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Federal grant will help Rhode Island’s homeless
(February 2008 Issue)

By Pamela Berard

A Rhode Island community service provider will use a $507,500 federal grant to provide services - and housing - to mentally ill homeless people in the state.

Riverwood Mental Health Services of Warren will provide case management services over the next two years to 125 homeless state residents with mental illness and rented apartments for 40 of them.

The state Department of Mental Health, Retardation and Hospitals selected the nonprofit for the PATH (Projects for the Assistance in Transition from Homelessness) grant. One of the goals of the program is that once a person has a home, he or she is in a better position to take advantage of treatment programs.

The PATH initiative will be modeled after a pilot program Riverwood began in 2005 called Housing First RI, which provides 65 formerly homeless people with housing. It has had an 80 percent retention rate and succeeded at one of its goals - less utilization of public services, says Daniel Kubas-Meyer, Riverwood's executive director, citing an independent evaluation of the program.

Already, Housing First RI has led to a more than $9,000 annual public service savings for each individual in the program. Kubas-Meyer says that in the year before entering Housing First, clients used more than $31,000 annually in public services. Once in the program, that figure dropped to $7,600. Combined with program costs of about $9,500 and a housing subsidiary of $5,600, that's a savings of about $9,000 annually per person.

Among the decrease in public services, clients went from 534 hospital overnight visits down to 149; from 73 mental health overnights to 16; and 919 jail overnights to 149.

"So the point is, if you do absolutely nothing (for the client), you're going to spend $31,000," says Kubas-Meyer. "If you provide this program, you not only improve the quality of life for these people, but you save the taxpayer $9,000" per individual in the program.

To participate in Housing First or the PATH program, a person must be chronically homeless. An additional stipulation with the PATH grant is that a person must have a serious, persistent mental illness. "What we found is that when you are dealing with the chronic homeless population, anywhere between 50-60 percent already meets those criteria," Kubas-Meyer says.

There are no requirements for a person to be in treatment or in programs or even be sober, Kubas-Meyer says. They just have to conform to the rules of a standard lease (not destroy property, not do anything illegal, etc.)

"What's exciting about it is not only does it work but it really does reinforce what we had hoped, that folks just need the opportunity. Once given the opportunity, they are growing and prospering," Kubas-Meyer says. "You've got to have shelter before you focus on other aspects of their life. Once you have shelter, they move on and get help with the other issues that have been facing them."

Although the program doesn't require a person seek treatment, it is made available, and "we find that nearly everybody takes advantage of the programs we are offering," he says.

"We are finding that folks are not just appreciating it but they are doing what they need to do to keep their housing."

The contract for the PATH grant went into effect in December, Kubas-Meyer says, and the organization is in the process of hiring staff. Then, throughout 2008, they will start working clients into the programs at a rate of about 12 per month. Residents will live in subsidized housing in the Providence area.