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C. 33
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: August  2, 2022
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Grant Agreement #29-822-3 with United States Department of Housing and Urban Development

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   08/02/2022
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Christy Saxton, 925-608-6700
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:     August  2, 2022
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Grant Agreement #29-822-3 (State# CA1651L9T052104) with United States Department of Housing and Urban Development (HUD) in an amount payable to the County not to exceed $1,064,712 for the Contra Costa County Continuum of Care Program (CoC) to provide permanent supportive housing and support services for High Utilizers of Multiple Systems (HUMS) homeless individuals for the period from December 1, 2022 through November 30, 2023.

FISCAL IMPACT:

Approval of this grant agreement will result in an amount not to exceed $1,064,712 in funding from HUD for the CoC Program. An 18% County match of $58,821 is required and budgeted.










BACKGROUND:

In 2013 and 2014, Cost of Homelessness study looked at Contra Costa Health Services (CCHS) and reported that 12% of our 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 builds 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 oversees the referral process, leasing of units, and consumer services. This includes case management, coordination of supportive services, administering the housing application process, and assistance with housing information.  
  
On June 8, 2021, the Board of Supervisors approved Grant Agreement #29-822-3 to pay the County in an amount not to exceed $1,064,712 to provide permanent supportive housing and support services for homeless individuals for the period December 1, 2021 through November 30, 2022.

  
Approval of Grant Agreement #29-822-4 will allow the County to continue to receive funding for the CoC, including supportive housing and support services to HUMS homeless individuals, through November 30, 2023.

CONSEQUENCE OF NEGATIVE ACTION:

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

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