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Homelessness 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 interventions? What’s the right mix of $$ and services? When to provide the intervention? Who to provide the intervention to? Homelessness Prevention Context… 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 Employment Assistance Prevention Assistance Prevention Shelter HOUSING SHELTER STABILIZATION MH/SA Rapid Re- Services 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 available? 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, preferences 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 homelessness? 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? …Linkage 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 household) Intensive home-based case management 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 Eligibility Must have one or more dependent children 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 provider 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 shelters Ohio Pilot Results GRANTEE FAMILIES ASSESSED ENROLLED EXITED CURRENTLY REFERRED ENROLLED Rural Counties Columbus Toledo Cincinnati Dayton TOTAL *Activity from 1/1/2008 through 12/31/2009 (2 years) Ohio Pilot Efficiency and Effectiveness Efficiency 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 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 evaluation. 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 collection/tracking 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 Demo/HPRP HTF Resources Targeted for truly ―at risk‖ Legal Aid and Mediation Center Landlord Relationships Questions & Wrap-Up Matt White Abt Associates Matt_white@abtassoc.com 301 634-1827 Tina Patterson The Other Place TinaP@theotherplace.org 937 293-1945 34
"Principles of Homeless Prevention "