[Applause] balance it’s something my five-year-old
balance it’s something my five-year-old
balance it’s something my five-year-old seeks out on nearly a daily basis for
seeks out on nearly a daily basis for
seeks out on nearly a daily basis for the mirror thrill of it as adults
the mirror thrill of it as adults
the mirror thrill of it as adults balance seems to become more of a
balance seems to become more of a
balance seems to become more of a dichotomous relationship between two
dichotomous relationship between two
dichotomous relationship between two things neither of which we can really
things neither of which we can really
things neither of which we can really live without intellect versus heart
live without intellect versus heart
live without intellect versus heart right versus left religion versus
right versus left religion versus
right versus left religion versus science I’m sure looking back on your
science I’m sure looking back on your
science I’m sure looking back on your own life you can see where you’ve sought
own life you can see where you’ve sought
own life you can see where you’ve sought a balance I can too and I found that
a balance I can too and I found that
a balance I can too and I found that balancing two seemingly different issues
balancing two seemingly different issues
balancing two seemingly different issues can actually be quite beneficial rather
can actually be quite beneficial rather
can actually be quite beneficial rather than compete with one another they can
than compete with one another they can
than compete with one another they can strengthen each other and I found this
strengthen each other and I found this
strengthen each other and I found this in my work as well the last fourteen
in my work as well the last fourteen
in my work as well the last fourteen years I’ve lived in both Boise and Sun
years I’ve lived in both Boise and Sun
years I’ve lived in both Boise and Sun Valley Idaho but I’ve had the
Valley Idaho but I’ve had the
Valley Idaho but I’ve had the opportunity to work all across the state
opportunity to work all across the state
opportunity to work all across the state I’ve worked on issues like homelessness
I’ve worked on issues like homelessness
I’ve worked on issues like homelessness and recidivism and transportation and
and recidivism and transportation and
and recidivism and transportation and economic development and I’ve had
economic development and I’ve had
economic development and I’ve had opportunity work with all kinds of
opportunity work with all kinds of
opportunity work with all kinds of people liberals and conservatives
people liberals and conservatives
people liberals and conservatives ranchers and executives nonprofits and
ranchers and executives nonprofits and
ranchers and executives nonprofits and government agencies as you can imagine
government agencies as you can imagine
government agencies as you can imagine I’ve seen all kinds of conflicts under
I’ve seen all kinds of conflicts under
I’ve seen all kinds of conflicts under the surface of those conflicts however I
the surface of those conflicts however I
the surface of those conflicts however I found people who seem to have the same
found people who seem to have the same
found people who seem to have the same goals in mind a strong economy a healthy
goals in mind a strong economy a healthy
goals in mind a strong economy a healthy environment and opportunities for all
environment and opportunities for all
environment and opportunities for all it’s not the long-term goal they’re in
it’s not the long-term goal they’re in
it’s not the long-term goal they’re in conflict about rather it’s the pathways
conflict about rather it’s the pathways
conflict about rather it’s the pathways to achieving them by bringing together
to achieving them by bringing together
to achieving them by bringing together groups and helping them focus on
groups and helping them focus on
groups and helping them focus on outcomes we can balance out with what is
outcomes we can balance out with what is
outcomes we can balance out with what is otherwise a contentious and very
otherwise a contentious and very
otherwise a contentious and very ineffective situation you see balance
ineffective situation you see balance
ineffective situation you see balance isn’t about a dichotomous relationship
isn’t about a dichotomous relationship
isn’t about a dichotomous relationship it’s about a collaborative one
it’s about a collaborative one
it’s about a collaborative one it’s about not about a relationship
it’s about not about a relationship
it’s about not about a relationship where there are winners and losers but a
where there are winners and losers but a
where there are winners and losers but a relationship where knowledge and
relationship where knowledge and
relationship where knowledge and resources can combine to address a
resources can combine to address a
resources can combine to address a common goal and I think this is key to
common goal and I think this is key to
common goal and I think this is key to solving many of the issues in the world
solving many of the issues in the world
solving many of the issues in the world today let’s look at one issue I’ve been
today let’s look at one issue I’ve been
today let’s look at one issue I’ve been working on lately chronic homelessness
working on lately chronic homelessness
working on lately chronic homelessness chronically homeless individuals have
chronically homeless individuals have
chronically homeless individuals have been without housing for a year or more
been without housing for a year or more
been without housing for a year or more and they also have a disabling condition
and they also have a disabling condition
and they also have a disabling condition like heart disease or diabetes or long
like heart disease or diabetes or long
like heart disease or diabetes or long term substance misuse so the last year
term substance misuse so the last year
term substance misuse so the last year I’ve been working on addressing issues
I’ve been working on addressing issues
I’ve been working on addressing issues related to chronic homelessness and Ada
related to chronic homelessness and Ada
related to chronic homelessness and Ada County Idaho home to our state’s capital
County Idaho home to our state’s capital
County Idaho home to our state’s capital Boise I went into my work specifically
Boise I went into my work specifically
Boise I went into my work specifically looking at the financial cost that
looking at the financial cost that
looking at the financial cost that homelessness has on the community and I
homelessness has on the community and I
homelessness has on the community and I was completely blown away completely
was completely blown away completely
was completely blown away completely blown away there’s one in July met that
blown away there’s one in July met that
blown away there’s one in July met that really stuck out his name is Joe Joe’s
really stuck out his name is Joe Joe’s
really stuck out his name is Joe Joe’s in his mid-40s and for nearly his entire
in his mid-40s and for nearly his entire
in his mid-40s and for nearly his entire adult life Joe has suffered from serious
adult life Joe has suffered from serious
adult life Joe has suffered from serious substance misuse mainly the misuse of
substance misuse mainly the misuse of
substance misuse mainly the misuse of alcohol for the last few years Joe has
alcohol for the last few years Joe has
alcohol for the last few years Joe has also been homeless Joe certainly has
also been homeless Joe certainly has
also been homeless Joe certainly has issues related to his and costs related
issues related to his and costs related
issues related to his and costs related to his homelessness and substance misuse
to his homelessness and substance misuse
to his homelessness and substance misuse but what we found in our research is
but what we found in our research is
but what we found in our research is there are staggering costs to the
there are staggering costs to the
there are staggering costs to the community as well in talking with Joe he
community as well in talking with Joe he
community as well in talking with Joe he shared with me that in order to access
shared with me that in order to access
shared with me that in order to access alcohol he would steal hand sanitizer
alcohol he would steal hand sanitizer
alcohol he would steal hand sanitizer from drugstores bathrooms and
from drugstores bathrooms and
from drugstores bathrooms and porta-potties due to its highly chemical
porta-potties due to its highly chemical
porta-potties due to its highly chemical nature Joe had become violently ill when
nature Joe had become violently ill when
nature Joe had become violently ill when consuming it often requiring medical
consuming it often requiring medical
consuming it often requiring medical attention Joe let me look into a six
attention Joe let me look into a six
attention Joe let me look into a six month period of his life really dug into
month period of his life really dug into
month period of his life really dug into it to see what his interactions were
it to see what his interactions were
it to see what his interactions were with the community 11 times the
with the community 11 times the
with the community 11 times the paramedics were dispatched to assist Joe
paramedics were dispatched to assist Joe
paramedics were dispatched to assist Joe we found at least 13 occasions he went
we found at least 13 occasions he went
we found at least 13 occasions he went to a local emergency room for help
to a local emergency room for help
to a local emergency room for help because Joe steals the hand sanitizer
because Joe steals the hand sanitizer
because Joe steals the hand sanitizer tresspasses and is often publicly
tresspasses and is often publicly
tresspasses and is often publicly intoxicated he had on multiple occasions
intoxicated he had on multiple occasions
intoxicated he had on multiple occasions come into contact with the criminal
come into contact with the criminal
come into contact with the criminal justice system
justice system
justice system again in that same six months Joe was
again in that same six months Joe was
again in that same six months Joe was arrested 14 times and had 22 charges
arrested 14 times and had 22 charges
arrested 14 times and had 22 charges brought against him in addition he spent
brought against him in addition he spent
brought against him in addition he spent 95 days in the Ada County Jail the total
95 days in the Ada County Jail the total
95 days in the Ada County Jail the total community spending on Joe’s actions was
community spending on Joe’s actions was
community spending on Joe’s actions was over fifty thousand dollars and that’s
over fifty thousand dollars and that’s
over fifty thousand dollars and that’s just in six months time what if you had
just in six months time what if you had
just in six months time what if you had a hundred Joe’s in your community a
a hundred Joe’s in your community a
a hundred Joe’s in your community a hundred people experiencing chronic
hundred people experiencing chronic
hundred people experiencing chronic homelessness well that’s exactly what
homelessness well that’s exactly what
homelessness well that’s exactly what ADA County Idaho was facing my task was
ADA County Idaho was facing my task was
ADA County Idaho was facing my task was to look at the cost the community was
to look at the cost the community was
to look at the cost the community was incurring due to those hundred people
incurring due to those hundred people
incurring due to those hundred people I was shocked completely shocked to find
I was shocked completely shocked to find
I was shocked completely shocked to find out that on an annual basis ADA County
out that on an annual basis ADA County
out that on an annual basis ADA County was spending over five million dollars
was spending over five million dollars
was spending over five million dollars to address issues related to chronic
to address issues related to chronic
to address issues related to chronic homelessness in speaking with people
homelessness in speaking with people
homelessness in speaking with people across the community during my research
across the community during my research
across the community during my research I also realized that there are cost that
I also realized that there are cost that
I also realized that there are cost that I’ve had a really hard time quantifying
I’ve had a really hard time quantifying
I’ve had a really hard time quantifying for instance one of the costs to a
for instance one of the costs to a
for instance one of the costs to a private sector business proximate to a
private sector business proximate to a
private sector business proximate to a homelessness encampment or to
homelessness encampment or to
homelessness encampment or to panhandling activities what social cost
panhandling activities what social cost
panhandling activities what social cost is the community face when a homeless
is the community face when a homeless
is the community face when a homeless person dies due to exposure or other
person dies due to exposure or other
person dies due to exposure or other incidences so I was pretty confident
incidences so I was pretty confident
incidences so I was pretty confident that the annual spending on chronic
that the annual spending on chronic
that the annual spending on chronic homelessness was at least 5.3 million
homelessness was at least 5.3 million
homelessness was at least 5.3 million dollars but it’s really much greater
dollars but it’s really much greater
dollars but it’s really much greater than that we know it’s much greater than
than that we know it’s much greater than
than that we know it’s much greater than that in my work I was able to meet with
that in my work I was able to meet with
that in my work I was able to meet with people across all sectors in Ada County
people across all sectors in Ada County
people across all sectors in Ada County and I came to discover they really had
and I came to discover they really had
and I came to discover they really had one long-term outcome they desired to
one long-term outcome they desired to
one long-term outcome they desired to end homelessness but when I spoke with
end homelessness but when I spoke with
end homelessness but when I spoke with them that’s not the narrative they used
them that’s not the narrative they used
them that’s not the narrative they used they talked about outputs like days in
they talked about outputs like days in
they talked about outputs like days in the jail
the jail
the jail or nights in the emergency shelter
or nights in the emergency shelter
or nights in the emergency shelter instead of focusing on the long-term
instead of focusing on the long-term
instead of focusing on the long-term desired outcome of ending homelessness
desired outcome of ending homelessness
desired outcome of ending homelessness the community wasn’t coming together to
the community wasn’t coming together to
the community wasn’t coming together to address a common goal rather they’re
address a common goal rather they’re
address a common goal rather they’re acting in a mindset of scarcity
acting in a mindset of scarcity
acting in a mindset of scarcity regarding the limited resources
regarding the limited resources
regarding the limited resources available and they were using those
available and they were using those
available and they were using those resources to treat the symptoms of
resources to treat the symptoms of
resources to treat the symptoms of homelessness rather than the root causes
homelessness rather than the root causes
homelessness rather than the root causes behind it the result
behind it the result
behind it the result chronic homelessness was on the rise in
chronic homelessness was on the rise in
chronic homelessness was on the rise in Ada County rather than a decline this is
Ada County rather than a decline this is
Ada County rather than a decline this is just one example we can see the same
just one example we can see the same
just one example we can see the same story played out across the country on
story played out across the country on
story played out across the country on an annual basis the u.s. spends upwards
an annual basis the u.s. spends upwards
an annual basis the u.s. spends upwards of eight hundred billion dollars on
of eight hundred billion dollars on
of eight hundred billion dollars on social programs yet we haven’t seen much
social programs yet we haven’t seen much
social programs yet we haven’t seen much improvement in many social issues since
improvement in many social issues since
improvement in many social issues since the 1970s K through 12 reading and math
the 1970s K through 12 reading and math
the 1970s K through 12 reading and math achievement rates have remained stagnant
achievement rates have remained stagnant
achievement rates have remained stagnant despite a 90% increase in public
despite a 90% increase in public
despite a 90% increase in public spending per student the poverty level
spending per student the poverty level
spending per student the poverty level has remained at 15%
has remained at 15%
has remained at 15% and we spend billions of dollars a year
and we spend billions of dollars a year
and we spend billions of dollars a year on chronic disease management yet sixty
on chronic disease management yet sixty
on chronic disease management yet sixty percent of people in the u.s. or obese
percent of people in the u.s. or obese
percent of people in the u.s. or obese or overweight what is going on here what
or overweight what is going on here what
or overweight what is going on here what are we doing how can we be spending
are we doing how can we be spending
are we doing how can we be spending eight hundred billion dollars a year and
eight hundred billion dollars a year and
eight hundred billion dollars a year and not be seeing significant improvements
not be seeing significant improvements
not be seeing significant improvements we are clearly not balancing fiscal
we are clearly not balancing fiscal
we are clearly not balancing fiscal responsibility with social well-being
responsibility with social well-being
responsibility with social well-being and at this rate both are suffering
and at this rate both are suffering
and at this rate both are suffering we’ve probably all heard the old
we’ve probably all heard the old
we’ve probably all heard the old additive an ounce of prevention is worth
additive an ounce of prevention is worth
additive an ounce of prevention is worth a pound of cure well it’s time for us to
a pound of cure well it’s time for us to
a pound of cure well it’s time for us to just stop quoting this metaphor and
just stop quoting this metaphor and
just stop quoting this metaphor and actually move forward with it by
actually move forward with it by
actually move forward with it by balancing the private public and
balancing the private public and
balancing the private public and nonprofit sector interest we can
nonprofit sector interest we can
nonprofit sector interest we can fundamentally shift the delivery of
fundamentally shift the delivery of
fundamentally shift the delivery of social service programs in the US and be
social service programs in the US and be
social service programs in the US and be more effective and save resources while
more effective and save resources while
more effective and save resources while doing so there’s a new and innovative
doing so there’s a new and innovative
doing so there’s a new and innovative multi 6er initiative that does just that
multi 6er initiative that does just that
multi 6er initiative that does just that it’s called pay for success first a
it’s called pay for success first a
it’s called pay for success first a community comes together and they
community comes together and they
community comes together and they identify an issue and they also look
identify an issue and they also look
identify an issue and they also look towards a long-term outcome they desired
towards a long-term outcome they desired
towards a long-term outcome they desired let’s use the Ada County example I
let’s use the Ada County example I
let’s use the Ada County example I talked about here
talked about here
talked about here the long-term goal they wanted was to
the long-term goal they wanted was to
the long-term goal they wanted was to end homelessness and the issue was was
end homelessness and the issue was was
end homelessness and the issue was was chronic homelessness next the community
chronic homelessness next the community
chronic homelessness next the community works with the facilitator to determine
works with the facilitator to determine
works with the facilitator to determine a program that will address that issue
a program that will address that issue
a program that will address that issue in 2015 Mayor Dave theater convened a
in 2015 Mayor Dave theater convened a
in 2015 Mayor Dave theater convened a housing and homelessness roundtable
housing and homelessness roundtable
housing and homelessness roundtable group and with the help of asila Terre
group and with the help of asila Terre
group and with the help of asila Terre that group selected housing first as a
that group selected housing first as a
that group selected housing first as a program that had been proven effective
program that had been proven effective
program that had been proven effective to reduce issues related to chronic
to reduce issues related to chronic
to reduce issues related to chronic homelessness and other communities like
homelessness and other communities like
homelessness and other communities like Salt Lake County Utah
Salt Lake County Utah
Salt Lake County Utah next the community looks to if someone
next the community looks to if someone
next the community looks to if someone to do a feasibility assessment to look
to do a feasibility assessment to look
to do a feasibility assessment to look to see if the program and pay for
to see if the program and pay for
to see if the program and pay for success will work for them
success will work for them
success will work for them and this is where my research came in I
and this is where my research came in I
and this is where my research came in I need to look at the current cost the
need to look at the current cost the
need to look at the current cost the community was spending on chronic
community was spending on chronic
community was spending on chronic homelessness that 5.3 million dollars
homelessness that 5.3 million dollars
homelessness that 5.3 million dollars and compare it to the costs that the
and compare it to the costs that the
and compare it to the costs that the housing first program would have and I
housing first program would have and I
housing first program would have and I found housing first on an annual
found housing first on an annual
found housing first on an annual operating basis would cost the community
operating basis would cost the community
operating basis would cost the community about 1.6 million dollars but I also
about 1.6 million dollars but I also
about 1.6 million dollars but I also need to look at the the any savings the
need to look at the the any savings the
need to look at the the any savings the community would have due to the program
community would have due to the program
community would have due to the program if we put a hundred chronically homeless
if we put a hundred chronically homeless
if we put a hundred chronically homeless individuals into a housing first program
individuals into a housing first program
individuals into a housing first program we know they’d have less time in the
we know they’d have less time in the
we know they’d have less time in the criminal justice emergency medical and
criminal justice emergency medical and
criminal justice emergency medical and emergency shelter systems in the
emergency shelter systems in the
emergency shelter systems in the community if they implemented the
community if they implemented the
community if they implemented the program I found the community would save
program I found the community would save
program I found the community would save upwards of 2.7 million dollars a year
upwards of 2.7 million dollars a year
upwards of 2.7 million dollars a year just by implementing the program next
just by implementing the program next
just by implementing the program next the communities to fund that program and
the communities to fund that program and
the communities to fund that program and so they look for contributions and
so they look for contributions and
so they look for contributions and investments to do so in Ada County they
investments to do so in Ada County they
investments to do so in Ada County they decided to steal their housing first
decided to steal their housing first
decided to steal their housing first program to serve 40 chronically homeless
program to serve 40 chronically homeless
program to serve 40 chronically homeless individuals and at that level they were
individuals and at that level they were
individuals and at that level they were able to raise all the funding from
able to raise all the funding from
able to raise all the funding from contributions if they wanted to scale
contributions if they wanted to scale
contributions if they wanted to scale that program up to serve all chronically
that program up to serve all chronically
that program up to serve all chronically homeless individuals they would likely
homeless individuals they would likely
homeless individuals they would likely look to private and philanthropic
look to private and philanthropic
look to private and philanthropic investors to do so finally the program
investors to do so finally the program
investors to do so finally the program is implemented in 2017 experienced
is implemented in 2017 experienced
is implemented in 2017 experienced nonprofits will launch housing first in
nonprofits will launch housing first in
nonprofits will launch housing first in Ada County an evaluator will track the
Ada County an evaluator will track the
Ada County an evaluator will track the progress of the program and note the
progress of the program and note the
progress of the program and note the outcomes as well as any cost saved if
outcomes as well as any cost saved if
outcomes as well as any cost saved if the program is deemed successful the
the program is deemed successful the
the program is deemed successful the community will likely look to those
community will likely look to those
community will likely look to those investors for capital to fund the
investors for capital to fund the
investors for capital to fund the program if the scaled up program is also
program if the scaled up program is also
program if the scaled up program is also successful those investors will actually
successful those investors will actually
successful those investors will actually get paid back their interest the
get paid back their interest the
get paid back their interest the interest and their cap
interest and their cap
interest and their cap if the program is not successful the
if the program is not successful the
if the program is not successful the investors won’t be paid back 12 pay for
investors won’t be paid back 12 pay for
investors won’t be paid back 12 pay for success projects that are launched
success projects that are launched
success projects that are launched across the country in nine different
across the country in nine different
across the country in nine different states they bring a community together
states they bring a community together
states they bring a community together around a common problem and they address
around a common problem and they address
around a common problem and they address the root causes to social issues like
the root causes to social issues like
the root causes to social issues like chronic homelessness recidivism school
chronic homelessness recidivism school
chronic homelessness recidivism school readiness and teenage pregnancy pay for
readiness and teenage pregnancy pay for
readiness and teenage pregnancy pay for success mandates the balancing of
success mandates the balancing of
success mandates the balancing of multiple sectors in a way where we all
multiple sectors in a way where we all
multiple sectors in a way where we all come together to address a common goal
come together to address a common goal
come together to address a common goal this balance can shift the paradigm of
this balance can shift the paradigm of
this balance can shift the paradigm of reactive social spending in a way in
reactive social spending in a way in
reactive social spending in a way in which we can serve our communities much
which we can serve our communities much
which we can serve our communities much better in the long run and be more
better in the long run and be more
better in the long run and be more proactive and effective while doing so
proactive and effective while doing so
proactive and effective while doing so by focusing on a common goal we too can
by focusing on a common goal we too can
by focusing on a common goal we too can balance we can balance fiscal
balance we can balance fiscal
balance we can balance fiscal responsibility with social well-being
responsibility with social well-being
responsibility with social well-being increase our children’s literacy reduce
increase our children’s literacy reduce
increase our children’s literacy reduce our nation’s obesity decrease the number
our nation’s obesity decrease the number
our nation’s obesity decrease the number of people in the criminal criminal
of people in the criminal criminal
of people in the criminal criminal justice system and yes and homelessness
justice system and yes and homelessness
justice system and yes and homelessness now these are outcomes we can all get
now these are outcomes we can all get
now these are outcomes we can all get behind thank you
”
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