Housing and Healthcare Under One Roof

Rendering of Joshua House Health Center and Six Four Nine Lofts, courtesy of Skid Row Housing Trust and Adobe Communities Architecture

A state-of-the-art building that will provide affordable housing and healthcare under one roof is now under construction in Skid Row and expected to open in 2019.

Six Four Nine Lofts – consisting of 55 affordable housing apartments for people who had been homeless – will occupy the top four stories at the corner of 7th Street and Wall Street. Joshua House Health Center will occupy the bottom three stories.

At the ground blessing ceremony. Photo by Henry Salazar/Board of Supervisors

At the groundbreaking and blessing ceremonies, Supervisor Mark Ridley-Thomas said, “Our collective pursuit should be to create opportunities so that anyone who calls Los Angeles County home is able to live a life of dignity and purpose.”

“The goal is access to health, access to homes, access to a better life, and access to a better community,” he added. “Let’s all be part of the movement we call Everyone In!

Skid Row Housing Trust, the lead developer for both projects, will own and operate Six Four Nine Lofts, whose residents will be mostly veterans and individuals with chronic health conditions. Thanks to funding from the County’s Department of Health Services and the US Department Veteran Affairs, they will receive comprehensive case management, as well as referrals to a wide array of services, such as physical and mental healthcare, substance abuse and detox services, counseling, peer support groups, HIV/AIDS testing and treatment, life skills and employment training.

Los Angeles Christian Health Centers (LACHC) will own and operate the Joshua House Health Center, its flagship facility. “We are proud of this very special project that we hope will help transform the way healthcare and housing services are offered to people who are homeless and underserved,” LACHC President and CEO, Dr. Lisa Abdishoo, said. “Our multidisciplinary care teams will deliver the full continuum of medical, dental and mental health; substance abuse services; and linkage to housing under one roof.”

Courtesy of Skid Row Housing Trust and Adobe Communities Architecture

Joshua House Health Center was designed to be state-of-the-art, open and welcoming, while offering a safe place for people to receive high-quality care. It will have 18 medical exam rooms, six flexible consultation rooms, eight dental chairs, nine mental health rooms, 13 social work and care coordination offices, a multipurpose area to provide health education and fitness classes, a meditation room, and a chaplain’s office.

LACHC expects to serve 1,200 patients in its first year at the site, and eventually serve up to 7,000 patients annually. Trust CEO Mike Alvidrez said, “As the developer, we are pleased to partner with LACHC to help expand medical care and services in a new, modern clinic that better reflects the level of dignity and quality of care LACHC has shown patients for more than 20 years.”

Without homes, people are exposed to harsh weather, disease, violence, unsanitary conditions, malnutrition, stress and addictive substances. The average age of death for people experiencing homelessness is 30 years less than that of people who do not live on the streets.

Using a single location for a separate housing and healthcare projects – each with its own structure, ownership and financing – is an efficient use of public funds as it allows many development costs, like site acquisition, to be split between the two projects. It makes each project less expensive.

Both projects received funding from a diverse array of sources, including LA County, LA City, and the state of California. This collaboration is most evident in the housing portion, which includes one-time capital funds of $5.5 million from Proposition HHH and $1.5 million from LA County’s Affordable Housing Trust Fund. In addition, LA County’s Department of Health Services will invest $7.4 million over the next 15 years for rental subsidies and support services.

Aside from constructing the building, the Trust leveraged $5.3 million in state cap-and-trade funds to make transit-related improvements along 7th Street, including bike share stations, bike lane, accessible crosswalks and traffic lights.

Courtesy of Skid Row Housing Trust and Adobe Communities Architecture