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3.4 John Selfridge

3.4 John Selfridge






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    3.4 John Selfridge 3.4 John Selfridge Presentation Transcript

    • National Conference on Ending Homelessness
      July 14, 2011
      Washington, DC
      Voluntary Service Models: Serving Families in Their Own Homes
    • 1998
      In Shelter Case Management
      Community Housing/Transitional Housing
      A brief history of Services at The Road Home in Salt Lake City
    • All programs had “Mandatory Services”
      Clients must be case plan compliant
      Families needed to be Housing Ready
      Heavy Emphasis on treatment of substance abuse
      Heavy Emphasis on being out of violent relationships
      At That Time
    • Failure to complete treatment
      Failure to place UA
      Violence in home
      Repeated police calls
      Failure to secure income
      Not following case plan
      Non payment of rent
      Reasons for exits
    • We knew what clients needed to succeed
      Cannot be self-sufficient with substance abuse
      Self-sufficiency looks the same for everyone
      Clean, employed, meeting with case manager
      Non-tolerance for discomfort around children
      If family doesn’t want our help we will help someone who does
      Philosophy at that time
    • Many clients do respond to Mandatory Services
      Served those who “wanted” to be served
      Little to Zero tolerance of Substance Abuse
      Decisions are clear cut
      Benefits of Mandatory Philosophy
    • Doesn’t work for all families
      Case managed families out of housing
      Same intervention over and over again
      Limits case manager ability to build relationship
      Adversarial relationship between case management and
      Difficult for case manager
      Challenges of Mandatory Philosophy
    • Chronic Families
      Exited from shelter and housing
      Returned to shelter with same issues often worse off
      Realized this wasn’t working
      Shifted philosophy to stick with families no matter what
      Placed 20 families over 4 years, only exited 1 (old habits die hard)
      This ran over into other community housing case management
      Evolution Part 1
    • Rapid Rehousing
      National numbers talking about most families enter into and out of homelessness quickly and don’t return
      Experimented on the small scale, seemed to work
      Collaborated with DWS on large scale
      Placed over 600 families in 20 months
      Very minimal requirements
      Only 57 have returned to shelter
      Evolution Part 2
    • Permanent Supportive Housing
      Fifty 2 bedroom apartment in a complex for chronically homeless families
      Placed here all the families that we had failed with before
      100% voluntary cm’t for client. Mandatory for the case manager
      Goal is to keep client housed no matter what
      Unconditional support for client
      Healing relationship
      MG and family
      Evolution 3
    • Shelter
      Rapid Rehousing
      Community/Transitional Housing
      Permanent Supportive Housing
      Variety helps-You can be respectful of client with in service model, let them make choices
      Family Services Had Expanded
    • Still Mandatory
      Being High or Drunk in Shelter not tolerated
      Being Violent in Shelter not tolerated
      Clients with history are not housed as quickly as possible but rather must wait for a more intensive opportunity
      • Active addiction in shelter something to work on
      • Not kicked out for lack of increase in income
      • Being in a violent relationship is something to work on
      • No more housing readiness criteria
      Current Shelter Services
      Now Voluntary
    • Still Mandatory
      Need to agree to employment plan
      Need to meet with Employment Worker
      Need to meet with Case Manager once a month
      (required by funders)
      • Income not required
      • Not denied for substance abuse
      • Not denied for family violence
      • Clients reassessed every month
      • Exceptions are the rule
      • Extensions as needed
      • More intensive housing as needed
      Rapid Rehousing
      Now Voluntary
    • Still Mandatory
      • Every family creates case plan with case manager
      • Must meet with case manager
      • Most community housing is time limited
      • Substance Abuse important issue, may lead to exit
      • Domestic Violence important issue, may lead to exit
      • Children cause a lot of stress in staff, issues may lead to exit
      • Belief that return to shelter may be only effective solution
      • Case Manager has a lot of flexibility with approach
      • Emphasis on relationship
      • When case plan not followed, flexibility ensues
      • Focus on issues as they affect housing
      • Allow CPS course of action to occur
      • Avoiding losing housing as long as possible
      • Back and forth with case manager and supervisor
      • Nobody exited without meeting with supervisor, so that clients can make informed decisions
      • No services based exits for almost 2 years (over 60 family households)
      Community/Transitional Housing
      Now Voluntary
    • Mandatory
      Property Management may exit for violence, illegal activity, failure to pay rent
      • Belief that this is client’s only housing opportunity for now
      • Understanding that to get to this point mandatory services have had no effect
      • Work closely with Property Management
      • Goal to form supportive relationship
      • Attempt to remove all judgment
      • Unconditional acceptance of client
      Permanent Supportive Housing
    • No longer deny families housing or assistance based on what we know about them
      • Families stay housed that did not used to stay housed.
      RRH - Out of 600 families in almost 2 years, only 57 return to shelter.
      19 intensive families in community, 1 evicted over 3 years.
      Community/Transitional Housing – ZERO services exits for almost 2 years (60 family households)
      PSH, 63 families over two years, 11 moved out on own, 2 evicted both for dealing.
      Results in shift of philosphy
    • Most families enter into and out of homeless quickly and do not return
      Not all families need the same amount of service to manage
      We can vary the intensity of case management services as appropriate
      Making a family homeless makes the problem worse
      It’s all about the relationship
      Things we learned that influenced change
      • “Not sure if we were helping people but we were definitely making them jump through hoops”
      • “It’s now, How do you guys think you can make it, rather than do this”
      Q – What if they weren’t ready for housing?
      A - “If they come back, we reassess and try again”
      Q - Wouldn’t they have been better off staying longer for more support?
      A - “Better off in housing than shelter because shelter is tough…kids regress…stress…no sleep”
      • “Everyone deserves chance”
      • “Staff were fearful of rapid rehousing at first, but once they saw that it worked they embraced it”
      • “Pressure is off the case manager”
      5 year Case manager turned 2 year Supervisor in Shelter
      • “Meet 1 – 2 times a week first 2-3 month, then taper. We are flexible”
      • “Case Manager talks about adjustment with supervisor”
      • “Don’t evict anymore for non-compliance….more options help to ease the process”
      • “We feel really good about where we are at”
      • “Kids are tough, I am more uptight with kids involved, I feel responsible for well being of kids” yet….No evictions in almost 2 years.
      • “We will work with them as long as they are progressing, our definition of progress has gotten really radical”
      Q – How do you view the changes
      A – “So much better..client is doing what they want to…infinitely better….really important for clients to make their own decisions, if it’s an informed decision then we will support it no matter what”
      13 year Supervisor in Shelter then Housing
      • “We’ve gone from policing to having relationship”
      • “Switched from trying to catch people to trying to understand”
      Q – What was the effect of mandatory case management?
      A – “Created animosity, people had to distance themselves”
      Q – And now?
      A - “We are supporting, it’s not our agenda, it’s their agenda. They want to stay housed, it’s more connected”
      • “Before we tried to change people, now we support change in people”
      10 year case manager
    • John Selfridge, LCSWThe Road HomeSalt Lake City, Utah
      Contact Info
      (801) 706-1467
    • Motivational Interviewing - Preparing People for Change, Miller & Rollnick
      Trauma and Recovery – The aftermath of violence-from domestic abuse to political terror, Herman, J.Traumatic Stress – The effects of overwhelming experience on mind, body and society, Van der Kolk, McFarlane, Weisaeth
      Helpful Texts
      • Violet, Mother of 1 with longtime partner (2004)
      • In and out of shelter/community housing 4 times due to meth addiction
      • Housed family in intensive cm’t community placement (2006)
      • Continued to use, refused treatment, called our bluff, we stopped fighting her and started to simply be there for her
      • Relationship opened up
      • Continued to use, got protective order, kicked out abusive partner (2008)
      • Landlord kicked her out
      • Got herself clean in treatment (2009)
      • Moved into PSH with son, clean for 4 months before relapse
      • Lost son to family due to addiction, numerous staff cps calls (2010)
      • Meets voluntarily with therapist and case manager several times a month
      • Has strong relationships with staff, talks about getting clean on her terms
      • Housed (2011)
      This is voluntary case management not working