HEALTH AND HUMAN SERVICES COMMITTEE
JUNE 19, 2003 - 9:00 A.M.
SCOTT HEYMAN CONFERENCE ROOM


Present:  M. Robertson, Chair; F. Proto; P. Penniman; N. Schuler (arrived at 9:03 a.m.); M. Koplinka-
  Loehr (arrived at 9:11 a.m.)

Staff:      S. Whicher, County Administrator; M. Dolan, Social Services Commissioner;

Legislators:  D. Kiefer; B. Blanchard; T. Joseph

Guests:   Attendance sheet on file with original minutes

Called to Order

    The meeting was called to order at 9:02 a.m.

Introductions

    At this time, Committee members, staff, and agency representatives introduced themselves. 

    Mrs. Schuler arrived at this time.

Chair's Report


    Ms. Robertson welcomed everyone and said the purpose of the meeting is to get an overview on housing vulnerability.  Below is a list of some of the questions she hopes will be addressed during the presentations by staff and agency representatives:
- What is the current situation for the homeless, for those at risk of losing their housing,
    and for people housed but inadequately?
- What are the most serious unmet needs?
- What are some possible opportunities and solutions?
- What are some realistic steps to take?
- All things considered, where do you think we should put our energies?

Presentations on Housing

    Ithaca Neighborhood Housing Services (INHS)
    Mr. Mazzarella, Executive Director, spoke about housing as it relates to affordable homeownership particularly for the "working poor".  This is a group INHS mostly works with and is familiar with.  The cost of housing in Tompkins County is significantly higher than the surrounding region.  In the year 2000, the median purchase price of a home was $120,000 (40 percent higher than Tioga County, which has the next highest median purchase price of any contiguous county).  The cost of housing is even lower in other surrounding areas.  From 2000 to January 2003, the cost of buying a home increased 21 percent in Tompkins County, and it has accelerated within the last 18 months.  This is happening even though Tompkins County has seen only modest growth in population during the 1990s, growing only about 3 percent during the decade. 

    Mr. Koplinka-Loehr arrived at this time.

    Mr. Mazzarella feels there are two reasons for the increase in housing demand:  (1) the number of households continues to rise and the size of households shrinks; and (2) a strong economy compared to the rest of the region resulting in availability of jobs.  He said the gap continues to widen for would-be homeowners and as housing costs rise, people at the lower end of income are finding it less possible to find homes.  There are programs available that assist people in buying homes; however, the demand is not being met.  At INHS, in order to effectively help lower income families, more and more subsidy is needed to get them in the higher cost housing.  One area the County can help is to continue the support for the first-time homeownership program and encourage new development.

    Homeless and Housing Task Force
    Nancy Burston, Human Services Coalition, said the Coalition focuses on encouraging coordination and sharing information.  The Homeless and Housing Task Force has existed for approximately 15 years and meets six times per year.  There are 35-40 people that attend regularly and the mailing list via email consists of 210 people who are interested in receiving the minutes.  This Task Force brings together various organizations and agencies including not-for-profit agencies, United Way, County departments, etc.  The goal is to reduce duplication of service, provide more coordination, and share information. 

    Marge Dill, Executive Director of Human Services Coalition, spoke about the Continuum of Care Subcommittee and how it was formed.  The group specifically addresses the needs of the homeless.  This year, several surveys were conducted concerning youth and housing vulnerability.  She reported on statistics from the Street Count Survey which documented a point in time: the previous night, 60 people were in the shelter and 45 were unsheltered, in other words, were living on the streets.  Such reliance on emergency housing is very costly for the County; however, she feels there are solutions.  Some recommendations for the homeless include:  (1) tax subsidies or tax credits to encourage someone to come in and build; and (2) “shelter plus” care, where there are some supports in the shelter or the residence. 

    The Task Force's recommendations include giving more prominence to the Continuum of Care Subcommittee, address areas of lowest income, and look to areas of low income and plus care. 

    Mr. Proto asked about opportunities to create housing outside the City limits including service delivery. 

    Red Cross
    Chuck Nocera, Director, followed up on Ms. Dill's comments and said the 60 people sheltered means emergency shelter and transitional shelter for one day.  In terms of facility space, there only 24 units, so the balance stay in hotels. 

    Mr. Nocera referred to information compiled by Heather McDaniel of the Planning Department, concerning affordability indicators and comparisons among contiguous counties.  Tompkins County has:
- The tightest housing market with a 4.6 percent vacancy rate county-wide and 2.7 percent within the City.
- The least affordable rental housing units; it has the highest median monthly gross rent at $611.
- The lowest unemployment rate of 3.7 percent, and a dominant service-sector market that drives low wages.
- The fewest rental units with rents under $300 per month.
- The highest number of households earning less than $10,000.
- The highest proportion of renters that are cost-burdened; 49 percent of the renters county-wide and 57.4 percent within the City pay more that 30 percent of personal income for rent.
- The highest poverty rates; 39 percent of the people in the County and 55.8 percent in the City.
The reasons for homelessness cited most often by clients are:  (1) lack of affordable housing, 42 percent; (2) a breakdown in an interpersonal relationship (runaways, domestic violence, etc.), 33 percent; (3) limited income, 18 percent; (4) discharged from an institution, 15 percent; and (5) a result of mental illness, chemical or substance use, 14 percent.
Analysis of the shelter data showed that the 36 percent increase in bednights from 2001-2002 was due to an increase in the number of people becoming homeless (13 percent) while 63 percent of the increase was due to longer lengths of stay.

Mr. Nocera recommended the County adopt the National Alliance to End Homelessness 4-Step Plan within the next ten years.  The following is an outline of the 4-Step Plan:

1.  Plan for the goal of ending homelessness by supporting data-driven decisions. 
- Support the implementation of a data collection system to develop a centralized planning database.  As a member of the Continuum of Care Committee (CoC), Red Cross is in the process of re-submitting a proposal as part of the current HUD Continuum of Care Application for 2003-2004.  $30,000 is needed by the Red Cross to match this grant for hardware, software, licensing and training.  HUD is now requiring all communities receiving CoC funds implement such a system or projects will not be renewed.  Currently, the County is receiving approximately $200,000 annually from HUD to address the homeless issue.
- Invest in a planning study.
- Create a partnership with the City of Ithaca, area bankers, developers, and relevant service providers to develop a very low-income housing policy and strategy that addresses the largest segment of the population suffering from a lack of affordable housing and is the segment that has largest drain on the County budget.  His personal recommendation is a low-density countywide or scattered-site approach policy.

2.  Close the front door by preventing homelessness in two ways: 
- Breaking the cycle of reliance of using the emergency shelter as a "catch basin" for other services such as discharge planning for psychiatric units, drug and alcohol treatment, and County jail; change the criteria for eligibility requirements of the mental health system; and address the issues of the lack of a detoxification unit.
- Continue to support the Friendship Center, as it is a positive place for low-income people to find support. Because it minimizes street homeless and panhandling it also improves the general business climate of the downtown area. 

3.  Open the back door by creating more housing opportunities.  He suggested one way to do this is to require anyone receiving a County grant to prioritize placement of referral from the emergency shelter.  He would also like to see County departments and other community funders discuss integrated service delivery.  We need more housing created at all levels of the continuum:  more shelters (rather than motels), transitional units, and permanent-supported units.

4. Build an infrastructure.  The stock of very-low income housing needs to increase.  This would include but not be limited to SRO (single room occupancy) type units, boarding rooms and single apartment units for incomes of less than $10,000.  Also efforts to address livable wage are necessary.

    Youth Services
    Nancy Zahler, Director, said approximately 20 years ago the Tompkins County comprehensive planning process identified the need for emergency shelters for teenagers as the highest priority.  She reported on three programs funded through Youth Services.  One is the Hillside Bridges program that helps families with children that have run away from home or are at risk of running away.  The second program is a contract service with the American Red Cross-Youth Case Management Program which provides support, advocacy, and case management services to youth ages 16-20 who are making a transition to independent living.  The third program is the Youth Outreach program that assists 80 homeless and transient youth aged 16-21 to learn independent living skills and receive employment training aimed toward self-sufficiency. 

    Last year, there were 153 young people who considered themselves homeless.  Of the 153, 131 received help in finding housing.  Approximately 163 teens were interviewed by young people trained to do the interviews; 68 of them were living at someone else's house and 23 said they were living in two or more locations.  Also, 36 kids were coming from the jail and 65 kids spoke about their health needs. 

    Ms. Zahler said the list of needs for youth include:  (1) connecting with trusted adults; (2) affordable housing; (3) transitional housing; (4) employment skills; (5) health care; and (6) transportation.

    Better Housing for Tompkins County
    Stacey Crawford, Director, said their focus is Tompkins County outside the City of Ithaca area.  She spoke about the most pressing needs of the program.  Some of the programs offered include rental, homeownership, repair service, and first-time homeownership.  She echoed the comments made by Mr. Nocera of the Red Cross.  One area of need is with the seniors and people with disabilities who own their own homes but need assistance with home repairs.  People in the program pay for materials and the funding provides for labor costs.  Better Housing has funding to meet some of the needs but not all.  There is always a waiting list and generally it is a two-month wait before someone is able to visit the home to make the repair.  Ms. Crawford feels this program helps some people remain in their home rather than going to a nursing home.  Better Housing works very closely with other organizations in the County to help avoid duplication of services and build partnerships.  She recommended the Committee maintain the funding support and keep it as steady as possible and hopes the contribution can be increased when the economy improves as the senior population and the demand will be increasing. 

    Ms. Crawford emphasized the need for affordable rental units for seniors as renters are more vulnerable than homeowners.  This is the time to begin thinking about it and begin the steps of developing affordable rentals.  She also commented that affordable rentals are needed by families in all communities.  She recommended education of community members to the fact that there are low-income people in every community, and new affordable units would be for current residents.  Ms. Crawford encourages communities to take the lead in the effort and also consider changing some of the zoning regulations that make it harder to build affordable housing. 

    Tompkins Community Action
    Tom Garcia spoke about the rental assistance program offered by Tompkins Community Action (TCA).  Currently, TCA controls 802 housing-choice vouchers in the County and brings in approximately $4 million in rental assistance annually through this program.  There are difficulties with increasingly substandard housing, as landlords are also having economic hard times.  One concern is that repairs are not being made as often, requiring more inspections with units. 
He noted that the towns are not fully accessing the available federal dollars for home repairs. Tompkins Community Action is working with the townships to take full advantage of the federal dollars. 

Mr. Garcia spoke more about the voucher program.  TCA received a very high rating for HUD.  There are approximately 27 families looking for housing or with open vouchers.  There are currently 470 people on the waiting list seeking rental assistance.  Out of the 470, 128 families have identified homelessness problems (i.e., utilities shut off).  This year a fulltime staff person was hired for housing searches. 
In special programs, there are 25 mainstream vouchers for disabled individuals and seniors.  There are 90 family unification vouchers that deal with families with children coming back home and/or are at risk of losing their home.  A new program offered this year is the family self-sufficiency homebuyer option.  Currently there are 66 families in the program. Another area TCA will be looking at is forming alliances with the private sector (landlords).  Mr. Garcia feels the landlords need to be brought to the table to hear their issues and share our concerns and issues as well. 

At this time, he introduced Dave Mountin, Energy Services Director, to speak about his program.  Mr. Mountin said one issue affecting housing vulnerability is energy costs which continue to rise.  He is writing a grant and looking for new partners and collaborators. 

Office for the Aging
Irene Stein, Director, said Mr. Stoyell was the Coordinator of the Housing program; however as a result of the 2002 budget cuts, the program no longer exists.

David Stoyell said Office for the Aging's mission is defined in terms of helping maintain seniors in their homes for as long as possible.  Some assistance is also provided to help people find housing.  He also spoke about other services provided by the Department including home repairs, energy assistance, and weatherization.  He also spoke about the need for help around the house, transportation, home delivered meals, emergency response systems, and personal care assistance.  These are essential services for vulnerable seniors in order for them to stay in their home.  A majority of seniors live in their own homes, but many live in rent subsidized senior housing.  There are concerns that the number of housing units for seniors will not be adequate as the aging population increases.  A special concern is that many of the subsidized senior housing facilities will revert to the private market in about ten years as their mortgages are paid off. 

Assisted living for seniors, which is an alternative for those who need help with daily living but do not need nursing care, has expanded over the years.  The new assisted living programs have all been expensive and private, and unaffordable for lower income seniors. As a result low income seniors are on a faster track to nursing homes. 

There are opportunities for coordination of services to vulnerable seniors who are living in subsidized senior housing.  For the past year, a Park Foundation intern has been studying this at Titus Towers.   Funding for case management seems to be the key for this to happen.  The most pressing needs are:  (1) maintaining and expanding the services to help keep seniors independent and out of residential care centers; and (2) finding way to make assisted living affordable. He feels that part of the solution needs to be funding from the State and Federal level, but local efforts are also significant. 

Ms. Stein concluded that in terms of demographics, the wave of baby boomers is aging and the projections show the increasing percentage of 85 and older. These are the most vulnerable.  Tompkins County has done well with supportive services such as home repairs, etc. 

Finger Lakes Independence Center
Lenore Schwager, Director, spoke about the issue of accessibility to housing and feels it is a great need.  One issue she addressed was the change in the New York State Building Code that now requires new or renovated multiple permanent housing units containing more than four units be constructed with reasonable accessibility.  New single family and duplex units are not required to be accessible.  She spoke about the modular ramps program that began about 28 months ago.  This program helps people who cannot afford to put a ramp on immediately.  Many places in need of a ramp include mobile homes that are 30-36 inches above ground requiring 30-36 feet of ramping.  Over 12 units have been loaned during the duration of the program.  Due to particular physical issues at their homes, 10 people have been unable to utilize the ramps. 
She said renovating bathrooms is another need that is not being met.  She concluded by saying accessible housing is difficult for people to find especially in the City, and outside the City housing it is getting more difficult. 

Mental Health
Bart DeLuca, Commissioner, focused his remarks on housing needs of the mentally disabled.  He said these are many of the people who end up in the shelters and homeless.  There is a need for permanent independent housing to be developed for single individuals without requirements for treatment or rehab services.  He agreed with Mr. Nocera's comments.  The mental health housing system was designed to provide transitional housing for people during the period they are readjusting and returning to the community.  The mental health system for housing is a treatment or rehab system with housing.  The housing system requires that people be involved in treatment clinics, employment services, or other treatment oriented services. 

He said that in contrast, permanent housing services assume that all a resident will need is aid with rent payment.  Within the mental health system there is a voucher system similar to TCA's Section 8 voucher program.  Single SSI recipients often need less than an apartment, but SRO's (single room occupancy) no longer exist in Tompkins County.  He feels the solution is to develop public SRO level housing in the community that has no clinical requirements, provides case management services, provides optional congregate meals, and is funded to support low-income residents. This is called a CRSRO, a community residence single room occupancy facility.  According to Mr. DeLuca, the State Office of Mental Health has made a commitment that Tompkins County is “next in line” for funding for such a facility. He said SRO is not limited to mentally disabled.  There would need to be a facility of 25-50 beds to maximize economies of scale in operating an SRO.  It could be a model such as Titus Towers, but with single rooms.  The Department is working with the State Office of Mental Health to reconfigure their housing system to include community residences, apartments, vouchers, etc.  However, the big gap locally is the SRO program.

Catholic Charities
George Ferrari, Director, said Catholic Charities offers an emergency financial assistance program that provides information and products to low income people and those in economic danger through the Samaritan Center.  Direct financial assistance is provided for security deposits to help people avoid being evicted or going to a shelter.  Funds are raised through contracts with the County through the Department of Social Services, Human Services Coalition process, United Way, private money, etc.  An allotment of money is budgeted for each month; however, the money is running out before the end of the month.  In May, the allotment for the month was exhausted on May 2.  There are two areas causing this:  (1) prescription requests, and (2) security deposit requests.  The Center is only required to provide $200 per security deposit request.  It is difficult for people to find affordable housing, or have sufficient money for the security deposit.  In addition to the main Samaritan Center in the City of Ithaca, services are provided in the towns of Enfield, Dryden, Danby, and Caroline. 

Planning Department
Ed Marx, Commissioner, agreed that Tompkins County is a unique community as far as housing characteristics.  There is no County in upstate New York that is similar.  There has been a persistent lack of supply of housing for years, and it is not clear why that persists. 

Among all counties west of the Hudson Valley, Tompkins County has the highest rents, the highest percentage of renters, the highest cost of owner-occupied housing, and the lowest vacancy rates in rental and owner occupied housing.  The County also has the highest percent of in-migration for employment purposes of any county upstate.  All of these generally would suggest a lack of supply. 

Although population throughout New York State has been relatively low, other than downstate, there seems to be a growth in the number of households.  Mr. Marx feels the bigger issue is the current growth trends in Tompkins County according to the most recent census.  In the 1990's, Tompkins County grew a total of 2.6 percent.  From 2001 to 2002 Tompkins County grew over one percent, which would be more than ten percent in a decade if it continues.  Thus the pressure on housing could be even greater in the future.  Many contractors and developers left the area and New York State during the recession in the early 1990s.  Most of the contractors now want to build high end as there is not a lot of profit in medium to low income housing.  He commented that there is a community resistance to subsidized affordable housing projects.  Federal support for lower income housing has really declined over the last 20 years; all programs are under funded. 

Mr. Marx said that the County comprehensive plan is looking at housing issues.  There are two primary focuses that are being discussed:  (1) the housing need for seniors; and (2) the general issue of affordability and trying to look at the different level of incomes.  He commented that while scatter-site housing is needed throughout the county, he is concerned about access to needed services for people living in the rural areas.  He also noted that we need to integrate different kinds of housing throughout the neighborhoods of Tompkins County.

Ms. Robertson thanked the presenters for their valuable and thoughtful comments and opened the discussion up for comments and questions.

Mr. Proto summarized observations he identified in the presentations:  the needs of youth, emergency, long-term permanent housing, seniors, and mental health.  He feels one issue the Committee needs to address is the different needs of each of these areas.

As an apartment owner, Mr. Proto was grateful to hear some of the presenters address the needs of landlords such as ramping and energy needs.  He commented that over the last 15 years utility costs have quadrupled. 

Mr. Penniman commented on the challenge of the diverse problems.  Increasing the supply of housing at almost any part of the continuum can have a ripple effect. For example, encouraging moderate-cost housing development can then open doors for low-income housing;  this in turn can reduce demand for emergency housing. There is also a need to evelop mental health SROs that do not fall into other categories.

Ms. Robertson noted this community is fortunate to have the not-for-profit agencies and feels the opening of Cornell's West Campus Residential Initiative for upper class students may relieve the pressure on rental housing.

Ms. Blanchard said she is grateful for this meeting and said Commissioner Marx is correct about the Federal government’s failure to support affordable housing.  She thought it might be useful to hear from the Ithaca Housing Authority as well on this subject.  She also asked that people begin talking about affordable housing and stop using the term "low income housing".  She would like to know what kinds of jobs people have who can only afford the lowest-cost housing.

Mrs. Schuler agreed with Ms. Blanchard that the Housing Authority should be a player.

Ms. Dolan noted the Social Services Department serves 15,000 people at any one time and tries to respond to a wide spectrum of needs and challenges. Often this includes assisting low-income people in negotiating for housing.  The adult protective service staff see people who have multiple needs, which can include housing supports.  Ms. Dolan said that the county spends $900,000 on emergency housing each year.
A brief discussion followed concerning the emergency shelters and it was noted that the cost of a person staying at a shelter is $14 more expensive than a hotel room.  The reason is the shelter provides 24-hour support services.

Mr. Nocera said he is encouraged that this issue has the county's attention.  He also reminded the Committee that a study was done in the early 1990s on this subject and suggested Committee members review it. 

Mr. Proto thanked everyone for their presentations and added that it is also a community issue as well.  He spoke about the Section 8 programs of TCA and the Housing Authority and the need to continue the supply of support services.

Ms. Zahler recommended Cornell's housing policy be looked at.  The uniqueness of this community for students affects everything the County is doing and is an important element that drives what happens in future discussions.  She feels Cornell should be an active participant in these discussions.

The Committee then talked about the next steps.  Mr. Koplinka-Loehr feels the 4-Step model as presented by Mr. Nocera should be looked into.  Ms. Dill noted that a grant writing process will take place in July, with several agencies collaborating on a HUD proposal.  The Continuum of Care Subcommittee will continue to look at low-income direct services and housing needs.  Ms. Robertson said the Health and Human Services Committee will discuss developing short-term and long-term goals and what the County can do to help.

Mrs. Schuler also suggested Cornerstone (Cayuga Addition Recovery Services) be involved as well.

Approval of Minutes

    It was MOVED by Mr. Koplinka-Loehr seconded by Mrs. Schuler, and unanimously adopted by voice vote, to approve the minutes of June 4, 2003 meeting as submitted.

Department of Social Services

    Resolution
    It was MOVED by Mr. Koplinka-Loehr, seconded by Mrs. Schuler, to submit the following resolution to the Legislature for approval.  Ms. Dolan noted this is not a new program; there was a lapse in the contract.  This agreement with the two credit unions provides the opportunity to loan individuals money for a car up to $3,000 to get to or maintain a job.  The individuals pay back the money and if there is a problem this grant guarantees the loan and pays the interest.  Ms. Dolan only recalls one person who did not pay back the loan. 

    A voice vote resulted as follows on the resolution:  Ayes - 5; Noes - 0.  RESOLUTION CARRIED.

RESOLUTION NO.         -AUTHORIZATION TO ACCEPT WHEELS FOR WORK 2 GRANT  AND TO CONTRACT WITH CREDIT UNIONS TO UNDERWRITE NO-COST LOANS TO QUALIFYING CLIENTS – DEPARTMENT OF SOCIAL SERVICES

    WHEREAS, the Department of Social Services has been notified by the New York State Department of Labor’s Welfare to Work Division that it has been awarded a Wheels for Work II grant in the amount of $103,500 to cover 100% of the cost of underwriting no-interest credit union loans to qualifying clients for the purchase and/or repair of a personal vehicle to either obtain or keep a job, and
    WHEREAS, such a program would provide an effective option for addressing a crucial obstacle to self-sufficiency, and
    WHEREAS, the Department’s previous experience with this type of program during 2001 and 2002 using Wheels for Work I funds was very successful, now therefore be it
    RESOLVED, on recommendation of the Health and Human Services Committee, That the Department of Social Services is authorized to accept the grant and to contract with the Alternatives Federal Credit Union and the Cornell Fingerlakes Credit Union to issue and administer the aforementioned loans to individuals referred by the Department between July 1, 2003 and March 31, 2005,
    RESOLVED, further, That the Director of Finance is hereby authorized to make the following adjustment to the 2003 budget of the Department of Social Services:
    Appropriation:    6010.54442  Purchase of Services       $103,500
    Revenue:            6070.54610  Federal:  TANF        $103,500
SEQR ACTION:  TYPE II-20
* * * * * * * * * *

    Used Furniture Contract
    Ms. Dolan informed the Committee that the Department currently contracts with Robin's Nest for used furniture and has been notified that it is going out of business and can no longer provide the service and contractual obligation.  This contract provides a service to the Department's clients.  She said the contract needs to be renewed and would like to know how involved the Committee would like to be in the process.  Following a brief discussion, it was the consensus of the Committee to give the Department authority to go to bid and award the contract and report back periodically. 

Adjournment

    The meeting adjourned at 11:01 a.m.






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