This issue of the Community Development Investment Review highlights a number of deliberate, innovative interdisciplinary efforts that seek to concurrently and holistically address community development and environmental issues. Many of them focus on cities and their surroundings. They are diverse in the combination of issues they touch and address including air quality, climate change, water access on the environmental side, and education, health, and affordable housing on the community development side, and they are diverse in their range of approaches and partnerships.
Following the aftermath of the Great Recession, national indicators are starting to show signs of improvement in the housing market. However, such indicators mask the realities of what’s happening on the ground in low- and moderate-income (LMI) communities that were disproportionately affected by the housing crisis.
Realizing that disconnected silo-based efforts cannot effectively address these interrelated conditions on their own, innovators within the community development field have increasingly experimented with a different approach that speaks to linked community challenges. In this emerging approach, professionals from different but related community development sectors work together in a multi-sector coalition toward a common goal with an aim to holistically improve conditions for a group of people, neighborhood, or region. This approach is referred to as cross-sector community development, collective action, systems-level change, or collective impact, among other names. This issue of Community Investments explores this emerging approach and lifts up early learnings from pioneers in the field. The articles discuss how to establish and grow collective action leadership organizations and working groups and build a strong but flexible initiative framework; consider how government can be an effective partner in collective action work; and convey the critical role of data and measurement in these initiatives. We also examine some early examples of collective action initiatives in practice.
This issue of Vantage Point synthesizes the key themes that emerged in the 2013 community indicators survey based on the responses of 289 expert stakeholders from the 12th District.
This paper demonstrates that the greatest reduction in health care costs after placement in supportive housing is seen among chronically homeless adults and seniors who are frequent users of the health care system. Employing data from Mission Creek Apartments, a senior affordable housing project in San Francisco with 51 units reserved for homeless seniors, the researchers estimated savings to Medicaid and Medicare from avoiding placing these seniors in a skilled nursing facility of $9.2 million over 7 years. Their findings support the conclusion that permanent supportive housing can be a highly cost-effective placement option for homeless seniors exiting skilled nursing facilities, particularly as they approach the end of life, and points to the importance of this housing option for managed care organizations that are increasingly taking on the financial responsibility for the health care of this population.
This report provides an operational and financial overview of the community health center industry for the years 2008 – 2011. Prepared with the goal of increasing the information available to lenders and investors on community health centers nationwide, this document is the second of a series of studies supported by Citi Foundation, which will further illuminate the financial and operational trends of this group of organizations.