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How to Proceed After the Emergent Period to Maintain Safety and Advance Services Wednesday, May 27, 2020 1:00 PM EST

How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

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Page 1: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

How to Proceed After the Emergent Period to Maintain Safety and Advance ServicesWednesday, May 27, 20201:00 PM EST

Page 2: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

Topic Presenter

Welcome and Introductions Linda Gibbs, PrincipalBloomberg Associates

Estimating Continued Capacity

Dennis Culhane, Professor of Social Policy, School of Social Policy and Practice, The University of Pennsylvania

Testing and TriagingMarc Eichenbaum, Special Assistant to the Mayor for Homeless Initiatives, City of Houston

Q&A, Discussion, and Feedback

Linda Gibbs, PrincipalBloomberg Associates

Today’s Agenda

Page 3: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

Topic Presenter

Welcome and Introductions Linda Gibbs, PrincipalBloomberg Associates

Estimating Continued Capacity

Dennis Culhane, Professor of Social Policy, School of Social Policy and Practice, The University of Pennsylvania

Testing and TriagingMarc Eichenbaum, Special Assistant to the Mayor for Homeless Initiatives, City of Houston

Q&A, Discussion, and Feedback

Linda Gibbs, PrincipalBloomberg Associates

Today’s Agenda

Wednesday, May 27, 2020

Current U.S. Situation

Page 4: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

Wednesday, May 20, 2020

Current U.S. Situation

Wednesday, May 27, 2020

U.S. Reopening

Page 5: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

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2

1 How Homeless Services have been Impacted in the Emergent COVID-19 Period

Web Series Overview

5

How to Proceed after the Emergent Period to Maintain Safety and Advance Services

Building a Long-term Vision: Opportunities from a Crisis

Page 6: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

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Period• Feb./March to

now?

Actions• Change of

practices (outreach, sheltering)

• Emergency sheltering (congregate, hotels)

• Staffing impact• Client Needs

Period• Decline or Flat

Incidence• Surge of needs

during 2nd, 3rd wave• Prolonged period of

uncertainty

Actions• Prolong expanded

shelter capacity• Testing• Prevention• Engaging and Case

Planning with Clients

Period• Vaccine—at least

18m• Treatment, partially

effective for severe illness, <18m

Actions• Using the COVID-

19 crisis as an opportunity for permanency

• Setting priorities• Long term changes

in service delivery• Measure Impact

Emergent Intermediate Longer

Stages of Response

Page 7: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

Planning for Permanency after Emergency Housing among Comorbid, High Risk Individuals

Dennis CulhaneThe University of Pennsylvania

Professor of Social Policy, School of Social Policy and Practice, Director, Human Services Department

Page 8: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

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Critical Context

• Accelerated Aging of Adult Homeless Population

• High Rates of Unsheltered Homelessness on West Coast

• Large Population with COVID-Comorbid Conditions –“High Risk”

• Estimated 75% of CoCs Using Hotels/Motels, with Time-Limits.

Page 9: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

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Planning for Transition to Permanency

Adapt the Rapid Rehousing Model as Bridge to Permanent Housing*

• Housing Stabilization Case Management (90 day average)o Benefits enrollment (SSI, SNAP, Medicaid)o Housing Options Counselingo Housing Search and Landlord/Family Negotiationo Relocation and Move-in Assistanceo Transition to Community-based Support Services

• Temporary Financial Assistanceo Relocation Grant (first/last/security)o Flexible Emergency Cash Assistanceo Temporary Rental Assistance as Bridge to Subsidy

* Explore Potential for Medicaid Funding

Page 10: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

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Housing and Income Supports for High Risk

• Aggressive SSI Outreach (like SOAR) to aging and comorbid persons

• SSI Plus: Shared Living “Housing Allowance” to Supplement SSI ($500/month)

• “Pandemic Voucher”: Housing Choice Vouchers or Equivalent (enrollment limited to duration of crisis, and receipt until exit or death)

• PSH: new (hotel acquisition and conversion), and turnover

• Assisted Living, as Indicated

Page 11: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

Homelessness and COVID-19:

Converging Crises and the Emerging Response Framework

March 2020

Dennis Culhane, Dan Treglia, Ken SteifUniversity of Pennsylvania

Randall KuhnUCLA

Thomas ByrneBoston University

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Page 13: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

Brief Q&A

Page 14: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

Houston’s Homeless Response System

Marc EichenbaumCity of Houston

Special Assistant to the Mayor for Homeless Initiatives

Page 15: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

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Overview—Houston’s Homeless Population

Page 16: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

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Overview – Houston’s Homeless Response System

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COVID-19 Response: Homeless

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Quarantine/Isolation Facility

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COVID-19 Response: Homeless

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Houston Homeless Testing Program

Page 21: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

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Phased Implementation

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Unsheltered – Testing Hotline Distribution

Page 23: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

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Testing Process / Workflow

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Houston Homeless Testing Program

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Long-term Testing Plan

Page 26: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

Q&A Discussion

Page 27: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

Closing & Feedback

Page 28: How to Proceed After the Emergent Period to Maintain Safety ......hotels) • Staffing impact • Client Needs Period Decline or Flat Incidence • Surge of needs during 2nd, 3rdwave

Thank you for attending.

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