2. HEARTH Measure
Reduction in returns to homelessness as
measured by…
– Less than 5% of persons return to homelessness
within 2 years following their exit -or-
– Decrease of > 20% in rate of return compared to
previous year
3. Method
• Defined the FY2011 cohort of Exiters
• Prospectively followed the cohort for 2 years
to determine who returned and to where
• Calculated Rate of Return
4. Method
Baseline
Indicator 1 =
Exited Service System
FY2011 FY2012 FY2013
Follow up
Indicator 2 =
Returned to Service System
Rate of Return = Number who returned x 100
Number who exited
5. Results
• Return to the CoC Service System
• Return to Homelessness
• Return by program and household type
6. Return to the CoC System
16.3%
of Exiters
returned to the CoC Service System
8. Return Rates by Program Type
2.00%
7.10%
11.80%
18.40%
Returned from
Prev/RR
Returned from PSH
Returned from
TH/SH
Returned from ES
9. Return Rates by Household Type
2.30%
4.30%
24.60%
Family Programs
Mixed Programs
Individual Programs
10. Limitations
• Missing programs may lead to inaccurate
rate of return
• Missing data limits some findings
• No standard definition of Exiters from HUD
11. Summary
• Rate of return to the service system was
calculated based on all Exiters in FY2011
• Rate varies by household and program type
• Rate should be calculated based on Exiters-to-
PH, once <Destination> data is useable
12. 2007 2008 2009 2010 2011 2012 2013 2014
Western MA PIT Count 2007 - 2014:
Overall reduction in unsheltered count, slight increase in
sheltered count, yearly variations largely due to weather
ES IND Unsheltered IND Min Temp (F°)
Editor's Notes
Found online- doesn’t make sense:
Decrease of > 20% over prior year for persons in similar circumstances within next 2 years
Also found online
King County RoR = Of those who exited to PH in the prior year, those who returned within 15 months
KY BOS – Rate of Return to Homelessness should be calculated for and across all program types (ES, SH, TH, RR, PSH, Prev., Outreach)
NAEH from PI Calculator (pre-HEARTH):
Returns = the total number of single adults and family households who exited to permanent housing that returned to another homeless program within 365 days or 1 year. This number should be a subset of the numbers in "Annual Exits to PH". A return to homelessness is marked by a new entry in HMIS into an emergency shelter, Safe Haven, transitional housing or rapid re-housing program. Entries into non-residential programs in HMIS should not be counted.
Downloaded and de-duped all service records from October 1st, 2010 through September 30th, 2013
Cleaned up the data
Created a data subset re: All FY2011 Exiters (using last entry/exit) (Indicator 1)
Created a second data subset re: All FY2012 and FY2013 entries (using the first entry/exit) (Indicator 2)
Merged the data subsets; determined who returned and where using the primary indicators
Determined the rate of return using the formula (# persons who returned)/(all FY2011 exiters)
Downloaded and de-duped all service records from October 1st, 2010 through September 30th, 2013
Cleaned up the data
Created a data subset re: All FY2011 Exiters (using last entry/exit) (Indicator 1)
Created a second data subset re: All FY2012 and FY2013 entries (using the first entry/exit) (Indicator 2)
Merged the data subsets; determined who returned and where using the primary indicators
Determined the rate of return using the formula (# persons who returned)/(all FY2011 exiters) i.e. indicator 2/ indicator 1
Recurrence rates vary depending upon the how the universe of services is defined at Exit and at Entry, since this changes the numerator or the denominator!
Return to CoC Service System = All Exiters / All Re-Entries
Return to Homelessness = All Exiters / [All Re-Entries – Those who engaged in only Prev/RR]
Return from CoC-funded Programs = Only those who Exited funded TH and PSH programs / All Re-entries
This is required in the CoC Program Application
Who?
Exited from anywhere
Returned to anywhere
Who?
Exited from anywhere
Returned to any shelter setting (emergency shelter, safe haven, transitional housing)
Note that the overall Rate of Return decreases (from 16% to 13%). This is because some programs have a 0% Rate of Return.
When calculating the average Rate of Return using Program RoRs rather than the overall Rate of Return, the presence of 0s decreases the RoR.
Excluded from slide: Rate of Return among programs that service both =
Note about determining individual vs. family status:
Missing programs/records include hotels/motels
Missing data re: <Destination> and <Housing Status at Exit> precludes the use of NAEHs definition of Exiters; missing household/family information limited the capacity to define families other than by program
Method used to calculate rate may change if HUD issues specific guidance/specific calculations
Method used to calculate rate of return probably *should* change once <Destination> data is useable
(40% of the data was missing)
