The document discusses efforts to address homelessness in various cities and regions. It describes initiatives such as Street to Home in NYC from 2003-2006 that aimed to reduce street homelessness by two-thirds in three years using a geographical accountability approach and housing first strategy. Project 50 in LA County from 2007-2008 housed over 67 vulnerable individuals in its first 100 days. The 100,000 Homes Campaign launched in 2008 with a goal to house 100,000 chronically homeless adults across 50 cities in 3 years building on existing initiatives.

1. Common Ground Beth Sandor, LA Field Director November 17, 2009

2. 100,000 Homes Campaign from numbers to names to neighbors

4. Time Travel Back to 2003 over 13 organizations funded by separate agencies to provide outreach in midtown “ contact” was standard unit of service no coordination between teams no one held accountable for outcomes “ if homeless people wanted housing, they’d go to the shelter.” “ if homeless people won’t go into the shelter, they must be service resistant .” ZERO dedicated housing resources

5. Street to Home Overview Adaptation of England’s Rough Sleepers Initiative that achieved 75% reduction in 3 years Started in October 2003 Goal: reduce street homelessness in West Midtown, NYC, by two-thirds in three years Originally funded by foundation money with seed grant of $75k Only partners were the BID and the police Unwavering commitment to figure this out

6. Street to Home Strategy Geographical accountability By name (with photos) registry of everyone sleeping on the streets Established prioritization method Vulnerability Index Tool Focused on shared goal of permanent housing Housing First

7. Vulnerability Index More than 6 months homeless AND at least one of the following: End Stage Renal Disease History of Cold Weather Injuries Liver Disease or Cirrhosis HIV+/AIDS Over 60 years old 3 or more emergency room visits in prior three months 3 or more ER or hospitalizations in prior year Tri-morbid (mentally ill+ abusing substances+ chronic medical problem)

10. NYC System Change $10 million dollars worth of outreach contracts are withdrawn Geographically accountability for 2/3 reduction implemented NYC census is down almost 50% Brooklyn, Queens, Bronx down 75% in first year of new contracts

11. Project 50 - Timeline Oct 4, 2007: Decision to launch Project 50 Nov 20, 2007: County Supervisors Passed Motion to Implement Project 50 within 100 days Dec 2007: Identified 140 vulnerable individuals out of 471 found sleeping outside Jan 28, 2008 – 1 st person placed into housing 67 people have been housed to date Unprecedented collaboration across 24 public and private agencies, especially across city-county More money was spent on hospital and jail visits the year prior to housing than the net operating cost of Project 50

12. Tenant Profile - Before

13. Tenant Profile - After

14. First year of Project 50 96% of people offered housing accepted 88% retention rate 73% reduction in hospitalization costs 80% reduction in jail days 95% of clients with MI are in treatment 65% of clients with SA are in treatment

15. Vulnerability Index Projects

16. Results to date Over 12,000 surveyed in 17 communities Over 1,400 most chronic and vulnerable homeless housed Los Angeles County – in 7 communities: Over 2,500 surveyed Over 200 units committed 130 people housed

17. Early Innovations Housing Resources Service Resources Broader System Changes Leveraging of the Community

26. 100,000 Homes Take something that already works well and Target it to 50 cities Goal to house 100,000 vulnerable chronically homeless adults in 3 years Building on learning and expertise of the 17 pilot communities Create system change on a local and national scale

27. 50 Target Cities

28. What it means to join the 100,000 Homes Campaign Communities will received the full support and resources of the campaign in exchange for a commitment to: Identify those on the street and prioritize based on health vulnerabilities Connect individuals directly with housing Support housing success with links to services and neighbors Be part of local and national learning

29. Campaign Activities Registry Creation & Vulnerability Index Community Building Faculty with organizing training and toolkit Allies with data on 100k people to drive resources Support Coalition of government, providers, and neighbors to join campaign Faculty from “best and brightest” across the country Allies at HUD, HHS, VA Recruit Individuals most impacted by homelessness Communities most impacted by homelessness Identify Local National

30. Vulnerability Index Projects: LOS ANGELES LA COUNTY LA CITY New Image Santa Monica Venice Long Beach San Fernando Valley West Hollywood Skid Row