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Dimensions of Quality Supportive Housing Self-Assessment

About the Quality Supportive Housing Self-Assessment Tool We are excited that your agency is pursuing quality supportive housing! This self-assessment was created for providers of supportive housing (both scattered-site and site-based projects) to evaluate their performance, partnerships and agency practices according to the industry standards of Quality Supportive Housing. This assessment is available both online and in paper format.

Within one week of submitting the self-assessment to certification@csh.org your agency will receive an emailed summary of your score in each of the Dimensions of Quality Supportive Housing and a corresponding resource list of training and technical assistance to support your agency in areas where your scores indicated room for improvement.

If you operate only scattered-site, please use the scoring tool on page 36. If you have questions when completing the self-assessment, please email certification@csh.org.

Demographic Questions Name of Organization: Click here to enter text.

Primary Contact Name (Name of primary person completing self-assessment): Click here to enter text.

Primary Contact Email address: Click here to enter text.

Agency mailing address:

Directions for Completing the Self-Assessment In this assessment you will rate your project or agency to the best of your knowledge for each of the following indicators within the Dimensions of Quality Supportive Housing. This self-assessment contains 128 questions and should take about 90 minutes to complete. Based on your scores, this self-assessment will help CSH to create a tailored technical assistance resource guide and TA needs report.

Some of the assessment questions are specific to site-based supportive housing buildings (site-based projects), these questions are not always applicable to agencies that lease apartments using a scattered-site model. Site-based project questions will be noted as “SB” while scattered-site questions will be noted as “SS”. These questions can be skipped if they do not apply to your agency. If you are only operating in a scattered-site context, please use the Scattered Site Scoring Tool on page 36.

After completing the self-assessment, email a scanned copy of your assessment to certification@csh.org. Within one week of submitting your self-assessment your agency will receive an emailed summary of your score in each of the Dimension of Quality Supportive Housing and a corresponding resource list of available training and technical assistance to support your agency in areas where your scores indicated room for improvement.

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Example of how to find your agency score Each question is located under the farthest left column entitled Score # (see the orange circle below for this example). After reading the question, read through the answer options in the columns directly to the right (circled in purple below). When you have identified the answer that best fits your agency, look at the corresponding score above the answer options (circled in red). Write down this score in the scoresheet at the back of this packet (page 33 for site-based or 36 for scattered site).

QUESTION ANSWER OPTIONS

SCORE

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Quality Supportive Housing Self-Assessment

Dimension 1: Tenant-Centered Indicator 1: Tenant-Driven Planning

Tenants are part of the team creating the supportive housing project, providing meaningful and ongoing input during the project’s planning phase.

Score 1a = 4 2.5 1 There are multiple, documented instances1 of how tenant feedback has been incorporated into the supportive housing (planning, design, service structure, agency policies).

There are more than 3 documented instances of how tenant feedback has been incorporated into the supportive housing.

There is at least one documented instance of how tenant feedback has been incorporated into the supportive housing.

There are no documented instances of tenant feedback being incorporated into the supportive housing.

Score 1b (SB)= 4 2.5 1 If this is a site-based project in development, at least one individual who represents the target tenant population meets regularly with the supportive housing project planning team. SB *Skip question if not applicable.

Tenant representatives meet with the supportive housing project team at least monthly.

Tenant representatives meet with the supportive housing project team at least quarterly.

Tenant representatives do not meet with the supportive housing project team.

Score 1c = 4 1 If this is a site-based project in development, there is at least one focus group comprised of members of the targeted tenancy involved in planning the project. SB *Skip question if not applicable.

Yes No

1 Types of documented instances can be found in the Supporting Documentation Source Guide. For Score 1c examples might include meeting minutes, planning documents, agency policies, tenant surveys or focus group meeting notes.

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Indicator 2: Commitment to Supportive Housing Goals

The lead organization has clearly established and committed to goals for the supportive housing. Additional partners, such as landlords, housing and property managers, and service providers, are selected for their ability to help achieve tenant and overall supportive housing goals.

Score 2a = 4 1 Leadership and key staff members at the lead organization articulate the goals of the supportive housing and targeted tenant outcomes.

Yes No

Score 2b = 4 1 These goals and target tenant outcomes have been shared with all supportive housing partner organizations.

Yes No

Score 2c = 4 2.5 1 These goals and target tenant outcomes are used as criteria when selecting additional partners such as landlords.

All of the time Some of the time Not currently used as criteria for selecting additional partners such as landlords.

Indicator 3: Privacy & Living Space

Housing unit and building features meet needs that tenants identify, including privacy, household activities and community interaction.

Score 3ai = 4 2.5 1 Sharing of bedrooms by non-related, single, adult tenants is not required. (Extent to which tenants control the composition of their household).

Tenants choose the members of their household or can choose to live alone and have a private bedroom.

Tenants must accept a predetermined household not of their choosing but have a private bedroom.

Tenants must accept a predetermined household not of their choosing and must share a bedroom.

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Score 3b = 4 1 The housing unit provides adequate2 living space for essential daily activities, such as cooking, eating, sleeping and studying.

Yes No

Score 3c = 4 1 Based on the household composition, there are an adequate2 number of bedrooms.

Yes No

Score 3d = 4 1 Each unit has a private bathroom and kitchen.

Yes No

Score 3e (SB)= 4 1 The building includes common space, such as community rooms that can accommodate a variety of activities and where tenants can choose to interact with one another. SB

Yes No

Score 3e (SS)= 4 1 In the scattered site model, common space is provided off-site for tenant use for tenant meetings, groups, and social activities. SS

Yes No

Indicator 4: Tenant Education

Staff provides tenants with information on being good neighbors, their rights and responsibilities as lease holders, building positive relationships with property management/ landlords and other topics of interest to tenants.

Score 4a = 4 1 Shortly after move-in, staff provides tenants with an orientation to help maximize their

Yes, within 14 days of move in staff provide tenants with orientation to the housing unit, neighborhood, and rights and responsibilities as leaseholders.

No

2 As determined by HUD Housing Quality Standards https://www.hud.gov/sites/documents/DOC_11754.PDF

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experience with the housing and as tenants. This orientation introduces them to the housing unit, neighborhood, and their rights and responsibilities as leaseholders. Score 4b = 4 2.5 1 Staff provides tenants with written materials to support the content covered in the orientation. Written materials use plain languageii, and staff assists tenants in understanding their content, when necessary.

Yes to all components: providing written materials, using plain language, and assisting tenants in understanding.

Staff provides tenants with written materials to support the content covered in the orientation. Materials may not be in plain language.

We do not currently provide written materials to support orientation content.

Indicator 5: Tenant Feedback for Property and Housing Management

Property management staff actively solicits tenant feedback in order to ensure the living environment helps tenants to achieve their goals.

Score 5a = 4 2.5 1 Staff actively solicits tenant feedback on their housing units/building. Tenants can provide feedback in multiple ways (e.g. written, oral, online).

Staff actively asks for tenant feedback on their housing units and tenants can give feedback in multiple ways

Staff actively asks for tenant feedback on their housing units and building. Tenants can give feedback in one of the following ways (written, oral, online).

Staff do not actively seek out tenant feedback on their housing units or building.

Score 5b = 4 3 2 1 There is a tenant council or another tenant-led group that meets regularly with the supportive housing project partners. SB

A tenant council or other tenant-led group meets at least quarterly with the supportive housing project partners.

A tenant council or other tenant-led group has met more

A tenant council or other tenant-led group has met with the supportive housing

No, a tenant council or other tenant-led group has not met with the project partners in the past year.

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than once with the supportive housing project partners.

project partners at least once in the past year.

Score 5c = 4 3 2 1 A significant percentage of tenants report being satisfied with their housing.

At least 75% of tenants report being satisfied with their housing.

At least 60% of tenants report being satisfied with their housing.

Less than 60% of tenants report being satisfied with their housing.

We do not currently assess for tenant satisfaction.

Indicator 6: Tenant Communication in Property and Housing Management

Staff provides tenants with clear information on making property management requests (maintenance, janitorial, rent, or other property management requests) and addressing emergencies.

Score 6a = 4 3 2 1 Staff clearly communicates to tenants the process to make property management requests and the timeline for receiving a response.

Policies, procedures and regular staff training exist to ensure this happens consistently

This is the process followed but is not included in policy or formal staff training

This occurs some of the time.

Rarely or never.

Score 6b = 4 1 A plan for 24-hour crisis coverage exists to address urgent housing issues.

Yes No

Score 6c = 4 1 There is a clearly communicated plan for tenants to reach staff quickly.

Yes No

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Indicator 7: Services Design

Services are voluntary, customized and comprehensive, reflecting the needs of all members of the household. All members of tenant households have easy, facilitated access to a flexible and comprehensive array of supportive services. Tenants are actively involved in choosing the services they would like to receive. The specific services and their intensity can vary over time, based on changing tenant needs.

Score 7a = 4 1 There is a comprehensive, written services plan adopted by the supportive housing service provider. It describes the available services that can be included in individualized service plans, identifying whether they are provided directly or through referral linkages, by whom, and in what location and during what days and hours.

Yes No

Score 7b = 4 3 2 1 All tenants are provided with a menu of supportive housing and community services that includes, at minimum, how to access tenancy support services, medical services, mental health services, substance abuse treatment services, peer support, parenting skills, education, vocational and employment services, money management services, life skills training and advocacy.

Yes, and this menu of available services and coordination with other community services is presented and reviewed with tenants by service staff multiple times each year.

Yes, and this menu of available services and coordination with other community services is presented and reviewed, at minimum, during move-in.

A menu of available services is presented and reviewed, at minimum, during move-in but does not include how to access all community services.

No, there is no menu of services provided to tenants.

Score 7c-d align with SAMHSA Permanent Supportive Housing Fidelity Scale

Service staff actively involves tenants in the design, development and implementation of their individualized service plans. Staff works with tenants to develop goals that are realistic, achievable, measurable, and tailored to the tenants’ preferences.– CSH Dimensions of Quality Supportive Housing, p. 17

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Score 7ciii = 4 1 Extent to which tenants choose the type of services they want at program entry.

Tenants are the primary authors of their service plans

Tenants are not the primary authors of their service plans.

Score 7div = 4 3 2 1 Extent to which tenants are able to choose the services they receive

Tenants may choose from an array of services, including the option of no services.

Tenants may choose from an array of services, but choosing no services is not an option.

Tenants must participate in services that staff identify.

Tenants must participate in a standard service package.

Score 7e = 4 1 The service design and staffing plan includes the opportunity for tenants to receive services and support from peers.

Yes

No

Scores 7f aligns with SAMHSA PSH Fidelity Scale

Service needs assessments and individualized service plans are updated regularly to reflect tenants’ changing service needs and goals. – CSH Dimensions of Quality Supportive Housing, p. 17

Score 7fv = 4 3 2 1 Extent to which services can be changed to meet tenants’ changing needs and preferences.

Service mix is highly flexible and can adapt type, location, intensity, and frequency based on tenants’ changing needs and preferences.

Service mix is predictable but significant variations can occur at tenant request.

Service mix can be adapted in minor ways.

Service mix cannot be

adapted to meet tenants’

changing needs and

preferences.

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Dimension 2: Accessible Indicator 8: Affordability

Housing units are affordable to tenants on an ongoing basis.

Score 8avi = 4 3 2 1 Extent to which tenants pay a reasonable amount of their income for housing

Tenants pay 30% or less of their income for housing costs

Tenants pay 31-40% of their income for housing costs.

Tenants pay 41-50% of their income for housing costs.

Tenants pay more than 50% of their income for housing costs.

Indicator 9: Location Housing units are located within neighborhoods that meet the needs of tenants, including safety and security, and are located near opportunities for employment, schools, services, shopping, recreation and socialization.

Score 9a = 4 1 Housing units are located near a wide array of amenities. In locations where this is not feasible, a plan exists to assist tenants in accessing needed resources.

Yes No

Score 9b = 4 3 2 1 Tenants report satisfaction with the location of their housing unit.

At least 75% of tenants report being satisfied with the location of their housing.

60-74% of tenants report being satisfied with the location of their housing.

Less than 60% of tenants report being satisfied with the location of their housing.

We do not formally assess for tenant satisfaction regarding housing location.

Score 9c = Tenants report that they feel safe in their home.

At least 75% of tenants report feeling safe in their home.

60-74% of tenants report feeling safe in their home.

Less than 60% of tenants report feeling safe in their home.

We do not formally assess tenants’ feelings of safety in their home.

Indicator 10: Transportation

The location of the housing unit provides easy access to public transit with reasonable frequency, or alternate transportation options are provided.

Score 10a = 4 3 2 1 The housing is located near public transportation or transportation services are provided.

The housing is located near public transportation or transportation services are provided, including night

The housing is located near public transit or daytime transportation services are provided, with limited availability in

No public transportation is available, yet transportation services are provided when requested during office hours.

No public transportation or transportation service is available.

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and weekend availability.

evenings and weekends.

Indicator 11: Physical Accessibility

The housing unit, building and any associated common areas accommodate persons with special needs.

Score 11a = 4 1 There is a system to ensure that any needed accommodations are requested and completed prior to tenant move-in.

Yes No

Score 11b = 4 1 Tenants can fully access any common rooms and public spaces, including lobbies, sitting areas, meeting rooms, mailrooms, laundry rooms and trash collection areas.

Yes No

Score 11c = 4 1 The housing meets or exceeds the minimum number of accessible units as indicated by applicable federal, state and local laws. There are additional units that are adaptable or incorporate universal design standards.3 SB

Yes No

Indicator 12: Housing First

The supportive housing entrance process supports moving persons quickly into housing from settings such as the streets or shelters, without preconditions of treatment acceptance or compliance.

Score 12a = 4 2.5 1 The application process is short, and tenants are housed quickly in a unit of their choosing.

The application process is short, and over 85% of tenants are housed in a unit

The application process is short, and 50-84% of tenants are housed in a unit

The application process is not short and/or fewer than half of all tenants are housed in a unit of their choosing within 45 days.

3 Items may be most relevant for supportive housing projects that include the development of new units of housing (whether new construction or rehabilitation), rather than those leasing existing units in the community.

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of their choosing within 45 days.

of their choosing within 45 days.

Score 12bvii = 4 3 2 1 The eligibility criteria for the supportive housing meet the minimum that the funder(s) or landlord require (without additional criteria imposed).

No additional eligibility criteria are imposed (other than provisions in a standard lease).

Tenants have access to housing with minimal readiness requirements, such as engagement with case management.

Tenant access to housing is determined by successfully completing a period of time in a program (e.g., transitional housing).

To qualify for housing, tenants must meet requirements such as sobriety, medication compliance, or willingness to comply with program rules.

Score 12c = 4 1 Sobriety is not an entrance requirement.

Sobriety is not an entrance requirement Sobriety is required.

Score 12d = 4 1 Medication compliance is not an entrance requirement.

Medication compliance is not required for entrance into the program.

Medication compliance is required.

Score 12e = 4 1 Agreement to participate in services is not an entrance requirement.

We do not require tenants to agree to participate in services in order to move in to housing or remain housed.

Service participation is required for entrance into housing.

Score 12f = 4 1 There is no minimum income requirement.

No minimum income is required. A minimum income is required.

Indicator 13: Landlord Relations

Staff has formed relationships with landlords and assists tenants in advocating for their entry into housing.

Score 13a = 4 2.5 1 Housing management staff has relationships with landlords who are willing to consider tenants who have poor credit, criminal backgrounds or prior evictions.4 SS

All staff assisting tenants with locating housing and moving in have relationships with landlords willing to consider tenants with poor credit,

Some staff assisting tenants with locating housing and moving in have relationships with landlords willing to consider tenants with poor credit, criminal backgrounds or prior evictions. There is no formal training for staff on forming these relationships.

No, these relationships have not yet been cultivated.

4 Items may be most relevant for supportive housing projects that lease existing units in the community rather than those that include the development of new units of housing.

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criminal backgrounds or prior evictions. We offer formal training for staff on forming these relationships.

Score 13b = 4 1 With tenant permission, advocates with landlords on behalf on tenant explaining potential background issues. SS

Yes

No

Indicator 14: Application Process

The application process for the supportive housing project is streamlined, clearly stated and separate from any assessment for services.

Score 14a = 4 1 The housing application and screening processes are fully accessible to persons with disabilities. In addition, appropriate, reasonable accommodations and necessary supports are provided, as needed, during the application and screening processes.

Yes No

Score 14b = 4 1 The housing application is separate from the service needs assessment and does not request detailed clinical information.

Yes No

Score 14c = 4 3 2 1 There is a timely and clearly stated process for the approval or denial of housing applications and appeals. There is an

There is a timely and clearly stated process for the approval or denial of housing applications and

There is a timely and clearly stated process for the approval or denial of housing applications and

There is a process for the approval and denial of housing applications and appeals. It is not

No processes for approvals and denials are in place. No systematic communication,

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established system for staff to communicate with tenants during this process and to track and retain documentation.

appeals and an established system for staff to communicate with tenants, and track and retain documentation.

appeals. Staff regularly communicate with tenants during this process, but it is not an established system for tracking and retaining documentation.

always timely. Staff may communicate with tenants regarding the process, but it is not systematically tracked or retained in documentation.

tracking or documentation processes are in place for staff working with tenants during this process and/or there is no appeals process.

Score 14d = 4 1 The supportive housing application and intake processes include only questions needed to determine tenant eligibility.

Yes No

Indicator 15: Cultural Competency

Every aspect of the application process is designed to ensure that prospective tenants with diverse cultures and backgrounds understand the information being requested.

Score 15a = 4 2.5 1 All application materials for tenants are written in plain language, and staff assists tenants in understanding the content of written materials, when necessary.

All application materials for tenants are written in plain language, and staff are trained to assist tenants in understanding the content of written materials.

Application materials are not in plain language. Staff are trained to assist tenants in understanding the content of written materials, when necessary.

Application materials are not in plain language and staff are not trained to assist tenant in understanding the content.

Score 15b = 4 2.5 1 Any intake/application forms can be completed orally, and written materials are available in multiple languages.

Any intake/application forms can be completed orally, and written materials are available in multiple languages.

Any intake/application forms can be completed orally. Written materials are only available in English.

Intakes and application forms cannot be completed orally. Written materials are available in English only.

Score 15c = 4 1 Multilingual staff, translated materials, and/or interpretation

Yes No

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and translation services are available to tenants, as needed. Indicator 16: Housing Outreach

The service provider ensures that there are assertive outreach and in-reach efforts to facilitate the ability of persons living on the streets, in shelter or in institutions to access the supportive housing.

Score 16a = 4 1 The service provider uses, or partners with an organization or system like Coordinated Entry/Access that uses, assertive outreach and in-reach methods to engage people living on the streets, in emergency shelters, in jails or prisons, or in institutions such as nursing homes.

Yes No

Indicator 17: Availability of Services

Services staff ensures that tenants are aware of available services, can modify their services, and that service hours and locations are convenient.

Score 17a = 4 1 Service staff meets with new tenants prior to move-in to review available supportive services options.

Yes No

Score 17bviii = 4 1 Extent to which tenants have the opportunity to modify service selection.

Tenants initiate and are offered routine opportunities to modify their service selections.

Tenants do not have the opportunity to modify their service selection.

Score 17c = 4 1 Tenants can choose to receive services in their home or can access services in a convenient community location.

Yes No

Score 17dix = 4 2.5 1 Service staff and programs are available during hours that ensure maximum access and utilization by

Services are available on flexible schedules, outside of regular business hours, with on call crisis services available 24 hours a day, 7 days a week.

Services are available 8 a.m. to 5 p.m. Monday-Friday, with some weekend

Services are available from 9 a.m. to 5 p.m. Monday through Friday.

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tenants, including tenants who may be working or are engaged in other activities during regular business hours.

availability (4-12 hours scheduled on weekends).

Score 17e = 4 1 Crisis services are available to tenants 24 hours a day, 7 days a week.

Yes No

Score 17f = 4 1 All programs and spaces used for the delivery of services are fully accessible to persons living with disabilities, and appropriate reasonable accommodations are provided to tenants with disabilities to facilitate their participation.

Yes No

Indicator 18: Coordinated Access/Entry

The supportive housing partners participate in or lead community efforts to coordinate access to housing.

Score 18a = 4 1 The supportive housing partners participate in a designated community process to coordinate access to housing, including the use of coordinated referrals and triage, common applications, common entrance criteria and centralized waitlists.

Yes No

Score 18b = 4 1 The supportive housing partners participate in or lead efforts to ensure that community application processes, documentation of eligibility and intake

Yes No

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processes are streamlined and efficient, so that applicants are not asked for the same information on multiple occasions. Score 18c = 4 1 The supportive housing partners document, manage and communicate data on inventory availability in real time through a shared database system that is updated and accessible to all partners in real time.

Yes No

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Dimension 3: Coordinated Indicator 19: Roles and Responsibilities

Roles and responsibilities for each of the supportive housing partners are clearly defined in writing and are revisited and revised regularly to support the overall success of the supportive housing.

Score 19a = 4 1 There are written descriptions of each supportive housing partner’s role, including, at minimum, the project sponsor, housing and/or property manager and supportive services provider.

Yes

No

Score 19b = 4 1 These written descriptions are reviewed and revised annually at a minimum.

Yes No

Indicator 20: Communication

Staff regularly communicates regarding their roles and the coordination of their efforts.

Score 20a = 4 1 There are regularly scheduled forums for staff within all involved organizations to discuss their roles and the coordination of their efforts, tenant health and safety issues, and gaps in management and operations (for example: case conferencing, or integrated care team meetings).

Yes No

Score 20b = 4 1 There are effective methods and opportunities for communication among the project partners between scheduled meetings.

Yes No

Indicator 21: Continuous Quality Improvement

The supportive housing partners involved in ongoing operations schedule regular times to communicate and engage in a continuous quality improvement process to ensure project goals are being met.

Score 21a = 4 1

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There are regularly scheduled forums for leaders within the supportive housing partner organizations to review performance against goals, identify any needed strategies for improvement and develop clear action steps.

Yes No

Indicator 22: Building and Maintaining Landlord Relationships (SS)

Housing management staff quickly makes initial connections with landlords/property managers and promptly addresses any concerns.

Score 22a = 4 1 Shortly after move-in, housing management staff reaches out to landlords/property managers regarding role of housing staff and the range of available supportive housing services (agency services plan). No specific tenant services are shared without tenant release of information.5 SS

Yes No

Score 22b = 4 2.5 1 Housing management staff promptly responds to any concerns raised by landlords/property management staff regarding supportive housing tenants.4

SS

Staff respond to concerns raised by landlords/property management staff on average within 2 calendar days.

Staff respond to concerns raised by landlords/property management staff on average within 4 calendar days.

Staff respond to concerns raised by landlords/ property management staff on average within 5 calendar days or more- OR concerns and response time is not documented.

Score 22c = 4 2.5 1 5 Items may be most relevant for supportive housing projects that lease existing units in the community rather than those that include the development of new units of housing.

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Housing management staff has established and meets regularly with a landlord advisory group.4

SS

Yes, housing staff meet with a landlord advisory group at least quarterly.

Yes, housing staff meet with a landlord advisory group at least twice annually.

Housing staff do not meet regularly with a landlord advisory group.

Indicator 23: Coordinating Property/Housing Management and Supportive Services

Property/housing management staff and supportive services providers perform distinct roles, but understand one another’s functions and communicate frequently.

Score 23a = 4 1 Supportive service files and property management files are kept in separate secure storage.

Yes No

Score 23bx = 4 2.5 1 Extent to which housing management staff do not have any authority or formal role in providing social services

Housing management staff has no authority or role in providing social services.

Housing management and services staff have overlapping roles.

The same staff performs both housing management and service roles.

Score 23cxi = 4 1 There is a comprehensive, written eviction prevention policy that details how all supportive housing partners work together to promote housing stability. If eviction occurs, there is evidence of communication between service provider and property manager/landlord, including evidence of prevention efforts.

Yes No

Score 23d = 4 1 If a tenant is behind on rent, staff works with tenants to create a rent repayment plan and ensures they have the necessary support to fulfill its terms.

Yes No

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Score 23e = 4 1 All property/housing management and services staff have received training in order to understand one another’s roles.

Yes No

Score 23f = 4 2.5 1 Property/housing management staff promptly notifies services staff of any unmet tenant service needs. Supportive services staff promptly notifies property management staff when they observe safety or maintenance concerns.

Yes, and promptly is defined as within 2 calendar days.

Yes, and promptly is defined as within 4 calendar days.

Property/housing management staff do not promptly notify services staff or the average time is unknown. We do not currently track this.

Score 23g = 4 1 When notified of any issues, property/housing management and services staff respond promptly (within 2 days) and the response is documented.

Yes No or unknown. We do not currently track this.

Indicator 24: Connections with Mainstream and Community-Based Service Providers

The primary service provider facilitates tenants’ connections to resources and supportive services in the community, particularly behavioral healthcare, primary healthcare, substance use treatment and support, and employment.

Score 24a = 4 1 Soon after housing entry, staff assists all tenants in applying for relevant public benefits.

Yes No or unknown. We do not currently track this.

Score 24b = 4 1 The primary supportive housing service provider facilitates and tracks referrals, and in some cases transportation, to community service providers for tenants, including, at minimum, behavioral healthcare, primary healthcare,

Yes No or unknown. We do not currently track this.

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substance abuse treatment and support, and employment services. Score 24c = 4 2.5 1 Tenants can see a behavioral health care provider, including a psychiatrist if needed, within a short period of time after making the request.

Yes, within 14 days of making the request.

Yes, within 15-30 days of making the request.

Over 30 days or unknown/we do not currently track this.

Score 24d = 4 2.5 1 Tenants can see a primary health care practitioner shortly after making the request.

Yes, within 14 days of making the request.

Yes, within 15-30 days of making the request.

Over 30 days or unknown/we do not currently track this.

Score 24e = 4 1 Tenants have a primary health care provider.

Yes No or unknown. We do not currently track this.

Score 24f = 4 2.5 1 Tenants can access substance use treatment and support shortly after making the request.

Yes, within 14 days of making the request.

Yes, within 15-30 days of making the request.

Over 30 days or unknown/we do not currently track this.

Score 24g = 4 2.5 1 Tenants are connected with relevant workforce development and employment resources shortly after expressing interest.

Yes, within 7 days of making the request.

Yes, within 8-14 days of making the request.

No or unknown. We do not currently track this.

Score 24h = 4 2.5 1 Tenants are connected with SSI/SSDI services (SOAR) shortly after

Yes, tenants are connected in 30 days or less.

Yes, tenants are connected within 31-90 days.

Tenants are connected after 90 days or not at all.

Score 24ixii = 4 3 2 1 Extent to which services are tenant driven

All services are tenant driven.

Significant tenant control of services exists in design and provision.

Some tenant input into design and provision of services (e.g., consumer advisory board).

Program is staff-controlled without meaningful tenant input in services.

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Indicator 25: Targeting Units

The supportive housing partners prioritize persons who are vulnerable or who are high utilizers of other systems (e.g. hospital, jail, shelter) for all or a portion of available units.

Score 25a = 4 1 To the extent allowed by funding, the supportive housing prioritizes persons that community data identify as having a high need for services (such as a high vulnerability index score) or frequently utilizing crisis systems (frequent users) for all available units.

Yes No

Score 25bxiii = 4 2.5 1 Extent to which tenants with obstacles to housing stability have priority.

Program proactively seeks tenants who have obstacles to housing stability

Tenants who meet program eligibility have equal access to housing.

Tenants are prioritized based on positive clinical or functional criteria (e.g., stability or sobriety).

Indicator 26: Discharge Planning

The supportive housing partners connect with and support the efforts of community stakeholders working to ensure positive institutional discharges.

Score 26a = 4 1 The supportive housing partners participate in community discharge planning efforts designed to ensure that persons exiting institutions such as hospitals, nursing homes or prison/jail do not experience homelessness after their release and make units available to support these efforts.

Yes No

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Dimension 4: Integrated Indicator 27: Appearance The supportive housing is attractive in appearance, and the unit

and/or building maintains or exceeds community standards. Score 27a = 4 1 Tenants maintain the exterior of their units in a manner consistent with their lease and local community.

Yes No

Score 27b = 4 1 The scale, appearance, design, maintenance and quality of the building are consistent with the neighborhood and reflect or exceed local community standards.

Yes No

Indicator 28: Community Dialogue

The supportive housing project partners are active in ongoing community dialogue and activities.

Score 28a = 4 2.5 1 The supportive housing partners participate in community improvement activities such as neighborhood association meetings and community policing discussions.

All partners (developer, property/housing management, and supportive services, tenants) participate in community improvement activities.

Some of the partners (developer, property/housing management, and supportive services, tenants) participate in community improvement activities such as neighborhood association meetings and community policing discussions.

Partners do not currently participate in community improvement activities such as neighborhood association meetings and community policing discussions.

Score 28b = 4 1 The supportive housing partners are responsive to neighbors’ or community members’ concerns regarding the supportive housing.

Yes No

Score 28c = 4 1 In new site-based projects supportive housing partners seek input from neighbors regarding the design, development and operating plans for the housing.6 SB

Yes No

Score 28d = 4 1

6 Items may be most relevant for supportive housing projects that include the development of new units of housing (whether new construction or rehabilitation), rather than those leasing existing units in the community.

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The supportive housing partners incorporate this input into the supportive housing structure and meet community needs (such as incorporating a gym or meeting space), if possible.7

SB

Yes No

Score 28e = 4 1 n/a In new site-based developments regular updates on the supportive housing development process and ongoing operations are provided to neighbors.8

SB (add a not applicable choice)

Yes No Not Applicable- this is not a new project

Indicator 29: Housing Unit Choice

Tenants are offered a choice between multiple units of housing. If possible, they are also given a choice between housing models and locations.

Score 29a = 4 2.5 1 Staff works with tenants to develop an understanding of their needs and wants from a housing unit.

Staff works with tenants to develop an understanding of their needs and wants from a housing unit. This is documented in a written assessment.

Staff works with tenants to develop an understanding of their needs and wants from a housing unit. This is accomplished verbally and may not be formally documented.

Staff do not work with tenants to develop an understanding of their needs and wants from a housing unit. Tenants are offered an available unit, without an assessment of needs/wants.

Score 29b = 4 2.5 1 Staff supports tenants in searching for and selecting a housing unit that meets their needs, including any accessibility needs and reasonable accommodations requests. This includes communication and advocacy with landlords as needed.

Yes, and staff regularly receive training on fair housing, reasonable accommodations and the Americans with Disabilities Act

Yes, however staff do not receive regular training on fair housing, reasonable accommodations, and the Americans with Disabilities Act.

No

7 Items may be most relevant for supportive housing projects that include the development of new units of housing (whether new construction or rehabilitation), rather than those leasing existing units in the community. 8 Items may be most relevant for supportive housing projects that include the development of new units of housing (whether new construction or rehabilitation), rather than those leasing existing units in the community.

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in order to best advocate for and support tenants.

Score 29cxiv = 4 2 1 Extent to which tenants choose among types of housing (e.g. private landlord apartment, project based supportive housing, clean and sober cooperative living)

Tenants choose the type of housing they prefer from a range of housing types, with an integrated, affordable apartment as at least one of the choices.

Tenants have a restricted choice of housing types (e.g. 2 types of project-based housing)

Tenants are not given a choice of type of housing and are assigned to a type of housing.

Score 29dxv = 4 1 Extent to which tenants have choice of unit within the housing model. For example, within apartment programs, tenants are offered a choice of units

Tenants choose among multiple units. Tenants are assigned to a unit.

Indicator 30: Leases and Tenant Rights

Tenants have standard leases or subleases and a clear understanding of their rights and responsibilities as tenants. All supportive housing tenants are provided with leases or subleases identical to non-supportive housing tenants — without service participation requirements or limits on length of stay (as long as lease terms are met). Ideally, the initial term of a lease or sublease is at least one year.

Score 30axvi = 4 1 Extent to which tenants have legal rights to the housing unit.

Tenants have full legal rights of tenancy according to local landlord/tenant laws.

Tenants do not have full legal rights of tenancy according to local landlord/tenant laws.

Score 30bxvii = 4 2.5 1 Tenants cannot be evicted for not participating in services or for failing to follow through on their services and/or treatment plan. Tenancy is not contingent on compliance with program provisions.

Tenancy is not contingent in any way on compliance with a program or treatment participation (e.g., sobriety or medication compliance).

Program rules require participating in ongoing services, but failure to comply with this requirement does not lead to eviction.

Tenancy is revoked based on noncompliance with program or failure to participate in treatment (e.g., not maintaining sobriety or keeping to a required medical regime).

Score 30c = 4 1 Tenants are not evicted for failing to maintain sobriety.

Yes No

Score 30d = 4 1 As part of the lease signing process, property/housing management staff walks tenants through the lease

Yes No

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agreement, clearly explaining their rights and responsibilities as leaseholders. Tenants are provided with a signed copy of their lease. Score 30e = 4 1 Tenants are notified of the process for any lease violations and grievance or appeal procedures.

Yes No

Score 30f = 4 1 Tenants are not removed from housing without: a legal eviction proceeding or a mutual rescission agreement to terminate the lease and avoid eviction on the tenant’s record.

Yes No

Indicator 31: Community Connections

Staff works with tenants to identify community opportunities and relationships of interest and ensure that they have the support needed to pursue them.

Score 31a = 4 1 Staff provides tenants with information about community resources and activities in conjunction with the move-in process. This also includes an orientation to the neighborhood.

Community resources and activities include a detailed community map, list of resources and a tour of neighborhood resources (grocery, public transit, health services, library, other community service providers).

Community resources and activities include a detailed community map a list of community resources.

Staff does not provide tenants with information about community resources or activities in con

Score 31b = 4 1 Staff supports tenants in identifying and accessing community activities of interest, such as public gardens, faith communities and peer associations. This may include support with obtaining transportation.

Yes No

Score 31c = 4 1 Staff provides tenants with opportunities to connect with peers, including other supportive housing tenants, if desired.

Yes

No

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Score 31d = 4 1 Staff ensures tenants have opportunities to interact with diverse individuals, including persons without disabilities.

Yes No

Score 31e = 4 1 Staff supports tenants in establishing or strengthening positive relationships with friends, family members and/or partners.

Yes No

Indicator 32: Tenant Choice

The supportive housing partners help develop and implement a community plan designed to ensure that new supportive housing increases tenant choice with regard to housing models and locations.

Score 32a = 4 1 The community has a plan to ensure that supportive housing exists in a variety of models and locations, or the supportive housing partners promote the development of such a plan.

Yes No

Dimension 5: Sustainable Indicator 33: Capital Funding The financing of the supportive housing is structured to

preserve its long-term affordability for tenants. Score 33a = 4 1 There is a commitment, either through funding restrictions or through the presence of a mission-focused owner, to keep the property affordable for a significant period of time, typically at least 30 years.9 SB

Yes No

Score 33b = 4 1 If the supportive housing is near the end of its maximum affordability period, an ongoing ownership structure is identified to preserve its affordability.6

SB

Yes No

9 Items may be most relevant for supportive housing projects that include the development of new units of housing (whether new construction or rehabilitation), rather than those leasing existing units in the community.

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Indicator 34: Rent Subsidies/Operating Funding

Long-term rental subsidies are in place to ensure affordable tenant rents and adequate income to cover operating expenses.

Score 34a = 4 1 The rent and/or operating subsidies for the supportive housing have been allocated to the sponsor organization for a multi-year period, ideally at least five years. Following this initial period, it is highly likely, based on history and current funding sources, that subsidies will be renewed.

Yes No

Score 34b = 4 1 The project has sufficient cash flow and/or reserves to meet its ongoing obligations (such as debt service), operational costs and repair/replace major systems while maintaining affordable tenant rents. For a project that is not yet operational, the project budget indicates that these conditions will be met. SB

Yes No

Indicator 35: Efficiency The design and operation of the housing incorporates features designed to increase efficiency and reduce ongoing expenses.

Score 35a = 4 1 Tenants are provided with information to assist them in environmentally friendly practices such as energy and water conservation, recycling and use of non-toxic household products.

Yes

No

Score 35b = 4 1 The housing incorporates appropriate and feasible green design practices, such as the use of energy-efficient and water-conserving fixtures and products.10 SB

Yes No

Score 35c = 4 1

10 Items may be most relevant for supportive housing projects that include the development of new units of housing (whether new construction or rehabilitation), rather than those leasing existing units in the community.

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The housing utilizes durable materials chosen to reduce future maintenance costs.7

SB

Yes No

Indicator 36: Housing Maintenance

Housing units are inspected regularly, proactively maintained and any identified issues are quickly addressed.

Score 36axviii = 4 2.5 1 Staff inspects units prior to move-in and at least annually thereafter. The inspections ensure that units meet or exceed the U.S. Department of Housing and Urban Development’s Housing Quality Standards (HQS).

100% of units meet HQS.

75% of units meet HQS. Housing does not meet HQS.

Score 36b = 4 1 Tenants are given proper notice of any scheduled inspections, in accordance with local tenant right laws.

Yes No

Score 36c = 4 1 Staff ensures inspection results that require follow-up or corrective actions are addressed within reasonable timeframes.

Yes No

Score 36d = 4 1 Property management staff has a comprehensive, written plan and schedule for inspections, pest control, routine maintenance and replacement activities designed to sustain the quality of the physical environment.

Yes No

Score 36e = 4 1 There are clear procedures for tenants to report maintenance problems, and for work orders to be created and completed.

Yes No

Score 36f = 4 1 Staff has funds available to address minor instances of tenant-caused damage to the unit, in the interest of maintaining landlord relationships and housing stability.

Yes No

Indicator 37: Funding Commitments

Funding or a funding strategy is in place to ensure that tenants have access to supportive services for the life of the project.

Score 37a = 4 1

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Service funding for the supportive housing is committed/contracted for a multi-year period. Following this initial period, it is highly likely, based on history and current funding sources, that funding will be renewed.

Yes No

Score 37b = 4 1 The service funding source(s) is flexible enough to allow for the specific services to change with client needs, both daily and throughout the life of the supportive housing.

Yes No

Indicator 38: Provider Partnerships

The primary service provider has established linkages with other service providing organizations to ensure tenants have access to comprehensive services on an ongoing basis.

Score 38a = 4 1 The primary service provider has written agreements with external providers that services will be made available to tenants.

Yes No

Indicator 39: Community Planning

The supportive housing project partners coordinate with larger community efforts, aligning with and furthering the achievement of related community plans.

Score 39axix = 4 3 2 1 Extent to which housing units are integrated.

People live in housing units where 0-25% of all units have been set aside for people meeting disability-related eligibility criteria and the remaining units are not set aside for any special needs groups, including people experiencing homelessness.

People live in housing units where 26-50% of all units have been set aside for people meeting disability-related eligibility criteria and the remaining units are not set aside for any special needs groups, including people experiencing

People live in housing units where 51-75% of all units have been set aside for people meeting disability-related eligibility criteria and the remaining units are not set aside for any special needs groups, including people

People live in housing units where 76-100% of all units have been set aside for people meeting disability-related eligibility criteria and the remaining units are not set aside for any special needs groups, including people experiencing homelessness.

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homelessness.

experiencing homelessness.

Score 39b = 4 1 The development and/or ongoing operation of the supportive housing helps achieve goals outlined in relevant community plans, such as 10-year plans to end homelessness, consolidated plans and/ or Olmstead implementation plans.

Yes No or I’m not sure of the details in our community plans, consolidated plans or Olmstead implementation plan.

Score 39c = 4 1 The supportive housing project partners participate in the development and ongoing implementation of relevant community planning processes.

Yes No

Indicator 40: Data Tracking and Sharing

While preserving client confidentiality, the supportive housing partners track and share demographic, performance and other relevant data to improve outcomes for tenants.

Score 40a = 4 1 The supportive housing uses appropriate information management systems to track relevant data, in order to determine its performance against project goals and community standards.

Yes No

Score 40b = 4 1 The supportive housing partners participate in community data-sharing agreements to track data and performance community-wide.

Yes No

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Dimensions of Quality Supportive Housing Self-Assessment Scoresheet

Dimension Indicator Scores Average Score for Indicator

1. Tenant-Centered

1. Tenant Driven Planning a. (a+b+c) /3 =

b. c

2. Commitment to Supportive Housing Goals a. (a+b+c) /3 =

b. c.

3. Privacy & Living Space a. (a+b+c+d+e) /5 =

b. c. d. e.

4. Tenant Education a. (a+b+c) /2 = b.

5. Tenant Feedback for Property and Housing Management

a. (a+b+c) /3 = b.

c. 6. Tenant Communication in Property and

Housing Management a. (a+b+c) /3 =

b. c.

7. Services Design a. (a+b+c+d+e+f) /6 =

b. c. d. e. f.

2. Accessible 8. Affordability a. = 9. Location a. (a+b+c) /3 =

b. c.

10. Transportation a. = 11. Physical Accessibility a. (a+b+c) /3 =

b. c.

12. Housing First a. (a+b+c+d+e+f) /6 =

b. c. d. e. f.

13. Landlord Relations a. (a+b) /2 = b.

14. Application Process a. (a+b+c+d) /4 =

b. c.

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d. 15. Cultural Competency a. (a+b+c) /3 =

b. c.

16. Housing Outreach a. = 17. Availability of Services a. (a+b+c+d+e+f) /6 =

b. c. d. e. f.

18. Coordinated Access a. (a+b+c)/3 = b.

c. 3. Coordinated 19. Roles and Responsibilities a. (a+b)/2 =

b. 20. Communication a. (a+b)/2 =

b. 21. Continuous Quality Improvement a. 22. Building and Maintaining Landlord

Relationships a. (a+b+c) /3 =

b. c.

23. Coordinating Property/Housing Management and Supportive Services

a. (a+b+c+d+e+f+g) /7 =

b. c. d. e. f. g.

24. Connections with Mainstream and Community-Based Service Providers

a. (a+b+c+d+e+f+g+h+i) /9 =

b. c. d. e. f. g. h. i.

25. Targeting Units a. (a+b)/2 = b.

26. Discharge Planning a. = 4. Integrated 27. Appearance a. (a+b)/2 =

b. 28. Community Dialogue a. (a+b+c+d+e) /5 =

b. c. (SB) d. e.

29. Housing Unit Choice a. (a+b+c+d) /4 =

b. c.

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d. 30. Leases and Tenant Rights a. (a+b+c+d+e+f) /6 =

b. c. d. e. f.

31. Community Connections a. (a+b+c+d+e) /5 =

b. c. d. e.

32. Tenant Choice a. a = 5. Sustainable 33. Capital Funding a. (a+b)/2 =

b. 34. Rent Subsidies/Operating Funding a. (a+b)/2 =

b. 35. Efficiency a. (a+b+c) /3 =

b. c.

36. Housing Maintenance a. (a+b+c+d+e+f) /6 =

b. c. d. e. f.

37. Funding Commitments a. (a+b)/2 = b.

38. Provider Partnerships a. = 39. Community Planning a. (a+b+c) /3 =

b. c.

40. Data Tracking and Sharing a. (a+b)/2 = b.

TOTAL SCORE 0

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Dimensions of Quality Supportive Housing

Self-Assessment Scoresheet (Scattered Site Only)

Dimension Indicator Scores Average Score for Indicator

1. Tenant-

Centered 1. Tenant Driven Planning a. a =

b. c.

2. Commitment to Supportive Housing Goals a. (a+b+c) /3 =

b. c.

3. Privacy & Living Space a. (a+b+c+d+e) /5 =

b. c. d. e.

4. Tenant Education a. (a+b+c) /2 = b.

5. Tenant Feedback for Property and Housing Management

a. (a+b+c) /3 = b.

c. 6. Tenant Communication in Property and

Housing Management a. (a+c) /2 =

b. c.

7. Services Design a. (a+b+c+d+e+f) /6 =

b. c. d. e. f.

2. Accessible 8. Affordability a. = 9. Location a. (a+b+c) /3 =

b. c.

10. Transportation a. = 11. Physical Accessibility a. (a+b) /2 =

b. c.

12. Housing First a. (a+b+c+d+e+f) /6 =

b. c. d. e. f.

13. Landlord Relations a. (a+b) /2 = b.

14. Application Process a. (a+b+c+d) /4 = b.

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c. d.

15. Cultural Competency a. (a+b+c) /3 =

b. c.

16. Housing Outreach a. = 17. Availability of Services a. (a+b+c+d+e+f) /6 =

b. c. d. e. f.

18. Coordinated Access a. (a+b+c)/3 = b.

c. 3. Coordinated 19. Roles and Responsibilities a. (a+b)/2 =

b. 20. Communication a. (a+b)/2 =

b. 21. Continuous Quality Improvement a. 22. Building and Maintaining Landlord

Relationships a. (a+b+c)/3 =

b. c.

23. Coordinating Property/Housing Management and Supportive Services

a. (a+b+c+d+e+f+g) /7 =

b. c. d. e. f. g.

24. Connections with Mainstream and Community-Based Service Providers

a. (a+b+c+d+e+f+g+h+i) /9 =

b. c. d. e. f. g. h. i.

25. Targeting Units a. (a+b)/2 = b.

26. Discharge Planning a. = 4. Integrated 27. Appearance a. (a+b)/2 =

b. 28. Community Dialogue a. (a+b) /2 =

b. c. d. e.

29. Housing Unit Choice a. (a+b+c+d) /4 = b.

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c. d.

30. Leases and Tenant Rights a. (a+b+c+d+e+f) /6 =

b. c. d. e. f.

31. Community Connections a. (a+b+c+d+e) /5 =

b. c. d. e.

32. Tenant Choice a. a = 5. Sustainable 33. Capital Funding a. n/a

b. 34. Rent Subsidies/Operating Funding a. a =

b. 35. Efficiency a. a =

b. c.

36. Housing Maintenance a. (a+b+c+d+e+f) /6 =

b. c. d. e. f.

37. Funding Commitments a. (a+b)/2 = b.

38. Provider Partnerships a. = 39. Community Planning a. (a+b+c) /3 =

b. c.

40. Data Tracking and Sharing a. (a+b)/2 = b.

TOTAL SCORE 0

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Key Terms and Definitions

Supportive Housing: is a combination of affordable housing and supportive services designed to help vulnerable individuals and families use stable housing as a platform for health, recovery and personal growth.

Site Based Supportive Housing: This term is typically used to describe a model in which all of the supportive housing is located in one building.

Scattered Site Supportive Housing: This term is typically used to describe a model in which supportive housing units are part of a single project located in two or more buildings or properties.

Housing Management When the project sponsor or tenants lease units from an owner who provides property management the role of housing manager must be filled. Housing managers serve as an ongoing liaison to property owners/managers who are not part of the supportive housing team. They connect tenants to housing in the private rental market, make rental payments for units that the organization may lease directly from a landlord, and in some cases, receive tenant rent payments. Housing managers work closely with service providers, but play a distinct role.

Project: The number of units or a single site building in which one Supportive Housing Service Provider operates.

Property Management: The oversight, coordination, and management of the operations of a rental property. Consists of oversight over maintenance, rent collection, tenant selection, and asset management.

Supportive Housing Partners: The team made up by the Supportive Housing Service Provider, Housing Management, and Property Management.

Supportive Housing Project Planning Team: The team made up by the Supportive Housing Service Provider, Housing Management, Property Management, Developer and other community stakeholders (community associations, hospital, health centers, and behavioral health providers).

Supportive Housing Service Providers: Supportive housing support services are intended to help ensure housing stability and to maximize each tenant’s ability to live independently through the delivery of Tenancy Support Services. The service provider does not necessarily provide every service a tenant need. Services can include new tenant orientation, assisting the tenant in accessing services such as child care or mental health treatment, and supporting the tenant in meeting all obligations of tenancy. Depending upon the supportive housing model, supportive services may be provided on-site within the supportive housing development, off-site at a central community location or provided through a mobile team of multidisciplinary service providers that visit tenants in their homes.

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Tenancy Support Services Housing transition services to provide direct support to individuals with disabilities, older adults needing long-term services and supports, and those experiencing chronic homelessness. Housing & tenancy sustaining services support individuals to obtain housing and maintain tenancy once housing is secured. The availability of ongoing housing-related services in addition to other long-term services and supports promotes housing access, fosters community integration and inclusion, and develops natural support networks. xx

i Adapted from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 1, Indicator 1.2a ii “Top 10 Principles for Plain Language”. The U.S. National Archives and Records Administration. https://www.archives.gov/open/plain-writing/10-principles.html iii Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 7, Indicator 7.1a iv Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 7, Indicator 7.2a v Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 7, Indicator 7.2b vi Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 3, Indicator 3.1a vii Adapted from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 6, Indicator 6.1a viii Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 7, Indicator 7.1b ix Adapted from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 7, Indicator 7.4c x Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 2, Indicator 2.1a xi Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 2, Indicator 2.1b xii Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 7, Indicator 7.3a xiii Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 6, Indicator 6.1b xiv Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 1, Indicator 1.1a xv Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 1, Indicator 1.1b xvi Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 5, Indicator 5.1a xvii Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 5, Indicator 5.1b xviii Adapted from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 3, Indicator 3.2a xix Indicator taken from SAMHSA Permanent Supportive Housing Fidelity Scale, Dimension 4, Indicator 4.1a xx Adapted from HUD Exchange- Housing and Healthcare