Tuesday, May 22, 2018

GH CAN Leadership / GH Sub-COC Meeting 5/16/18


Greater Hartford Coordinated Access Network
Leadership Committee Agenda
Wednesday, May 16th, 2018

In Attendance:
Sonia Brown – CRT
Crane Cesario – DMHAS
Sarah DiMaio – Salvation Army Marshall House
Fred Faulkner – The Open Hearth
Rosemary Flowers – My Sisters’ Place
Louis Gilbert – ImmaCare
Mollie Greenwood – Journey Home
John Lawlor – The Connection
Iris Ruiz – Interval House
Zoe Schwartz – CRT
Barbara Shaw – Hands On Hartford
Jen Greer – CHR
Rebekah Lyas – ImmaCare
Steve MacHattie – Mercy Housing
Letticia Brown-Gambino – Chrysalis Center
Tamara Womack – My Sisters’ Place

CT BOS COC Items
1.      Renewal Evaluation Standards – Crane Cesario
a.      The local renewal evaluation standards for CT BOS are higher than HUD’s standards, and as a result we are consistently a high-scoring continuum in the federal competition.  We have an ongoing work group focusing on Rapid ReHousing.  Some issues are related to folks getting income, but losing food stamps, and the negative impact that can have on the scoring of a Rapid ReHousing program.
b.      We no longer have non-DV TLPs that aren’t HUD funded.  DV TLPs are holding onto folks longer. 
c.      We are hoping to get these settled now, so that we have a few months to know what’s happening. 
d.      Consumer surveys, Crane has asked that we get evaluations 2 months in advance.  The numbers aren’t enough to warrant both. 
e.      When we’re looking at renewing this year, the idea is to have a combined grant that has planning capacity, CAN capacity, and maybe some services for legacy shelter plus care services or other SSO, with an emphasis on employment.
f.       Sonia had a question about what is going on with scoring for folks who are coming off the BNL. 
                                                    i.     HUD should only be looking at new entrants to the grant.  We had to push back and say that programs have been operating before the By-Name List started.  This impacts folks coming from DV shelters, and folks coming from the VA system.  Chrysalis had to explain where they came from as part of their renewal process.
                                                   ii.     We also saw some unintended consequences to demonstrate that bridging clients came into the PSH programs, because it wasn’t always clear that they were coming through the approved CAN process, because they were coming directly from homelessness.    

GH CAN Leadership Items
2.      EFSP Funding: Sheltering Families – Mollie Greenwood, Sarah DiMaio
a.      For the past few years, Journey Home has applied for hotel funding through the EFSP opportunity through the United Way to fund hotel placement for families during the Cold Weather Season to ensure we have enough space to immediately accommodate families.  This has posed problems in the past because there’s an incentive to seek emergency shelter (that of a free, non-shared hotel room for the family).  On the flip side, there were also challenges this year ensuring that there was adequate food available to families staying in shelters, because it was not always possible for them to go to the local shelters for meals.   At the last Cold Weather planning meeting, Kara Capobianco of the CT Department of Housing suggested shelters all going after this funding differently, and using it to support staffing and other needs to let folks stay in living rooms and lobbies. 
b.      The Department Of Housing has advised that if there’s a family saying they’re unsheltered, our shelters need to be able to offer immediate shelter.  This isn’t necessarily beds, Salvation Army is offering lobby space, living room space, extra mattresses.  Salvation Army has been the only shelter taking folks into overflow spaces on a consistent basis, and needs additional support from the other shelters in the community.
                                                    i.     At the Cold Weather meeting, Kara had suggested utilizing this extra funding to support this process.  Maybe shelters could split taking folks in a few days a week.  It would also be sending a message that this is the only thing that we have.  It would be logistically challenging, and we don't yet have a solid plan in place.
c.      The other option besides that is using ESFP money to hotel families seeking immediate shelter would be to hotel families who are already in shelter but have a lease date approaching.  Then we could place them into hotels, that would free up bed space for folks reporting they were unsheltered.  We tried this last week with a family from East Hartford, and it went smoothly, but did take a while to get organized. 
                                                    i.     Sarah will ask for a guideline of when we utilize hotels or overflow capacity from CT Department of Housing so that there are clearer expectations in place.  Diversion is offering to people who say they will be unsheltered.  Even though they’re only being offered a lobby, they’re gaining access to the shelter.  We need to find out exactly what DOH is expecting, and what their guideline is.  We’ve been erring on the side of caution since Cold Weather ended. 
1.      The households that have been verified have been verified by DCF calling the Diversion Center have been the bulk of the immediate referrals to shelter/lobby space from Diversion.  There was also a pregnant female who was immediately referred who looked very disheveled, and Diversion Center staff believed her to be unsheltered.  
2.      Kelly Gonzalez of Journey Home has been doing some outreach, and has had a very hard time verifying folks.  Many folks who are reporting that they will be unsheltered that night have been impossible to locate, leading us to believe they figured something out, at least temporarily.
d.      Letticia asked how large the families are who are in the overflow.  Sarah said the largest has been 5 total.  Letticia said there could be space at the YWCA that could turn into overflow spaces for families.  YWCA could take in pregnant women, or single parents with one child, they have a maximum of two beds that could be available. 
e.      Sonia asked whether we’d had these conversations at the Emergency Shelter Learning Collaborative meetings.  At this point, we haven’t.  We can bring up that this is the place we should bring it, to see if we’re doing the right housing-first/low barrier thing.  We need a family shelter group discussion. 
                                                    i.     Sarah talked to Kara yesterday, because we very much want additional DOH guidance.  Sarah would like something in writing.   The other shelters haven’t been getting those calls from Diversion.  Crane offered to work on that with Sarah. 
f.       It’s important to bring this up here, but we need probably an email chain of folks who start applying for it.  Mollie will send a targeted email out to all shelter providers to identify need and interest. 

3.      Staffing and Capacity for Rapid ReHousing Programs – Mollie Greenwood
a.      CHR is able to start taking new referrals using funding from another program the operate in a different CAN- CT BOS has approved accessing these funds to assist in Greater Hartford, and it can only be used for a short period of assistance.  CHR should have capacity relatively soon.  There will be some limited openings over the next few weeks. 
b.      Shelters need to know that RRH isn’t moving forward as robustly. 
c.      Sonia wanted to bring up a specific situation.  CRT had gotten approval to bridge a RRH participant to a PSH program.  It’s not clear where communication fell through.  Somehow an individual who got bridged from HPASS to PSH with Chrysalis, the housing program placed her into a whole other unit.  The thing that was more concerning to Sonia.  A third party letter was submitted to Chrysalis that indicated that she was unsheltered.  House of Bread has not been a very active.  HPASS paid an additional month of rent. 
                                                    i.     Journey Home, CRT, and Chrysalis should sit down and debrief and figure out where this happened to prevent this.  Crane’s understanding was this person had been through many discussions, got approved for bridging.  We didn’t hear in the meantime that any of this was happening.  Chrysalis assumed it was a new start, CRT believed they were bridging.  There was this silence in the middle.  We definitely need to get this organized.  Mollie need to set this up. 
                                                   ii.     Crane suggested her practice of obtaining 3rd party documentation only after it has been approved by Journey Home staff.  Mollie and Lisa, please set this up. 

4.      Final ESG Funding Allocations – Lionel Rigler
a.      It has gone out to public comment, and can be viewed online.

5.      Households in Jeopardy of Losing Housing – Mollie Greenwood, Crane Cesario
a.      Communication to Housing Matching Committee
                                                    i.     At recent housing matching meetings, we've been finding that sometimes households are returning to shelter, and the housing programs did not notify the CAN matching committee that folks were in jeopardy of losing housing.
                                                   ii.     In some instances, folks have not actually lost a certificate or lost their unit, but may have received a NTQ and returned to the shelter.
                                                  iii.     A notice to quit doesn’t worry Crane as much.  You can still intervene when folks have a notice to quit.  Landlords are continuing to take funds from the program which gives programs the opportunity to negotiate on behalf of the client.
                                                  iv.     Sarah said that with Rapid, it could be a quick assistance where folks say they’re fine, and you stabilize them, but if four months later, RRH programs won’t know about a negative exit from housing into homelessness until they hit the shelter again. 
                                                   v.     It would be good to get a sense of what we’re seeing across the board from different housing programs.  
                                                  vi.     We had someone at Mary Seymour Place, he got in an altercation with someone, decided he couldn’t stay there.  He left and walked out on the unit.  But he became homeless in the gap.  In this instance his unit was not in immediate jeopardy, but because he was not engaging with services we found out that he left the unit from the shelter providers.
                                                vii.     Sarah asked Tony Mack to come to a home meeting with a client, because.
1.      We need to go to outreach to confirm when folks are becoming homeless again and returning to homelessness. 
                                               viii.     Sonia thinks about this when she’s thinking about outcomes.  How long after folks leave their program do they truly maintain their housing?  Who follows them when they exit?  How do you prove that?  We follow up with folks who are en route to transitioning to a higher housing intervention.  But those folks who are independently maintaining, how do we truly know if they’re successful after that many months? 
                                                  ix.     Letticia said that most RRH programs used to do a 6 month and a 9 month follow up.  The RRH program in Plainville, they do a 6 and 9 month follow up to check in with them on a monthly basis. 
1.      The issue with COC case management is discharging them.  If you’re discharging them but continuing to offer case management, your utilization looks low.  Larger organizations have some additional capacity for this, but in a small program in a smaller agency there isn't often the ability to stretch other resources in this way.  
2.      RRH is operating with very small case management teams. We may be early in identifying problems with Rapid ReHousing success long term.
3.      Jen brought this up at the last statewide RRH committee.  CHR’s staff did an internal survey with folks who discharged in the last few years.  We have a really high unsuccessful rate, but it isn’t reflected in any data, because although folks are losing housing they aren't returning to homelessness.   
4.      Somewhere the statewide data on RRH was showing incredible success rates, but it's often impossible for programs to gauge success after the end of assistance.
                                                   x.     Another issue we need to recognize was we were screening for who would be more successful.   Now we’re taking folks who are extremely vulnerable, but haven’t changed the way we operate RRH.  The program cannot function serving a consistently more complex population.
1.      Some of these discussions are happening at the RRH workgroup.  There’s a shift in what’s happening today compared to the original intent of rolling out RRH.  This needs to be considered when we’re talking about outcomes. 
2.      We will hold this as an ongoing agenda item. 
b.     Payment Delays to Landlords-
                                                    i.    DMHAS has had some significant delays in paying landlords, but Crane reminded everyone that the landlord cannot require a tenant to pay the program's portion of the rent.
                                                   ii.     If a client freaks out and calls you, remind them to call their housing coordinator to call their housing program and leave a message.  And give the program some time to get back.  A landlord cannot evict them based on DHMAS nonpayment.  

6.      Shelter Curfew Consistency – Fred Faulkner
a.      What has come up at the Learning Collaborative, we’re talking about having a consistent curfew time.  We need to back it up and ask whether there should be a curfew at all. 
b.      At SAMH we still have a curfew, but stopped enforcing.
c.      YWCA has done the same thing.
d.      Does that make a negative impact on No-Freeze?
e.      Lou mentioned that the reason they stopped enforcing curfew is because there's no good having a rule that can't truly be enforced  Once people know that, either staff are lying to clients (not good), or let’s not have it.   It caused some operational issues with our food groups, but we’re not here to serve the food groups, we’re here to serve clients.
f.      Our case manager said we won't discharge unless there's a threat to safety of other clients or staff.  Then clients started going off on our intake staff.  SAMH has taken away all rules not related to safety in the building.
h.      Iris said that because of their federal funding they can’t have a curfew.  If you don’t return past midnight, you lose your space.  It’s an expected time of arrival, to get around curfew, although it operates like a curfew.
i.       In The Open Hearth, they’ve done the same thing, because we’re worried about leaving folks out in the cold. Open Hearth wants to ensure that if folks aren't presenting for their bed, that they can offer it to someone else seeking shelter.
j.       Would people be comfortable saying if you don’t show within 24 hours.
k.      ImmaCare and Salvation Army have the same policy, that if clients don't present for two nights in a row, it's considered a self-discharge.
l.       At TOH, if staff are hearing from folks, they won’t give away the bed.  Let’s put this as a placeholder.  We will hold this as an agenda item for ongoing discussion.

7.      GH CAN Shelter and Housing Data – Mollie Greenwood
                                                    i.     There have been issues pulling a By Name List the past few days, so this information is not currently available.
8.      Over Income Clients – we have someone who is on the BNL – over income.  Crane put an email out to Kara.  This is an anomaly that we need a policy on.  Crane will keep everyone posted. 
                                        
9.      Future Agenda Items?
a.      Our first meeting in July is scheduled for July 4th, which many organizations have off.  If there are some critical items, we may set up a separate meeting. 

10.   Announcements
a.      Tomorrow CCEH is hosting their Annual Training Institute at the CT Convention Center
b.      There will be a full SPDAT training offered by CCEH on June 6th, location TBD.  Register on www.cceh.org.  This training is recommended for anyone who has never been trained in the full SPDAT, or for staff who have not administered a full SPDAT assessment in over a year.  Lunch will be provided for trainees.
c.      Journey Home is in the process of upgrading SmartSheets to be HIPAA compliant.  Be on the lookout for updated enduser agreements as we make these changes.  There will not be immediate changes to the user interface. 
                                                    i.     Need to keep things moving, but this is a collaborative.  You have authority for your own programs, and so it's important that if CT DOH or the City have a mandate that they are communicating that to grantees, rather than through Journey Home or other intermediary organizations.
                                                                                      
d.      Make sure you get onto the CT BOS email list!
e.    At a future meeting we need to discuss the cleanup of the family waiting list, and ensure that folks who are doubled-up safe are no longer being added to the family waiting list.



SmartSheet Shelter Priority List Data
Individual Men
Individual Women
Families
136 Unsheltered or in Cold Weather Placement
85 Unsheltered or in Cold Weather Placement
30 Unsheltered or in Cold Weather Placement
204 Total
135 Total
 62 Total



Tuesday, May 15, 2018

GH CAN Operations Committee 5/2/18


                                                                     Greater Hartford Coordinated Access Network
Operations Agenda
Wednesday, May 2nd, 2018
In Attendance:
Roger Clark, ImmaCare
Kelly Gonzalez, Journey Home
Maria Jackie Florez, Mercy
Stephanie Corbin, Mercy
Malika Nelson, CHR
Ki-young Burby, Catholic Charities Cathedral Green
Monique Shand, YWCA
Klaudia Lobeska, CRT East Hartford
Tylon Crump, CRT SSVF
Maureen Perez, CRT McKinney
Wendy Walker, CRT McKinney
Fred Faulkner, The Open Hearth
Kyren McCorey, The Open Hearth
Janet Bermudez, Hands on Hartford
Manuel Cadena, Catholic Charities
Crane Cesario, DMHAS
Anita Cordero, ImmaCare
Sarah DiMaio, Salvation Army Marshall House
Heather Flannery, South Park Inn,
Ruby Givens-Hewitt, My Sisters’ Place
Natalie Ramos, ImmaCare
Chris Robinson, Salvation Army
Amy Robinson, VA
Iris Ruiz, Interval House
Jose Vega, McKinney
Zoe Schwartz, CRT

1.      Case Conferences – Fred Faulkner
a.      Interval House Clients - Iris Ruiz
                                                    i.     3 weeks ago, the Interval House safe house flooded. Clients had to leave facility due to no running water or use of bathroom. All of the families are in one motel. Contractors are saying it will be longer to get back in the building than they originally thought. Spoke with CEO of Interval House & CCADV to see what they can do.
                                                   ii.     Referred the single women to 211 to see if they can go to homeless shelters. These 3 people have been “cleared” of DV and able to go into homeless shelters. All 3 may have already been in HMIS before they came to Interval House. Iris is asking other shelters to take these single women in if they have space available. There currently aren’t any single women beds available. If these clients obtain housing, they can assist with security deposit.
                                                  iii.     When someone’s “time is up”, they have to call 211 to go to diversion center.
                                                  iv.     Interval House receives ESG money from HUD, approximately $10,000.  
                                                   v.     Amy Robinson has a contact on Gillette St. This was previously a women’s TLP program. Amy can provide Iris with contact info. His name is Courtney and he runs a type of church.
                                                  vi.     Clients can only stay up to 60 days at Interval House. If they are still actively fleeing, they will safety plan with the client but they cannot stay there forever.
                                                vii.     The CAN agreed on temporary higher prioritization for these 3 folks on the shelter waitlist.  At a future meeting we will discuss additional processes for integrating DV shelters with the CAN processes.
b.      #206452 

2.      Charter Oak Health Center – Latonia Tabb
a.      Shelter In-Reach and Mobile Van – Charter Oak is already in shelters. The highest volume is at Hartford Public Library on Tuesdays & Wednesdays. The van is there to help folks who cannot get to them. They do not turn folks away without insurance and try to provide as much healthcare as much as possible.
b.      Jose asked if they can have dental hygienist at night time since folks are returning to shelter at that time. Charter Oak is trying to vamp up services. There are certain locations that extend past 5pm, sometimes until 7pm.
c.      Prince Tech offers medical, behavioral and dental.
d.      Podiatry is needed at shelters.
e.      If no services available at other location, Charter Oak staff will refer to 21 Grand St.
f.       Charter Oak requires client to engage and see them at least 3 times and work with them to get disabling condition form completed.
g.      There is currently no waiting list – especially at the shelters. Behavioral health team is ready to go.

3.      Meeting Structure and Attendance – Mollie Greenwood
a.      Attendance at housing matching meetings is necessary to make them as effective as possible
b.      Housing Providers there only there when they have openings to keep information sharing going but not have them there at every single meeting if they don’t have pending referrals. Suggested that housing providers only attend 1st & 3rd meetings if no openings or pending referrals.
c.      There are lots of pending referrals and case managers only have a few of them.  
d.      Lisa will send out pending referrals form with email for Coordinated Exit on Mondays. Firm deadline of 9:00 a.m. on Tuesday mornings for housing providers to send in updates. Sort for those who are in housing search so we only discuss folks without updates.


4.      Leadership Updates – Crane Cesario
a.      The city will get RFP for cold weather out this summer. We all want winter planning done early this year.
b.      They are looking to hire full time year round position to take on cold weather and outreach during the warmer months.
c.      Releases of information – If you’re working with a client and want to talk to another agency about them, you need to have a separate release to discuss the client. HMIS release only covers the CAN.
d.      Lack of RRH resources in the community - 3 out of 4 programs are on pause due to staffing issues.
e.      Need to decide prioritizing single women vs. families.

5.      Coordinated Exit:
a.      Recently Housed – Lisa Quach
b.      Housing Data – see p.2

6.      Coordinated Entry: SmartSheet Updates – Mollie Greenwood

7.      Announcements

a.      Medical Records for Clients: Please do not upload client medical records into CT HMIS.  If you have obtained medical records for a client with the intention of utilizing the records to serve as proof of identity, or for any other purpose, moving forward you should maintain the files in a paper client record, and in the CT HMIS Document Checklist, you should select “On File” as the storage location instead of “scanned”.
b.      Due the successes in housing the most vulnerable homeless households the state only has a very limited number of chronically homeless households remaining to be housed. As a result, DOH has changed the eligibility criteria for Security Deposit Guarantee Program from those who are verified chronically homeless to anyone entering Permanent Supportive Housing with a Section 8 voucher, RAP certificate or 811 subsidy. This also includes those utilizing State of CT Section 8 Vouchers to “move on” from PSH. The process for the applications will remain the same, either coming from the local CAN approved contact or the DOH CAN manager.
c.      The next Youth Engagement Team Initiative (YETI) meeting for the GH CAN will take place next week, Thursday 5/10 from 10:00AM-11:00AM at 76 Pliny St., Hartford CT.




d.       
                                                                                                                

GH CAN Housing Data
Data Element
Number
Notes
Chronically homeless households housed in 2015
102
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless households housed in 2016
211
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless households housed in 2017
179
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless households housed in 2018
40
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Total Chronically homeless households housed in GH CAN
532

Verified Chronic Matched
30

Verified Chronic Not Yet Matched
3
We currently have 3 chronic verified clients who have not yet been matched to housing.
Potentially Chronic Refusers
2

Verified Chronic Refusers
1

Potentially Chronic Matched
14
These households did not disclose a disabling condition, and are matched to various programs.
Not Chronic Matched
28

Potentially Chronic Not Yet Matched
22
Right now we believe 22 households have the chronic length of homeless history, but none of these individuals have their homeless and disability verifications completed.
Individuals - Active – Not Matched
545
This is Enrolled in CAN, Enrolled in TH, and In an Institution
Families – Active – Not Matched
23
This is Enrolled in CAN

SmartSheet Shelter Priority List Data
Individual Men
Individual Women
Families
190 Unsheltered or in Cold Weather Placement
74 Unsheltered or in Cold Weather Placement
30 Unsheltered or in Cold Weather Placement
270 Total
117 Total
57 Total


Greater Hartford CAN May Calendar