Behavioral Health and Housing

Karia Lee Basta, ADOH
Barbara Montrose, CPSA
Jessa Johnson, NARBHA
Stephanie Knox, Magellan
Tiffany Booth, Cenpatico
› Deinstitutionalization
› Reduction in SRO’s
› Reevaluation of mental health system
› Reduction in government benefits
› Fewer jobs for unskilled people
created synergy for. . . .

Permanent Supportive Housing
› Section 8 Housing Choice Voucher
› HUD 202 Supportive Housing for the Elderly 1959
› LIHTC -1986
› McKinney-Vento Act -1987 – Continuum of
Care 1994
› HUD 811 Supportive Housing for Persons with
Disabilities – 1992 (began in ‘79 w/ set-asides)
› HEARTH - 2009
› HUD VASH – Veterans’ Affairs Supportive
Housing – 2011

We Don’t Speak the Same Language.
(Housing/HUD Speak Versus Clinical
Speak)
› Fair Housing is not eviction prevention.
› Is COT – City of Tucson or Court Ordered
Treatment?

High Case Management Staff Turnover
Results in a Lack of Continuity for
Members.

The Squeaky Wheel Syndrome:
› People in clinical crisis receive/deserve
priority.
› It’s easy to forget the housing participants.

Who Provides the Bus Passes?
› Squabbling Over Scarce Resources.


Tenants Newly Out of Alcohol or
Substance Dependency Treatment
Require Frequent Follow-up Services to
Prevent Relapse.
Who is Responsible for Tenant
Motivation?
› Vocational Referrals
› Volunteering and Other Community Activities
› Ticket to Work
Follow the Landlord/Tenant Act
 Provide information on a need-to-know
basis only
 Ensure housing rules/agreements are
easy to understand
 Establish and define boundaries and
roles

Ensure residents understand the
program, lease, etc.
 Address problems as they arise
 Respond to both residents and
landlord/property manager in a timely
fashion
 Perform regular housing inspections

Be observant
 Inform Case Management of pertinent
information
 Touch base with the landlord or property
manager
 Pull together a team meeting

Trauma Informed Care
 Crisis Intervention Training (CIT)
 Mental Health First Aid
 Fair Housing
 CPR/First Aid
 Applied Suicide Intervention Skills Training
(ASIST)
 HUD/CSH

• ARLTA available at Secretary of State & Community
Legal Services
http://www.azsos.gov/public_services/Publications/Resi
KNOW YOUR
dential_Landlord_Tenant_Act/.
RIGHTS &
RESPONSIBILITIES
• Law governing most private, residential, rental
agreements.
•
Provides tenants & landlords w/ rights, obligations &
remedies in rental relationships.
• If experiencing housing problems, contact a legal aid
group in your area.
• MOST common problem tenants face in relationships w/
landlords is the inability to prove the truth.
• To better protect tenant rights, keep copies of all
payments & notices exchanged between landlords.
• Require landlord to put all agreements in writing
w/dates.
• If anticipate problems, get additional evidence… such
as witnesses or photographs.
COMMUNICATION/
DOCUMENTATION
IS KEY

Landlord shall not enter into lease agreement w/
tenant for a dwelling unit w/ an active bedbug
infestation & the landlord has knowledge.
•

Must provide educational material on prevention & control,
description of appearance & risk factor for attracting bed bugs.
Tenant has the following obligations:
• Shall not knowingly move materials into a dwelling unit
that are infested w/ bed bugs.
• If known there is a presence of bed bugs,
provide written/electronic notice to the
landlord.

Landlords & Tenants of single-family
dwellings are excluded.
Community Legal Services of Arizona
• Free Legal Services
• Housing Law
• Family Law
• Health, Education, Benefits
& Employment Law
• Consumer Law
• Farm worker Law Program
602-258-3434 / 1-800-852-9075
TTY 602-254-9852
http://azlawhelp.org/legalaidlisting.cfm

Arizona Tenants’ Rights & Responsibilities Handbook
http://www.azag.gov/civil_rights/TenantRightsResponsibilities.pdf

The City of Phoenix offers Landlord/Tenant Counseling:
602-262-7210 or [email protected]
 Arizona Judicial Branch, Evictions & Small Claims
http://www.azcourts.gov/PublicServices/CivilLaw/EvictionsSmallClai
ms.aspx

Eviction or Mortgage Foreclosure Assistance
http://www.housingaz.com/ShowPage.aspx?id=29
 Maricopa County Slumlord Hotline:
602-372-7586, you can request a anti-slum packet


Maricopa County Roach Infestation:
602-506-6616
Statewide Attorney Generals Office: The
“Tenant’s Rights” handbook, which
explains laws, is available:
Attorney General’s Office 1275 West Washington
Street, Phoenix, AZ 85007 or call 602-542-5025
http://www.azag.gov/civil_rights/fairhousing/
THE FAIR HOUSING ACT…
Prohibits discrimination in housing
because
of: Protected Classes are:
RACE, COLOR, RELIGION,
NATIONAL ORIGIN, AGE, GENDER,
DISABILITY, FAMILIAL STATUS.
WHAT HOUSING IS COVERED…
Covers most housing.
The Office of Fair Housing &
Equal Opportunity
Administers federal laws & establishes
national policies to ensures all
Americans have equal access to
housing of their choice.
Fair Housing Hotline 800-669-9777
www.hud.gov/offices/fheo
WHAT HOUSING MAY BE EXEMPT…
Owner-occupied buildings w/no
more than 4 units, single-family
housing sold or rented w/o broker
& housing operated by
organizations & private clubs
which limits occupancy to
membership.

ADDITIONAL
PERSONS…
PROTECTION FOR DISABLED
› Disability includes anyone w/a
physical or mental disability, that
substantially limits one or more major
life activities;
› Have a record of such disability; or
› Regarded has having such a
disability:
 Hearing
 Mobility
 Visual Impairments
 Cancer
 Chronic Mental Illness
 AIDS or AIDS Related Complex
 Mental Retardation
 WHAT IS PROHIBITED…
Sale & rental of housing, no one may take any of the actions listed
below against protected classes:
 Refuse to rent or sell housing
 Refuse to negotiate for housing
 Make housing unavailable
 Deny a dwelling
 Set different terms, conditions or
privileges for the sale or rental of a
dwelling
 Provide different housing services
or facilities
 Falsely deny housing is available for
inspection, sale or rental
 For profit persuade/attempt to
persuade homeowners to sell/rent
dwellings by suggesting people of
specific race moved/will move into
the neighborhood… BLOCKBUSTING
 Deny any person access to,
membership or participation in any
organization, facility or service
related to sailing or renting
dwellings
› Landlords may not…
 Refuse reasonable modifications to
dwelling or common areas at tenants
expense, if necessary for disabled persons
to fully use housing.
 Landlords may permit change, if tenants
agrees to restore property to its original
condition upon vacating unit.
 Refuse to make reasonable
accommodations in rules, polices,
practices or services, if necessary for
disabled persons to use housing on an
equal basis as a non-disabled person.
Assistance in learning about the Fair Housing Act or in filing a complaint at the HUD
Regional Offices for Arizona listed below:
For Arizona, California, Hawaii, & Nevada
PACIFIC/HAWAII OFFICE
Fair Housing Enforcement Center
U.S. Department of Housing and Urban Development
Phillip Burton Federal Building and U.S. Courthouse
450 Golden Gate Avenue
San Francisco, CA 94102-3448
Telephone (415) 436-8400 or 1-800-347-3739
Fax (415) 436-8537 • TTY (415) 436-6594
http://www.youtube.com/watch?v=Y6pMwl1Xi6E&feature=related
Medical integration involves including medical and
physical health related issues into a person’s
behavioral health treatment plan. Collaboration
between medical and behavioral health providers
should occur to accomplish this.





Minimal collaboration.
Basic collaboration at a distance.
Basic collaboration on-site.
Close collaboration in a partly integrated system.
Close collaboration in a fully integrated system.



Housing as a crucial element in the
definition of health and wellness.
Enhanced workforce through peer support
development.
Increase in accessibility of services.
SAMHSA’s Eight Dimensions of Wellness
 Emotional
 Environmental
 Financial
 Intellectual
 Occupational
 Physical
 Social
 Spiritual
Peer Supports and Case Managers are
being trained to deliver health
promotion services in the home.
 Peer Supports/CM are being crosstrained to ensure they are addressing
physical health and behavioral
health issues that impact an
individual’s housing status.

Decrease in the number of silos involved
in providing services.
 Implementation of “No Wrong Door”
policies through centralized intakes and
sharing of electronic medical records.

THANK YOU
FOR COMING.