Coordinated Assessment System Prioritization Subcommittee - PowerPoint PPT Presentation

Coordinated Assessment System Prioritization Subcommittee THURSDAY, APRIL 25, 2019

Welcome & MEET OTHER PARTICIPANTS, Introductions FOCUS GROUP ON MEETING

Meeting Agenda Review Coordinated Assessment System 1. values Revisit Prioritization Subcommittee values & 2. goals Discuss system performance metrics related 3. 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 DETERMINE PRIORITIZE EVALUATE WHERE THE CHANGES TO PROPOSALS & PROGRESS ASSESSMENT & REINFORCE DEVELOP PRIORITIZATION SUBCOMMITTEE IMPLEMENTATION PROCESS CAN BE VALUES PLAN IMPROVED

u The CAS is not adequately Areas for culturally competent or Improvement accessible to: Identified Ø LGBTQI+ persons, particularly youth Ø Spanish-speaking persons Thus Far Ø Speakers of Asian languages

Strengthening the DISCUSS AREAS Coordinated WHERE ASSESSMENT & PRIORITIZATION Assessment CAN BE IMPROVED System

Referral Rates

RRH Gaps Analysis: Annual Capacity vs. Assessments Supply: Percent of Capacity Demand: Percent in RRH Intervention area category Demand - Single Clients, by Age 41% Tier 325 318 30% 29% 232 231 22% 117 21% 15% 12% 25 to 34 35 to 44 45 to 54 55 to 64 65 or 9% Above 7% 6% 4% 3% Families Singles Transition Reentry Veterans Domestic (capacity Age Youth Violence includes families for some programs)

Rapid Rehousing Gaps Analysis: Capacity vs. Assessments Demand: For clients (head of household) who took a RRH assessment during CY18 and scored in the Demand: Demand: RRH range of intervention, the categories are Took Percent in Annual Supply: broken down as follows: Assessment RRH RRH Target Population Capacity Percent of Self-reported as Veteran • in past year Intervention (Households) Capacity Self-reported as Youth and Young Adult (0 to 17 • and scored area or 18 to 24 years) in RRH Range category Families – Household with children or household • 352 with more than one adult Families 22% 443 15% Singles – Household with no children who is not • Singles (capacity Veteran/TAY/DV/Reentry category 470 30% 1228 41% includes families for Domestic Violence – if client self reports as • some programs) “currently fleeing DV” or DV occurred in past 94 Transition Age Youth 6% 354 12% three months Reentry - if client self reports as being in jail in 148 • Reentry 9% 617 21% past six months. For clients to be eligible for 462 Veterans 29% 212 7% Reentry programs, clients have to be registered 48 Domestic Violence 3% 113 4% / linked to RRC / RRC providers. HMIS does not show that information (needs to manually verified). 1,574 2,967 100% 100%

March: CAS Equity -- Physical Disability in PSH Assessed Population 74% 74% (n = 2,993) Referred Population (n = 529) 25% 24% 2% 1% Yes No No Data

CAS Equity: Learning Disability / Developmental Disability / Other Impairment in PSH Assessed Population 75% (n = 2,993) 69% Referred Population (n = 529) 29% 24% 3% 1% Yes No No Data

CAS Equity: Mental Health Issue/Concern in PSH Assessed Population Referred Population (n = 2,993) (n = 529) 59% 52% 47% 40% 1% 1% Yes No No Data

Responses to Disability Questions: Assessment vs. PSH Enrollment Assessment Response Entry Screen Response 69% 41% 36% 31% 26% 22% 18% 10% Physical Disability Learning or Mental Health Substance Abuse Developmental Disability Learning disability, Assessment Physical disability developmental Mental health issue Drinking or drug use Questions limits housing options disability, or other or concern cause lose housing (Yes/No) and limits mobility impairment Entry Screen Substance Abuse Developmental Mental Health Questions Physical Disability (Alcohol, Drug, or Disability Disability (Yes/No) both)

Responses to Disability Questions: Assessment vs. RRH Enrollment Assessment Response Entry Screen Response 23% 18% 17% 15% 13% 12% 8% 4% Physical Disability Learning or Mental Health Substance Abuse Developmental Disability Learning disability, Assessment Physical disability developmental Mental health issue Drinking or drug use Questions limits housing options disability, or other or concern cause lose housing (Yes/No) and limits mobility impairment Entry Screen Substance Abuse Developmental Mental Health Questions Physical Disability (Alcohol, Drug, or Disability Disability (Yes/No) both)

Singles VI-SPDAT Scores of Enrolled Households by Number of Disabilities One Disability At Least 2 Disabilities 362 357 346 341 305 305 298 267 263 255 251 244 240 232 217 213 209 171 158 152 144 120 108 92 88 82 61 55 43 33 15 13 12 11 5 3 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Single VI-SPDAT Score Ranges by Total Disabilities (Mental, Physical, Substance Abuse) One Disability At Least 2 Disabilities 66% 47% 37% 30% 16% 4% Minimal Intervention (0 to 3) RRH Level (4 to 7) PSH Level (9+)

Family VI-SPDAT Scores of Enrolled Households by Number of Disabilities One Disability At least 2 Disabilities 38 37 27 26 25 20 18 18 18 18 17 15 14 14 13 13 12 12 11 10 9 9 8 8 7 7 7 7 6 4 3 3 3 2 2 2 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20. 21.

Family VI-SPDAT Score Ranges by Total Disabilities (Mental, Physical, Substance Abuse) One Disability At Least 2 Disabilities 75% 51% 46% 25% 3% 0% Minimal Intervention (0 to 3) RRH Level (4 to 8) PSH Level (9+)

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