Friday, March 18, 2016

Greater Hartford CAN Meeting 3/9/2016

1.       Welcome and Introductions
a.       Our final two navigators have officially started at CRT. Welcome Kelly Gonzalez and Alicia Akers!
2.       Advocacy Days- Matt Morgan
a.       60 people and 17 legislators and/or their aides came and to have so many people in the small room in the Legislative Office Building was amazing.
b.      Thank you to those who came and who shared their stories and those who brought clients to the event.
c.       Towns represented included Enfield, Hartford, Bloomfield, West Hartford, Manchester and many more.
d.      Reaching Home campaign all lobbying together is the best seen from any social service sector.
3.       HMIS Questions and Concerns
a.       The switch to VI SPDAT 2.0 has been major change in the system.
b.      Since new version went live some problem areas that Nutmeg is working to solve.
c.       Mollie, Crane, and Amanda are on the coordinated exit committee.
d.      How quickly do people need new staff people to have access to HMIS- 2 weeks or less
e.       Crane is the chair of the HMIS steering committee.
                                                               i.      HMIS has grown 500 percent in number of users and trainings limited because of physical space.
                                                             ii.      Last training there were 5 no shows so make sure if you are registering people for training they are going to training. As of now we have no data on where the no shows are happening. Having someone not show up means the organization gets fined.
                                                           iii.      There is a pattern of high enrollment and high no shows, which looks very unprofessional.
f.        Some tricky things with the new version of VI SPDAT such as requiring men to answer pregnancy question before moving on in the assessment.
g.       Mollie has provided a form to submit with questions regarding HMIS but everyone is encouraged to keep submitting helpdesk tickets when they run in to issues.  Please do not yell at the Nutmeg staff. We are all adults here.
h.      There are reports of existing VI SPDATS going missing since the conversion.
i.         There will be an HMIS training on April 4 at New Haven but there is some confusion on what time the training will be held.
j.         Navigators are using paper VI SPDATs when they are working with clients.
4.       Zero: 2016 Housing Updates
a.       6 people have been housed since our last CAN meeting.
b.      Stephanie Corbin of CHN has stickers for the board and representatives from the organizations who housed these individuals can come up and add stickers to the board.
c.       The estimated number of chronically homeless individuals who need to be housed is 120 individuals. 53 are currently referred to a housing program and 67 are not currently matched.
d.      We are working on document fair on the heels of the success of the landlord breakfast. It may be held at My Sister’s Place if holding it at Pope Park is not possible. Any volunteers would be welcomed as we are still trying to figure out food and printers. The tentative date for the fair is May 20th.
                                                               i.      Last year the document fair served 125 individuals. This year we are aiming for 150 individuals.
5.       Housing Updates
a.       Navigator cases assigned- Mollie Greenwood, Kelly Gonzalez, Alicia Akers, Mark Jenkins
                                                               i.      Mark has been assigned 20 individuals.
                                                             ii.      Alicia and Kelly have been assigned 10 people and have been working together on them since starting as navigators on Monday. The individuals are mostly people at ImmaCare. Alicia is in contact with three of them and Kelly is in contact with 2.
b.      Changes to the Priority List- Lisa Quach
                                                               i.      8 new tabs were added to the priority list to provide more information. These tabs include navigator, document ready, chronic LHH verification, disability, identity, citizenship, CAN release, and UHA release. A notation of “true” indicates that those documents have been uploaded and accounted for.
                                                             ii.      A client is assigned a navigator if they do not have a case manage. It was suggested to change the navigator tab to indicate case manager or navigator
                                                           iii.      If you see something that should be marked as true, let Journey Home know so the priority list can be updated.
                                                           iv.      Yolanda suggested the addition of a veteran tab. We are hoping to pull together resources for veterans as some may not eligible for SSVF services.
c.       VI-SPDAT rages for Rapid Rehousing have changed for VI SPDAT 2.0
                                                               i.      The score range for rapid rehousing has changed because there are fewer total points. Short-term rapid rehousing range for a single individual and for families is 3-5. The score range for long-term rapid rehousing is 5-7 for single individuals and 6-8 for families.
                                                             ii.      Case managers can still submit exception forms as long as they are appropriate. Submitting an exception form typically means someone is referred to permanent supportive housing but does not need it and would be successful in rapid rehousing.
                                                           iii.      Family referrals are needed for the secure jobs initiative.
                                                           iv.      Do not do VI SPDAT version 2 if the person already has a VI SPDAT version 1. Call Lisa, Mollie, and Steve at Journey Home to figure out the conversion.
                                                             v.      CHR can still go by old score and old score range for rapid rehousing.
6.       Case Conferences
a.       One case involves an individual who is a one-nighter at most shelters and was seen a couple weeks ago at Open Hearth. He is chronically homeless with serious mental health issues and has been seen at Capitol Region recently. He was found in Middletown CAN and given to BOS. He was going to sign a certificate with but then was taken off. It was suggested to call Mobile Crisis at Capitol Region and he has a referral to Intercommunity. This client qualifies for FUSE and anyone who sees him should call Journey Home.
                                                               i.      Willem says this client had an apartment but wants to get out of the apartment and has been living in shelters. The client has a conservator but is now MIA.
b.      Rubi brought to the CAN’s attention a 24-year-old client who had been staying in a domestic violence shelter in Norwalk. She is now staying in her car and with friends but is reluctant to disclose where she was before. She has four kids, all under four, which has been a barrier for her getting into shelter. She comes to the Friendship Center to eat. She has domestic violence reports, and psychiatric reports from hospitalization and was diagnosed with bipolar disorder. She does not have a good relationship with mother due to previous trauma and the father of two of her kids took those two kids away. She now only has two of her four kids with her. Two client families might be able to get housing, need families with high scores
7.       Making a House a Home – Sara Salomons and Alison Scharr
a.       If clients need furniture, we have 2 large storage units in South Windsor full of donated items to be given away.  Sara can meet clients and case managers at the storage unit. There are beds, couches, coffee tables, utensils, chairs, loveseats, dressers, and anything else to help a client looking to get started in their new apartment. Clients can request items. It is easier to meet at the storage unit if you want to pick up items.  Clients do not need to sleep on floors. This is to be a barrier free experience and we can arrange for volunteers to help move furniture.
b.      Alison created a case manager form for clients who need furniture. If there are any issues with the form please let Alison know by emailing her at Alison.scharr@journeyhomect.org.  
c.       Sara also has boxes of brand new women’s jeans. Anybody looking to donate items can contact her at sara.salomons@journeyhomect.org.
8.       Announcements
a.       People who are scheduling CAN appointments are encouraged to write case notes to report what you are doing, who else is in the family, if the person was diverted, and if a referral was made. This helps with keeping track of data regarding these clients.
b.      Mollie is talking to CCEH about fundraising in regards to the Be Homeful Paddington Bear campaign.
c.       There are beds available at My Sister’s Place for single females who have Husky D insurance and have no cash income.
d.      Yesterday HUD announced award, got 4.5 million dollars out of the 7 million asked for. All renewals got funded and the planning grant got funded.  Shelter+Care grant did not get funded yet.

e.       There will be a ribbon cutting at the new Hands on Hartford location at 55 Bartholomew Avenue on March 22nd at 10am.

Greater Hartford CAN Meeting 2/24/2016

Greater Hartford Coordinated Access Network
Wednesday, February 24th, 2016
1.       Welcome and Introductions
a.       Lisa Quach is our new coordinated exit coordinator at Journey Home.
2.       Zero: 2016
a.       Recently Housed Clients
                                                               i.      New trifold board to keep track of everyone who is housed this year
                                                             ii.      One client was housed from ImmaCare
b.      Landlord Breakfast Success – Rubi Alegria
                                                               i.      20 landlords attended and several speakers presented at the breakfast. If we continue to do that, we will have partnerships to help house all 125 chronically homeless individuals.
                                                             ii.      Could have been better, CRT was a good location for the breakfast
                                                           iii.      Since yesterday, 2 landlords have emailed with units available
                                                           iv.      Keeping connections
                                                             v.      Always going to be one difficult one
c.       Diversion Training Updates – Tamara Womack
                                                               i.      Different outlook to diversion and how to handle diversion
                                                             ii.      Diversion is empowering a person is in imminent risk of homelessness to identify ways to prevent homelessness, get them out of the shelters and have an empowering outlook
                                                           iii.      Role-play ways to empower clients, we’re there as mediators to keep them from shelters
                                                           iv.      Paddington-Marmalade drive- Fairfield county- open up account for greater Hartford CAN, CCEH fundraiser Be Homeful, create funds for flexible diversion
                                                             v.      Can start one yourself- similar to gofundme
                                                           vi.      Cleveland has lots of money for diversion
                                                          vii.      Reality testing- build empathy for clients, realistic things we can do to get person back home
                                                        viii.      2 things you have- housing history, rapid rehousing
3.       CT HMIS Updates – Mollie Greenwood
a.       VI-SPDAT 2.0 is now live in CT HMIS 
                                                               i.      127 chronically homeless have been housed.
                                                             ii.      125 need to be housed this year.
1.       53 individuals are on their way to housing.
2.       72 individuals have not been referred.
b.      Registry Functionality coming to CT HMIS
                                                               i.      Things are changing in the last week
                                                             ii.      VI-SPDAT 1 does not exist in HMIS
                                                           iii.      VI SPDAT 2 take 7-8 minutes and translates easier to full SPDAT
                                                           iv.      CAN assessment- CAN intake, includes extra subset of questions used to organize registry
                                                             v.      Click on VIPDAT- vispdat summary screen, current and legacy
1.       Legacy- old VI SPDAT
2.       VISPDAT 2 button
                                                           vi.      CCEH will be releasing- will notice changes on February 25.
                                                          vii.      If you have any questions, please bring them to Nutmeg.
c.       Bulletin Board Updates in CT HMIS
4.       Coordinated Entry – Upcoming Blitz to Eliminate Backlog – Matt Morgan
a.       Individuals have already done a VI-SPDAT, cancel CAN appoiinment
b.      Shelters have been doing drop in times
c.       Some shelters have been doing it as part of case management
d.      Leadership meeting
5.       Case Conferencing – Lisa Quach
a.       Housing providers meeting every Tuesday conference call
b.      List of people who have been returned to the CAN
c.       Disability verification- can be signed by staff member, need documentation in 45 days
d.      Several people on the MIA list have been found and some are on their way to being housed
e.       If it’s more than a month that someone cannot be located that they need to be brought to attention

6.       Announcements:
a.       The time for the Greater Hartford CAN Advocacy Days is March 3rd from 8:30AM-10:30AM.  Contact Alison.Scharr@journeyhomect.org with questions, or if you’d like to participate.
                                                               i.      Speakers from providers and Andrea will be talking about rapid rehousing,
                                                             ii.      Need a big turnout of people to show legislators that there are a lot of people who care about homeless issues

                                                           iii.      Any clients who would be willing to go, anyone who can bring clients, please bring clients

Greater Hartford CAN Meeting Notes 1/27/16

Wednesday, January 27th
Next Meeting February 10th, 2016


1.       Welcome and Introductions
a.       We’re excited to welcome Kara Copabianco from the Department of Housing as a CAN Manager for Greater Hartford.
b.  We're also excited to introduce Mark Jenkins of Blue Hills Civic Association as our first hired GH CAN Navigator.

2.       Updates:
a.       2016 Point In Time Count- There were a lot of teams out this morning all across the Greater Hartford region conducting the census of the homeless.  We hope to have information soon with total numbers for households who were found outside.

b.      Zero: 2016/ Greater Hartford CAN Data – Matt Morgan (see p. 2) - In the months since beginning the 100 Day Campaign Journey Home has been collecting data around the number of chronically homeless households in our community, as well as information around housing the chronically homeless 

c.       Zero: 2016 Landlord Breakfast – We are still seeking a landlord to be a speaker at the Landlord Breakfast on February 23rd.  If you have a landlord in mind please contact Mollie Greenwood.

d.      Assessment Backlog: ImmaCare Switch to Drop-In – Luz Serrano and Aini Arciniega were able to tell us about the changes they've seen since ImmaCare switched to drop-in times at ImmaCare.  They told us that they are seeing more people coming than they had in the past, but have not been overwhelmed or seen a drastic increase in folks.

3.       GH CAN Participation and Scope of Meeting – Mollie Greenwood
a.       Participation Groups in GH CAN – Duty Service Coordinators, Housing Referral Group, Operations
      i.  Now that we've been having regular CAN meetings, the current structure of two hour meetings isn't the most effective use of time.  On a statewide level, we are developing by-laws and participation agreements for CAN, and locally we're trying to put together smaller action groups.  Moving forward, we're going to start having the Housing Referral Group as a weekly conference call, and will continue to have Coordinated Entry staff meet at the CAN meetings.  We are working to finalize some action groups, and may be shortening the time of CAN meetings in the future.

4.       Be Homeful Diversion Program through CCEH – Matt Morgan
                     a. The Connecticut Coalition to End Homelessness has a new program that can assist homeless families who are literally homeless as well as families at imminent risk of homelessness.  To participate in the program, an agency would need to sign a 

5.       Announcements
a.       Please do not direct clients to call Journey Home- instead please have client case managers contact Journey Home with questions about housing status
b.      Times for Advocacy Days have changed- Greater Hartford CAN March 3rd at 8:30 
c.       There may be some funding available to place households East of the River in hotels throughout the Cold Weather period, which would allow our other Cold Weather funding to last longer. 
d.      There will be donated goods available after the meeting for case managers to take available in the parking lot.

6.       Case Conferences -
a.       Recently Housed- 6 Chronically Homeless Individuals have been housed!
b.      Homeless Veterans
c.       Navigators
d.      Cases for Review
e.      Review of chronically homeless MIA client list

7.       Breakout Groups:
a.       Housing Referral Group
                                                               i.      Structure of Housing Referral Group
                                                             ii.      Updates
                                                            iii.      New Housing Referrals

b.      Coordinated Entry Group
                                                               i.      Updates to 211 protocols – Cold Weather
                                                             ii.      Drop-In scheduling – Assessment Backlog

                                                            iii.      CAN Data Quality

Greater Hartford CAN Meeting 2/10/2016

In Attendance:
Yasmine Ali- Journey Home
Janet Bermudez- Hands on Hartford
Cordelia Brady- The Open Hearth
Aisha Brown- CHR
Kyra Brown- Catholic Charities
Kara Copabianco- Department of Housing
Crane Cesario- DMHAS
Marcel Cicero- CRT East Hartford Shelter
Roger Clark- ImmaCare
Stephanie Corbin- Community Health Netowrk
Catherine Damato
Brenda Earle- DOH
Anna Ebora- Journey Home
Jacqueline Farmer- Veteran's Ink
Bryan Flint- Cornerstone
Nate Fox- Center Church
Valorie Gaines- CHR
Amanda Girardin- Journey Home
Ruby Given-Hewitt- My Sister's Place
Tenesha Grant- Mercy Housing
Kaylon Griffith- Capitol Region Mental Health Center
Andrea Hakian- CHR
Amber Higgins- CHR
Mark Jenkins- Blue Hills Civic Association
Aaron Jones- VA
Jenaya King- CHR
Cynthia Lazone- Chrysalis
Philomena McGee- Community Health Resources
Nichole Milton- CHR
Matt Morgan- Journey Home
Malika Nelson- CHR
Theresa Nicholson- Chrysalis Center
Yolanda Ortiz- SSVF
Heather Pilarcik- South Park Inn
Jamie Randolph- CHR
Chris Robinson- Chrysalis Center
Cathy Shanley- Columbus House
Kathy Shaw- My Sister's Place
Sandra Terry- CRT
Jose Vega- McKinney
Ymonne Wilson- CRT
Tamara Womack- My Sister's Place

1.       Welcome and Introductions
a.       We need to house 12-13 individuals each month to reach functional zero by the end of the year.
2.       Updates
a.       GH CAN Leadership Updates
                                                               i.      Subcommittee to look at bylaws and charter
                                                             ii.      Leadership is looking at the group of people that still needs appointments. Currently there is a 509 person backlog and a 93% no-show rate. There may be a change in how appointments are done from appointments to drop-in times.
                                                           iii.      A doodle poll will be created listing available resources.
                                                           iv.      Providers should not be taking side doors. Otherwise, we will not be in compliance with the Department of Housing.
b.      Zero: 2016- Landlord Breakfast on February 23
                                                               i.      We still need to recruit landlords to commit to attending the breakfast. We will be reaching out to presenters in the next couple days.
c.       Prioritization for Veterans- Matt Morgan
                                                               i.      There is a small number of ineligible veterans and the solution for them may be rapid rehousing. Those whose VI-SPDAT score falls below rapid rehousing will be given a full SPDAT. If the full SPDAT is still not within the rapid rehousing range, then an exception form will be made.
d.      Warmth East of the River- Bryan Flint
                                                               i.      Cornerstone has 15 beds.
                                                           ii.      MISAC funding will provide hotel funding for people calling for immediate shelter from now to March.
                                                           iii.      Cornerstone will do assessments with all of these households and help connect people to resources.
3.       Referral Process for Rapid Rehousing-Amber Higgins
a.       To be eligible for rapid rehousing, he individual needs to have the appropriate VI-SPDAT score and be literally homeless.
b.      To get the referral, the individual needs the appropriate score and appropriate documentation at some point, but households do not need to be fully document ready prior to referral. A navigator can assist in this process.
c.       The checklist for proper documentation for rapid rehousing is for navigators and case managers to reference, and is available on www.journeyhomect.org/provider-resources 
d.      The goal of rapid rehousing is to move from referral to housing within 45 days.
e.        When version 2 of the VI-SPDAT goes live, the eligible score range will change. We may need to have a meeting in regards to the change.
f.       Something to keep in mind for the future is how do we prioritize clients who may be getting documentation faster but are lower on the priority list?
h.      CHR will begin holding office hours at ImmaCare.
i.         Short-term rapid rehousing needs referrals. Individuals should be able to sustain rent for three months. Someone with social security income could qualify. Sometimes it’s quicker to do a self-referral from shelter to rapid rehousing.
j.       CHR used to office hours in the shelters to educate shelters and they are willing to do that again. Amber will go to shelters to do presentations.
k.         Crane would like to see some data and there will be monthly reports.
l.    The VI-SPDAT levels the playing field since the varying capacity between shelters causes discrepancies in the level of service clients receive. With the VI-SPDAT, clients are treated the same.
m.      If a client has a high utility bill, they should not get denied rapid rehousing but Marcel says one of her clients was denied because of an $800 light bill.
n.      Rapid rehousing should be hybrid process where providers cross-reference VI-SPDAT scores with referrals.                                                                                                                                                                      
4.       Announcements
a.       The VI-SPDAT 2.0 will go live in Connecticut on February 16. All hard copy VI-SPDATs must be entered in HMIS before February 16.- webinar
b.      Journey Home received donations of sweatshirts, jackets, and fleeces available for case managers after the meeting. Contact Alison.Scharr@journeyhomect.org for more info.
5.       Breakout Groups
a.       Coordinated Entry Group (Shelter and Outreach)
              i. ImmaCare and SAMH switch to drop-in assessments - This has led to a shortening of time between when households are able to meet someone, but it has not been a full fix.  Leadership met today and decided we're going to have a true blitz of our Coordinated Entry process, and will be dedicating staff time specifically to resolving this backlog issue in coming weeks.
             ii.  Shelter Triage Subcommittee Updates - At this week's Shelter Triage Subcommittee meeting we discussed the current status of shelter waiting lists.  For individual men, there are often a dozen men on the list throughout the day, but there have been very few days this winter where shelter bed capacity was maxed out, and most individual men are connected to a shelter bed the day that they call.  For individual women and families, it is a very different story- there are more than 150 households on the shelter waiting list reporting that they need shelter, and there can be up to a 4 week waiting period between when a household is added to the list and when they are connected to a bed.  This is a huge problem, but because we have such limited information about the families' specific situation, it has been impossible to prioritize households in a fair way.  Hopefully, once CAN assessments are happening prior to shelter entry, some of those households who may be divertable will be connected to other resources instead of entering into shelter.
            iii.  City of Hartford ESG Program - Lionel Rigler has reported that it sounds as though many households who may be eligible for this prevention program may not be getting directed to the program and ending up at CAN appointments, and wanted to remind us that screening for the program is accessed by calling 211.  Right now, it's difficult to tell where the disconnect may be happening if households are not being screened, so if you have someone at a CAN assessment who you believe might be eligible, please send that household's HMIS ID number to Mollie so she can connect with 211.
            iv.  We talked about what kind of information would be helpful to staff doing CAN assessments, and what sorts of training this group would be interested in for the future.  There is a diversion training coming up next week through CCEH, but staff also expressed interest in trainings around DSS benefits, different mental health programs, and more clarity around Rapid ReHousing.  Moving forward we will work on figuring out how to connect staff to this information.
b.      Housing Referral Group
                                                               i.      Referrals for Navigation
1.       Some clients on the priority list have no VI-SPDAT score. Tony offered to assess two of them and  Janet offered to assess one.
2.       Mark has gotten 4 people document ready and has been working with sex offenders to get disability verification
3.       3 clients need VI-SPDAT to determine if they have a disability.
                                                             ii.      One client cannot get disability verification because Intercommunity would not sign because they needed to do a longer term assessment on her first. She currently lives in her car and needs to be referred to PATH. She may need to do full SPDAT as her VI-SPDAT score does not reflect her current situation. 
                                                           iii.      The housing referral group will no longer meet as part of CAN. There will be a conference call on Tuesdays at 11:30. Tenesha and Faye are handling the logistics.  Instead, the CAN meeting will be a time for updates, case conferences with shelter staff as needed, and protocol change information.
                                                           iv.      Moving On has two 1- bedroom units. Prospective tenants need to be sober and chronically homeless. They need to be able to remain sober for a section 8 interview. Moving On does not have a case management component. It was suggested to check with Chrysalis for potential clients. One client was identified as a potential tenant.
                                                             v.      How is participation in a transitional living program going to count? Will they be considered housed or unsheltered?