U.S. Department of Health and Human Services, U.S. Department of Housing and Urban Development, U.S. Department of Veterans Affairs, Improving Access to Mainstream Services for "Chronically" Homeless Persons, Including Individuals with Serious Mental Health and/or Substance Abuse Problems, Hyatt Harborside, Boston, Massachusetts, April 9-11, 2002


Slide 1:

Mainstream Substance Abuse Services for
Homeless Individuals and Families in Massachusetts

Matthew R. Cornish
Director, Administration and Finance
Department of Public Health
Bureau of Substance Abuse Services

Slide 2:

HUD Partnership Projects McKinney Emergency Shelter Grant Program

  • Case Management & Transportation at Shelters
  • Tenancy Preservation
  • Case Management for Women Ex-offenders
  • Post-Detox/Pre-Recovery Home Services

Slide 3:

HUD Partnership Projects McKinney Supportive Housing

  • Residential Rehabilitation Services
  • Street Outreach
  • Subsidies for homeless women in recovery services
  • Supportive Housing for 18 - 24 year old “Young Adults”

Slide 4:

HUD Partnership Projects Continuum of Care

  • Post-Detox / Pre-Recovery Home Services

Slide 5:

HUD Partnership Projects

  • Aggressive Treatment & Relapse Prevention (ATARP)
  • Housing Options Program

Slide 6:

BSAS Mainstream Services Treatment

  • Ambulatory Services
  • Narcotic Treatment
  • Acute Treatment Services*
  • Transitional Support Services*
  • Residential Rehabilitation Services*
  • Substance Abuse Shelters for Individuals*
  • Supportive Housing
  • Youth Intervention & CHINS

Slide 7:

BSAS Mainstream Services Treatment (cont’d)

  • Criminal Justice Services
  • Youth Residential Services
  • D.U.I.L.
  • Community-based Case Management*
  • S.E.A.R.C.H.*
  • Tewksbury Stabilization and Transition Services*
  • Total Immersion Programs (T.I.P.)
  • Boston Outreach, Education, & Drop-in Services*

Slide 8:

BSAS Mainstream Services Prevention

  • Regional Prevention Centers
  • Youth Programs
  • MassCall

Slide 9:

BSAS Mainstream Services Statewide Support Services

  • Training Center
  • Tobacco Services
  • S.H.A.R.E. Loan*
  • Sober Housing Search*
  • SPHERE
  • Substance Abuse Help Line
  • Women’s Services*
  • Youth Prevention Support Services
  • Prevention Support Services
  • H.O.P.E.
  • Mass Council on Compulsive Gambling

Slide 10:

The Problem

  • Homeless statistics and substance abuse service needs assessment
  • Access to mainstream services

Slide 11:

BSAS Homeless Service Initiatives

  • Emergency Overflow Shelter Funds
  • Family Substance Abuse Shelters
  • Acute Treatment Services
  • Transitional Support Services
  • S.E.A.R.C.H.
  • S.A.S.I.
  • Recovery Homes

Slide 12:

BSAS Homeless Service Initiatives (cont’d)

  • Residential Rehabilitation Ex-offender Expansions
  • Tewksbury Stabilization & Transition
  • S.H.A.R.E. Loan Program
  • Sober Housing Search
  • Case Management and Street Outreach
  • Supportive Housing for 18-24 year olds

Slide 13:

Collaborative Relationships

  • Commissioner’s Homeless Task Force
  • Homeless Pilot Initiative
  • EOHHS Homeless Task Force
  • Continuum of Care Meetings
  • Policy Development

Slide 14:

Trends in Admissions Reported as Homeless FY 1992 to FY 2001

In 1992 8,947 homeless people were admitted. In 1993 10,768 were admitted, in 1994 10,999, in 1995 12,905, in 1996 15,138, in 1997 17,891, in 1998 17,753, in 1999 18,089, in 2000 19,372, and 2001 22,448.

Slide 15:

RESULTS Acute Treatment Services FY1999 - FY2001

  • Total admissions increased by 5%
  • Homeless admissions increased by 11%
  • Regional Data

Boston Region

FY’01

46.9%

(increase of 1%)

Central Mass

FY’01

24.6%

(increase of 43%)

MetroWest

FY’01

45.6%

(increase of 22%)

Northeast

FY’01

13.8%

(decrease of 6%)

Southeast

FY’01

14.5%

(increase of 4%)

Western Mass

FY’01

16.8%

(increase of 3.1%)