santa cruz 180/180 registry week survey results
DESCRIPTION
Summarizes and presents the Registry Week effort to identify chronically homeless individuals in Santa Cruz County at risk of early death.TRANSCRIPT
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Registry Week Survey Results
May 7 - 11, 2012
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What is 180/180?• In partnership with the 100,000 Homes
campaign • A community effort in Santa Cruz County to help 180 chronically homeless men, women and families turn their lives around
• Goal to house 180 of our most vulnerable, long-term, chronically homeless men, women and families by July 2014, moving them into permanent housing with the support services they need to stay housed.
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The PlanLocate, identify and interview the most vulnerable homeless men, women and families in Santa Cruz County, and rank order them according to their mortality risk so we know who to prioritize for housing and services.
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How we did it• Local Insight & Experience
• Divided County into 7 Sectors
• Identified 40 target areas
• + 7 strategic Food, Service & Shelter Locations
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Hard working, dedicated volunteers
• 3 days of Field Surveying at 4 - 6am!
• 7 food, service & shelter locations
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• Deployed 102 volunteers in teams from Santa Cruz & Watsonville
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Essential community support
• Homeless Service Center• SC County Homeless
Persons’ Health Project• United Way of SCC• Second Harvest Food
Bank• Potter’s House• PV Shelter Services• Salvation Army-
Watsonville• Mountain Community
Resources• County VA Outreach• Applied Survey Research
• Appleton Foundation• Twin Lakes Church• Resource Center for
Nonviolence• Homeless Garden Project• PV Loaves & Fishes• Santa Cruz Community
Counseling Center• St. Francis Catholic
Kitchen• Front Street Housing,
Inc.• River Street Shelter• Downtown Santa Cruz
Outreach Services
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Survey methodology• Best practices from 100k Homes• Name, Location & Photo• Timing, Trust and Persistence
• Information is Confidential & Protected
• Participation is voluntary
• Consent agreements
• $5 gift card as Thanks
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The results
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Cross-county surveying
• 500+ people encountered
• 325 completed surveys
• 155 (47%) Vulnerable - with high mortality risk
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What is the Vulnerability Index?
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Vulnerability factors / 6 months homeless and at least one of the following:
1. Liver Disease2. End-Stage Renal Disease3. HIV+/AIDS4. Age over 605. History of Cold Weather Injury6. 3 or more ED visits in the previous 3
months7. 3 or more hospital and/or Inpatient
episodes in the past year8. Tri-morbidity (mentally ill + abusing
substances + chronic medical problem)
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Profile - the 155 most vulnerable
• 22% Female• 78% Male• 24 Veterans• Oldest - 75• 22% over 60• Youngest - 20• Average Age - 48
• 24% Hispanic
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Profile - the 155 most vulnerable
• Avg 8 years homeless
• Avg 19 years living in Santa Cruz County
• 28% have some college education
• 23% have been in foster care
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Commonly reported reasons for homelessness
• Loss of Job / Low Income
• Substance Abuse
• Divorce / Separation
• Mental Health
• Eviction / Rent Increase
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Where do you sleep most frequently?
• Streets - 41%
• Shelter - 15%
• Beach / Riverbed - 12%
• Vehicle - 12%
• Park / Forest - 10%
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Medically fragile
• 38% have a permanent physical disability that limits mobility (e.g. wheelchair, amputation, unable to climb stairs)
• 43% have had a serious brain injury or head trauma requiring hospitalization or surgery
• 52% have been the victim of violent attacks since becoming homeless
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Where do you go for medical care?• 30% visit HPHP Coral Street Clinic• 16% visit Dominican Hospital• 18% other clinic• 48% have been to the ED in the past 3 months, with three participants having 7+ visits in past 3 months
• 52% have been admitted to hospital in the past 1 year
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Mortality Risk Identifiers
1.) Liver Disease 32%
2.) End Stage Renal (Kidney) Disease
14%
3.) HIV+/AIDS 2%
4.) Over 60 22%
5.) History of cold weather injuries
17%
6.) 3 or more ED visits past 3 months
16%
7.) 3 or more hospital and/or inpatient episodes in past year
17%
8.) Tri-Morbidity (mentally ill + abusing substances + chronic medical condition)
65%
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37 people with 5, 4 or 3 mortality risk identifiers
5 Identifiers: Four people (4)
4 Identifiers: Ten people (10)
3 Identifiers: Twenty three (23) people 2 Identifiers: Forty seven (47) people
1 Identifier: Seventy one (71) people
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Complex care = High utilization
• 37 of the Most Vulnerable Homeless Individuals (category rank 5, 4 or 3) have a combined total of 67 hospital admissions in the past year
• Average cost of hospital admission is $8,500*
the math:$8,500 x 67 = $569,500 / 37 = $15,392 average hospital cost per year for the most vulnerable homeless men and women in Santa Cruz County*Source: U.S. Dept. of Health & Human Services, AHRQ (Agency for Healthcare Research and Quality) H-CUP (Healthcare Cost & Utilization Project) 2006
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What’s next
• Begin housing the person with the highest risk of mortality - at the top of our rank ordered list
• Continue surveying beyond those already interviewed, prioritized by vulnerability
• Continue partnerships with businesses, non-profits, volunteers, churches, government and the philanthropic community
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How will you do a 180 to help make this happen?
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Here’s how you can help• Sponsor one person/family with move-in cost for $1,000
• Donate furniture and housewares
• Tell your friends about us on Facebook
• Sign up to volunteer for outreach and ongoing surveying
• www.180santacruz.org
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Thank you!