What is 180/180?• In partnership with the 100,000 Homes campaign• A community effort in Santa Cruz County to help 180 chronically homeless men, women and families turn their lives around• Goal to house 180 of our most vulnerable, long-term, chronically homeless men, women and families by July 2014, moving them into permanent housing with the support services they need to stay housed.
The PlanLocate, identify and interview themost vulnerable homeless men,women and families in Santa CruzCounty, and rank order themaccording to their mortalityrisk so we know who to prioritize forhousing and services.
How we did it QuickTimeª and a decompressor are needed to see this picture.• Local Insight & Experience• Divided County into 7 Sectors• Identified 40 target areas• + 7 strategic Food, Service QuickTimeª and a decompressor are needed to see this picture. & Shelter Locations
Hard working, dedicated volunteers• Deployed 102 volunteers in teamsfrom Santa Cruz & Watsonville• 3 days of Field Surveying at 4 - 6am! QuickTimeª and a decompressor are needed to see this picture.• 7 food, service & shelter locations
Essential community support• Homeless Service Center • Appleton Foundation• SC County Homeless Persons’ • Twin Lakes Church Health Project • Resource Center for• United Way of SCC Nonviolence• Second Harvest Food Bank • Homeless Garden Project• Potter’s House • PV Loaves & Fishes• PV Shelter Services • Santa Cruz Community• Salvation Army- Watsonville Counseling Center• Mountain Community • St. Francis Catholic Kitchen Resources • Front Street Housing, Inc.• County VA Outreach • River Street Shelter• Applied Survey Research • Downtown Santa Cruz Outreach Services
Survey methodology• Best practices from 100k Homes• Name, Location & Photo• Timing, Trust and Persistence• Information is Confidential & Protected• Participation is voluntary• Consent agreements
Cross-county surveying• 500+ people encountered• 325 completed surveys QuickTimeª and a decompressor are needed to see this picture.• 155 (47%) Vulnerable - with high mortality risk QuickTimeª and a decompressor are needed to see this picture.
Vulnerability factors / 6 monthshomeless and at least one of thefollowing:• Liver Disease• End-Stage Renal Disease• HIV+/AIDS• Age over 60• History of Cold Weather Injury• 3 or more ED visits in the previous 3 months• 3 or more hospital and/or Inpatient episodes in the past year• Tri-morbidity (mentally ill + abusing substances + chronic medical problem)
Profile- the 155 most vulnerable• 22% Female• 78% Male QuickTimeª and a decompressor are needed to see this picture.• 24 Veterans• Oldest - 75• 22% over 60• Youngest - 20 QuickTimeª and a QuickTimeª and a decompressor decompressor• are needed to see this picture. needed to see this pictu are Average Age - 48• 24% Hispanic
Profile- the 155 most vulnerable• Avg 8 years homeless• Avg 19 years living in Santa Cruz County• 28% have some college education• 23% have been in foster care
Commonly reportedreasons for homelessness• Loss of Job / Low Income• Substance Abuse• Divorce / Separation• Mental Health• Eviction / Rent Increase
Where do yousleep most frequently?• Streets - 41%• Shelter - 15%• Beach / Riverbed - 12%• Vehicle - 12%• Park / Forest - 10%
Medically fragile• 38% have a permanent physical disability that limits mobility (e.g. wheelchair, amputation, unable to climb stairs)• 43% have had a serious brain injury or head trauma requiring hospitalization or surgery• 52% have been the victim of violent attacks since becoming homeless
Where do you gofor medical care?• 30% visit HPHP Coral Street Clinic• 16% visit Dominican Hospital• 18% other clinic• 48% have been to the ED in the past 3 months, with three participants having 7+ visits in past 3 months• 52% have been admitted to hospital in the past 1 year
Mortality Risk Identifiers1.) Liver Disease 32%2.) End Stage Renal (Kidney) Disease 14%3.) HIV+/AIDS 2%4.) Over 60 22%5.) History of cold weather injuries 17%6.) 3 or more ED visits past 3 months 16%7.) 3 or more hospital and/or inpatient 17% episodes in past year8.) Tri-Morbidity 65%(mentally ill + abusing substances + chronic medical condition)
37 people with 5, 4 or 3mortality risk identifiers5 Identifiers: Four people (4)4 Identifiers: Ten people (10)3 Identifiers: Twenty three (23) people2 Identifiers: Forty seven (47) people1 Identifier: Seventy one (71) people
Complex care = Highutilization• 37 of the Most Vulnerable Homeless Individuals (category rank 5, 4 or 3) have a combined total of 67 hospital admissions in the past year• Average cost of hospital admission is $8,500* the math: $8,500 x 67 = $569,500 / 37 = $15,392 average hospital cost per year for the most vulnerable homeless men and women in Santa Cruz County *Source: U.S. Dept. of Health & Human Services, AHRQ (Agency for Healthcare Research and Quality) H-CUP (Healthcare Cost & Utilization Project) 2006
What’s next• Begin housing the person with the highest risk of mortality - at the top of our rank ordered list• Continue surveying beyond those already interviewed, prioritized by vulnerability• Continue partnerships with businesses, non- profits, volunteers, churches, government and the philanthropic community
Here’s how you canhelp• Sponsor one person/family with move-in cost for $1,000• Donate furniture and housewares• Tell your friends about us on Facebook• Sign up to volunteer for outreach and ongoing surveying• www.180santacruz.org