coordinated assessment presented by usich and hud march 20, 2012
TRANSCRIPT
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Panelists
Kristy Greenwalt, Director of Housing Policy & Research , USICH
Ann Oliva, Director, Office of Special Needs Assistance Programs, HUD
Matt White, Senior Associate, Abt Associates, Inc.
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Webinar Format
Call will last approximately 1 hour and 15 minutes
We have reserved an additional 15 minutes at the end of the webinar for Q&A.
Audience members who would like to pose a question can do so at any time through the “questions” function found in the “GoToWebinar” toolbar.
Call audience members are “muted” due to the high number of participants.
Call will be recorded.
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Webinar Purpose
At the end of this webinar, participants will be able to: Explain the purpose of coordinated assessment. Identify the many possible system configurations of
coordinated assessment. Apply the strengths and weakness of each
configuration to their communities’ unique context.
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Why Coordinated Assessment?
Coordinated assessment is a powerful tool for improving system-wide entry, assessment, and referral processes.
Process components include: Access point(s) – virtual or specific site location Screening and assessment process (prevent/divert/admit) Information about available services and programs Real-time knowledge about program inventory and capacity Referral and waitlist management Enrollment/admission decision criteria
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Why Coordinated Assessment?
Designed to improve the following:
Service Provision Referral appropriateness Assessment time
Assessment consistency Placement time Multi-provider coordination Service access
Data Accuracy and Access Individual tracking System
monitoring Resource allocation - planning Reporting
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Why Coordinated Assessment?
Experience with the Rapid Re-Housing Demonstration (RRHD) and HPRP
Four years of evidence Improvements in as little as one year Can help end chronic homelessness Different models, same core principles Improvements for all demographics
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Why Coordinated Assessment?
The HEARTH Act regulations Incorporated lessons from RRHD and HPRP ESG requirements CoC requirements Start planning today
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Coordinated Assessment Defined
Current State of Assessment An ad hoc access and assessment process for each
program
and An ad hoc referral process for programs to
recommend prevention, housing, and/or other related services.
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Coordinated Assessment Defined
Question Most People Ask Now:
“Should we accept this individual/family into our program?”
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Coordinated Assessment Defined
Coordinated Assessment A standardized access and assessment process for
all clients
and A coordinated referral process for clients to receive
prevention, housing, and/or other related services.
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Coordinated Assessment Defined
Questions CoC Systems Should Be Asking:
“What housing and service assistance strategy is best for each household of the several services available?”
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Flowchart
Access Assessment Assign
Mainstream Services
Standardized Access and Assessment Coordinated Referral
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Flowchart
Access Assessment
Coordinated Referral
Assign
Mainstream Services
Standardized Access and Assessment
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Flowchart
Access Assessment
Coordinated Referral
Assign
Mainstream Services
Standardized Access and Assessment
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Flowchart
Access
Mainstream Services
Standardized Access and Assessment
Mainstream Services
Assessment
Coordinated Referral
Assign
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Flowchart
Various models, standardized process
Single Point of Access Multi-Site Coordinated No Wrong Door 2-1-1 Assessment Hotline
Intake
Access
Standardized Access and Assessment
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Flowchart
Access Assessment
Coordinated Referral
Assign
Mainstream Services
Standardized Access and Assessment
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Flowchart
Assessment
Mainstream Services
Standardized Access and Assessment
Mainstream Services
Access
Coordinated Referral
Assign
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Flowchart
Meet client, provider, and funder needs
Document client’s homeless history and housing barriers
Match client to appropriate service
Capture data to meet program needs
Assessment
Assessment
Standardized Access and Assessment
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Flowchart
Meet client, provider, and funder needs
Capture data to meet funder requirements
Obtain consent for sharing with providers
Create the beginning of a client’s housing plan
Assessment
Assessment
Standardized Access and Assessment
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Flowchart
Access Assessment
Coordinated Referral
Assign
Mainstream Services
Standardized Access and Assessment
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Flowchart
Mainstream Services
Standardized Access and Assessment
Access
Mainstream Services
Assessment
Coordinated Referral
Assign
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Flowchart
Qualities of a good referral system
Accurate: Matches client needs
Informed: Matches facility availability
Effective: Provider accepts and enrolls
Coordinated Referral
Assign
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Flowchart
Qualities of a good referral system
Standard: One process, all clients and services
Comprehensive: all funder and provider fields
Digital: Uses HMIS, two-way communication
Coordinated Referral
Assign
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Flowchart
Qualities of a good referral system
Mandatory: Every provider, all the time
Coordinated Referral
Assign
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Flowchart
Access Assessment
Coordinated Referral
Assign
Mainstream Services
Standardized Access and Assessment
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Flowchart
Coordinated assessment leverages mainstream servicesClient level Information sharingSystem-wide information sharing Resource sharing and co-locationComprehensive community planning
Mainstream Services
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The System in Practice
A Single Point of Access system:Kalamazoo/Portage, MI Housing Resource Center (HRC) single location for all
housing programs Also uses 2-1-1 for 24/7 housing emergencies,
referred to HRC Same form and process for everyone except DV HRC coordinates housing and mainstream program
entry
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The System in Practice
A Multi-Site Coordinated systemDayton, OhioCommon Assessment Tool implemented All clients assessed at one of four coordinated access
“Gateways” Performance targets established at program and
system levels; increased program accountability TH, PSH, and Safe Haven providers only accepting
referrals from Front Door (“side door” is closed) “Long Stayers” identified and prioritized for housing
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The System in Practice
A Rural Multi-Site system:Washington BOS, WashingtonAdministered differently in two different countiesWhatcom County
Initial screening, community resource center Homelessness intake, homeless service center Unique domestic violence program partnership
Clallam County Referral from 2-1-1, schools, mainstream services Intake through two homeless resource centers
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The System in Practice
A No Wrong Door system:Lancaster, PAEnter any of eight community emergency shelters Initial screening conducted with local case manager Local case manager coordinates intake with client
and intake specialists Referral and assessment process conducted remotely
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Preparing for Coordinated Assessment
Before you choose a model, plan aheadCurrent access processGeography and populationHomelessness programs and agenciesCommunity resourcesLevel of trust, types and depth of relationshipsCurrent data useAuthority environment for changeStakeholder Perspectives
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Preparing for Coordinated Assessment
First steps toward implementationStart gathering data, conduct preliminary analysisHold preliminary – zero pressure – meetings with partnersEstablish decision-making process and governance committeeSet expectations, draft guiding principals and system goals
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Preparing for Coordinated Assessment
Where to look for help Reach out to CoCs with coordinated
assessment systems
Request HUD technical assistance resources through the HUD Homelessness Resource Exchange (HRE)
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For More Information…
HUDHRE Centralized Intake/HPRP Report: http://
www.hudhre.info/documents/HPRP_CentralizedIntake.pdf
HUDHRE HEARTH Page: http://hudhre.info/hearth/index.cfm
HUDHRE Virtual Help Desk: http://hudhre.info/index.cfm?do=viewHelpdesk
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Questions?
• Please submit your questions via the chat function.
• The webinar will be available on our websites at http://www.usich.gov and http://hudhre.info