Agenda

Return

C. 29

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	March 26, 2019

Contra

Costa

County

Subject:

Agreement #29-822 with U.S. Department of Housing and Urban Development (HUD)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/26/2019

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

ABSENT:

Diane Burgis, District III Supervisor

Contact:	Lavonna Martin, 925-608-6701
cc:	L Walker M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: March 26, 2019
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Grant Agreement #29-822 (Fed# CA1651L9T051700) with U.S. Department of Housing and Urban Development (HUD) in an amount payable to County not to exceed $966,573 for the Contra Costa County Continuum of Care Program (CoC) to provide permanent supportive housing and support services for 32 High Utilizers of Multiple Systems (HUMS) homeless individuals for the period from February 27, 2019 until terminated by either party.

FISCAL IMPACT:

Approval of this Agreement will result in an amount not to exceed $966,573 of funding from HUD for the CoC Program. ($58,821 County match required)

BACKGROUND:

In 2013 and 2014, a Cost of Homelessness study reported that 12% of Contra Costa Health Services (CCHS) system's homeless utilizers account for 71% of healthcare costs (over $32 million) at an average cost of $80,000/per person, per year. This translates to 398 unduplicated homeless individuals, with highest costs for inpatient hospital stays and mental health services, many of whom are chronically homeless. Research shows that costs can be reduced by nearly $50,000 per person when placed in permanent supportive housing.

The CoC will build on the successes of CCHS in permanent supportive housing projects, which spans 20 years and is considerable in every aspect including outreach and assessment to housing placement and retention. CCHS will oversee the referral process, leasing of units, and the consumer services. This includes case management, coordination of supportive services, administering the housing application process, and assistance with housing information.

Approval of Grant Agreement #29-822 will allow County to receive funding for the CoC, including supportive housing and support services to HUMS homeless individuals until terminated by either party.

CONSEQUENCE OF NEGATIVE ACTION:

If this agreement is not approved, County will not be able to better assist its homeless population with supportive housing and support services.