AGENDA 1. Welcome and Introductions 2. Public Comment 3. - - PowerPoint PPT Presentation

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AGENDA 1. Welcome and Introductions 2. Public Comment 3. - - PowerPoint PPT Presentation

AGENDA 1. Welcome and Introductions 2. Public Comment 3. Approve Minutes (Action Item) 4. Census Overview and Update 5. Council on Homelessness Policy Role and Updates (Action Item) 6. CoC/ESG Written Standards Presentation and Approval


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AGENDA

1. Welcome and Introductions 2. Public Comment 3. Approve Minutes (Action Item) 4. Census Overview and Update 5. Council on Homelessness Policy Role and Updates (Action Item) 6. CoC/ESG Written Standards Presentation and Approval (Action Item) 7. Ad Hoc Nominating Committee Convening (Action Item) 8. Coordinated Entry (CE) System Overview 9. Preliminary 2019 Point-in Time (PIT) Count Results

  • 10. Community Announcements
  • 11. Pin It
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  • 2. PUBLIC COMMENT

All Open period for members of the public to comment on items not listed on the agenda.

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  • 3. APPROVE MINUTES (ACTION ITEM)

Doug Leich, Chair Review and adoption of minutes from the May 2, 2019 Council meeting.

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  • 4. CENSUS OVERVIEW AND UPDATE

Kristine Solseng Department of Conservation and Development Discussion of 2020 Census outreach.

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2020 CENSUS COMPLETE COUNT

Achieving a Complete and Accurate Count

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CENSUS ENSUS 202 020 0 GOAL

Ensure that everyone is counted once, only once, and in the right place.

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IMP MPOR ORTANCE NCE OF OF THE E CENSUS ENSUS

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Representation

Census count determines Congressional Representatio n for each state and provides data to draw federal, state, and local legislative districts.

Funding

Apportion more than $675 billion in federal grants to tribal, state and local government.

Policy

Governments use census data to make policy decisions for

  • ur

communities such as school siting, libraries service, and transportation infrastructure.

Planning

Plan future locations for retail stores, new housing developments and other community facilities.

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CENSUS ENSUS BY TH THE E NU NUMB MBER ERS

  • Contra Costa County receives 42% of its revenue from Federal &

State resources

  • California receives $76 billion in federal funding, based upon the

state’s population

  • Each person not

t coun unted ed equates to a loss of about $2,000 in State and Federal funding PER ER YEA EAR

  • 72% of CA’s population belongs to one of the groups historically

undercounted during the once-a-decade Census process

  • Contra Costa County has just under 220,000 (20%) people living in

“Hard-to-Count” Census Tracts

  • If Contra Costa County undercounts by 5%, we’d lose an estimated

$1. 1.1 1 Billion

  • n over

r 10 year ars

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EX EXAMPLES MPLES OF OF PROGRAMS OGRAMS WI WITH FU FUNDING DING DE DEPENDE ENDENT NT ON ON CEN ENSUS SUS DATA

Transpo sportation: tation: Highway Planning and Construction Children: dren: Foster Care, Nutritional School Lunch Program Health th and Nu Nutriti ition: n: Medicaid, Medicare Part B, Health Center Programs Schools: s: Head Start, Special Education Grants, Title I Grants Affordab dable e Housing: ing: Section 8, Low Income Home Energy Assistance Ot Other: : Community Development Block Grant, Park Funding formulas

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HARD D TO COUNT NT POPUL PULATION IONS

Contra Costa County is focusing on trying to reach the Hardest to Count populations. These include: Racial and Ethnic minorities People living in poverty Youth between 18-24 Children under 5 Non-English Speaking households People with no high school diploma People who have moved within the last year Renters, and people in multifamily units Seniors LBGQT

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HARD D TO COUNT NT POPUL PULATION ION AREAS AS

Hard to Count populations are found throughout the County.

▪ Richmond (55,800) out of 227,032 - 25% Hard d to Count unt ▪ Pittsburg (32,400) out of 72,141 – 45% Hard d to Coun unt ▪ Antioch (37,400) out of 111,674 – 34% Hard d to Coun unt ▪ Concord (22,700) out of 129,783 – 15% Hard d to Count unt ▪ San Pablo (22,400) out of 31,156 – 72% Hard d to Count unt ▪ Unincorporated (18,600) out of 173,406 – 11% Hard to Coun unt ▪ San Ramon (8,100) out of 75,931 – 11% Hard d to Count unt

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CON ONTRA TRA COS OSTA A COU OUNT NTY Y OU OUTREA EACH CH STRA RATEG TEGY

1. Achieve a Self-Response Rate of at least 76.9% (2010 Self Response Rate according to the US Census Bureau); 2. Increase participation in hard-to-count communities; 3. Collaborate with the U.S. Census Bureau, State, regional groups, the Regional CBO, Contra Costa cities and special districts, and community organizations to avoid duplication and effectively communicate the Census message; 4. Build additional capacity and strengthen Contra Costa County community-based organizations through Census outreach efforts.

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COM OMPLETE PLETE COU OUNT NT COM OMMITTE MITTEE PREL ELIM IMINAR INARY Y OU OUTREA EACH CH PROGRA OGRAMS

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Messag saging ing Pa Partners s – Utilizing existing networks to spread the word about the importance of the Census Questi tion

  • nnaire

aire Ass ssistance ance Center ers (QAC) ) and d Questi tion

  • nnaire

aire Ac Action ion Kiosks sks (QAK) ) – Local government offices, community centers, or local community organizations host assistance with the Census form if needed or make room for a computer so people can fill out their form Speak akers s Bureau au – Complete County Committee members or other trusted messengers are available to speak about the importance of the Census

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COM OMPLETE PLETE COU OUNT NT COM OMMITTE MITTEE POTENTIAL ENTIAL OU OUTREA EACH CH PROG OGRAMS RAMS

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The following potential outreach programs are dependent on funding availability: Census us Mini-Grant rants s – Funds for local community organizations to host block parties, soccer tournaments, or other outreach event to raise awareness about the importance of the Census. Adopt-A-Bl Bloc

  • ck

k – Local community based organization volunteer to adopt a hard to count block and canvass residents to make sure they fill out their Census form. Potential for the organization or volunteers to receive a small stipend.

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*

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COM OMPLETE PLETE COU OUNT NT PROC OCESS ESS

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Complete Count! Boots on the Ground Training Implementation Plan Strategic Plan – Building Network

June 2020 Feb 2019 We are here! Sept 2019 Jan 2020 April 2020

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CENSUS ENSUS BU BUREA EAU U AND ND COUNTING OUNTING THOSE OSE EX EXPERI PERIEN ENCIN CING G HOM OMELESSNE ELESSNESS SS

The Census Bureau has two operations to count those experiencing homelessness or living in unconventional housing Group Quarters/Service Based Enumeration: The purpose of the GQ/SBE is the enumerate people living or staying in group quarters and provide an

  • pportunity for people experiencing homelessness and receiving service at

service-based locations, such as soup kitchens, to be counted in the Census. Enumeration at Transitory Locations (ETL): The purpose of the ETL is to enumerate individuals in occupied units at transitory locations who do not have usual home elsewhere, such as recreational vehicle parks, campgrounds, racetracks, circuses, carnivals, marinas, hotels, and motels.

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HOW W THE COUNTY Y CAN HELP THE CENSUS S BUREAU U COUNT T THOSE E EXPERIEN RIENCING CING HOMELES LESSNES SNESS

  • Provide location data for Services Based Enumeration (Homeless

Service Centers, Loaves and Fishes locations, etc)

  • Provide data about locations for Enumeration at Transitory Locations

(campgrounds, encampments, marinas, RV parks, etc)

  • Engage in an outreach campaign prior to enumeration
  • Organize events during enumeration to increase attendance at SBE and

ETL locations

  • TBD: How can we identify individuals to work FOR or WITH the Census

Bureau to provide trusted messengers. What is the process required? We’ve asked the Census Bureau about this.

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STAY Y INF NFORMED ORMED / G / GET ET INV NVOL OLVED VED

Visit our website www.contracosta.ca.gov/census2020 So you can: Attend the Contra Costa County 2020 Census Steering Committee Meetings. Find Census 2020 resources Sign up to partner with Contra Costa County’s Outreach effort!

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ADDITIONA ITIONAL QUESTION STIONS S OR IDEAS AS

Reach out to staff at Kristine.Solseng@dcd.cccounty.us (925) 674-7809

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TH THANK ANK YOU OU!! !!

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  • 5. COUNCIL ON HOMELESSNESS POLICY ROLE

AND UPDATES (ACTION ITEM)

Jaime Jenett, H3 Doug Leich, Chair CCIH Residents Empowerment Program (REP) Possible action to send recommendation of support to Board of Supervisors for state bills SB 282, AB 307 and SB 361 and SB 329.

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TOOLS FOR ADVOCACY

  • Role of BOS policy platforms
  • Role of Council
  • Role of H3
  • Endorsements by Housing CA and EBHO
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SB282 (BEALL) SUPPORTIVE HOUSING PROGRAM FOR PEOPLE ON PAROLE EXPERIENCING HOMELESSNESS

People on parole experiencing homelessness are seven times more likely to recidivate than people on parole who are housed. Integrated Services or Mentally-Ill Parolees (ISMIP) was intended to serve people with serious mental illness on parole who were also experiencing homelessness. Instead, it pays 100% of the costs of mental health treatment for people with serious mental illness. Medi-Cal could use federal dollars to pay 50-90% of these costs.

▪ Participants must reestablish treatment within Medi-Cal mental health programs once they exit parole ▪ Participants only receive average of 10 months of mental health services before dropping out ▪ ISMIP fails to reduce recidivism

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SB282 (BEALL) SUPPORTIVE HOUSING PROGRAM FOR PEOPLE ON PAROLE EXPERIENCING HOMELESSNESS

  • Senate Bill 282 will redirect ISMIP funding to the

Department of Housing and Community Development (HCD) to provide ide county y grants nts for rental al assis istanc tance and servic ices s to offer r suppo portiv tive housing ing to p people on parole le experiencin iencing homelessne sness ss and serious us mental al illness ss.

  • County grantees must agree to provide community-based

mental health treatment through Medi-Cal.

  • SB 282 will provide evidence-based approaches to

address homelessness over the long-term, while reducing recidivism among this population, all within current State resources.

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SUPPORT IN BOS 2019 STATE POLICY PLATFORM FOR SB 282

#122 on p 21. SUPPORT funding, legislation, policy, and programs that would accomplish the following:

  • a. create an effectiv

tive e crisis is response se system em of servic ices s for persons ns experiencing riencing homeless ssnes ness, particularly families and transition-age youth;

  • b. increase

reases s perm rmanent anent housing ing with h servic ices s for r persons ns experiencin iencing or at-risk risk of homeless ssnes ness s with h a chronic nic disab ability ility; and

  • c. protects and expands the availability of affordable housing,

particularly for the Very Low and Extremely Low Income population.

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SUPPORT IN BOS 2019 STATE POLICY PLATFORM FOR SB 282

Page 4 The County will also support efforts to provide additional funding/grants to those counties that have a commitment itment to lowering wering the crime me rate and reducing cing recidivis ivism m through gh the provisio ision n of innovativ ative, , comprehensi hensive, , evidence nce-bas ased program ams s for offender populati ations ns and their r famil ilies

  • ies. The

County will also continue to support efforts to ensure that the receipt of Local Community Corrections Funds matches the amounts anticipated from the state, without undue delay. Finally, the County also supports more funding for mental health and behavioral health programs and facilities in order to meet the requirements of Realignment and the goal of reducing recidivism.

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AB 307 (REYES) HOMELESS YOUTH GRANT PROGRAM

  • Will require the Homeless Coordinating and

Financing Council (Council) to develop, oversee and administer an annual $100 million grant program for nonprofits or continuum of care administrative entities to provide services for youth experiencing homelessness.

  • Uses State General Funds and cannabis tax

revenues

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SUPPORT IN BOS 2019 STATE POLICY PLATFORM FOR AB 307

Page 3 Homelessness – With the growing numbers of homeless, the County will work on the implementation of the No Place Like Home program, the Homeless Emergency Aid Program, and the SB 2 funding program, to ensure that Contra Costa County receives its fair share

  • f funding and that the guidelines work for implementation in the
  • county. In addition, Contra Costa County will advoc
  • cat

ate e for addit itional ional fundin ding g that t redu duce ces s and prevent ents s home meles lessne sness ss; ; expan ands ds the e availability ility of perman manent t suppor

  • rti

tive e housi sing; and provides counties with the ability to maximize and lever erage age available able Federal, ederal, State e and local funds ds to provi vide de se servic vices for at-ri risk and d home mele less fami famili lies es and individu viduals.

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SUPPORT IN BOS 2019 STATE POLICY PLATFORM FOR AB 307

#122 on p 21 SUPPORT funding, legislation, policy, and programs that would accomplish the following:

  • a. create an effectiv

tive e crisis is response se system em of servic ices s for persons ns experiencin riencing homeless ssne ness, , particularly ticularly famil ilies ies and d trans nsiti ition-ag age e youth;

  • b. increases permanent housing with services for persons

experiencing or at-risk of homelessness with a chronic disability; and

  • c. protects and expands the availability of affordable housing,

particularly for the Very Low and Extremely Low Income population.

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SUPPORT IN BOS 2019 STATE POLICY PLATFORM FOR AB 307 (REYES) HOMELESS YOUTH GRANT PROGRAM

#152 SUPPORT efforts that would create state grants and/or navigation services to establish or expand programs that provide sp spec ecif ifie ied d housing using assist istanc ance and d suppor pportiv ive servic ices s to homele less ss

  • youth. California has the highest rate of youth

homelessness in the country.

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SB 361 (MITCHELL) HEALTH HOMES PROGRAM CLEAN-UP

AB 361 (2013) authorized creation of Health Homes Program to provide enhanced case management services and coordination for Medi-Cal beneficiaries with multiple chronic health conditions or one serious mental illness.

▪ Only a pilot, ending after 2 years ▪ Many health plans don’t target/identify homeless clients even though benefit could pay for housing navigation and tenancy support services.

Clean Up bill would:

▪ Provide sustainable funding instead of ending after two years. ▪ Provider incentives to serve people experiencing homelessness with target goal of 1/3 of program participants in this population.

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SUPPORT IN BOS 2019 STATE POLICY PLATFORM FOR SB 361

Page 3 Homelessness – With the growing numbers of homeless, the County will work on the implementation of the No Place Like Home program, the Homeless Emergency Aid Program, and the SB 2 funding program, to ensure that Contra Costa County receives its fair share

  • f funding and that the guidelines work for implementation in the
  • county. In addition, Contra Costa County will advocate for additional

funding that reduces and prevents homelessness; expands the availability of permanent supportive housing; and provides counties with the ability to maximize and leverage available Federal, State and local funds to provide services for at-risk and homeless families and individuals.

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SB 329 (MITCHELL) SOURCE OF INCOME DISCRIMINATION

  • Under current law, it is illegal to discriminate

against a prospective tenant based on the applicant’s source of income but Section 8 housing vouchers do not legally meet the source-of-income standard.

  • Ends the state's legal discrimination against

Housing Choice Voucher holders who are looking for a rental and allowed to be denied housing by expanding the definition of source of income to include housing subsidies paid by the government directly to landlords.

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SUPPORT IN BOS 2019 STATE POLICY PLATFORM FOR SB 329

#122 on p 21 SUPPORT funding, legislation, policy, and programs that would accomplish the following:

  • a. create an effective crisis response system of services for

persons experiencing homelessness, particularly families and transition-age youth;

  • b. increases permanent housing with services for persons

experiencing or at-risk of homelessness with a chronic disability; and

  • c. prot
  • tects

ects and expands nds the avail ailab ability ility of afforda dable e housing ing, , particular ticularly ly for the Very Low and d Extremely ly Low Income me populatio lation. n.

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ACTION FOR CONSIDERATION

Instruct H3 to provide notice to County Board of Supervisors of Council on Homelessness support for the following state bills:

  • SB 282 (Supportive Housing for Persons on

Parole)

  • AB 307 (Homeless Youth Grant)
  • SB 361 (Health Homes Program Enhancement)
  • SB 329 (Source of Income Discrimination)
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HUD MIXED STATUS UPDATE

  • HUD proposed to evict families with

undocumented immigrants in their households from public and other subsidized housing.

  • 50k+ children – all US citizens or legal

permanent residents - at high risk of homelessness.

  • No benefit to families on housing waiting lists
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ACTION OPPORTUNITY

Provide comments as individuals or from your agency (NOT COH!) here: https://www.regulations.gov/document?D =HUD-2019-0044-0001 By By July ly 9, 2019

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HUD EQUAL ACCESS RULE UPDATE

  • HUD proposing rule that would weaken the

enforcement of its Equa ual l Acc ccess ess ru rule le that provides important protections to LGBTQ people experiencing homelessness and seeking emergency shelter.

  • New proposed rule:
  • Permit shelters that have facilities, like bathrooms and

sleeping quarters, separated by sex to establish policy that considers a person's sex for allowing accommodation or admission to the facility or portion

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ACTION OPPORTUNITY

HUD says not anticipating eliminating Equal Access Rule but stay tuned!

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  • 5. COC/ESG WRITTEN STANDARDS

PRESENTATION AND APPROVAL (ACTION ITEM)

Amanda Wehrman, HomeBase Presentation and possible action to CoC/ESG Written Standards for the community .

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ACTION FOR CONSIDERATION

Approve the CoC/ESG Written Standards for use in the community.

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  • 6. AD HOC NOMINATING COMMITTEE

CONVENING (ACTION ITEM)

Jaime Jenett, H3 Possible action item to create an Ad Hoc Nominating Committee to review Council Seat descriptions and supplemental questionnaire.

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ACTION FOR CONSIDERATION

Establish an Ad Hoc Nominating Committee for purpose of reviewing Council Seat descriptions and supplemental questionnaire for future applicants.

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  • 7. COORDINATED ENTRY (CE) SYSTEM

OVERVIEW

Natalie Siva, H3 Presentation of Contra Costa’s Coordinated Entry System and an update on Rapid Resolution and Built for Zero.

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WHAT IS COORDINATED ENTRY?

The purpose of a Coordinated Entry System is to ensure that all people experiencing a housing crisis have easy access to available resources. Clients are quickly identified, assessed for and connected to available homeless services and long- term housing. Coordinated Entry uses evidence informed tools and standardizes practices, incorporates a system-wide Housing First (no barriers to entry) approach, and prioritizes limited resources for the most vulnerable.

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WHY DO WE HAVE COORDINATED ENTRY?

Required by HUD for projects funded by HUD through Continuum of Care or ESG streams To ensure that homeless individuals, and those at imminent risk of homelessness, receive the best services to meet their housing needs.

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CONTRA COSTA

YOUTH CONTINUUM OF SERVICES

FOR RUNAWAY AND HOMELESS YOUTH

CCACS

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RAPID RESOLUTION (AKA DIVERSION)

U N D E R S T A N D I N G ( A N D P R A C T I C E ! ) R A P I D R E S O L U T I O N P R I N C I P L E S A N D H O W T H I S A P P R O A C H C A N B E I N T E G R A T E D T H R O U G H O U T O U R S Y S T E M O F C A R E .

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SSVF Regional Meeting January 2019

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WHAT IS RAPID RESOLUTION?

  • Rapid Resolution is an intervention designed to

prevent immediate entry into homelessness or immediately resolve a household’s homelessness once they enter shelter, transitional housing or an unsheltered situation.

  • RR includes Diversion strategies with the aim of

ensuring homelessness is avoided or as brief as possible when it does occur.

  • RR is a system-wide intervention and can be used

for all populations..

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WHAT CAN RR LOOK LIKE?

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SER ERVICES VICES PRO ROVIDE VIDED D WITH ITH RAPID ID RES ESOL OLUTION TION

  • Coaching and problem-solving
  • n an individual, client centered

basis

  • Conflict Resolution and Mediation

w/ landlords, family, friends

  • Connection to mainstream

services

  • Housing Search Assistance and

Stabilization Planning

  • Aftercare and follow up support
  • Limited financial assistance

RR Services

SSVF Regional Meeting January 2019

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A NOTE ABOUT SAFETY

Safety is a critical consideration in Rapid Resolution. Staff should always ask about the safety of each of the

  • ptions being explored.

Keep in mind an individual or family’s thoughts about safety/safe alternatives may be different than ours. If the person says they are fleeing domestic violence or sexual assault, the conversation should focus on assisting them with that critical safety issue.

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IS RAPID RESOLUTION GOING TO HELP EVERYONE?

No, most household will not be rapidly resolved and will become or remain

  • homeless. Rapid Resolution should be

attempted with everyone, but will likely help 8-10% of those entering the system. All persons and households presenting for assistance should begin with a conversation to better understand alternative housing

  • ptions.
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BENEFITS OF RAPID RESOLUTION

For

  • r Consum

nsumer ers s

  • Immediate safe alterna

nate hous using ng arrangements

  • Emp

mpowers s peopl

  • ple by focusing on

strengths

  • Helps households avoid the trauma

a of homelessness

  • Helps with family

y reunificati ation

  • n
  • Can lead to faster housi

using ng conn nnect ctions

  • ns

even when situation can't be rapidly resolved

Crisi sis s Respons

  • nse

e System

  • Reduce

ces s inflo low w into

  • system

m and increa ease ses s rapid exits

  • Reduce

ces s wa waitli list sts s for permanent housing

  • Helps the system to prior
  • ritize

ze the most intens ensive hous using resour urce ces s

  • Alternative resolution to housing

crisis when most of communities lack affordable ble hous using ng resour urce ces

  • Ensures those assisted with

housing resources have no alterna natives

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NEXT STEPS: COCO RAPID RESOLUTION PILOT

▪211 ▪CARE ▪CORE

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WHAT DOES SUCCESS LOOK LIKE?

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RAPID RESOLUTION SUCCESSES

(AS OF 4/30/19)

125 referrals Used the Housing Security Fund 18 times 29 individuals have been successfully diverted

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CASE 1

Referred by CARE Center Homeless for a week after leaving a SLE Client was able to go back to Arizona to live with family. Housing Security Fund used to purchase bus ticket Client arrived home day before Thanksgiving and is now housed and working and back with his wife and children.

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CASE 2

Referred by Community Connect Landlord gave client a 3 day notice. Rapid Resolution staff contacted community connect case worker and landlord With support of RR, client was able to resolve his situation with the landlord and maintain his housing.

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CASE 3

Referred by CARE Center Newly homeless (less than 30 days) family with newborn baby Homeless due to loss of employment Reconnected with family in Washington Housing Security Fund paid for gas card to assist with relocation. Client was able to relocate a week before Christmas and client is now housed and working.

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CASE 4

Referral from Probation Client was unable to pay for the upcoming monthly rent due to waiting for income from Workers Comp. Housing Security Fund provided financial assistance Eviction avoided!

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  • 9. PRELIMINARY POINT IN TIME COUNT DATA

Dana Ewing, H3

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2019 POINT IN TIME COUNT

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PURPOSE

  • CoCs required to conduct annual sheltered count and

biennial unsheltered count

  • Determines federal, state, and local funding
  • Helps policy-makers and program administrators

better reach goal of ending homelessness

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METHODS

Sheltered Count: HMIS data for all sheltered individuals 100 00% % HMI MIS S co coverage!! erage!!

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METHODS

Unsheltered Count: Surveys conducted at service and community sites:

  • CORE, CARE Centers, soup kitchens, libraries,

County services, community colleges (probation, EHSD, mental health clinics, county hospital, Healthcare for the Homeless) Observations on night of the count by CORE only:

  • Removed potential duplication
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RESULTS

22% of total population served in CoC during 2018

2,295 95 Individuals Identified in PIT

668 persons

  • ns sheltered

ered

  • 11% families (62 households)
  • 89% single adults

1, 1,627 persons

  • ns unshe

heltered ered

  • 3% families (37 households)
  • 97% single adults
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TRENDS

PIT Data: a:

  • 3% increase in one year
  • 43% increase in two years

HMIS Service ice Data: a:

  • 7% increase in one year
  • 20% increase in two years
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BAY AREA TRENDS

Two-year shifts (available only for some communities):

Alameda: +43% Marin: -7% Merced: +34% San Jose: +31% San Francisco: +17%

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SUB-POPULATIONS

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UNSHELTERED

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UNSHELTERED BY REGION

196 331 280 380 520 502 467 650 393 West County Central County East County

Where e Encount ntere ered d by R Region

  • n

2017 2018 2019

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ENCAMPMENT MAP

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SHELTER CAPACITY

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WRAP-UP

Shifts are similar to other regions on the bay area Shifts reflect service data Significant in-flow and modest out-flow

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  • 10. COMMUNITY ANNOUNCEMENTS

All Standing Item. Community announcements.

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  • 11. PIN IT

CoC C Learning arning Hub ub Meeti eting: ng: August 6, 2019, 1:00-3:00pm 2425 Bisso Lane, Concord 1st Floor Conference Room Next xt Monthl nthly y Counci ncil l Meet eting: ing: July 11th, 2019, 1:00-3:00pm 50 Douglas Drive, 2nd Floor, Martinez, CA More information available online at: https://cchealth.org/h3/coc/council.php