Achieving Today. Sustaining for the Future.
The Health Foundation of Central Massachusetts

Home Again


The U.S. Interagency Council on Homelessness recognized Worcester as the first city of its size to effectively end chronic adult homelessness.  Home Again documented the efficacy of the “housing first” approach and Massachusetts transitioned its housing supports from sheltering to “housing first.”  Home Again housed 108 individuals in scattered and clustered sites around Worcester.  The Central Mass Housing Alliance/Continuum of Care secured housing subsidies for the adult chronic homeless population in Worcester and ongoing funding for case management/community supports has been provided statewide by all Medicaid behavioral health providers since 2011.

Home Again Final Evaluation Report

Home Again$2,205,837
Home Again - Implementation, Year 2 (2010)$559,428
Home Again - Implementation, Year 1 (2009)$426,824
Home Again - Program Related Investment (2008)$492,000
Home Again - Pilot (2008)$595,155
Home Again - Planning (2007)$132,430
Year:2010Amount: $559,428
Title:Home Again - Implementation, Year 2
Recipient:Community Healthlink
Home Again is continuing its work to house chronically homeless individuals in Worcester. Using the Housing First model, Home Again has housed a total of 71 individuals in clustered and scattered sites in and around Worcester. They expect to house an additional nine individuals during Year 2.

The communications effort has shifted to focus on the advocacy agenda and strategies to sustain the work of Home Again. The key items that Home Again is working on include:
- securing permanent supportive housing resources under the federal HEARTH Act, and
- administrative changes within the Massachusetts Behavioral Health Partnership (MBHP) so that all chronically homeless individuals, including those who become dually eligible for Medicare, continue to be covered by MBHP.

If the change in coverage for this dual-eligible population and the housing subsidies are secured, Home Again would continue to receive funding for each client and these funds would enable the program to be sustained.

Project Director:    Ms. Brooke Doyle
Fiscal Agent:         Community Healthlink
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Year:2009Amount: $426,824
Title:Home Again - Implementation, Year 1
Recipient:Community Healthlink

The Home Again pilot project has resulted in 30 homeless individuals (20 chronically homeless and 10 pre-chronic) being housed using the Housing First model.  Of these, 14 were housed in one congregate site (the Lt. Tommy Spencer House) and 16 were housed in scattered sites throughout the city.  In Year 1, Home Again will focus on the chronic homeless population with the goal of housing an additional 20-25 individuals in mostly scattered sites in and around the city with a possible congregate site for 6-8 individuals outside of the City. The evaluation component will focus on the efficacy of the case management services by following up with those who were housed during the pilot project and establishing base line and 6-month follow up data for those who will be housed in Year 1.  This data will form the basis for ongoing advocacy efforts to ensure the continuing availability of rental vouchers and to work toward broader reimbursement for case management services.  

Project Director:   Ms. Brooke Doyle
Fiscal Agent:        
Community Healthlink 

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Year:2008Amount: $492,000
Title: Home Again - Program Related Investment
Recipient:Community Healthlink

The Home Again Housing Loan Fund will be administered by Worcester Community Housing Resources (WCHR), a local nonprofit community development organization with expertise in managing their Community Loan Fund to assist in acquiring and developing affordable housing.  A local nonprofit seeking to acquire an identified property to house chronically homeless adults would apply to the Home Again Housing Loan Fund for a below-market-rate mortgage and/or capital grant.  The Housing Loan Fund is designed to enable nonprofits, who serve the chronic adult homeless population, to provide housing units for homeless individuals whose annual income is at or below 100% of the Federal Poverty Guidelines, which is $10,210 for 2007.

The first loan for $492,000 was made to Community Healthlink (CHL) in April 2008 for the purchase of the property of 62 Elm Street, Worcester, to house 14 adult chronic homeless individuals.
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Year:2008Amount: $595,155
Title:Home Again - Pilot
Recipient:Community Healthlink
Home Again is an initiative to end chronic adult homelessness in the Worcester area.  This model project, which is designed to last 18 months, will randomly select 30 homeless individuals (20 who have been identified as chronically homeless and 10 who are pre-chronic) using the Housing First approach with the goal of keeping these individuals successfully housed for six months.

The Housing First approach puts individuals into housing and provides them with supportive services.  This project will encompass a housing and services strategy along with a communications strategy.  The housing and services will include an individual service plan and will provide a more intense level of services as clients enter the program in order to get them successfully settled.  Services will include help in accessing necessary mental health services, substance abuse treatment and other health services, along with landlord mediation and tenancy skills.  The communications strategy will focus on making information available to the Worcester community in order to address some of the concerns that have been voiced about this issue.

Project Director:  Ms. Brooke Doyle       
Fiscal Agent: Community Healthlink
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Year:2007Amount: $132,430
Title:Home Again - Planning
Recipient:Community Healthlink
A group of Worcester-based organizations (Community Healthlink, Dismas House, the Henry Lee Willis Center, Jeremiah’s Inn and the PIP Shelter) providing services to the homeless have proposed the CHAIN Initiative, an effort to bring together the community-based health care and social service agencies who serve the adult homeless population to create a broad-based, coordinated set of strategies to prevent chronic homelessness.  CHAIN will work to develop and implement effective homeless prevention models and to identify sub-populations who are at risk of homelessness and create solutions to maintain their housing.  CHAIN also plans to develop effective interventions for the newly homeless in order to prevent them from becoming chronically homeless.  The initiative will also organize efforts to develop broad community understanding of this issue and to engage the broader community in understanding and solving this problem.

Project Director:    Mr. Larry Gottlieb 
Fiscal Agent: Community Healthlink
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