Friday, March 15, 2019

GH CAN Leadership / GH Sub-COC 12/5/2019


Greater Hartford Coordinated Access Network
Leadership Committee Agenda
Wednesday, December 5th, 2018

1.      Welcome and Introductions

2.      Capacity and Need Document Updates – Matt Morgan

a.      Previously Journey Home had done some analysis of need for different needs within our community.  We have since updated this analysis to include additional data with a focus on what would happen if we increased rates of diversion throughout the community.  
b.      The gap we had based on all the housing we had this year, the results we get are that 49 individuals need PSH, negative 2 families would need PSH. 
                                                    i.     If we were able to increase diversion, we would see a significant reduction in what would be needed particularly for PSH. 
                                                   ii.     There are some major changes that have been happening to increase capacity for Diversion.  The statewide CDBG process is in progress for the Enfield area in this CAN.  The Office of Early Childhood is putting a million dollars into diversion funding in a pay-for-success model.  Mercy Housing has gotten approval to get some of their diversion financial assistance dollars into increased staffing capacity. 
1.      Diversion is currently understaffed, but there will soon be two full time staff to replace one full time staff who left. 
c.      We continue to have a dramatic discrepancy in the number of shelter beds for individual men’s beds compared to beds for individual women.  ImmaCare has been looking into a possible change but because of zoning issues no progress has been made. 

3.      Progressive Engagement – Crane Cesario, Mollie Greenwood
a.      We’ve changed our perspective from talking about bridging from Rapid ReHousing to permanent supportive housing. 
                                                    i.     Initially, when we put folks into CRT’s RRH program, if we have chronically homeless individuals going into RRH.
1.      Part of the issue is that the CAN keeps changing our processes.  Part of the issue is that some individuals are getting disabling condition verification forms. 
2.      Some of this is how do we manage openings. 
3.      Some of this is a program needs to keep bringing folks up and that CAN staff have to continue to be pushing back and suggesting options.  It’s about staying on the same team. 
4.      CRT’s in a difficult position because the majority of folks coming into their program do have significant disabilities.  When it comes down to CT BOS and they’re inquiring why folks are staying in their program past the 6-7 months.  It’s a shift. 
5.      Amy suggested avoiding the word pushback.  It sets up more of a confrontation
6.      Mollie mentioned drafting a set of questions that all RRH teams could come as a case conference. 
7.      Crane suggested we talked about disabling conditions.  If people’s disabling conditions are less severe, but they have long lengths of time… they’re still hitting the top of the list.  If people think they can manage, we need to go with the expectation that folks can succeed in rapid.  There are a lot of growing pains. 
8.      Sarah said she thinks that some of the frustration is getting taken out on CRT.  We’re seeing our chronic numbers going up.  Frontline staff are feeling really disappointed because they’re not seeing the system flow working. 
9.      Barbara reminds us that we have a really big aspirational vision.  This approach is transformative and is dramatically different.  “this is we”. 
                                                   ii.     Chronic – 80% of our chronic are matched.  41 are active on the list.  And 10 have been chronic verified for a long time. 
1.      As a leadership group, we need to identify what is our strategy.  What items may be the most easily attainable.  What do we need to know to be able to move this?  If all 10 of them.  If we can know who the 10 people are, we need to know who the 10 people are, what their barriers are specifically. 
a.      Are we dealing with a huge cohort of people who are close to requiring hospitalization?
b.      Journey Home will pull together the list of CH verified and potentially chronic, get a list of barriers. 
c.      To what degree have we been successful getting through the mental health residential doors?  We think it could be an area where we’re more successful. 
                                                                                                                i.     For those who are willing to get engaged in treatment it’s been successful.
d.      Amy offered to help us identified a need. 
e.      Sarah suggested a training needed for how to access group homes and residential care facilities. 
                                                                                                                i.     When supportive housing programs have brought this up, they’re being told “housing first, we need to get them the opportunity”.
                                                                                                               ii.     We need to understand more about the categories of group services. 
1.      Stephanie suggested that we reach out to CHN to identify ways to bridge that gap.  Mollie will reach out to the people who email CHN.  Mollie needs to also follow up with Andrea Hakian about residential care. 
2.      Fred also raised the item of their TEP program.
f.       Matt mentioned the Release of Information that we have for folks who can access health records.  It would be helpful to have the case managers perspective.  If we want to talk with clients further about higher levels of care. 
b.      Draft Documents on Progressive Engagement

4.      System Flow
a.      Regarding CT CAN Data website.  Andrea mentioned that at the SWAP meeting there were a lot of folks entering PSH who weren’t literally homeless the night before program entry.  Andrea had recommended to the data folks to note at the bottom that some of the data looks misleading that folks
b.      Coordinated Entry
                                                    i.     Diversion Dashboard – our family diversion rate is significantly increased over the past few months.  Our family rate of diversion is incredible. 
c.      Coordinated Outreach
                                                    i.     Outreach Dashboard  - page 23
1.      We need to take some ownership of homeless outreach.  Statewide homeless outreach that DMHAS is running, and there’s no quarterly meeting.  There is not significant support and level of attention to sustain the work of homeless outreach.  This is a serious issue that we’re missing.  With the PIT coming, we need everyone to step up and participate. 
d.      Shelter
                                                    i.     Shelter Dashboard
                                                   ii.     Suspension Lists at Shelters – Mollie Greenwood
1.      A large number of people are coming onto the radar who are banned or suspended from every shelter in the region.  On a case-by-case basis reviews have been happening. 
2.      It is extremely difficult for warming center and overflow to have these folks in our radar. 
3.      One of the last things Fred’s seeing, after the point of a suspension has tended to have an impact on folks and he has seen a lot of decisions changing. 
4.      Heather would add that’s probably true for about 80% of folks, but when we have folks who are banned at every program, because that’s likely indicative of folks with a higher level of concerns.  If we’re seeing that type of behavior in shelter settings, it’s likely there are other conditions coming into play. 
e.      Coordinated Exit
                                                    i.     Rapid ReHousing Standards – Andrea Hakian – the RRH standards are still in draft form.  The RRH workgroup has been meeting for a long while.  The need for the workgroup came out of a desire to standardize RRH statewide.  There was also a desire to create consistency between HUD RRH and DOH funded RRH.   One of the first things that happened was to try and figure out what level of rental assistance people need.  Now in the draft form there are different buckets of people.  An example is high-need people who are homeless but not CH, people who are chronic and likely need PSH, moderate earning potential folks, high earning potential folks.  There are different earning buckets for folks.  Sarah asked whether that would be a decision at the CAN, or by individual programs, and it’s not yet clear who makes that decision.  The goal is to standardize this so that we don’t have so many exceptions and we have more consistency statewide.  There’s also conversations about what reasons are acceptable for terminating folks from RRH. 
1.      YHDP largely adopted the work from this workgroup for their contracts.  They also don’t want to see rental portions exceed 65% of peoples’ income. 
a.      MOLLIE schedule time to meet with Lisa around the housing matching stuff above. 
2.      HUD has requirements for utility allowances that RRH programs are going to start incorporating. 
3.      Rapid ReHousing Dashboard
a.      Challenges around time-limited nature of assistance
b.      The returns number up at the top of that page, how do those returns end up being reflected in here. 
                                                                                                                i.     Most of the CHR returns last year were clients who didn’t want to do RRH and who rejected the referral. 
                                                                                                               ii.     Some of the information on here is helpful.  Average length of stay is helpful, income levels are helpful. 
                                                   ii.     Permanent Supportive Housing Dashboard
                                                  iii.     Special Population Updates:
1.      HOPWA Committee Updates
2.      Veterans Committee – Amy Robinson
3.      Youth – Niya Solomon
f.       Returns to Homelessness – Mollie Greenwood
                                                    i.     Explained the list, how it’s broken down.
                                                   ii.     For folks who were housed and returned to shelter and then housed by another program. 
g.      Chronic Homelessness
                                                    i.     Countdown to End Chronic Homelessness
                                                   ii.     Release of Information for Disabling Conditions

5.      Sub-COC Items:
a.      HIC – Zoe Schwartz
                                                    i.     Thank you all for submitting your data.  If there are agencies who submitted helpdesk tickets and you aren’t hearing from someone, please let Zoe know.  Nutmeg is sorting through tickets. 
b.      PIT – Zoe Schwartz
c.      Consumer Satisfaction Surveys – For CRT Zoe aggregates all the CRT satisfaction reports into one record.  Zoe was wondering if she could have everyone’s consumer satisfaction data to see the information across all programs.  Zoe thinks it could be really cool to see the results across all of our programs.  She can send out an example of what she’s doing. 

6.      GH CAN Shelter and Housing Data
a.      GH CAN Housed Data (see p.2)
b.      GH CAN Waitlist Data (see p.2)

7.      Future Agenda Items?
a.      Zoe will bring consumer survey info from CRT to discuss aggregating them. 
b.      Revisit returns to homelessness.
c.       

8.      Announcements
a.      No Freeze opens December 15th.  That means warming center and overflow will be openings. 7PM-7AM will be the hours of operation.  All clients should still call 211.  We can transport them to shelters.
b.      Iris is retiring! 
c.      Heather is transitioning over to South Park Inn.
d.      Journey Home has officially merged with A Hand Up. 
e.      CAN Data Dashboards are available at www.CTCANData.org .  Please check out your organization’s data and work on cleaning up any incorrect data so that we can start using these dashboards to inform our system work.


GH CAN Housing Data
Data Element
Number
Notes
Chronically homeless individuals housed in 2015
102
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless individuals housed in 2016
211
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless individuals housed in 2017
179
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless/potentially chronic individuals housed in 2018
146
This includes clients housed through GH CAN programs and bridges to PSH as well as through other subsidies or independent housing
Total Chronically homeless individuals housed in GH CAN
638

Verified Chronic Matched
29

Verified Chronic Not Yet Matched
3
We currently have 3 chronic verified clients who have not yet been matched to housing. 
Potentially Chronic Refusers
2

Verified Chronic Refusers
2

Not Chronic (Verified) Refuser
1

Potentially Chronic Matched
9
These households did not disclose a disabling condition, and are matched to various programs.
Not Chronic Matched
8

Potentially Chronic Not Yet Matched
30
Right now we believe 30 households have the chronic length of homeless history, but none of these individuals have their homeless and disability verifications completed.
Individuals - Active – Not Matched
404
This is Enrolled in CAN, Enrolled in TH, and In an Institution
Families – Active – Not Matched
29
This is Enrolled in CAN and Enrolled in TH
Families - Verified Chronic – Not Matched
0

Families – Not Chronic (Verified) – Matched
10

Families – Verified Chronic – Matched
4


SmartSheet Shelter Priority List Data
Individual Men
Individual Women
Families
36 Unsheltered/ In a Car
46 Unsheltered/In a Car
11 Unsheltered/In a Car
(7 report that only HOH is unsheltered)
52 Total
59 Total
15 Total






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