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6.2 Smart Shelter: How Shelters Can Improve Outcomes in Housing First Systems
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6.2 Smart Shelter: How Shelters Can Improve Outcomes in Housing First Systems

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6.2 Smart Shelter: How Shelters Can Improve Outcomes in Housing First Systems …

6.2 Smart Shelter: How Shelters Can Improve Outcomes in Housing First Systems

Speaker: Lianna Barbu

Having supportive, permanent housing-focused shelters is a crucial piece to any Housing First homeless assistance system. In this workshop, presenters will talk about the key role shelters play in improving system performance on key outcomes and reducing episodes of homelessness in their communities.

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  • 1. Smart Shelter: How Shelters OverviewCan Improve Outcomes in  Overview of CSBHousing First Systems  Our family system  Triage and Diversion  System characteristicsPresented at the2012 National Conference on Ending Family Homelessness  Performance MeasurementFebruary 09-10, 2012Los Angeles, California  Reporting  Performance Based Contracts Lianna Barbu Community Shelter Board www.csb.org Rebuilding Lives Plan Overview of CSBColumbus and FranklinCounty, Ohio Point in Time Trends by Household Type - All 1600  Population: 1400 Franklin County – 1,163,414 1200 1000 135 131 149 193 Our Family System sons Columbus Metropolitan Total Pers 800 Area – 1,836,536 1089 1120 1104 1081 600  Point in Time 400 Count: 200 1/25/2011 0 117 2008 108 2009 134 2010 144 2011 1,418 persons Unsheltered Sheltered Transitional Housing homeless (144 unsheltered)
  • 2. Franklin County Family Emergency Shelter SystemFamily system framework Diversion: Helping families stay in the housing they’re Single point of contact in, with support from community programs, social service agencies, family and friends, and other community agencies. First contact Permanent housing, usually with Transition Prevention & diversion assistance (CSB) between YWCA Family Welcome to the Family Center Referral to direct housing: Center and Family Housing Collaborative (Salvation Army, Homeless Families Foundation, family: Permanent housing Volunteers of America CSB) America, e Minimize shelter stay/move to appropriate  Triage  Referral Referral to transitional housing housing quickly  Assessment (Amethyst)  Services  Guidance Referral to permanent supportive housing (Community Housing Network, Amethyst, Volunteers of Measures results and manage for outcomes America, Maryhaven, Columbus AIDS Task Force) Treatment programs for severe issues Shelters all families (ADAMH agencies) 5/6/10 RA-TA/Program Planning-Development/Family System Planning/Front door slide with provider names 5.6.10Triage and Diversion Family contacts the YWCA Family System after 1/1/12 5d Complete Triage/Diversion; Employment Enter data in CSP Intake Resource Services 1d Assessment 3d Family Advocate 1d Child Advocate Does family Complete Is family facing No have any No Shelter 6-7d 6-7d 6-7d eviction/ other Intake foreclosure? option? Direct Client Yes Yes Assistance Intake 14d 14d Intake 14d Intake (1 month rent + Assessment Assessment Assessment Refer to Assist family in security deposit) Prevention making alternate 3 months rent + 6 month rent + 1 month rent + 4 months rent + 3 months services 6 months services 3 months services 3 months services Services arrangements 13d And ServicesSystem characteristics Data Management Comprehensive Assessment  The front door (YWCA Family Center) enters comprehensive data in CSP Extensive housing partnerships  All providers have access to the family’s p y Access to short-term rental assistance CSP data Highly collaborative  Next step housing providers update data as families move through the system High accountability & transparency  Data as strategic tool
  • 3. Performance Measurement Goals  Implementation of Housing First principlesPerformance Measurement  Long-term family stability  Low recidivism  Increased accountability  Achievement of community-wide goalsPerformance Measures Performance Measures Measurement Annual Metrics System and Program Benchmarks set by Households served (#) Set based on prior year(s) attainment, fair share of system demand, facility capacity, and funds available to program. CSB Board of Trustees, HUD and local • tracks trending in need for shelter Successful housing Obtain housing at standard below or greater if prior year(s) CoC outcomes (%) achievement was greater: at least 70% for family shelter Annual Program Outcomes Plan (POP) Successful housing • tracks exits to permanent housing settings only Calculated based on the Successful housing outcomes %  Negotiated with agencies during annual “Gateway” Gateway outcomes (#) measurement. process Usage of CSB Direct Client % of households that receive CSB DCA will be consistent Assistance (%) with prior performance and /or program design.  Attached to annual partnership agreement • tracks usage of financial assistance that in general shows  Includes quarterly, semi-annual, annual goals faster exit from shelter and stabilization in housing  Goals set based on benchmarks or prior performance Usage of CSB Direct Client # of households that receive CSB DCA will be consistent Assistance (#) with prior performance and /or program design. System goals based on historical numbers, demand and available capacityPerformance Measures Performance MeasuresMeasurement Annual Metrics Measurement Annual MetricsSuccessful diversion At least 30% will be diverted to other community resources. Cost per household Cost per household will be consistent with budget.outcome (%) • tracks if shelter is used as a last resort option • tracks program efficiencyAverage length of stay Not to exceed standard or average for prior year(s) if less Cost per successful Cost per successful housing outcome will be consistent than standard: 20 days for family shelter housing outcome with budget. • tracks length of stay in shelter, shorter lengths of stay are • tracks program efficiency desired Pass program certification Provide access to resources and services to endAverage Transition Time g Not to exceed standard based on the policies and p homelessness. procedures (less or equal to 7 days) • tracks time it takes for the shelter to make a housing • tracks program’s success in following program, data, program referral; shorter times are desired financial and administrative standardsRecidivism <5% of those who obtain housing will return to shelter. • tracks households who return to shelter after a successful exitDiversion Recidivism (%) <5% of those diverted will enter shelter. • tracks households who return to shelter after a successful diversion
  • 4. Key Shelter Outcomes Key Shelter Outcomes Successful Diversion Outcome (%) Day 1 Day 5 Day 7 Day 20 Average Length of Stay (days) Shelter Entry Date Referral to Direct Average Transition Time (days) Housing Entry into Direct Successful Housing Successful Housing Outcome (%) Diversion Shelter Outcome Exit Date Average Transition Time Average Length of Stay (direct housing) Average Length of Stay (shelter) Successful Housing OutcomeSuccessful Diversion Outcome Average Length of Stay ˂ Purpose: A reasonably short LOS indicates the program’s success in rapid re-housing. It can ˂ Purpose: Indicates program’s success in ending homelessness by also indicate efficiency related to turnover of beds which is essential to meet system demand for emergency shelter. linking households to appropriate community resources and not admitting ˂ Definition: them into shelter. A higher number and rate are considered positive. - Emergency Shelter: The average cumulative number of days households receive shelter as ˂ Definition: The number of distinct households that are diverted to other measured from shelter entry to exit or last day of report period. community resources at their contact with the emergency shelter and the - Direct Housing and Rapid Re-housing: The average number of days households receive percentage this represents of total distinct households that contact the services as measured from the point of entry in the direct housing/rapid re-housing program to the exit date from the emergency shelter. Measure applies only to households emergency shelter during the report period. that had an entry date in the direct housing/rapid re-housing program within the report ˂ Goal-setting methodology: Meet or exceed CSB Board Ends Policy. period. N i d Note: h households who h d a di h ld h had direct h housing/rapid re-housing entry d i / id h i date after their f h i emergency shelter exit date are excluded from this calculation. ˂ Reporting methodology: Calculate the total number of distinct household ˂ Goal-setting methodology: Meet or below CSB Board Ends Policy. An average LOS less than contacts and the total number of diversions that are considered Ends goal is considered to be the desired direction. successful. Divide the number of successful diversion outcomes by the ˂ Reporting methodology: number of total contacts during the report period. - Emergency Shelter: Σ(Exit date or report end date – Entry date) / the number of total distinct households served within the report period. - Direct Housing and Rapid Re-housing: Σ(shelter exit date – direct housing/rapid re- housing entry date) / the number of total distinct households served with an entry date in the direct housing/rapid re-housing program within the report period.Average Transition Time Successful Housing Outcome ˂ Purpose: A reasonably short ATT indicates the program’s success in rapid ˂ Purpose: Indicates program’s success in ending homelessness. A higher re-housing. It can also indicate efficiency related to turnover of beds which is number and rate are considered positive. Indicates program’s success in essential to meet system demand for emergency shelter. linking households to appropriate next step housing which includes direct housing/rapid re-housing, transitional and permanent housing. ˂ Definition: The average number of days households receive shelter ˂ Definition: The number of distinct households that exit (i.e., latest exit for services as measured from shelter entry to entry/enrollment into the direct households with multiple stays during report period) to successful housing housing/rapid re-housing program. Measure applies only to households that as defined in Table 1 and the percentage this represents of total distinct had an entry date in the direct housing/rapid re-housing program within the households exited during the report period. period report period. ˂ Goal-setting methodology: Meet or exceed CSB Board Ends Policy, HUD Standards or prior performance. Number of successful housing ˂ Goal-setting methodology: Meet the direct housing/rapid re-housing outcomes equals rate times number of exits. policies and procedures. ˂ Reporting methodology: The total number of distinct household exits ˂ Reporting methodology: Σ(direct housing/rapid re-housing program and the total number of destinations that are considered successful entry/enrollment date – YWCA Family Center entry date) / the number of total housing outcomes. Divide the number of successful housing outcomes by distinct households served with an entry date in the direct housing/rapid re- the number of total exits during the report period. housing program within the report period.
  • 5. Reporting Schedule  Monthly Indicator Reports  By the 16th of the next month, minimal dataReporting p g  System and Program Indicator Reports  Quarterly, semi-annually and annually 60 days after the quarter-end  Annual Program Evaluation  Annually using 6 months worth of data, very detailedFront Door Data Points YWCA Outcomes CY2009 CY2010 CY2011 Households Served (#) Successful Housing Families Served 817 1,198 1,364 900 833 Outcomes(%) 800 696 701 726 688 74% 653 80% 68% 72% 68% Female HoH 90% 89% 90% 700 66% 600 57% 60% 500 Male HoH 10% 11% 10% 400 40% 300 Single Adult Headed HHd 71% 72% 73% 200 20% 100 0% New Households 75% 70% 61% 0 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 Contact Resolution Nightly Occupancy Recidivism (%) Diverted 37% 26% 30% 70 6% 60 5% 5% 5% 5% 5% Admitted 43% 56% 44% 58 5% 50 4% 47 Other (appeals, etc) 20% 18% 26% 40 44 44 39 4% 38 3% New and Diverted 42% 28% 32% 30 20 2% Contact Type 10 1% Phone 63% 62% 65% 0 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 0% FY2005 FY2006 FY2007 FY2008 FY2009 FY2010 Walk-in 34% 36% 33%YWCA Outcomes Average Length of (shelter) Stay3025 26 23 23 2420 22 21 Performance Based151050 Average Transition Time FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 20 18 16 19 16 Contracts 14 14 12 10 8 6 4 2 0 FY2009 FY2010 FY2011
  • 6. Performance Based Performance BasedContracts Contracts Encourages high level of performance  CSB “purchases” outcomes or outputs Meets system needs  Monthly payments for the previous month’s Applied to emergency shelter and direct performance housing programs  Agencies may have Focused on:  Base contract amount  Serving more households  Performance based contract amount  Shortening length of stay  “Above and beyond” performance based  Increasing volume of positive exits (successful contract amount (caped) housing outcomes)  Merit incentives (based on program rating)Performance Based Contracts Performance Based Contracts Program Action Required Contract Amount Soft Projection $XXX per successful housing outcome for Estimated Average XXX number of Number of Successful Program Action Required Contract Amount Soft Projection Emergency Successful Housing successful housing Housing Outcomes $XXX per new Shelter Outcomes outcomes. CSB will per Month: XXX household served/ Estimated Average new pay the same rate for (based on annual Direct New Households up to XXX. CSB will household served: XXX an additional XXX projection of XXX) Housing H i Served S d pay th same rate for (b the t f (based on annuall d outcomes. an additional XXX projection of XXX) outcomes. Final FY11 Monthly Successful Housing Outcomes Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 9 7 10 8 9 5  December Performance Amount: 5 x $XXXChanges Driven by DataAnalysis Improved outcomes because of performance measurement Overflow management handled by front door provider Manual to capture roles of each partner Questions? System redesign with direct housing focus www.csb.org Streamlined next step housing practices lbarbu@csb.org Performance-based contracting