1.3 Rapid Re-Housing for Survivors of Domestic Violence
Rapid re-housing is being adapted by domestic violence providers to respond to the housing needs of the women and families they serve. This workshop will examine how rapid re-housing and homelessness prevention strategies are being used to serve survivors of domestic violence. Presenters will share their service models and lead a discussion on how to assist survivors in finding and maintaining safe, permanent housing.
Speakers:
Kris Billhardt
Dr. Chiquita Rollins
This document discusses a study examining the relationship between family caregivers of dementia patients and healthcare providers. The study aimed to identify how diagnosis is provided, understand caregiver needs, and determine how providers can better support caregivers. Key findings include that specialists rather than primary care physicians usually provide the diagnosis, and caregivers desire more information from doctors on disease progression, services, and financing care. Healthcare providers reported needing more time with patients and families and could better utilize tools to assist caregivers. There is a shortage of geriatricians available to support this vulnerable population.
The HIV Seroconversion Study collects both quantitative and qualitative data from people in Australia who have recently been diagnosed with HIV. The study provides information about the circumstances under which people are infected with HIV, and about their experiences since diagnosis. A sub-study was recently conducted in Perth, which focussed on gay men and sexual health testing; previous experiences of testing, potential barriers and motivators to testing and the experience of receiving an HIV-positive test result. This presentation briefly outlines the study findings overall, with a focus on the local experiences of gay men accessing M Clinic and other sexual health services.
This document discusses invitational intervention and the ARISE model for engaging resistant substance abusers in treatment. It addresses several key points:
- The ARISE model is a three-level continuum of intervention using the family/support system to motivate entry into treatment. Level I involves a first call, Level II adds a family meeting, and Level III is a formal intervention if needed.
- Research on the ARISE model found over 80% of substance abusers entered treatment or self-help, often at Level I involving just one call. Involvement of more family/friends and parental involvement predicted better outcomes.
- Real-world data from another treatment center replicating ARISE also found high rates of
1.3 Rapid Re-Housing for Survivors of Domestic Violence
Rapid re-housing is being adapted by domestic violence providers to respond to the housing needs of the women and families they serve. This workshop will examine how rapid re-housing and homelessness prevention strategies are being used to serve survivors of domestic violence. Presenters will share their service models and lead a discussion on how to assist survivors in finding and maintaining safe, permanent housing.
Speakers:
Kris Billhardt
Dr. Chiquita Rollins
This presentations by Carl Falconer is from the workshop 3.03 Implementing Effective Governance to End Homelessness from the 2015 National Conference on Ending Homelessness.
Effective governance sets the tone for a systemic focus on ending homelessness. Speakers will discuss the essential elements of effective governance, including managing and measuring performance and right-sizing the crisis response system through resource allocation.
Slides from a presentations by Cynthia Nagendra of the National Alliance to End Homelessness from a webinar that originally streamed on Tuesday, April 7, 2015 covering steps one and three of the Alliance's "5 Steps for Ending Veteran Homelessness" document.
"Housing First and Youth" by Stephen Gaetz from the workshop 4.6 Housing and Service Models for Homeless Youth at the 2014 National Conference on Ending Homelessness.
This document discusses a study examining the relationship between family caregivers of dementia patients and healthcare providers. The study aimed to identify how diagnosis is provided, understand caregiver needs, and determine how providers can better support caregivers. Key findings include that specialists rather than primary care physicians usually provide the diagnosis, and caregivers desire more information from doctors on disease progression, services, and financing care. Healthcare providers reported needing more time with patients and families and could better utilize tools to assist caregivers. There is a shortage of geriatricians available to support this vulnerable population.
The HIV Seroconversion Study collects both quantitative and qualitative data from people in Australia who have recently been diagnosed with HIV. The study provides information about the circumstances under which people are infected with HIV, and about their experiences since diagnosis. A sub-study was recently conducted in Perth, which focussed on gay men and sexual health testing; previous experiences of testing, potential barriers and motivators to testing and the experience of receiving an HIV-positive test result. This presentation briefly outlines the study findings overall, with a focus on the local experiences of gay men accessing M Clinic and other sexual health services.
This document discusses invitational intervention and the ARISE model for engaging resistant substance abusers in treatment. It addresses several key points:
- The ARISE model is a three-level continuum of intervention using the family/support system to motivate entry into treatment. Level I involves a first call, Level II adds a family meeting, and Level III is a formal intervention if needed.
- Research on the ARISE model found over 80% of substance abusers entered treatment or self-help, often at Level I involving just one call. Involvement of more family/friends and parental involvement predicted better outcomes.
- Real-world data from another treatment center replicating ARISE also found high rates of
1.3 Rapid Re-Housing for Survivors of Domestic Violence
Rapid re-housing is being adapted by domestic violence providers to respond to the housing needs of the women and families they serve. This workshop will examine how rapid re-housing and homelessness prevention strategies are being used to serve survivors of domestic violence. Presenters will share their service models and lead a discussion on how to assist survivors in finding and maintaining safe, permanent housing.
Speakers:
Kris Billhardt
Dr. Chiquita Rollins
This presentations by Carl Falconer is from the workshop 3.03 Implementing Effective Governance to End Homelessness from the 2015 National Conference on Ending Homelessness.
Effective governance sets the tone for a systemic focus on ending homelessness. Speakers will discuss the essential elements of effective governance, including managing and measuring performance and right-sizing the crisis response system through resource allocation.
Slides from a presentations by Cynthia Nagendra of the National Alliance to End Homelessness from a webinar that originally streamed on Tuesday, April 7, 2015 covering steps one and three of the Alliance's "5 Steps for Ending Veteran Homelessness" document.
"Housing First and Youth" by Stephen Gaetz from the workshop 4.6 Housing and Service Models for Homeless Youth at the 2014 National Conference on Ending Homelessness.
Frontline Practice within Housing First Programs by Benjamin Henwood from the workshop 5.9 Research on the Efficacy of Housing First at the 2014 National Conference on Ending Homelessness.
Rapid Re-Housing with DV Survivors: Approaches that Work by Kris Billhardt from the workshop Providing Rapid Re-housing for Victims of Domestic Violence at the 2014 National Conference on Ending Homelessness.
Non-chronic Adult Homelessness: Background and Opportunities by Dennis Culhane from the workshop 1.7 Non-Chronic Homelessness among Single Adults: An Overview at the 2014 National Conference on Ending Homelessness
California’s Approach for Implementing the Federal Fostering Connections to Success Ac by Lindsay Elliott from
5.8 Ending Homelessness for Youth Aging Out of Foster Care at the 2014 National Conference on Ending Family and Youth Homelessness.
This document summarizes key aspects of health care reform related to homeless families and youth. It discusses how the Affordable Care Act expands Medicaid eligibility for youth and reduces costs for families. It then provides details on Medicaid eligibility categories and coverage groups impacted by the reforms. The rest of the document outlines core Medicaid concepts, different means of covering services including waivers and managed care, and concludes with an overview of Louisiana's permanent supportive housing program.
This document summarizes a workshop on retooling transitional housing programs into rapid re-housing models. The workshop included presentations from providers who have successfully made this transition. They discussed the challenges they faced, such as resistance to change from staff and partners, and the solutions they implemented, like developing new screening and employment assistance components. Presenters emphasized the importance of communication, aligning with community plans, and evaluating outcomes when retooling programs. Retooling requires considering funding, staffing, housing issues, and starting a pilot program before fully implementing changes. Overall, the presentations showed how transitional housing can effectively transition to serving more families through a rapid re-housing model.
The Fusion Project is directed by Kim Wirth and focuses on supporting vulnerable youth through building relationships. It utilizes a theory of change that supports youth to meet basic needs, build relationship skills, and reconnect with family/community for long-term self-sufficiency. The program is relationship-focused, invites voluntary engagement, aims to be authentic and youth/family-led, and inspires change through living its values. Preliminary outcomes show a reduction in homelessness and increased natural supports for youth after engaging with the program.
The document discusses programs and services provided by the LA Gay & Lesbian Center to support homeless LGBTQ youth. It notes that around 6,000 youth experience homelessness in LA County each year, and 40% of homeless youth in Hollywood identify as LGBTQ. The Center provides emergency housing, a transitional living program, independent apartments, and youth development programs focused on education, employment, and permanent connections. Services are trauma-informed and use positive youth development approaches. Outcomes include over 300 youth served annually, with many obtaining education, jobs, housing and community support. The RISE project also aims to improve permanency outcomes for LGBTQ foster youth.
This document summarizes a presentation on the impact of budget cuts to housing assistance programs. It discusses how the Budget Control Act led to automatic spending cuts (sequestration) that have significantly reduced funding for programs like housing vouchers. As a result, hundreds of thousands fewer families are receiving housing assistance. Advocates are urged to contact members of Congress to emphasize how cuts threaten efforts to end homelessness and ask that housing programs be prioritized in any budget deal. Restoring funding could help maintain assistance for vulnerable groups and prevent increased homelessness.
Family Reunification Pilot, Alameda County, CA from the work shop 6.1 Partnering with Child Welfare Agencies to End Family Homelessness at the 2013 National Conference on Ending Homelessness.
Avenues for Homeless Youth operates four programs in the Twin Cities that provide shelter and transitional housing for over 200 homeless youth per year. The programs include a shelter in North Minneapolis, as well as GLBT, suburban, and Minneapolis host home programs. Host homes provide a safe, stable transitional housing option at 50% lower cost than congregate housing. They aim to build long-term supportive relationships critical for youth success. The host home model places homeless youth with volunteer community members who are trained and supported by program managers.
This document describes a learning collaborative hosted by EveryOne Home in Alameda County, California to improve their homeless assistance system. The collaborative was called the EveryOne Housed Academy and brought together staff from homeless services organizations over two days. The goals were to develop a shared understanding of housing first and rapid rehousing approaches, align around common language and tools, and create customized implementation plans to help organizations move more people quickly into permanent housing. Guiding principles for effective learning collaboratives that were followed included making topics concrete and practical, creating space for ongoing learning and application, and unlocking new possibilities through a collaborative process.
This document summarizes a presentation on advocating for policy priorities at the state level. It discusses:
- Why state advocacy is important, such as educating leaders, directing policy and resources, and building coalitions.
- Examples of state advocacy from North Carolina and Minnesota, including securing Medicaid funding for permanent supportive housing in NC and forming a coalition called "Homes for All" in MN to pass affordable housing legislation.
- Tools for effective state advocacy, such as using data to tell a story, developing strategic advocacy plans, and setting priorities at the state level by focusing on key audiences and policy asks.
Shelter diversion by Ed Boyte from 6.5 Maximizing System Effectiveness through Homelessness Prevention from the 2013 National Conference on Ending Homelessness
"Evaluating Philadelphia’s Rapid Re-Housing Impacts on Housing Stability and Income," by Jamie Vanasse Taylor Cloudburst and Katrina Pratt-Roebuck from the 2013 National Conference on Ending Homelessness/.
This document summarizes key points about continuing efforts to end veteran homelessness in the United States. It discusses maintaining political will through continued budget increases. The proposed FY2014 budget represents a 3.5% increase to further programs like SSVF and HUD-VASH that provide housing and services. It also outlines emerging issues like adapting GPD programs and preventing future homelessness through SSVF and other prevention services. The goal is to establish robust systems to ensure functional zero veteran homelessness nationwide.
A Triage Tool for Homeless Youth: Proposed Items and Method by Eric Rice from the workshop 2.5 Research on Homeless Youth at the 2013 National Conference on Ending Youth Homelessness
Family intervention can facilitate the process of youth returning home, strengthen families, and address trauma. It is an umbrella term that includes strategies like family reunification, connecting, and finding. Reunification refers to returning youth in temporary care to their family. Connecting includes emotionally reuniting youth if physical reunification is not possible. Family finding identifies and engages extended family or fictive kin important to youth. Aftercare services provide formal or informal support. Benefits include ending homelessness, improving family relationships, and preventing future runs. Evidence-based models discussed were Project STRIVE and others. Project STRIVE uses techniques like role playing, problem solving, and reframing over 5 sessions to address unresolved family conflicts driving
This document provides information about organizational and community change grants from the National Alliance to End Homelessness to help reduce family homelessness in Virginia. It outlines the proposal submission process, with a deadline of June 1st, and funding decision date of July 2nd. It describes two grant opportunities - one for organizational shifts toward rapid re-housing for families and one for community-wide system shifts. Eligibility requirements and tips for applying are also provided.
Frontline Practice within Housing First Programs by Benjamin Henwood from the workshop 5.9 Research on the Efficacy of Housing First at the 2014 National Conference on Ending Homelessness.
Rapid Re-Housing with DV Survivors: Approaches that Work by Kris Billhardt from the workshop Providing Rapid Re-housing for Victims of Domestic Violence at the 2014 National Conference on Ending Homelessness.
Non-chronic Adult Homelessness: Background and Opportunities by Dennis Culhane from the workshop 1.7 Non-Chronic Homelessness among Single Adults: An Overview at the 2014 National Conference on Ending Homelessness
California’s Approach for Implementing the Federal Fostering Connections to Success Ac by Lindsay Elliott from
5.8 Ending Homelessness for Youth Aging Out of Foster Care at the 2014 National Conference on Ending Family and Youth Homelessness.
This document summarizes key aspects of health care reform related to homeless families and youth. It discusses how the Affordable Care Act expands Medicaid eligibility for youth and reduces costs for families. It then provides details on Medicaid eligibility categories and coverage groups impacted by the reforms. The rest of the document outlines core Medicaid concepts, different means of covering services including waivers and managed care, and concludes with an overview of Louisiana's permanent supportive housing program.
This document summarizes a workshop on retooling transitional housing programs into rapid re-housing models. The workshop included presentations from providers who have successfully made this transition. They discussed the challenges they faced, such as resistance to change from staff and partners, and the solutions they implemented, like developing new screening and employment assistance components. Presenters emphasized the importance of communication, aligning with community plans, and evaluating outcomes when retooling programs. Retooling requires considering funding, staffing, housing issues, and starting a pilot program before fully implementing changes. Overall, the presentations showed how transitional housing can effectively transition to serving more families through a rapid re-housing model.
The Fusion Project is directed by Kim Wirth and focuses on supporting vulnerable youth through building relationships. It utilizes a theory of change that supports youth to meet basic needs, build relationship skills, and reconnect with family/community for long-term self-sufficiency. The program is relationship-focused, invites voluntary engagement, aims to be authentic and youth/family-led, and inspires change through living its values. Preliminary outcomes show a reduction in homelessness and increased natural supports for youth after engaging with the program.
The document discusses programs and services provided by the LA Gay & Lesbian Center to support homeless LGBTQ youth. It notes that around 6,000 youth experience homelessness in LA County each year, and 40% of homeless youth in Hollywood identify as LGBTQ. The Center provides emergency housing, a transitional living program, independent apartments, and youth development programs focused on education, employment, and permanent connections. Services are trauma-informed and use positive youth development approaches. Outcomes include over 300 youth served annually, with many obtaining education, jobs, housing and community support. The RISE project also aims to improve permanency outcomes for LGBTQ foster youth.
This document summarizes a presentation on the impact of budget cuts to housing assistance programs. It discusses how the Budget Control Act led to automatic spending cuts (sequestration) that have significantly reduced funding for programs like housing vouchers. As a result, hundreds of thousands fewer families are receiving housing assistance. Advocates are urged to contact members of Congress to emphasize how cuts threaten efforts to end homelessness and ask that housing programs be prioritized in any budget deal. Restoring funding could help maintain assistance for vulnerable groups and prevent increased homelessness.
Family Reunification Pilot, Alameda County, CA from the work shop 6.1 Partnering with Child Welfare Agencies to End Family Homelessness at the 2013 National Conference on Ending Homelessness.
Avenues for Homeless Youth operates four programs in the Twin Cities that provide shelter and transitional housing for over 200 homeless youth per year. The programs include a shelter in North Minneapolis, as well as GLBT, suburban, and Minneapolis host home programs. Host homes provide a safe, stable transitional housing option at 50% lower cost than congregate housing. They aim to build long-term supportive relationships critical for youth success. The host home model places homeless youth with volunteer community members who are trained and supported by program managers.
This document describes a learning collaborative hosted by EveryOne Home in Alameda County, California to improve their homeless assistance system. The collaborative was called the EveryOne Housed Academy and brought together staff from homeless services organizations over two days. The goals were to develop a shared understanding of housing first and rapid rehousing approaches, align around common language and tools, and create customized implementation plans to help organizations move more people quickly into permanent housing. Guiding principles for effective learning collaboratives that were followed included making topics concrete and practical, creating space for ongoing learning and application, and unlocking new possibilities through a collaborative process.
This document summarizes a presentation on advocating for policy priorities at the state level. It discusses:
- Why state advocacy is important, such as educating leaders, directing policy and resources, and building coalitions.
- Examples of state advocacy from North Carolina and Minnesota, including securing Medicaid funding for permanent supportive housing in NC and forming a coalition called "Homes for All" in MN to pass affordable housing legislation.
- Tools for effective state advocacy, such as using data to tell a story, developing strategic advocacy plans, and setting priorities at the state level by focusing on key audiences and policy asks.
Shelter diversion by Ed Boyte from 6.5 Maximizing System Effectiveness through Homelessness Prevention from the 2013 National Conference on Ending Homelessness
"Evaluating Philadelphia’s Rapid Re-Housing Impacts on Housing Stability and Income," by Jamie Vanasse Taylor Cloudburst and Katrina Pratt-Roebuck from the 2013 National Conference on Ending Homelessness/.
This document summarizes key points about continuing efforts to end veteran homelessness in the United States. It discusses maintaining political will through continued budget increases. The proposed FY2014 budget represents a 3.5% increase to further programs like SSVF and HUD-VASH that provide housing and services. It also outlines emerging issues like adapting GPD programs and preventing future homelessness through SSVF and other prevention services. The goal is to establish robust systems to ensure functional zero veteran homelessness nationwide.
A Triage Tool for Homeless Youth: Proposed Items and Method by Eric Rice from the workshop 2.5 Research on Homeless Youth at the 2013 National Conference on Ending Youth Homelessness
Family intervention can facilitate the process of youth returning home, strengthen families, and address trauma. It is an umbrella term that includes strategies like family reunification, connecting, and finding. Reunification refers to returning youth in temporary care to their family. Connecting includes emotionally reuniting youth if physical reunification is not possible. Family finding identifies and engages extended family or fictive kin important to youth. Aftercare services provide formal or informal support. Benefits include ending homelessness, improving family relationships, and preventing future runs. Evidence-based models discussed were Project STRIVE and others. Project STRIVE uses techniques like role playing, problem solving, and reframing over 5 sessions to address unresolved family conflicts driving
This document provides information about organizational and community change grants from the National Alliance to End Homelessness to help reduce family homelessness in Virginia. It outlines the proposal submission process, with a deadline of June 1st, and funding decision date of July 2nd. It describes two grant opportunities - one for organizational shifts toward rapid re-housing for families and one for community-wide system shifts. Eligibility requirements and tips for applying are also provided.
More from National Alliance to End Homelessness (20)
Reducing Family Homelessness in Virginia: Community and Organizational Change...
1.3 Baseline Fact Sheet
1. Domestic Violence: A Different Kind of Homelessness
Results from The SHARE Study
The SHARE Study
The SHARE Study is a quasi experimental, longitudinal, community based participatory study designed to evaluate the
effectiveness, including cost-effectiveness, of an existing rapid re-housing program (Volunteers of America Home Free). The
evaluation examines the role of housing stability in preventing revictimization and reducing negative health outcomes of
domestic violence survivors and their children.
Demographics of the SHARE Study Participants
Race and Ethnicity: Despite the demographics of Portland, over half the
Participants of the SHARE Study sample were women of color
were 278 English or Spanish 26.6% African American
speaking women in the Portland, 24.5% Hispanic
7.6% Native American
Oregon area who had experienced Education: About ½ had a GED, high school degree or less.
physical or sexual violence or 25.9% no high school degree
threats of violence by an intimate or 23.0% only had a high school degree or GED
ex intimate partner in the previous 6 Employment: The participants had high rates of unemployment and poverty
months. 29.1% employed outside the home
90.0% of the sample had less than $1500 per month to live on.
Participants also had housing 89.9% report difficulty in meeting basic needs and 39.2% report often
instability as a primary concern and to sometimes not having enough food to eat
had sought services from a Children: most participants had children
domestic violence or housing 83% had children
assistance agency. Most had young children, mean child age = 7.93
The Impact of Housing Instability and Domestic Violence
Health
Participants had high rates of depression, PTSD, and health concerns
83.4% met the criteria for clinical depression
94.2% experienced symptoms consistent with PTSD, with the average PTSD score equal or
higher than that of returning veterans of combat
53.8% had accessed hospital/emergency medical services in previous 6 months
Severity of Violence
Participants were living with extremely high levels of danger
Scores from the Danger Assessment, measuring risk factors associated with intimate partner
homicide
2.2% Variable Danger (0-7)
12.6% Increased Danger (8-13)
Mean (SD) Range
14.0% Severe Danger (14-17)
71.2% Extreme Danger (18+) 21.57 (7.27) 1-37
Influence of DV on Work
Participants’ ability to work is highly impacted by DV
58.7% Have taken time off in the last six months because of DV
28.4% Lost/quit/fired from a job in the last six months because of DV
Service Utilization
Participants had high rates of public service utilization
TANF 56.8%
WIC 25.4%
TADVS 65.1%
Police came to assist 61.2%
Applied for restraining order 46.0%
Hospital or emergency or urgent care 53.8%
2. Housing Instability
Participants had low levels of homelessness, but high housing instability
largely due to domestic violence in the prior 6 months
Housing Instability Index (HII) Risk Factors % % Due to DV
Lived somewhere she did not want to live 79.9 73.4
Difficulty paying (or unable to pay) for housing 78.8 67.6
Trouble getting housing in last 6 months 64.7 50.7
Do not expect to stay in current housing 54.3 45.0
Borrowed money to pay for housing 50.7 44.2
Had 3 or more moves in last 6 mo 42.1 **
Trouble with landlord 36.6 26.6
Landlord threatened to evict 27.7 22.3
Served eviction notice 18.0 13.7
Unlikely to be able to pay for housing this month 12.2 **
Mean # of HII Risk Factors Range Mean # of Moves Range
3.94 0-116
4.83 0-10
*42.1% had 3 or more moves
Only 26.6% reported one or more of the following types of
homelessness in the 6 months prior to the survey:
16.55% had lived in a motel/hotel they paid for themselves
2.88% had stayed at a homeless shelter
13.67% had lived on the street, in their car, or camped out
The more unstable the housing, the greater the risk of:
Higher Danger Assessment score
Higher PTSD
Higher depression
Poorer quality of life
Greater likelihood of hospital/emergency/urgent care use
Greater likelihood of days off work/school
Children
Housing Instability and domestic violence can have negative impacts on children
45.3% of children in the study were outside the normal range of functioning on a behavioral
assessment
31.7% of children screened for impairment in cognitive, emotional, or behavioral functioning
37.3% Missed 6 or more days of school in the last six months
31.4% Missed 1 or more days of school due to DV in the last six months
23.2% School performance declined in the last six months
Assessment Mean (SD) Range Scale Interpretation
Normal 0-13
Child Strength &
12.66 (8.03) 0-32 Borderline 14-16
Difficulties Scale
Abnormal 17-40
Pediatric Symptoms >28 psychological
22.14 (13.83) 0-60
Checklist impairment
More pediatric symptoms (worse psychological functioning) were associated with
More risk factors for housing instability
Higher scores on the danger assessment
Chiquita Rollins, PhD SHARE Co-Principal Investigator, DV Consultant 503-335-3078 cmrollins@q.com
Kris Billhardt, M.Ed,Ed.S Director, Volunteers of America Home Free 503-802-0492 kbillhardt@voaor.org
Funding was provided by Centers for Disease Control and Prevention, National Center for Injury Prevention and Control (U49CE000520-01, 09/01/2005-
08/31/2010).
Factsheet was designed and developed by Amber Clough, Johns Hopkins University School of Nursing, Research Program Coordinator,
aclough2@son.jhmi.edu.