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Impact of Housing First

The beauty of the Housing First model is that, along with housing, residents receive the supports they need to begin a path towards health and well-being. In the graph below, you can see the comparison of utilization of health and justice services for individuals who live at Terrace – 6 months prior to moving in compared with 6 months after moving into a home. We know from experience that this is just the beginning of the journey for Terrace residents and that they will continue to reduce utilization of emergency health services and engagement with law enforcement the longer they are in housing.

Homelessness is expensive for the community. The table below shows the cost of homelessness prior to housing and post housing. An average unit cost was used to estimate reduced cost by category.

We also compared the individuals living in Terrace with the next 50 individuals who are waiting for permanent supportive housing. In the graph below, the individuals waiting for housing are purple and the people living in Terrace are green.

We are truly grateful for your support of this endeavor, and we thank you for following our journey, from groundbreaking through construction to our ribbon cutting to supporting our residents. The opening of Terrace at Oak Springs is the culmination of years of tireless work and advocacy – from Integral Care staff, elected officials, community foundations, business leaders, and neighbors.

We know that Terrace is just the first apartment community of its kind in Central Texas and will be a catalyst in our efforts to create and improve access to affordable housing.

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Podcast

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Interview with a resident

Take a listen to Integral Care’s most recent podcast. Many donors across the community came together to make Terrace at Oak Springs a reality. The podcast details the tremendous effort to open the community (made possible in part by Foundation funding), as well as one resident’s emotional journey of going from homeless to housed.

#strongertogether #HousingFirst #endinghomelessness

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Ribbon Cutting

On Monday, September 23, 2019, we celebrated Terrace at Oak Springs with a Ribbon Cutting Ceremony and a Community Celebration. 
At the Ribbon Cutting, we had the honor of unveiling our new permanent supportive housing community to 250 guests, a true testament to our community’s support of Housing First.

Our distinguished guests included Mayor Steve Adler; Council Member Natasha Harper-Madison; Trina Ita, Associate Commissioner of Behavioral Health Services at HHSC; Kurt Bruckbauer, Chief of Social Work Service at Central Texas Veterans Health Care System; and William Buster, Executive Vice President of Investments at St. David’s Foundation. 

Later that evening, more than 90 neighbors, community members, and exhibitors joined at our Community Celebration.

We are truly grateful for your support of this endeavor, and we thank you for following our journey, from groundbreaking through construction to our ribbon cutting. The opening of Terrace at Oak Springs is the culmination of years of tireless work and advocacy – from Integral Care staff, elected officials, community foundations, business leaders, and neighbors. 

We know that Terrace is just the first apartment community of its kind in Central Texas and will be a catalyst in our efforts to create and improve access to affordable housing.

Photos of Ribbon cutting

Photos of Community Event

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Client Success Story: Tim

We recently had the pleasure of meeting with a client, Tim, who has just settled into his new apartment home through the Healthy Community Collaborative.  We interviewed Tim to learn more about his story.

 

“I used to ride horses full time. In 2003, I was the National Champion in the hunter event. I was number one in the nation in jumping. I was injured – I had a broken bone in my foot, and I was unable to work for four years. I slowly went through every resource. I had to get rid of all of my horses and my car. Not being released to work for four years, I went through all of my money. I never expected to be living under a bridge, ever.

In the daytime, being homeless didn’t seem that bad.  But come 5 or 6 o’clock in the evening, anxiety would set in around the reality of the situation – where are you gonna go, where are you gonna be safe? I did not want to be downtown. Because of the broken bone in my foot, I was taking narcotics and I just didn’t want to go there. I went out on the edge of town and made myself a campsite. Then I found a treehouse and I stayed there. If I hadn’t been so depressed, it would have been a much more spiritual experience! Some of my best friends that I’ve known for 20 years stopped answering my calls. I found more kindness from strangers in Austin than I did from others I thought should have been there for me.

Then I became connected with Integral Care. I can’t even put into words what the housing case managers did for me. They were very professional and gave me really good advice. It was hard giving up control and having to trust a stranger at first. But they seemed like they really cared. They would meet with me at Target or places I had appointments to work with me. I took a coordinated assessment to get into housing. The case managers also helped me get my disability in six weeks. This program has really saved my life. Now it’s up to me to keep things moving forward.

 

Now that I have housing, my toughest decision is which shirt is going to fit me best. It’s a big difference!

I like my new place because it’s mine. Staying with friends or family, even in the best situation, you don’t have your own space. You don’t feel comfortable. It’s really hard. My plan now is to return to work. I think that will help with my depression. I could teach gymnastics, or I could cut hair.

 

I never thought that I would know so many homeless people and have something in common with them, and understand what they’re up against. You can get out of that hole. It’s up to you. The services are there, you just have to take the next step.”

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Commitment to SOAR

Integral Care was the first agency within our local community to identify staff positions dedicated to SOAR (SSI/SSDI Outreach, Access, and Recovery), a national program designed to increase access to the disability income benefit programs administered by the Social Security Administration.  As Integral Care has expanded services for individuals who are currently or formerly homeless, SOAR is a perfect fit as it is designed specifically for adults who are experiencing or at risk of homelessness and have a mental illness, medical impairment, and/or a co-occurring substance use disorder.  When individuals obtain benefits through SOAR, they not only gain income, but they also have Medicaid benefits, granting them access to much needed medical care.

Presently as an agency, we have 2 dedicated full-time SOAR specialists, with four other staff members trained to complete applications.  At least one additional full-time position for SOAR will be added starting in the next fiscal year and the PATH team is currently having three of their staff trained to add yet another engagement tool for them to use with clients.

While we are working to increase our SOAR resources within the agency, we are also committed to seeing SOAR capacity expand within the larger community.  Health Community Collaborative’ s very own SOAR specialist, Suzie Brady, was designated by the Texas Homeless Network (THN) as the local SOAR lead for the Austin/Travis community in May of 2016.  In this role, Suzie works closely with THN at the state level.  Her responsibilities as local lead include advocating for the use of SOAR in our community in general, assisting with all facets of SOAR training from the online course through the in-person SOAR Fundamentals trainings to refresher trainings, and providing assistance and support to individuals utilizing the SOAR process in our community.  Suzie has already trained new staff from Travis County Health and Human Services, Trinity Center, Front Steps, Caritas, and the Community Care Collaborative.  She is also meeting with the Mental Health Public Defenders office starting this week to get their staff trained.  She meets monthly with staff doing applications and/or who have been trained to review best practice, answer questions, and ensure consistency throughout our community.  Most importantly, Suzie has worked toward developing strong relationships with local representatives at Social Security Administration and Disability Determination Services, both critical partners for the SOAR process.

Integral Care and Travis County HHS participated in a national pilot program for SOAR interns, working with the UT School of Social Work.  In fact, one of our Integral Care interns was featured in the Soar Voices blog in March, 2017.  Suzie has worked on highlighting our community and efforts on a national level through SOAR Voices Blog postings (December, 2016) and a presentation in the SOAR Webinar Series: Strengthening SOAR Applications Through Strong Collaborations (January 2017). Through Suzie’s leadership and Integral Care’s commitment to SOAR, we are seeing a new level of excitement and interest in SOAR.  Most importantly, however, this is translating into tangible benefits for the individuals being served.  To date, the Integral Care dedicated SOAR specialists have helped 55 individuals apply for benefits using the SOAR process.  This has resulted in 36 approvals and have 14 additional applications pending a decision.  These approvals have generated more than $60,000 in additional revenue for the agency.

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Veterans

Integral Care offers a solution for veterans experiencing homelessness and mental health challenges:  Safe Haven.

Safe Haven provides a safe living environment for veterans staffed by a team of professionals who inspire confidence and guidance to residents with mental illness.  The community offers semi-private rooms with capacity for up to 15 people a day. Individuals are provided with three daily meals, laundry facilities, meeting rooms, an address and a telephone number that can be used by residents. Safe Haven has a flexible and individualized approach to care and acknowledges that “successful outcomes” are unique to each veteran.

“It’s very peaceful here. The food they give you is substantial and has improved my health. They give you your medicine on time and make sure you get the correct amount. The staff here is very friendly.”

Safe Haven guarantees a living environment for veterans with qualified staff who inspire confidence and guidance to residents with mental illness. Individuals are provided with three daily meals, laundry facilities, meeting rooms, an address and a telephone number that can be used by residents. The facility also includes a common area with reading nook and TV, a space for perusing donated items, kitchen, community service assistance area, a backyard, which many use for daily meditation and yoga, and an arts and crafts space.

Safe Haven staff embrace the philosophy that residents shape their own unique recovery journeys. There is no mandated programming. The fundamental requirement of residents is that they keep themselves, peers and staff safe. Staff enjoy connecting the people who live there with their own personal interests, from practicing Tai Chi to karaoke. Developing individualized interests in this way helps link residents to activity communities which foster independence after graduation from the shelter.

Many of the residents are creative and engage in painting, writing, playing music and singing. One resident painted a colorful mural in a hallway depicting fifteen horses, which represented each of the 15 residents. Another resident, Jason, is in the process of writing a book and speaks fondly about his 6-month stay at Safe Haven.

“It’s very peaceful here,” says Jason. He continues, “The food they give you is substantial and has improved my health. They give you your medicine on time and make sure you get the correct amount. The staff here is very friendly, which encourages the veterans to be very talkative amongst themselves. I can drink coffee and write. I’ve been going to the gym. I’ve read much about my schizoaffective disorder while living here, which has improved my morale. The staff was able to increase my veteran benefits check, so I’m able to graduate and move into an apartment soon. I encourage anyone who is a homeless veteran to stay here.”

An individual graduates from Safe Haven once they have obtained a safe, stable place to call home. Most residents leave with increased health benefits and income, whether it’s increased social security benefits, VA pension or disability benefits. Former residents are always invited back to celebrate holidays.

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Okay To Say Videos

Check out our #OkayToSay  short video series of Integral Care staff sharing their thoughts on why it’s important to talk about mental illness.

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Meet Rick, Recently Housed Integral Care Client

 

We interviewed Rick at his new apartment to see how his life has changed since being housed.

“I committed to fighting addiction. It is a daily thing. I slip up a lot. I walk to the edge a lot, but I keep in check. I am hopeful for that one day. There are ways to beat addiction, you just have to try. You can do that when you have stability.”

Tell us a little bit about yourself.

I was born in Pennsylvania but grew up in Alabama. I went to high school and college in Alabama and was married there too. I studied drafting and engineering, got two years into my degree before I had to get back to work. I wanted to go to the University of Mississippi.

I suffer from addiction, depression and a host of other things. I have physical pain in my neck from old football injury. I have a plate in my neck and had a vertebrae removed. It was getting harder to work. When my physical health started deteriorating everything else started coming up. I got depressed from not being able to do what you used to do. All this started hitting me and it caused me to think back. I realized that I really needed to see a psychiatrist.

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What brought you to Austin?

I had started seeing a psychiatrist in Alabama before I got into some trouble and spent one year in prison and six years on supervised probation. I didn’t know what I was going to do after I got out of prison. I heard about a fellowship church that helped men in my situation and took the discipleship program they offered.

After my mother died, my brother and I didn’t talk for six years. His wife reached out to me and got us talking again. He asked if I wanted to come out to Texas. I said yes and stayed with them for a while.

Then he got orders to serve in Korea so I moved on. I didn’t want to go back to Alabama. I talked to a carpenter friend whose mother lived in Austin. I moved to Austin in 2012.

I like Texas. It is as big as Birmingham but the crime and violence are nowhere near what it’s like in Birmingham. You don’t hear about that stuff here. Austin is a peaceful town. People will actually take the time to talk to you. Alabama brags on hospitality, but it’s not like that around the city areas.

How did you get connected to Integral Care Services?

I was at the ARCH before I became homeless for a while. I had never been homeless in my whole life. I did not like it at all. I worked with several case managers then I got my first apartment.

Do you feel like Integral Care’s programs and services helped you learn coping skills and get help?

My brother Dave committed suicide in front of me and that’s been a lifelong issue for me. This scar right here was from an attempted gunshot wound. I was shaking so much I missed. I guess there was a reason for that.

I became an intravenous drug user. It would have gotten worse. Drugs are everywhere. You aren’t going to escape them and you have to deal with them. I think about it every day but I don’t let it control my day. Now I go for walks. I would probably be dead now. I thank you guys for saving my life.

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How do you feel now that you have your own space?

I am bi-polar. Sometimes I get into very dark depressed moods where I don’t care if I talk to anybody. I lose stuff all the time, don’t do paperwork. Sometimes I stay organized but it doesn’t last. It goes back and forth, but it is still a lot better. I am very thankful for what the ARCH has done for me but I needed to get out of there. Things started returning to normal. What Integral Care has helped me out with has saved my life.

What keeps you motivated to doing positive things and recover?

I’ve got some ideas about my art that come and go. I love fantasy art. I have always liked drawing and building models. I draft building sketches. I want a drafting table to do it the old school way. I also play bass guitar.

Now that you are here, what’s next?

I committed to fighting addiction. It is a daily thing. I slip up a lot. I walk to the edge a lot, but I keep in check. I am hopeful for that one day. There are ways to beat addiction, you just have to try. You can do that when you have stability.