Coordinated Assessment System Prioritization Subcommittee - - PowerPoint PPT Presentation

Coordinated Assessment System Prioritization Subcommittee

THURSDAY, APRIL 25, 2019

Welcome & Introductions

MEET OTHER PARTICIPANTS, FOCUS GROUP ON MEETING

Meeting Agenda

1.

Review Coordinated Assessment System values

2.

Revisit Prioritization Subcommittee values & goals

3.

Discuss system performance metrics related to referral rates

System Performance Analysis

u How long does it take to be referred from the community &

confidential queues?

u Is the referral process equitable? Ø Age Ø Gender Ø Race Ø Ethnicity Ø Primary language Ø Physical disability Ø Learning/developmental/other impairment Ø Mental health issue/concern

Values & Goals of the Coordinated Assessment System

u Operate a fair & transparent

system that is accessible to all populations

u Prioritize individuals that have

the highest needs / are the most vulnerable

u Match individuals & families to

the best type of housing intervention for them

Prioritization Subcommittee Values

Ø Continue to prioritize the most vulnerable

u Accurately assess vulnerability taking into account

medical wellbeing & cognitive impairment

Ø Ensure that the system is fair, just, & equitable

u Continue deepening Housing First practice u Affirmatively further Fair Housing & ensure that the

system does not discriminate based on race, ethnicity, gender, age, & disability status (including mental health)

u Ensure that assessments are administered consistently u Foster system understanding by providers & clients

Prioritization Subcommittee Goals

IDENTIFY AREAS WHERE THE ASSESSMENT & PRIORITIZATION PROCESS CAN BE IMPROVED DETERMINE CHANGES TO REINFORCE SUBCOMMITTEE VALUES PRIORITIZE PROPOSALS & DEVELOP IMPLEMENTATION PLAN EVALUATE PROGRESS

Areas for Improvement Identified Thus Far

u The CAS is not adequately

culturally competent or accessible to:

Ø LGBTQI+ persons, particularly youth Ø Spanish-speaking persons Ø Speakers of Asian languages

Strengthening the Coordinated Assessment System

DISCUSS AREAS WHERE ASSESSMENT & PRIORITIZATION CAN BE IMPROVED

Referral Rates

RRH Gaps Analysis: Annual Capacity vs. Assessments

232 231 318 325 117 25 to 34 35 to 44 45 to 54 55 to 64 65 or Above

Demand - Single Clients, by Age Tier

22% 30% 6% 9% 29% 3% 15% 41% 12% 21% 7% 4% Families Singles (capacity includes families for some programs) Transition Age Youth Reentry Veterans Domestic Violence Supply: Percent of Capacity Demand: Percent in RRH Intervention area category

Rapid Rehousing Gaps Analysis: Capacity vs. Assessments

Demand: For clients (head of household) who took a RRH assessment during CY18 and scored in the RRH range of intervention, the categories are broken down as follows:

• Self-reported as Veteran
• Self-reported as Youth and Young Adult (0 to 17
• r 18 to 24 years)
• Families – Household with children or household

with more than one adult

• Singles – Household with no children who is not

Veteran/TAY/DV/Reentry category

• Domestic Violence – if client self reports as

“currently fleeing DV” or DV occurred in past three months

• Reentry - if client self reports as being in jail in

past six months. For clients to be eligible for Reentry programs, clients have to be registered / linked to RRC / RRC providers. HMIS does not show that information (needs to manually verified). RRH Target Population Annual Capacity (Households) Supply: Percent of Capacity Demand: Took Assessment in past year and scored in RRH Range Demand: Percent in RRH Intervention area category Families 352 22% 443 15% Singles (capacity includes families for some programs) 470 30% 1228 41% Transition Age Youth 94 6% 354 12% Reentry 148 9% 617 21% Veterans 462 29% 212 7% Domestic Violence 48 3% 113 4% 1,574 100% 2,967 100%

March: CAS Equity -- Physical Disability in PSH

25% 74% 1% 24% 74% 2% Yes No No Data Assessed Population (n = 2,993) Referred Population (n = 529)

CAS Equity: Learning Disability / Developmental Disability / Other Impairment in PSH

24% 75% 1% 29% 69% 3% Yes No No Data Assessed Population (n = 2,993) Referred Population (n = 529)

CAS Equity: Mental Health Issue/Concern in PSH

40% 59% 1% 47% 52% 1% Yes No No Data Assessed Population (n = 2,993) Referred Population (n = 529)

Responses to Disability Questions: Assessment vs. PSH Enrollment

Assessment Questions (Yes/No) Physical disability limits housing options and limits mobility Learning disability, developmental disability, or other impairment Mental health issue

• r concern

Drinking or drug use cause lose housing Entry Screen Questions (Yes/No) Physical Disability Developmental Disability Mental Health Disability Substance Abuse (Alcohol, Drug, or both) 22% 18% 31% 26% 36% 10% 69% 41% Physical Disability Learning or Developmental Disability Mental Health Substance Abuse Assessment Response Entry Screen Response

Responses to Disability Questions: Assessment vs. RRH Enrollment

Assessment Questions (Yes/No) Physical disability limits housing options and limits mobility Learning disability, developmental disability, or other impairment Mental health issue

• r concern

Drinking or drug use cause lose housing Entry Screen Questions (Yes/No) Physical Disability Developmental Disability Mental Health Disability Substance Abuse (Alcohol, Drug, or both) 13% 8% 17% 12% 15% 4% 23% 18% Physical Disability Learning or Developmental Disability Mental Health Substance Abuse Assessment Response Entry Screen Response

Singles VI-SPDAT Scores of Enrolled Households by Number of Disabilities

12 55 144 255 357 362 346 341 263 232 171 120 108 92 61 43 15 3 5 11 33 82 158 213 251 298 305 305 267 244 240 217 209 152 88 13 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 One Disability At Least 2 Disabilities

Single VI-SPDAT Score Ranges by Total Disabilities (Mental, Physical, Substance Abuse)

16% 47% 37% 4% 30% 66% Minimal Intervention (0 to 3) RRH Level (4 to 7) PSH Level (9+) One Disability At Least 2 Disabilities

Family VI-SPDAT Scores of Enrolled Households by Number of Disabilities

1 2 7 18 26 27 38 37 25 20 18 12 18 9 11 8 7 2 3 3 9 7 18 6 14 8 13 10 17 15 14 13 12 3 7 4 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20. 21. One Disability At least 2 Disabilities

Family VI-SPDAT Score Ranges by Total Disabilities (Mental, Physical, Substance Abuse)

3% 51% 46% 0% 25% 75% Minimal Intervention (0 to 3) RRH Level (4 to 8) PSH Level (9+) One Disability At Least 2 Disabilities

Project Enrollments by Number of Disabilities Reported at Enrollment (Mental, Physical, Substance Abuse)

824 42 231 108 189 1671 104 96 848 25 148 269 108 1592 173 95 1282 134 46 39 440 1915 105 161 Emergency Shelter Homeless Prevention Other PH - Permanent Supportive Housing (disability required) PH - Rapid Re-Housing Services Only Street Outreach Transitional Housing Single Disability (Mental, Physical, or Substance Abuse) At Least 2 Disabilities (Mental, Physical, or Substance Abuse) No Reported Disability (of any kind)