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Coordinated Assessment Presented by USICH and HUD March 20, 2012. Panelists. Kristy Greenwalt, Director of Housing Policy & Research , USICH Ann Oliva, Director, Office of Special Needs Assistance Programs, HUD Matt White, Senior Associate, Abt Associates, Inc. Webinar Format.

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slide1

Coordinated Assessment

Presented by USICH and HUD March 20, 2012

panelists

Panelists

  • Kristy Greenwalt,Director of Housing Policy & Research , USICH
  • Ann Oliva, Director, Office of Special Needs Assistance Programs, HUD
  • Matt White, Senior Associate, Abt Associates, Inc.
webinar format

Webinar Format

  • Call will last approximately 1 hour and 15 minutes
  • We have reserved an additional 15 minutes at the end of the webinar for Q&A.
  • Audience members who would like to pose a question can do so at any time through the “questions” function found in the “GoToWebinar” toolbar.
  • Call audience members are “muted” due to the high number of participants.
  • Call will be recorded.
webinar purpose

Webinar Purpose

  • At the end of this webinar, participants will be able to:
    • Explain the purpose of coordinated assessment.
    • Identify the many possible system configurations of coordinated assessment.
    • Apply the strengths and weakness of each configuration to their communities’ unique context.
why coordinated assessment

Why Coordinated Assessment?

  • Coordinated assessment is a powerful tool for improving system-wide entry, assessment, and referral processes.
    • Process components include:
          • Access point(s) – virtual or specific site location
          • Screening and assessment process (prevent/divert/admit)
          • Information about available services and programs
          • Real-time knowledge about program inventory and capacity
          • Referral and waitlist management
          • Enrollment/admission decision criteria
why coordinated assessment6

Why Coordinated Assessment?

  • Designed to improve the following:
  • Service Provision
    • Referral appropriateness Assessment time
    • Assessment consistencyPlacement time
    • Multi-provider coordination  Service access
  • Data Accuracy and Access
    • Individual trackingSystem monitoring
    • Resource allocation - planningReporting
why coordinated assessment7

Why Coordinated Assessment?

  • Experience with the Rapid Re-Housing Demonstration (RRHD) and HPRP
    • Four years of evidence
    • Improvements in as little as one year
    • Can help end chronic homelessness
    • Different models, same core principles
    • Improvements for all demographics
why coordinated assessment8

Why Coordinated Assessment?

  • The HEARTHAct regulations
    • Incorporated lessons from RRHD and HPRP
    • ESG requirements
    • CoC requirements
    • Start planning today
coordinated assessment defined

Coordinated Assessment Defined

  • Current State of Assessment
  • An ad hoc access and assessment process for each program
  • and
  • An ad hoc referral process for programs to recommend prevention, housing, and/or other related services.
coordinated assessment defined10

Coordinated Assessment Defined

  • Question Most People Ask Now:
  • “Should we accept this individual/family into our program?”
coordinated assessment defined11

Coordinated Assessment Defined

  • Coordinated Assessment
  • A standardized access and assessment processfor all clients
  • and
  • A coordinated referral process for clients to receive prevention, housing, and/or other related services.
coordinated assessment defined12

Coordinated Assessment Defined

Questions CoC Systems Should Be Asking:

“What housing and service assistance strategy is best for each household of the several services available?”

flowchart

Flowchart

  • Standardized Access and Assessment
  • Coordinated Referral
  • Access
  • Assessment

Assign

  • Mainstream Services
flowchart14

Flowchart

  • Coordinated Referral
  • Standardized Access and Assessment
  • Access
  • Assessment

Assign

  • Mainstream Services
flowchart15

Flowchart

Coordinated systems can serve all demographics

flowchart16

Flowchart

  • Coordinated Referral
  • Standardized Access and Assessment
  • Access
  • Assessment

Assign

  • Mainstream Services
flowchart17

Flowchart

  • Coordinated Referral
  • Standardized Access and Assessment
  • Access

Assign

  • Assessment
  • Mainstream Services
  • Mainstream Services
flowchart18

Flowchart

  • Standardized Access and Assessment
  • Various models,
  • standardized process
  • Single Point of Access
  • Multi-Site Coordinated
  • No Wrong Door
  • 2-1-1 Assessment Hotline
  • Intake
  • Access
flowchart19

Flowchart

  • Coordinated Referral
  • Standardized Access and Assessment
  • Access
  • Assessment

Assign

  • Mainstream Services
flowchart20

Flowchart

  • Coordinated Referral
  • Standardized Access and Assessment
  • Assessment

Assign

  • Access
  • Mainstream Services
  • Mainstream Services
flowchart21

Flowchart

  • Meet client, provider, and funder needs
  • Document client’s homeless history and housing barriers
  • Match client to appropriate service
  • Capture data to meet program needs
  • Standardized Access and Assessment
  • Assessment
  • Assessment
flowchart22

Flowchart

  • Meet client, provider, and funder needs
  • Capture data to meet funder requirements
  • Obtain consent for sharing with providers
  • Create the beginning of a client’s housing plan
  • Standardized Access and Assessment
  • Assessment
  • Assessment
flowchart23

Flowchart

  • Coordinated Referral
  • Standardized Access and Assessment
  • Access
  • Assessment

Assign

  • Mainstream Services
flowchart24

Flowchart

  • Standardized Access and Assessment
  • Coordinated Referral
  • Access

Assign

  • Assessment
  • Mainstream Services
  • Mainstream Services
flowchart25

Flowchart

  • Qualities of a good referral system
  • Accurate: Matches client needs
  • Informed: Matches facility availability
  • Effective: Provider accepts and enrolls
  • Coordinated Referral

Assign

flowchart26

Flowchart

  • Qualities of a good referral system
  • Standard: One process, all clients and services
  • Comprehensive: all funder and provider fields
  • Digital: Uses HMIS, two-way communication
  • Coordinated Referral

Assign

flowchart27

Flowchart

  • Qualities of a good referral system
  • Mandatory: Every provider, all the time
  • Coordinated Referral

Assign

flowchart28

Flowchart

  • Coordinated Referral
  • Standardized Access and Assessment
  • Access
  • Assessment

Assign

  • Mainstream Services
flowchart29

Flowchart

  • Coordinated assessment leverages mainstream services
  • Client level Information sharing
  • System-wide information sharing
  • Resource sharing and co-location
  • Comprehensive community planning
  • Mainstream Services
the system in practice

The System in Practice

  • A Single Point of Access system:
  • Kalamazoo/Portage, MI
  • Housing Resource Center (HRC) single location for all housing programs
  • Also uses 2-1-1 for 24/7 housing emergencies, referred to HRC
  • Same form and process for everyone except DV
  • HRC coordinates housing and mainstream program entry
the system in practice31

The System in Practice

  • A Multi-Site Coordinated system
  • Dayton, Ohio
  • Common Assessment Tool implemented
  • All clients assessed at one of four coordinated access “Gateways”
  • Performance targets established at program and system levels; increased program accountability
  • TH, PSH, and Safe Haven providers only accepting referrals from Front Door (“side door” is closed)
  • “Long Stayers” identified and prioritized for housing
the system in practice32

The System in Practice

  • A Rural Multi-Site system:
  • Washington BOS, Washington
  • Administered differently in two different counties
  • Whatcom County
      • Initial screening, community resource center
      • Homelessness intake, homeless service center
      • Unique domestic violence program partnership
  • Clallam County
      • Referral from 2-1-1, schools, mainstream services
      • Intake through two homeless resource centers
the system in practice33

The System in Practice

  • A No Wrong Door system:
  • Lancaster, PA
  • Enter any of eight community emergency shelters
  • Initial screening conducted with local case manager
  • Local case manager coordinates intake with client and intake specialists
  • Referral and assessment process conducted remotely
preparing for coordinated assessment

Preparing for Coordinated Assessment

  • Before you choose a model, plan ahead
  • Current access process
  • Geography and population
  • Homelessness programs and agencies
  • Community resources
  • Level of trust, types and depth of relationships
  • Current data use
  • Authority environment for change
  • Stakeholder Perspectives
preparing for coordinated assessment35

Preparing for Coordinated Assessment

  • First steps toward implementation
  • Start gathering data, conduct preliminary analysis
  • Hold preliminary – zero pressure – meetings with partners
  • Establish decision-making process and governance committee
  • Set expectations, draft guiding principals and system goals
preparing for coordinated assessment36

Preparing for Coordinated Assessment

  • Where to look for help
  • Reach out to CoCs with coordinated assessment systems
  • Request HUD technical assistance resources through the HUD Homelessness Resource Exchange (HRE)
for more information

For More Information…

  • HUDHRE Centralized Intake/HPRP Report:
    • http://www.hudhre.info/documents/HPRP_CentralizedIntake.pdf
  • HUDHRE HEARTH Page:
    • http://hudhre.info/hearth/index.cfm
  • HUDHRE Virtual Help Desk:
    • http://hudhre.info/index.cfm?do=viewHelpdesk
questions

Questions?

  • Please submit your questions via the chat function.
  • The webinar will be available on our websites at http://www.usich.govand http://hudhre.info