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3.4 John Selfridge


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3.4 John Selfridge

  1. 1. National Conference on Ending Homelessness<br />July 14, 2011<br />Washington, DC<br />Voluntary Service Models: Serving Families in Their Own Homes<br />1<br />
  2. 2. 1998<br />In Shelter Case Management<br />Community Housing/Transitional Housing<br />A brief history of Services at The Road Home in Salt Lake City<br />2<br />
  3. 3. All programs had “Mandatory Services”<br />Clients must be case plan compliant<br />Families needed to be Housing Ready<br />Heavy Emphasis on treatment of substance abuse<br />Heavy Emphasis on being out of violent relationships<br />At That Time<br />3<br />
  4. 4. Failure to complete treatment<br />Failure to place UA<br />Violence in home<br />Repeated police calls<br />Failure to secure income<br />Not following case plan<br />Non payment of rent<br />Reasons for exits<br />4<br />
  5. 5. We knew what clients needed to succeed<br />Cannot be self-sufficient with substance abuse<br />Self-sufficiency looks the same for everyone<br />Clean, employed, meeting with case manager<br />Non-tolerance for discomfort around children<br />If family doesn’t want our help we will help someone who does<br />Philosophy at that time<br />5<br />
  6. 6. Many clients do respond to Mandatory Services<br />Served those who “wanted” to be served<br />Little to Zero tolerance of Substance Abuse<br />Decisions are clear cut<br />Benefits of Mandatory Philosophy<br />6<br />
  7. 7. Doesn’t work for all families<br />Case managed families out of housing<br />Same intervention over and over again<br />Limits case manager ability to build relationship<br />Adversarial relationship between case management and <br />Difficult for case manager<br />Challenges of Mandatory Philosophy<br />7<br />
  8. 8. Chronic Families <br />Exited from shelter and housing<br />Returned to shelter with same issues often worse off<br />Realized this wasn’t working <br />Shifted philosophy to stick with families no matter what<br />Placed 20 families over 4 years, only exited 1 (old habits die hard)<br />CR&CR<br />This ran over into other community housing case management<br />Evolution Part 1<br />8<br />
  9. 9. Rapid Rehousing<br />National numbers talking about most families enter into and out of homelessness quickly and don’t return<br />Experimented on the small scale, seemed to work<br />Collaborated with DWS on large scale<br />Placed over 600 families in 20 months<br />Very minimal requirements<br />Only 57 have returned to shelter<br />Evolution Part 2<br />9<br />
  10. 10. Permanent Supportive Housing<br />Fifty 2 bedroom apartment in a complex for chronically homeless families<br />Placed here all the families that we had failed with before<br />100% voluntary cm’t for client. Mandatory for the case manager<br />Goal is to keep client housed no matter what<br />Unconditional support for client<br />Healing relationship <br />MG and family<br />Evolution 3<br />10<br />
  11. 11. Shelter<br />Rapid Rehousing<br />Community/Transitional Housing<br />Permanent Supportive Housing<br />Variety helps-You can be respectful of client with in service model, let them make choices<br />Family Services Had Expanded<br />11<br />
  12. 12. Still Mandatory<br />Being High or Drunk in Shelter not tolerated<br />Being Violent in Shelter not tolerated<br />Clients with history are not housed as quickly as possible but rather must wait for a more intensive opportunity<br /><ul><li>Active addiction in shelter something to work on
  13. 13. Not kicked out for lack of increase in income
  14. 14. Being in a violent relationship is something to work on
  15. 15. No more housing readiness criteria</li></ul>Current Shelter Services<br />Now Voluntary<br />12<br />
  16. 16. Still Mandatory<br />Need to agree to employment plan<br />Need to meet with Employment Worker<br />Need to meet with Case Manager once a month<br /> (required by funders)<br /><ul><li>Income not required
  17. 17. Not denied for substance abuse
  18. 18. Not denied for family violence
  19. 19. Clients reassessed every month
  20. 20. Exceptions are the rule
  21. 21. Extensions as needed
  22. 22. More intensive housing as needed</li></ul>Rapid Rehousing<br />Now Voluntary<br />13<br />
  23. 23. Still Mandatory<br /><ul><li>Every family creates case plan with case manager
  24. 24. Must meet with case manager
  25. 25. Most community housing is time limited
  26. 26. Substance Abuse important issue, may lead to exit
  27. 27. Domestic Violence important issue, may lead to exit
  28. 28. Children cause a lot of stress in staff, issues may lead to exit
  29. 29. Belief that return to shelter may be only effective solution
  30. 30. Case Manager has a lot of flexibility with approach
  31. 31. Emphasis on relationship
  32. 32. When case plan not followed, flexibility ensues
  33. 33. Focus on issues as they affect housing
  34. 34. Allow CPS course of action to occur
  35. 35. Avoiding losing housing as long as possible
  36. 36. Back and forth with case manager and supervisor
  37. 37. Nobody exited without meeting with supervisor, so that clients can make informed decisions
  38. 38. No services based exits for almost 2 years (over 60 family households) </li></ul>Community/Transitional Housing<br />Now Voluntary<br />14<br />
  39. 39. Mandatory<br />Property Management may exit for violence, illegal activity, failure to pay rent<br /><ul><li>Belief that this is client’s only housing opportunity for now
  40. 40. Understanding that to get to this point mandatory services have had no effect
  41. 41. Work closely with Property Management
  42. 42. Goal to form supportive relationship
  43. 43. Attempt to remove all judgment
  44. 44. Unconditional acceptance of client</li></ul>Permanent Supportive Housing <br />Voluntary<br />15<br />
  45. 45. No longer deny families housing or assistance based on what we know about them<br /><ul><li>Families stay housed that did not used to stay housed.</li></ul>RRH - Out of 600 families in almost 2 years, only 57 return to shelter. <br />19 intensive families in community, 1 evicted over 3 years. <br />Community/Transitional Housing – ZERO services exits for almost 2 years (60 family households)<br /> PSH, 63 families over two years, 11 moved out on own, 2 evicted both for dealing. <br />Results in shift of philosphy<br />16<br />
  46. 46. Most families enter into and out of homeless quickly and do not return<br />Not all families need the same amount of service to manage<br />We can vary the intensity of case management services as appropriate<br />Making a family homeless makes the problem worse<br />It’s all about the relationship<br />Things we learned that influenced change<br />17<br />
  47. 47. <ul><li>“Not sure if we were helping people but we were definitely making them jump through hoops”
  48. 48. “It’s now, How do you guys think you can make it, rather than do this”</li></ul> Q – What if they weren’t ready for housing?<br /> A - “If they come back, we reassess and try again”<br /> Q - Wouldn’t they have been better off staying longer for more support?<br /> A - “Better off in housing than shelter because shelter is tough…kids regress…stress…no sleep”<br /><ul><li>“Everyone deserves chance”
  49. 49. “Staff were fearful of rapid rehousing at first, but once they saw that it worked they embraced it”
  50. 50. “Pressure is off the case manager”</li></ul>5 year Case manager turned 2 year Supervisor in Shelter<br />18<br />
  51. 51. <ul><li>“Meet 1 – 2 times a week first 2-3 month, then taper. We are flexible”
  52. 52. “Case Manager talks about adjustment with supervisor”
  53. 53. “Don’t evict anymore for non-compliance….more options help to ease the process”
  54. 54. “We feel really good about where we are at”
  55. 55. “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.
  56. 56. “We will work with them as long as they are progressing, our definition of progress has gotten really radical”</li></ul> Q – How do you view the changes<br /> 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”<br />13 year Supervisor in Shelter then Housing<br />19<br />
  57. 57. <ul><li>“We’ve gone from policing to having relationship”
  58. 58. “Switched from trying to catch people to trying to understand”</li></ul> Q – What was the effect of mandatory case management?<br /> A – “Created animosity, people had to distance themselves”<br /> Q – And now?<br /> A - “We are supporting, it’s not our agenda, it’s their agenda. They want to stay housed, it’s more connected”<br /><ul><li>“Before we tried to change people, now we support change in people”</li></ul>10 year case manager<br />20<br />
  59. 59. John Selfridge, LCSWThe Road HomeSalt Lake City, Utah<br />Contact Info<br /><br />(801) 706-1467<br />21<br />
  60. 60. Motivational Interviewing - Preparing People for Change, Miller & Rollnick<br />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<br />Helpful Texts<br />22<br />
  61. 61. <ul><li>Violet, Mother of 1 with longtime partner (2004)
  62. 62. In and out of shelter/community housing 4 times due to meth addiction
  63. 63. Housed family in intensive cm’t community placement (2006)
  64. 64. Continued to use, refused treatment, called our bluff, we stopped fighting her and started to simply be there for her
  65. 65. Relationship opened up
  66. 66. Continued to use, got protective order, kicked out abusive partner (2008)
  67. 67. Landlord kicked her out
  68. 68. Got herself clean in treatment (2009)
  69. 69. Moved into PSH with son, clean for 4 months before relapse
  70. 70. Lost son to family due to addiction, numerous staff cps calls (2010)
  71. 71. Meets voluntarily with therapist and case manager several times a month
  72. 72. Has strong relationships with staff, talks about getting clean on her terms
  73. 73. Housed (2011)</li></ul>This is voluntary case management not working<br />23<br />