community engagement program

Community Engagement Program

Central City Concern Portland, Oregon

CENTRAL CITY CONCERN

Timeline 2002 - PATH

CCC conducts needs assessment of Hooper clients PATH grant funds the Community Engagement Program

2003 - CEP 28 community partners convene to develop 3-year “Collaborative Initiative to Help End

Chronic Homelessness” (SAMHSA, HRSA, HUD, VA) Multnomah Co. i-Tax funds new CEP team for the intractable street population with dual

diagnoses: CEP II 28 community partners convene to respond to 5-year “Ending Chronic Homelessness

through Customized Employment and Housing” (DOL, HUD) Both federal initiatives awarded for total of 9.2 million CEP receives national recognition as Exemplary Program: US Dept of Health and Human

Services 2004 - CEP

CEP III and CEP IV teams open to referrals, secure permanent supportive housing for chronically homeless adults

PATH grant ends; CEP I clients/staff transitioned into other CEP teams, other community providers


Timeline 2005 – CEPSince it’s inception, CEP has supported and housed over 300 homeless adults. New projects include:

Housing Rapid Response, Family Latino Outreach and Addiction Treatment (FLOAT), OHSU Recuperative Care Providence expansion

2006 - CEP Multnomah County i-Tax funding for CEP II continues through July 2007 SAMHSA, HRSA, VA funding for CEP III ends March 2007

2006 – Housing Rapid Response Funded by Bureau of Housing and Community Development through December

2006 Funded by Office of Neighborhood Involvement, Portland Business Alliance

2006-2007


Integrated Services at CEP

Consumer-run Life Skills Center – The Client

Empowerment Place

CEP• Intensive Case Management• Co-occurring Disorders Tx

(A&D and MH)• Primary Healthcare• Benefits Acquisition

• Employment Services•Housing Services

Recuperative Care Project (RCP)OHSU / Providence

Portland Police Department/Bureau of Housing

& Community Development - Housing Rapid Response

Office of Neighborhood InvolvementPortland Business Alliance

Family Latino Outreach & Addictions

Treatment (FLOAT)CMHS


What services does CEP provide? Multi-disciplinary, ethnically

diverse teams provide an integrated approach to: Outreach and engagement; Intensive case management

and consumer-centered plans for addressing substance abuse, mental health treatment and physical healthcare, benefits, employment, and housing.

On-going supports to maintain Recovery


CEP: 3 teams….multiple partners CEP II

Funded by Multnomah Co. i-tax until July 2006

Team serves 60 clients with supported housing attached

CEP III Funded by federal ICH grant

(SAMHSA, HRSA, VA, HUD) until October 2006

Collaboration with Westside Health Clinic, Portland VA, HAP

Serves up to 93 clients

CEP IV Funded by Dept. of

Labor and HUD Collaboration with

Outside In, JOIN, Worksystems, HAP, West Portland One Stop

Serves 87 clients


Who are the people seen at CEP? Homeless for an average of 8.6 years Most with poor rental history, no income, no benefits 68% with a criminal history 74% with a mental illness 90% with an active substance addiction 63% with a chronic medical condition such as

HIV/AIDS, Hepatitis C, diabetes


CEP Housing Outcomes

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120

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160

180

CCC Housing: 60(i-Tax)HUD ShelterPlus Care: 179HUD Section 8: 4

July 2003-June 2006


Where are people living? 70 separate locations: private

landlords, HAP Affordable Housing portfolio, CCC SRO units

24 zip code areas across Multnomah County

Location based on individual choice and greatest likelihood for long-term success


Hotel Alder CCC contribution to

the ICH project: Eight Section 8 rooms

Resident selection & move-in began July 2005


Employment Outcomes HUD/DOL project has primary goal of

developing customized employment opportunities for 89 clients on CEP IV over 5 years. Services are linked to the One Stop system.

ICH project (CEP III) includes employment supports as part of its multi-disciplinary team.

60 people have been involved in planning for their return to work and are in active job development.

57 people have succeeded in working in a competitive setting for some period of time.


Accessing Services 100% have been engaged into

services with an intensive case manager

85% have received primary care services

77% have received substance abuse treatment

76% have received mental health services

23% have received assistance in applying for Social Security benefits; 100% for food stamps


Access HRRAccess Housing Rapid Response (HRR) Population - Frequent offenders, multiple arrests (avg. 24/month),

chronically homeless Screening and referral - the Portland Police Department, Dept. of

Community Justice 200 person “livability list” collected by City of Portland and Portland Police Dept.

identifying potential clients

Referral placement - Access HRR staff screens for appropriateness Services provided - Immediate transitional housing and intensive case

management such as placement into treatment services, permanent housing and retention support, benefits acquisition and vocational assistance provided by CCC, community partners and other stakeholders

Goal - Decreased contact with the criminal justice system, permanent housing placement and self sufficiency


Access HRRReduction rates in identified target area Collectively, the 55 Access HRR clients had been

arrested an average of 24 times per month prior to intervention services

After Access HRR intervention services, clients were arrested an average of 13 times per month This is an 45% decrease in arrests Access HRR time period is 10/1/05 - 6/30/06 (9 months)


Monthly Average Arrests

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10

15

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Arr

est

rate

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Clients Accessing Only HousingServices

Clients Accessing OutpatientTreatment

Clients Accessing Inpatient Treatment

Before Access HRR

After Access HRR

21 clients 16 clients 18 clients


Housing Retention Retention of Housing for high-risk chronic repeat

offenders who are homeless From 10/1/2005 to 5/31/2006, a total of 55 individuals have been

housed through Access HRR Program. Of 55 unduplicated individuals placed in the Access HRR Program, 7 (12%) were transitionally housed for 15 days or less; 35 (64%) were transitionally housed for 15 days or more; and 17 (24%) were moved into permanent housing

Contracted goal (on an abbreviated 9 month contracting period) was to permanently house 22 people by 06/30/06 As of 07/01, Access HRR had housed 17 individuals, 63% of

targeted goal of housing 22 people Retention of permanent housing placement measured at 9, 12 and

18 months Access HRR has engaged/touched 76 people in 9 months


Achieving Success Key Factors for Success:

Excellent communication among partners, including: Central City Concern Office of Neighborhood Involvement/Mayor’s Office Bureau of Housing and Community Development Portland Police Department Department of Community Justice Portland Business Alliance

Housing First/Harm reduction Relationship building


Achieving Success Key Factors for Success (cont.):

Staff/cultural match: Periods of incarceration Homelessness Recovery from addiction/mental illness Professional skill set

Referral to and/or provision of culturally appropriate treatment services

Structured transitional housing and access into permanent supported housing in the greater community Rent assistance (min. 9 months), vocational assistance, benefits

acquisition, healthcare, recovery support, Time unlimited services


What has it taken to accomplish this?Motivated staff

willing to go out on the streets to find people, listen to

their stories, accept them at whatever point they are at,

and instill in them a glimmer of hope for

the future.

community engagement program

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