Coordinated Entry. Kay Moshier McDivitt Anna Blasco Cynthia Nagendra. Center for Capacity Building

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1 Coordinated Entry Kay Moshier McDivitt Anna Blasco Cynthia Nagendra Center for Capacity Building 1

2 Overview The Florida Housing Coalition Statewide training and technical assistance outreach for CoC s and members Please spread the word to your partners

3 Ways to Get 5 WAYS TO GET Technical Assistance Phone (844) Site Visit info@flhousing.org request via Workshops 3 workshops Webinars series of 6

4 Webinars Webinars HEARTH March 23 (Now on FHC website) Core Strategies for an Effective Crisis Response - March 25 (Now on FHC website) Funding Sources, Grant Writing and Responding to RFAs April 14 (Now on FHC website) Coordinated Entry - May 5 Bringing Rapid Re-housing to Scale in Florida - June 9 Best Practices for Building Capacity - June 23

5 Workshops Workshops Rapid Rehousing May 19: Ft Lauderdale (FULL) May 20: Orlando (FULL) May 21:Jacksonville NEW TIME- 9am 4:30 pm Homelessness is a Housing Issue June 10: Ft Lauderdale June 11: Orlando June 18: Tallahassee

6 Workshops Homeless Veteran s Reintegration Program Job training, counseling, job placement services to reintegrate homeless veterans into the labor force. Department of Labor $4 million Urban ($100k-$300k or non urban ($100k-$200k) Eligible applicants Workforce Investment Boards, local public agencies, Native American tribal governments, for profit & nonprofit organizations, faith based and community organizations. Opened 4/13 closes 5/12 Program Year July 1, July 26,

7 Today: Webinar #2#4 Coordinated Entry Webinar recording - Survey

8 The is the leading national voice on the issue of homelessness. The Alliance analyzes policy and develops pragmatic, effective policy solutions. The Alliance works collaboratively with the public, private, and nonprofit sectors to build state and local capacity, leading to stronger programs and policies that help communities achieve their goal of ending homelessness. The Alliance provides data and research to policymakers and elected officials in order to inform policy debates and edu- cate the public and opinion leaders nationwide. Working with a strong network of innovators, the identifies and evaluates hundreds of policy and program strategies and their impact on homelessness. The Alliance s Center for Capacity Building helps communities replicate and customize the best of those strategies. The Center focuses on strategies that are cost effective, data driven, and can be implemented at a scale that can significantly reduce homelessness.

9 Agenda AGENDA Overview of Coordinated Entry Critical components of Coordinated Entry: Access, Diversion, Assessment and Prioritization, Referral Common Challenges 9

10 Ending Homelessness Housing First Approach HEARTH Act Opening Doors Goals and strategies are based on best practices proven to effectively reduce homelessness Homelessness is rare, brief, and non-recurring in Florida

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12 Operate the CoC 1. Hold meetings at least semiannually 2. Invite members publicly 3. Adopt a written process to select a Board 4. Appoint committees, subcommittees, and workgroups 5. Adopt a governance charter performance targets and monitor performance (and take action against poor performers) 7. Evaluate CoC and ESG projects 8. Establish and Operate a Coordinated Assessment 9. Establish written standards for providing assistance 6. Establish systemic

13 Necessary Interventions in a Crisis Response System Coordinated Entry that includes diversion and targeted prevention Crisis Response Housing and Crisis Services Rapid Re-housing Permanent Supportive Housing

14 Crisis Response System Crisis Response System

15 Terminology Centralized Intake/Coordinated Intake Coordinated Assessment Coordinated Entry Coordinated Assessment and Housing Placement

16 Coordinated Entry: Why? Multiple programs and processes without true coordination + lack of resources result in severe hardships of people experiencing homelessness Having to call the same programs every day for weeks or months Being sent from program to program Finding out about more helpful programs too late Being asked the same questions over and over again Being screened out for not being right for the program

17 Poll: How are you feeling about coordinated entry? How are you feeling about coordinated assessment? Terrified Excited Confused Tired

18 Coordinated Entry: What is it? Ensures that all people experiencing a housing crisis in a defined geographic area have fair and equal access Quickly identifies homeless persons who are then assessed for, referred, and connected to housing and homeless assistance based on their needs and strengths, no matter where or when they present for services Uses standardized tools and practices Incorporates a system-wide Housing First approach Prioritizes homeless assistance for those with the most severe service needs.

19 Coordinated Entry: Benefits Meets consumers needs with appropriate intervention first Increases exits to permanent housing Reduces length of homelessness and returns to homelessness Provides information about service needs and gaps to help communities plan their assistance and identify needed resources

20 Coordinated Entry: System Change Coordinated Entry requires

21 Coordinated Entry: System Change Coordinated Entry requires Diversion Intake Assessment Referral Program eligibility Crisis Services Closing of side doors Data Governance

22 Designing and Implementing Your System

23 Coordinated Entry Diversion Crisis Resolution Re-housing Shelter People With Housing Crisis Seeking Shelter

24 Coordinated Entry: Access Standardized access: All coordinated entry locations and methods (phone, in-person, online, etc.) offer the same assessment approach and referrals using uniform decisionmaking processes A person presenting at any coordinated entry location receives the same types of assessment and referral processes Incorporates all sub-populations, (though each may have its own access point)

25 Coordinated Entry: Access Models include: Centralized Access Multiple Doors 211/Virtual Hybrid

26 Coordinated Entry: Assessment and Prioritization Gather information needed to determine the best immediate next step for a person experiencing homelessness (or at-risk) that will get them back into permanent housing

27 Coordinated Entry: Assessment and Prioritization Phase the assessment process Prevention and Diversion (20-30%+) Chronic homeless eligibility Housing Barriers Vulnerability Prioritize people who are most vulnerable or have the most severe service needs Include consumer choice Don t serve people National Alliance on to a End first-come Homelessness basis

28 Coordinated Entry: Phases of Assessment and Prioritization Crisis Assessment: Prevention/Diversion Screening Crisis assessment: Does the client have to come into the homeless system and how will the client s needs be met if they are diverted? E.g., triage, intake Housing Stability: More Comprehensive Assessment What criteria for different types of housing and service combinations will help to create a referral match? E.g., Housing Barriers Assessment, VI-SPDAT Client Assessment: Further Assessments if Needed What personal characteristics and considerations are necessary to understand how the client will maintain housing stability? E.g., PSH Prioritization Assessment, SPDAT, F-SPDAT

29 Assessment Phase: Diversion Where did you stay last night? Why did you have to leave where you stayed last night? Are there any resources available that would help you stay there again? Is there any one I can contact that might be able to give you a place to stay for the next few nights?

30 Poll: What can an assessment do? A) Delivers perfect information B) Tells you who will be successful C)Tells you what someone s barriers to housing are and prioritizes people for particular interventions

31 Poll: What can an assessment do? A) Delivers perfect information B) Tells you who will be successful C)Tells you what someone s barriers to housing are and prioritizes people for particular interventions

32 What an Assessment Does What an Assessment Does and Does Not Do What assessment won t do What assessment will do Deliver perfect information Prioritize for appropriate interventions Fix resource issues Inform systems change

33 Coordinated Entry: Assessment and Prioritization Tools won t change your system on their own Not the most important part of your process

34 Coordinated Entry: Assessment and Prioritization Don t let the prioritization process allow people who are more vulnerable or who have more severe service needs to languish in shelters or on the streets because more intensive types of assistance are not available.

35 Coordinated Entry: Assessment and Prioritization Examples of Prioritization: Length of homelessness Unsheltered Chronically Homeless Veterans Youth Families with young children Significant Health/Behavioral Health Challenges High utilization of crisis services Vulnerability to illness or death Vulnerability to victimization (e.g. physical assault, trafficking)

36 Coordinated Entry: Referrals Participating programs accept all eligible referrals unless the CoC has a documented protocol for rejecting referrals Rejections are justified and rare Coordinated Entry has written standards for eligibility for all interventions

37 Coordinated Entry: HMIS Refer to HUD guidance Try to integrate HMIS If your HMIS does not have this functionality, you can use another system to collect data Make sure your HMIS is updated with the 2014 Data Standards Use your data to evaluate if your system is working

38 Poll True or False? DV providers can participate in a CoC s Coordinated Entry System.

39 Poll TRUE! DV providers can participate in a CoC s Coordinated Entry System.

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41 Common Challenges How do we get buy-in from providers to close side doors and accept referrals How do we pick the right assessment tool? How do we deal with waitlists? How do we find resources for the system? Prioritizes people National who Alliance to are End Homelessness most vulnerable or

42 Questions? Prioritizes people who are most vulnerable or have the most severe service needs serve people on a first-come basis

43 Coordinated Entry: System Change Don t assume that choosing an assessment tool and assigning people to programs will be enough to change outcomes Change program rules and eligibility criteria if needed: Watch for programs with entrance requirements that screen out those needing assistance the most Figure out what your system really needs to meet the needs of your homeless population If programs are still picking from a pot of available people, nothing has changed in your system to make it better Evaluate

44 Questions? Call the Florida Housing Coalition- Homeless Toll-Free Line at