Monday, November 9, 2015

Greater Hartford CAN Pre-Implementation 7/16/14

Meeting Notes July 16, 2014
In Attendance:
Julie Ackerman – CRT
Sandy Barry – Salvation Army
Crane Cesario – DMHAS
Roger Clark – Immaculate
Fred Faulkner – The Open Hearth
Bryan Flint- Cornerstone
Lou Gilbert – Immaculate
Mary Gillette – Mercy Housing
Tenesha Grant – Mercy Housing
Dave Martineau- Mercy Housing
Sarah Melquist – MAAC
Matt Morgan – Journey Home
Patrice Moulton – CRT/ East Hartford Shelter
Roxan Noble – Chrysalis Center
Heather Pilarcik – South Park Inn
Iris Ruiz – Interval House
Dave Shumway – Immaculate
Jose Vega – McKinney
Tamera Womack – My Sister’s Place
Ashley Blanchard – CRMCH
Sara Salomons – CRT
·         Agenda
·         Introductions:
o   Fred said there had been an exciting morning at Open Hearth with a surprise DOC visit.
o   Sara Salomons from CRT, Ashley Blanchard from CRMHC, and Mollie Greenwood from Journey Home all introduced themselves as new members to future CAN meetings.
·         GH CAN Meeting Notes for last week, 7/9/14
o   Reviewed the minutes from last week.
·         Sarah from MACC offered to be our “question keeper” and record any questions or concerns that need to be brought to the state, or items that the group needed to table for later discussion.
·         We discussed Bed Availability Protocol, including the google docs.
o   Bryan discussed keeping the info on google docs, but after information has been posted, he can email people as necessary.  He suggested that it might be difficult for people to log into google docs to update information as necessary.
§  Others responded that we are already connected in email. 
§  Bryan suggested switching to collecting email daily to determine the maximum number of beds available.  Cornerstone offered to check the google doc daily and then send out emails updating shelters about bed availability.
·         Using daily emails might be less efficient than using the google doc as it stands.
·         Workflow Project: Identify the process of referring a household to shelter from the CAN assessment appointment: c)household came from the shelter prior to CAN assessment appointment). Household was referred to shelter while waiting for available CAN appointment or was  self-referral to a shelter and was assisted in making CAN appointment).
o   We need to look at how we handle these CAN appointments with clients.  Specifically, we need to figure out clients that could not be diverted at CAN- they are now in need of shelter.
§  Ideally, these clients would stay where they are.  If a client is already staying somewhere, they should be allowed to return the evening following their CAN appointment.
§  Can all clients leave their things in the shelter while they go to the appointment during the day?
·         All shelters present said that clients can leave their belongings at the shelter while they go to CAN assessment.
o   We need to figure out what the protocol will be when you take in a client prior to their assessment.  We need to be able to communicate about client needs across shelters. 
§  In order for us to communicate across shelters, do clients need to sign a release of information of some kind?
o   What happens when a client skips an appointment and then goes to a shelter?
o   Right now, we aren’t totally clear on what will happen at an assessment- as a group we need to determine how we will communicate between assessment sites and the host shelter.
§  Maybe clients could bring a paper from the shelter to the appointment, then have the paper signed, and return it to the host shelter in order to gain entry?  This is not a foolproof system.
o   Focusing on those clients who do attend their appointments as scheduled, how can the appointments find out whether the clients can return to the same shelter to stay following the appointment?
§  The host shelters could fax over a release to the appointment site to confirm that the clients show up
§  We could program HMIS to ask a few questions designated for the appointment
·         We all use HMIS, so this could be practical
·         However, there could be a delay.  In some shelters, the person who enters client data may not be there between the Friday night, when a client arrives at a shelter, and their Monday morning appointment.  This would lead to client data not being entered prior to the appointment.
o   It’s possible that HUD may be calling for a 24 hour turnaround on client data in HMIS in the future.
§  The host shelter could send an email to the appointment center, indicating that the client had been staying at the shelter, and that they would, or would not be welcomed back after the appointment.
§  Shelters could enter client data into “the bucket”
§  For the purposes of communicating about clients while maintaining confidentiality, shelters and appointment centers can refer to clients’ HMIS numbers.  If the client is not yet entered into HMIS, the shelter and appointment sites can refer to client initials in correspondences.
·         One way to ensure that there can be more open communications following the assessment is to have clients sign a release of information at the host shelter, and then another release of information when they arrive at their appointment site.
·         Would it be practical to create a regional webpage for communications?  There are 8 regions in CT.
·         We need a statewide CAN in some shape, because clients are transient.
§  Clients already sign HMIS releases- could the HMIS release and the CAN release be consolidated into one release form?
§  Can 211 be responsible for holding this client data so that it can easily be located by shelters and appointments in the client’s file?
·         The goal is for information about whether or not the client can stay at the same shelter the night following the assessment so that the assessor can access that information during the appointment.
§  The norm will be that a client can return to the shelter unless otherwise stated.  It will become the responsibility of the host shelter to notify the appointment if the client is not welcome to return to the shelter.
·         Clients are not coming to this appointment for the purpose of finding out whether they can remain in the same shelter- they come to determine their eligibility for different programs and try to start planning their next steps. 
o   How does VISPIDAT information get from the CAN assessors back to case workers? 
§  Norwich reviews all clients in one meeting, but because we are much larger, we will need to set up an oversight committee.
§  Maybe we could enter CAN data into HMIS so that everyone could access CAN data after the appointment
§  *A statewide question is how do we track the CAN data and assessments to prevent clients from surfing for better referrals?
o   What about in cases where transportation is a challenge- if clients have an appointment scheduled at one shelter, but are staying at another. 
§  Is it possible to change appointments to remain in a current shelter?
§  If possible, shelters should create alternate in house appointments to decrease the burden to clients.
o   Rollout date for CAN is October 1st
·         Workflow Project: Shelters d) other: Household can no longer stay at any other shelter.
o   If a client is not welcome at a shelter after their appointment, the shelter must tell the client.
o   What is the process after CAN for clients who have been discharged?
o   Clients who are a no-show, arrive clearly intoxicated, or the CAN person feels unsafe, they will be referred to 211 and will need to schedule a new appointment.
·         Oversight Group Development
o   CAN must establish a group to deal with challening clients who are discharged from multiple shelters, or repeatedly miss CAN appointments.
§  Bryan Flint, Fred Faulkner, and Dave Shumway volunteered to be a part of this group.
o   Need to create an oversight group to assess CAN eventually
§  Representatives from each agency would ideally help provide oversight/assessment of CAN
·         Announcements
o   Waitlists are freezing August 1st
o   We need VISPIDAT for waitlist clients as soon as possible
o   We are looking for chronic families who can manage in a 2 bedroom- head of household must have disability
o   Next week we will figure out what we have already done / need to do /what we have agreed upon



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