Two significant barriers to adequate senior housing in the District are the limited amount of affordable housing and the lack of sufficient accessible housing.
In the last 10 years, the median rent for a one-bedroom apartment has risen by 50 percent beyond inflation, from $735 in 2000 to $1,100 in 2010. Overall, DC has lost more than half of its low-cost rental units and 72 percent of its low-value homes. The lack of affordable housing in the District, which seniors rely on disproportionately, is staggering. While this is not unique to our city, it is a major policy issue that the City Council must address to provide safe, affordable, and supportive housing for DC residents to age in place. Senior housing must be addressed as a platform for the successful delivery of services to our frailest neighbors – a strategy that can minimize the need for costly institutionalization that seniors do not want and the District cannot afford.
From 2008 through 2014, 77 individuals transitioned under the District’s Money Follows the Person (MFP) demonstration. According to the MFP, the largest barrier for moving out of an institutional setting is the lack of affordable housing. While there are many people ready to move, most cannot. Of the 30 dedicated vouchers to assist with housing costs through MFP, many cannot be used in areas of the city with high rental costs. It is critical to have careful monitoring of the administration of all vouchers, including the ones that were included in the 2014 and 2015 budgets. Lengthy delays in implementation have been the norm.
Nationally, nursing home care averages about $75,190 per patient each year. Care in the home, through such services as meals-on-wheels and daily visits by a health aide, averages $18,000 a year, according to the AARP Public Policy Institute. At So Others Might Eat (SOME), supportive services for 60 home-bound clients cost an average of $3,700 per person a year. The cost of providing support to 60 home-bound clients is only $200,000 compared to roughly $4.5 million for nursing home care.
In the next five years, according to the National Housing Trust, the District will face 54 affordable communities coming to the end of their federal contracts, essentially putting 5,042 units at-risk for opting out of these contracts and going market rate. In this situation, the seniors displaced will likely fall into care options that are more expensive to the public.
Furthermore, housing accessibility and supportive housing programs are measures essential to enabling District residents of all income levels to age-in-place. Seniors and persons with disabilities prefer to remain in their own homes or at least a community setting. Potentially useful programs for home modification for purposes of accessibility are housed in DC agencies. One of these, the EPD Waiver Environmental Accessibility Adaptation program, is administered through the DC Health Care Finance Department. The other is under DHCD’s Single Family Residential Rehabilitation Program: the Handicapped Accessibility Improvement Program. Though it appears that funds are available through these programs, regulatory and administrative issues prevent citizens from knowing about and/or accessing them.
Goal: S.A.C seeks to assure appropriate and affordable housing for DC seniors, especially those who have limited financial resources and/or functional capacity. Our objectives emphasize seniors’ preference for home settings rather than institutional residences.