[PPT] - Housing F ir st and Coor dinate d E ntr y Chic a g o , I L PowerPoint Presentation

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Home Base / T he Ce nte r for Common Conc e r ns

Home Base / T he Ce nte r for Common Conc e r ns

Housing F ir st and Coor dinate d E ntr y

Chic a g o , I L Se pte mb e r 12-13, 2018

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Home Base / T he Ce nte r for Common Conc e r ns

Who We Ar e

HomeBase

Ge or ge Mar tin a nd Matt Olsson se rve a s HUD te c hnic a l a ssista nc e pro vide rs

fo r Ho me Ba se , a Sa n F ra nc isc o -b a se d no npro fit pub lic inte re st la w firm de dic a te d to the so c ia l pro b le m o f ho me le ssne ss. We wo rk a t the sta te a nd lo c a l le ve l to suppo rt c o mmunitie s in imple me nting re spo nse s to ho me le ssne ss while fo ste ring c o lla b o ra tio n in a ddre ssing the so c io e c o no mic c a use s o f ho me le ssne ss.

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Home Base / T he Ce nte r for Common Conc e r ns

Today’s Agenda

Housing F ir st

Ho using F irst is a n a ppro a c h to pre ve nting a nd e nding ho me le ssne ss utilizing pro ve n me tho ds to inc re a se re side ntia l sta b ility a nd a ddre ss the ro o t c a use s o f ho me le ssne ss.

Coor dinate d E ntr y

Co o rdina te d E ntry is a n a ppro a c h to c o o rdina tio n a nd

management of a crisis response system’s resources that

a llo ws use rs to ma ke c o nsiste nt de c isio ns fro m a va ila b le info rma tio n to e ffic ie ntly a nd e ffe c tive ly c o nne c t pe o ple to inte rve ntio ns tha t will e nd the ir ho me le ssne ss

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Home Base / T he Ce nte r for Common Conc e r ns

Home Base / T he Ce nte r for Common Conc e r ns

Housing F ir st

Pra c tic a l I mplic a tio ns o f Ho using F irst Princ iple s

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Home Base / T he Ce nte r for Common Conc e r ns

Ho using First is an appro ac h whe re ho me le ss pe rso ns are pro vide d

imme diate ac c e ss to ho using and the n o ffe re d the suppo rtive se rvic e s that may be ne e de d to fo ste r lo ng-te rm stability and pre ve nt a re turn to ho me le ssne ss. T his appro ac h re mo ve s unne c e ssary barrie rs and assume s that suppo rtive se rvic e s are mo re e ffe c tive in addre ssing ne e ds whe n the individual o r family is ho use d – whe n the daily stre ss o f be ing ho me le ss is take n o ut o f the e quatio n.

Ann Ma rie Oliva Dire c to r, Offic e o f Spe c ia l Ne e ds Assista nc e Pro g ra ms Aug ust 21, 2016

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Home Base / T he Ce nte r for Common Conc e r ns

Home Base / T he Ce nte r for Common Conc e r ns

De fining Ho using F

irst

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Home Base / T he Ce nte r for Common Conc e r ns

What is Housing F ir st?

Pe r

mane nt housing is the ne c e ssar y fir st ste p in he lping pe o ple a ddre ss

physic a l, me nta l, o r b e ha vio ra l issue s

T

re a t the se issue s afte r

pe ople ar e in stable housing

I

nde pe nde nt living e mpo we rs pa rtic ipa nts to me e t pe rso na l c ha lle ng e s a nd fo ste rs se lf-re lia nc e

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Home Base / T he Ce nte r for Common Conc e r ns

Cor e Pr inc iple s

Pr inc iple #1

Ho me le ssne ss is prima rily a ho using pro b le m.

1

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Home Base / T he Ce nte r for Common Conc e r ns

Cor e Pr inc iple s

Pr inc iple #2

Ho using is a b a sic huma n rig ht to whic h a ll pe rso ns a re e ntitle d, witho ut q ua lific a tio n.

1 2

Pr inc iple #1

Ho me le ssne ss is prima rily a ho using pro b le m.

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Home Base / T he Ce nte r for Common Conc e r ns

Cor e Pr inc iple s

Pr inc iple #3

Ho me le ss pe rso ns sho uld b e re turne d to o r sta b ilize d in pe rma ne nt ho using a s so o n a s po ssib le a nd c o nne c te d with the re so urc e s re q uire d to susta in tha t ho using .

1 2 3

Pr inc iple #2

Ho using is a b a sic huma n rig ht to whic h a ll pe rso ns a re e ntitle d, witho ut q ua lific a tio n.

Pr inc iple #1

Ho me le ssne ss is prima rily a ho using pro b le m.

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Home Base / T he Ce nte r for Common Conc e r ns

Cor e Pr inc iple s

Pr inc iple #4

Unde rlying issue s a re b e st a ddre sse d o nc e tha t pe rso n is in a sta b le ho using e nviro nme nt.

1 2 3 4

Pr inc iple #3

Ho me le ss pe rso ns sho uld b e re turne d to o r sta b ilize d in pe rma ne nt ho using a s so o n a s po ssib le a nd c o nne c te d with the re so urc e s re q uire d to susta in tha t ho using .

Pr inc iple #2

Ho using is a b a sic huma n rig ht to whic h a ll pe rso ns a re e ntitle d, witho ut q ua lific a tio n.

Pr inc iple #1

Ho me le ssne ss is prima rily a ho using pro b le m.

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Home Base / T he Ce nte r for Common Conc e r ns

Who Be ne fits fr

m Housing F

ir st?

Pe o ple with c omple x se r

vic e ne e ds

T

ho se ofte n tur

ne d away fro m o the r a ffo rda b le ho using o ptio ns

T

ho se le ast like ly to b e a b le to pro a c tive ly se e k and obtain housing on

the ir

wn

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Home Base / T he Ce nte r for Common Conc e r ns

How is Housing F ir st Applie d?

T

a rg e t the most vulne r

able pe r sons fo r pla c e me nt

Mo ve pe o ple into ho using without pr

e c onditions

Pro vide pa rtic ipa nts with te nanc y pr
te c tions, inc luding le a se s
E

ng a g e pa rtic ipa nts in voluntar

y se r vic e s

E

mb ra c e har

m r e duc tion fo r a ddic tio n tre a tme nt

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Home Base / T he Ce nte r for Common Conc e r ns

Home Base / T he Ce nte r for Common Conc e r ns

Justifying Ho using F

irst

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Home Base / T he Ce nte r for Common Conc e r ns

Why Housing F ir st?

Re side ntial Stability Soc ial Be ne fits Cost E ffe c tive ne ss HUD Pr ior itization

1 2 3 4

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Home Base / T he Ce nte r for Common Conc e r ns

Re side ntial Stability

Ho using F irst ha s b e e n sho wn to le a d to inc r

e ase d housing stability,

me a ning tha t pa rtic ipa nts in Ho using F irst-o rie nte d pro g ra ms a nd syste ms ha ve g re a te r:

Ho using re te ntio n; a nd,
L
ng e r sta ys in ho using

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Home Base / T he Ce nte r for Common Conc e r ns

Soc ial Be ne fits

Pa rtic ipa nts in Ho using F irst-o rie nte d pro g ra ms a nd syste ms sho w impro ve me nts in ove r

all we ll- be ing, inc luding :

I

nc re a se d psyc ho lo g ic a l we ll-b e ing

I

nc re a se d se nse o f inte g ra tio n into the c o mmunity

Hig he r ho using sa tisfa c tio n
L
we r inc a rc e ra tio n ra te s
No g re a te r ra te o f a lc o ho l o r sub sta nc e a b use

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Home Base / T he Ce nte r for Common Conc e r ns

Cost E ffe c tive ne ss

I mple me nting Ho using F irst is c ost e ffe c tive a nd ha s b e e n sho wn to le a d to :

Re duc e d c o sts o ve ra ll
De c lining c o sts o ve r time
Re duc e d stra in o n c o mmunity re so urc e s

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Home Base / T he Ce nte r for Common Conc e r ns

Re duc e d Costs

$0 $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 Na tio nwide Study Ce ntra l F lo rida Study Unho use d Ho using F irst

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Home Base / T he Ce nte r for Common Conc e r ns

De c lining Costs

$0 $500 $1,000 $1,500 $2,000 $2,500 $3,000 $3,500 $4,000 $4,500 Ye a r Prio r to E ntry 6 Mo nths Afte r E ntry 1 Ye a r Afte r E ntry Co st/ Mo nth

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Home Base / T he Ce nte r for Common Conc e r ns

Re duc e d Str ain on Re sour c e s

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% E R Visits Ho spita liza tio ns I nc a rc e ra tio ns Arre sts

Savings of $1.8 million at a c ost of $14,000 pe r c lie nt

Be fo re Afte r

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Home Base / T he Ce nte r for Common Conc e r ns

HUD Pr ior itization

I

de ntifie d a s a c or

e str ate gy fo r e nding ho me le ssne ss in Ope ning Do o rs:

T he F e de ral S trate gic Plan to E nd H

me le ssne ss
Re info rc e d thro ug h pro g ra m gr

ant c ompe titions a nd g ra nte e pe r for manc e r e por ts

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Home Base / T he Ce nte r for Common Conc e r ns

Home Base / T he Ce nte r for Common Conc e r ns

Applying Ho using F

irst

At the Pro je c t-L e ve l

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Pr

je c t

F e w or No Bar r ie r s

Ac c e ss to pro g ra ms is no t c o nting e nt o n:
So b rie ty;
Minimum inc o me ;
L

a c k o f a c rimina l re c o rd;

Co mple tio n o f tre a tme nt;
Pa rtic ipa tio n in se rvic e s; o r,
Othe r unne c e ssa ry c o nditio ns
Pro g ra ms o r pro je c ts do e ve rything po ssib le no t to re je c t a n individua l o r

fa mily o n the b a sis o f:

Po o r c re dit o r fina nc ia l histo ry;
Po o r o r la c k o f re nta l histo ry;
Mino r c rimina l c o nvic tio ns; o r,
Behaviors that are interpreted as indicating a lack of “housing

readiness”

1 2 3 4 5 6

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Pr

je c t

F e w or No Bar r ie r s 1 2 3 4 5 6 Re asonable Ac c ommodations

Pe o ple with disa b ilitie s a re o ffe re d c le a r o ppo rtunitie s to re q ue st re a so na b le

a c c o mmo da tio ns within a pplic a tio ns a nd sc re e ning pro c e sse s a nd during te na nc y

Building a nd a pa rtme nt units inc lude spe c ia l physic a l fe a ture s tha t

a c c o mmo da te disa b ilitie s

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Pr

je c t

F e w or No Bar r ie r s 1 3 4 5 6 Re asonable Ac c ommodations Ide ntific ation of Alte r native s

Pro g ra ms o r pro je c ts tha t c a nno t se rve so me o ne wo rk thro ug h the c o o rdina te d e ntry pro c e ss to e nsure tha t tho se individua ls o r fa milie s ha ve a c c e ss to ho using a nd se rvic e s e lse whe re

2

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Pr

je c t

F e w or No Bar r ie r s 1 4 5 6 Re asonable Ac c ommodations Ide ntific ation of Alte r native s 2 Voluntar y, Clie nt- Dr ive n Se r vic e s

Ho using a nd se rvic e g o a ls a nd pla ns a re hig hly te na nt-drive n
Suppo rtive se rvic e s e mpha size e ng a g e me nt a nd pro b le m-so lving o ve r

the ra pe utic g o a ls

Pa rtic ipa tio n in se rvic e s o r c o mplia nc e with se rvic e pla ns a re no t c o nditio ns
f te na nc y, b ut a re re vie we d with te na nts a nd re g ula rly o ffe re d
Se rvic e s a re info rme d b y a ha rm-re duc tio n philo so phy tha t re c o g nize s tha t

drug and alcohol use and addiction are a part of some tenants’ lives

T

e na nts a re e ng a g e d in no n-judg me nta l c o mmunic a tio n re g a rding drug a nd a lc o ho l use a nd a re o ffe re d e duc a tio n re g a rding ho w to a vo id risky b e ha vio rs a nd e ng a g e in sa fe r pra c tic e s

3

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Pr

je c t

F e w or No Bar r ie r s 1 5 6 Re asonable Ac c ommodations Ide ntific ation of Alte r native s 2 Voluntar y, Clie nt- Dr ive n Se r vic e s 3 F le xible Payme nt

T e na nts in suppo rtive ho using a re g ive n re a so na b le fle xib ility in pa ying the ir sha re o f re nt o n time a nd o ffe re d spe c ia l pa yme nt a rra ng e me nts fo r re nt a rre a rs a nd/ o r a ssista nc e with fina nc ia l ma na g e me nt, inc luding re pre se nta tive pa ye e a rra ng e me nts

4

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Pr

je c t

F e w or No Bar r ie r s 1 6 Re asonable Ac c ommodations Ide ntific ation of Alte r native s 2 Voluntar y, Clie nt- Dr ive n Se r vic e s 3 F le xible Payme nt 4 Avoiding E vic tion

Sub sta nc e use , witho ut o the r le a se vio la tio ns, is no t a re a so n fo r

e vic tio n a nd e ve ry e ffo rt is ma de to tra nsfe r fro m o ne ho using situa tio n, pro g ra m, o r pro je c t to a no the r if te na nc y is in je o pa rdy

5

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Pr

je c t

F e w or No Bar r ie r s 1 6 Re asonable Ac c ommodations Ide ntific ation of Alte r native s 2 Voluntar y, Clie nt- Dr ive n Se r vic e s 3 F le xible Payme nt 4 Avoiding E vic tion 5

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Home Base / T he Ce nte r for Common Conc e r ns

Home Base / T he Ce nte r for Common Conc e r ns

Applying Ho using F

irst

At the Syste m-L e ve l

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Home Base / T he Ce nte r for Common Conc e r ns

Housing F ir st a t the Syste m L e ve l

 Me dic a l  Be ha vio ra l  Me nta l  I nc o me  L a ndlo rd Re la tio nship

She lte r T ransitional Pe rmane nt

Home le ss

Housing

✓ Me dic a l ✓ Be ha vio ra l ✓ Me nta l ✓ I nc o me ✓ L a ndlo rd Re la tio nship Housing Stability

PRE

HOUSING F

IRST HOUSING F IRST

Coor dinate d E ntry

Navigate Co nne c t Asse ss Pote ntial Barrie rs Pote ntial Barrie rs

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Home Base / T he Ce nte r for Common Conc e r ns

Cor e E le me nts at the Syste m L e ve l

F e w o r no b a rrie rs to ho using e ntry Prio ritiza tio n o f pe rso ns with the hig he st le ve l o f ne e d

Housing F irst

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Syste m

Syste mic Alignme nt with Housing F ir st

T

he c risis re spo nse syste m is a lig ne d with Ho using F irst, e ng a g e s in ho using a dvo c a c y, a nd a ims to ra pidly c o nne c t c lie nts to pe rma ne nt ho using

Sta ff b e lie ve s tha t a ll ho me le ss pe rso ns a re re a dy to b e ho use d

1 2 3 4 5 6 7 8

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Syste m

L inkage s to Pe r mane nt Housing

Stro ng , dire c t re fe rra l re la tio nships e xist b e twe e n the c risis re spo nse syste m

a nd pe rma ne nt ho using

Crisis re spo nse pro vide rs a re a wa re o f a nd tra ine d to a ssist c lie nts in the

pro c e ss o f a pplying fo r a nd o b ta ining pe rma ne nt ho using

1 2 3 4 5 6 7 8 Syste mic Alignme nt with Housing F ir st

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Syste m

L inkage s to Pe r mane nt Housing 1 2 3 4 5 6 7 8 Syste mic Alignme nt with Housing F ir st Unifie d Applic ation Pr

c e ss
T

he re is a c o mmunity-wide pro c e ss to a pply fo r pe rma ne nt ho using , o r

the r ho using inte rve ntio n tha t is: (a ) unifie d; (b ) stre a mline d; a nd, (c ) use r

frie ndly

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Syste m

L inkage s to Pe r mane nt Housing 1 2 4 5 6 7 8 Syste mic Alignme nt with Housing F ir st Unifie d Applic ation Pr

c e ss

Coor dinate d E ntr y Syste m

T he re is a c o mmunity-wide c o o rdina te d e ntry pro c e ss tha t:

Ma tc he s ho me le ss pe rso ns to the mo st a ppro pria te le ve l o f ho using a nd

se rvic e s

Ma tc he s c hro nic a lly ho me le ss pe rso ns a nd o the r e xtre me ly hig h-ne e ds

individua ls o r fa milie s to pe rma ne nt suppo rtive ho using

3

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Syste m

L inkage s to Pe r mane nt Housing 1 2 5 6 7 8 Syste mic Alignme nt with Housing F ir st Unifie d Applic ation Pr

c e ss

Coor dinate d E ntr y Syste m 3 Data- Dr ive n Appr

ac h

T he c o mmunity ha s a da ta -drive n a ppro a c h to prio ritizing the hig he st-ne e d c lie nts fo r ho using a ssista nc e thro ug h:

L

e ng ths o f sta y (HMI S)

Vulne ra b ility indic e s
F

re q ue nc y o f use o f c risis se rvic e s

4

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Syste m

L inkage s to Pe r mane nt Housing 1 2 6 7 8 Syste mic Alignme nt with Housing F ir st Unifie d Applic ation Pr

c e ss

Coor dinate d E ntr y Syste m 3 Data- Dr ive n Appr

ac h

4 Collabor ative De c ision Making

Po lic yma ke rs, funde rs, a nd pro vide rs wo rk c o lla b o ra tive ly to :

Co nduc t pla nning
Ra ise a nd a lig n re so urc e s to inc re a se the a va ila b ility o f b o th a ffo rda b le a nd

suppo rtive ho using

E

nsure tha t a ra ng e o f ho using o ptio ns a nd mo de ls a re a va ila b le to ma ximize ho using c ho ic e

5

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Syste m

L inkage s to Pe r mane nt Housing 1 2 7 8 Syste mic Alignme nt with Housing F ir st Unifie d Applic ation Pr

c e ss

Coor dinate d E ntr y Syste m 3 Data- Dr ive n Appr

ac h

4 Collabor ative De c ision Making 5 Polic ie s and Pr

c e dur

e s

Po lic ie s a nd pro c e dure s fo r pe rma ne nt suppo rtive ho using , so c ia l a nd he a lth se rvic e s, b e ne fits a nd e ntitle me nt pro g ra ms, a nd o the r e sse ntia l se rvic e s suppo rt (a nd do no t inhib it) imple me nta tio n o f the Ho using F irst a ppro a c h

6

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Syste m

L inkage s to Pe r mane nt Housing 1 2 8 Syste mic Alignme nt with Housing F ir st Unifie d Applic ation Pr

c e ss

Coor dinate d E ntr y Syste m 3 Data- Dr ive n Appr

ac h

4 Collabor ative De c ision Making 5 Polic ie s and Pr

c e dur

e s 6 Avoiding Re tur ns to Home le ssne ss

E ve ry e ffo rt is ma de to pre ve nt e vic tio n to ho me le ssne ss, inc luding tra nsfe r fro m o ne ho using situa tio n to a no the r, if a te na nt ma y lo se ho using

7

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Char ac te r istic s of a Housing F ir st Syste m

L inkage s to Pe r mane nt Housing 1 2 8 Syste mic Alignme nt with Housing F ir st Unifie d Applic ation Pr

c e ss

Coor dinate d E ntr y Syste m 3 Data- Dr ive n Appr

ac h

4 Collabor ative De c ision Making 5 Polic ie s and Pr

c e dur

e s 6 Avoiding Re tur ns to Home le ssne ss 7

SLIDE 43

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Home Base / T he Ce nte r for Common Conc e r ns

Home Base / T he Ce nte r for Common Conc e r ns

Imple me nting Ho using F

irst

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Home Base / T he Ce nte r for Common Conc e r ns

Infr astr uc tur e and F ac ilitie s

E

ithe r sc a tte re d-site o r pro je c t-b a se d

Spe c ia l physic a l fe a ture s to a c c o mmo da te pe rso ns with disa b ilitie s, suc h a s:
E

le va to rs,

Sto ve -to ps with a uto ma tic shut-o ffs;
Wa ll-mo unte d e me rg e nc y pull-c o rds; a nd,
ADA whe e lc ha ir c o mplia nt sho we rs

1 2 3 4 5 6

Imple me nting Housing F ir st

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Home Base / T he Ce nte r for Common Conc e r ns

Infr astr uc tur e and F ac ilitie s 1 2 3 4 5 6 Polic ie s and Pr

c e dur

e s

Do no t re q uire e ithe r o f the fo llo wing fo r pro g ra m e ntry:
So b rie ty
Pa rtic ipa tio n in se rvic e s
Pro vide re nt pa yme nt fle xib ility fo r pe rma ne nt suppo rtive ho using
Pe rma ne nt suppo rtive ho using sho uld o ffe r fina nc ia l ma na g e me nt

a ssista nc e

E

nsure tha t re side nts ha ve le a se s/ te na nt le g a l pro te c tio ns

Imple me nting Housing F ir st

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Home Base / T he Ce nte r for Common Conc e r ns

Infr astr uc tur e and F ac ilitie s 1 3 4 5 6 Polic ie s and Pr

c e dur

e s Staff and T r aining

Sta ff a re tra ine d in a nd a c tive ly e mplo y e vide nc e -b a se d pra c tic e s fo r c lie nt

e ng a g e me nt

Se rvic e s a re info rme d b y a ha rm re d uc tio n philo so phy a nd sta ff re c e ive o ng o ing

tra ining o n stra te g ie s a nd to o ls

T

e na nts a re o ffe re d e duc a tio n re g a rding risky b e ha vio rs

2

Imple me nting Housing F ir st

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Home Base / T he Ce nte r for Common Conc e r ns

Infr astr uc tur e and F ac ilitie s 1 4 5 6 Polic ie s and Pr

c e dur

e s Staff and T r aining 2 Outr e ac h and Intake

Ac c e pt re fe rra ls dire c tly fro m c o o rdina te d e ntry (inc luding tho se pa rts o f

the c risis re spo nse syste m tha t a re fre q ue nte d b y the mo st vulne ra b le , suc h a s e me rg e nc y she lte rs, stre e t o utre a c h pro vide rs, e tc .)

Ac c e pt c lie nts re g a rdle ss o f so b rie ty, pa st tre a tme nt, a g re e me nt to

pa rtic ipa te in se rvic e s, fina nc ia l histo ry, re nta l histo ry, c rimina l b a c kg ro und, e tc .

Prio ritize the mo st vulne ra b le c lie nts

3

Imple me nting Housing F ir st

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9/17/2018 48

Home Base / T he Ce nte r for Common Conc e r ns

Infr astr uc tur e and F ac ilitie s 1 5 6 Polic ie s and Pr

c e dur

e s Staff and T r aining 2 Outr e ac h and Intake 3 Clie nt Se r vic e s

Suppo rtive se rvic e s e mpha size e ng a g e me nt a nd pro b le m-so lving o ve r

the ra pe utic g o a ls

Se rvic e s a re pre dic a te d o n a sse rtive e ng a g e me nt – no t c o e rc io n – a nd

a ssist the c lie nt in the le a st re stric tive e nviro nme nt po ssib le

Sta ff prio ritize re spe c tful re la tio nships with c lie nts
Pa rtic ipa nts drive g o a l se tting , se rvic e pla nning , a nd pro g re ss a sse ssme nt

4

Imple me nting Housing F ir st

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Home Base / T he Ce nte r for Common Conc e r ns

Infr astr uc tur e and F ac ilitie s 1 6 Polic ie s and Pr

c e dur

e s Staff and T r aining 2 Outr e ac h and Intake 3 Clie nt Se r vic e s 4 Community E ngage me nt

Po lic ie s a nd pro c e dure s, re so urc e s a nd pla nning pro c e sse s, a nd sta ff a lig n

with o r b uy into Ho using F irst

Pa rtic ipa tio n in c o o rdina te d e ntry

5

Imple me nting Housing F ir st

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Home Base / T he Ce nte r for Common Conc e r ns

Infr astr uc tur e and F ac ilitie s 1 6 Polic ie s and Pr

c e dur

e s Staff and T r aining 2 Outr e ac h and Intake 3 Clie nt Se r vic e s 4 Community E ngage me nt 5

Imple me nting Housing F ir st

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Home Base / T he Ce nte r for Common Conc e r ns

Asse ssing Your Syste m

HUD ha s de ve lo pe d a Housing F

ir st Asse ssme nt T

ol tha t c a n b e use d to

track your communities’ and projects’ implementation of Housing First over

time :

Housing F irst Asse ssme nt T

ol

https:/ / www.hud e xc ha ng e .info / re so urc e / 5294/ ho using -first-a sse ssme nt-to o l/

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Home Base / T he Ce nte r for Common Conc e r ns

Que stions on Housing F ir st?

SLIDE 53

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Home Base / T he Ce nte r for Common Conc e r ns

Home Base / T he Ce nte r for Common Conc e r ns

Common Challe nge s and Solutions

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Home Base / T he Ce nte r for Common Conc e r ns

L a ndlo rd re sista nc e to e ng a g ing with the pro g ra m

Common Challe nge s and Solutions

Challe nge

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Home Base / T he Ce nte r for Common Conc e r ns

L a ndlo rd re sista nc e to e ng a g ing with the pro g ra m Suc c e ssful la ndlo rd e ng a g e me nt te c hniq ue s o fte n inc lude :

Me e ting the la ndlo rd to vie w the

pro pe rty;

E

xpla ining the b e ne fits o f wo rking with the pro g ra m a nd te na nt; a nd,

F
llo wing up with the la ndlo rd to

ma inta in a n o ng o ing , po sitive re la tio nship

Common Challe nge s and Solutions

Challe nge Solution

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Home Base / T he Ce nte r for Common Conc e r ns

I na ppro pria te q ue stio ns re g a rding a pro spe c tive te na nt, a s we ll a s a c lie nt histo ry o f e vic tio n, c rimina l b a c kg ro und, a nd c re dit issue s

Common Challe nge s and Solutions

Challe nge

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Home Base / T he Ce nte r for Common Conc e r ns

I na ppro pria te q ue stio ns re g a rding a pro spe c tive te na nt, a s we ll a s a c lie nt histo ry o f e vic tio n, c rimina l b a c kg ro und, a nd c re dit issue s Sta ff sho uld:

Co ntinue utilizing la ndlo rd

e ng a g e me nt te c hniq ue s;

Maintain the tenant’s rights to privacy

a nd pro vide limite d info rma tio n whe re a ppro pria te ; a nd,

Ac kno wle dg e re nta l, c rimina l, o r

c re dit histo ry whe re ne c e ssa ry

Common Challe nge s and Solutions

Challe nge Solution

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Home Base / T he Ce nte r for Common Conc e r ns

Po o r pro spe c tive te na nt pre se nta tio n to the la ndlo rd

Common Challe nge s and Solutions

Challe nge

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Home Base / T he Ce nte r for Common Conc e r ns

Po o r pro spe c tive te na nt pre se nta tio n to the la ndlo rd Sta ff sho uld pro vide the pro spe c tive te na nt with a ppro pria te c o a c hing re g a rding :

Hyg ie ne
Clo thing
Disc lo sure s o f info rma tio n

Common Challe nge s and Solutions

Challe nge Solution

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Home Base / T he Ce nte r for Common Conc e r ns

L e a se vio la tio ns, suc h a s e xc e ssive no ise , fig hting with ne ig hb o r/ g ue sts, a nd no n-pa yme nt o f re nt

Common Challe nge s and Solutions

Challe nge

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Home Base / T he Ce nte r for Common Conc e r ns

L e a se vio la tio ns, suc h a s e xc e ssive no ise , fig hting with ne ig hb o r/ g ue sts, a nd no n-pa yme nt o f re nt Pro g ra m sta ff sho uld:

E

nc o ura g e de ve lo pme nt a nd imple me nta tio n o f life skills a nd o the r c o ping skills, inc luding te na nc y tra ining o n rig hts a nd re spo nsib ilitie s

Suppo rt the ma inte na nc e o f the

la ndlo rd/ te na nt re la tio nship

Common Challe nge s and Solutions

Challe nge Solution

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Home Base / T he Ce nte r for Common Conc e r ns

L a c k o f sta ff/ a g e nc y a c c o unta b ility (e .g ., la ndlo rd do e s no t kno w who to c o nta c t o r wha t to e xpe c t re g a rding sta ff inte rve ntio n a nd re nt pa yme nt)

Common Challe nge s and Solutions

Challe nge

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Home Base / T he Ce nte r for Common Conc e r ns

L a c k o f sta ff/ a g e nc y a c c o unta b ility (e .g ., la ndlo rd do e s no t kno w who to c o nta c t o r wha t to e xpe c t re g a rding sta ff inte rve ntio n a nd re nt pa yme nt)

T he pro g ra m sho uld:

E

sta b lish c le a r a g e nc y pro to c o ls re g a rding sta ff re spo nsib ilitie s;

Co mmunic a te re spo nsib ilitie s to the

la ndlo rd a nd b e re spo nsive to c o nc e rns in a time ly ma nne r;

T

a ke ne c e ssa ry a c tio n to e nsure the we ll-b e ing o f the te na nt a nd c o mmunity; a nd,

Pre se rve the la ndlo rd re la tio nship

Common Challe nge s and Solutions

Challe nge Solution

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Home Base / T he Ce nte r for Common Conc e r ns

Home Base / T he Ce nte r for Common Conc e r ns

Coor dinate d E ntr y

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Home Base / T he Ce nte r for Common Conc e r ns

What is Coor dinate d E ntr y? Why?

Str

e amline : Stre a mline a c c e ss a nd re fe rra l

F

air and E qual: E

nsure fa ir a nd e q ua l a c c e ss

Standar

dization: Sta nda rdize to o ls a nd pra c tic e s

Housing F

ir st: I

nc o rpo ra te a Ho using F irst a ppro a c h

Pr

ior itization: Prio ritize tho se mo st in ne e d o f

a ssista nc e

Not just be c ause HUD says we ha ve to …
Pro vide s a n o ppo rtunity to r

e - think and r e -

r

ganize how and to whom housing and se r vic e s ar e de live r e d

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Home Base / T he Ce nte r for Common Conc e r ns

Ad Hoc Syste m

Multiple pro g ra ms with a d ho c

pro c e sse s

Do ze ns o f inta ke a nd a sse ssme nt

pro to c o ls

Diffe re nt e lig ib ility rule s re sulting in

duplic a tio n o f se rvic e s

L

a c k o f a c c e ss to pro g ra ms

I

ne ffic ie nt use s o f re so urc e s

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Home Base / T he Ce nte r for Common Conc e r ns

Coor dinate d Syste m

E

a sie r, fa ste r a c c e ss

I

nc re a se d fo c us o n sha re d g o a ls

I

nc re a se d e xits to pe rma ne nt ho using , c re a ting syste m o utflo w a nd re duc ing wa iting lists

No wro ng do o r to a c c e ss the se rvic e s

tha t b e st fit ne e ds

Ma ximize s re so urc e s b y ma tc hing

hig he st ne e ds c lie nts to the mo st inte nsive se rvic e s

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Compone nts

Syste m E ntr y Asse ssme nt Pr ior itization Matc hing Re fe r r al Plac e me nt

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Compone nts

Syste m E ntr y

Clie nts se e king ho using o r se rvic e s first ma ke

contact with the CoC’s homeless response system,

suc h a s inte ra c ting with a n o utre a c h wo rke r, c a lling 211, o r sho wing up a t a se rvic e pro vide r site .

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Compone nts

Asse ssme nt

Clients’ needs and vulnerability are assessed in a uniform

ma nne r within the e ntire Co C.

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Compone nts

Pr ior itization

Clie nts a re prio ritize d fo r ho using / se rvic e s within the Co C, b a se d o n fa c to rs a g re e d upo n b y the

community, ensuring that a community’s limited

re so urc e s a re use d in the mo st e ffe c tive ma nne r a nd tha t ho use ho lds tha t a re mo st in ne e d o f a ssista nc e a re prio ritize d fo r ho using a nd se rvic e s.

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Compone nts

Matc hing

Clients at the top of the community’s priority list

a re g ive n a c ho ic e o f ho using , a s it b e c o me s a va ila b le , fo r whic h the y a re e lig ib le a nd whic h a ppe a r to me e t the ir ne e ds.

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Compone nts

Re fe r r al

Clie nts ma tc he d with a n a ppro pria te pro g ra m a re re fe rre d to tha t pro g ra m, re q uiring c o mmunic a tio n b e twe e n the e ntity in c ha rg e o f ma tc hing , the c lie nt, a nd the pro g ra m pro viding the ho using / se rvic e s.

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Home Base / T he Ce nte r for Common Conc e r ns

Ke y Compone nts

Plac e me nt

Clie nts a re pla c e d into the pro g ra m.

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Home Base / T he Ce nte r for Common Conc e r ns

Home Base / T he Ce nte r for Common Conc e r ns

Ac c e ss and Syste m E ntr y

T he F irst Ste ps to Ho using Pla c e me nt

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Home Base / T he Ce nte r for Common Conc e r ns

Bac kgr

und: Ac c e ss & Syste m E

ntr y

Pur pose : F

r a ny c o o rdina te d e ntry syste m to func tio n,

the c o mmunity must suc c e ssfully c o nne c t c lie nts to the syste m. T he syste m must suc c e ssfully ide ntify, c onduc t

utr

e ac h to, and e ngage b o th tho se pe rso ns c urre ntly

e xpe rie nc ing ho me le ssne ss a nd tho se a t immine nt risk o f ho me le ssne ss

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Home Base / T he Ce nte r for Common Conc e r ns

Ac c e ss a nd Syste m E ntr y E le me nts

Ke y Compone nts:

Co mmunic a tio n a nd Ma rke ting Syste m E ntry Po ints E nsure Ac c e ss to E me rg e nc y Se rvic e s

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Home Base / T he Ce nte r for Common Conc e r ns

Communic ations and Marke ting

E ffe c tive c ommunic ation and mar ke ting is e sse ntia l to :

Pro mo te a wa re ne ss o f the syste m
Se t c le a r e xpe c ta tio ns fo r c lie nts a nd pro vide rs
Pro vide c o nsume rs with the info rma tio n ne c e ssa ry to

suc c e ssfully na vig a te the syste m

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Home Base / T he Ce nte r for Common Conc e r ns

Syste m E ntr y Points

E nsuring e q ua l a c c e ss a c ro ss the Co C re q uire s syste m e ntry po ints to b e e asily ide ntifiable a nd we ll- adve r

tise d,

inc luding the fo llo wing c o mpo ne nts:

F

a ir a nd e q ua l a c c e ss

Sta nda rdize d a c c e ss a nd a sse ssme nt
F

ull c o ve ra g e

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Home Base / T he Ce nte r for Common Conc e r ns

F air and E qual Ac c e ss

E ntry Points: T

he c o o rdina te d e ntry syste m sho uld b e e a sily a c c e ssib le to a ll pe rso ns, re g a rdle ss o f the ma nne r in whic h the syste m is de sig ne d. I f a n e ntry po int is a physic a l lo c a tio n, it sho uld b e a c c e ssib le to pe rso ns with disa b ilitie s, e a sily a c c e ssib le b y pub lic tra nspo rta tio n, o r a c c e ssib le b y a no the r me tho d (e .g ., to ll-fre e o r 211 pho ne numb e r).

Ma rke ting: Stra te g ie s ma y inc lude

dire c t o utre a c h to pe o ple o n the stre e t a nd o the r se rvic e site s, info rma tio na l flye rs le ft a t se rvic e site s a nd pub lic lo c a tio ns, a nno unc e me nts during Co C

r o the r c o a litio n me e ting s, a nd

e duc a ting ma instre a m se rvic e pro vide rs.

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Home Base / T he Ce nte r for Common Conc e r ns

Standar dize d Ac c e ss and Asse ssme nt

Appr

ac h: All c o o rdina te d e ntry lo c a tio ns a nd

me tho ds (pho ne , in-pe rso n, o nline , e tc .) sho uld o ffe r the sa me a sse ssme nt a ppro a c h a nd re fe rra l pro c e ss using unifo rm de c isio n-ma king pro c e sse s.

Impac t: A pe rso n pre se nting a t a pa rtic ula r

c o o rdina te d e ntry lo c a tio n sho uld no t b e ste e re d to wa rds a ny pa rtic ula r pro g ra m o r pro vide r simply b e c a use the y pre se nte d a t tha t lo c a tio n.

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Home Base / T he Ce nte r for Common Conc e r ns

F ull Cove r age

Appr

ac h: Co o rdina te d e ntry syste ms must c o ve r the

CoC’s entire geographic area.

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Home Base / T he Ce nte r for Common Conc e r ns

F

ur

Mode ls of Syste m E ntr y Points

Ce ntr alize d De c e ntr alize d She lte r

Ba se d

Vir tual/ Mobile

Or a ny c o mb ina tio n

f the se mo de ls!

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Home Base / T he Ce nte r for Common Conc e r ns

Ac c e ss to E me r ge nc y Se r vic e s

E nable Ac c e ss: Co o rdina te d e ntry sho uld no t de la y

a c c e ss to e me rg e nc y se rvic e s, suc h a s she lte r.

T iming: T

he pro c e ss sho uld inc lude a syste m fo r pe o ple to a c c e ss e me rg e nc y se rvic e s a t a ll ho urs (inde pe nd e nt

f the o pe ra ting ho urs o f the c o o rdina te d e ntry a nd

a sse ssme nt pro c e sse s).

F
r insta nc e , pe o ple who ne e d e me rg e nc y she lte r

a t nig ht sho uld b e a b le to a c c e ss she lte r – to the

extent that it’s available – a nd the n re c e ive a n

a sse ssme nt in the da ys tha t fo llo w, e ve n if the she lte r is the a c c e ss po int fo r the c o o rdina te d e ntry pro c e ss.

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Home Base / T he Ce nte r for Common Conc e r ns

Pr e ve ntion and Dive r sion

Dive r sion is a stra te g y tha t pre ve nts ho me le ssne ss

fo r pe o ple se e king she lte r b y he lping the m ide ntify a lte rna te ho using a rra ng e me nts a nd, if ne c e ssa ry, c o nne c ting the m with se rvic e s a nd fina nc ia l a ssista nc e to he lp the m re turn to pe rma ne nt ho using .

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Home Base / T he Ce nte r for Common Conc e r ns

Inte r se c tion of Housing F ir st & Coordina te d E ntr y

Hig h-func tio ning c o o rdina te d e ntry syste ms inc o rpo ra te a Ho using F irst a ppro a c h in o rde r to e nsure tha t c lie nts a re a b le to a c c e ss the full ra ng e o f pro g ra ms tha t wo uld b e ne fit the m a nd simplify the ma tc hing a nd re fe rra l pro c e sse s.

T his me ans that…

We ne e d to lo we r e ntry b a rrie rs syste m-wide to e nsure tha t we a re a b le

to prio ritize the mo st vulne ra b le pe o ple fo r pla c e me nt into a ppro pria te pro g ra ms

We ne e d to wo rk with pro vide rs to re duc e a ll e ntry b a rrie rs no t impo se d

b y funding re q uire me nts

We ne e d to wo rk with lo c a l funde rs (e .g ., lo c a l g o ve rnme nt, sta te

g o ve rnme nt, a nd priva te fo unda tio ns) to e nsure tha t e ntry b a rrie rs a re no t impo se d b y funding re q uire me nts

SLIDE 87

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Home Base / T he Ce nte r for Common Conc e r ns

Que stions on Ac c e ss and Syste m E ntr y?

SLIDE 88

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Home Base / T he Ce nte r for Common Conc e r ns

Home Base / T he Ce nte r for Common Conc e r ns

Asse ssme nt

SLIDE 89

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Home Base / T he Ce nte r for Common Conc e r ns

Bac kgr

und: Asse ssme nt

Pur pose : Sta nda rdize info rma tio n g a the ring o n se rvic e

ne e ds, ho using b a rrie rs, a nd vulne ra b ilitie s. Pe o ple pre se nting a t a pa rtic ula r lo c a tio n sho uld no t b e ste e re d to wa rd a ny pa rtic ula r pro g ra m o r pro vide r simply b e c a use the y pre se nte d a t tha t lo c a tio n.

Compone nts: Asse ssme nt sho uld inc lude :

Unifo rm de c ision- making pr
c e sse s
Co mmo n asse ssme nt tools use d within tho se

pro c e sse s

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Home Base / T he Ce nte r for Common Conc e r ns

What Should Be Asse sse d?

Unde r HUD po lic y, c o o rdina te d e ntry c lie nts sho uld b e prio ritize d b a se d o n c hro nic ho me le ss sta tus a nd a sta nda rdize d a sse ssme nt o f individua l vulne ra b ility a nd se ve rity o f ne e d. T he re fo re , in o rde r to b e suc c e ssful, a

community’s assessment process should, at a minimum, determine:

1

T he le ng th a nd dura tio n o f pa st a nd c urre nt e piso de s o f ho me le ssne ss (to de te rmine c hro nic ity);

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Home Base / T he Ce nte r for Common Conc e r ns

What Should Be Asse sse d?

Unde r HUD po lic y, c o o rdina te d e ntry c lie nts sho uld b e prio ritize d b a se d o n c hro nic ho me le ss sta tus a nd a sta nda rdize d a sse ssme nt o f individua l vulne ra b ility a nd se ve rity o f ne e d. T he re fo re , in o rde r to b e suc c e ssful, a

community’s assessment process should, at a minimum, determine:

1

T he le ng th a nd dura tio n o f pa st a nd c urre nt e piso de s o f ho me le ssne ss (to de te rmine c hro nic ity);

2

The client’s risk of illness, death, and/or victimization; and,

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Home Base / T he Ce nte r for Common Conc e r ns

What Should Be Asse sse d?

Unde r HUD po lic y, c o o rdina te d e ntry c lie nts sho uld b e prio ritize d b a se d o n c hro nic ho me le ss sta tus a nd a sta nda rdize d a sse ssme nt o f individua l vulne ra b ility a nd se ve rity o f ne e d. T he re fo re , in o rde r to b e suc c e ssful, a

community’s assessment process should, at a minimum, determine:

1

T he le ng th a nd dura tio n o f pa st a nd c urre nt e piso de s o f ho me le ssne ss (to de te rmine c hro nic ity);

2 3

The client’s risk of illness, death, and/or victimization; and, The relative severity of the client’s need, including system

utiliza tio n, a c c e ss to she lte r, a nd physic a l o r me nta l he a lth impa irme nts

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Home Base / T he Ce nte r for Common Conc e r ns

Asse ssme nt Populations

Survivors

f

Domestic Violence

At a minimum, yo ur c o o rdina te d e ntry syste m sho uld b e b uilt to ha ndle the fo llo wing po pula tio ns, e ithe r thro ug h a sing le struc ture / a c c e ss po int/ a sse ssme nt o r multiple struc ture s/ a c c e ss po ints/ a sse ssme nts:

Adults Witho ut Childre n F a milie s with Childre n Una c c o mpa nie d Yo uth Survivo rs o f Do me stic Vio le nc e

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Home Base / T he Ce nte r for Common Conc e r ns

Asse ssme nt Pr

c e ss

T he a sse ssme nt pro c e ss c a n b e c o mple te d in pha se s, using to o ls e mplo ye d a s a se rie s o f situa tio na l a sse ssme nts a llo wing the pro c e ss to o c c ur o ve r time a nd o nly a s ne c e ssa ry.

Sc r e e n for Dive r sion and Pr e ve ntion F ac ilitate Conne c tions to Mainstr e am Re sour c e s De te r mine Pr

gr

am E ligibility E valuate Vulne r ability to Pr ior itize for Inte nsive Assistanc e Ide ntify Housing Re sour c e s and T e nanc y Bar r ie r s Asse ss Ne e d for She lte r and Othe r Cr isis Se r vic e s

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Home Base / T he Ce nte r for Common Conc e r ns

Pr

c e ss De tails

Wr itte n Polic ie s and Pr

c e dur

e s Staff T r aining

Asse ssme nt sho uld b e do ne c o nsiste ntly, using sta nda rdize d to o ls a nd pro c e sse s. Co mmunitie s sho uld ha ve writte n pro c e dure s

utlining c o nsiste nt pro c e sse s fo r la ying o ut

whe n a nd ho w to o ls a re a dministe re d a nd b y a nd to who m. Pro c e dure s a lso sho uld inc lude the type s o f da ta to e nte r into HMI S a nd whe n to e nte r da ta .

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Pr

c e ss De tails

Wr itte n Polic ie s and Pr

c e dur

e s Staff T r aining

Sta ff sho uld b e tra ine d b o th in a dministe ring the to o ls use d a nd inte rpre ting the re sults. Sta ff tra ining sho uld he lp sta ff unde rsta nd the

ve ra ll purpo se o f the a sse ssme nt pro c e ss a nd

the part of the assessment in which they’re

invo lve d (fo r insta nc e , if a pe rso n ha s a ny

the r sa fe ho using o ptio ns b e side s she lte r), a s

well as the relevant tools they’ll be using.

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Consume r Choic e

Co nsume r c ho ic e sho uld b e inte g ra te d thro ug ho ut a ll a sse ssme nt pha se s:

1

Asse ssme nt to o ls sho uld b e use d in wa ys tha t ta ke c lie nt pre fe re nc e s a nd c ho ic e s into a c c o unt

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Consume r Choic e

Co nsume r c ho ic e sho uld b e inte g ra te d thro ug ho ut a ll a sse ssme nt pha se s:

1

Asse ssme nt to o ls sho uld b e use d in wa ys tha t ta ke c lie nt pre fe re nc e s a nd c ho ic e s into a c c o unt

2

Co mmunic a te info rma tio n a b o ut pro g ra m mo de ls, wa it time s to g e t into pro g ra ms, a nd a ve ra g e le ng ths o f sta y

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Consume r Choic e

Co nsume r c ho ic e sho uld b e inte g ra te d thro ug ho ut a ll a sse ssme nt pha se s:

1

Asse ssme nt to o ls sho uld b e use d in wa ys tha t ta ke c lie nt pre fe re nc e s a nd c ho ic e s into a c c o unt

2 3

Co mmunic a te info rma tio n a b o ut pro g ra m mo de ls, wa it time s to g e t into pro g ra ms, a nd a ve ra g e le ng ths o f sta y Po te ntia lly use re sults o f sc o ring syste m to g ive c lie nts c ho ic e s fo r a ppro pria te a va ila b le pro g ra ms (e .g ., to p 3 if the re a re

pe ning s) fo r the ir ne e ds a nd c irc umsta nc e s

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Home Base / T he Ce nte r for Common Conc e r ns

Pr ior itization

“Triage” in the Homeless System

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Bac kgr

und: Pr

ior itization

F e de r al Goal: E

nsure tha t individua ls with the hig he st ne e ds a re prio ritize d fo r the mo st inte nsive re so urc e s de mo nstra te d to e nd the ir ho me le ssne ss.

L imite d Re sour c e s: Don’t allow

pe o ple who a re mo re vulne ra b le

r who ha ve mo re se ve re ne e ds

to re ma in she lte re d b e c a use mo re inte nsive a ssista nc e is no t a va ila b le .

Coor dinate d e ntr y should e nsur e that pe ople with the most se ve r e se r vic e ne e ds and highe st le ve ls of vulne r ability ar e pr ior itize d for housing and home le ss assistanc e , inc luding any type available in the CoC (e .g., PSH, RRH, and othe r inte r ve ntions).

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F e de r al Re quir e me nts: Pr ior itization

Compone nts: At a minimum, the Co C sho uld ma inta in writte n sta nda rds

inc luding po lic ie s a nd pro c e dure s o n the fo llo wing :

Evaluating individuals’ and families’ eligibility for assistance
De te rmining a nd prio ritizing whic h e lig ib le individua ls a nd fa milie s will

re c e ive tra nsitio na l ho using , ra pid re ho using , a nd pe rma ne nt suppo rtive ho using a ssista nc e Co Cs a re a lso e nc o ura g e d to inc lude in the ir po lic ie s a nd pro c e dure s g o ve rning the ir c o o rdina te d e ntry syste ms a re q uire me nt tha t all CoC

Pr

gr

am- funde d PSH ac c e pt r e fe r r als only thr

ugh a single pr

ior itize d list

that is created through the CoC’s coordinated entry process, whic h sho uld be informed by the CoC’s street outreach.

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HUD Pr ior itization Notic e

Re le ase : HUD CPD-16-11 supe rse de d prio r no tic e CPD-14-012, re g a rding

prio ritiza tio n o f c hro nic a lly ho me le ss pe rso ns in Co C-funde d PSH b e ds.

Conte nts: T

he no tic e e sta b lishe s the fo llo wing :

An upda te d o rde r o f prio rity fo r PSH tha t is de dic a te d o r prio ritize d fo r

pe rso ns e xpe rie nc ing c hro nic ho me le ssne ss

A re c o mme nde d o rde r o f prio rity fo r PSH tha t is no t de dic a te d to o r

prio ritize d fo r c hro nic ho me le ssne ss to prio ritize tho se pe rso ns with the lo ng e st histo rie s o f ho me le ssne ss a nd mo st se ve re se rvic e ne e ds, a nd the re fo re who a re mo st a t risk o f b e c o ming c hro nic a lly ho me le ss

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De dic ate d/ Pr ior itize d PSH

Prio ritiza tio n fo r Co C-funde d PSH b e ds de dic a te d o r prio ritize d fo r pe rso ns e xpe rie nc ing c hro nic ho me le ssne ss is to b e de c ide d by the CoC and base d

n the le ngth of time home le ss and the se ve r

ity of the se r vic e ne e ds

Factors to Identify Persons with the “Most Severe Service Needs”:

Histor y of high utilization of c r isis se r vic e s

(inc l. e me rg e nc y ro o ms, ja ils, a nd psyc hia tric fa c ilitie s)

*Ma y use a lte rna te c rite ria use d b y Me dic a id to ide ntify hig h-ne e d, hig h-c o st b e ne fic ia rie s if a pplic a b le

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De dic ate d/ Pr ior itize d PSH

Prio ritiza tio n fo r Co C-funde d PSH b e ds de dic a te d o r prio ritize d fo r pe rso ns e xpe rie nc ing c hro nic ho me le ssne ss is to b e de c ide d by the CoC and base d

n the le ngth of time home le ss and the se ve r

ity of the se r vic e ne e ds

Factors to Identify Persons with the “Most Severe Service Needs”:

Histor y of high utilization of c r isis se r vic e s

(inc l. e me rg e nc y ro o ms, ja ils, a nd psyc hia tric fa c ilitie s)

Signific ant he alth or be havior al he alth c halle nge s, substanc e abuse disor de r s, or func tional impair me nts

(re q uiring sig nific a nt suppo rt to ma inta in PSH)

*Ma y use a lte rna te c rite ria use d b y Me dic a id to ide ntify hig h-ne e d, hig h-c o st b e ne fic ia rie s if a pplic a b le

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De dic ate d/ Pr ior itize d PSH

Prio ritiza tio n fo r Co C-funde d PSH b e ds de dic a te d o r prio ritize d fo r pe rso ns e xpe rie nc ing c hro nic ho me le ssne ss is to b e de c ide d by the CoC and base d

n the le ngth of time home le ss and the se ve r

ity of the se r vic e ne e ds

Factors to Identify Persons with the “Most Severe Service Needs”:

Histor y of high utilization of c r isis se r vic e s

(inc l. e me rg e nc y ro o ms, ja ils, a nd psyc hia tric fa c ilitie s)

Signific ant he alth or be havior al he alth c halle nge s, substanc e abuse disor de r s, or func tional impair me nts

(re q uiring sig nific a nt suppo rt to ma inta in PSH)

High r isk of c ontinue d tr auma, high r isk of har m,

r

e xposur e to ve r y dange r

us living situations

(fo r yo uth a nd survivo rs o f do me stic vio le nc e )

*Ma y use a lte rna te c rite ria use d b y Me dic a id to ide ntify hig h-ne e d, hig h-c o st b e ne fic ia rie s if a pplic a b le

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Additional De tails: Pr ior itization

L

c ating Clie nts

T ype s of Assistanc e

Re c ipie nts a re e xpe c te d to e xe rc ise due dilig e nc e in lo c a ting c lie nts fitting the e sta b lishe d prio rity

rde r a nd sho uld do c ume nt the e ffo rts the y ha ve

unde rta ke n to lo c a te pe o ple tha t wo uld b e c o nside re d hig he st prio rity (the re is no spe c ific time fra me se t o ut fo r ho lding a b e d va c a nt).

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Additional De tails: Pr ior itization

L

c ating Clie nts

T ype s of Assistanc e

Pe o ple who a re prio ritize d fo r o ne type o f a ssista nc e c a n use a no the r type o f a ssista nc e if the first inte rve ntio n is una va ila b le .

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Home Base / T he Ce nte r for Common Conc e r ns

Pr ior itization and Consume r Choic e

T

he hig he st prio rity c lie nts (tho se with the lo ng e st le ng th o f time ho me le ss a nd mo st se ve re se rvic e ne e ds) sho uld b e g ive n a c ho ic e o f a va ila b le ho using o ptio ns fo r whic h the y a re e lig ib le , a ppe a r to me e t the ir ne e ds, a nd c o mplie s with e vide nc e -b a se d pra c tic e s – to the e xte nt tha t the y a re a va ila b le .

Cho ic e c a n inc lude : lo c a tio n, type o f ho using , le ve l o f se rvic e s, e tc .

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Que stions on Pr ior itization?

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Home Base / T he Ce nte r for Common Conc e r ns

Matc hing and Re fe r r al

Co nne c ting Clie nts to Ho using a nd Se rvic e s

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Matc hing

Pur pose : Co nne c t individua ls to a ppro pria te a nd

a va ila b le ho using a nd se rvic e inte rve ntio ns.

Implic ation: “Matching” is not meant to imply that there

is only one “right” type of housing for a client based on

the re sults o f the ir a sse ssme nt.

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Making Re fe r r als

F

c us: Ma king e ffe c tive re fe rra ls fo r c lie nts (e .g ., lo o king

fo r a ll the o pe ning s tha t ma y fit the ne xt fa mily o n the list

r the fa mily with the g re a te st ne e ds).

E ligibility: E

ffe c tive c o o rdina te d e ntry syste ms ha ve the a b ility to ide ntify prio ritize d individua ls (e .g ., c hro nic ho me le ss, lo ng histo ry o f ho me le ssne ss, mo st in ne e d b a se d o n a sse ssme nt re sults) who a lso me e t the e lig ib ility c rite ria fo r ho using pro g ra ms.

Multiple Options: T

a rg e t ma tc hing hig h-prio rity pe rso ns to mo re tha n o ne o ffe r o f ho using .

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Home Base / T he Ce nte r for Common Conc e r ns

Ac c e pting Re fe r r als

Ac c e ptanc e : Pa rtic ipa ting pro g ra ms sho uld a c c e pt a ll

e lig ib le re fe rra ls, unle ss the c o mmunity ha s a do c ume nte d pro to c o l fo r re je c ting re fe rra ls.

Re je c tions: Re fe rra l re je c tio ns sho uld b e justifie d a nd

ra re .

Alte r native s: T

he syste m sho uld ha ve pro c e dure s in pla c e to e nsure pa rtic ipa nts who se re fe rra ls ha ve b e e n re je c te d a re a b le to ide ntify a nd a c c e ss a no the r suita b le pro g ra m.

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Home Base / T he Ce nte r for Common Conc e r ns

Re fe r r al Pr

c e ss

Built into Wr itte n Standar ds: T

he c o mmunity sho uld ha ve writte n po lic ie s a nd pro c e dure s g o ve rning the c o o rdina te d e ntry re fe rra l pro c e ss, inc luding e lig ib ility fo r a ll inte rve ntio ns a nd lo w-b a rrie r/ Ho using F irst-o rie nte d pro c e sse s.

Update d E ligibility Cr ite r ia: Pro vide rs must c o mmit to ma inta ining upda te d

e lig ib ility c rite ria fo r c o o rdina te d e ntry sta ff to ma ke a ppro pria te re fe rra ls.

Doc ume nting E ligibility: Pro g ra ms ha ve a re spo nsib ility to c o mple te a nd

ke e p pro g ra m e lig ib ility do c ume nta tio n.

Minimize Bar r ie r s: Pro vide rs must wo rk to minimize o r e limina te sc re e ning

b a rrie rs a nd/ o r e lig ib ility c rite ria tha t a re no t tie d to funding re q uire me nts.

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Que stions on Matc hing and Re fe r r al?

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Home Base / T he Ce nte r for Common Conc e r ns

HMIS and Coor dinate d E ntr y

T he Adva nta g e s o f Using HMI S fo r Co o rdina te d E ntry

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Home Base / T he Ce nte r for Common Conc e r ns

Using HMIS for Coor dinate d E ntr y

No Re quir e me nt: Co Cs a re no t re q uire d to use the ir HMI

S a s pa rt o f the ir c o o rdina te d e ntry pro c e ss.

Be ne fits: Ma ny Co Cs re c o g nize the utility o f inc o rpo ra ting HMI

S into c o o rdina te d, ho we ve r, a nd HUD e nc o ura g e s c o mmunitie s to c o nside r using HMI S.

Dr awbac ks: Othe r syste ms mig ht b e b e tte r o r mo re q uic kly a b le to me e t

the community’s coordinated entry needs, which is acceptable so long as the community’s coordinated entry system meets HUD’s requirements.

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Why Use HMIS?

Da ta is ne c e ssa ry to a c c ura te ly me a sure o utc o me s a nd de te rmine c lie nt ne e d:

Co o rdina te ho using se rvic e s
I

mpro ve a va ila b le pro g ra ms a nd se rvic e s

I

mpro ve a c c e ss to se rvic e s

Re duc e ine ffic ie nc ie s a nd duplic a tio n o f se rvic e s
E

nsure c o nsume rs re c e ive the a mo unt a nd type o f se rvic e s tha t me e t the ir ne e ds a nd pre fe re nc e s

Advo c a te fo r po lic ie s a nd le g isla tio n
Unde rsta nd the na ture o f ho me le ssne ss in the

c o mmunity

E

va lua te pe rfo rma nc e

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Home Base / T he Ce nte r for Common Conc e r ns

What ar e the Be ne fits?

Utilizing HMI S fo r c o o rdina te d e ntry a llo ws fo r:

Simplifie d, upda te d da ta c o lle c tio n tha t me e ts HUD

re q uire me nts

I

mme dia te a c c e ss to c urre nt da ta , inc luding se rvic e histo ry, inta ke , a sse ssme nt, a nd re fe rra l info rma tio n

Se c ure da ta sha ring tha t pro te c ts c o nsume r priva c y
Adva nc e d re po rting o n pe rfo rma nc e a nd o utc o me s

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Que stions on Using HMIS for Coor dinate d E ntr y?

SLIDE 122

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Home Base / T he Ce nte r for Common Conc e r ns

Que stions?

SLIDE 123

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Home Base / T he Ce nte r for Common Conc e r ns

Contac t Infor mation

Ge or ge Mar tin

g e o rg e @ ho me b a se c c c .o rg (415) 788-7961 x340

Matt Olsson

ma tt@ ho me b a se c c c .o rg (415) 788-7961 x314

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Home Base / T he Ce nte r for Common Conc e r ns

T hank You!

SLIDE 125

Chicago’s Coordinated Entry System

SLIDE 126

Chicago’s Coordinated Entry Community Vision

Chicago’s community vision for coordinated entry is to create a system that ensures an accessible and navigable set of entry points; a universal assessment for all person requesting assistance; and effective and appropriate connections to housing and services for all populations. Chicago’s CES will include a data driven approach to ensure that the system is able to measure and respond to current needs with a transparent framework of sharing progress.

SLIDE 127

Project Management Manages Outreach Coordination Matching and System Administration HMIS Administrator Housing System Navigation Catholic Charities

Heartland Alliance Health Facing Forward Featherfist Broadway Youth Center La Casa Norte Teen Living Program

All Chicago Center for Housing & Health CSH

CES System Roles

SLIDE 128

Lessons Learned & Pla lanning

2012-2017 - Years of Planning & Testing! 2017 - Year of Implementation and HUD Compliance!

April 2017 – Youth
June 2017 – Individuals
August – Families

2018 - Year of Refinement!

March 2018 Refinement Lab Report
September 2018 Refinement Lab Status Report

SLIDE 129

Areas of f Refinement

Access

Fewer locations; all Monday through Friday, 9am-5pm hours
Plan for Call Center
Include connections for diversion, income supports, etc.
Public awareness/marketing

Assessment

Exclusionary questions
Scripted
Fewer Skilled Assessors who receive more training with higher quality

assessments Assignment/Matching

Move towards a more automated HMIS system
Account for high decline rates

Housing

Close side doors
Expand housing options receiving matches, i.e. affordable housing

SLIDE 130

Match & Housing

Chicago CoC System Goals

1. All individuals and families resolve their homeless crisis in 90 days
2. The amount of time from match to housing is 30 days for all populations

How are we doing?

Average days from identification to housing: 187 days
Average days from match to housed: 94 days
Average days from match to enrollment: 26 days

1,233 households matched and housed through CES since April 2017

798 households currently connected to a housing provider
368 households currently matched, awaiting enrollment
430 households currently enrolled in housing programs, awaiting

housing placements

*data as of 9/11/18

SLIDE 131

Pri rioritized Population: Chronically Homeless

Youth - 259 Individuals - 1,803 Veterans - 139 Families - 302

*data as of 9/11/18

SLIDE 132

Resources to help verify fy chronic homeless status

All Chicago’s training course catalog
Defining "Chronically Homeless" Final Rule
HUD Webinar & Fact Sheets
FAQ from HUD on Chronic Homelessness Documentation
Chicago Coordinated Entry Website
Chronic Homelessness Flowchart
CH Verification Packet
Instructions: How to Upload the Chronic Homelessness Verification Packet

to HMIS

Video: How to Upload the Chronic Homelessness Verification Packet to

HMIS

ES/TH Projects
Housing History Tool
Google Drive Housing History Tool

SLIDE 133

Resources to help verify fy chronic homeless status

Print CES match email with HMIS record of client’s homeless history as 3rd party verification of homelessness!

ClientID Provider Program Type Project Entry Date Project Exit Date # Days Enrolled # Months Enrolled Exit Destination 123456 Cornerstone Community Outreach

Naomi Interim - Women's

Program(1285) Emergency Shelter (HUD) 4/17/2018 114 3 123456 Heartland Health Outreach - PATH Program(1163) Street Outreach (HUD) 11/29/2017 253 8 123456 Sarah's Circle - Interim Housing(1039) Emergency Shelter (HUD) 7/6/2015 4/16/2018 1015 33 Emergency shelter, including hotel or motel paid for with emergency shelter voucher (HUD) 123456 Cornerstone Community Outreach

Naomi Interim - Women's

Program(1285) Emergency Shelter (HUD) 2/13/2015 7/13/2015 150 4 Client refused (HUD)

SLIDE 134

Resources to help verify fy chronic homeless status

Healthcare providers will be trained this month on how to help patients sign an HMIS consent and then securely send disability documentation to Catholic Charities to be uploaded into HMIS The webinar will be recorded for future use and instructions will be placed on the CES and All Chicago websites This will help in cases where people presumed to be facing chronic homelessness are matched to housing

SLIDE 135

Roles of f verify fying chronic homelessness

Skilled Assessors
Housing Providers
Housing System Navigators
Outreach Providers
Shelter Providers
Other?

How do PSH providers request housing system navigator support? HMIS Needs Status: Client Engaged, Housing System Navigation Needed

PSH providers that have located a household and need additional support

for the household to be able to attend an intake or other housing related appointment/s due to the household facing significant barriers. The household must be thought to be facing chronic homelessness and can be located.

SLIDE 136

Transfers

People can be moved when necessary. Let’s talk about it. More details about who and how on www.csh.org/chicagoces under Materials.

SLIDE 137

Putting Housing Fir irst Pri rinciples in into Practice

Let’s chat about the barriers and solutions!

System Support Needed?
Agency Support Needed?
Questions?
Concerns?

SLIDE 138

Chic icago CES Website http://www.csh.org/chicagoces

SLIDE 139

Additional CES Resources

CES Newsletter
Action Agenda Coordinated Entry Line or Work and Workgroups
https://allchicago.org/continuum-care/action-agenda/ces
Trainings
https://www.csh.org/chicagoces
https://allchicago.talentlms.com/catalog
HMIS HelpDesk
https://hmis.allchicago.org/hc/en-us
Chicago’s Dashboard to End Homelessness
https://allchicago.org/dashboard-to-end-homelessness

SLIDE 140

Contact Us!

CSH ChicagoCES@csh.org All Chicago ChicagoCES@allchicago.org Catholic Charities ChicagoCES@catholiccharities.net Center for Housing and Health ChicagoCES@housingforhealth.org