Principles of Homeless Prevention by pengtt


Prevention Programs
  Programs That Work
Homelessness Prevention:

Programs that Work

     Matt White, Abt Associates (Bethesda, MD)
  Tina Patterson, The Other Place (Dayton, OH)

                         COHHIO Conference
                              April 20, 2010
General/Universal Components of
Homelessness Prevention

 Most programs usually provide…
      Early intervention
      Financial assistance
      Intensive services

 But how should programs organize these
      What’s the right mix of $$ and services?
      When to provide the intervention?
      Who to provide the intervention to?
Homelessness Prevention
 A national scan of model programs and best practices
   reveals a core group of commonalities among
   successful prevention programs:
       Focus on Housing Stability, not Emergency Shelter
       Crisis Resolution
       Targeting
       Client Choice
       Manage for Efficiency and Effectiveness
       Maximize Community Resources

 Goal: Provide the right resources to the right people at
   the right point in time for the right amount of time.
  Current CoC Model                      Emerging CoC Model
                    Employment                     Assistance
 Prevention         Assistance        Prevention


Rapid Re-
housing                                                   MH/SA
              Housing &                Support            Services
              Support Services         Services

        Turning the Continuum of Care Inside – Out
Prevention Principles:
Crisis Resolution
    Identify the crisis
        Rapid assessment and triage
    Focus on personal safety
      Is the household in immediate danger?
      Can the client stay in existing housing?

    Stabilize household
      Does client have a support network?
      Are other community-based services
Prevention Principles: Targeting
    Determine target group(s) and eligibility criteria
        For example… formerly homeless Veterans,
         persons leaving jail, etc.
        Limit to or prioritize persons who are at imminent
         risk of literal homelessness
        Other eligibility criteria may be determined by
         funding source

    Determine client eligibility through screening
     and eligibility assessment. Funders may
     dictate eligibility.
Targeting (continued)
 Factors impacting possible target groups:
 (Who will you serve?)
  Funding source
  Evictions vs. doubled up
  Legal issues vs. mediation
  Individuals vs. families
  Disabilities (SMD, AOD)
  Intensity and timing of the crisis
  Analyze HMIS data for homeless predictors
  Geographic considerations
Targeting (continued)
 How can you predict who will become homeless?
   Homeless Risk Factors (possible predictors):
  Eviction notice
  Homeless history
  Youth
  Domestic violence
  Young families
  Loss of job
  Loss of income
Targeting (continued)
Barriers Assessment
 Will the prevention intervention work for a
   particular client?
  Income and housing affordability
  Criminal history
  Credit history
  Behavioral health issues
  Housing history
       Previous eviction
       Previous non-renewal of lease
       Landlord references
Targeting (continued)

 Clients most likely to be successful have…
  Income
  Social connections
  Less significant financial needs

 This is also the population for whom
   homelessness is most difficult to predict.
Prevention Principles:
Client Choice
 People in crisis are most successful when
   they feel empowered.
  Assist client to regain control
  Review client’s goals, choices,
  Strengths based approach
  Clients can’t be protected from all the
   natural consequences of their actions
Prevention Principles:
Effectiveness and Efficiency
  Will the prevention intervention avert
  Will the prevention intervention cost less
   than a possible stay in emergency
   shelter and/or transitional housing?
  Will the prevention intervention work to
   provide a greater degree of housing
   stability for the client?
Program Design Considerations
 Design needs to be matched with the intensity
   and scope of prevention services you provide.
  Who will you serve and how will you serve
   them? …Targeting
  How will you identify clients? …Referral
  How will prevention services be integrated/
   coordinated with other community resources?
  What are the administrative and staffing
   considerations? …Operations
Linkage – Coordination with Community-
Based and Mainstream Services

   Make existing services more accessible
    and effective—avoid duplication
   Establish strong relationships
       Public assistance agencies
       Local housing authority
       Local landlords, landlord networks
       VA service coordinators
       Other veterans’ service organizations
       Other homelessness prevention providers
Homelessness Prevention
Best Practices

 Hinge on level of coordination and
  collaboration between providers
 Focus should be on integrating with
  existing local providers
 Collaborative approach depends on the
  type of provider and the target client group
Ohio Family Homelessness
Prevention Pilot
 Key Design Elements…
  Limited financial assistance (~$1,000 per
  Intensive home-based case
  Evolving targeting strategies
Ohio Family Homelessness
Prevention Pilot
  Provides limited rental assistance and
   intensive, home-based case management to
   households facing literal homelessness
  3-year program (Jan ’08 through Dec ’10)
  Funded by State of Ohio through TANF, Ohio
   Trust Fund and HPRP
  Administered by five nonprofit organizations
   serving different communities throughout Ohio
   (Cincinnati, Columbus, Dayton, Rural Counties
   (2), Toledo)
Ohio Pilot Eligible Activities
 Direct Client         Intensive Case
   Assistance            Management
  Rent                 Home visits
  Utilities            Design individualized
  Other non-housing     case management plan
   related expenses     Connect households to
                         mainstream resources
                        Skill building
Ohio Pilot Enrollment Process

  Step 1: household assessment to
   ensure prevention assistance is needed
  Step 2: enrollment and assignment of
   case manager who identifies needs and
   develops housing plan
  Step 3: direct client assistance to
   alleviate immediate pressures related to
   household expenses
Ohio Household Assessment and

  Must have one or more dependent
  Must have income at or below 200% of
   federal poverty level and be TANF eligible
  Must live in or need subsidized housing
  Must be at ―imminent risk of
   homelessness‖ as defined by community
Ohio Challenges faced by
Participating Households
  Lack of employment
  Lack of income
  Receipt of eviction notice
  Experienced a medical emergency
  Live in substandard housing

 Similar to families that enter emergency
  Ohio Pilot Results
                          REFERRED                                    ENROLLED
Rural Counties





             *Activity from 1/1/2008 through 12/31/2009 (2 years)
Ohio Pilot
Efficiency and Effectiveness
      Time from initial referral to provision of
       DCA is approximately 46 days*
        Referral to assessment: 14 days
        Assessment to enrollment: 10 days

        Enrollment to DCA: 22 days

 *Note – Promise of future assistance often enough to
   stave off crisis
Ohio Pilot
Efficiency and Effectiveness
      929 (89%) of the 1,044 families that have
       exited the Pilot have remained in or
       obtained permanent housing or have retain
       stable housing with family/friends*

   *Return to family/friends is not always a ―positive outcome‖.
     For FHPP a family must have an exit reason = ―success‖ in
     order for housing with family/friends to be considered a
     positive outcome.
Ohio Lessons Learned

  Development of working relationship with
   landlords and housing authorities is
   critical to program success
  Case management plans are achievable
   only when families are responsible for
   setting their own goals
  Money management is key to
   maintaining housing stability
The Other Place

  Community Coordinated Collaborative
  Long time Prevention Provider
  Oversight from Homeless Solutions
   Policy Board
  Coordination between Rapid Rehousing
   and Prevention
The Other Place

 Elements of a successful homelessness
   prevention strategy:
  Centralized front door
  Coordinated assessment and triage
  Flexible approach to service provision
   (amount, duration, intensity, etc.)
  Use of HMIS for referral, tracking, and
The Other Place

 Centralized ―Front Door‖ to emergency
  services and shelter
    Gateway shelter
    Triage

    Diversion

    Housing Opportunities Assessment

    Barriers Scoring/Targeting

    21 day target exit
The Other Place

 Coordinated assessment and triage
    ―Virtual‖ front door
    Geographically defined entry points

    Standardize assessment

    Scoring/Targeting

    ―But for‖ assistance

    Community resources
The Other Place

 Service Design
    HPRP screening
    Flexibility

    Amount determination

    Duration of assistance

    Discharge planning

    Case Management

    Recertification
The Other Place

 Role of HMIS and/or data
    Program Eligibility
    Data quality

    Entry/Exit

    Reporting

    Service Transactions

    Outcomes
The Other Place

 Unique characteristics:
    Utilized AmeriCorp
    Initiated furniture bank and delivery

    Partnering with Rapid Rehousing
    HTF Resources

    Targeted for truly ―at risk‖

    Legal Aid and Mediation Center

    Landlord Relationships
Questions & Wrap-Up

                            Matt White
                         Abt Associates
                          301 634-1827

                       Tina Patterson
                      The Other Place
                          937 293-1945

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