downtown emergency service center vulnerability assessment for chronically homeless individuals...

Downtown Emergency Service Center www.desc.org Vulnerability Assessment for Chronically Homeless Individuals presented by Bill Hobson Annual Conference National Alliance to End Homelessness July 28-30, 2008 – Washington D.C.

Upload: drusilla-curtis

Post on 05-Jan-2016

215 views

Category:

Documents

1 download

Report

Download

Embed Size (px):

TRANSCRIPT

Downtown Emergency Service Center

www.desc.org

Vulnerability Assessmentfor Chronically Homeless Individuals

presented by Bill Hobson

Annual ConferenceNational Alliance to End Homelessness

July 28-30, 2008 – Washington D.C.

Downtown Emergency Service Center

www.desc.org

Overview of DESC

supportive housing

licensed mental health services

licensed chemical dependency services

emergency shelter

high level of integration across programs

Downtown Emergency Service Center

www.desc.org

Kerner-Scott House experience (1997)

Tenant Selection Process

severe and persistent mental disorders

not connected to anyone

too disorganized to self-advocate

most at risk of living on the streets

based selection on key informant observation

Downtown Emergency Service Center

www.desc.org

DESC emergency shelter experience (1979-2003)

How to allocate limited beds in high-demand environment?

first come, first serve [1979-1984]

random selection (the “fish bowl”) [ 1984-1994]

diagnosis [1994-2003]

scores on Vulnerability Assessment Tool [2003-present]

Downtown Emergency Service Center

www.desc.org

Common methods of tenant selectionfor permanent supportive housing

Wait lists with rule-out criteria criminal hx, rental hx, behavioral issues

Housing readiness sobriety, psychiatric stabilization, payeeships

Downtown Emergency Service Center

www.desc.org

High utilization (continued)

frequent use of hospital, jail, other institutions

“Million Dollar Murray” (2006)

DESC's 1811 Eastlake

Political power in using this method

Flaws diminishing return ignores vulnerability

Downtown Emergency Service Center

www.desc.org

DESC Vulnerability Assessment Tool

developed in 2003 to allocate limited shelter beds

began using as primary method for housing selection in 2005

have done 6,582 assessments since 2003

focuses on vulnerability induced by behavioral health issues who is at greatest risk if left on the streets

limited research shows high correlation with institutional use

Downtown Emergency Service Center

www.desc.org

Downtown Emergency Service Center

www.desc.org

Downtown Emergency Service Center

www.desc.org

Hobson 1902 Hobson Imperialism a Study

10-Year Plan to End Homelessness...Chronic homeless populations increased for a fourth year with 150 people chronically homeless, as compared to 77 people in 2013. Veteran homelessness

Housing Chronically Homeless People: HOUSING FIRST Programs in Philadelphia Presented by:David Dunbeck Horizon House, Inc. July 18, 2006 National Alliance

Alcohol Dependence Counseling for Chronically Homeless ... · demands—particularly abstinence—increased.15 Some individu-als, however, do not have a choice about treatment engagement:

Bridges and Barriers to Housing for Chronically Homeless ......THE KEY TO UNLOCKING HOMELESSNESS IN AMERICA: Emerging Trends in HUD-Sponsored Research September 20, 2011 ... Mental

Prioritizing the Chronically Homeless and Other Vulnerable ...endhomelessness.org/wp-content/uploads/2016/08/2016-national-slides-targeting-psh.pdfNotice CPD-16-11 • Notice on Prioritizing

VA POC Quarterly Call€¦ · VA POC Quarterly Call ... VA cannot do it alone * ... VA and SSVF/ COC conduct join Outreach targeting Chronically Homeless

Hobson Imperialism

WASHERS - Hobson

Defining Chronically Homeless Final Rule Combined QA … · 2019-03-16 · Defining Chronically Homeless Final Rule Webinar, Combined Q & A Transcript . Regions 1 and 2 – 01/13/2015

Finding the Forgotten Engaging the Chronically Homeless By Tamara Wanner

The HUD-VASH Program: Permanent Supportive Housing For Chronically Homeless Veterans Nancy Campbell, National Director HUD-VASH

Click to edit Master title style The Successful ...€¦ · 2011 HEARTH Defining “Homelessness” Final Rule. 2015 HEARTH Defining “Chronically Homeless” Final Rule. Notice

Housing the First 100 - CSH · Housing the First 100 is a collaborative effort among various homeless service providers, hospitals, ... $1 million to house 300 chronically homeless

Inclusionary Housing OrdinancePresentation Overview 1. ... Homelessness ... Subpopulations Chronically Homeless 2,169 2,470 +301 Veterans 703 653 ‐50 Persons in Families 908 921

1 Strategies for Serving the Chronically Homeless …

Healthy Neighborhood Fund · 100,000 Homes Campaign 0 20,000 40,000 60,000 80,000 100,000 120,000 Chronically Homeless individuals Housed 9 Boot Camps –60+ cities First Rapid Results

XBolt - Hobson

New York Website Data Snapshot Populations in Need...Upstate New York in 2015. •1,086 chronically homeless persons were counted in Upstate New York during the 2015 PIT count. •Chronically

Congregation Highlight The Big...Chronically homeless people often have layers of dif culties, oftentimes addiction and mental illness. Drug and alcohol and mental health relapses

Shelter-based managed alcohol administration to chronically homeless … · 2005. 12. 20. · Shelter-based managed alcohol administration to chronically homeless people addicted

Understanding Housing - New York State Department of Health · • NYC – HRA 2010e NY/NY III (Congregate) • Population G: for chronically homeless families or families at risk

Evaluation of the 100,000 Homes Campaign - Urban Institute · percent of a community’s baseline population of chronically or vulnerable homeless people who the community was able

Webinar Social Worker Continuing Education3. HIV/AIDS Chronically Homeless • Homeless – One continuous year – Four times in three years • Disabled CH in PSH Recordkeeping Notice

Integrated Care for the Chronically Homeless - CSH...2 History HUD Target Population Approach Participants are identified through Houston’s Coordinated Access process. They enter

4- People Who Experience Long-Term Homelessness ......Chronic Homelessness Defined It is widely agreed that chronically homeless adults constitute a small but significant subgroup

Hobson Jobson

What is 100,000 Homes campaign? National movement House vulnerable and chronically homeless individuals and families 100,000 by July of 2014

CONNECTING HOMELESS PERSONS the Dots MEMORIAL VIGIL · are homeless use 60-80% of the shelter and homeless services. They are a subset of the homeless population—called chronically

Strategies to Strengthen Health and Housing Partnerships ... · housing provider, to create an integrated care system for chronically homeless individuals with complex medical and

Medicaid and Permanent Supportive Housing for Chronically ...Many people who are chronically homeless will qualify in 2014 under the Affordable Care Act, or earlier for early implementer

Housing Chronically Homeless People in Single Site Projects NAEH Annual Conference Washington, DC Monday, July 17, 2006

Ashtabula, Ohio 44004 Your Library MattersAccording to the national 2015 homeless count, about 48,000 vets are homeless. Returning vets are twice as likely to become chronically homeless

The cognitive-functional needs of the chronically homeless: Examination of practice data to inform assessment and rehabilitation. Sylvain Roy, Ph.D. C.Psych

Homeless Impact V2 · 1,030 unsheltered PIT Count: March 31, 2018 564 Additional Homeless 81.8% Chronically Homeless (one year or more) 52% Came from Outside Santa Ana