COCTRAINING April2017
Coordinated Entry
Chronically Homeless
Agenda
 Coordinated Entry
 Overview
 Permanent Supportive Housing
 By-Name List
 Chronically Homeless
 Who meets the definition?
 Documenting Chronic Homelessness
Coordinated
Entry
Without Coordinated Entry With Coordinated Entry
Coordinated Entry
 Required for CoC-funded and ESG-funded projects
 Prevention, diversion & emergency shelter
Do you need to be here?
Are there better options?
Prioritization
 Permanent supportive housing & rapid rehousing
Are you eligible?
Prioritization
PermanentSupportive Housing (PSH) for chronically
homeless
 In Hampden County, all CoC-funded units are dedicated
to or prioritized for chronically homeless
 All providers and projects are required to use coordinated
entry
 One single cross-agency wait-list for CoC-funded PSH,
prioritized byVI-SPDAT
 Referrals must come from by-name list
CoC-funded PSH and RRH
PSH FOR INDIVIDUALS:
 Annie’s House (13)
 Bowdoin Street (13)
 FOHWorthington Street (30)
 FOH Scattered Site (New in July)
 HRU Next Step/Next Step 2 (28)
 MHA S+C (90)
 RVCC Scattered Site (HIV+) (24)
 Tranquility House (8)
PSH FOR FAMILIES:
 CHD Project Permanence (8)
 CHD Scattered Site (12)
 HAPTurning Point (9)
 VOC Scattered Site (8)
RRH
 Catholic Charities
Coordinated
Entry
Access
• Outreach
• Shelter
• Hospital
• Crisis
Assessment
• Standardized
• VI-SPDAT
Prioritization
• Highest priority:
longest time
homeless, most
vulnerable
• Case
Conferencing
Navigation
• Housing
Preferences
• Document
Ready
Referral to
Housing
By-Name List
EnginesofSpringfield’s
CoordinatedEntrySystem
 Homelink
The by-name list
(platform to be replaced in 2017)
 Case Conferencing
Review openings & coordinate referrals
Chronically
Homeless
Definition of
Chronically
Homeless
Chronically homeless means:
(1) A “homeless individual with a disability,” as
defined in the Act, who:
 Lives in a place not meant for human habitation, a safe
haven, or in an emergency shelter; and
 Has been homeless (as described above) continuously for
at least 12 months or on at least 4 separate occasions in
the last 3 years where the combined occasions must total
at least 12 months
Occasions separated by a break of at least seven nights
Stays in institution of fewer than 90 days do not constitute
a break
Definition of
Chronically
Homeless
(cont.)
(2) An individual who has been residing in an
institutional care facility for fewer than 90 days
and met all of the criteria in paragraph (1) of this
definition, before entering that facility; or
Definition of
Chronically
Homeless
(cont.)
(3) A family with an adult head of household (or if
there is no adult in the family, a minor head of
household) who meets all of the criteria in
paragraphs (1) or (2) of this definition, including
a family whose composition has fluctuated while
the head of household has been homeless.
KeyQuestion:
Is this person (household) chronically homeless?
 VISPDAT
 Sleeping location &currently
homeless
 How long?
 How many times homeless?
 How many months total?
 HMIS
 Approximate date homelessness
started – “look back”
 Number of times homeless
 Number of months homeless
Key Idea:
Homeless = on streets or in shelter
Recordkeeping
Requirements
1
Applies to any CoC
Program-funded PSH that
is required to serve the
chronically homeless
2
Creates a reasonable,
uniform standard to ensure
consistency in how chronic
homelessness is documented
Verification
Requirements
 Require documentation at intake of the
evidence relied on to verify status
 Establish the following order of priority for
obtaining evidence:
 Third-party
 Intake worker observation
 Certification from the person seeking assistance
DocumentingChronic Homelessness:
DISABILITY
Must be third party, and includes:
 Written verification from a professional licensed by the State to diagnose
and treat the disability and certification that the disability is expected to
be long continuing or of indefinite duration and substantially impedes the
individual’s ability to live independently
 Written verification from SSA
 The receipt of a disability check
 Intake staff-recorded observation of a disability that is confirmed and
accompanied by evidence above within 45 days
DocumentingChronic Homelessness:
HOMELESS HISTORY
 Documentation of single encounter in a month is sufficient to consider
household homeless for entire month unless evidence of a break
 Evidence of a break can be documented by:
 Third party evidence
 The self-report of the individual seeking assistance - 100% of the breaks can
be documented by self report
 If third-party documentation cannot be obtained, a written record of
intake workers due diligence to obtain, the intake worker’s
documentation of the living situation, AND the individual’s self-
certification of the living situation
DocumentingChronic Homelessness:
HOMELESS HISTORY
Third party documentation is preferred; however:
 For all clients, up to 3 months can be documented through self-
certification
 In limited circumstances, up to the full 12 months can be obtained
through self-certification
DocumentingChronic Homelessness:
INSTITUTIONALSTAYS
 Discharge paperwork or written or oral referral from a social worker, case
manager, or other appropriate official stating the beginning and end
dates of the time residing in the institutional care facility
 Where the above is not attainable, a written record of intake workers due
diligence to obtain AND the individual’s self-certification that he or she is
exiting an institutional care facility where resided less than 90 days
DocumentingChronic Homelessness:
HOMELESS HISTORY
12 Months Continuous
 Start by looking in HMIS to determine if there are 12 months of
continuous homelessness and no evidence of break (i.e., HMIS record of
stay in transitional housing)
 Ex. If there is evidence of at least one night in shelter each month for the last 12 months, it is not
necessary to ask about breaks
 If there are not 12 months in HMIS but client reports that they have been
homeless for the last 12 months with no breaks, identify other third-party
sources (i.e., outreach worker, other professional source)
 Ex.There are 8 months documented in HMIS over the last year but intake worker can obtain discharge
paperwork or a written certification from mental health professional for at least one other month of a stay in
an institution and self-certification for up to 3 months. It is not necessary to ask about breaks.
DocumentingChronic Homelessness:
HOMELESS HISTORY
12 Months Cumulative
 Start by looking in HMIS to determine if there are 12 months of cumulative
homelessness over the last 3 years.
 Ex.There is evidence of at least one night in shelter for 12 months over the last 18 months.
 If there are not 12 months in HMIS but client reports that they have been
homeless for the last 12 months in the last three years, identify other third-
party sources (i.e., outreach worker, other professional source)
 Next, identify any documented breaks in HMIS (i.e., stay in transitional
housing).
 If there are fewer than 3 breaks found in HMIS, with client to identify breaks
between four occasions (current experience counts as one occasion).
DocumentingChronic Homelessness:
HOMELESS HISTORY
If at least 9 months of homelessness (cumulative or continuous) cannot be
obtained by third-party documentation, up to the full 12 months can be
documented via self-certification only:
 Must thoroughly document attempts to obtain third-party documentation and
why third-party documentation was not obtained
 Must obtain a written certification from individual or head of household of the
living situation of the undocumented time period
 Limited to rare and extreme cases and no more than 25 percent of households
served in an operating year
Paperwork
THANKYOU!

CoC Training april 10 2017

  • 1.
  • 2.
    Agenda  Coordinated Entry Overview  Permanent Supportive Housing  By-Name List  Chronically Homeless  Who meets the definition?  Documenting Chronic Homelessness
  • 3.
  • 4.
    Without Coordinated EntryWith Coordinated Entry
  • 5.
    Coordinated Entry  Requiredfor CoC-funded and ESG-funded projects  Prevention, diversion & emergency shelter Do you need to be here? Are there better options? Prioritization  Permanent supportive housing & rapid rehousing Are you eligible? Prioritization
  • 6.
    PermanentSupportive Housing (PSH)for chronically homeless  In Hampden County, all CoC-funded units are dedicated to or prioritized for chronically homeless  All providers and projects are required to use coordinated entry  One single cross-agency wait-list for CoC-funded PSH, prioritized byVI-SPDAT  Referrals must come from by-name list
  • 7.
    CoC-funded PSH andRRH PSH FOR INDIVIDUALS:  Annie’s House (13)  Bowdoin Street (13)  FOHWorthington Street (30)  FOH Scattered Site (New in July)  HRU Next Step/Next Step 2 (28)  MHA S+C (90)  RVCC Scattered Site (HIV+) (24)  Tranquility House (8) PSH FOR FAMILIES:  CHD Project Permanence (8)  CHD Scattered Site (12)  HAPTurning Point (9)  VOC Scattered Site (8) RRH  Catholic Charities
  • 8.
    Coordinated Entry Access • Outreach • Shelter •Hospital • Crisis Assessment • Standardized • VI-SPDAT Prioritization • Highest priority: longest time homeless, most vulnerable • Case Conferencing Navigation • Housing Preferences • Document Ready Referral to Housing By-Name List
  • 9.
    EnginesofSpringfield’s CoordinatedEntrySystem  Homelink The by-namelist (platform to be replaced in 2017)  Case Conferencing Review openings & coordinate referrals
  • 10.
  • 11.
    Definition of Chronically Homeless Chronically homelessmeans: (1) A “homeless individual with a disability,” as defined in the Act, who:  Lives in a place not meant for human habitation, a safe haven, or in an emergency shelter; and  Has been homeless (as described above) continuously for at least 12 months or on at least 4 separate occasions in the last 3 years where the combined occasions must total at least 12 months Occasions separated by a break of at least seven nights Stays in institution of fewer than 90 days do not constitute a break
  • 12.
    Definition of Chronically Homeless (cont.) (2) Anindividual who has been residing in an institutional care facility for fewer than 90 days and met all of the criteria in paragraph (1) of this definition, before entering that facility; or
  • 13.
    Definition of Chronically Homeless (cont.) (3) Afamily with an adult head of household (or if there is no adult in the family, a minor head of household) who meets all of the criteria in paragraphs (1) or (2) of this definition, including a family whose composition has fluctuated while the head of household has been homeless.
  • 15.
    KeyQuestion: Is this person(household) chronically homeless?  VISPDAT  Sleeping location &currently homeless  How long?  How many times homeless?  How many months total?  HMIS  Approximate date homelessness started – “look back”  Number of times homeless  Number of months homeless Key Idea: Homeless = on streets or in shelter
  • 16.
    Recordkeeping Requirements 1 Applies to anyCoC Program-funded PSH that is required to serve the chronically homeless 2 Creates a reasonable, uniform standard to ensure consistency in how chronic homelessness is documented
  • 17.
    Verification Requirements  Require documentationat intake of the evidence relied on to verify status  Establish the following order of priority for obtaining evidence:  Third-party  Intake worker observation  Certification from the person seeking assistance
  • 18.
    DocumentingChronic Homelessness: DISABILITY Must bethird party, and includes:  Written verification from a professional licensed by the State to diagnose and treat the disability and certification that the disability is expected to be long continuing or of indefinite duration and substantially impedes the individual’s ability to live independently  Written verification from SSA  The receipt of a disability check  Intake staff-recorded observation of a disability that is confirmed and accompanied by evidence above within 45 days
  • 19.
    DocumentingChronic Homelessness: HOMELESS HISTORY Documentation of single encounter in a month is sufficient to consider household homeless for entire month unless evidence of a break  Evidence of a break can be documented by:  Third party evidence  The self-report of the individual seeking assistance - 100% of the breaks can be documented by self report  If third-party documentation cannot be obtained, a written record of intake workers due diligence to obtain, the intake worker’s documentation of the living situation, AND the individual’s self- certification of the living situation
  • 20.
    DocumentingChronic Homelessness: HOMELESS HISTORY Thirdparty documentation is preferred; however:  For all clients, up to 3 months can be documented through self- certification  In limited circumstances, up to the full 12 months can be obtained through self-certification
  • 21.
    DocumentingChronic Homelessness: INSTITUTIONALSTAYS  Dischargepaperwork or written or oral referral from a social worker, case manager, or other appropriate official stating the beginning and end dates of the time residing in the institutional care facility  Where the above is not attainable, a written record of intake workers due diligence to obtain AND the individual’s self-certification that he or she is exiting an institutional care facility where resided less than 90 days
  • 22.
    DocumentingChronic Homelessness: HOMELESS HISTORY 12Months Continuous  Start by looking in HMIS to determine if there are 12 months of continuous homelessness and no evidence of break (i.e., HMIS record of stay in transitional housing)  Ex. If there is evidence of at least one night in shelter each month for the last 12 months, it is not necessary to ask about breaks  If there are not 12 months in HMIS but client reports that they have been homeless for the last 12 months with no breaks, identify other third-party sources (i.e., outreach worker, other professional source)  Ex.There are 8 months documented in HMIS over the last year but intake worker can obtain discharge paperwork or a written certification from mental health professional for at least one other month of a stay in an institution and self-certification for up to 3 months. It is not necessary to ask about breaks.
  • 23.
    DocumentingChronic Homelessness: HOMELESS HISTORY 12Months Cumulative  Start by looking in HMIS to determine if there are 12 months of cumulative homelessness over the last 3 years.  Ex.There is evidence of at least one night in shelter for 12 months over the last 18 months.  If there are not 12 months in HMIS but client reports that they have been homeless for the last 12 months in the last three years, identify other third- party sources (i.e., outreach worker, other professional source)  Next, identify any documented breaks in HMIS (i.e., stay in transitional housing).  If there are fewer than 3 breaks found in HMIS, with client to identify breaks between four occasions (current experience counts as one occasion).
  • 24.
    DocumentingChronic Homelessness: HOMELESS HISTORY Ifat least 9 months of homelessness (cumulative or continuous) cannot be obtained by third-party documentation, up to the full 12 months can be documented via self-certification only:  Must thoroughly document attempts to obtain third-party documentation and why third-party documentation was not obtained  Must obtain a written certification from individual or head of household of the living situation of the undocumented time period  Limited to rare and extreme cases and no more than 25 percent of households served in an operating year
  • 25.
  • 26.

Editor's Notes

  • #17 After determining a person is chronic, then turn to verifying chronic status. Lack of verification doesn’t mean the person is not chronic.