3.2 retooling the crisis response system

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R e to o lin g th e Crisis Response System M ich e lle H e ritage Executive D irector C o m m u n ity S h e lte r B o ard www.csb.org National Conference on Ending Hom elessness Washington, D C July 1 4, 201 1

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Page 1: 3.2 Retooling the Crisis Response System

R e tooling the

C ris is R e sponse S yste m

Miche lle H e ritage

E xe cutive D ire ctor

C om m unity S he lte r Board

www.csb .org

National C onfe re nce on E nd ing H om e le ssne ss

Wash ington, D C

July 1 4, 201 1

Page 2: 3.2 Retooling the Crisis Response System
Page 3: 3.2 Retooling the Crisis Response System

O ur Fam ily S he lte r

S yste m

Page 4: 3.2 Retooling the Crisis Response System

YWC A Fam ily C e nte r

Page 5: 3.2 Retooling the Crisis Response System

Franklin County Family Emergency Shelter System

First contact between

YWCA Family Center and

family:

Triage Referral Assessment Services Guidance

Permanent housing, usually with Transition assistance (CSB)

Referral to direct housing:Family Housing Collaborative

(Salvation Army, Homeless Families Foundation, Volunteers of America, CSB)

Diversion: Helping families stay in the housing they’re in, with support from community programs, social

service agencies, family and friends, and other community agencies.

Welco

me to

the Fam

ily Cen

ter

Referral to Tier II shelter(Homeless Families Foundation, Volunteers of America)

Referral to transitional housing (Amethyst)

Referral to permanent supportive housing (Community Housing Network, Amethyst, Volunteers of

America, Maryhaven, Columbus AIDS Task Force)

Perm

anen

t ho

usin

g

Treatment programs for severe issues

(ADAMH agencies)

RA-TA/Program Planning-Development/Family System Planning/Front door slide with provider names 5.6.105/6/10

Page 6: 3.2 Retooling the Crisis Response System

C om pre he ns ive Asse s sm e nt

⟨ Fam ily im m e d iate ly triage d to s e e if d ive rs ion is

poss ible

⟨ Re fe rre d to pre ve ntion if s till house d

⟨ E ligib ility - m ust have m inor ch ild re n

⟨ Intake s d one 24/7

⟨ Asse s sm e nt take s 1 .5 hours

Page 7: 3.2 Retooling the Crisis Response System

Pre ve ntion

S table Fam ilie s

Page 8: 3.2 Retooling the Crisis Response System

C oord inate d C lie nt Linkage

H ous ing plan

com ple te d with in

24-48 hours

Page 9: 3.2 Retooling the Crisis Response System

Program R e fe rrals

⟨ D ire ct clie nt ass is tance for re nt/se curity

d e pos it

⟨ D ire ct hous ing

⟨ Job2H ous ing program

⟨ Pe rm ane nt supportive hous ing

⟨ Marke t rate hous ing

Page 10: 3.2 Retooling the Crisis Response System

Program R e fe rrals

⟨ D ire ct clie nt ass is tance for re nt/se curity

d e pos it

⟨ D ire ct hous ing

⟨ Job2H ous ing program

⟨ Pe rm ane nt supportive hous ing

⟨ Marke t rate hous ing

Page 11: 3.2 Retooling the Crisis Response System

Waitlis ts & O ccupancy

5,220%

incre ase in

fam ily

ove rflow

Page 12: 3.2 Retooling the Crisis Response System

O utcom e s

 Households Served

Nightly Occupancy

Average Length of Stay (Days)  Successful Outcomes Successful Housing Outcomes

Average FHC Transition Time 

(Days)

YWCAGoal (#)

Actual (#)

Outcome Achieve ment Capacity Actual  Goal Actual

Outcome Achievement

Goal (#)

Actual (#)

Outcome Achievement

Goal (%)

Actual (%)

Outcome Achievement

Goal (#)

Actual (#)

Outcome Achievement

Goal (%)

Actual (%)

Outcome Achievement Goal Actual

Outcome Achievement

FY2010 660 688 √ 50 38 20 21 √ 427 487 √ 70% 76% √ 260 333 √ 61%68% √ 7 14 ≠

FY2009 660 653 √ 50 39 20 22 √ 427 451 √ 70% 74% √ 333 257 N/A 78%57% N/A 7 19 N/A

FY2008 660 726 √ 50 47 20 24 ≠             427 495 √ 70%72% √      

FY2007 660 701 √ 50 44 20 23 ≠             427 440 √ 70%66% √      

FY2006 660 696 √ 50 44 20 23 ≠             427 442 √ 70%68% √      

Page 13: 3.2 Retooling the Crisis Response System

O the r Ways we ’ve R e -toole d

⟨ O ve rflow m anage m e nt hand le d by front d oor

provid e r

⟨ Manual to capture role s of e ach partne r

⟨ S tre am line d ne xt s te p hous ing practice s

⟨ Pe rform ance -base d contracting

Page 14: 3.2 Retooling the Crisis Response System

O ur S ingle Ad ult

S he lte r S yste m

Page 15: 3.2 Retooling the Crisis Response System

Franklin County Adult Crisis Response

First contact between

Centralized Point of

Access and single adult:

Triage Referral Services Guidance

Permanent housing, usually with Transition assistance (CSB)

Diversion: Helping individuals stay in the housing they’re in, with support from community programs,

social service agencies, family and friends, and other community agencies.

Welco

me to

the

Cen

tralized P

oin

t of A

ccess

Referral to transitional housing (Amethyst, Friends of the Homeless,

Volunteers of America of Greater Ohio)

Referral to permanent supportive housing

(Community Housing Network, Amethyst, Volunteers of America of Greater Ohio, Maryhaven,

National Church Residences, Columbus AIDS Task Force)

Perm

anen

t ho

usin

g

Treatment programs for severe issues

(ADAMH agencies)RA-TA/Program Planning-Development/Adult System Planning/Adult System Slide 4.5.114/5/11

Ad

missio

n to

: FM o

n 8

th, FM o

n

6th, FM

Nan

cy’s Place, Fo

H

Men

’s Sh

elter, FoH

Reb

ecca’s P

lace, VO

A M

en’s S

helter.

Referral to inebriate shelter

(Maryhaven Engagement Center)

Referral to the Unified Supportive Housing System for placement in

permanent supportive housing(Community Housing Network, Southeast Inc.

National Church Residences, YMCA of Central Ohio, YWCA Columbus)

Referral to Rapid Re-housing programs(Volunteers of America of Greater Ohio /

Community Housing Network Rapid Re-housing, Community Housing Network In-reach Single Adults)

Page 16: 3.2 Retooling the Crisis Response System

Triage and D ive rs ion

Refer to Prevention Services

Complete Triage/Diversion Form;Enter data in CSP

Is adult facing eviction/ 

foreclosure?

Single Adult presents at CPOA

Is adult self 

caring?

Refer to Hospital, Mental Health 

Provider, shelter for public inebriates

Does adult have any 

other option?

Assist adult in making alternate arrangements

Complete Shelter Intake

Yes

No

Yes

Yes

No

No

Page 17: 3.2 Retooling the Crisis Response System

D ive rs ion Workflow C hart

Page 18: 3.2 Retooling the Crisis Response System

Waitlis t Workflow C hart

Page 19: 3.2 Retooling the Crisis Response System

Front-D oor Intake

⟨ C olle ct all available clie nt d ocum e ntation

⟨ C om ple te clie nt intake pape rwork

⟨ D e te rm ination of R e bu ild ing Live s or C hronic

H om e le ss s tatus

⟨ D ata e ntry into C S P

⟨ U pload of intake d ocum e ntation into C S P

⟨ Intake s d one 24/7

Page 20: 3.2 Retooling the Crisis Response System

O ne Ye ar O utcom e s

⟨ Ind ivid uals s e rve d

⟨ 5,348 ind ivid uals , 36% fe m ale , 64% m ale

⟨ 6,662 contacts (25% re pe at contacts for the

ye ar)

⟨ 58% ne w to she lte r (with in 1 0 ye ars )

Page 21: 3.2 Retooling the Crisis Response System

Ne w Me asure m e nts

⟨ C lie nt goal plans with in 5 d ays of she lte r e ntry

⟨ C lie nt m ust show som e progre ss with in 20 d ays

⟨ Portion of she lte r fund ing d e pe nd e nt on:

⟨ m e e ting 30-d ay ave rage le ngth of s tay

⟨ 25% succe s sful hous ing outcom e s

Page 22: 3.2 Retooling the Crisis Response System

Looking Forward

⟨ What should the s tructure of the front d oor be ?

⟨ Who should run it?

⟨ What is its prim ary purpose ?

Page 23: 3.2 Retooling the Crisis Response System

G e tting to H ous ing

⟨ Ve te rans Ad m in is tration

⟨ Rap id R e -hous ing program s

⟨ C ritical tim e inte rve ntion; clin ical pathways

Page 24: 3.2 Retooling the Crisis Response System

U nifie d S upportive H ous ing S yste m

⟨ Placing the right pe rson

⟨ In the right unit

⟨ At the right tim e

⟨ At the right cost

Page 25: 3.2 Retooling the Crisis Response System

Q ue stions?