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Vulnerability Assessment for Chronically Homeless Individuals presented by Bill Hobson Annual Conference National Alliance to End Homelessness July 28-30, 2008 – Washington D.C. www.desc.org. Overview of DESC supportive housing licensed mental health services

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slide1

Vulnerability Assessmentfor Chronically Homeless Individuals

presented by Bill Hobson

Annual ConferenceNational Alliance to End HomelessnessJuly 28-30, 2008 – Washington D.C.

www.desc.org

slide2

Overview of DESC

  • supportive housing
  • licensed mental health services
  • licensed chemical dependency services
  • emergency shelter
  • high level of integration across programs

www.desc.org

slide3

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

www.desc.org

slide4

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]‏

www.desc.org

slide5

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

www.desc.org

slide6

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

www.desc.org

slide7

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

www.desc.org