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In October 2016, a task force of medical respite care experts produced the first set of standards for medical respite programs. The task force was charged by the Respite Care Providers’ Network Steering Committee with developing standards that (1) align with other health industry standards related to patient care, (2) reflect the needs of the patients being served in the medical respite care setting, (3) promote quality care and improved health, and (4) are achievable for a range of medical respite care programs with varying degrees of resources.  To remain responsive to changes in medical…

In 2011, NARR made history by establishing a national standard for recovery residences. This standard defines the spectrum of recovery oriented housing and services and distinguishes four different types, which are known as “levels” or “levels of support.” The standard was developed through a strength-based and collaborative approach that solicited input from all major regional and national recovery housing organizations. Guidance for the standard was also received from recovery residence providers (some with decades of experience) from across the nation representing all four levels of…

NFPA's Life Safety Code is the most widely used source for strategies for occupant safety throughout the life of a building. Vital for architects, engineers, building owners and building managers, hospital administrators, and AHJs, NFPA 101 covers it all: Egress, sprinklers, alarms, emergency lighting, smoke barriers, special hazard protection, and much more.  For the 2018 edition, the scope of NFPA 101 is expanded to include hazardous materials emergencies, injuries from falls, and emergency communications.  The Code provides a flexible approach that adapts to nontraditional use of…

Homekey is a $846 million state-level program that supported the acquisition and occupancy  of hotels, motels, and other properties to house people experiencing homelessness throughout  California during the COVID-19 pandemic. The long-term intention is that the majority of the properties will become permanent housing. In a six-month period from July through December 2020, Homekey provided the resources to acquire and create more than 6,000 housing units in 94 separate properties, 5,000 of which are destined to become permanent housing units.

The JENI (Justice Equity Need Index) is a geographic, quantitative tool that estimates where in Los Angeles County are the communities that bear the disproportionate burden of our outdated, broken criminal justice system. Working toward a vision of justice equity, the JENI identifies the areas in greatest need of public investments in community healing, health, and prevention to help reverse historical injustices. Informed by criminal justice literature and direct input from community-serving organizations the JENI compiles and measures community need through a set of nine indicators that…

The JENI offers a means to map out the disparate burden that criminalization and a detention-first justice model places on specific communities. As race underlies many of the criminal justice system’s inequities, it is a crucial component in the JENI. This spatial impact information, in turn, identifies where prevention, diversion, and reentry supportive services—and, vitally, the funding to make it all possible—should be directed to make the most significant, most equitable impact.

This template summarizes the one-time expenses and financing plan for a capital project.  The Uses include project costs – acquisition, renovation and soft costs (permit fees, professional services, reports, etc).  The Sources include the financing sources that will pay for the Uses – grants, organizational equity, debt, etc.  The total Sources should equal the total Uses for a given project.

Opportunity Zones are census tracts that are economically-distressed communities where new investments may, under certain conditions, be eligible for preferential federal tax treatment or preferential consideration for federal grants and programs. With 879 Opportunity Zone census tracts across 57 counties, California hosts a diverse array of opportunities to align private and public investment for community-level impact in areas of economic need.

ADULT RESIDENTIAL FACILITIES

Pursuant to the Distributor Settlement Agreement, dated as of July 21, 2021, and any revision  thereto (the “Distributor Settlement Agreement”), including Section V and Exhibit O, the State  of California proposes this agreement (the “CA Distributor Allocation Agreement”) to govern  the allocation, distribution, and use of Settlement Fund payments made to California pursuant to  Sections IV and V of the Distributor Settlement Agreement.1 For the avoidance of doubt, this  agreement does not apply to payments made pursuant to Sections IX or X of the Distributor  Settlement Agreement.

This website was created by Live & Learn, Inc. to provide the public access to resources about peer respites in the United States. The resources available on PeerRespite.net include the criteria and definition of a Peer Respite, the Peer Respite Directory (updated in 2018), the Guidebook for Peer Support Program Self-Evaluation, and reports from the Peer Respite Essential Features Surveys conducted in 2010, 2012, 2014, 2016, and 2018, which document nationwide trends in organizational characteristics and policies. PeerRespite.net also hosts a repository of research on peer respites.

One of the challenges in building new affordable homes is acquiring land suitable for housing. In 2019, Governor Newsom took several actions to make state and local public lands available for affordable housing development including: An executive order to make excess state land available for affordable housing (Executive Order N-06-19) Connecting affordable housing developers to local surplus land and strengthening enforcement of the Surplus Lands Act (AB 1486, Ting, 2019) Requiring cities and counties to inventory and report surplus and excess local public lands to include in a statewide…

Throughout a supportive housing development project, most organizations will need to add various  experts to the team of in-house professionals responsible for the project. Each development effort  may involve all or many of the following development team members:

Prior to the issuance of a license, a pre-licensing facility evaluation is required. This checklist is provided for your convenience so that you may determine what areas will require correction. This list is designed to cover the areas reviewed by your analyst at the time of their visit.

Presumptive Eligibility (PE) programs provide qualified individuals immediate temporary Medi-Cal coverage based on the individual's self-attested preliminary information. Qualified PE providers approved by the Department of Health Care Services (DHCS) make presumptive eligibility determinations.

Peer respites are essentially run by people with lived experience for individuals in psychiatric distress.  New York was the first to implement peer respites – Rose House

All workers employed on public works projects must be paid the prevailing wage determined by the Director of the Department of Industrial Relations, according to the type of work and location of the project. The prevailing wage rates are usually based on rates specified in collective bargaining agreements.

This article shall outline the initial planning that a developer should consider to achieve maximum chance for success.

Substance Use in California: Prevalence and Treatment uses the most recent data available to provide an overview of substance use and addiction in California. Topics include prevalence of substance use, emergency department visits, deaths, and treatment.

Key findings include:

The death rate from fentanyl increased 10-fold from 2015 to 2019. The rate of prescription opioid deaths fell 30% from 2011 to 2019.
The number of amphetamine-related emergency department visits increased nearly 50% between 2018 and 2020. The number of non-heroin-related opioid ED visits more than…

The Terner Center for Housing Innovation has launched an in-depth research series that examines the array of costs associated with building housing—from construction costs to the costs of impact and service fees, regulation, and affordable housing requirements—and how they have changed over time. By analyzing these cost components—individually and as they accrue collectively throughout the development process—this series will provide a better understanding of how these elements affect housing development, and will identify public and private sector responses to reduce costs and bridge…

The primary mission of the Sober Living Network is to promote the establishment, successful management and growth of high quality sober living homes and other community-based recovery services. We envision the day when every recovering addict and alcoholic in need can avail themselves of these services.  Demand for quality sober housing far exceeds supply, for housing that is accessible to those of limited means, or underserved (and difficult-to-serve) populations.

The Sober Living Network is a 501(c)(3) nonprofit public benefit organization. We do not own, manage or have a…

This brief assesses 833 Bryant’s development process to date, with a specific focus on: (i) understanding how timelines and costs for 833 Bryant compare to San Francisco norms, (ii) how the project achieved projected time and cost savings, and (iii) what lessons can be taken from this project for both the public and private sectors. To inform this analysis, we interviewed the relevant stakeholders involved with the project, and we analyzed the financials of 833 Bryant, a number of comparison projects, and data on affordable housing development costs in the area more generally

The ALWP is designed to assist Medi-Cal beneficiaries to remain in their community as an alternative to residing in a licensed health care facility. The program provides specified benefits to eligible seniors and persons with disabilities. Medi-Cal reimburses for the services provided to residents enrolled in the ALW, however, the resident is responsible to pay for their own room and board.

The Costs of Affordable  Housing Production:  Insights from California’s  9% Low-Income Housing  Tax Credit Program

Strategies to Lower Cost and  Speed Housing Production: A Case Study of San Francisco’s 833 Bryant Street Project