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D. Create additional PSH & Increase Utilization <br />Lane County has a significant population of highly vulnerable, <br />long-term homeless individuals in both sheltered and unsheltered <br />situations. The current PSH units throughout the county are <br />underutilized and inadequate to meet the needs in the community. <br />PSH is a proven model of housing that provides robust wraparound <br />case management services with permanent unit affordability <br />based on household income. <br />Regarding utilization, Lane County should review all PSH projects <br />to look for ways to make sure all available units/subsidies are <br />used. This includes both better utilization of existing housing, <br />whether private market or specifically subsidized, construction <br />of housing specifically for PSH, and incentives to include project- <br />based style PSH opportunities in other new housing development <br />projects. Utilization also relies on a deep commitment to housing <br />first principles and connections to the formal coordinated entry <br />process. Lane County should consider written standards and <br />expectations that require PSH providers to alert the housing <br />referral system immediately when units become available or are <br />anticipated to become available. PSH providers should move <br />quickly in connecting with referrals and allowing for immediate <br />access to PSH once those referrals are made. Further, annual and <br />ongoing staff training protocol should be in place to ensure that <br />case managers have the skills and capacity to help people retain <br />their housing once they enter a PSH project, thus reducing rates of <br />recidivism into homelessness and demonstrating better outcomes <br />at the project and system level. Finally, Lane County should explore <br />move-on strategies whereby mainstream housing vouchers replace <br />the PSH subsidy to allow for permanent affordability for those who <br />need a housing subsidy but may not need the intensive PSH service <br />package once they are stabilized in housing. Move-on strategies <br />rely on client choice and many clients will never sustain housing <br />without the services PSH offers; however, some clients may be <br />able to maintain their housing with a voucher that does not include <br />those services. <br />More efficient means of utilizing and providing services in the <br />current PSH portfolio will not be sufficient for Lane County. <br />Lane County must also identify new PSH units through both the <br />creation of physical units and the provision of tenant-based or <br />project-based rental assistance in existing housing. In identifying <br />opportunities for increased utilization of existing resources or the <br />creation of new PSH resources, Lane County should consider how <br />to mitigate any additional costs or staffing issues that may arise for <br />those mainstream or PSH providers willing to dedicate resources <br />(e.g., participation in CE and HMIS). <br />Specific PSH Recommendations <br />1. TAC recommends adding 350 new PSH units (new creation <br />and repurpose and increased utilization of current existing <br />units to be accessible to Extremely Low Income people <br />experiencing homelessness). <br />2. In the past few months, Lane County has received funds <br />for 60 housing first PSH units and 33 targeted Mainstream <br />Vouchers.16 Lane County should continue to apply for and/or <br />support developers in applying for these funds as appropriate. <br />3. Lane County has a significant pool of VASH resources <br />specifically targeted to the Veteran population and should <br />identify any barriers to efficient implementation, including <br />project-basing some of the vouchers, and once these are <br />resolved, consider expanding the program. <br />4. Ensure PSH is targeted to the most vulnerable single <br />individual adults by making all referrals to PSH through <br />Coordinated Entry. <br />5. Ensure PSH providers coordinate with and participate <br />in system-wide landlord and housing partner outreach <br />and relationship management strategies (see Landlord <br />Engagement Strategy recommendation further below). <br />6. Ensure the crisis response system – especially case managers <br />– understands how to leverage reasonable accommodations. <br />7. Consider increasing the PHA payment standard to allow <br />greater competition of vouchers within the private market. <br />8. Ensure effective participation in system-wide landlord <br />engagement strategies to increase access to units and <br />quicker housing search (see Landlord Engagement Strategy <br />further below). <br />E. Implement Effective Move-On Strategies <br />Move-on strategies are an emerging practice that allows <br />mainstream or other affordable housing subsidies or units to <br />replace the subsidy of a PSH project and thus free up the intensive <br />service package the PSH project has to offer. Move-on strategies <br />rely on a high level of coordination with local voucher systems <br />and engagement with mainstream affordable housing owners to <br />ensure that targeting is transparent and clear, and mitigate against <br />any unintended consequences of transitioning a unit or household <br />to a new subsidy or unit. The premise of move-on strategies is that <br />some, though not all, households in PSH may continue to need <br />the affordability of the subsidy but do not need the permanent <br />supportive services that PSH provides. For these households, <br />mainstream subsidies and units can replace the subsidy provided <br />so that the PSH provider can use the subsidy and service package <br />to house someone coming out of literal homelessness. While some <br />households may need the housing assistance and services offered <br />in PSH for the foreseeable future, there are households who may <br />be able to “move-on” from PSH but have no other permanent <br />housing options. Lane County should explore the different <br />possible areas for move-on strategies to include preferences <br />within the Housing Choice Voucher Program (HCVP) portfolio and <br />in multifamily developments created with federal, state, or local <br />financing. It is important to note that these strategies will result in <br />no costs to the county, city or other entities. <br />16 Some of these will divert from homelessness. <br />STRATEGIC POLICY RECOMMENDATIONS <br />PAGE 15 <br />May 13, 2019, Joint Work Session – Item 1