Street outreach meeting 2/14/24
With tonight being Valentine’s Day and a new time we had a small turnout. We did an exercise to capture the cost of housing folks through the different models listed below.
Interim tiny home housing
Prison
State hospital
Interim tiny home housing (2023)
High Cost of Shelter: San Francisco proposes a plan to end unsheltered homelessness, estimating a price tag of $1.45 billion, causing controversy due to its hefty cost.
Cost Breakdown: The high cost of shelter primarily stems from staffing, including security, case management, and provision of meals and laundry services. The estimated per-cabin cost of the 70-unit site is** $78,879 per year**.
Prison (2021)
How much does it cost to incarcerate an inmate?
Security: $44,918
Medical care: $23,290
Psychiatric services: $5,341
Pharmaceuticals: $3,156
Dental care: $1,666
Facility Operations and Records: $9,510
Facility operations (maintenance, utilities, etc.): $6,015
Classification services: $2,363
Maintenance of inmate records: $911
Reception, testing, assignment: $193
Transportation: $27
Administration: $9,508
Inmate Health Care: $33,453
Inmate Support: $4,723
Food: $2,456
Inmate employment and canteen: $1,259
Clothing: $382
Religious activities: $158
Inmate activities: $469
Rehabilitation Programs: $3,652
Academic education: $1,689
Cognitive behavioral therapy: $1,422
Vocational training: $541
Miscellaneous: $367
**Total: $106,131/annually
**About three-quarters of these costs are for security and inmate health care.
Since 2010-11, the average annual cost has increased by about $57,000 or about 117 percent. This includes an increase of $20,800 for security and $19,000 for inmate health care. Significant drivers of this increase in costs were employee compensation and activation of a new health care facility. Additionally, the coronavirus 2019 (COVID-19) pandemic also contributed to higher costs in 2021-22.
Source: https://www.lao.ca.gov/PolicyAreas/CJ/6_cj_inmatecost
State Hospital (2017-2018)
Overview of Department of State Hospitals (DSH) Services:
DSH provides mental health services, both inpatient and outpatient, at five state hospitals and three inpatient psychiatric programs located within California Department of Corrections and Rehabilitation (CDCR) prisons.
The patient population served by DSH includes approximately 7,400 individuals in its facilities and another 700 in the community, with over 90 percent of them being forensic patients.
Proposed Budget for DSH Operations:
The Governor's budget proposes total expenditures of $1.6 billion for DSH operations in 2017-18.
This reflects a decrease of $278 million from the previous year, primarily due to the proposed shift of responsibility for inpatient psychiatric programs from DSH to CDCR.
The objective of this shift is to reduce wait times for inpatient care and generate state savings.
Uncertainty Surrounding Proposed Shift:
While the proposed shift aims to achieve certain objectives, there is uncertainty about its effectiveness and potential cost implications.
Admission, Evaluation, and Stabilization (AES) Center Proposal:
The proposed AES Center in Kern County Jail aims to offer restoration services for Incompetent to Stand Trial (IST) patients, akin to Jail-Based Competency Treatment (JBCT) programs.
This proposal grants broader authority to DSH for admitting patients.
Enhanced Treatment Program (ETP) Units Pilot:
The ETP Units pilot seeks to provide more secure housing for violent patients.
However, permanent funding and positions for this program are considered premature pending evaluation of its effectiveness.
DSH-Napa Earthquake Repairs Project:
This project, primarily funded by FEMA, focuses on repairing earthquake damage at DSH-Napa.
It is divided into three phases, but complete cost estimates and project schedules for all phases are not yet available, necessitating a withholding of action until further information is provided.
Annual Cost for Housing Someone in State Hospital:
The cost of operating a low-custody ICF bed in a state hospital is estimated to be about $218,000 annually.
Source: https://lao.ca.gov/Publications/Report/3578
Name
Street outreach meeting 2/14/24
Description
The meeting included an exercise where we broke down the cost to house an individual in a interim tiny home, state hospital, or in prison
Types
Cover
Topics
Venues