Transcript Document

Targeting and
Prioritization: Best
Practices for Serving the
Most Vulnerable
Kim Walker
Senior Program Manager, CSH
September 22, 2014
The Source for
Housing Solutions
Our Mission
Advancing housing solutions that:
Improve lives of
vulnerable
people
Maximize public
resources
Build strong,
healthy
communities
Supportive Housing Training Center
Agenda
 Coordinated Assessment: A Tool for
Targeting
 Prioritization Standards
 Targeting Example: FUSE
Shelters
Coordinated
Access
Processes
Coordinated
Assessment
Process to
Determine
Housing
Exit
Strategy
Rapid Re-Housing
Permanent
Supportive Housing
Homelessness
Prevention
Community Supports
Systemwide Targeting with Coordinated
Assessment
 Clear definitions and parameters for all
interventions
 Data-informed decisions and targeting
 Housing First system orientation
 Commitment to low-barrier entry to programs
Progessive Engagement…
Assessment Tools: Qualities
Barriers related to housing
Length of homeless episodes
Success or failure of previous interventions
Referrals correspond to prioritization standards and
community priorities
Diversion
“Where did you stay last
night? Could you safely
stay there again?”
“Why did you have to leave
where you stayed last
night?”
“Is there anyone else you
could stay with for a few
days while we work with
you?”
HUD Prioritization Guidance
 For chronically homeless households (and CoC CH PSH
beds)
 Longest history of homelessness + most severe service needs
 Longest history of homelessness
 Most severe service needs
 All other CH households
 For non-chronically homeless households (and CoC nonCH PSH beds)
 Households with disabilities + most severe service needs
 Households with disabilities + long period/episodic
homelessness
 Households with disabilities coming from PNMFHH, Safe
Havens, or emergency shelter
 Households with disabilities coming from TH
What is FUSE?
FREQUENT
USERS
SYSTEMS
ENGAGEMENT
 Thousands of people with chronic
health conditions cycle in and out of
hospitals, jails, detox, and
homelessness - at great public
expense and with limited positive
human outcomes.
 Targeted supportive housing for the
most vulnerable and costly of this
group can reduce costs while getting
better outcomes
 FUSE program serves as a catalyst
for system change at the local level
FUSE & High Utilizer Initiatives
Washtenaw
FUSE/SIF
King Co FACT
Detroit FUSE
Rhode Island FUSE
Hennepin Co
FUSE
KCC/SIF
CT FUSE
CT SIF
NYC FUSE
Douglas Co, NE
FUSE
SIF+FUSE/Ert
Just in Reach 2.0
Project 25
Maricopa Co
FUSE
Wash. DC FUSE
Chicago FUSE
Columbus BJA
FUSE
Denver FUSE
Louisville ACT
MeckFUSE
Travis Co BJA
Bexar Co High
Utilizers- TBD
Frequent user program totals
17 re-entry FUSE programs
8 health high utilizer programs
Approx. 1000 people housed
Approx. 825 to be housed
Re-entry FUSE – Operating
Re-entry FUSE – Significant planning
Health FUSE – Operating
Health FUSE – Significant planning
Richmond FUSE
The FUSE Blueprint
Data-Driven
Problem-Solving
Policy and Systems
Reform
Targeted Housing
and Services
Cross-system data
match to identify
frequent users
Convene interagency
and multi-sector
working group
Create supportive
housing and develop
assertive recruitment
process
Track implementation
progress
Troubleshoot barriers
to housing placement
and retention
Recruit and place
clients into housing,
and stabilize with
services
Measure
outcomes/impact and
cost-effectiveness
Enlist policymakers to
bring FUSE to scale
Expand model and
house additional
clients
Evaluation Results:
FUSE Reduces Recidivism
Results from Columbia
University’s evaluation
of the New York City
FUSE program,
released in
November 2013
 40% fewer jail days
 91% fewer shelter days
 50% fewer psychiatric
inpatient
hospitalizations (not
shown)
Kim Walker
[email protected]
323-681-8266
The Source for
Housing Solutions