hearth academy: system assessment

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The HEARTH Academy System Assessment and Design October 2010

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The HEARTH Academy webinar PPT from the 10-27-2010 online presentation.

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Page 1: HEARTH Academy: System Assessment

The HEARTH AcademySystem Assessment and Design

October 2010

Page 2: HEARTH Academy: System Assessment

How well does your system

prevent and end homelessness?

Page 3: HEARTH Academy: System Assessment

-Survey consumers, service providers, and community leaders

Consumer Survey

What services or assistance do you or did you need the most to get permanent housing?

What services or help were you offered to help you get housing?

Was it easy for you to find services to help you when you became homeless.

To get help, were you sometimes asked to do things that you didn't want to do.

Do you feel that you got to "call the shots" about when and how you received services.

Page 4: HEARTH Academy: System Assessment

Estimated release mid-November

Page 5: HEARTH Academy: System Assessment

Use data to measure outcomes from your

homelessness assistance system.

Page 6: HEARTH Academy: System Assessment

Reduce new episodes of homelessness

Reduce lengths of homeless episodes

Reduce returns to homelessness

HEARTH Measures

Page 7: HEARTH Academy: System Assessment

Measuring exits to permanent housing is the key!

• Record housing status at exit

• Update housing status real time

Page 8: HEARTH Academy: System Assessment

Track Length of EpisodesShelter 116 days

Shelter 221 days

Rapid Re-Housing90 days

Gap5 days

Permanent Housing

Page 9: HEARTH Academy: System Assessment

Track Length of EpisodesShelter 116 days

Shelter 221 days

Rapid Re-Housing90 days

Gap5 days

Permanent Housing

Length of Stay42 days

Page 10: HEARTH Academy: System Assessment

More Strategies for Tracking Lengths of Episodes

Track average stays in individual programs.

Look at how many people use multiple programs.

Page 11: HEARTH Academy: System Assessment

Reduce Repeat Episodes

People who exited homelessness during a

period of time Of the group that exited, how many experienced an

additional episode of homelessness within a

period after exiting.1,000

100

Page 12: HEARTH Academy: System Assessment

Reduce Repeat Episodes

Short Follow-Up

Period

Long Follow-Up

Period

Focus on rapid re-housing, and things

more within the control of

homelessness system

Focus on self sufficiency, and

things more affected by job markets and

mainstream systems

Page 13: HEARTH Academy: System Assessment

Perform a Simple Cost Analysis

1. Calculate how much is spent on an intervention for each permanent housing exit.

2. Adjust for the fact that interventions serving higher barrier people will likely cost more for each exit to permanent housing.

Page 14: HEARTH Academy: System Assessment

Compare Interventions

Intervention A – $1,000 per exit to PH

Intervention B – $5,000 per exit to PH

Intervention C – $20,000 per exit to PH

Page 15: HEARTH Academy: System Assessment

Quality Exits

The number of people who exit to permanent housing within 60 days of becoming homeless minus the number who exited homelessness one year ago and since returned to homelessness.

Page 16: HEARTH Academy: System Assessment

Field testing now. Estimated release late November

System Performance Tool

Page 17: HEARTH Academy: System Assessment

How do you make your

system work better?

Page 18: HEARTH Academy: System Assessment

Functions of Homelessness Assistance

Shelter

Re-housePrevent

Page 19: HEARTH Academy: System Assessment

Diverting People From HomelessnessDudley Diversion Pilot, Boston, MA

Page 20: HEARTH Academy: System Assessment

Rapid Re-HousingHennepin County, MN

In one four year period, when internal County ‐funding and staffing changes were implemented to support rapid re housing, shelter admissions ‐declined by 42%, average length of stay by 47% and the total number of purchased “bed nights” ‐

was reduced by 70%.

(Community Spotlight: Rapid Re Housing—Rapid Exit Program in Hennepin ‐County, MN from the HUD HRE website)

Page 21: HEARTH Academy: System Assessment

Put the Pieces Together

Page 22: HEARTH Academy: System Assessment

First Contact

Point of Entry

Stabilize current housing

Immediate re-housing

Assess barriers

Refer to shelter and/or re-

housing

Page 23: HEARTH Academy: System Assessment

Exit Strategy

Point of Entry

Shelter

Re-HousingPermanent

Housing

Page 24: HEARTH Academy: System Assessment

Example of Progressive Engagement

Point of Entry

Housed

RRH 1$ RRH 2

$$ RRH 3$$$ PSH

$$$$

Page 25: HEARTH Academy: System Assessment

Example of Triage

Point of Entry

Housed

RRH 1$

RRH 2$$

RRH 3$$$

PSH$$$$

Assessment of Barriers to Housing

High:EvictionsSubstance Use

Medium:Inconsistent workNo supports

Low:Service engagedIncome

None:Rental historySupport network

Page 26: HEARTH Academy: System Assessment

Current System

New Interventions

Shelter nights

Days homeless

# of entries Diversion RRH 1 RRH 2 RRH 3 PSH Old

DesignNew

Design

1-7 30 15 15 0 0 0 120 60

8-30 25 5 10 10 0 0 475 300

31-180 30 0 6 18 6 0 3,150 1,080

181+ * 15 0 0 5 5 5 4,050 765

Total 100 20 31 33 11 5 7,795 2,205

*including multiple episodes Average Length of Episodes 78 28

Forecasting a New System

Page 27: HEARTH Academy: System Assessment

What about all the other programs?

Employment

Transitional Housing

Services

Page 28: HEARTH Academy: System Assessment

Opportunities for Transitional

Housing

Assets

Buildings

Housing location

Stabilization

Service coordination

Employment

Options

Shelter

Interim Housing

Rapid Re-Housing

Convert to PSH

Transition in Place

Specialize

Page 29: HEARTH Academy: System Assessment

Making the Transition

1. Analyze your data.

2. Analyze your programs.

3. Identify gaps and underserved populations.

4. Prioritize changes.

5. Assign timelines, benchmarks, responsible entities.

6. Start transforming!

Page 30: HEARTH Academy: System Assessment

Making the Transition

Page 31: HEARTH Academy: System Assessment

Implementing proven strategies to end homelessnessPresented by the National Alliance to End Homelessness

HEARTH Academy

Implementation Clinic

Participants in this 1.5 day clinic will assess the performance of their homelessness assistance and implement community-wide strategies to better achieve the goals of the HEARTH Act.

Individualized Consulting

The Alliance’s Center for Capacity Building and other expert consultants will be available to provide customized assistance.

Webinars and Tools

Webinars, tools, and training materials will help communities prepare for the Implementation Clinic and learn about and implement the strategies that help prevent and end homelessness.

Page 32: HEARTH Academy: System Assessment

Aisha WilliamsCenter for Capacity Building National Alliance to End [email protected]

If you are interested in participating in the HEARTH Academy or would like more information, please contact:

Note: The HEARTH Academy is not sponsored by or affiliated with the Department of Housing and Urban Development (HUD) or any other federal agency. The HEARTH Academy is a project of the National Alliance to End Homelessness.