News FlashPhoenix-Metro Region is first community in the US to - - PowerPoint PPT Presentation
News FlashPhoenix-Metro Region is first community in the US to ELIMINATE Chronic Veteran Street Homelessness! Why Vets May Experience Chronic Homelessness Resource Rich but Warrior Ethos Substance Use Physical
“Resource Rich” but… Warrior Ethos Substance Use Physical Injury/Medical Physical Injury/Medical Psychological & Trauma Isolation Veteran “Culture” Discharge, Combat Experience, Tours, etc. Etc.
Long term Behavioral Health Need Common Tri-Morbidity
Disconnected from formal “treatment system” Culture of Chronically Homeless Individuals:
System Barriers Long history of not successfully
engaging/seeking services
Phoenix Area
Rich Veteran & Crisis Services, & Homeless Shelters, etc. but not much “outcome” with this population.
System: Commonly tends to work those: System: Commonly tends to work those:
More “motivated”
Less “complex” Guaranteed Eligible for Benefits More Insight Wait-lists, appointments, etc. Rules, Bureaucracy Etc.
HUD VASH Limitations & “Conflicting” Goals
Cop & Community Responses – Frequently Band-Aids
Arrests frequently “accomplish” little Diversion frequently accomplish little outcomes/long-
term results
Homeless Providers – individuals commonly fail at rules,
VA not nimble to meet needs, and Proof of Entitlement If diverted to BH System
Provided BH crisis response, but not long-term, immediate
rich resources for long-term solution
Typically…at best they refer them to Homeless
system…cycle kept repeating.
Community Survey – Defined Target “Reprioritize” Existing Precious Resources
I.e. Traditional HUD Vash Priority – 1st in line
In-kind Resources No One System Is Sufficient to Meet All the Needs Many in community/providers wanted to work those individuals already
engaged in some level of services – solve “their” problem.?
Big push to work those:
On the streets Most resistant Not Engaged Lacking Insight Etc.
Project should use the community’s Limited
Most Visible Largest Community impact Largest Community impact “Magnet” effect Criminal Justice Interactions Healthcare impact
Different “Interventions” are needed for
Used Cops to “push” providers
Guiding Philosophy – Person Centered
Not so much that Individuals are Resistant to treatment, but
Treatment is Resistive to Individuals
Eight “Main Elements”
1.
Housing First
2.
Navigation
3.
“12 Points of Light” & the “Bat Phone”
4.
“Bridge/Temporary” Housing
5.
Co-Located VA Social Workers in the Community
6.
Move-In Celebration
7.
Convening Body
8.
100,000 Homes Campaign Involvement
Utilized a “Housing First” Model People didn’t need to be “housing ready”
I.e. grabbing a 6-pack… Housing is not time-limited Re-Housing is to be expected for some! Re-Housing is to be expected for some! Right “person” and Quickly!!
Provided to EVERYONE eligible for Project Integrate Health Care Based on “Recovery” Philosophy Services are driven by client choice & provided as needed Need for COHESION & “Barrier-Busting” A Move from “outputs” to “outcomes”
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H3-Vets Peer Navigators are Involved in every
Locating Veteran Placement in Bridge Housing Placement in Bridge Housing Acquiring Voucher/Briefings Apartment Hunting Lease Processing & Landlord Relations Furniture, sundries & food and sundries And then beyond…breaking isolation, natural
supports, volunteerism/employment, etc.
Outreach and Engagement Strategy for chronically
homeless based on Community Impact
Police, fire, transit, parks and recreation, jails, prosecutors,
drug court, detox and substance use facilities, crisis centers and other community systems that interact with centers and other community systems that interact with this population have the BAT PHONE!
Once deemed eligible for VA Healthcare–
Safety Improved outcomes for next
Demonstrates Commitment
Co-Located with program & Navigator Staff Ongoing Communication with Project Coordinator &
Navigators
Streamlined Assessment & Intake Scheduling
Joint Bi-Weekly Staffings
Joint Bi-Weekly Staffings VA Healthcare System provides Integrated Medical/Pysch
services, etc. The Navigator helps coordinate that care, improve treatment compliance, transportation, emotional support, etc.
Navigator also can serve as “eyes & ears” and “Peer” influence ☺
How a House becomes a Home
Move-In Celebrations Furniture & “staging”
Birthday Celebrations Birthday Celebrations Holidays Community Participation Turns a “House” into a “Home” Accessing Services & Activities in your new
Navigator & VA Social Work are there
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Coordinating and Convening
Coordinating agency for Project H3-Vets Brings disparate partners together Project Coordinator Role:
Coordinated housing resources and supportive services Serves as “Hub” for program and nexus to community Identifies systemic barriers needing administrative solutions
Convened communication between Project H3 Vets and
National 100K Homes campaign
Convening of stakeholder meetings
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Coordinating and Convening
Affiliation with national change agents & experts Operated “boot camps” Supports bold decision making needed to occur at local
level
Best-Practice Streaming Strategies
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“Effective” or “Functional” Zero Every chronically homeless veteran in our community known to
the homeless services delivery system has been assessed and is the homeless services delivery system has been assessed and is connected to the appropriate housing and service resources required to end their homelessness.
A robust and coordinated outreach and identification system is in
place to rapidly identify and engage potentially chronically homeless veterans on the streets or in shelters in order to connect them with the appropriate housing and services resources required to end their homelessness.
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John Hogeboom VP/COO, Community Bridges jhogeboom@cbridges.com Joan Serviss, Executive Director Joan Serviss, Executive Director
AZ Coalition to End Homelessness
623-225-6728 jserviss@azceh.org Nick Margiotta, Phoenix Police Department Nick.margiotta@phoenix.gov
602-708-3647
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