What is Integrated Supportive Housing?
What is Integrated Supportive Housing?
The Americans with Disabilities Act (ADA), as interpreted by the U.S. Supreme Court's Olmstead decision, requires public entities such as states to administer services, programs, and activities in the most integrated setting appropriate to the needs of individuals with disabilities. Supportive housing is an evidence-based, cost-effective approach that combines permanent affordable rental housing with voluntary, flexible and individualized services to assist the most vulnerable people with disabilities to live in the community.
HUD's Section 811 Supportive Housing for Persons with Disabilities Program is a critical supportive housing program that assists the lowest income people with significant and long-term disabilities to live independently in the community by providing affordable housing linked with voluntary services and supports. The enactment of the Frank Melville Supportive Housing Investment Act of 2010 reforms Section 811, creating the opportunity to systematically develop thousands of new permanent supportive housing units integrated within affordable housing properties every year.
Using the new Section 811 integrated model, supportive housing units are included in high quality affordable rental properties that primarily assist households without disabilities. To maximize opportunities for community integration, this new approach requires that no more than 25% of the units in any Section 811 funded property be set aside for people with disabilities.
Welcome to the Technical Assistance Collaborative (TAC) Resource Center on Supportive Housing.
The TAC Resource Center is a one stop resource to help expand integrated supportive housing approaches for people with disabilities. It specifically highlights innovative new options within the U.S. Department of Housing and Urban Development (HUD) Section 811 Supportive Housing for Persons with Disabilities program, and provides state-of-the-art information and resources targeted to states and other supportive housing stakeholders as they face new challenges and opportunities for ensuring community living for non-elderly people with disabilities.
Who We Are
TAC is a national nonprofit organization dedicated to expanding housing and services for people with disabilities and people who are homeless. TAC and the Consortium for Citizens with Disabilities Housing Task Force (CCD) recently led a successful effort to modernize the Section 811 program. The enactment of the Frank Melville Supportive Housing Investment Act of 2010 reforms and reinvigorates Section 811 - the only HUD program authorized to create permanent supportive housing for people with significant and long-term disabilities who are living unnecessarily in an institution or other restrictive setting, are homeless, or are at risk of these conditions.
Purpose of this Site
The initial purpose of TAC's Resource Center is to connect state housing agencies and state health and human service agencies to information that assists them to take advantage of the new supportive housing opportunities in the Melville Act, and to learn about successful integrated models in states that pioneered this approach. Over time, this site will track implementation of the Melville Act, and support the development and implementation of related policy and funding initiatives - including new opportunities in the Patient Protection and Affordable Care Act to finance effective Medicaid service approaches for peple with disabilities living in supportive housing.
This site also includes information for the disability community - including people with disabilities, their families and friends, legislators, advocates, and service providers. They are important partners in advocating for the creation of more integrated supportive housing opportunities and in delivering services and supports to tenants.
Finally, information on this site is important to developers and owners of affordable housing, who will be asked by state housing agencies to incorporate supportive housing units in new affordable rental housing developments.
Innovations in Supportive Housing
During recent years, TAC has worked with several states to design and implement innovative, cost-effective systems-level approaches to expand integrated supportive housing. These strategies include creating small set-asides of supportive housing units in affordable housing developments and leveraging Medicaid to help provide the services and supports people need to be successful in the community. Integrated supportive housing approaches are increasingly important as they are responsive to the community integration mandates within the 1999 U.S. Supreme Court's Olmstead decision, a landmark disability rights case which affirms the right of people with disabilities to live in the most integrated setting appropriate to their needs. Expansion of integrated supportive housing also directly relates to several new initiatives in the Affordable Care Act, such as the expanded Money Follows the Person (MFP) Initiative.
To assure compliance with Olmstead, reduce reliance on expensive institutional care, and prevent and end homelessness among people with disabilities, other states are now seeking to develop and implement similar supportive housing approaches. The Melville Act contains important provisions that foster systemic partnerships between state housing and health and human service agencies to leverage mainstream affordable housing development resources combined with Medicaid financing for services and supports for supportive housing tenants. These state-level partnerships will also ensure that the most vulnerable people with disabilities gain access to new housing options that are consistent with consumer choice and aligned with important federal community integration principles.
This site is dedicated to the memory of Bob Hohler, who, as Director of the Melville Charitable Trust, provided the vision and unwavering support that helped make these important supportive housing innovations a reality.