Top 51 pilot in hennepin county minnesota lessons learned
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Top 51 Pilot in Hennepin County Minnesota: Lessons Learned. Chris Michels Lisa Thornquist. Hennepin County, Minnesota. 1.2 million residents – 1/3 Minneapolis 2,300 in shelter on any given night. 1,400 are in families, 900 are single adults. Over year, 7000 single adults in shelter.

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Top 51 Pilot in Hennepin County Minnesota: Lessons Learned

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Top 51 pilot in hennepin county minnesota lessons learned

Top 51 Pilot in Hennepin County Minnesota: Lessons Learned

Chris Michels

Lisa Thornquist


Hennepin county minnesota

Hennepin County, Minnesota

  • 1.2 million residents – 1/3 Minneapolis

  • 2,300 in shelter on any given night. 1,400 are in families, 900 are single adults.

  • Over year, 7000 single adults in shelter.

  • About 500 single adults stay off and on for over a year

  • 3,000 PSH Units for single adults – 600 turn over each year


Distribution of nights in shelter

Distribution of Nights in Shelter


Top 51 clients identified

Top 51 clients identified

  • Top users of shelter 1/1/2008-4/15/2011

  • They had 47,294 nights in shelter during this time

  • They accounted for 8 percent of shelter capacity (we typically have 900 single adults in shelter on any given night)


Service use of top 51

Service Use of Top 51


Top 51 pilot

Top 51 Pilot

  • 4 case managers contracted to agencies (with supervision)

  • 2 county staff PATH homeless outreach

  • Steering committee of 10-12

  • $710,000 for 2.5 years in contracted services

  • Started July 1, 2012


Top 51 program participants

Top 51 Program Participants

  • 55 clients selected – 49 men and 6 women

  • 12 had been in shelter since at least 1997 – first year of record

  • Average first year in shelter 2002


Pre engagement

Pre-Engagement

  • Case Manager can identify client

  • Case Manager watches/observes a client whenever possible and identifies daily routine

  • Case Manager does research on client, obtains information from various sources and plans/strategizes how to approach client


Early engagement

Early Engagement

  • Client knows Case Managers name and is aware of Case Managers role and program involvement. CM offers incentives to a client, begins to establish trust and build a relationship.

  • Client Assessment completed


Advocacy

Advocacy

  • Case Manager approaches client to discuss client needs, offers resources and support.

  • Client approaches Case Manager and expresses needs.

  • Case Manager identifies barriers through verbal interaction with client and begins plan for addressing needs and pilot goals.


Partnership

Partnership

  • A mutually trusting relationship has been established.

  • CM and client meetings have been set up and client is showing up for meeting. CM and client form common goals and plan and are actively working on client's plan.


Outcomes housing

Outcomes - Housing

  • Of the original 55 clients, 34 are housed – 62%.

  • Clients obtained housing in various housing settings (single room occupancy, scattered site Group Residential Housing, private market housing, nursing home, transitional housing)


Outcomes reduction in shelter

Outcomes – Reduction in shelter

  • In first year – 55 clients reduced shelter use by 23% one year pre versus post - mostly by those housed.

  • Saved 2,980 bed nights – equal to the bottom 2,463 shelter users

  • Equivalent to opening up 8 shelter beds a night.


Outcomes health care utilization for first 20 housed

Outcomes – Health care utilization for first 20 housed


Outcomes criminal justice

Outcomes – criminal justice

  • 41 arrests in year prior to pilot. 34 arrests in first year of pilot – 17% reduction.

  • Of the 13 people with arrests, only 3 occurred while they were housed

  • Almost half the arrests were related to alcohol consumption.

  • Other arrests: disorderly, trespassing, panhandling. No violent crimes


Vignettes

Vignettes

  • Jorge – 10 years in shelter, undocumented, non-English speaker

  • Gus – severe mental illness

  • John – severe mental illness


Who is left to house

Who is left to house???

  • Barriers of the remaining 21 yet to house

    • Immigration status

    • SPMI (especially female clients)

    • Individuals that have a higher thresholds of income and do not see housing as a priority

    • Criminal record

    • Chemical Dependency


Lessons learned

Lessons Learned

  • To effectively move people into housing, it takes time.

  • It takes 8 months to get them into housing.

  • It takes another year to engage them around issues that kept them in shelter.


Lessons learned1

Lessons Learned

  • Not every client see a need to leave shelter. Dedicated case managers are needed to work with those who are not willing to leave.

  • Multiple Housing Options

  • Payment for case management services has to start before housing placement


Lessons learned2

Lessons Learned

  • Program development is an iterative process – HF should be monitored to see who it is serving and who is it NOT serving


For more information

For More Information

  • Website

    www.hennepin.us/HeadingHomeHennepin

  • Email

    • [email protected]

    • [email protected]


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