Coordinated Entry: Building a homeless response system Meeting of HUD Region I CoCs Northern Region...
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Coordinated Entry: Building a homeless response system Meeting of HUD Region I CoCs Northern Region / Manchester, NH Robert Pulster, Regional Coordinator
Coordinated Entry: Building a homeless response system Meeting
of HUD Region I CoCs Northern Region / Manchester, NH Robert
Pulster, Regional Coordinator May 7, 2015
Slide 2
www.usich.gov Opening Doors 2 No one should experience
homelessness and no one should be without a safe, stable place to
call home. The Plan set forth four bold and ambitious goals:
1.Finish the job of ending chronic homelessness by 2017 2.Prevent
and end homelessness among Veterans by 2015 3.Prevent and end
homelessness for families, youth, and children by 2020 4.Set a path
to ending all types of homelessness
Slide 3
www.usich.gov Themes of Opening Doors 1.Increase leadership,
collaboration, and civic engagement 2.Increase access to stable and
affordable housing 3.Increase economic security 4.Improve health
and stability 5.Retool the homeless crisis response system 3
Slide 4
www.usich.gov USICH Roles Coordinates the Federal response to
homelessness Maximizes the effectiveness of 19 Federal agency
partners Shares best practices Drives collaborative solutions at
the national and community level 4
Slide 5
www.usich.gov Opening Doors Progress with Opening Doors 5 Since
the launch of Opening Doors, we have changed the trajectory of
homelessness. Source: HUD 2014 AHAR
Slide 6
www.usich.gov Keys to advancing progress Using a Housing First
orientation Building a system of programs Implementing Coordinated
Entry Being goal and data-driven Collaborating with mainstream
systems 6
Slide 7
www.usich.gov Housing First orientation Everyone is ready for
housing and can achieve stability in housing. The ultimate goal is
connection to permanent housing Housing First recognizes resistance
as ambivalence to change and requires persistent engagement to
overcome ambivalence. It has a practical focus on addressing
barriers to housing entry. It is connected to housing referral and
placement systems (coordinated entry and assessment). 7
Slide 8
www.usich.gov Building a systems approach Programs and services
work together as a single system across organizational lines Ensure
full community coverage with overlapping catchment areas Shared
data and information on clients Joint case conferencing on
hard-to-engage clients Complementing services and expertise
(psychiatric assessment capacity, mobile medical services) 8
Slide 9
www.usich.gov Being goal and data-driven Contributes to larger
community goals of ending homelessness among Veterans by 2015 and
individuals experiencing chronic homelessness by 2017 Useful to set
short-term (e.g. 100 day) housing placement goals Allows monitoring
of performance goals Uses data for case finding and prioritization
HMIS - Longest term homeless Data matching - High utilizers of
hospitals, jails, detox, etc. USICH SHOP tool Uses PIT and HIC to
target PSH to chronic clients 9
Slide 10
www.usich.gov Implementing Coordinated Entry HUD is requiring
all CoCs to establish a coordinated entry system HUD published a
Policy Brief in February 2015 A coordinated entry process is a
critical component to any communitys effort to meet the goals of
Opening Doors. Ensures that community assistance is allocated as
effectively as possible and is easily accessible no matter where or
how people present 10
Slide 11
Current Crisis Response Systems: (Using Boston as an example)
Source: Boston Mayors Task Force on Individual Homelessness
(modified from Coordinated Access Houston: The Shift Street
Outreach Day & Meal Programs Healthcare for the Homeless Youth
Programs Boston VA County Jail/Prison Psychiatric & Mainstream
Hospitals Detox/ Treatment Staying with Friends/Family Permanent
Supportive Housing Affordable Housing Public Housing Market Rate
Housing Waitlists, screening criteria Screening criteria, financial
barriersWaitlists, screening criteria DMH Shelter Woods Mullen
(Shelter) Long Island (Shelter) DV Shelters DMH Safe Haven New
England Center (Shelter) 11 St. Francis House (Day and Overflow
Shelter) Pine Street Inn (Shelter) Pilgrim (Shelter) Transitional
Housing @USICHgov
Slide 12
www.usich.gov Coordinated Entry Policy Brief An effective
coordinated entry process is a critical component to any communitys
efforts to meet the goals of Opening Doors: Federal Strategic Plan
to Prevent and End Homelessness. This policy brief describes HUDs
views of the characteristics of an effective coordinated entry
process. This brief does not establish requirements for Continuums
of Care (CoCs), but rather is meant to inform local efforts to
further develop CoCs coordinated entry processes. 12
Slide 13
www.usich.gov Clients face barriers & challenges Difficult
for individuals and families to access services and housing
Separate referral processes for each agency Unique assessment at
each agency Questionable housing match accuracy Difficult to know
service and housing availability across the system Challenge to
evaluate effective utilization to manage to achievement of goals
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Slide 14
System building Programs Homeless Response System Source: From
Boston Mayors Task Force on Individual Homelessness (Modified from
Houstons Plan to End Chronic Homelessness) Talented and committed
providers using different methods and providing different services
(program-centered model) An integrated network of providers whose
efforts are well- coordinated to achieve a COLLECTIVE IMPACT
(client-centered model) 14
Slide 15
www.usich.gov Coordinated Entry The goals of building a
coordinated entry system: Reorient system to focus on those being
served Minimize time and frustration accessing help Maximize use of
system resources Identify service gaps for planning 15
Slide 16
www.usich.gov Programs vs. system model Without Coordinated
Assessment, programs use: Program-centric decisions making
Different forms and assessments Ad-hoc referral processes With
Coordinated Assessment, systems use: Client-centric decision making
Standard forms and assessments Community agreement on where to
refer Coordinated referrals through regional/CoC entity 16
Slide 17
www.usich.gov Community Example: Houston Operational
philosophy: We need to do a better job of orienting our system
toward housing and housing stabilization 1.Match resources with
need 2.Remove barriers that keep people from getting the housing
and services they need 3.Coordinate and simplify the process 4.Use
data to drive decision making 5.Build capacity 6.Enhance
collaboration among funders 17
Slide 18
www.usich.gov Community example: Houston Coordinated entry
system operational as of 1/2014 Three months test phase using paper
to asses and place while building out workflow Second phase began
HMIS integration and continued system build out Coordinated entry
initial target for individuals that are experiencing chronic
homelessness and Veterans Incorporate reporting ability and
performance measures 18
Slide 19
www.usich.gov Community example: Houston Roles and
Responsibilities CE Implentation Manager Support all partners;
develop project management workbook and action plans, facilitate
workgroups, trouble shoot CoC Progam Manager Support all partners,
maintain oversight of manual processes, facilitate case
conferences, develop all MOUs, managing ongoing operations 19
Slide 20
www.usich.gov Houston learned: 1.Electronic build-outs take
longer than expected 2.Technology and staffing require repurposing
and/or finding new funds 3.The shift in thinking is more
challenging than the shift in operations 1.There is a housing
option for everyone 2.This is community data, not agency data 3.The
repurposed CE staff are not helping out a new system but they are
the new system. 4.The clock starts from the moment of initial
engagement metrics matter 20
Slide 21
www.usich.gov Houstons example shows Coordinated Access can:
Control access to units through sole referral source Ensure housing
placements system cannot say no Hold everyone accountable denials
get attention Produce system-wide data on placement and utilization
Track collective impact manage to achieve goal 21
Slide 22
www.usich.gov Join our networks Subscribe to our newsletter and
visit our website www.usich.gov Follow us on Twitter @USICHgov Like
us on Facebook Contact [email protected] @RobertPulster
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