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Vulnerability Index: Prioritizing Outreach & Housing Placement by Mortality Risk. Why?. Homelessness is lethal Scarce resources + lethality compels hard data to justify more resources renewed sense of urgency from policymakers

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Vulnerability Index:

Prioritizing Outreach &

Housing Placement by Mortality Risk


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Why?

  • Homelessness is lethal

  • Scarce resources + lethality compels

    • hard data to justify more resources

    • renewed sense of urgency from policymakers

    • prioritization of outreach and housing placement in the meantime


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Vulnerability Index

  • Based on Dr. Jim O’Connell’s research

  • Presence of a risk factor indicates a 40% mortality rate over 7 years

  • Most Vulnerable = individuals with the most co-occurring risk factors who have been homeless the longest


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Vulnerability Index

  • More than 6 months homeless AND at least one of the following:

  • End Stage Renal Disease

  • History of Cold Weather Injuries

  • Liver Disease or Cirrhosis

  • HIV+/AIDS

  • Over 60 years old

  • Three of more emergency room visits in prior three months

  • Three or more ER or hospitalizations in prior year

  • Tri-morbid (mentally ill+ abusing substances+ medical problem)


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Vulnerability Guides Outreach & Housing Placement

  • Every person encountered during outreach is offered survey – most agree

  • Create on-going name and photo registry

  • Prioritize by mortality risk and length of homelessness

  • Direct outreach workers efforts on a weekly basis

  • Next vacancy offered to next most vulnerable person


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Basic Steps to Implement VI:

  • Convene community stakeholders

  • Identify an area of focus

  • Train surveyors

  • Conduct baseline count

  • Administer surveys

  • Analyze data

  • Brief community on findings

  • Develop housing action plan based on results


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Vulnerability in Action

NYC: 500

Washington, DC: 1,100

Santa Monica: 260

Skid Row: 350

New Orleans: 150



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Reframing & Rapid Transformation

  • 35/50 most vulnerable from Skid Row

  • Realignment and new resources for Santa Monica

  • Humanitarian closure of encampment in New Orleans

  • NYC and Washington, DC using techniques city-wide – will house 800 most vulnerable by September 2009







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Hospitalizations

50 Most Vulnerable Report 124 hospitalizations over past year


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For more information on CG Vulnerability Index

Becky Kanis

Director of Innovations

Common Ground

[email protected]

(917) 957-7104


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