Overview of the 25 Cities Initiative July 15, 2014

The 25 Cities…

San Diego

Tampa

San Francisco

Phoenix

Tucson

Las Vegas

Orlando

Houston

Atlanta

Detroit

Denver

New Orleans

New York

Miami

Boston

Washington

Baltimore

Philly

Fresno

Honolulu

Chicago

Seattle

Portland

RiversideLos Angeles

What this Effort is All About

Aim of 25 Cities Effort

How?

Accelerate the pace and integrate our efforts towards ending Veteran and chronic homelessness in 25 cities with the largest concentration of homeless Veterans

1. Build and strengthen elements of Coordinated Assessment and Housing Placement

2. Strengthen and integrate data systems

3. Integrate VA efforts on homelessness more seamlessly into broader community efforts

San Diego’s First 100 Day Project

San Diego will focus on building a complete (front and back end) Coordinated Assessment and Housing Placement (CAHP) System in Downtown San Diego.

Building the Community Team

• San Diego will build a Community Team to design and implement a CAHP System during the first 100 Day Project that launches on June 4th and 5th.

Common Assessment Tool

• San Diego chose to use the VI-SPDAT for the first 100 Day Pilot and will evaluate performance to determine future use.

Prioritization

• San Diego will build a system focused on Veterans and chronic homeless first. Both individuals and families will be served in the CAHP system.

Clearing the Path

• During the 100 Days, the San Diego Leadership Team will work with the Community Design Team to target resources to the CAHP and break down barriers to it’s use.

Framing Coordinated Assessment and Housing Placement System: Language and Components

Coordinated Assessment and Housing Placement System

Without CAHP System With CAHP System

?? !? ?! Courtesy of Chris Ko

CAHP System

CAHP System – 6 key components

Outreach to ALL

Homeless in the

Community

Applying a Common

Assessment Tool

Prioritizing Based upon

Common Assessment

Tool

Housing Navigation and Case

Conferencing

Matching with

Choice

Coordinated Assessment Housing Placement

Performance Management & Communications Platform

Downtown San DiegoCommunity Design Team

100-Day Launch

June 4 & 5

Community Design Team

• Gabe Kendall, 211 San Diego• Amy Gonyeau, Alpha Project • Martha Ranson, Catholic Charities• Monica Ball, Community Volunteer• Tom Theisen, Community Volunteer• Bruce Menser, DT Fellowship of Churches

and Ministries• Kelly Knight, DT Partnership Clean & Safe

Homeless Outreach• Brian Gruters, Mental Health Systems• Jennifer Hark Dietz, PATH• Imelda Mcclendon, Regional Task Force on

the Homeless• Steven Paymard, SD County Health and

Human Services Agency• Melissa Peterman, SD Housing Commission

• Maria Callow, San Diego Housing Commission

• Felipe Murillo, SD County Housing and Community Development

• John Liening, SDPD Homeless Outreach Team

• Sumaya Dinglasan, VA San Diego Healthcare System

• Eduardo Carrasco, VA San Diego Healthcare System

• David Smith, VA San Diego Healthcare System

• Teresa Grenawalt, Veteran Community Services

• Paul Delessio, St. Vincent de Paul Villages

Mission & Goal OVERALL GOAL: By September 17th, 2014, we, the San Diego Community Design Team, will design and test a system that assesses all downtown homeless and effectively matches, houses, and retains 150 veterans and 100 chronic homeless individuals …

• 100-day goal is to build a sustainable, ongoing system that will END veteran and chronic homelessness in downtown

• 250 housing placements intended to demonstrate system is working – not the ultimate goal

Sub-Goal #1: Assess all Downtown Homeless• Estimated 800 unsheltered downtown homeless• Week of June 23-26– HOT Team, Alpha, other providers and 145 Volunteers– Assessed homeless on downtown streets using VI-SPDAT

• Now assessed over 1200 unsheltered homeless on downtown streets using VI-SPDAT

• Will continue our outreach to newly homeless and people we missed

Sub-Goal #2: Housing Navigation

• Housing Navigators prepare clients for housing• Approximately 20 FTE’s Housing Navigators– Volunteered by their agencies!!!– Prepare clients for housing through CAHP system

• Approximately 100 clients already assigned to Housing Navigators– Most vulnerable clients assigned to Navigators first – Based upon their VI-SPDAT assessments

Sub-Goal #3: Matching & Placement• Identify and gather housing resources• Likely resources for downtown 100-day pilot:

– 40 Permanent Supportive Housing beds– 50 VASH vouchers for veterans– 100 Rapid Rehousing Beds– 100 SSVF beds for veterans

• Match clients to housing– Using community agreed priority rules– Most vulnerable clients matched first

• Client always has choice of housing

290 BEDS

14

1. Use Data to Drive Results: Use data to measure system and program performance and inform resource allocation decisions

2. Leverage Mainstream Resources: Engage mainstream systems and integrate those resources— housing, job training, child care, health care, etc …

3. Be Frugal – Target Wisely: Provide the right intervention at the right time to the right individual or family through a coordinated assessment system

Five Key TacticsHow do Communities Make Progress?

15

4. Be Smart – Use Evidence: Adopt Housing First practices to offer individuals and families experiencing homelessness immediate access to permanent affordable or supportive housing, without clinical prerequisites or other barriers

5. Expand the Pie Strategically: Use existing resources in smarter ways to help make clear case for new investments of Federal, State, local, and private sector resources to scale the practices and innovations that work

Five Key Tactics

The Performance Management and Communications Platform (PMCP):

An Overview

PMCP: the CAHP System Engine

Regular Case Conferencing

Housing provider and funding agency engagement in system

Housing Navigation Assignment

Prioritization

Assessment

Coordinated outreach

Vacancy notification

MATCHING AND CLIENT

SELECTION!

List of dedicated units and resources

Eligibility criteria

Front EndMost vulnerable entered into the system,

prioritized and ready for housing

Back EndHousing supply identified and vacancies

entered into the system

Housing Document Collection

for Homelessness

PMCP Dashboards and Visualizations

• Dashboards will allow us to track in real time– Number of housing placements– Progress towards ending Veteran/chronic homelessness

• Consistent with VA’s Gaps Analysis Tool

• Dashboards are powered by community data

Demographic Breakdown

VI-SPDAT Demographics (Individuals)Totals Percentage

Chronically Homeless 692 62%Veterans 154 14%Over 60 134 12%Serious Medical Condition 633 57%Mental Health Condition 816 74%Substance Abuse Condition 686 62%

Planned Housing Intervention

VI-SPDAT Individual Dashboard

Totals Percentage

Mainstream Housing 247 22%

Rapid Rehousing 552 50%

PSH 308 28%

Age Distribution

Age distribution (Individuals)Totals Percentage

Less than 30 103 9%30-39 226 20%40-49 276 25%50-59 356 32%60-69 100 9%Over 70 38 3%

Where Did Our Homeless Come From?

Location Prior to Becoming HomelessAll

Homeless VeteransCounty of San Diego 61% 58%Southern California 66% 60%Outside of Southern California 33% 40%Percentage of Homeless from Outside California who are Veterans 17%

Questions?