Shortly after HFH formed in 2012, there was a need to accelerate the availability of housing for people experiencing homelessness who were facing difficulties in securing housing. Access to rental subsidies is a limiting factor in the work to end homelessness. In order to address this need, HFH launched the Flexible Housing Subsidy Pool (FHSP), a locally funded rental subsidy program. The program launched in February 2014 with an initial contribution of $14 million from Los Angeles County and $4 million from the Conrad N. Hilton Foundation.
The FHSP is operated by a non-profit contractor Brilliant Corners (BC). BC fulfills a range of functions that are necessary to nimbly and responsively operate in the dynamic Los Angeles real estate market.
Since its launch, FHSP has housed people in the private rental market; it has provided subsidies in project based buildings with tax credits; housed people experiencing homelessness who are medically fragile in enriched residential care environments; and in interim housing. The FHSP was designed so that other public and private partners, including other County departments, would be able to add funds to serve clients that they prioritize for housing. Since the FHSP was developed it has expanded to provide housing paired with ICMS for several additional programs.
The agencies and programs using FHSP are listed below:
- Department of Mental Health (DMH)
- Health Services (Health Services)
- Department of Public Health, Division of HIV and STD Programs (Health ServicesP)
- Probation Department
- LA Care
- Single Adult Model (SAM)
- Office of Diversion and Reentry (ODR)
- Women’s Initiatives with Services and Housing (WISH)
- The Housing and Jobs Collaborative
- Medically Vulnerable Probationers (MVP)
Create 10,000 units by providing rental subsidies, working collaboratively to end homelessness in LA County, reducing inappropriate use of expensive healthcare resources, and improving health outcomes of vulnerable populations.
- Major Expansion: In response to recent initiatives including the Office of Diversion and Reentry, Whole Person Care, Homeless Initiatives, and Measure H, HFH is poised to enter a period of rapid expansion: 1) Ramping up to provide an additional 3,000 new permanent supportive housing placements over the next year; 2) Maintaining a Rapid Rehousing program that provides opportunities for job training; 3) Managing a benefits advocacy program co-located in 14 DPSS offices countywide; multiple field based locations; and co-located in the County jails with goals to serve over 10,000 people experiencing homelessness each year; 4) Coordinating the implementation of over 50 multi-disciplinary street based engagement teams through the County over the next three years; and 5) adding over 1000 beds of interim housing throughout the county to provide homeless people exits from the street and on route to permanent housing.
- Health Agency Integration: The formation of the Health Agency is particularly important as the County looks forward to changing the way health care services are delivered to people experiencing homelessness. For example, the Health Services, the Department of Mental Health, and the Department of Public Health are currently working together to ensure that all tenants in permanent supportive housing have seamless access to Intensive Case Management Services, specialty mental health services, and substance use and prevention services. Additionally, the three departments are working with other key County departments to implement a coordinated program called SuperConnect, that provides integrated case conferencing and problem solving for individuals who have frequent involvement in various systems of care without appropriate resolution.
- Housing for Individuals Involved in Criminal Justice: While HFH’s original focus was on high utilizers of the health care system, with the creation of the Office of Diversion and Reentry and Health Services assuming responsibility of jail health, HFH has taken an increased role in aligning housing activities with the discharge needs of the criminal justice system. The Office of Diversion and Reentry has created opportunities for people to be diverted from the criminal justice system into supportive housing and intensive services.
Housing for Health ICMS Partner Agencies
|Affordable Living for the Aging|
|Alcott Center for Mental Health|
|Alliance for Housing and Healing|
|Century Villages at Cabrillo|
|Downtown Women’s Center|
|Harbor Interfaith Services|
|Homeless Health Care Los Angeles|
|Integrated Recovery Network|
|Kedren Community Health Center|
|LA Family Housing|
|Lutheran Social Services|
|MHA -Long Beach|
|Skid Row Housing Trust|
|St. Johns Well Child and Family Center|
|St. Joseph’s Center|
|Step Up On Second|
|Tarzana Treatment Center|
|The People Concern|
|The Whole Child|
|Union Station Homeless Services|
|Venice Community Housing|
|Volunteers of America|
In addition to the wonderful support we have had from the County family over the past few years that HFH has been in operation, we have received very generous support from the philanthropic community including grants from the following foundations:
Conrad N. Hilton Foundation
California Community Foundation
L.A. Care Health Plan
We have also had wonderful partnerships with LAHSA and various departments of the City of Los Angeles including the Housing Authority of the City of Los Angeles (HACLA) and Los Angeles Housing Community Investment Department (HCID), as well as the Housing Authority of the County of Los Angeles (HACoLA).
Housing for Health
The Housing for Health (HFH) Division at the Health Services (Health Services) was created in 2013 with a focus on creating permanent supportive housing opportunities for homeless patients of the Health Services system of care. Health Services is reinvesting in communities by providing supportive and clinical services to our most vulnerable populations.
Access to community based housing options is an important element of our evolving county healthcare system, particularly in response to the homeless crisis.
By housing homeless persons who have been high utilizers of Health Services services with complex medical and behavioral health conditions, Housing for Health made its mark in the homeless services area by meeting the following objectives:
- Improve the health and well-being of a vulnerable population that typically experiences long episodes of homelessness, high rates of disability, multiple untreated health conditions, and early mortality.
- Reduce costs to the public health system incurred by a relatively small, but costly cohort of individuals, whom due to their lack of housing, remained hospitalized for greater lengths of time and/or have repeated and unnecessary contact with the public health system.
- Demonstrate Health Services’ commitment to improve living conditions for homeless people within Los Angeles county.
HFH is also a key partner of The Los Angeles County Homeless Initiative. The Los Angeles County Board of Supervisors (Board of Supervisors or Board) approved the Los Angeles County Homeless Initiative (LACHI) recommendations, including 47 strategies to combat homelessness, on February 9, 2016. Many of those strategies allowed HFH to expand services to more people experiencing homelessness who are vulnerable and medically complex while working with other public agencies such as, the departments of Mental Health, Public Health- Substance Abuse Prevention and Control and the Los Angeles Homeless Services Authority.