Monday, November 9, 2015

Greater Hartford CAN Pre-Impementation 7/2/14

Greater Hartford - Coordinated Access Network

 Meeting Notes

July 2, 2014
In attendance:

Brian Baker- South Park Inn
Crane Cesario- DMHAS/ Hartford CoC
Roger Clark- Immaculate
Mary Davenport- The Network
Brenda Earle- Department of Housing
Fred Faulkner- The Open Hearth
Bryan Flint- Cornerstone
Rosemary Flowers- My Sisters’ Place
Kristen Granatek - CCEH
Lou Gilbert- Immaculate
Tanesha Grant- Mercy Housing
Andrea Hakian- CHR
Dave Martineau- Mercy Housing
Sarah Melquist- MACC Charities
Patrice Moulton- CRT/ East Hartford
Matt Morgan-Journey Home
Amina Musa- Journey Home
Robin Nichols- St. Franics
Roxan Noble- YWCA/ Chrysalis
Frank Rector- HOPE Team
Lionel Rigler- City of Hartford
Iris Ruiz- Interval House
Barbara Shaw- Hands on Hartford
Dave Shumway- Immaculate
Donna Szarwak- Interval House


·         According to 2-1-1, 50% of calls in other coordinated access networks getting diverted by 2-1-1
·         Updated the group on 100 day rapid results campaign:  in New Haven their goal is to house 75 chronically homeless people. We are looking to have a 100 day campaign in the Greater Hartford area as well. Journey home’s board will fund a boot camp training to start 100 day campaign in Hartford. The 100 day campaign in Hartford will possibly start in Jan with Registry week occurring during the same week as PIT count.
·         Coordinated access networks are being called different things in different regional areas. Maybe we should call our local CAN a Coordinated Assessment and Housing Referral network.  In NYC it’s Coordinated Assessment and Housing Placement (CAHP).
·         We need to think about how to name the waiting list,  possibly ”registry list”
a.       Later on in discussion it came up that this should be referred to as something different. Registry has negative connotations.
·         We need to identify Housing Oversight Group and Case Conferencing processes.
·         In terms of marketing, maybe we could publicize our GH CAN if we start our 100 day campaign on Oct 1.
a.       That would be great but we are currently waiting to hear if other communities will start the 100 day campaign with us. Starting at the same time promotes camaraderie and a bigger push to accomplish goals (i.e., house people)
b.      Might be tough to do earlier as we  have so  many projects we’re working
c.       Because of scheduling with the Rapid Results Institute, the boot camp cannot be scheduled before October.  

·         Various regions of the state are going to have different CAN assessment sites due to their geographic scope. Similar to how Greater Hartford will have one assessment schedule for the city and another for the region.  
·         Bed availability/ Google document:
a.        Bryan would like to send out emails every day to identify what the availability is. This will make it easier to know which shelter has available beds/space.

·         GH CAN Work Topics
d.      We need to complete both 211 and HMIS information pages.  Information we tell 211 and HMIS are similar however, Nutmeg will customize HMIS based on what we tell them to modify according to our community’s needs
e.      Each CAN does not have access to another region’s information
f.        2-1-1 will be the one front door  to have access to everyone’s information
g.       Shelter Intake Tool: Newest HMIS standards will be in the intake form, It should be approved soon by DOH. Shelters will receive notice and use for clients in their shelter.
h.      The diversion Tool done by Susan Wagner’s team is currently undergoing modifications. It is a tool to divert people in person (has to be done in person) and is a set of questions to be asked interview style.  The case manager/ interviewer can figure out if there is a way to keep them from shelter, i.e., fighting  with parent  leading to homelessness.
i.         Lauren Zimmerman and Kristen Granatek will walk through the diversion tool and VI -SPDAT to see if there is any repeated information they could cut out to maximize time
j.        At the initial GH CAN assessment, diversion will happen first.  If possible then  the VI- SPDAT  will be done.
                                                               i.      What is the skill set for the VI SPDAT?
Response: Case manager level/ direct service person
k.       Some agencies are doing shelter intake at the CAN assessment if the person needs shelter that night. In that case, the Google document makes sense. Would want to have eventually live bed availability in HMIS.
                                                               i.      How realistic is it for staff to continuously update this information?
                                                             ii.      Response: We would use the Google Document/bed availability in HMIS just to know where there is bed availability not necessarily to know when and who is in the shelter at every specific moment
l.         Release of Info for HMIS will be included as a topic in our meeting next week
m.    Referral Processes: No more individual waitlist, call it a registry? Also no more individual program waitlists. People will now gain access to services based on their score. People who have been sleeping outside get higher on the registry.
                                                               i.      Will finally be able to tell who actually has which need based on VI-SPDAT score
                                                             ii.      How do we want to manage people who have been referred to the three different tracks? (permanent housing, rapid rehousing,  transitional housing  )
                                                            iii.      We can start using the VI-SPDAT now?  Will eventually add the VI-SPDAT to the Greater Hartford Universal Housing Application (GH UHA)
                                                           iv.      Need to make sure that the GH UHA asks how long one has been homeless
                                                             v.      Hopefully by Sept 1 universal housing referral list can be active.
                                                           vi.      Folks need to learn how to use the VI - SPDAT now. If there is a training need (VI -SPDAT, Diversion tool) please let CEEH know. CCEH will organize having another training session if the need is there.
                                                          vii.      We need a housing liaison for documentation acquisition. Maybe some people don’t have ID, need Homeless verification this person will be able to handle all of that. We also could have program case managers at each agency spilt up the number of people who need documentation and get it for them. That way one case manager is not burned out.
2.       When would hospitals send someone to 2-1-1?
a.       When we have patients being interviewed on the phone by dependency facilities. We give the client a list of shelters and the client makes the call to shelter themselves.
b.      Maybe the CAN appointment could be done on the phone
c.       If the person is discharged and they do not have a bed that night they become suicidal s
d.      What is the discharge plan now if there is no shelter?
                                                               i.      Discharged to the street?  St. Francis will hold them for the night many times.
                                                             ii.      For the in-patient unit, they have more time to work with the client.  The hospital’s case management team will work with them but they usually have a 3 day, 5 day, or 7 day discharge plan. Will the case managers be able to do GH CAN assessments?
Response: Would have to check with them. Only the In-patient clients have a case manager.
                                                            iii.      IOL various clinics do refer clients to a shelter bed
                                                           iv.      St. Francis ships people all over the state depending on bed availability at specific shelters
                                                             v.      2-1-1 will pick up on the people who are moving all over the state. 2-1-1 will keep the client in the first CAN they were assigned to.
                                                           vi.      We have to keep in mind that we have one group that does Community Care Teams with the hospitals
                                                          vii.      PSH providers will have contracts with DMHAS. DMHAS has to know that providers have modified measures based on
e.      Next Week Agenda Items:
                                                               i.      DMHAS …PATH outreach workers sounds like it would be good for them to do assistance. CRT has PATH, (ASSISTANCE transition from homelessness. SAMSHA funded program.)
Maybe CHR or MACC could donate hours
-          Referral side to community resources. Agencies that are mandated to provide services to our clients (DCF, Parole, mental health) these agencies need to be asked what their requirements are for mainstream resources Want to integrate them into the network.
o   Other communities are putting together a resource binder so everyone knows what’s available.

o   Good task for the JH case manager’s meetings to consider

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