Wednesday, August 30, 2017

GH CAN Operations 8/9/17

Operations Agenda
Wednesday, August 9th, 2017

1.      In Attendance
Alicia Akers, CRT
Anita Cordero-Doers, ImmaCare
Crane Cesario, DMHAS
Stephanie Corbin, Mercy
Rochelle Currie, The Connection
Catherine Damato, CRT
Sarah DiMaio, SAMH
Luciana Degray, YWCA
Dave DuVerger – South Park Inn
Angel Fernandez, The Open Hearth
Klaudia Lobeska, EHS
Gerilyn Harrison – SAMH
Malika Nelson, CHR
Heather Pilarcik, South Park Inn
Natalie Ramos, ImmaCare
Luz Serrano, ImmaCare
Lisa Quach, Journey Home
Jennifer Greer, CHR
Rikka Racelis, Chrysalis
Tanesha Shucer, My Sister’s Place
Audrey Kennedy, South Park Inn
Lourdes Ward, CRT

a.      Leadership Updates – Mollie Greenwood
·        RRH Bridging – One big thing we discussed at Leadership is that we need to set some consistent standards in place in our community around bridging from RRH to PSH.
o   We will share RRH policies once it’s finalized. Other communities have discussed where everyone gets rapid rehousing and only get PSH if you fail. Prevents people from sitting in shelter to “become” chronic and also folks comparing what housing intervention their friends got.
·        CCT Release – We talked about some of the benefits to having releases completed. 

2.      Case Conferences – Fred Faulkner

3.      Coordinated Entry:
a.      Shelter Waitlist Marking – Heather Pilarcik
                                                    i.     Heather wanted to get input from other SmartSheet users on how it’s been working in their shelters. She is typically not always the one that is on the smart sheet making calls. Heather started calling a couple of weeks ago and ran into issues. There were clients on the waitlist who were added in June. There are clients on there with absolutely no contact information listed in columns. Heather made some calls and notes but didn’t really hear back from people. Next day, she received an email from Steve that she didn’t properly fill out a couple of columns. She also received another email from Steve asking to update status for clients who were already called. She feels frustrated with the whole process. They are still getting people who walk in for beds every day. They also get 10-15 calls per day from people calling for shelter beds. There are people out there who need beds and need to get in. Facilitating that process without becoming withholding to the process is something we need to think about. There is a big gap with people who are at our door and call our phones in distress looking for shelter. It comes down to clients need shelter beds. Making them call 211 to get into shelter beds while they’re at the door does not minimize the hurdles. What is the value of the data collection? Already have to do case management and having to enter columns is one more thing to worry about.  
                                                   ii.     Stephanie Corbin – diversion center staff being told that all beds are full. Question of why are there open beds? Are you not reaching people? Heather responded that they made 40-50 calls over the weekend and no return calls or no shows. There’s also clients on the list with no contact info. They also have had people report they no longer need shelter, which is good. Assumption that all beds are full might be because there is still a waitlist. Roger Clark states that anytime he calls from the waitlist, people don’t show up. Last 6 people who came into shelter were all from Tony Mack. Shelters feel that calling smart sheet is not working. People aren’t coming in. East Hartford shelter has issues with families who don’t like the rules but she is telling folks the rules when she is calling. Open Hearth had 6 beds open and proceeded to call clients but only 1 showed up. People show up at the door and then Angel takes them if they’re in the list. If clients show up and are in unsheltered section, you can take them.
                                                  iii.     What are the issues that seem fixable? Clean it up. Standard will be anyone who has not been active for 90 days will be removed. Suggestion to have smartsheet flag someone who has been on for more than 90 days. Also could cross reference BNL/Inactive with Smartsheet to see who has been inactivated. Angel goes through the list and noticed that people are not marking the clients are yellow or inserting notes in the chat box. Journey Home looked at Fairfield’s list and they aren’t using the chat bubbles like we are. They are using drop-down options and only use notes for outreach workers who tried to locate client. This would be easier since it’s just a click. Anybody that has a call out right now will be yellow. We will prioritize big cleanup and work on policies around cleaning and managing the list.

4.      VI-SPDAT and Full SPDAT Policies – Mollie Greenwood – Did not get to discuss.

5.      Coordinated Exit:
a.      Recently Housed - Did not get to discuss.
b.      DMHAS/DOH Policies on Refusers – Lisa Quach - Did not get to discuss.

6.      Announcements
a.      Hands On Hartford and a number of community partners are working on planning the Day of Sharing and Caring, and needs lots of help planning and pulling off the event.  If you’re interested in assisting, please contact swalker@handsonhartford.org
b.      Salvation Army is offering an Anti Human Trafficking Training at Capitol Region Mental Health Center Tuesday, 9/26 from 1-4 PM.  Register for training with Cat Damato at damatoc@crtct.org




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
130
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
444

Verified Chronic Matched
25

Verified Chronic Not Yet Matched
18
We currently have 18 chronic verified clients who have not yet been matched to housing.
Potentially Chronic Refusers
2

Verified Chronic Refusers
3

Potentially Chronic Matched
1
These households did not disclose a disabling condition, and are matched to various programs.
Potentially Chronic Not Yet Matched
39
Right now we believe 39 households have the chronic length of homeless history, but none of these individuals have their homeless and disability verifications completed.




DMHAS/DOH Guidance on Due Diligence- Refusal of Services Policy
To ensure that we serve all individuals experiencing homelessness identified in the Coordinated Access Networks (CANs), communities must ensure that engagement is an ongoing process.  We know that engagement can be particularly challenging for individuals who refuse offers of housing assistance from the CAN.  This guidance from the Department of Mental Health and Addiction Services (DMHAS) and the Department of Housing (DOH) is meant to provide CANs with a process that enables them to identify refusers within your CAN and ensure that they continue to be discussed at housing matching meetings and offered housing resources when available.
REFUSERS
A refuser is defined as an individual experiencing homelessness who is ACTIVE on the By-Name List (BNL) and has declined three different offers of housing assistance from CAN housing providers.  After the third offer is declined, the CAN will change the individual's sub-status on the BNL to "Refuses CAN Assistance." DOH CAN Managers will review the BNL on a regular basis to identify new refusers, and schedule case conference meetings that include a representative from DMHAS, a DOH CAN Manager, and CAN housing providers.  The purpose of these case conference meetings will be to plan for housing assistance options that can be offered to the refuser(s) in the future.
DUE DILIGENCE CONTACT ATTEMPTS FOR REFUSERS
CANs will designate a person/persons to attempt to contact refusers a minimum of once every two weeks for the purpose of offering the person shelter and/or housing assistance.  These contact attempts--and their outcomes, if applicable--will be recorded in the HMIS client record of the refuser by the designated person/persons.   
Due diligence contacts will be attempted and recorded in HMIS every two weeks for as long as the refuser remains ACTIVE on the BNL as a refuser. Due diligence contact attempts will be suspended when/if the refuser is INACTIVE on the BNL, and will resume when/if the client becomes ACTIVE on the BNL again.
REFUSERS AND HOUSING PLACEMENT MEETINGS
In order to be designated as a refuser, an individual will have risen to the top of the BNL prioritization and refused multiple offers of housing assistance.  Refusers—who are known to be vulnerable and in need of housing assistance—are listed on the HMIS BNL and should be discussed at regular CAN Housing Matching/Placement meetings in priority order per CAN matching procedures. The designated person(s) attempting to make due diligence contact with refusers should provide updates about the status and outcome of due diligence contact attempts for all refusers at these meetings. 
INACTIVE CLIENTS
Clients on the BNL can be marked as INACTIVE if they have no HMIS enrollment activity in the preceding 90 days, provided that at least three attempts have been made over the course of the 90 days to contact the client.   Refusers covered by this due diligence policy can be marked as INACTIVE on the BNL if they have no HMIS enrollment activity in the preceding 90 days AND if there have been at least three unsuccessful contact attempts in the preceding 90 days. Refusers covered by this due diligence policy can also be marked as INACTIVE on the BNL if the outcome of a due diligence contact attempt confirms that the refuser is no longer literally homeless, or is no longer living in the state.
TRACKING DUE DILIGENCE CONTACT ATTEMPTS IN HMIS
Instructions for tracking due diligence contact attempts made to refusers in HMIS are attached to this policy.  Additional questions about tracking due diligence requests in HMIS and/or requests for access to use the tracking functionality in HMIS should be directed to the Statewide CAN Manager for Data Analysis:  Beau Anderson (beau.anderson@ct.gov).

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