Wednesday, May 10, 2017

GH CAN Leadership Committee 4/19/17

Greater Hartford Coordinated Access Network
Leadership Agenda
Wednesday, April 19, 2017
1.      Welcome and Introductions
Kara Capobianco – Department of Housing
Sarah Dimaio – Salvation Army Marshall House
Amy Robinson – US Department of Veterans Affairs
John Lawlor – The Connection
Rosemary Flowers – My Sisters’ Place
Kathy Shaw – My Sisters’ Place
Tenesha Grant  - Mercy Housing and Shelter Corp
Kyren McCorey – The Open Hearth
Fred Faulkner – The Open Hearth
Brian Baker – South Park Inn
Collette Slover – Charter Oak Health Center
Sonia Brown – Community Renewal Team
John Ferrucci – South Park Inn
Lou Gilbert - ImmaCare
Iris Ruiz – Interval House
Mollie Greenwood – Journey Home
Matt Morgan – Journey Home
Theresa Nicholson – Chrysalis Center

2.      Housing Data Updates – see p. 2

a.      Housing resources have really slowed down but the community has been doing a great job getting folks verified.  We currently have 61 clients who are potentially chronic and need disability verifications or homeless verifications.
b.      63 chronic verified matched – delay could be clients going MIA, CHFA barriers are now higher, clients refusing housing multiple times.  We have specifically seen a lot of refusals around project-based units. Those housing programs who are audited by CSH may be penalized if their utilization is low, which can be a result of households being housed too slowly. How many clients are matched and chronic verified more than 90 days?
c.      Everyone needs to have a representative at coordinated exit. We need to have better communication to get updates about pending referrals and case conferences. It’s really essential to have staff present at in-person meetings. Have 2 in person meetings a month and we do lots of matching and case conferencing so when folks aren’t at the table, it’s a challenge.

3.      CT BOS Performance Measures Update and Deadline – Cat Damato, Crane Cesario
                                                    i.     All should have email from CT BOS about performance measures. If not, Crane will send it to you. The deadline to clean up your data is 4/28/17 which is a week from Friday.
                                                   ii.     Right now there is a known problem with questions about chronic status and health insurance. Nobody in family program is answering health insurance question. Is data not collected really count?     
                                                  iii.     On page 5 of 6 there is a question that is concerned with exits to permanent destination. Because this field wasn’t previously collected, housing programs might have to go in and go back to all original clients and input the data. Only APRs for PSH that she sees.
1.      Crane printed out each agency in our CAN that she could get to – timeliness report. When you look at CT BOS email, instructions on how to get reports in HMIS are in there. Line that has data standards. Shows all programs – how many days your data was inputted in your program – average days. Now it has to be 11. Something we need to improve on, depending on your program type. Just something for them to look at, shocking wake up call. Performance measures are for Balance of State so everywhere but Fairfield County, they have their own report.
                                                  iv.     How do we pay for all this? Proposal to have 2% of total budget pay for CAN functions. 2% of which budget? We have planning grant, reallocated funds to HMIS and CAN and Permanent Supportive Housing – 9 individual units for referrals – under Capital Region. Still waiting to see if state is going to pick up CAHBI but with this budget, she doesn’t think so. Will lose about 5 people. CT BOS meeting on Friday. Sonia said when she ran her APR there was a lot of missing data because of updated questions so she had to go back and have them answer. Crane said who told her to go back and fix. She currently has 135 clients in one program that are missing one question and she might not get them done by Friday. She needs clarity from CT BOS if it’s internal review of CT then can they give them a break for a month? Sarah said she had issues with children in her data and can’t fix it because the question doesn’t exist anymore. She reached out to Nutmeg and they said she just has to deal with it. Crane said she is just at the level where she just wants to pass, be above the ladder. Outcomes from exits is important. Legacy clients who were allowed to go from TLP to PSH and are we going to get dinged every year because they haven’t moved out?

4.      HUD Coordinated Entry Self-Assessment Items – Mollie Greenwood
a.      HUD put out guidance on what coordinated entry needs to be doing and has created a checklist you can go through and what your community is already doing and what we should be doing. HUD wants us to do everything on this checklist by January of next year. At Journey Home, we been reviewing the checklist to see what GH CAN is doing to make sure we can reach benchmarks by January 2018.
                                                    i.     Accessibility of Coordinated Entry Site (p. 3)
1.      We need to be able to provide accessible assessment appointments to households with hearing impairments, vision impairments, and other disabilities, as well as providing translation services for any households whose first language isn’t English. 
a.      Theresa suggested medical providers because they are required to have medical paperwork in client’s language.
b.      Iris said Coalition has language line for all DV networks. Will look to see if they have contract with Language Line or if it’s per charge.
                                                   ii.     Written Standards for RRH Programs (p. 3)
1.      No one in GH CAN RRH program has a written standard at this point that outlines the specific amount of rental assistance that will be provided for each household.  One suggestion was for RRH providers to come together to see if we can draft something. Sarah asked if it’s one standard for the whole CAN or by program since her budget is so small compared to others.
2.      Another suggestion was to ask CT BOS if they have a standard. Have standard of increase in payment. Have something in guidelines. CRT tried to adapt these guidelines when building their program.
a.      Mollie will look into the CT BOS COC Policies and Procedures to see what is currently provided as a written standard and will bring that information back to Leadership.
3.      Fairfield County had a one pager for clients but it backfired because they would have something to show that they would only pay 50% in month 6.
b.      Timeline between Assessment and Referral (p. 3)
                                                    i.     Needs to have prioritization list – we have a by-name-list. Should not wait 60 days to housing referral services. If they cannot offer within 60 days, then they adjust prioritization standards in order to prioritize households who have the highest need. We need to be aiming at getting prioritized household matched to homeless resource within 60 days or not. Have been changing Enrolled in CAN date for folks who were inactive or had their VI-SDPAT completed and then disappeared and came back so we are getting credit and doesn’t show a lag.
c.      Crane asked if this is something Mollie was asked to investigate or if she’s being proactive? She stated she was being proactive because she didn’t want to wait until November to try to tackle 15 things. Crane said she wants COC to own up to it as the entity to deal with it, as much of the list requires COCs to have written processes and be following this.
d.      Lou asked about shelter priority list. ImmaCare had 8 empty beds and couldn’t reach the people at the top so he’s taking walk-ins who are on the prioritized section of the shelter priority list. Is this a problem?
                                                    i.     Kara reminded shelters that the contractual expectation is to ensure shelters remain 80% full. We don’t want to fill beds with people who can be diverted. As the weather continues to get warmer, this may become a larger issue. One question is are we as a community going through right channels to access those who outdoors because we start offering doors to someone who could be diverted?
                                                   ii.     Sarah asked how far down staff are going to fill beds- are the folks ImmaCare is taking in still in the unsheltered or living in their car section of the priority list?
1.      Lou doesn’t think they are calling everyone but just taking walk-ins.
2.      Steve checks the smartsheet to see if folks at the bottom are getting shelter before other folks and that hasn’t happened yet at ImmaCare- when cases like that are identified he has been quickly reaching out to the shelters who are taking those folks from lower on the list to determine what is going on.

5.      Coordinated Exit: What to do when households refuse multiple housing options? – Tenesha Grant
a.      An issue we have been seeing recently in the Coordinated Exit meeting is clients who have been offered and keep declining housing.  Sometimes they are refusing housing options because they have barriers or trauma in certain areas, other times it is more a matter of preference.
                                                    i.     We can’t stop offering them housing. As long as they’re literally homeless we have to keep offering them housing, because they are still a part of the community.
1.      One question is should we kick them out of shelter if we have offered them all types of housing and we have exhausted all options? We can no longer offer you shelter bed because you have had 6 or 7 opportunities for housing.  We need to have case conferencing before we make this decision.
2.      In some cases, maybe the client is just not a good fit with their current case manager, in other cases they may be getting comfortable in the current shelter environment. A change of environment to a new shelter may solve the problem in some cases.
3.      A long time ago we had a dedicated committee that had hoped to work on these specific challenging cases.  Fred Faulkner offered to lead this committee.
a.      Fred and Mollie will talk together about what time and group of providers makes the most sense to do this type of case conferencing.

6.      Veteran Eligibility for Supportive Housing – Amy Robinson
a.      Veterans that are in TLP do hold chronic status and are considered homeless going into other programs. We will be getting additional guidance from Katie Durand and HUD very soon. If a veteran is in a transitional living program, HUD says they are still homeless and don’t lose chronic status. One line that makes all the difference in this guidance is that veterans who are considered homeless are also considered homeless within 2 weeks of not having a place to stay (when other populations are just considered at risk). Guidance from HUD was if the TLP provider says to you that this person in TLP status prior to entry was homelessness that’s all we need in our files for us to be in compliance but if you take HUD homeless definition and GPD and TLP side by side that is the difference – eligible for GPD imminent risk within 14 days.
b.      There was still a question of whether this qualify for GPD (VET TLP) or regular TLP?
c.      There have also been historic issues with determining who is considered veteran – must serve 2 years after 1980 and have honorable discharge to be considered a veteran.

7.      Announcements
a.      The CT Coalition to End Homelessness will be hosting their Annual Training Institute on Thursday, May 18th.  Register online at www.cceh.org. Early-bird registration discounts are available until May 1st.
b.      There are openings available in this month’s full-day CAN Training on Friday, 4/21.  Email mollie.greenwood@journeyhomect.org to register.
c.      The next Youth Engagement Team Initiative (YETI) meeting will be this Friday, 4/21, at 3:30 at 960 Main St., Hartford.  Contact Steve Hurley for more information.
d.      Journey Home has written letters of support for all of our GHBI SAMHSA applicants.
                                                    i.     All letters of support have been written for 3 applicants.
                                                   ii.     Total statewide for advocacy day reached 135 legislators or their aid.
e.      S8HCV has closed – housing authority is not taking referrals but we are still keeping a waitlist for S8HCV – has 11 people from PSH that are applying for that preference. 7 chronic clients still on the list. Heard from city of Hartford to encourage the 16 people who have received vouchers already – worried about what is going to happen at federal level – encouraging them to get leased up asap. 85 clients have leased up from PSH. One at ImmaCare and rest at Chrysalis.
f.       Hartford Health Dept. that we have 8 active TB guests from last week. Roger will track down clients to get to Hartford Health Dept. to get chest XRays.
g.      SAMH has overflow shelter – contract is for cold weather overflow shelter but have been running it year round without funding but we can no longer do that – only Nov 1 to march 31st. Have transitioned all into housing except for one family. Loss of 23 beds for women and families.



GH CAN Housing Data

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
64
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
377

Verified Chronic Matched
63

Verified Chronic Not Yet Matched

15
We currently have 15 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 65 households have the chronic length of homeless history, but none of these individuals have their homeless and disability verifications completed.










Coordinated Entry Self-Assessment

A.8. COC, in consultation with recipients of ESG program funds within the geographic area, has established and consistently follows written standards for providing COC assistance which can guide the development of formalized policies and procedures for the CE process.
·        Written standards provide guidance for determining what percentage or amount of rent each program participant must pay while receiving rapid rehousing assistance.



B. 11. COC's written CE policies and procedures document steps taken to ensure effective communication with individuals with disabilities.  Recipients of federal funds and COCs must provide appropriate auxiliary aids and services necessary to ensure effective communication (e.g. Braille, audio, large type, assistive listening devices, and sign language interpreters. 
B. 12. COC's access point(s) take reasonable steps to offer CE process materials and participant instruction in multiple languages to meet the needs of minority, ethnic, and groups with Limited English Proficiency.



D. 14. COC maintains a prioritization list such that participants wait no longer than 60 days for a referral to housing or services.  If the COC cannot offer a housing resource to every prioritized household experiencing homelessness within 60 days or less, then the COC adjusts prioritization standards in order to more precisely differentiate and identify resources for those households with the most needs and highest vulnerabilities.

Data on Average Timeframes for Individuals from the By-Name-List in HMIS
Time (days)
Chronic Individuals in PSH

Average time between completing a VI-SPDAT to verifying CH status
301
Average time between verification of CH status to housing
86
Average time between CH verification and housing matching to PSH
7
Average time between referral of CH clients and housing in PSH
79
Chronic Individuals in RRH

Average time between completing a VI-SPDAT to referral in RRH
315
Average time between referral of CH clients and housing in RRH
57
Non-Chronic Individuals and RRH

For non-chronic individuals, average time between completing a VI-SPDAT to referral in RRH
144
For non-chronic individuals, average time between referral to RRH and housing
55


No comments:

Post a Comment