Moving Toward Coordinated Entry: Lessons from Dayton/Montgomery County, OH


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Moving Toward Coordinated Entry: Lessons from Dayton/Montgomery County, OH

  1. 1. Moving Toward Coordinated Entry: Lessons from Dayton/Montgomery County, OH<br />Joyce Probst MacAlpine, Presenter<br />Manager of Housing and Homeless Solutions<br />Kim Walker, Moderator<br />
  2. 2. Alliance “Front Door” Materials<br />Coordinated Entry Paper – just released<br />Diversion Paper <br />Coordinated Entry Toolkit<br />Diversion Toolkit<br />Prevention Targeting Paper<br />Webinars – Thursday, June 23rd @ 2 PM ET: Lianna Barbu from Columbus, OH on coordinated entry for singles and families<br /><br />
  3. 3. Before We Get Started…<br /><ul><li> To ask a question, use the ‘Questions’ box toward the bottom of the GoToWebinar panel. If we can’t answer your question during the webinar, we’ll make sure to follow up with you afterwards.
  4. 4. If you are having audio issues, please make sure you have the correct dial-in number and access code (these should be in your registration e-mail). Please also check that you have clicked on the correct audio method under the ‘Audio’ tab.
  5. 5. A copy of the webinar will be available on the Alliance website at</li></li></ul><li>Dayton-Montgomery CountyFront Door Assessment<br />National Alliance to End Homelessness <br />Moving Toward Coordinated Entry: Lessons from Dayton/Montgomery County, OH<br />June 9, 2011<br />
  6. 6. Moving from a program centered system to a client centered system<br />
  7. 7. Front Door Assessment Overview<br />A consistent assessment tool and scoring process to determine appropriate exit from homelessness, administered at all the ‘front doors’ to the homeless system<br />Policies related to program and client acceptance expectations<br />
  8. 8. Homeless System in Dayton-Montgomery County <br />
  9. 9. Dayton-Montgomery County CoC <br />Homeless Solutions Community 10 Year Plan: A Blueprint for Ending Chronic Homelessness and Reducing Overall Homelessness in Dayton and Montgomery County, OH adopted in June 2006<br />Received $7.2 million in 2010 CoC funding from HUD<br />965 homeless people in 2011 Point in Time Count<br />
  10. 10.
  11. 11. Development of the Front Door Assessment <br />
  12. 12. Background<br />System defined by program eligibility and intake decisions made by individual programs<br />Rational for shelter case managers to submit applications for every possible program person could be eligible for<br />Lack of data on client need to make system planning decisions<br />
  13. 13. Goals<br /><ul><li>Rapidly exit people from homelessness to stable housing
  14. 14. Efficient and effective use of system resources – clients receive appropriate services
  15. 15. Ensure that all clients, including the hardest to serve, are served
  16. 16. Transparency and accountability throughout the assessment and referral process</li></li></ul><li>Timeline<br />Fall 2007 – Created Front Door Committee<br />Spring 2009 – Release of Front Door Consultant RFP<br />January 2010 – Consultants started Front Door planning and development<br />Define program types and outcomes<br />Develop assessment tool<br />August 1, 2010 – Launched Front Door assessment for all people entering homelessness<br />February 1, 2011 – Began six month review<br />
  17. 17. Assessment & Referral Process<br /><ul><li>Assessment - conducted at all Front Doors
  18. 18. Intake – goal is diversion, done within first 3 days
  19. 19. Comprehensive assessment – done within first 7-14 days
  20. 20. Referral decision worksheet to identify most appropriate program type to help client move to permanent housing
  21. 21. All eligibility criteria set by funding sources must be complied with
  22. 22. Programs must remove additional barriers to entry
  23. 23. Priority for PSH openings for long-stayers, elderly and medically fragile
  24. 24. Process to refer appropriate client to specific program when opening occurs
  25. 25. Done by system staff for transitional housing, PSH and Safe Haven
  26. 26. Planned to be in HMIS but issues with seeing referral</li></li></ul><li>Policies<br />Require that programs accept 1 in 4 referrals<br />Eliminate all program entrance requirements except those required by funding (i.e. no drug testing)<br />All program vacancies must be filled through the Front Door process – close the ‘side doors’<br />Development of program and system performance outcomes based on HEARTH<br />
  28. 28. Accomplishments<br />Closed ‘side doors’ into CoC programs so all homeless system resources used for people in shelter or on the street<br />31 of 57 long-stayers (more than 200 nights of homelessness in 2010) housed<br />Established policies about expectations for people in shelter <br />use income for housing <br />expected to accept first appropriate referral<br />Have client-centered data for HEARTH planning<br />
  29. 29. Six Month Review Findings<br />HMIS functionality and reporting issues limited data collection and management capacity.<br />Assessment process implementation not always followed consistently. Additional definitions for client history needed.<br />Front Door Assessment policies not uniformly adopted by all providers.<br />
  30. 30. Six Month Review Findings (cont.)<br />Improvement in tracking, management and reporting of Front Door Assessment processes needed.<br />Front Door Assessment implementation surfaced gaps and deficiencies in program approaches and operations across the homeless system.<br />
  32. 32. Resource Commitments<br /><ul><li>Consultants – $200,000 over 2 years
  33. 33. System staff
  34. 34. HMIS programming staff
  35. 35. Provider involvement
  36. 36. Meetings, staff training
  37. 37. Front Door assessment agencies spend more time on assessment, HMIS and referrals</li></li></ul><li>Process and Products<br />Front Door Committee<br />Monthly meetings<br />Provider forums<br />Development of forms, manuals, reports<br />Very intensive HMIS work <br />Assessment in HMIS<br />Programming reports<br />Case conferences<br />Process and referral reviews, esp. PSH referrals<br />
  38. 38. Joyce Probst MacAlpine<br />Manager of Housing & Homeless Solutions<br />Montgomery County, Ohio<br />937-225-4218<br /><br />