Wednesday, March 22, 2017

GH CAN Leadership 2/22/17

Greater Hartford Coordinated Access Network
Leadership Meeting
Wednesday, February 22, 2017

Notes

1.      Welcome and Introductions
a.      Matthew Morgan, Crane Cesario, Tenesha Grant, Dave Martineau, Cat Damato, Tina Ortiz, Andrea Hakian, Christy Corrigan, Diane Paige-Blondet, Steve Bigler, Steve MacHattie, Brenda Earle, Amy Robinson, Barbara Shaw, Cathy Zeiner, Leianna McIntire, Sara Dimiao, Angel Fernandez, Kyren McCrorey

2.      Housing Data Updates (see p. 2)
a.      Eighty-seven (87) people are verified chronic and have been matched to housing, and 7 people are verified chronic but not yet matched. This is the first time in two months that everyone who has been verified chronic is not matched to housing. Matt would like everyone to monitor this number. There are 61 people who are potentially chronic and are in the process of being verified.

3.      Disabling Condition Verification Form (see p. 3-4) – Crane Cesario
a.      The form was brought up at CT BOS where they changed the title from “Disability Verification” to “Disabling Condition Verification” because a lot of clinicians thought patients are being verified for disability which is not the case and BOS also thought the new title was a bit friendlier. Crane has the following issues with the form:
                                                    i.     The general information section does not ask for the name & contact information of the person completing the form;
                                                   ii.     The diagnosis should be written on the form because HUD wants to know the diagnosis; and
                                                  iii.     There is no effective date on the form.
                                                  iv.     Please let Crane know if any additional information should be added and she will have them change it.
                                                   v.     Matt believes that this form will be helpful for SOAR.

4.      Housing Resource Update from Zero: 2016 Housing Resource Summary (see handout) – Matt Morgan
a.      This form was being used statewide during the Zero: 2016 Campaign and is still being used to try to get to functional zero.
                                                    i.     According to Crane, Beau is in the process of updating this form.

b.      Which programs anticipate openings?
                                                    i.     Matt asked everyone to take a look at the form and let him know if there are any new openings that will become available soon. He briefly went down the list of openings:
1.      Remaining BOS 193 was rewarded to the CoC a few years ago. The form says there are 5 left but Crane does not believe that there are any left.
2.      Hartford Housing Authority is listed at 20. These were the site based units for seniors/disabled that were set aside by the city. Chrysalis has been working with the housing authority to go through their existing waitlist to make sure there is no one who was eligible in that program. They finished that process and we are now waiting on the housing authority to take the next steps (to lease up); however, chrysalis is fully utilizing their service capacity. According to Crane they are maxed out on their services. They need to finish housing people in Hartford and then they will focus on Waterbury, which is at 40%, so it is unknown where the housing authority piece will fit in. The 20 units are still available and there is still commitment from the housing authority to move forward with them.
3.      CHFA units are now all matched to clients; there were 50 statewide and Hartford received 22. According to Crane they are 5 year certificates so we have to be prepared to move/transition folks. She is unsure if the people in those units are still maintaining chronic status.
4.      All the Shelter Plus Care units have been matched.
5.      The 6 Moving On were for the Section 8/HCVP. Matt just estimated 6 thinking that at least 6 people who were moving out of PSH would be leased up by the end of the year.  Over 100 people were awarded a voucher.

                                                   ii.     Any other resources for our CAN that will be opening soon
a.      According to Crane 9 Shelter Plus Care will be coming online. She also believes that it is a little deceptive to look at ourselves as 60% of the way there because no one else has the volume of potential chronic that we do.  

5.      Permanent Supportive Housing Resource Prioritization – Crane Cesario
a.      Yesterday at the Coordinated Exit meeting they talked about whether or not they should be matching in order of highest score or by the date that the clients were verified since they are supposed to be housed within 90 days of being verified? The 90 day rule came from the United States Interagency Council on Housing (USICH). The CAN is striving for the 90 day goal in order to show that the system is working, but there are no repercussions if it is not reached. In the end the Coordinated Exit team made the decision to match by the date of verification. They also decided that anyone who is in the threshold of PSH (scored an 8 or above) they will take them by their score. This conversation will be continued at future Statewide CAN and CAN Leadership meetings.

b.      Crane raised the issue of incomplete paperwork for clients who are matched. There are times when a person is matched and their verification is not complete. For instance, a family was matched on February 1st but the verification form was not received until yesterday. This was an unusual situation because the client would become chronic in October but was matched early so her paperwork was not done. Crane would like providers to be vigilant and make sure that all documents are completed and that the client is verified prior to being matched.

6.      Single Women Seeking Shelter – Dave Martineau, Rosemary Flowers (Rosemary was not present
a.      Mercy has a respite program with Capitol Region, and a DOH program for people with HIV/Aids and addictions.  Tenesha sent Mollie a list of qualifications for Catherine’s Place and TWP. In order to qualify for the VA program clients have to be a veteran and to get into the respite program clients have to go through Capital Region. Clients must also have a diagnosis of HIV/Aids in order to get into the Mercy Housing program.

b.      Crane brought up the issue of there being too few single women beds. Cathy Zeiner mentioned that the YWCA would be adding 4 more beds. Dave Martineau also has a 10 bed facility that is still empty and St. Patrick St. Anthony’s has 14 beds but there is no staff. If the committee can figure out a way to staff these facilities then Dave would work with the church.  
c.      There will be a meeting next week to decide how to use diversion funds.
d.      Matt met with someone at Intercommunity who said that they could potentially take referrals to their recovery programs.
e.      Crane mentioned that the RRH program for the City of Hartford was changed to provide only 1 month’s rental assistance and security deposit.
f.       Legion Courts units are still open according to Tenesha.

7.      Management of By-Name-List: Follow up from RRH meeting – Matt Morgan, Sarah DiMaio, Heather Pilarcik

a.      Matt was informed that there was a report from one of the CAN subcommittees and a discussion around the By Name List management. According to Sarah, most of the meetings, with the exception of the most recent one, were a mess because the BNL was so long but Journey Home cleaned up the list and Brenda was also present at the last meeting which helped. The BNL is now down from over 1000 to 700 people. However there are still some issues:
                                                    i.     The list is still very large and many of the folks are unknown to those who attend the meetings especially since not everyone who is supposed to be at the meeting actually attends.
                                                   ii.     The other issue is how to clean the BNL, keep it clean and how to follow up with the people who are still on it to make sure they are not skipping people who are still in shelters? Sarah said that Mollie recommended some type of procedure that would help identify people once they enter or leave a shelter or housing program. Some people are being housed and it is not making it to the BNL. Crane suggested having all the referring entities review the list once per week in lieu of going to a meeting. Crane will meet with Beau to discuss if there is some way to keep the list clean automatically through HMIS.
                                                  iii.     Another issue is that even when case managers at the meeting know the client they don’t really know enough about them to make a referral at the meeting. Dave Martineau suggested using the people who are taking the names of folks who are entering shelters & soup kitchens because they know who are coming and going. Crane is concerned that this might not be a reasonable use of people’s time if only 1 out of 30-40 people will he matched to housing; it’s a lot of effort for not much results but she does want to keep the list as small and viable as possible. She suggested sending the list out to have people review it prior to the meetings.

8.      Announcements
a.      Brenda mentioned that there has been some conversations across the state about who should be attending meetings. This meeting is specifically for executive level staff so please do not send case managers in place of executive staff. Someone who can make decisions for the agency should be at the meeting and if that staff person cannot attend they should send an email to the chairs. Dave Martineau (responding to Crane’s suggestion to exempt larger agencies) does not believe that the larger agencies such as CRT should be exempt because every other Executive Director makes the effort to attend.
b.      There will be no GH CAN Operations Committee Meeting after today’s meeting.
c.      The Next Steps Tool is available in CT HMIS.  Paper copies can be found on www.journeyhomect.org/provider-resources
The Meeting ended at 2:06 PM


























GH CAN Housing Data Updates
Data Element
Number
Notes
Chronically homeless households housed in 2015
102

This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless households housed in 2016
211
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless households housed in 2017
18
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Total Chronically homeless households housed in GH CAN
331

Verified Chronic Matched
87

Verified Chronic Not Yet Matched

7
We currently have 7 chronic verified clients who have not yet been matched to housing.
Potentially Chronic Matched
0

Potentially Chronic Not Yet Matched

61
Right now we believe 61 households have the chronic length of homeless history, but none of these individuals have their homeless and disability verifications completed.


PART 1:  INSTRUCTIONS

·       To be eligible for all CoC funded PSH, evidence that one or more members of the household is diagnosed with a disabling condition must be documented in the participant file. 

·       To be eligible for a PSH unit that is dedicated to serve chronically homeless people, the disabling condition must be documented for an adult head of household, or, if there is no adult in the family, a minor head of household.

·       This form can also be used for CoC-funded TH or other programs that have committed to serving disabled people.

·       Complete all fields in Part 2.

·       Complete all fields under the relevant option in Part 3

·       Attach all supporting documents to this form.
 
·       Maintain this form and all supporting documents in the participant’s file.

PART 2:  GENERAL INFORMATION
Admitting CoC Agency Name:
CoC Project Name:



Participant Name:
HMIS #
Date of Birth
CoC Project Entry Date





Part 3:  DISABLING CONDITION CERTIFICATION
Option #1:  Social Security (SSI/DI) or Veteran’s Disability
Evidence must include one of the following (Check One):

c   A) Written verification from the Social Security Administration; OR
c   B)  Copies of a disability check (e.g., SSI, SSDI or Veterans Disability Compensation)
ATTACH EVIDENCE OF EITHER A OR B TO THIS FORM          c   Check here to indicate that evidence 
                                                                                has been attached.




Option #2:  Verification by a Qualified Licensed Professional
(Certifying professional must be licensed by the State to diagnose and treat the qualifying condition.)
I, hereby, certify that _________________________________________________(Insert Participant Name) has been diagnosed with at least one of the following:
·       A physical, mental, or emotional impairment, including an impairment caused by alcohol or drug abuse, post-traumatic stress disorder, or brain injury that: Is expected to be long-continuing or of indefinite duration; and substantially impedes the individual's ability to live independently; and could be improved by the provision of more suitable housing conditions; OR
·       A developmental disability, as defined in section 102 of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 (42 U.S.C. 15002);  OR
·        The disease of acquired immunodeficiency syndrome (AIDS) or any condition arising from the etiologic agency for acquired immunodeficiency syndrome (HIV).
I also, hereby, certify that I am licensed by the State of Connecticut to diagnose and treat the condition that I am certifying above.
c   Check here to indicate that additional information regarding diagnosis has been attached (optional).

Notes (optional):



Information About the Certifying Licensed Professional
Signature of Licensed Professional:           


Credentials:
Date:
Printed Name: 


Organization:
License #:


Phone #:
Option #3:  Intake or referral staff observation
Must be confirmed within 45 days of the application for assistance by evidence from Option #1 or #2 above.

I hereby certify that ________________________________________________(Insert Participant Name) meets the HUD definition of disability. (NOTE:  This form does not require specifying disability.)
Signature of Staff:


Title:
Date:
Printed Name: 


Organization:


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