7 th Annual Homeless Summit San Bernardino County, CA November 20, - - PowerPoint PPT Presentation

7th Annual Homeless Summit San Bernardino County, CA

November 20, 2013 Matthew Doherty, USICH

(Revised December 2013 to Reflect 2013 National Point-in-Time Count data)

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Roles of US ICH

• Coordinates the Federal response to

homelessness

• Maxim izes the effectiveness of 19

Federal agency partners

• Shares best practices
• Drives collaborative solutions

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Opening Doors

• No one should experience

hom elessness.

• No one should be w ithout a

safe, stable place to call hom e.

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Opening Doors

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Goals

• 1. Finish the job of ending chronic

homelessness by 2015

• 2. Prevent and end homelessness among

Veterans by 2015

• 3. Prevent and end homelessness for

families, youth, and children by 2020

• 4. Set a path to ending all types of

homelessness

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Chronically Homeless Individuals: California and National Data

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10 8 ,917 10 9,8 12 10 7,148 99,8 94 92,593

33,996 33,8 19 34,0 40 33,422 35,38 6

20 ,0 0 0 4 0 ,0 0 0 60 ,0 0 0 8 0 ,0 0 0 10 0 ,0 0 0 120 ,0 0 0

20 0 9 20 10 20 11 20 12 20 13 National California

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2012 Trend Analysis

• Some communities showed progress,

most did not

• Nation’s permanent supportive housing

(PSH) inventory increased 45 percent between 2007 – 2012

• No statistically significant relationship

between increases in PSH inventory and reductions in chronic homelessness

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Reasons for S low Progress

• Existing PSH is inadequately targeted -
• nly 45 percent of PSH for single adults

nationally is dedicated to chronic homelessness

• Population is more complex and involved

with institutions than originally realized

• Episodic homelessness is higher than

realized

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“Homeless” System

Episodic Homelessness

• Based on a recent

study in Philadelphia, 60-70 percent of individuals met the definition of episodic homelessness

• New York City found

that over 80 percent met the episodic definition

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Nursing Hom e Jail Street Hospital Detox Alcohol/ Drug Treatm ent Prison Shelter Psychiatric Hospital

How Do Communities Make Progress?

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• Reducing the number of people who

experience homelessness

• Reducing the length of time people remain

homeless

• Reducing the rate at which people who exit

homelessness later re-experience homelessness and return to shelter

HEARTH Act’s Indicators of Progress

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• 1. Use Data to Drive Results: Use data to measure

system and program performance and inform resource allocation decisions

• 2. Exploit Mainstream Resources: Engage

mainstream systems and integrate those resources— housing, job training, child care, health care, etc …

• 3. Be Frugal – Target Wisely: Provide the right

intervention at the right time to the right individual

• r family through a coordinated assessment system

Five Key Tactics

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• 4. Be Sm art – Use Evidence: Adopt Housing First

practices to offer individuals and families experiencing homelessness immediate access to permanent affordable or supportive housing, without clinical prerequisites or other barriers

• 5. Expand the Pie Strategically: Use existing

resources in smarter ways to help make clear case for new investments of Federal, State, local, and private sector resources to scale the innovations that work

Five Key Tactics

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Critical Questions & Decisions

• Is the system reducing the zof people

experiencing homelessness?

• Are resources targeted effectively to those

with the greatest needs, including those who are unsheltered?

• Does the community have the right balance
• f interventions (rapid re-housing,

permanent supportive housing) to respond to local needs?

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Critical Questions & Decisions

• Is the system exiting people from

homelessness to permanent housing quickly and using the right size of intervention based on their needs?

• How can the community align resources

and design its system most strategically?

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Crisis Response System

Psy chia tri c Hosp ita l Shelter Streets Ja il/ Prison Hosp ita l Alcohol/ Drug Trea tm en t Progra m Discharge planning Rapid placem ent into perm anent housing with low barriers Assertive

• utreach and

engagem ent & standardized assessm ent Engagem ent in and provision of supportive services linked to health

Create a S ystems Approach

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Retooled Crisis Response System

• Access to services: centralized access,

coordinated street outreach, integration with mainstream systems

• Assessm ent of individual/ fam ily situation

and needs to right-size the intervention: prevention, diversion, admit to shelter

• Align housing interventions: prevention, rapid

re-housing, affordable housing, and permanent supportive housing

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Using Data to Drive Results in San Bernardino County

Total Homelessness: San Bernardino County and National Data and Trends

www.usich.gov

National Total Point in Time Counts, 2009-2013

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40 3,30 8 40 3,543 392,316 390 ,155 394,698 239,759 246,374 243,70 1 243,627 215,344

643,0 67 649,917 636,0 17 633,78 2 610 ,0 42

10 0 ,0 0 0 20 0 ,0 0 0 30 0 ,0 0 0 40 0 ,0 0 0 50 0 ,0 0 0 60 0 ,0 0 0 70 0 ,0 0 0

20 0 9 20 10 20 11 20 12 20 13 Sheltered Unsheltered

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San Bernardino CoC Total Population Point in Time Counts, 2009-2013

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768 768 1,133 8 40 1,0 74 1,258 1,258 1,692 1,692 1,247

2,0 26 2,0 26 2,8 25 2,532 2,321

50 0 1,0 0 0 1,50 0 2,0 0 0 2,50 0 3,0 0 0

20 0 9 20 10 20 11 20 12 20 13 Sheltered Unsheltered

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Total Homelessness in S

an Bernardino County

• Between 2009 and 2013, San

Bernardino County’s count of people experiencing hom elessness increased by 14.6%, com pared to a 5.1% decrease in the nation

• However, the count of people

experiencing hom elessness has decreased since 20 11.

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Total Homelessness in S an Bernardino

• Between 2012 and 2013 alone, San

Bernardino County’s count of people experiencing homelessness decreased by 8 .3% while the nation’s count decreased by 3.7%

• Compared to the rest of the country,

people in San Bernardino County experiencing homelessness are significantly m ore likely to be unsheltered (54% vs. 35%)

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People Experiencing Chronic Homelessness: San Bernardino County Data and Trends

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Chronically Homeless Individuals: S an Bernardino CoC

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2,0 26 2,0 26 2,8 25 2,532 2,321

361 361 169 148 513 50 0 1,0 0 0 1,50 0 2,0 0 0 2,50 0 3,0 0 0 20 0 9 20 10 20 11 20 12 20 13 Total Chronically Hom eless

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Chronically Homeless in S an Bernardino CoC

• Compared to the rest of the country,

people in San Bernardino County experiencing homelessness are significantly m ore likely to be experiencing chronic hom elessness (22% vs. 15%)

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Chronically Homeless in S an Bernardino CoC

• Between 2009 and 2013, San Bernardino

County’s count of chronically homeless individuals increased by 42% com pared to a 16.5% decrease in the nation

• Between 2012 and 2013 alone, San Bernardino

County’s count of chronically homeless individuals increased by 247% while the nation’s chronically hom eless population decreased 7.3%

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Veterans Homelessness: San Bernardino County and National Data and Trends

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Distribution of Veterans Experiencing Homelessness

Source: HUD 2013 AHAR

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Distribution of Veterans Experiencing Homelessness

Source: HUD 2013 AHAR

26% of the nation’s Veterans who are experiencing homelessness live in California

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Homelessness Among Veterans: San Bernardino CoC

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2,0 26 2,0 26 2,8 25 2,532 2,321

249 246 224 18 4 50 0 1,0 0 0 1,50 0 2,0 0 0 2,50 0 3,0 0 0 20 0 9 20 10 20 11 20 12 20 13 Total Veterans Note: 2010 Veteran data not available.

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Homelessness Among Veterans in S an Bernardino CoC

• Compared to the rest of the country,

people in San Bernardino County experiencing hom elessness are slightly less likely to be Veterans (8 % vs. 9%)

• Between 2009 and 2013, San Bernardino

County’s count of Veterans experiencing hom elessness decreased by 26%, com pared to a 24% decrease in the nation

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Homeless Among Veterans in S an Bernardino CoC

• Between 2012 and 2013 alone, San

Bernardino County’s count of Veterans experiencing hom elessness decreased by 17.9% while the nation’s population of Veterans experiencing hom elessness decreased by 7.6%

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Homelessness Among People in Families: San Bernardino County and National Data and Trends

www.usich.gov

Homelessness Among People in Families: S an Bernardino CoC

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2,0 26 2,0 26 2,8 25 2,532 2,321

629 629 90 9 751 920 50 0 1,0 0 0 1,50 0 2,0 0 0 2,50 0 3,0 0 0 20 0 9 20 10 20 11 20 12 20 13 Total Persons in Fam ilies

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Homelessness Among People in Families in S an Bernardino CoC

• Compared to the rest of the country,

people in San Bernardino County experiencing homelessness are som ewhat m ore likely to be people in fam ilies (40 % vs. 36%)

• Between 2009 and 2013, San Bernardino

County’s count of people in fam ilies experiencing hom elessness increased by 46.3%, com pared to a 6.7% decrease in the nation

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www.usich.gov

Homelessness Among People in Families in S an Bernardino CoC

• Between 2012 and 2013 alone, San

Bernardino County’s count of people in fam ilies experiencing hom elessness increased by 22.5% while the hom eless persons in fam ilies across the nation decreased by 7.2%

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System Building Tool: Coordinated Assessment

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• Coordinated assessment
• Centralized intake
• Coordinated access or entry
• Single point of access
• System front door

Various Terms

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Coordinated Assessment

“Coordinated assessment is a powerful tool designed to ensure that homeless persons are matched with the right intervention, among all the interventions available… as quickly as possible. It standardizes the access and assessment process for all clients and coordinates referrals across all providers… ”

• Ann Oliva, HUD

SNAPS Weekly Focus at www.onecpd.info/ news

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Retooling our Questions

Question Many Program s Ask Now: “ Should w e accept this individual/ fam ily into our housing/ program ?” Question System s Should Be Asking: “ Of the options available, w hich housing and service strategy is best for each individual/ fam ily?”

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Expectations Under HEARTH

• Covers the Continuum's of Care (CoC's)

geographic area

• Is easily accessible by households seeking

housing or services

• Is well-advertised
• Uses a comprehensive and standardized

assessment tool

• Responds to local needs and conditions
• Covers at least all CoC and Emergency Solution

Grant (ESG) programs

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Community-Level Actions

• Coordinate outreach and engagem ent

across community and institutional settings

• Adopt Housing First approaches that reduce

barriers to and streamline housing entry

• Provide supportive services that place low

demands on clients, but engage frequently

• Prioritize people experiencing chronic

hom elessness for PSH as part of coordinated assessment implementation

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“In order to bend the curve, we must first abandon the line.”

• Richard Cho, USICH

blog at www.usich.gov

Changing Our Practices

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Prioritizing for PS H

Shift away from :

• Passive role of housing agencies and

providers in identifying prospective tenants

• First come, first served approach to

allocating affordable and supportive housing

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Prioritizing for PS H

Shift towards:

• Proactive, assertive outreach that

identifies, engages, and rapidly connects people with the highest needs to permanent housing

• Prioritization of people based on objective

measures of need, vulnerability, and cost

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Approaches to Prioritization

• Length/ duration of hom elessness:

prioritize those people who have been homeless the longest and who have disabling conditions

• Based on self-report
• Analysis of HMIS data

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Approaches to Prioritization

• Vulnerability: prioritize those people

who have the objectively highest need

• Mortality risk
• Health challenges and functional

impairments

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Approaches to Prioritization

• Service utilization and cost: prioritize

those people who use the most crisis services and public costs (emergency departments, hospital, jail, detox, etc.)

• Data matches
• Predictive algorithms/ actuarial tools

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www.usich.gov

Engage Mainstream Housing

• Public Housing and Housing Choice

Vouchers programs

• Notice PIH 2013-15 (HA)
• Multifamily Housing developments

– Notice H 2013-21

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For more information:

Matthew Doherty Regional Coordinator Team Leader matthew.doherty@usich.gov 202.754.1586 (Based in San Diego)

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Learn & S hare with US ICH!

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