Wednesday, November 25, 2015

Greater Hartford CAN Meeting 4/22/15

GREATER HARTFORD COORDINATED ACCESS NETWORK
MEETING NOTES
WEDNESDAY, April 22nd, 2015
NEXT MEETING: WEDNESDAY, April 29th, 1:30 – 3:30 pm

In Attendance:
Rubi Alegria – Mercy Housing
Brian Baker – South Park Inn
Shannon Baldassario – MACC
Sandy Barry – Salvation Army Marshall House
Aisha Brown – CHR
Crane Cesario – DMHAS
Roger Clark – ImmaCare
Rebecca Copeland - CHR
Willem Donahue – Journey Home
Alfredo Echevarria – ImmaCare
Fred Faulkner – The Open Hearth
Chris Fortier – The Open Hearth
Clarissa Garcia – ImmaCare
Amanda Girardin – Journey Home
Ruby Givens-Hewitt – My Sisters’ Place

Tenesha Grant – Mercy Housing
Dalila May – Interval House
Philomena McGee – CHR
Sarah Melquist – MACC
Matt Morgan – Journey Home
Heather Pilarcik -  South Park Inn
Chris Robinson – Chrysalis Center
Amy Robinson – CRT
Rob Soderberg – CHR
Beth Stafford – MACC
Sandra Terry – CRT
Sarah Trench – Journey Home
Jose Vega – McKinney
Tamara Womack – My Sisters’ Place



1.       Introductions & GH-CAN Meeting Notes for last week, 4/15/2015 (emailed)
a.      There was a fire in Hartford this week that displaced 28 families, including 50 children.  Although most housing resources of the GH CAN are currently being prioritized for the chronically homeless households in our region, please let us know if you have or know of additional resources that might assist these families.
2.       GH CAN Stats Update – See p. 2
Greater Hartford Coordinated Access Network Statistics
Updated as of April 14th, 2015
Changes from last week have been bolded
Topic
Data
Comments
Coordinated Entry
Total Number of GH CAN Assessment Appointments Per Week
90
There are 90 scheduled slots each week
Total Number of Hours at Drop In Centers
15 Hours per week
6 hrs at Chrysalis Center Thurs.
3 hours at CHR Manchester on Thurs.
3 hours at Hands on Hartford
3 hours at Center Church
No-Show Rate 11/17/14 – 3/30/15
75%
1752 Appointments Scheduled in Nov – Mar
435 Appointments Completed Nov – Mar
25% Attendance to appointments
No-Show Rate for March, 2015
65%
557 Appointments Scheduled for March
194 Appointments Completed
35% Attendance to appointments
Next Available Appointment Slot: Individual Men
6/23/15
Booking out 1 days further since last week
Next Available Appointment Slot: Individual Women
6/22/15
Booking out 0 days further since last week
Next Available Appointment Slot: Families
6/18/15
Booking out 0 days further since last week
Total Number of CA HMIS Data System Modifications
242
That is 57 additional cases to resolve compared to last week.


Coordinated Exit
Total Number of New Available Housing Units Reported to GH CAN this week
0
No additional program openings were submitted this week.
Housing Units Awaiting Referrals
16
Mercy Scattered Site PSH, ImmaCare RAP, Shelter Plus Care, Next Steps Enfield, CHR Manchester, My Sisters’ Place TLP
Total Number of Available Housing Units Reported through GH CAN in 2015
60
Available Units have been reported in the following programs: MSP TLP, CRT PSH, CRT Project Teach, Chrysalis Veteran’s Support, Chrysalis Family Matters, Mercy DMHAS  RAP, CRT Bloomfield Scattered Site, Mercy St. Elizabeth, Shelter Plus Care, Chrysalis Project HEARRT 20
100 Day Campaign
Total Number of Available Housing Units expected for 100 Days Team
92
These are from a variety of programs. Some units are available immediately, others in the next few months.
Total Number of Rapid Re-Housing Referrals this week
2
Please note, CHR is unable to accept new referrals to CT RRH at this time. 
Total Number of Clients on Prioritized List
95
This list is comprised of clients who have a length of time homeless that could classify them as chronically homeless.
On Prioritized List, number of clients with UHA
72

On Prioritized List, number of clients with a navigator
44

On Prioritized List, number of clients conditionally matched
29

On Prioritized List, number of clients housed
10


3.       Updates from 100 Day Team – Today is day 43, planning is underway for the Document Fair on May 8th at Chrysalis Center.  The team will be having a 50 Day Check-In on Tuesday, April 28th at M L Keefe Community Center, 11 Pine Street, Hamden, CT, from 9:30am-4:30pm.
4.       Inclusion/Outreach Meeting Update- One of the big gaps we know since going live with 100 days is getting the chronically unsheltered clients on our prioritized list.  We have been gathering information from the Universal Housing Application, HMIS, GH CAN appointments, and the Point in Time count, but there are clients who we do not yet have on our radar.  After last Thursday’s outreach meeting, Tony Mack of ImmaCare identified 50 clients, 45 of whom were not on our radar.  We are pushing to complete VI-SPDATs and homeless verifications from outreach workers on most of those people. 
a.      We need to provide outreach staff with paper releases of information, as many outreach clients have not yet signed a GH-CAN ROI.  There are a number of security issues to resolve before we can use tablets in the field.
b.      Yesterday, Bradley Airport administration called Crane and said that they had 30-33 clients staying there.  She will meet with them soon. This increase started after the No Freeze shelter closed. They have been having problems with people doing laundry there.  Additionally, we have heard that bus drivers have been allowing some people to ride to the to the airport at no cost.  We will need to ask outreach staff to go to the airport to work with people to stay elsewhere.
5.       Coordinated Access Data Quality Comparison – We have received Data Quality information from CCEH.  Greater Hartford has 171 unprocessed referrals in our CAN.  This means that out of all appointments that have been scheduled, 171 do not have an outcome of enrolled in a program, or diverted out of shelter.  These 171 cases are 9% of all appointments scheduled in the GH CAN since November 2014. 
a.      Please note, there have been new options added for the outcome of a GH CAN assessment appointment.  Options now include no-show, accepted for enrollment, diverted before CAN, or diverted at CAN assessment. 
6.        Zero 2016: Connecticut Housing Placement Targets
a.      CCEH did some data analysis and determined that we would need 184 additional beds to house all of our chronically homeless by the end of 2016.  This is an estimate.
b.      When looking at these numbers, we need to consider the turnover rate of PSH units in considering how many new units would be required to fill the need.
7.       VI-SPDAT for Distribution
a.      A few weeks ago we discussed how we should handle distributing VI-SPDATs to clients who request the tool.  The statewide best practice is to explain the tool to the clients, and why it is being used.  If you decide to give them a copy, only give one without the scoring formula.  Typically standardized test copies are not distributed. 
b.      Staff can now find a copy of the survey that does not include scoring criteria on the Journey Home website, http://journeyhomect.org/projects/gh_can/.
8.       Manchester Area Conference of Churches Samaritan Shelter Changes-
a.      On April 1st, the board of directors for MACC Charities met to reassess whether the shelter was adhering to the current mission statement.  The board determined that since 93% of shelter residents since November have not been residents of Manchester or Bolton, the shelter is no longer serving the population it was intended to serve.
b.      The board has decided that the shelter will be transitioning into a community center focused on providing economic opportunities.  There are plans to create a program similar to Billings Forge in Hartford, with ServeSafe training from restaurants. 
c.       MACC still wants to stay connected to this community and continue to help as they can, however the organization will be going in a new direction soon.

9.       Working Groups:
1.       Housing Referral Group:
a.       The HRG was given a handout with a summary of the number of units awaiting referrals, the number of units with conditional matches in progress, and a follow-up from last week’s referrals.
                                                               i.      There are a lot of conditional matches in progress.
                                                             ii.      This data is good as of 10am on Wednesday morning.
b.      We continued our discussion from last week of what to do with clients who have negative exits from housing programs.
                                                               i.      It is not unusual for clients to follow this pattern of repeatedly failing out of housing programs. Clients who are very vulnerable are the ones who are the most likely to not be able to stay in their housing programs.  Also, in cases like this, it is common for there to be a lack of support services to help keep the client in the program.
                                                             ii.      Last week we discussed how we could have the client start a restitution plan before being admitted to another housing program.  We need to research restitution plans to figure out how this process would work.  For example, it would figure out if a client would owe money to the housing program or a landlord.
                                                            iii.      Clients could also be encouraged to have rep/payees, however, unless this has been mandated by a physician or psychologist, the client could always choose to have the rep/payee revoked. 
                                                           iv.      Moving forward, it may be helpful for programs to collect a list of clients who have failed out of their program for reference during housing match conversations.
c.       If you are requesting a statewide background check for a client, send Crane an email.  Then send her a fax with the client’s name, alias, social security number, and date of birth.
d.      Clients who refuse housing
                                                               i.      For clients who refuse a housing option that is offered to them, choosing instead to stay in shelters, are there other options available?  The group discussed shelter fees and savings plans, however for clients who refuse to engage with housing programs, these kinds of solutions may just push them to disengage further.
e.      There are clients who are being added to the referral list who have higher priority levels than clients that had previously been identified.  This will be an ongoing problem- clients may always be added to the priority list who are higher priority than those previously identified.
                                                               i.      Each week, Journey Home updates the unified referral list by collecting information about newly completed UHAs or CAN appointments.  For all clients who report that they are chronically homeless, we create an HMIS timeline.  If this timeline appears to verify chronic homelessness, Journey Home adds them to the prioritized referral list.  Each week, the highest priority clients on the unified referral list are brought to the Housing Referral Group, and those who aren’t matched are the first to be referred. 
                                                             ii.      Because of this, it’s important that staff continue to utilize the Report Housing Outcomes Form, available here, https://docs.google.com/forms/d/1Ob9qxQSnU49TNhElr-K3t-4gZj8NwTxu9VINb8hhu1s/viewform to report how many attempts have been made to outreach to clients, as well as the outcomes of these attempts. 
                                                            iii.      Because we are working with navigators, it could be problematic if housing providers decided to move onto a different, higher priority client once a referral has already been made.  It will be very important that messaging is clear across the board that housing is not guaranteed after a referral has been made. 
a.      100 Day Team:
                                       i.      Updates:
1.       Tamara’s client is housed: #11
2.       Another client has been housed through the Connection, the team would like to count this client towards the 100 clients we are housing.
                                     ii.      Document Fair:
1.       Team members received questions on acquiring (1) passports and (2) copies of GED/transcripts that have been lost- this is something we may need to keep working on throughout the rest of the campaign.
2.       ICEE Vendor will cost under $500- the team will pursue this option
3.       Alfredo will also follow up on getting ice cream truck: will check in before Friday on the status of this option.
                                    iii.      Tuesday 4/28: 50 day meeting in Hamden
1.       On the 50 Day check-in on April 28th the team will use its time to strategize and plan in the following areas:
a.       Stepping back from the document fair and letting Mary manage.
b.      Mapping the process for referrals to determine what gaps still exist.
c.       Finding all the people missing from the priority list.
                                   iv.      Danny with Rapid Results sent Power Point presentation to be completed before arrival:
1.       Challenges overcome (PowerPoint Presentation):
a.       Planning document fair
b.      Progress/better understanding of the referral process
c.       Communication improvements between member/agencies
d.      Data work/organizational/navigation
                                     v.      Challenge we are working on:
1.       Surprise demands on time/check-ins: 10-15 hours a week of extra work.
2.       Time management- more clear expectations- ideally the team would have better communications on commitment level at the onset, and throughout the campaign.
3.       Referral process becoming issue at this point- lots of people with low VISPDATS who have been homeless for a long period and remain unconsidered- how can we address the needs of these clients?
                                   vi.      People that get referrals and have not been contacted for a long time:
1.       J.E- has not been contacted by scattered site
2.       D.B- has not been followed up with for Next Steps Enfield
                                  vii.      Support we may need for future goals:
1.       Clarification, accountability, transparency
2.       211 in general: chipping away at issues 

10.   ANNOUNCEMENTS:

GH CAN Coordinators:
Matt Morgan, Journey Home  matt.morgan@journeyhomect.org 

Crane W Cesario, CRMHC – DMHAS  crane.cesario@ct.gov  

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