Wednesday, November 25, 2015

Greater Hartford CAN Meeting 5/20/15

GREATER HARTFORD COORDINATED ACCESS NETWORK
MEETING NOTES
WEDNESDAY, May 20th, 2015
Day 75 Check-In with 100 Day Leadership Team
NEXT MEETING: WEDNESDAY, May 27th, 1:30 – 3:30 pm

In Attendance:
Janet Bermudez – Hands On Hartford
Sharelle Blatche – Salvation Army Marshall House
Traci Burdick – Community Health Network
Crane Cesario – DMHAS
Rebecca Copeland – CHR
Steve DiLella – DMHAS
Brenda Earle – Department of Housing
Bryan Flint – Cornerstone
Chris Fortier – The Open Hearth
Sevasti Galanis – Chrysalis Center
Lou Gilbert – ImmaCare
Mary Gillette – Consultant for 100 Day Team
Amanda Girardin – Journey Home
Mollie Greenwood – Journey Home
Tenesha Grant – Mercy Housing
LaQuista Harris – VA
Eunice Hernandez – Chrysalis Center
Brittany King – The Open Hearth
Gerilyn Maciel – Salvation Army Marshall House
Dave Martineau – Mercy Housing

Philomena McGee – CHR Enfield
Debra Minzy – Veteran’s Affairs Supportive Housing
Matt Morgan – Journey Home
Theresa Nicholson – Chrysalis Center
John Oliver – Chrysalis Center
Faith Palmer – City of Hartford
Diane Paige-Blondet- My Sisters’ Place
Darlene Perez – My Sisters’ Place
Heather Pilarcik – South Park Inn
Patricia Pollicina – Chrysalis Center
Tiana Purvis – Salvation Army Marshall House
Jamie Randolph – CHR
Chris Robinson – Chrysalis Center
Amy Robinson – CRT
Iris Ruiz – Interval House
Kathy Shaw – My Sisters’ Place
Sheena Stringer – Chrysalis Center
Sandra Terry – CRT
Sarah Trench – Journey Home
Jose Vega – CRT McKinney Shelter
Tamara Womack – My Sisters’ Place


1.      Introductions & GH-CAN Meeting Notes for last week, 5/13/2015 (emailed)
2.      100 Day Team Update – Day 70
a.      Document Fair-
                                                              i.      The group watched a slideshow of photographs from the Document Fair, photography and slideshow by Jose Vega of McKinney shelter.  As the photos showed, the Document Fair on May 8th was a beautiful day. 
                                                            ii.      We believe we served over 150 individuals that day- some clients took their Releases of Information with them, so there were 132 clients whose attendance is confirmed from check-in.  There were approximately 75 volunteers from different agencies, as well as over 40 Chrysalis Center member volunteers on site that day.  There were 11 different agency vendors including the City of Hartford, Department of Public Health, Department of Correction, Court Support Services Division, Department of Social Services, Veterans Administration, Department of Housing and Urban Development, Community Health Network, the Charter Oak Health Center Van, the Department of Motor Vehicles, and Social Security Administration.  The event was received very positively by all agencies, and many agencies were eager to offer suggestions of how to improve a future event.
                                                          iii.      At the document fair, 47 Birth Certificate applications were completed, including 28 for the city of Hartford, 8 for Puerto Rico, 8 for other parts of Connecticut, and several others.
                                                           iv.      23 Replacement Social Security Card applications were completed.  In addition to these applications, Social Security assisted with benefit verifications, updates on Social Security claims, and answering questions.
                                                             v.      The Department of Social Services was busy all day, helping to complete budget sheets, benefit applications, and providing printouts that could help clients obtain identification at other stations.
                                                           vi.      The Department of Motor Vehicles estimated speaking to 100 individuals throughout the day in regards to a new ID, 15-20 clients looking for duplicate IDs, and 10 for renewals.  In addition, the DMV is open to having a special line in  the morning of Thursday, 5/21 to complete photo IDs for clients from the document fair.  The flexible funding from the 100 Day Campaign can cover any costs that day.  We hope that the possibility of having a special line will continue into the future as an option to help our clients obtain much-needed photo identification.
                                                         vii.      GH CAN staff and other trained volunteers completed 57 VI-SPDATs on the day of the fair.  In addition, staff helped clients complete 30 Universal Housing Applications, and a few clinicians were able to provide several disability determinations throughout the day. 
                                                       viii.      Participant feedback was very positive and appreciative, many people were surprised by how pleased clients were by what got done that day.  The 100 Day Team wants to extend a HUGE thank you to all participants who made this successful.  It really was a great collaborative effort, based on outcomes there are discussions about continuing event regularly, perhaps twice a year.  Chrysalis Center has expressed that they may be able to host future document fairs. 
b.      An ongoing project of the 100 Day team has been to examine the length of time between a conditional match and when someone is actually placed in conditional housing.  Sometimes this process takes months at a time, due to a variety of factors including locating and engaging the client, gathering documentation, completing RAP applications, negotiating with landlords, having the unit inspected, and a number of other variables.
                                                              i.      One of the barriers to quickly housing clients who have been matched is scheduling inspections for RAP vouchers.  Several referrals are still pending for clients who were conditionally matched to housing in February and March.  The 100 Day Team has heard that inspections are typically scheduled 4-6 weeks out, which is a significant amount of time that is being added to the housing process in some cases.  Only one agency is able to provide these inspections, and we wonder if there may be a way for leadership to help expedite this inspection process, or if it would be possible to prioritize inspections for those clients who are literally homeless.
                                                            ii.      In addition to this request, the 100 Day Team asked that if there are any housing programs whose referrals have been pending for a few months, that leadership use any influence they have to expedite referrals within their own program.  The 100 Day Priority List was available for leadership to review.  There are currently 41 different households that are conditionally matched, but not yet housed that the team asked for leadership to review.
                                                          iii.      A systematic barrier that the 100 Day Team has noticed throughout this housing process is a shortage of staff to serve as client navigators.  Throughout this 100 Day process the GH CAN has tried to assign a navigator to clients who have been conditionally matched to housing.  The 100 Day team, as well as staff at other agencies have stepped in to fill this role.  The 100 Day team is currently working on a handbook for navigators to help clarify the role of a navigator, as well as to outline what is needed to navigate a client from a conditional match to permanent housing.  Other regions of CT are having similar conversations about navigations.  When we started the CAN we figured out who in the agency was a DSC, we want to ask for that in each agency.  We would like each agency to designate TWO individuals who will serve as navigators, not as a full time position, but as a component of their duties.
a.      We would ask leadership to support the need of these navigators.  We know what we are asking may be outside the standard roles of your staff.  We are hoping to prioritize this coordinated matching and placement.  We would ask that you support giving your navigators to do that matching legwork between a match and housing.  For providers who require a record of time spent in various functions, we’re asking that navigation time not be counted negatively against performance measures.
                                                                                                                                      i.      There were some concerns that people have time very clearly structured within their agencies, and there is concerned that navigation is not one of the items included for their time.  We’re asking that if at all possible, agencies use whatever flexibility possible to include navigation as a component of other positions.  Leadership from DMHAS and DOH indicated that any funding provided through their agencies for staffing would be flexible to include this role, as needed.  This year’s DOH contracts are already submitted, but if agencies are still seeking new funds, they should look into any available ESG funding that may be available through cities.
                                                                                                                                    ii.      Crane will work with Brenda of Department of Housing to get a list of budget line items that allow for navigation charges to distribute to all agencies with these funds, for next year’s application
                                                                                                                                  iii.      We discussed that there are already some staff, including Chrysalis CABHI staff and some CRT case managers who have been committing time towards client navigation so far.  Additionally, a number of 100 Day staff have stepped in to fill this role throughout the campaign. 
                                                                                                                                  iv.      Mercy Housing said they would look at available staffing, ImmaCare also said they would look at how staff could be flexible.
b.      Finally, one of the goals we did want to add was to, as this 100 day period winds down, we want to make sure there are sustainable processes transitioning back to the whole GH CAN organization.  This process of not only coordinated access, but coordinated exit is one that the whole CAN needs to be equally engaged in once the campaign comes to a close.  Now that many processes have been established, we want to consider moving towards meeting every two weeks.  The 100 Day team supports this move, and this switch to bi-weekly meetings would begin following the completion of the 100 days.  As the new two week format would open up staff time every other week, part of what we’re asking is that each agency designates someone who is committed to being here every two weeks.  We know there’s a learning curve to showing up at this table and picking up on acronyms.  We think having some consistency and having people come to speak about their agency, housing placements, we want to have folks come to the table prepared to do that every two weeks.  The team requested that each agency choose at least one person to come to bi-weekly meetings, and for that person’s attendance to be consistent, as variations in present staff could delay processes up to a month. 
c.       A lot is still in process for this campaign!  We are still gathering ID’s and we are still linking up documents to UHAs since the Document Fair.  We have made some serious progress with the numbers of people housed, and with conditional matches.  Adding all of those things up takes us around 88 different people.  There has been a lot done in terms of prioritization and sustainability planning.
2.      The leadership team provided some insight into the inspection process for RAP certificates.  RAP inspections are subcontracted by D’Amelia out to local housing authorities.  These inspections are currently being prioritized for VASH, and because of this precedent it may be possible to prioritize for the literally homeless as well.  Because inspections are subcontracted through housing authorities, the process takes different amounts of time in different regions.  While it has been an added time period for some regions, other parts of our CAN have seen speedy turnaround times for inspections.  Steve DiLella of the Department of Housing and Department of Mental Health and Addiction Services volunteered to check-in with their contacts at D’Amelia to see if there was any way to prioritize inspections.
3.      In the next month, the 100 Day Team is hoping to put together a navigation handbook, including any suggested time-frames for the CAN housing process.  After this handbook has been created, Journey Home volunteered to help conduct a navigation training for the region.
4.      One staffing suggestion in regards to navigation was to have a staff person designated to do CAN access tasks, like completing assessments and helping with 211 calls and the UHA.  That staff person could float between different soup kitchens, to make sure clients aren’t falling through the cracks.
5.      Different agencies discussed the staff they currently employed who helped with client navigation.  Some of the challenges are created by having staff with multiple duties, who cannot prioritize this role, and some are caused because staff time is so limited, especially with part time positions.

3.      211 CAN Data Update
a.      We reviewed the 211 statistics page, and discussed that we are monitoring the distance into the future that appointments are booked out.  Right now, we are still booking into July.  We have asked 211 if they have the ability to see which clients have already completed a VI-SPDAT, and will be asking that they do not schedule CAN assessment appointments for any client who does have a VI-SPDAT. 
b.      We are still hearing from providers that clients are coming to appointments who are not in need of homeless services, or eligible for any of our programs. 
c.       We discussed the efforts Journey Home is making to track the sum of episodes for all clients.  Because of the HUD prioritization guidance, our CAN should be housing first those chronically homeless clients with the longest history of homelessness and high service needs.  The second priority group of people are those chronically homeless clients with the longest history of homelessness.  The third priority level are those chronically homeless clients with a homeless history of less than 365 days, but with high service needs, as determined by the VI-SPDAT.  The fourth priority level are all other chronically homeless households. 
                                                              i.      Journey Home has been involved with trying to track the sum of episodes for clients, in order to determine which priority level they fall into.  They have created timelines for all clients who self-identified as being chronically homeless, but know that there are many clients whose information sharing restrictions has made it impossible to view their entire homeless history.
                                                            ii.      Going forward, if we need to make referrals out of the second priority level, we may need to create a form stating that the GH CAN currently has no more clients who fall into priority 1, and that is why a housing program has gotten a referral for a priority 2 client.
d.      We made a decision to commit and request for staff to participate in the  surge at Soup Kitchens and with outreach staff during the week of June 1. This is an immediate plan to try to identify more Tier 1 CH, get documentation for Chronic Maybe’s with VI-SPDAT scores of 10 or higher, and hopefully reduce the assessment backlog.  We still need a long range plan and would like to continue the discussion and keep it as an agenda item.
4.      GH CAN Stats Update – See p. 8
5.      Mission Statement Plan 
a.      We drafted GH CAN Policies and Procedures last fall, and revised them in the winter.  We know that policies and procedures will continue to evolve as we move forward with coordinated access, but want to work as a group to determine a mission statement to guide our work moving forward.
6.      Zero: 2016
a.      Chronic Homeless Veterans Check-In – No staff at the GH CAN meeting knew of any homeless veterans who were not currently engaged in services.
b.      For programs that serve chronically homeless veterans, if we as a CAN are unable to locate chronically homeless veterans, what is the next population that should be served?  Should the CAN prioritize chronically homeless non-veterans, or non-chronic veterans?  We are hoping to receive guidance on this issue in the next month.
7.      Vocabulary for Zero:2016
Instead of “Take Down Target” or “Housing Placement Rate”, the GH CAN has elected to use “Housing Connections Rate” to measure the number of people that we need to house monthly to hit functional zero.
8.      Commissioner and Deputy Commissioner of the Department of Housing will be attending our June 3rd GH CAN meeting.
a.      The Commissioner and Deputy Commissioner are visiting all the CAN meetings throughout the state to hear about progress and challenges with the GH CAN.  This is an opportunity for us to present all the changes we have been able to implement in the past year, as well as indicate all the potential improvements we could make.
9.      Assessment Concern/SPDAT
a.      The creator of the VI-SPDAT, Iain DeJong, presented at the ATI last week.  When questioned about how to appropriately handle a VI-SPDAT that isn’t truly reflecting a client’s needs, he said the best way is to use the full SPDAT. 
b.      It is important to marry intellect and compassion when assessing client needs, but to override the score without implementing a standard tool could be a slippery slope.  We do not currently have staff trained in the SPDAT, but that could be a resource we look for in the future.
10.  Housing Referrals
a.      Review Pending Referrals
                                                              i.      We reviewed the status on 49 previously made referrals through the GH CAN.
b.      New Referrals – we made a number of new referrals, but also discussed further how to handle reporting on taking clients out of priority level 2, if we can not find any more priority level 1 clients.  Many staff believe that there are other priority 1 level clients on the “chronic maybe” list, or believe that some priority 2 clients are underreporting their needs on the VI-SPDAT.
c.       Rapid Rehousing Referrals – Journey Home will be submitting clients from priority levels 3 and 4 with the appropriate VI-SPDAT scores to CT Rapid ReHousing in the hopes of accessing a different housing resource for these lower needs clients.

11.  ANNOUNCEMENTS
a.      Section 8 Housing WaitList opened
b.      Point In Time Count Released http://www.cceh.org/wp-content/uploads/2015/04/CT-Counts-2015.pdf

GH CAN Coordinators:
Matt Morgan, Journey Home  matt.morgan@journeyhomect.org 
Crane W Cesario, CRMHC – DMHAS   crane.cesario@ct.gov




Greater Hartford Coordinated Access Network Statistics
Updated as of May 19th, 2015
Changes from last week have been bolded
Topic
Data
Comments
Coordinated Entry
Total Number of GH CAN Assessment Appointments Per Week
89

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 for March, 2015
65%
557 Appointments Scheduled for March
194 Appointments Completed
35% Attendance to appointments
No-Show Rate for April, 2015
71%

29% Attendance to appointments

Next Available Appointment Slot: Individual Men
7/21/15
Booking out 0 days further since last week
Next Available Appointment Slot: Individual Women
7/22/15
Booking out 16 days further since last week
Next Available Appointment Slot: Families
7/23/15
Booking out 21 days further since last week
Total Number of CA HMIS Data System Modifications
304

That is 22 additional cases to resolve compared to last week.
Coordinated Exit
Total Number of New Available Housing Units Reported to GH CAN this week
0
As a reminder, all units must be submitted through the Housing Availability Report: http://goo.gl/forms/j5iWZBqKVR
Housing Units Awaiting Referrals
Up to 16
Shelter Plus Care, Next Steps Enfield, Chrysalis BOS, Mercy RAP, ImmaCare RAP
Total Number of Available Housing Units Reported through GH CAN in 2015
84
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, Chrysalis BOS
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
0
Salvation Army Marshall House’s two Rapid Re-Housing programs are temporarily closed.
100 Day Campaign
Total Number of Clients on Prioritized List
136

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
62


On Prioritized List, number of clients with a navigator
37
This number is all of the clients who are not yet housed, but who have a navigator assigned.
On Prioritized List, number of clients conditionally matched
41

On Prioritized List, number of clients housed
32
28 were housed through GH CAN programs
4 obtained independent housing

Clients housed through RRH or Transitional Housing during the 100 Day Campaign
94
With the exception of 1 client housed through CT RRH, we do not believe any of these clients are chronically homeless.

Households enrolled in non PSH Housing Programs since the beginning of GH CAN:

Rapid ReHousing Programs 11/17/14-3/10/15
Households Enrolled
Chrysalis Center - DoH ESG RRH STATE Funds (Short Term)          
1
City of Hartford ESG Program (HP)          
1
Community Health Resources DSS RRH Region 4
17
CRT - DoH ESG RRH STATE Funds (Short Term)
7
CRT - SSVF-RAPID REHOUSING 
19
Salvation Army MH - Greater Hartford Rapid ReHousing Program
13
Veterans Inc.-SSVF-CT502-Hartford-RRH              
2
Grand Total
60

Transitional Housing Programs 11/17/14- 3/10/15
Households Enrolled
CRT - Supportive Housing Collaborative (TH)       
9
CRT- Veterans Crossings(THP)   
4
House of Bread - Transitional Program (THP)      
3
Mercy Housing and Shelter - Catherine's Place (THP) (SW)           
9
Mercy Housing and Shelter St. Elizabeth - 2 Year Clients(SMF)(DSS) (TLP)
11
Mercy Housing and Shelter- St. Elizabeth House WOMEN'S PROGRAM- 90 Day  (SF) (DMHAS) (TLP)
6
My Sister's Place - Transitional Living Program (THP)       
5
Open Hearth Association - Transitional Living Program (THP)       
13
South Park Inn - Transitional (THP)          
18
Grand Total
78

Households enrolled in non PSH Housing Programs in the 100 Day Campaign:

Rapid ReHousing Programs 3/11/15- Present
Households Enrolled
Community Health Resources DSS RRH Region 4               
9
CRT - DoH ESG RRH STATE Funds (Short Term)   
4
CRT - SSVF-RAPID REHOUSING 
22
Salvation Army MH - Greater Hartford Rapid ReHousing Program (RRH)
2
Veterans Inc.-SSVF-CT502-Hartford-RRH               1
1
YWCA Of The Hartford Region (THP)       1
1
Grand Total
39

Transitional Housing Programs 3/11/15- Present
Households Enrolled
CRT - Supportive Housing Collaborative (TH)       
2
House of Bread - Transitional Program (THP)      
5
Mercy Housing and Shelter - Catherine's Place (THP) (SW)           
6
Mercy Housing and Shelter St. Elizabeth - 2 Year Clients(SMF)(DSS) (TLP)
9
Mercy Housing and Shelter- St. Elizabeth House WOMEN'S PROGRAM- 90 Day  (SF) (DMHAS) (TLP)
7
Open Hearth Association - Transitional Living Program (THP)
13
South Park Inn - Transitional (THP)          
12
YWCA Of The Hartford Region (THP)
1
Grand Total
55




Number of Days booked out for Assessment Appointments
Greater Hartford Coordinated Access Network
(updated 5/20/15)



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