Housing
Permanent Supportive Housing for Chronically Homeless Adults logic model
The point-in-time count found 412 chronically homeless adults in the county, most with serious mental illness or a substance use disorder. They account for a disproportionate share of jail bookings, ED visits and shelter bed nights.
Inputs
- Scattered-site leases and a 48-unit project-based building
- Rental assistance and supportive services staff at a 1 to 15 case manager ratio
- Coordinated entry prioritization list
- Partnerships with a behavioral health provider and an FQHC
Activities
- Fill units from coordinated entry using a Housing First approach
- Deliver voluntary, tenant-centered case management and intensive services
- Connect tenants to Medicaid, SSI/SSDI through SOAR and primary care
- Work with landlords to prevent evictions and resolve lease problems
Outputs
- 128 units of permanent supportive housing operated
- 150 chronically homeless adults housed in year one
- 95 SOAR disability applications filed
- 92% of tenants have a completed housing stability plan within 30 days
Short-term outcomes
- Median time from referral to move-in under 45 days
- 85% of tenants connected to primary care within 90 days
Intermediate outcomes
- 90% of tenants remain housed or exit to other permanent housing at 12 months
- ED visits and jail bookings among tenants fall by a third compared with the year before housing
Long-term impact
- Chronic homelessness in the county declines year over year
- Lower public costs across hospitals, jails and shelters
Indicators and data sources
| Indicator | Source | Frequency |
|---|---|---|
| Housing retention or exit to permanent housing | Homeless Management Information System (HMIS) and the HUD Annual Performance Report | Quarterly |
| Returns to homelessness within 6 to 24 months | HMIS system performance measures and Stella P | Annual |
| Chronically homeless individuals counted | CoC point-in-time count | Annual |
| ED visits and jail bookings | Hospital and county jail data-matching agreement | Semi-annual |
| Income from benefits or employment | HMIS income assessments | At entry, annually, exit |
Assumptions
- Federal and local rental assistance remains available for scattered-site leases
- Landlords accept tenants referred through coordinated entry
Programs this model suits
- HUD Continuum of Care (CoC) Program (HUD revised CoC funding priorities in 2025; check the current NOFO for permanent housing limits)
- HUD HOME Investment Partnerships and state housing trust funds
- Medicaid managed care plan housing support investments
$ elixir trial --days 14
Stop letting high-value grant deadlines pass you by.
Upload a past 990 and a target NOFO. Watch ELIXIR CONSUMERS draft a cited Section 1 narrative in 90 seconds.