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Homelessness
Prevention Programs
Programs That Work
Homelessness Prevention:
Programs that Work
Matt White, Abt Associates (Bethesda, MD)
Tina Patterson, The Other Place (Day...
General/Universal Components of
Homelessness Prevention
Most programs usually provide…
 Early intervention
 Financial as...
Homelessness Prevention
Context…
A national scan of model programs and best practices
reveals a core group of commonalitie...
SHELTER
Prevention
Employment
Assistance
Rapid Re-
housing
Housing &
Support Services
MH/SA
Services
Current CoC Model Eme...
Prevention Principles:
Crisis Resolution
Identify the crisis
Rapid assessment and triage
Focus on personal safety
Is t...
Prevention Principles: Targeting
 Determine target group(s) and eligibility criteria
 For example… formerly homeless Vet...
Targeting (continued)
Factors impacting possible target groups:
(Who will you serve?)
 Funding source
 Evictions vs. dou...
Targeting (continued)
How can you predict who will become homeless?
Homeless Risk Factors (possible predictors):
 Evictio...
Targeting (continued)
Barriers Assessment
Will the prevention intervention work for a
particular client?
 Income and hous...
Targeting (continued)
Clients most likely to be successful have…
Income
Social connections
Less significant financial n...
Prevention Principles:
Client Choice
People in crisis are most successful when
they feel empowered.
Assist client to rega...
Prevention Principles:
Effectiveness and Efficiency
Will the prevention intervention avert
homelessness?
Will the preven...
Program Design Considerations
Design needs to be matched with the intensity
and scope of prevention services you provide.
...
Linkage – Coordination with Community-
Based and Mainstream Services
Make existing services more accessible
and effective...
Homelessness Prevention
Best Practices
Hinge on level of coordination and
collaboration between providers
Focus should b...
Ohio Family Homelessness
Prevention Pilot
Key Design Elements…
 Limited financial assistance (~$1,000
per household)
 In...
Ohio Family Homelessness
Prevention Pilot
 Provides limited rental assistance and
intensive, home-based case management t...
Ohio Pilot Eligible Activities
Direct Client
Assistance
 Rent
 Utilities
 Other non-housing
related expenses
Intensive ...
Ohio Pilot Enrollment Process
Step 1: household assessment to
ensure prevention assistance is needed
Step 2: enrollment ...
Ohio Household Assessment and
Eligibility
Must have one or more dependent
children
Must have income at or below 200% of
...
Ohio Challenges faced by
Participating Households
Lack of employment
Lack of income
Receipt of eviction notice
Experie...
Ohio Pilot Results
GRANTEE FAMILIES
REFERRED
ASSESSED ENROLLED EXITED CURRENTLY
ENROLLED
Rural Counties 739 254 152 125 27...
Ohio Pilot
Efficiency and Effectiveness
Efficiency
Time from initial referral to provision of
DCA is approximately 46 day...
Ohio Pilot
Efficiency and Effectiveness
Effectiveness
929 (89%) of the 1,044 families that have
exited the Pilot have rem...
Ohio Lessons Learned
Development of working relationship
with landlords and housing authorities is
critical to program su...
The Other Place
Community Coordinated Collaborative
Long time Prevention Provider
Oversight from Homeless Solutions
Pol...
The Other Place
Elements of a successful homelessness
prevention strategy:
 Centralized front door
 Coordinated assessme...
The Other Place
Centralized “Front Door” to emergency
services and shelter
Gateway shelter
Triage
Diversion
Housing Op...
The Other Place
Coordinated assessment and triage
“Virtual” front door
Geographically defined entry points
Standardize ...
The Other Place
Service Design
HPRP screening
Flexibility
Amount determination
Duration of assistance
Discharge plann...
The Other Place
Role of HMIS and/or data
collection/tracking
Program Eligibility
Data quality
Entry/Exit
Reporting
Se...
The Other Place
Unique characteristics:
Utilized AmeriCorp
Initiated furniture bank and delivery
Partnering with Rapid ...
Questions & Wrap-Up
Matt White
Abt Associates
Matt_white@abtassoc.com
301 634-1827
Tina Patterson
The Other Place
TinaP@th...
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Homeless Prevention - programs that work

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  • Program design involves all of these critical components
    Address the immediate crisis
    Make sure to identify clients who would be homeless “but for this prevention assistance”
    Design an intervention that fits within the context of clients’ goals and strengths
    Provide the least amount of intervention that yields the intended result for the greatest number of people
    Prevention is a one-time intervention. Most clients will need long term support and help through other, more appropriate, community-based services and resources.
  • Program design involves all of these critical components
    Address the immediate crisis
    Make sure to identify clients who would be homeless “but for this prevention assistance”
    Design an intervention that fits within the context of clients’ goals and strengths
    Provide the least amount of intervention that yields the intended result for the greatest number of people
    Prevention is a one-time intervention. Most clients will need long term support and help through other, more appropriate, community-based services and resources.
  • Every situation that could result in homelessness is a crisis for the person experiencing it. Crisis resolution responses must include: rapid assessment and triaging, based upon urgency; an instant focus on personal safety as the first priority; de-escalation of the person’s emotional reaction; definite action steps the individual can successfully achieve; assistance with actions the individual is temporarily unable or unwilling to attempt; and returning the person to control over their own problem-solving.
  • Explain screening and assessment and the distinction between them.
    Veterans’ status may be the only eligibility criteria.
    Screening and assessment may be done by a partner organization.
  • Barriers are defined primarily by the direct impact they have had on the household’s previous housing history and the potential for affecting future housing.
    Extent of barriers often determines the level and term of rental assistance and other financial and non-financial services that are needed.
    Client assessment should be focused on identifying the problems that contribute to retaining or obtaining housing. Should also determine how likely the household is to experience similar problems in the future and devise plan for resolving future problems that may lead to another housing crisis.
  • People in crisis may feel paralyzed by the urgency and the potentially devastating consequences of their situation. Homelessness prevention services must help people in crisis regain a sense of control and feeling of empowerment to actively overcome obstacles. A constant emphasis on the client’s goals, choices, and preferences, an unwavering respect for their strengths, and reinforcement of progress are essential for empowerment. This does not mean clients are protected from the natural consequences of their actions.
  • TANF is Temporary Assistance to Needy Families
  • Families usually referred by landlords, housing authorities and word of mouth.
  • Ask if there are any questions.
    Ask them to complete & then collect all evaluations before letting people go.
  • Transcript of "Homeless Prevention - programs that work"

    1. 1. Homelessness Prevention Programs Programs That Work
    2. 2. Homelessness Prevention: Programs that Work Matt White, Abt Associates (Bethesda, MD) Tina Patterson, The Other Place (Dayton, OH) COHHIO Conference April 20, 2010
    3. 3. General/Universal Components of Homelessness Prevention Most programs usually provide…  Early intervention  Financial assistance  Intensive services But how should programs organize these interventions?  What’s the right mix of $$ and services?  When to provide the intervention?  Who to provide the intervention to?
    4. 4. Homelessness Prevention Context… A national scan of model programs and best practices reveals a core group of commonalities among successful prevention programs:  Focus on Housing Stability, not Emergency Shelter  Crisis Resolution  Targeting  Client Choice  Manage for Efficiency and Effectiveness  Maximize Community Resources Goal: Provide the right resources to the right people at the right point in time for the right amount of time.
    5. 5. SHELTER Prevention Employment Assistance Rapid Re- housing Housing & Support Services MH/SA Services Current CoC Model Emerging CoC Model HOUSING STABILIZATION Prevention Employment Assistance Shelter Support Services MH/SA Services Turning the Continuum of Care Inside – Out
    6. 6. Prevention Principles: Crisis Resolution Identify the crisis Rapid assessment and triage Focus on personal safety Is the household in immediate danger? Can the client stay in existing housing? Stabilize household Does client have a support network? Are other community-based services available?
    7. 7. Prevention Principles: Targeting  Determine target group(s) and eligibility criteria  For example… formerly homeless Veterans, persons leaving jail, etc.  Limit to or prioritize persons who are at imminent risk of literal homelessness  Other eligibility criteria may be determined by funding source  Determine client eligibility through screening and eligibility assessment. Funders may dictate eligibility.
    8. 8. Targeting (continued) Factors impacting possible target groups: (Who will you serve?)  Funding source  Evictions vs. doubled up  Legal issues vs. mediation  Individuals vs. families  Disabilities (SMD, AOD)  Intensity and timing of the crisis  Analyze HMIS data for homeless predictors  Geographic considerations
    9. 9. Targeting (continued) How can you predict who will become homeless? Homeless Risk Factors (possible predictors):  Eviction notice  Homeless history  Youth  Domestic violence  Young families  Loss of job  Loss of income
    10. 10. Targeting (continued) Barriers Assessment Will the prevention intervention work for a particular client?  Income and housing affordability  Criminal history  Credit history  Behavioral health issues  Housing history  Previous eviction  Previous non-renewal of lease  Landlord references
    11. 11. Targeting (continued) Clients most likely to be successful have… Income Social connections Less significant financial needs This is also the population for whom homelessness is most difficult to predict.
    12. 12. Prevention Principles: Client Choice People in crisis are most successful when they feel empowered. Assist client to regain control Review client’s goals, choices, preferences Strengths based approach Clients can’t be protected from all the natural consequences of their actions
    13. 13. Prevention Principles: Effectiveness and Efficiency Will the prevention intervention avert homelessness? Will the prevention intervention cost less than a possible stay in emergency shelter and/or transitional housing? Will the prevention intervention work to provide a greater degree of housing stability for the client?
    14. 14. Program Design Considerations Design needs to be matched with the intensity and scope of prevention services you provide.  Who will you serve and how will you serve them? …Targeting  How will you identify clients? …Referral  How will prevention services be integrated/ coordinated with other community resources? …Linkage  What are the administrative and staffing considerations? …Operations
    15. 15. Linkage – Coordination with Community- Based and Mainstream Services Make existing services more accessible and effective—avoid duplication Establish strong relationships Public assistance agencies Local housing authority Local landlords, landlord networks VA service coordinators Other veterans’ service organizations Other homelessness prevention providers
    16. 16. Homelessness Prevention Best Practices Hinge on level of coordination and collaboration between providers Focus should be on integrating with existing local providers Collaborative approach depends on the type of provider and the target client group
    17. 17. Ohio Family Homelessness Prevention Pilot Key Design Elements…  Limited financial assistance (~$1,000 per household)  Intensive home-based case management  Evolving targeting strategies
    18. 18. Ohio Family Homelessness Prevention Pilot  Provides limited rental assistance and intensive, home-based case management to households facing literal homelessness  3-year program (Jan ’08 through Dec ’10)  Funded by State of Ohio through TANF, Ohio Trust Fund and HPRP  Administered by five nonprofit organizations serving different communities throughout Ohio (Cincinnati, Columbus, Dayton, Rural Counties (2), Toledo)
    19. 19. Ohio Pilot Eligible Activities Direct Client Assistance  Rent  Utilities  Other non-housing related expenses Intensive Case Management  Home visits  Design individualized case management plan  Connect households to mainstream resources  Skill building
    20. 20. Ohio Pilot Enrollment Process Step 1: household assessment to ensure prevention assistance is needed Step 2: enrollment and assignment of case manager who identifies needs and develops housing plan Step 3: direct client assistance to alleviate immediate pressures related to household expenses
    21. 21. Ohio Household Assessment and Eligibility Must have one or more dependent children Must have income at or below 200% of federal poverty level and be TANF eligible Must live in or need subsidized housing Must be at “imminent risk of homelessness” as defined by community provider
    22. 22. Ohio Challenges faced by Participating Households Lack of employment Lack of income Receipt of eviction notice Experienced a medical emergency Live in substandard housing Similar to families that enter emergency shelters
    23. 23. Ohio Pilot Results GRANTEE FAMILIES REFERRED ASSESSED ENROLLED EXITED CURRENTLY ENROLLED Rural Counties 739 254 152 125 27 Columbus 774 489 408 348 60 Toledo 545 470 202 164 38 Cincinnati 727 727 165 143 22 Dayton 493 164 133 118 15 TOTAL 3,278 2,104 1,060 898 162 *Activity from 1/1/2008 through 12/31/2009 (2 years)
    24. 24. Ohio Pilot Efficiency and Effectiveness Efficiency Time from initial referral to provision of DCA is approximately 46 days*  Referral to assessment: 14 days  Assessment to enrollment: 10 days  Enrollment to DCA: 22 days *Note – Promise of future assistance often enough to stave off crisis
    25. 25. Ohio Pilot Efficiency and Effectiveness Effectiveness 929 (89%) of the 1,044 families that have exited the Pilot have remained in or obtained permanent housing or have retain stable housing with family/friends* *Return to family/friends is not always a “positive outcome”. For FHPP a family must have an exit reason = “success” in order for housing with family/friends to be considered a positive outcome.
    26. 26. Ohio Lessons Learned Development of working relationship with landlords and housing authorities is critical to program success Case management plans are achievable only when families are responsible for setting their own goals Money management is key to maintaining housing stability
    27. 27. The Other Place Community Coordinated Collaborative Long time Prevention Provider Oversight from Homeless Solutions Policy Board Coordination between Rapid Rehousing and Prevention
    28. 28. The Other Place Elements of a successful homelessness prevention strategy:  Centralized front door  Coordinated assessment and triage  Flexible approach to service provision (amount, duration, intensity, etc.)  Use of HMIS for referral, tracking, and evaluation.
    29. 29. The Other Place Centralized “Front Door” to emergency services and shelter Gateway shelter Triage Diversion Housing Opportunities Assessment Barriers Scoring/Targeting 21 day target exit
    30. 30. The Other Place Coordinated assessment and triage “Virtual” front door Geographically defined entry points Standardize assessment Scoring/Targeting “But for” assistance Community resources
    31. 31. The Other Place Service Design HPRP screening Flexibility Amount determination Duration of assistance Discharge planning Case Management Recertification
    32. 32. The Other Place Role of HMIS and/or data collection/tracking Program Eligibility Data quality Entry/Exit Reporting Service Transactions Outcomes
    33. 33. The Other Place Unique characteristics: Utilized AmeriCorp Initiated furniture bank and delivery Partnering with Rapid Rehousing Demo/HPRP HTF Resources Targeted for truly “at risk” Legal Aid and Mediation Center Landlord Relationships
    34. 34. Questions & Wrap-Up Matt White Abt Associates Matt_white@abtassoc.com 301 634-1827 Tina Patterson The Other Place TinaP@theotherplace.org 937 293-1945 34
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