Monday, November 9, 2015

Greater Hartford CAN Pre-Implementation 8/27/14

Greater Hartford - Coordinated Access Network
 Meeting Notes
August 27, 2014
In Attendance:


Crane Cesario – DMHAS
Joel Cox – Town of Enfield Social Services
Bryan Dixon- InterCommunity MHG
Fred Faulkner – The Open Hearth
Mary Gillette- Mercy Housing
Tenesha Grant – Mercy Housing
Mollie Greenwood – Journey Home
Mark Jenkins – Blue Hills Civic Association
Matt Morgan – Journey Home
Patrice Moulton- CRT/ East Hartford Shelter
Theresa Nicholson- Chrysalis Center
Roxan Noble – Chrysalis Center
Heather Pilarcik – South Park Inn
Sara Salomons – CRT / Planning
Dave Shumway – Immaculate Conception
Sandra Terry – CRT
Jose Vega- CRT/ McKinney Shelter
Tamara Womack – My Sister’s Place
Steve McHattie – Immaculate Conception
Ruby Givens-Hewitt – Salvation Army



1.       Introductions & GH-CAN Meeting Notes for last week, 8/20/2014
a.       This week, in addition to normal sign-in sheet, we are passing around a sheet to collect a list of who plans to be a part of which different groups.  We want to solidify representatives to the Oversight Committee, Duty Services Coordinators, Core Review Group and the Housing Referral Team. 
2.       Updates:
a.       CAN Implementation Schedule: GH-CAN Tentative Start Date 10/27/14. 
                                                               i.      Our date has been pushed back- this means for the groups that were planning to start their meetings on October 15th, they may not want to start that day.
1.       We plan to discuss what kinds of ROIs are going to be necessary, and whether the HMIS release is an acceptable release for right now.
2.       We have also attached a meeting summary of the statewide CAN meeting from 7/24.  We are still keeping our ongoing list of action items (attached to agenda), but the state has also laid out their list of requests for further guidance.
b.      Stand Down Representatives
                                                               i.      We have been asked by CCEH for representation from the GH-CAN.  We would like to send two representatives. Ashley Blanchard from DMHAS will be attending as one of our representatives; Mollie Greenwood of Journey Home might be a second CAN representative.
                                                             ii.      A couple of our veteran programs will be going to Stand Down as well.  They offered to let the GH-CAN representatives sit at their table to explain the benefits we have available.
c.       Final GH-CAN Assessment Schedule
                                                               i.      The final schedule is attached to last week’s minutes. 
                                                             ii.      Our final assessment schedule, HMIS and 211 questionnaires are due this Friday, 8/29.
d.      Shelter Bed Availability Report  
                                                               i.      All shelters are updating fairly regularly, Tri -Town has already indicated that due to low turnover, they will not update very often.  If this is true for any other shelter, let Mollie know.
                                                             ii.      Immaculate Conception indicated that they still have firewall problems at the shelter, and can only update from Casa De Francisco.
e.      Reminder: Purge existing waitlists by 9/15/14
                                                               i.      To clarify, purging means that you contact the household on your waitlist to see where they are, and whether they are still eligible for your program.
                                                             ii.      We got some news from DMHAS this week.  The DMHAS decision right now is that agencies should continue to draw from existing waitlists that are first-come, first-serve basis until they are exhausted; then programs can use the GH CAN priority lists.  DMHAS’s decision is based on trying to avoid causing undue hardship to clients who been on these lists for a long time.
                                                            iii.      HUD has said that going forward all programs will need to prioritize waitlists based on vulnerability.  However, HUD has not clarified what to do with the people on your existing waitlists.  Everyone can purge their waitlists of people who are no longer eligible, but right now, until there is more HUD guidance, all DMHAS funded housing programs need to work through their existing waitlist before they can begin working from a prioritized waitlist as noted above.
                                                           iv.      Unfortunately, the reality is that we can’t just flip a switch in October and be able to do everything immediately.
                                                             v.      This update is not applicable to the UHA.  The UHA is a pre-screen into many programs, so if the UHA is a program’s only waitlist, the DMHAS directive will not apply.
1.       We also discussed veteran programs referring through the UHA, and the fact that the UHA is a pre-screen only for veteran programs, and the process can get difficult if VA referrals are required for different programs. Please note, 211 will refer directly to SSVF.
f.        CAN access call time frame until housing crisis (previous decision was 14 days or less)
                                                               i.      Originally we said that anyone who was 14 days away or less from homelessness would be referred to the CAN.  Some counties have chosen (due to high volume) to refer people who are only 48 hours away from homelessness.
                                                             ii.      There were concerns that if we only started taking people 2 days away from homelessness that every call we took would probably be a crisis call- perhaps a compromise between 2 days and 14 days would be ideal.
                                                            iii.      Our community has therefore decided that we will take people who are 7 days or less away from homelessness as CAN referrals.  As we go live, we can re-evaluate.
g.       New State Rapid Re-Housing Funds
1.       The state has $650,000 designated for Rapid Rehousing funds. 
2.       The grant does not include any administrative funds, it only pays for direct assistance to clients. 
3.       Housing inspections are required, however no funding is provided.
4.       We have been asked, as a CAN, to figure out one or two agencies who will take point on this.  These agencies will apply for the funds, and then make them available to clients of any agency.  Apparently there is a conflict with this request, as the model doesn’t allow collaboration.
5.       Only an agency can sign on, we can’t sign on as a fiduciary through the MOU.




h.      Referral Process from Household Experiencing Homelessness- workflow attached to last week’s meeting notes.
i.         VI-SPDAT Diversion Tool and Training
1.       The agencies that attended the training yesterday said that the tool was very straightforward, and didn’t really require a lot of training.
2.       A key point from the training was, however, that the Diversion Tool is not meant to be used as a script at assessments, it is meant to be a conversation guide, and the assessors don’t have to follow the tool question by question.  It is only meant to encourage conversations, similar to the kinds of case management conversations staff is already used to having.
3.       The VI-SPDAT, on the other hand, is meant to be read as a script.  In a few days, everyone who attended the training will be receiving an email containing the manual, which has further guidance on how to use the VI-SPIDAT as a script and on helping to explain the questions to clients.
3.       CT BOS Coordinated Access Network Policies and Procedures- Revisions
a.       A big thanks to Mary Gillette for being the first to send in edits of these policies and procedures!
b.      While everyone edits the policies, keep in mind, who is the CAN?  The different sub-groups we have created at these meetings will have different roles.  As everyone is looking through and making edits, try to think about what groups will be responsible for what duties.
c.       Please continue to review and edit these policies for next week’s meeting. 
4.       Duty Services Coordinators: Need final count and Daily Operating Handbook revisions.
a.       A sign-up sheet is going around for DSCs- if your organization has not yet selected one, please do so now.

5.       WORK GROUPS
A1. Shelter/ Assessment: For Families and Individual Women:
1.       GH-CAN Core Review Group: Establish a baseline for when a household is referred to the group.
a.       The group discussed the fact that they did not want to take on existing case loads, but rather would prefer to work with women or families who had already been banned from some shelters for the purposes of this group. One proposed baseline involved behavior occurrences / being barred from shelter.
                                                                                          i.      After being barred from 2 other shelters for behavioral occurrences, the intake worker at the third shelter would notify the client that if another behavioral occurrence takes place that the client would be referred to the CRG.  Upon the third incident, the client would immediately be referred.
b.      Other baselines for referral are as follows:
                                                                                             i.      After any instance of extreme violence or attack with a weapon, a client would be referred.
                                                                                           ii.      Chronic non-compliance including clients who use the shelter frequently for short periods of time, with various stays that add up to a year (those clients who move quickly and often through the shelter system, or use the shelter system to crash for a few days at the end of the month).

A2. Shelter/ Assessment: For Individual Men:
1.       GH-CAN Core Review Group: Establish a baseline for when a household is referred to the group.
a.       Originally, when we started meeting, we had discussed using this group to assess cases of clients with high recidivism.
b.      The difficulty of this group is the fact that if clients are refusing to engage with case managers, it seems very unlikely that this groups decision will create any kind of change.
c.       The CRG is also very reluctant to take on cases that are already being managed.  From the individual men’s perspective, if a client is engaging with a case manager, they don’t need this group yet.  This group is for people who aren’t able to engage with case managers anymore.
d.      We discussed dealing with clients who have been banned from shelters, and determined that this will be the targeted client for individual men’s CRG.  The group will take referrals from men who have been through all the shelters, and who have been banned, but continue to present at shelter. 
                                                                           i.      We determined that if a client presents at a shelter, and the shelter staff sees in his file that he has been banned from all of the other shelters, that staff person will refer the client to the CRG.
                                                                         ii.      After the client has been referred, it is the responsibility of the client to contact someone from the CRG.
1.       Because it will be the responsibility of the client to contact the CRG, and the client may not contact them at the time he was told, the CRG recommendation needs to include provisions to deal with what happens to a client who contacts the group 2 days late, 3 days late, etc.
2.       The reality of the situation may be that the client hears their recommendation and rejects it.
a.       In this case it becomes important for the recommendation to become part of the client’s file, so that at every shelter they present, the shelter staff can give a uniform response to the client. 
b.      It’s also important to realize that while it may be frustrating if the group recommendations are not followed, this group will provide a lot of data about banned clients, who aren’t necessarily being recognized by the current system.
                                                                        iii.      The group also discussed that while this CRG may not be able to find a solution to every case, having a group of shelter experts all in the same room, at the same time, talking about the same case, presents some exciting possibilities for collaborative thinking.  We haven’t had an opportunity to come together and work like this before, so even though this group will be a challenge, it is a great opportunity.

B. Housing Referral Team: Discuss communication process regarding opening in programs, notifying households, and when referrals are not accepted by either household or program.  Identify review threshold for problems.
1.       The group discussed the Housing Availability Report Google form included in last week’s meeting notes, and made some format modifications (changing multiple choice to dropdown menus), as well as possibly removing the scattered site/site-based question. 
2.       The group also determined that they wanted to add a question for the housing profile to determine what towns a client could find housing in for each program.
3.       The group then discussed issues of refusals.
a.       If a client refuses two housing options offered to them, their case will be referred to the Housing Referral Team for review, to determine what is preventing the client from going into these housing programs.
b.      If a program refuses referrals two times, when the clients are eligible and have been prioritized for their program, that program will be referred to the Housing Referral Team for review.
                                                                           i.      The group determined that we need staffing to track refusals by both clients, and programs.  We need to determine who will gather this information, and who will make referrals.
                                                                         ii.      The group also discussed communication between clients and housing programs- we still need to figure out exactly how clients will be notified of a match, and how the matching information will be conveyed to all appropriate parties (the program, the client, the Housing Referral Team). 
4.       Next steps: 
a.       This group wants to talk about the process of communicating openings, and how matches will be communicated.  We will use the existing Greater Hartford Shelter Plus Care meeting.
                                                                           i.      In some cases, programs will show a client one or more apartments that they are eligible for- we need to figure out which programs show apartments, and which programs leave it to the client to find the apartments.
b.      This group also needs to determine a timeline for how long clients will have to either accept or refuse an offer of housing, as well as timelines for communication, and timelines for the referral process to the Housing Referral Team.
c.       This group also plans to make further modifications to the Google forms, and discuss other possibilities for communicating housing availability.
5.       Updated List of Internal Action Steps and External Requests for CAN Information and Assistance (attached to agenda)
6.       Cold Weather Protocol Information from CCEH.  We’re going to need to put this on our agenda for next week’s meeting, so we can discuss everything before the Hartford meeting.
a.       There will be 3 meetings regarding Request for Proposals for frontline homeless services. 
                                                                           i.      Thursday, Sept 4, 3:00-4:30 in New Haven, United Way, 370 James St
                                                                         ii.      Friday, September 5, 1:00-2:30 in Wesport at Christ and Holy Trinity Church, 75 Church Lane
                                                                        iii.      Monday, September 8, 3:00-4:30 in Hartford at Journey Home, 241 Main St, 4th Floor
7.       Announcements:
a.       South Park let us know that the missing teenager has still not been located.  If you have any information about this girl, please contact the police directly.
b.      There’s a conference in Harvard coming up regarding single homeless women.  It’s called 1 in 4: Unaccompanied Homeless Women on October 23rd-24th.  If you are interested in attending this event, please email Crane for the information. 





Duty Service Coordinators for GH-CAN as of 8/25/14
Agency
Name
Phone
email
CHR Manchester
Amber Higgins
432-8775
CHR Manchester
Robert Soderberg
432-8775 x 272
Cornerstone
Bryan Flint
670-0587
CRT/East Hartford
Jamie Randolph
568-0323 x 222
Immaculate
Dave Shumway
724-4823
MACC
Shannon Baldassario

860-647-8003 x 20
McKinney
José Vega
757-0661
Mercy
Tenesha Grant
860-808-2114
My Sisters’ Place
Tamara Womack
724-3143
The Open Hearth
Chris Fortier
525-3447 x 117
Salvation Army
Ruby Givens-Hewitt
543-8430
South Park Inn
Heather Pilarcik
724-0071
Tri Town
Julie Rybacki
(860) 875-9702
YWCA/Chyrsalis
Roxan Noble

860-727-0645 x13
 






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