2.0 (H2H 2.0) continues with 17 housing units for super utilizers who are unhoused. To date, 44 are enrolled with services. Overall, we have seen a 72% decrease in utilization and $112,000 in cost savings to the hospital.
- Our partnership with Nurse Disrupted began with outcomes showing reduction in ED usage.
- Our partnership with SSM/SLUH (SSM Health/Saint Louis University Hospital) continues to be strong, and St. Patrick Center (SPC) and SLUH have received additional funding for another year.
- Catholic Charities St. Louis (CCSTL) and Mercy began talks focusing on developing respite beds.
Year Four Reflection by the CCSTL Team
St. Patrick Center, a ministry of Catholic Charities St. Louis, the Hospital to Healthy Housing Program and the Healthy Housing Initiative, is providing hope and housing services to community members experiencing homelessness. Our focus is on providing critical services to individuals who often are forgotten about and have no place to go but the hospital in order to receive social services. We provide access to immediate housing, wraparound services and connections to primary care, psychiatry and other resources needed to maintain housing. We are lucky to have great programs to link to at St. Patrick Center and around the community.
Our hospital program addresses homelessness in several different settings. We have staff in the emergency department working with unhoused and housing insecure individuals to connect them to housing, shelter and resources. Many of those we see will end up receiving services at St. Patrick Center, either in our hospital or other programs. Most importantly, we are providing safe, dignified housing with critical, lifesaving services to our most vulnerable community members.
As we reflect on year four of this initiative, we are in awe of the success and resiliency of our clients.
Reflection by CCUSA’s HHI Team
The HHI team at CCUSA continues to be inspired by the hard work, grit and compassion of staff across the five agencies. Since the Healthy Housing Initiative began on January 1, 2020, participating agencies have housed 564 chronically homeless individuals. Each agency has been able to creatively navigate complex local dynamics and politics to create housing for one of America’s most vulnerable populations. As a highlight, in year four, we welcomed Delaware State University as the evaluators for the initiative.
In year five, we’ll be emphasizing collecting data pertaining to client health outcomes, along with emergency room and hospital utilization. As we have learned from Catholic Charities agencies in Eastern Washington, Oregon, Southeast Michigan, Southern Nevada and St. Louis over the past four years: Hard work pays off!
Curtis Johnson
Vice President, Housing Strategy
Timothy Crawl-Bey
Senior Director, Housing Strategy
Benjamin Wortham
Vice President, Behavioral Health Integration
For additional information on the Healthy Housing Initiative, contact:
Ben Wortham - bwortham@CatholicCharitiesUSA.org
Curtis Johnson - cjohnson@CatholicCharitiesUSA.org
Download a PDF version of the report.
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