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Convergence Center for Policy Resolution;
In December 2020, the Convergence Center for Policy Resolution published a Report summarizing a series of "brainstorming" conversations among experts on aging and caregiving for older adults. The conversations generated ideas for expanding opportunities for home and community-based care, advancing alternative business models in the institutional sector, and transforming the caregiving workforce. Many of the ideas in the Report would require legislation or changes in business practice. But others could be advanced at least in part by administrative or regulatory actions at the federal, state, or local level. To further develop some of these latter ideas, Convergence invited experts from the original conversations, and some other experts, to flesh out their ideas for administrative actions consistent with the broad themes of the original conversations. Like the ideas in the original Report, the proposals in this collection do not represent a consensus and they are not endorsed by nor represent the views of Convergence. Each proposal represents solely the views of the author. Convergence's purpose in publishing this collection is to spur productive conversation about the future of care for older adults.
United Philanthropy Forum;
Funders Together to End Homelessness began its racial equity journey in 2016. Its case story explains how the PSO named racial equity in its strategic plan and embarked on a learning journey together with its board, staff, and members to normalize the conversation about structural and historic racism and how it contributes to disparities in the homelessness system. The story also describes how Funders Together created a two-year community of practice, called Foundations for Racial Equity (FRE), that has been a critical part of its journey, and how its codified its racial equity work through the creation of its Commitment to Racial Equity.
Measure of America of the Social Science Research Council;
A Portrait of California 2021–2022: Human Development and Housing Justice, the third volume in Measure of America's Portrait of California series, takes a human development approach to understanding the country's most populous and diverse state. Using the American Human Development Index (HDI), it presents a detailed picture of how Californians are doing on three key dimensions of well-being—a long and healthy life, access to knowledge, and a decent standard of living. In addition to an in-depth survey of well-being levels across the state, this volume in the Portrait of California series focuses on a central prerequisite to a good life, one that far too many Californians struggle to attain: access to safe and secure housing. The Covid-19 pandemic dramatically underscored the importance of stable, affordable housing when it comes to access to education, living standards, and health. A Portrait of California 2021–2022: Human Development and Housing Justice explores the impact of California's housing crisis on all three components of the index and outlines policies that can help the state address homelessness and housing insecurity to ensure that all Californians have a safe place to call home.This report presents HDI scores for the state overall as well as by gender, by race and ethnicity, by nativity, by metro area, and by neighborhood cluster. In addition to providing HDI scores for various groups and geographies, it also delves deeper into the underlying causes of the gaps in well-being between them—structural racism, discrimination, sky-high housing costs, among others—and offers recommendations for addressing these challenges and building a fairer future for the Golden State, one in which every Californian can lead a freely chosen life of value.
Stewards of Affordable Housing for the Future (SAHF);
Home is the cornerstone of our identities and our well-being. At no time in recent memory has that been more evident than in the global events of 2020. With a stable home, people can access what they need to flourish. However, decades of underinvestment and inequitable policies have made stable homes harder to come by and supports difficult to access for generations of low-income, Black, and Latinx people.Service-enriched affordable rental homes can help address these challenges. In late 2013, with support from the Kresge Foundation, SAHF launched the Outcomes Initiative to begin collecting data on the impact of service-enriched affordable housing from its members. Providing stronger data to policy makers and investors on the benefits of service-enriched housing is key to increasing the funding available to support the most impactful services and delivery systems.In 2018 SAHF published the web-based Building to Impact report to highlight the emerging data from our initiative. This report updates and expands on that work using the results from five years of resident outcomes data collection. The report details the growing body of positive measurable impacts of affordable, service-enriched housing on resident lives that we have collected through the Outcomes Initiative, including case studies of specific initiatives, and presents them across five key impact areas: housing stability, community engagement & safety, financial stability & resilience, health & wellness, and youth & education.
Human Resources Development Council of District IX (HRDC);
In recent years, housing has become a critical issue in Park County, but identifying exactly what is happening in the ever-changing housing market can be difficult. The Park County Housing Coalition -- a collaborative project of the Park County Community Foundation and Human Resource Development Council of District IX (HRDC) -- produced the 2021 Park County Housing Needs Assessment to compile the best information available about this community-wide challenge.
Wilder Research Center;
As the COVID-19 pandemic hit Minnesota in March 2020 – marked by state-issued stay-at-home orders to protect public health – our communities felt immediate economic impacts. To learn more about some of these impacts on Minnesotans, Family Housing Fund and Wilder Research partnered to analyze unemployment and housing instability data.
The Social IMPACT Research Center has conducted an assessment of the affordable housing needs of older adults in Kenosha, Milwaukee, and Racine Counties in Wisconsin. The report documents the affordable housing gap in Southeastern Wisconsin for older adults, and details the services that the growing aging population will most need. The full report can be found at: https://socialimpactresearchcenter.issuelab.org/resource/housing-needs-for-older-adults-in-southeastern-wisconsin.html.
For individuals experiencing housing insecurity—and other hardships associated with poverty, such as low rates of health literacy, food insecurity, lack of transportation, and restricted access to quality health care—an HIV diagnosis exacerbates an already burdened quality of life. These larger structural barriers may inhibit HIV+ participants from feeling able to change individual-level behaviors which may complicate their HIV status. One counseling intervention that addresses obstacles to change is Motivational Interviewing (MI). MI is a collaborative, client centered approach that fosters communication between a service provider and their recipient with the goal of identifying and resolving the change goals identified during the counseling session. Studies on healthcare outcomes for chronically ill individuals who received MI interventions indicate that, when followed properly, MI can effect long-term, positive behavior changes. This paper defines MI, explores it's applications among HIV+ participants, describes an MI fidelity monitoring tool, and situates MI relevance while acknowledging the influence of social determinants of health.
Chicago Coalition for the Homeless;
This report shows 76,998 Chicagoans experienced homelessness in 2018, per an annual analysis by CCH that relies on the most current U.S. census data.Though the city's aggregate homelessness count decreased from the prior year, Chicago saw a nearly 2,000-person increase among those who lived on the street or in shelters. It is a development with troubling connotations today: The city's shelter system is a hotspot for COVID-19 infections and homelessness is expected to climb dramatically during the worsening economic downturn triggered by the pandemic.Per our analysis, the number who experienced homelessness decreased by 4,282 people, or 5.9% from 2017. This net decrease was concentrated exclusively among homeless people in temporary living situations, also known as living "doubled-up" or "couch-surfing." The number who doubled-up in 2018 remained massive, at 58,872 Chicagoans.
Sanford Institute of Philanthropy at John F. Kennedy University;
With the rapid acceleration of the COVID-19 pandemic in March 2020, it was imperative to understand the immediate impact on local nonprofits in the East Bay and the communities they serve. The East Bay's diversity is one of its strengths. However, the COVID-19 pandemic threatens residents who have built community, but not wealth, for generations. It also threatens to further erode a strained and fragmented nonprofit ecosystem. Maintaining a healthy and viable nonprofit community is essential to create a Bay Area in which all can participate, prosper, and reach their full potential.
Health Neighborhood, a pilot project within Heartland Alliance Health (HAH), intended to create a population-based approach of improving integrated care among people with experiences of homelessness, who were housed in permanent supportive housing (PSH). The program was built on through intensive partnerships between HAH and five Permanent Supportive Housing (PSH) providers: Chicago House, North Side Housing and Supportive Services, Deborah's Place, Housing Opportunities for Women, and Heartland Human Care Services (HHCS). The program was implemented from 2016 – 2019, and served 46 participants.
The home environment plays a critical role in adults' ability to stay in their homes and communities as they age, commonly referred to as aging in place. Yet the majority of older adults' homes lack supportive features. Home modification is the process of making changes to a home to increase independence, safety, and health. Often combined with related repairs, home modification and repair (HMR) can be minor, such as adding grab bars and removing tripping hazards, or major, such as installing roll-in showers and ramps. Although HMRs can support people as their needs change and even preclude moves to institutional settings, numerous barriers challenge the ability of older adults and caregivers to access them.In response, the Administration for Community Living (ACL) funded the University of Southern California (USC) Leonard Davis School of Gerontology to implement the project, "Promoting Aging in Place by Enhancing Access to Home Modifications." Its goal is to address the barriers to home modification access and service delivery by increasing the availability and awareness of home modification at the national, state, and local levels. A key activity of this project was to develop a knowledge base of state HMR activities and programs for older adults and persons with disabilities with a focus on the State Units on Aging (SUAs). These agencies develop and implement state plans and support services for older persons, adults with physical disabilities and their families. SUAs administer funds, including those provided through the Older Americans Act (OAA), to support HMR services through local Area Agencies on Aging (AAAs) and other state and local entities (e.g., OAA Title VI organizations that serve older Native Americans). SUAs can play a significant role in HMR by including it in state plans, providing designated funding, raising awareness, and coordinating with other state agencies such as housing, disability, and health.In October 2019, USC and its ACL project partner ADvancing States administered an online survey of directors of the 56 SUAs (which ADvancing States represents). The 10-question closed and open-ended survey sought to ascertain SUA activities, challenges, and opportunities in HMR. With extensive follow-up through February 2020, 50 SUAs completed the survey (an 89% response rate).This report summarizes the survey results, giving a bird's eye view of SUA roles in HMR and shining a light on examples of SUA HMR activities. Its purpose is to encourage greater involvement and coordination in HMR service delivery among agencies with a stake in assuring older Americans' ability to age in place.Click "Download" to access this resource.Tags: Older Americans Act, Area Agencies on Aging, State Units on Aging, Home-and Community-Based Services