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Working With a HUD Continuum of Care

Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services. Working With a HUD Continuum of Care. Presenters: Luella Sanders, Ph.D. Director of Community Impact, United Way of the Plains

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Working With a HUD Continuum of Care

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  1. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Working With a HUD Continuum of Care Presenters: Luella Sanders, Ph.D. Director of Community Impact, United Way of the Plains Chair, Wichita-Sedgwick County KS Continuum of Care Coordination Team Paul Mireles Program Director, Thresholds – PATH Mobile Assessment Unit Chicago, Illinois

  2. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services HUD’s Concept of a Continuum of Care • A collaborative funding and planning approach that helps communities plan for and provide… emergency, transitional, and permanent housing and other service resources to address the various needs of homelessness persons • The group of community stakeholders involved in the decision making processes Source: HUD Funding Opportunity No.FR-5415-N-172010: Notice of Funding Availability (NOFA) for the Continuum of Care Homeless Assistance Program (Sept. 20, 2010)

  3. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services • Authorized by the McKinney-Vento Homeless Assistance Act and administered by HUD’s Office of Special Needs Assistance Programs • Since 1994, HUD has required each community to submit a single comprehensive Continuum of Care (CoC) application rather than allowing applications from individual providers in a community • 449 CoCs nationwide Source: HUD Debriefing Broadcast, 2009 Continuum of Care Competition, August 13, 2010

  4. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Functions of a CoC • To develop a long-term strategic plan and manage a year-round planning effort that addresses the identified needs of homeless individuals and households • To prepare an application for McKinney-Vento CoC Homeless Assistance Act competitive grants

  5. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Strategies to Fulfill the CoC Functions • Promote community-wide commitment to goal of ending homelessness • Provide funding opportunities to quickly re-house homeless individuals and families • Promote access to, and effective utilization of, mainstream programs • Optimize self-sufficiency among people experiencing homelessness Source: J.S., Satterfield, D. Wildkress, P. Ehlen, C. Nagendra, L. Gillis (Sept. 2010). Framework and Themes: Overview of the CoC Program, a presentation at the U.S. Dept. Of Housing and Urban Development Conference--Flexible Resources, Data-Driven Solutions: Using HMIS and HEARTH to End Homelessness.

  6. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services How a CoC Operates: CoC Application vs. CoC • CoC application • Funding for eligible housing and services • Application submitted by a CoC Lead Agency • CoC • Core group to ensure requirements for applying are met • Engage community-wide stakeholders • Year-round planning process • Community education For information on eligible activities and target populations : www.HUDHRE.INFO

  7. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Structure of a CoC System Outreach, Intake and Assessment PREVENTION Permanent Housing Emergency Shelter Transitional Housing Permanent Supportive Housing Supportive Services

  8. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Models Within a CoC System (Ex. Housing First) Outreach, Intake and Assessment Housing Supportive Services Source: National Alliance to End Homelessness (www.endhomelessness.org)

  9. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Community Challenges • Minimizing fragmentation of systems of care • Understanding prevalence of homelessness • Point-In-Time Homeless Count • Last 10 days in January • Methodology • Sheltered and Unsheltered • Planning a community response • 10 Year Plan to End Homelessness • Multiple Plans • Group consensus

  10. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Benefits of Participation in a CoC • Higher levels of shared knowledge about resources available in communities & effective practices • Proactive approach to program and service coordination • Improved referral networks • Development of new joint projects • More cohesion than would otherwise have been possible. Source : Continuum of Care 101, June, 2009. U.S. Dept. of Housing and Urban Development. Office of Community Planning and Development.

  11. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services What is HMIS?(Homeless Management Information System) • HMIS is HUD’s response to a Congressional directive to capture better data on homelessness • A locally administered, electronic data collection system that stores longitudinal person-level information about persons who access the homeless service system • HMIS is intended to be a widely used community tool to assist in local planning efforts Source : Continuum of Care 101, June, 2009. U.S. Dept. of Housing and Urban Development. Office of Community Planning and Development.

  12. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Role of an HMIS Administrator • Ensure CoC access to reliable HMIS software • Train end-users on system • Provide other support for end-users • Generate HMIS data quality reports • Generate other HUD reports, such as the Annual Performance Report, the biennial Point-In-Time Count data, etc. For information on HMIS : http://HMIS.INFO

  13. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Training Provided by HMIS Administrator • Privacy and Ethics • Data Security • Data Quality • Using HMIS Data Locally • Using HMIS Data for Assessing Performance • HMIS Software • Basic Computer Skills Needed to Use the Software

  14. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Role of a State PATH Contact in the CoC • In what ways do you think the CoC can help to ensure that services are coordinated and available to people with a serious mental illness who are homelessness? • What strategies could State PATH Contacts use to support PATH service provider participation in their CoC?

  15. Expanding PATH Services within a CoC Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Source: CAEH/Chicago Alliance to End Homelessness (Chicago’s CoC) and City of Chicago – Department of Family & Support Services (CDFSS), Chicago Plan - 2003. PATH funding/programs served as “catalysts” for the development of an initial CoC plan in Chicago Chicago’s homeless service delivery system, now consisting of approximately 90 non-profit agencies, completely reorganized itself in order to implement the new strategies embodied in the “Chicago Plan to End Homelessness.” The first step was to restructure the service provision by agencies serving individuals struggling with homelessness, and to put in place a coordinated system.

  16. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Source/Background: Partnership to End Homelessness founded in 1999 and Chicago CoC founded in 2001 consolidated on December 22, 2006 to form CAEH Thresholds – Mobile Assessment Unit (MAU) a PATH funded outreach & engagement service since 1990 preceded the formation of Chicago’s CoC Program Profile: MAU provides services to PATH eligible individuals via (2) citywide street outreach teams (1) shelter/library linkage team (1) CTA Subway Train outreach team and (2) Safe Haven residential sites PATH funding provided the “anchor” for expansion

  17. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Leveraging PATH Funding and Chronology of Service Expansion MAU 1 (North Team) – 1990, original PATH funded service provided by (8) staff including Program Director, Office Manager/Dispatcher Chicago’s 1st city-wide “mobile” outreach, engagement, assessment and linkage team Expanded team to (10) staff in 1995 with HUD Supportive Services Only (SSO) funds

  18. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Source/Background: CTA Team news profile in Chicago Tribune, February 3, 2010; Schorsch, K., Shelter/Library Linkage Team media profile on CBS-TV, March 29, 2010; Williams, J. Lawson YMCA Safe Haven – 1998, (10) staff, low-demand residential housing units (10 studios) funded by HUD, Supportive Housing Program – SHP (plus CSH/Hilton Foundation from 1998 – 03) and Chicago Department of Family Support Services (CDFSS from 2003 – 2010) MAU 2 (South/West Team) – 2000, (7) street outreach workers, funded by PATH Shelter/Library Linkage (SL Team) – 2000, (2) outreach workers, 1st service to provide on-site engagement, assessment and linkage services in a specific overnight shelter and in the Chicago Public Libraries, funded by Illinois Division of Mental Health (IDMH) and (CDFSS)

  19. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services • Austin YMCA Safe Haven – 2000, (9) staff, same model as Lawson YMCA Safe Haven funded by HUD – SHP and Illinois Department of Human Services (IDHS) • Chicago Transit Authority Outreach (CTA Team) – 2007, (6) staff, 1st and only known service that exclusively provides outreach, engagement, assessment and linkage to PATH eligible individuals on subway trains, funded by CDFSS • MAU 1990 – Total Program Budget from PATH: $325,000 / Total Staff: 8 • MAU 2010 – Total Program Budget from all sources: $2,009,000 / Total Staff: 44 Source/Background: CTA Team news profile in Chicago Tribune, February 3, 2010; Schorsch, K., Shelter/Library Linkage Team media profile on CBS-TV, March 29, 2010; Williams, J.

  20. PATH Compliance and Cooperation with the Local CoC Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Source: CAEH 2010 ( www.thechicagoalliance.org ) Chicago Alliance to End Homelessness has Implemented a System Reorganization and these Requirements since 2006: • Citywide Coordination: With the creation of the Chicago Plan, consumers, service providers, government partners and private philanthropy work collaboratively to make system improvements, establish best practices and hold each other accountable for implementing the Plan • Unified Approach to Services: In order to be funded, all homeless services must conform to a set of program models consistent with the Plan’s goals

  21. Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services PATH Compliance and Cooperation with the Local CoC (con’d) • System-Wide Data Collection: All provider programs must participate in system-wide data collection methodologies including HUD Point in Time Analysis (Count) and Homeless Management Information System (HMIS) • Agreed Upon Priorities: Though the Chicago Plan is a blueprint for ending all homelessness, housing chronically homeless individuals was one of the first priorities to be implemented Source: CAEH 2010 ( www.thechicagoalliance.org )

  22. Scope of Services Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Outreach, Intake and Assessment – MAU Teams 1 & 2, CTA, SLT INTERVENTIONS Permanent Housing – Lawson & Austin YMCA Safe Havens Emergency Shelter – Overnight Beds Transitional Housing – SRO’s , Interim Programs Permanent Supportive Housing – Post Safe Haven units within CoC network Supportive Services and Re-engagement – All MAU Teams

  23. Operational Process & Funding Sources Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Outreach, Intake and Assessment –PATH, HUD (SSO), CDFSS, IDMH Housing – HUD (SHP), CDFSS Supportive Services – All funding sources Source: National Alliance to End Homelessness (www.endhomelessness.org), Chicago Alliance to End Homelessness (CoC)

  24. Addressing Community Challenges Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services • PATH participation and leadership in all CAEH (CoC) activities are essential and necessary • Since 2006, MAU Staff have volunteered to lead: • Chicago’s Point-In-Time Homeless Count (2006 & 2008) • 100,000 Homes Campaign: Outreach Effort (2010) • Various Constituency Groups • Pilot programming such as CTA and SL Teams

  25. Results of PATH Participation in a CoC Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Source : Continuum of Care 101, June, 2009. U.S. Dept. of Housing and Urban Development. Office of Community Planning and Development, Chicago Alliance to End Homelessness Higher levels of shared knowledge about resources available in communities & effective practices Proactive approach to program and service coordination Improved referral networks Development of new joint projects More cohesion than would otherwise have been possible.

  26. Thresholds MAU “a CoC within a CoC” Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services Source/Background : Thresholds – Mobile Assessment Unit received the 2008 PATH Exemplary Practice Award for Leadership and Collaboration at the SAMHSA - PATH Grantee Meeting on November 24, 2008 PATH services provided in Chicago for 20 years Introduced other providers to the practice of outreach and engagement Member of the original CoC in Chicago Conceived and implemented the first CTA Team in the nation Still evolving to promote recovery and support for individuals struggling with homelessness and mental illness…

  27. Notes, Questions and Comments: Projects for Assistance in the Transition from Homelessness Substance Abuse and Mental Health Services Administration U.S. Dept. of Health and Human Services For more information on Thresholds: pmireles@thresholds.org Paul Mireles, Program Director, Thresholds Mobile Assessment Unit, 4101 North Ravenswood Ave., Chicago, IL 60613 Tel. (773) 572-5436 Thank You

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