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Pay For Success Learning Hub

AKA SOCIAL IMPACT BONDS

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Val's Take

      Well I was at a CLE in the Fall of 2016 in which a Mental Health judge was presenting and he made a comment about "frequent flyers" through the certification system.
        I asked what he thought the cause of that was -- initially he jokingly took the 5th -- and then said, Bed Space and "Resources, Resources, Resources."
         The day before I was participating in a telephone conference on Mental Health Options for Jail Diversion -- and Mental Health Policy Representatives were concerned about getting in the "weeds" in terms of focusing on funding specifics -- maybe just leave that to the JBC (Joint Budget Committee).
           Media reports came out that Colorado will be facing a Budget shortfall.

http://www.denverpost.com/2016/09/20/colorado-state-budget-faces-shortfall/​
              For awhile now we have been promoting Social Impact Bonds or Pay for Success.
            The Social Impact Bond image used to the right actually probably also needs to take into account costs for the County -- since that's where a lot of Criminal Justice Jail Costs are incurred.
             Shortfall or not:  We have got to massively invest in Mental Health Services & Housing as well as Bed Space -- & that probably means some type of creative financing such as Social Impact Bonds. 


    
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Urban Institute:  SIBs & Denver

The first step toward breaking the homelessness-jail cycle Darryl (not his real name) sleeps on the street and struggles with multiple physical and mental health challenges. In the past month, he has had about 10 interactions with the police, sometimes multiple times a day.

One weekend, Darryl was arrested and spent about 24 hours in jail. The next morning, he was released—and had another run in with a police officer that afternoon. Over the last month, these police contacts and arrest cost his city hundreds of dollars.


People like Darryl who experience chronic homelessness often cycle in and out of jail, which not only affects their well-being, but also comes at an enormous cost to taxpayers. Most of these individuals have other challenges, like persistent mental illness and substance abuse. Along with ongoing criminal justice involvement, these challenges have contributed to their disconnection from community services, despite multiple and complex needs.

Many are cited for public-nuisance offenses, such as panhandling, trespassing, and public intoxication. While many of these offenses wouldn’t automatically result in a jail stay, individuals are given a ticket and a court date. When various challenges prevent them from showing up to court, a warrant is issued for their arrest, resulting in a jail stay the next time police make contact. After serving their sentence, often a short jail stay, these individuals are back on the street in the same cycle of homelessness and arrests.

In February, Denver mayor Michael B. Hancock announced the country’s eighth social impact bond (SIB), an $8.6 million investment to provide supportive housing to a homeless population that also represents some of the city’s most frequent users, like Darryl, of police services and jails.

The goal is to stabilize homeless individuals with housing and intensive services, leading to a decrease in jail stays, which saves the city money. The first step toward success is identifying Denver’s most at-risk residents so that supportive housing is provided to those who need it the most.

The initiative targets individuals who have had at least eight arrests in the last three years and have been determined to be transient, meaning they are without an address or provide the address of a shelter. In a given year, Denver Crime Prevention and Control Commission has calculated that a cohort of 250 individuals in this target population spent an average of 56 nights in jail each year and interacted with other systems such as detox and emergency care, costing the city $7.3 million per year on average.

The program is in the beginning stages, but it appears to be reaching the right people. As part of our evaluation of the initiative, we identified about 1,400 individuals who meet the SIB’s targeting criteria. In just the last three months, our project-monitoring data show nearly one-third have had at least one new police contact or arrest.

Like Darryl, these individuals have clearly demonstrated the frequent user cycle, averaging five police contacts in the last three months, while some had up to 41 police contacts in the three-month period.
 

Over the next five years, the SIB will enroll and serve 250 individuals like Darryl who have spent years caught between homelessness and the criminal justice system, a pattern that has been a barrier to the services needed to break the cycle.
​
While the SIB’s evaluation will eventually help us understand the impact of supportive housing on this population’s frequent use of jails and other costly services, the data we have suggest that the project is taking the important first step of reaching those who stand to benefit the most.


​http://www.urban.org/urban-wire/first-step-toward-breaking-homelessness-jail-cycle
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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System