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affects people with psychiatric disabilities. A robust array of services, including the most intensive <br />models of community -based services like Assertive Community Treatment, are available. <br />Nonetheless, many people have trouble accessing needed services, and service providers are not <br />always able to reach vulnerable populations through street outreach. Additionally, across types of <br />disabilities, undocumented adults face barriers due to federal restrictions of Medicaid assistance <br />for undocumented people. The California Legislature has approved state funding for Medi-Cal <br />services for undocumented people until they reach the age of 26, a critical investment that exceeds <br />that of any other state, but there remains a funding gap for services for most undocumented adults. <br />Lack of Affordable, Integrated Housing for Individuals Who Need Supportive Services <br />Lack of affordable, integrated housing for individuals who need supportive services is a significant <br />contributing factor to fair housing issues in Orange County. This is a significant contributing factor <br />for two reasons. First, the shortage of permanent supportive housing throughout Orange County in <br />comparison to the total need is characteristic of the broader shortage of affordable housing <br />generally. Second, although there are some programs that specifically focus on providing <br />permanent supportive housing to individuals with disabilities including developments built with <br />Mental Health Services Act funds and Mainstream Housing Choice Vouchers, there has not been <br />a concerted effort to raise local bond funds for affordable housing and then to prioritize permanent <br />supportive housing with a portion of bond proceeds like there has been in some other California <br />jurisdictions, including Los Angeles County and Santa Clara County. <br />Lack of Assistance for Transitioning from Institutional Settings to Integrated Housing <br />Lack of assistance for transitioning from institutional settings to integrated housing is not a <br />significant contributing factor to fair housing issues in Orange County. The Dayle McIntosh Center <br />provides robust services to individuals transitioning from institutional settings to integrated <br />housing, and there is no indication that they are unable to meet the total need for such services. <br />Lack of Community Revitalization Strategies <br />Lack of community revitalization strategies is not a significant contributing factor to fair housing <br />issues in Orange County. In communities with significant revitalization needs, such as in <br />disproportionately low-income and heavily Hispanic and Vietnamese neighborhoods in Anaheim, <br />Fullerton, Garden Grove, Santa Ana, and Westminster, there is no shortage of private investment <br />interest that would enhance or has enhanced community amenities. The more pressing problem is <br />the risk of displacement that would prevent long-time residents enjoying new amenities in recently <br />revitalized communities. <br />Lack of Local or Regional Cooperation <br />Lack of local or regional cooperation is a significant contributing factor to fair housing issues in <br />Orange County. Although the infrastructure for collaboration across jurisdictions existing, <br />including through processes like this regional Analysis and through the Southern California <br />Association of Governments, there remains a problem with local governments not taking the steps <br />313 <br />75A-592 <br />