The Contractor will deliver a report to DSHS including the following required content: (a) A gap analysis of the existing housing and health care system including, but not limited to, a review of existing models related to individuals experiencing: (i) Housing instability who have significant medical and/or behavioral health needs, including the inability to stay in or return to their current housing; (ii) Homelessness and/or a significant history of being unhoused, including permanent supportive housing residents; and/or (iii) Significant support needs that are not severe enough to qualify for placement in existing facilities, but are too significant to be met in a shelter or permanent supportive housing setting. (b) The gap analysis shall also include a review of: (i) Hospitals with patients with resolved hospital-level acute care needs who cannot be discharged to the community because there is no appropriate lower level of care available; and (ii) Permanent supportive housing and shelter providers with residents whose medical and/or behavioral needs exceed the location's ability to provide care. (c) The report shall provide recommendations to fill the gaps identified in (a) and (b) above, which may include creation of complex care locations or other enhanced behavioral health supports. The report must draw on direct service provider experience and the lived experience of persons with physical health, behavioral health, or other support needs that may impact their ability to be stably housed. The contractor may request relevant data summaries to be provided by RDA. RDA will work with the contractor to define data requirements and provide the relevant information, subject to resource availability.
