Monday, November 9, 2015

Greater Hartford CAN Pre-Implementation 6/4/14

Greater Hartford Coordinated Access Network

 Meeting Notes

June 4, 2014

In Attendance:

Brian Baker- South Park Inn
Sandy Barry – Salvation Army
Crane Cesario- Capitol Region Mental Health Center/ DMHAS
Roger Clark- Immaculate Conception Shelter and Housing Corp.
Justine Couvares- Chrysalis Center
Joel Cox- Town of Enfield Social Services
Mary Davenport- The Network
Fred Faulkner- The Open Hearth
Lou Gilbert- Immaculate Conception Shelter and Housing Corp.
Mary Gillette- Mercy Housing
Kristen Granatek- Connecticut Coalition to End Homelessness
Andrea Hakian- CHR
Camilla Jones- Town of Bloomfield Social Services
David Martineau- Mercy Housing
Matt Morgan- Journey Home
Amina Musa- Journey Home
Lynn Naughton- Salvation Army
Roxan Noble- Chrysalis Center/YWCA
Diane Paige-Blondett- My Sisters’ Place
Sarah Pavone- CRT/East Hartford Community Shelter
Heather Pilarcik- South Park Inn
India Rodgers- Town of Bloomfield Social Services
Iris Ruiz- Interval House
Kathy Shaw- My Sisters’ Place
Dave Shumway- Immaculate Conception Shelter and Housing Corp.


At the GH-CAN meeting on June 4th we answered the following questions:
1.       What is your Coordinated Access Network Region (name of the CAN)? Greater Hartford CAN

2.       Do individuals and families have different intake process (workflow) once they are referred to the CAN? [ YES / no ]
If yes above, is the initial interview conducted by different people (or locations) within your network? [ YES/ no ]
Priorities for this meeting were to continue working to obtain the answers for the following questions:
3.       How many intake locations will be available at the CAN?  Multiple
If you utilize more than 1, are these locations ‘open’ at the same time, or do they alternate days?
The locations for our Coordinated Access Network will alternate days depending on which agencies have agreed to do intakes at their facility. Our CAN is covering a large region, so we’ll have locations doing intake in the city of Hartford and outside of Hartford that will be open at the same time.
4.       Approximately how many staff people will be accessing the referral “buckets” in your network (sometimes referred to as Duty Service Coordinators)?
Not determined, will elaborate more at the next meeting. Each agency should have one main person to serve as the Duty Service Coordinator and an alternate to be safe.

5.       After the initial intake, briefly describe your referral and case management process for that client for the following scenarios (if it is different for individuals and families please specify):
We will go through different scenarios next week to help us figure out the intricacies of how our CAN will look like.
-          Client doesn’t show up (if you need to do something more than just check the ‘did not show up box’?)

-          Space is available at a local network (shelter, TLP, SHP, voucher) Will discuss at the next meeting
-          Space is NOT available at a local network at the time of interview / intake?


·         Opening Remarks: Based on the discussion at the Hartford COC/Journey Home Steering Committee meeting the day before, Tuesday, June 3rd  , we had guiding questions to lead the meeting.  There was a strong emphasis that our CAN needs to move towards being results based.  We cannot continue to have meetings just to sit and talk, we need to have results at the end of every meeting.

·         Reviewed the first set of questions in regards to what stakeholders should be a part of Coordinated Access planning. The Questions were: Who should we contact? At what agency? Who is their contact person for the CAN? Who will reach out to them? When should we reach out to them? Why do we want them involved?

·         Crane: We’ve heard from the state team that we should involve hospitals, police depts, who else do they suggest?
                                            i.            CCEH: Domestic Violence, probation, parole, faith communities, police, housing authorities, DCF. Everyone needs to know about the changes to referring people to shelter.
Suggestion to think of this broader than only shelter. What agencies refer people to shelter? Those are the people that should be a part of the Coordinated Access Network.  They do not necessarily have to be a part of the planning process right now but they need to be made aware of what is going on.  Knowing now that 2-1-1’s role and scope have changed, we have to re-imagine what we were thinking in terms of how Coordinated Access is going to look.  We have to thinking broader (outside of shelter) as to who should be involved.

                                          ii.            Crane will reach out to Hartford Police Department. Town of Bloomfield Social Services and Enfield Social Services will speak to their respective police departments.
                                        iii.            Veteran programs? CRT has 3 Veteran programs and Sarah Pavone will reach out to them to be involved.
                                         iv.            Chrysalis has contacts with Vernon Police Dept.  Justine will reach out to them.  CHR will reach out to Manchester Police Dept.
                                           v.            Iris Ruiz will reach out to Rocky Hill Police Dept and Wethersfield police dept
                                         vi.            CHR spoke with Manchester Hospitals and they are apprehensive about being a part of Coordinated Access.  They are concerned with DPH and do not think discharging a client for them to call 2-1-1 and be scheduled for an intake to access shelter services is an adequate form of discharge.
                                       vii.            What about contacting residential drug and alcohol? Justine has a contact at ADRC, will also reach out to Farmington Valley Town’s Social Services.
                                     viii.            Crane will talk to DMHAS about DPH
**What can the City of Hartford do in terms of resources for intake?  Or can hospitals administer intake?
                                            i.            Lou Gilbert: If we have people in the hospitals administering the intake, is the information going to be accurate?  It is possible that they become familiar with the VI-SPDAT and know how to respond to specific questions to get the results they want so they could get people out of their hospital beds.
a.      It’s very likely that this could happen. In order for the client to have a successful discharge according to DPH and Hospital requirements they should call 2-1-1 while the client is still in the hospital and conduct the intake. That would allow the client to know where they are going after being discharged.


·         Iris: When is a person going to be referred to a Domestic Violence shelter as opposed to a regular shelter? If they are a past victim of DV will they still be sent to a DV Shelter?
                                            i.            CCEH: It’s client choice. If they present as a DV Victim and would still like DV support services they can go to a DV Shelter.
                                          ii.            Crane: When we get to that kind of situation we will have to figure out when it is client choice or abuse of the system.
                                        iii.            Iris: What if someone comes to a DV shelter but it isn’t appropriate for them to be there?
a.      That client would have to call 2-1-1 to access another shelter

·         Is 2-1-1 able to give us an approximate of the people calling now?
a.      What we do know is that we are receiving three times the amount of calls for people requesting shelter than South East CT, but we don’t know if this is an accurate number, because many people who need shelter do not call 211, and go straight to the shelter.
b.      Bridgeport and Middletown communities will meet to gather data with Journey Home and explain their Coordinated Access process.

·         Reviewed the CAN Template.  We have to figure out as a community what to do for those who are not diverted by 2-1-1 so that they won’t enter shelter.  We need to think about diversion.  How are we going to do this?
                                i.            Lionel: We need all our diversion resources to be pulled together. There are many different agencies, that might not be here, or that we are aware that are offer prevention resources (security deposits for example) we need to get them all together.
                              ii.            We have some of these resources in the GH CAN packet from the March 5th meeting.
                            iii.            Dave: 2-1-1 should already have a good number of these resources. People call them all the time requesting services. After looking at their list of resources we can then see what services are needed to successfully divert people.

·         **Reviewing the Nutmeg sheet: How many days a week should we be checking the buckets?
                                i.            CCEH: Our local CAN has to tell 2-1-1 when they can make appointments; whether it be the next business day or that day. Many times clients will call 2-1-1 to cancel an appointment so the agency will not even know if that appointment is still occurring if they don’t check the bucket.
                              ii.            Lou Gilbert: Can’t 2-1-1 send an email to a group of people (case managers at that specific agency) if there are changes?
a.      CCEH: 2-1-1 will send emails if that is how our CAN requests them to communicate.
**(Timing of buckets, deadline making reservations, frequently checking)
·         What do we do about no shows?
                                   i.         Some communities have a 30%-40% no show rate.  People are diverting themselves, if they don’t call back needing resources, they seem to not need shelter.
                                 ii.         In the case of DV shelters they should call to follow up if the client is a no show. All the other shelters could set their own policy for whether to call back.
                               iii.         CCEH: Some CAN’s have a policy that they will allow a person 3 no shows, and then do not schedule another appointment.
                                iv.         Our process for no show: follow up is at the agency’s discretion to decide what is a mitigating circumstance? We will not limit the number of no shows.
                                  v.         If a person is a no show a third time should we seek out the homeless outreach team?
a.      We could have Capitol Region reach out to the mobile clinics. We could have monthly review meetings to discuss clients and no shows.
b.      CCEH: Some communities have a daily conference call to go over difficult clients
c.       Dave: We can also utilize the networks in the shelter to make our outreach efficient. If we ask one of the guys in the shelter that we are looking for a specific person, they can use their street network to communicate and the person will show up. 

·         Marketing Plan: What resources will be available to let people know about the culture change?  We need to spread information around the community to make it aware to everyone that people have to call 2-1-1 for shelter.
                                   i.         ***Joel : To communicate with other agencies and providers, a four sentence blurb articulating what Coordinated Access is and the purpose of it would be helpful. This will make it easier to have other agencies know exactly how they could fit in the Coordinated Access Network.  CCEH will write something.

·         ***Lynn Naughton: DSS has to be educated about Coordinated Access. We have all these clients coming to shelter because DSS told them they will be able to access certain resources if they go to shelter.  Catholic Charities also needs to be informed.

·         ***Mary Gillette: Who is going to be the keeper of data?  Data will allow us to better utilize resources by knowing what services people are looking for.
                                 ii.         Crane: We will have to create a subgroup of as we move along further in this process.
***= To Do
Schedule for CAN Intakes

Intake locations for Individual Men and Women:
Monday: The Open Hearth
Tuesday: Immaculate Conception
Thursday: Immaculate, CHR Manchester in the mornings maybe

Intake locations and times for families: Monday: East Hartford Community Shelter,
Tuesday: Salvation Army Marshall House (all day), My Sister’s Place (1/2 day),
Thursday: CHR Manchester (1/2 in the PM), Salvation Army Marshall House (all day),
Friday: South Park Inn (1/2 day)
 YWCA/Soromundi will know next week what days and time they can commit to. CHR will also check when Enfield can take intakes.

Topics to discuss in next meetings:
Immediate Needs
Data- What to collect
Resources/Places
Marketing/Communications
Data Standards Management Plan: What do we want to know data-wise? How do we know if it is effective?
Releases of Information group discussion
Evaluation/ Consumer satisfaction


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