Wednesday, November 25, 2015

Greater Hartford CAN Meeting 5/27/15

GREATER HARTFORD COORDINATED ACCESS NETWORK
MEETING NOTES
WEDNESDAY, May 27th, 2015
NEXT MEETING: WEDNESDAY, June 3rd, 1:30 – 3:30 pm

In Attendance:
Rubi Alegria – Mercy Housing and Shelter
Brian Baker – South Park Inn
Janet Bermudez – Hands On Hartford - MANNA
Aisha Brown – CHR Enfield
Crane Cesario – DMHAS
Roger Clark – ImmaCare
Stephanie Corbin – CHN
Bryan Dixon – InterCommunity
Alfredo Echevarria – ImmaCare
Bryan Flint – Cornerstone
Chris Fortier – The Open Hearth
Amanda Girardin – Journey Home
Ruby Givens-Hewitt – My Sisters’ Place
Tenesha Grant – Mercy Housing and Shelter
Mollie Greenwood – Journey Home

Andrea Hakian – CHR
Amber Higgins – CHR Manchester
Steve MacHattie - ImmaCare
Gerilyn Maciel – Salvation Army Marshall House
Philomena McGee – CHR Enfield
Brittany King – The Open Hearth
John Oliver – Chrysalis Center
Heather Pilarcik – South Park Inn
Patricia Pollicina – Chrysalis Center
Chris Robinson – Chrysalis Center
Rob Soderberg – CHR Manchester
Sandra Terry – CRT
Sarah Trench – Journey Home
Leslie Wilper – Cornerstone
Tamara Womack – My Sisters’ Place


1.      Introductions & GH-CAN Meeting Notes for last week, 5/20/2015 (emailed)
We sent good wishes to Matt who is on vacation this week, with thanks for all the hard work of leading the GH CAN for so long!
2.      Review of Updated Chronic Maybes List – Today we are hoping to figure out who can work with some of the “Maybe Chronic” listed clients as part of preparing for next week’s soup kitchen / shelter initiative.  Everyone who is in Tier 1 that we have found has been matched to housing or is MIA or in a program/inpatient/incarcerated, however, we do not believe that we have located all of the Tier 1 highest priority chronically homeless individuals in our region yet.  Because of these concerns, the group reviewed a list of clients who have reported at least one year of homelessness and a disability either in a CAN appointment, or in their UHA.  These are clients whose length of homeless history could not be verified by information available in HMIS, and for whom we need further evidence from frontline staff to verify chronic status.  This is a challenging yet necessary task.
a.      The Chronic Maybes List was presented to the group.  The Journey Home staff have been working to track down clients who report being chronically homeless, and trying to create timelines.  Last week’s GH CAN meeting had us looking at folks who are categorized into the second tier of HUD’s prioritization for placement in permanent supportive housing.  GH CAN staff believes there are probably clients in the community that we have not yet identified who have higher service needs than those second tier clients we have reviewed already.  We also received feedback from leadership that we should focus VI-SPDAT Scores of 10 or higher for PSH.
b.      Right now, we’re using our assessment concern tool to override problematic VI-SPDATs.  The full SPDAT will help us validate someone who appears to warrant a higher VISPDAT score.  The VI-SPDAT is a triage tool, and the full SPDAT is an assessment tool.  We know we see individuals experiencing homelessness who are underreporting their disability status.  Some lower priority


clients may actually be higher than indicated, but we believe that is a relatively small number.  The creator of the VI-SPDAT has urged us to utilize the full SPDAT tool to reassess those whose scores are not reflected accurately.  We do not currently have any staff trained.  There is an effort underway by CCEH, with possible DOH and DMHAS funding, for training which is estimated to cost nearly $10,000.  Until we have staff trained in our region, we will continue to utilize the assessment concern form, available at www.journeyhomect.org/projects/gh_can.
c.       We still need to sort out are how to list folks who are incarcerated, and people who refuse housing.  They need to stay on our radar for housing, as do those who are institutionalized/incarcerated, but were initially eligible for our priority list and some housing programs. 
d.      While reviewing the Chronic Maybe list, Tony Mack, outreach staff at ImmaCare, was able to identify many of the clients in question.  It will be helpful for staff trained in assessments to work with outreach staff.  Amanda will be going out later this week with Tony to help those folks who look high priority complete the necessary assessments. 
e.      Following last week’s GH CAN meeting, Journey Home referred the clients who scored with an eligible VI-SPDAT score range to the CT Rapid ReHousing Program operated by CHR.

3.      Next meeting we need to bring the (unsheltered clients) forms.  We need to work on this list. 


4.      100 Day CAN Data Update as of 5/20/15:
Population Housed
Prior to 100 Day Campaign
11/17/14 – 3/10/15
During 100 Day Campaign
3/11/15 – Present



CHRONIC
PSH
57
PSH
36
Rapid ReHousing
0
Rapid ReHousing
1
Total
57
Total
37





NON-CHRONIC
Transitional Housing
78
Transitional Housing
55
Rapid ReHousing
60
Rapid ReHousing
38
Total
136
Total
93

5.      Announcements
a.      There is a client from the document fair who requested his birth certificate be mailed to a specific location- that birth certificate has been returned to City Hall.  Mollie announced that client’s name, but no staff knew the whereabouts of the client.  Mollie will attempt to call the client.  If anyone encounters this client, please call Journey Home so they can get connected with their documents.
b.      Crane distributed several pages of additional reading material and information. The first is HUD’s 2014 Prioritization Guidance about System Performance Measurement, created by the Balance of State COC.  The second is a myth-buster about public housing authorities and policy on restrictions of eligible applicants.  Two articles from Iain De Jong, developer of the VI-SPDAT were included. One is about street outreach in the era of Coordinated Access, and how we can evolve as a community.  We know a lot of this as well, but it pushes us further towards housing first.  The next article is “Does everyone who is CH need PSH?” While we know this is not true, we also have learned from what Amber discussed that RRH doesn’t work for everyone.  The articles are good food for thought, and will be interesting pieces to reference for future conversations.

6.      GH CAN Stats Update – See p. 2
Greater Hartford Coordinated Access Network Statistics
Updated as of May 26th, 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
7/27/15
Booking out 6 days further since last week
Next Available Appointment Slot: Individual Women
7/28/15
Booking out 6 days further since last week
Next Available Appointment Slot: Families
7/28/15
Booking out 5 days further since last week
Total Number of CA HMIS Data System Modifications
304

That is 13 fewer 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
5
Next Steps Enfield, Chrysalis BOS, ImmaCare RAP
Please note, this does not include any units that have already received referrals.  If those referrals do not pan out, additional referrals may be made.
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
8
Salvation Army Marshall House’s two Rapid Re-Housing programs are temporarily closed.
100 Day Campaign
Total Number of Clients on Prioritized List
170

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
80

This number is clients who are not yet housed but who have completed a Universal Housing Application
On Prioritized List, number of clients with a navigator
36
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
40

On Prioritized List, number of clients housed in 100 Day
35
31 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.


7.      Soup Kitchen and Shelter June 1st initiative –
a.      Next week, we are asking staff to commit to helping assess clients who visit soup kitchens or food pantries in order to gather necessary assessments for clients who have not yet attended a CAN appointment.
b.      If you are interested in helping with this effort, please contact Crane.cesario@ct.gov and mollie.greenwood@journeyhomect.org.  We need staff who are able to assist during soup kitchen hours including lunch and dinner times.  We can complete paper assessments if necessary to try and gather as much information as possible.  Janet B. of MANNA will send hours.  Please note the beginning of the month is a bit slower, but that may make it easier to connect with people.

8.      Department of Housing: Commissioner and Deputy Commissioner  visit on June 3
a.      This meeting will be an opportunity to talk about the challenges and successes our region has had with coordinated access.  As a component of this meeting, we are asking agencies to determine what the direct and indirect costs have been to operate as part of this coordinated access network.  Please send information about CAN costs in your agency to mollie.greenwood@journeyhomect.org and crane.cesario@ct.gov as soon as possible.
b.      We plan to discuss the many great things our region has accomplished, including an immediate shelter need protocol, the Document Fair, the total number of people housed, the Universal Housing Application, the identification and prioritization of our chronically homeless population, a sustainability plan for after the 100 days, trainings in UHA, VI-SPDATs, and CAN appointments, and most of all, the collaboration of all the participating agencies in GH CAN.
c.       Areas that we think we could improve include locating disconnected clients, managing information to ensure that it is constantly up to date, backlog of GH CAN appointments, navigation, HMIS data issues, and landlord recruitment. 
d.      Areas that our region needs assistance includes lowering 211 wait times, the backlog of appointments, pre-screening before scheduling appointments for people, developing navigator roles, navigation training, SPDAT training, diversion funds, assistance with CAN management/staffing, and landlord recruitment/engagement, assistance working with housing authorities.

9.      Navigator Configuration-
a.      At last week’s GH CAN meeting, the 100 Day Team requested that all agencies devote 2 people to take on the role of navigator in addition to their other responsibilities.  Similar to the way that other full time staff have taken on the role of DSC’s for CAN appointments, the team has recognized a need for all agencies to allocate staff time to navigation activities.
b.      The 100 Day Team is in the process of creating a guidebook to help lay out the timeframes and expectations for any staff who takes on the role of navigator. 
c.       We recognize that some contracts are already set, and there may not have been funding allocated by agencies for this role.  We also recognize that many agencies have already taken on a lot of additional work during the implementation of Coordinated Access, and know that available resources and their configuration needs to be an ongoing conversation in the community.

10.  Assessment Concern/SPDAT: for Changes to VI-SPDAT Score
a.      Until we have any staff trained in the full SPDAT tool, we will continue to temper scores that aren’t reflecting client need accurately by using the Assessment Concern Form, available at www.journeyhomect.org/projects/gh_can and discussing cases in the Housing Referral Group as needed.

11.  Housing Referrals
a.      Review Pending Referrals –
                                                        i.      We reviewed all pending referrals in the GH CAN for status updates.  There are a number of clients who will be signing leases on June 1.
b.      Missing, Unsheltered Lists -       
                                                        i.      In future weeks Journey Home will bring the list of missing and unsheltered clients that they have compiled and seek more information from frontline staff.
c.       New Referrals –
                                                        i.      Two new referrals were made, one for CHR Enfield and one for CHR Manchester.  These were the only PSH Tier 1 Priority clients that had been located prior to this meeting.  Hopefully, after the soup kitchen initiative next week we will have located more PSH Tier 1 clients to refer. 

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


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