Wednesday, March 27, 2019

GH CAN Leadership/ GH CAN Sub-COC 3/20/2019


Greater Hartford Coordinated Access Network
Leadership Committee Agenda
Wednesday, March 20th, 2019

In Attendance:
Rosemary Flowers – My Sisters’ Place
Kathy Shaw – My Sisters’ Place
Judith Gough – Mercy Housing and Shelter
Stephanie Corbin – Mercy Housing and Shelter
Crane Cesario – DMHAS
Andrea Hakian – CHR
Cathy Zeiner – YWCA
Sarah DiMaio – Salvation Army Marshall House
Mollie Greenwood – journey Home
Matt Morgan – Journey Home
Sonia Brown – CRT
Jose Vega – CRT
Steve Bigler – CRT
Audrey Kennedy – South Park Inn
Fred Faulkner – The Open Hearth
Fred Woodhouse – The Open Hearth
Elijah McFolley – The Open Hearth
Barbara Shaw – Hands On Hartford
Lisa Quach – Journey Home
Lionel Rigler – City of Hartford
Rebekah Lyas – ImmaCare



1.      City of Hartford ESG Allocations – Lionel Rigler

a.      Lionel presented two options.  We have been discussing moving towards performance measures. We started using numbers as a base amount and if the amounts increased or decreased we went based off of those original allocations over the course of the past few years.  Over time, we have evolved to look at bed nights and looking at permanent exits.  Although we had previously discussed comparing individual men’s shelters to individual men’s shelters, if we started looking to break out all shelters by population it would become very complicated.   
b.      The allocations presented were based on an assumption that we’re going to get flat funded this year. 
c.      We identified last time that the increase in beds at The Open Hearth led to the substantial funding change this year.  There’s a suggestion to become more transparent around when programming changes to try and prevent shock around this type of revelation come funding time in future years.
d.      Rebekah raised a concern that shelters aren’t certain that they should be held accountable for returns to shelter.  Matt shared this concern.  Returns to homelessness feels like a whole systematic measure rather than one that can be tied directly to shelter performance, particularly as we have continued to see such a high rate of folks in PSH who are in jeopardy of losing housing. 
e.      The only really good exit we have is permanent exits as a performance measure.  It’s important to reward shelters that are performing well.  It’s also going to be important for us to identify outliers.
f.       We also need to make sure that planful transfers can happen, because in some cases a discharge from one shelter to another is part of a thoughtful case management plan, and it’s important to be able to capture and reflect this in our data so as to avoid penalizing shelters for working collaboratively.
                                                     i.      We need a mechanism to flag cases like this in our data.  We also need a method for identifying discharges from shelters into institutions that are positive for clients not counting against performance of shelters. 
g.      Utilities and food is the simplest thing for us to monitor and administer.  If ESG costs are covering different expenses. 
                                                     i.     Crane suggested setting a standard for what utilities should be (a baseline that would be consistent from shelter to shelter), set a standard for what food should be based on size, and then measuring an amount based on performance. 
h.      We invested a lot of time this summer in identifying performance measures.  We should continue to sustain and improve on it. 
i.        The committee voted to remove the 5% standard related to returns to homelessness and redistribute that 5% of the allocation weight elsewhere.  Three options were presented for a vote.
j.       Option 1  - increase relative permanent exits and gross permanent exits up to 15%, so Total beds would be weighted at 70%, gross permanent exits would be weighted at 15%, and relative permanent exits would be weighted at 15%– 6 votes for this option.  This was the allocation selected by the majority of voting entities.  
k.      Option 2  - total beds would be weighted at 75%, gross permanent exits would be weighted at 15%, and relative permanent exits would be weighted at 10% -1 vote for this option.
l.        Option 3 total beds would be weighted at 75%, gross permanent exits would be weighted at 10%, relative permanent exits would be weighted at 15%– 0 votes for this option.
m.    For next year there’s a request to further explore the funding options that include a flat rate across the board, which would ensure some minimal amount was certain for each organization.  
2.      City of Hartford ESG Diversion Program
a.      Three years ago the City had an open meeting process which came together to craft a structure to a creation of a new position through the Diversion program.  Lionel leaned pretty heavily at that time on the understanding of front-end staff.  We identified a need for staffing for the Diversion Center.  We devised a program at the Diversion Center.  We’re seeing that the program in general is a huge asset to the community.  If there’s a decision to continue with the program, Lionel will schedule a meeting in April to identify how the program may need some revisions.  If we do decide to go this way, we’ll have something that is addressing identified needs right now with a similar program structure.  The timeline would be that immediately after the council approves funds, we would go through an RFP process 
b.      Mercy currently holds this contract and there’s a really fine grey line between prevention and diversion.  The staff currently employed by this program functions from the Diversion Center.  It’s an asset to have her in the center, but there are some requirements and limitations that Mercy would love to see us tweak.  We would love to see this position to be more aligned with the current functioning of the Diversion Center.  Sarah from Salvation Army echoed that it would be a more highly effective program if some of the barriers could be removed.  We also discussed potentially utilizing this position to oversee the shelter waitlists and shelter stabilization list. 
c.      We also would like to make this a program available for both individuals and families. 
d.      Crane also recommended that we begin looking at a contract that it will be possible to monitor.  We would love to make this position available to do diversion appointments. 
e.      Lionel will work on putting together a meeting to focus specifically on this program.
3.      Coordinated Entry:
a.      Cold Weather Protocol Updates – Sarah DiMaio
                                                     i.     Salvation Army will be holding a debrief meeting in late April to debrief about this season. 
                                                   ii.     Salvation Army expects to have seen nearly 500 individuals this past year, the same amount of unique people as last year.
                                                  iii.     Facility issues have been identified at Willie Ware and a portion of the space has not been available over the course of the past year.  The City has notified Salvation Army that it’s unlikely we’ll be able to use Willie Ware again.  The floor is caving in. 
1.      To provide shelter for all, Salvation Army has been hoteling individual women and couples first to maximize costs of hotel placements.
2.      Since we don’t believe Willie Ware will be available again, we are hoping that we can identify another location. 
                                                  iv.     Right now things are going to plan.  This winter has gone more smoothly than past years. 
                                                   v.     We are actively connecting people who are continuing to refuse shelter to various outreach workers throughout the CAN.
                                                  vi.     Salvation Army will be handing out backpacks with survival items throughout the rest of the year.  We are also underspent in the Diversion grant this year because Salvation Army had some staffing vacancies. 
1.      We’re creating a temporary full time Diversion/Outreach worker who will work with the soup kitchens and food ministries. 

4.      Coordinated Exit:
a.      Longest Stayers in Greater Hartford CAN – Lisa Quach
                                                    i.     We have 19 chronic verified people on our By-Name List.  We have had no vacancies for over a month.  We looked at our numbers and 83% of the people who are potentially chronically homeless or chronic verified.  Only 17% of our chronically homeless population are episodic.  69 people stayed in shelter for a continuous 12 months.  We really wanted to flag this and to discuss long stayers.  We have a large cohort of folks who are long stayers who previously met the criteria for chronic homelessness. 
                                                   ii.     We reviewed the clients on our list to identify income to see whether they self-resolved.  If people were previously referred to a housing program but who refused the program.  The data is here. 
                                                  iii.     One support that Sarah raised as a need is when we do have really high-need clients, case managers need more training about when folks need more of a residential care program.  I don’t think we have done sufficient training around what PSH is able to do and what it doesn’t do.  Clients are relying on PSH. 
                                                  iv.     Sonia also expressed that some of the most highly vulnerable folks are being placed into Rapid ReHousing programs.  Are we really setting these individuals up for failure by placing such long term homeless, highly acute households into rapid rehousing. 
                                                   v.     DMHAS does have residential programs and so it seems unlikely that our system will be able to benefit from those vacancies. 
1.      Boarding care options which are licensed through DPH. 
2.      Stephanie recommended that we reach out to CHN. 
3.      Generally there’s some training that staff could benefit from about what is the right time to call mobile-crisis?  What’s the time to look at having occupational therapy assessment to identify whether someone can live independently. 

5.      Sub-COC Updates – Crane Cesario, Zoe Schwartz
a.      At the last BOS COC we prioritized RRH, PSH for Chronic, PSH for dedicated plus, services only for existing clients with no service dollars, and planning grant money for the PIT count.
b.      Point in Time Count – Zoe Schwartz
                                                    i.     This year the planning grant money will go out to RFP, one organization per can will get a small amount of planning money.  We can discuss that further with future planning in the future.
                                                   ii.     We did a PIT survey at the end of the count for volunteers. 
                                                  iii.     Other PIT survey feedback was that volunteers were emotionally overwhelmed.
c.      Dedicated Plus – Zoe Schwartz
                                                    i.     Zoe distributed some information about dedicated plus.  This would fill a huge gap in our community. 
                                                   ii.     There is a lot up in the air. 
d.      There was also a question about rating or ranking applications locally.  We’ll continue to discuss this. 

6.      GH CAN Shelter and Housing Data
a.      GH CAN Housed Data (see p.2)
b.      GH CAN Waitlist Data (see p.2)

7.      Future Agenda Items?

8.      Announcements
a.      CAN Data Dashboards are available at www.CTCANData.org .  Please check out your organization’s data and work on cleaning up any incorrect data so that we can start using these dashboards to inform our system work.
b.      CCEH has funding available for victims of Hurricane Maria- if you are working with anyone who was a hurricane evacuee please contact Mollie Greenwood or Lisa Quach immediately.
c.      CCEH has funding available for childcare for families in shelter!
d.      Family Shelter Check-In will be taking place immediately after today’s meeting from 3:30-4:00PM
e.      Rapid Exit Funding training will take place NEXT TUESDAY from 12PM-1PM, prior to the Individual Solutions Meeting at the YWCA, 135 Broad St.  You MUST attend training to access this funding.





GH CAN Housing Data
Data Element
Number
Notes
Chronically homeless individuals housed in 2015
102
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless individuals housed in 2016
211
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless individuals housed in 2017
179
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless/potentially chronic individuals housed in 2018
151
This includes clients housed through GH CAN programs and bridges to PSH as well as through other subsidies or independent housing
Chronically homeless/potentially chronic individuals housed in 2019
38
This includes clients housed through GH CAN programs and bridges to PSH as well as through other subsidies or independent housing
Total Chronically homeless individuals housed in GH CAN
681

Verified Chronic Matched

27

Verified Chronic Not Yet Matched
19
We currently have 19 chronic verified clients who have not yet been matched to housing. 
Potentially Chronic Refusers
0

Verified Chronic Refusers
1

Not Chronic (Verified) Refuser
1

Potentially Chronic Matched
3
These households did not disclose a disabling condition, and are matched to various programs.
Not Chronic Matched
26

Potentially Chronic Not Yet Matched
33
Right now we believe 33 households have the chronic length of homeless history, but none of these individuals have their homeless and disability verifications completed.
Individuals - Active – Not Matched
304
This is Enrolled in CAN, Enrolled in TH, and In an Institution
Families – Active – Not Matched
38
This is Enrolled in CAN and Enrolled in TH
Families - Verified Chronic – Not Matched
1

Families – Potentially Chronic – Matched
1

Families – Potentially Chronic – Not Matched
0

Families – Not Chronic (Verified) – Matched
8
This includes RRH bridges
Families – Verified Chronic – Matched
3


SmartSheet Shelter Priority List Data
Individual Men
Individual Women
Family Stabilization List
83 unsheltered
87 unsheltered
17 families on Stabilization List
103 total
105 total