Summarizes and presents the Registry Week effort to identify chronically homeless individuals in Santa Cruz County at risk of early death.

1. Registry Week Survey
Results
May 7 - 11, 2012

2. 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.

3. The Plan
Locate, identify and interview the
most vulnerable homeless men,
women and families in Santa Cruz
County, and rank order them
according to their mortality
risk so we know who to prioritize for
housing and services.

4. How we did it QuickTimeª and a
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• Local Insight & Experience
• Divided County into 7
Sectors
• Identified 40 target areas
• + 7 strategic Food, Service QuickTimeª and a
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& Shelter Locations

5. Hard working, dedicated
volunteers
• Deployed 102 volunteers in teams
from
Santa Cruz & Watsonville
• 3 days of Field Surveying
at 4 - 6am! QuickTimeª and a
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• 7 food, service & shelter
locations

6. 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

7. Survey methodology
• Best practices from 100k Homes
• Name, Location & Photo
• Timing, Trust and Persistence
• Information is Confidential & Protected
• Participation is voluntary
• Consent agreements

8. The results

9. Cross-county surveying
• 500+ people encountered
• 325 completed surveys QuickTimeª and a
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• 155 (47%) Vulnerable -
with high mortality risk
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10. What is the
Vulnerability Index?

11. Vulnerability factors / 6 months
homeless and at least one of the
following:
• 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)

12. Profile
- the 155 most vulnerable
• 22% Female
• 78% Male QuickTimeª and a
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• 24 Veterans
• Oldest - 75
• 22% over 60
• Youngest - 20 QuickTimeª and a QuickTimeª and a
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Average Age - 48
• 24% Hispanic

13. 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

14. Commonly reported
reasons for homelessness
• Loss of Job / Low Income
• Substance Abuse
• Divorce / Separation
• Mental Health
• Eviction / Rent Increase

15. Where do you
sleep most frequently?
• Streets - 41%
• Shelter - 15%
• Beach / Riverbed - 12%
• Vehicle - 12%
• Park / Forest - 10%

16. 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

17. Where do you go
for 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

18. Mortality Risk Identifiers
1.) 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 year
8.) Tri-Morbidity 65%
(mentally ill + abusing substances + chronic medical condition)

19. 37 people with 5, 4 or 3
mortality risk identifiers
5 Identifiers: Four people (4)
4 Identifiers: Ten people (10)
3 Identifiers: Twenty three (23) people
2 Identifiers: Forty seven (47) people
1 Identifier: Seventy one (71) people

20. Complex care = High
utilization
• 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

21. 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

22. How will you do a 180
to help make this
happen?

23. Here’s how you can
help
• 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

24. Thank you!