HEARTH Academy: System Assessment
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Transcript of HEARTH Academy: System Assessment
The HEARTH AcademySystem Assessment and Design
October 2010
How well does your system
prevent and end homelessness?
-Survey consumers, service providers, and community leaders
Consumer Survey
What services or assistance do you or did you need the most to get permanent housing?
What services or help were you offered to help you get housing?
Was it easy for you to find services to help you when you became homeless.
To get help, were you sometimes asked to do things that you didn't want to do.
Do you feel that you got to "call the shots" about when and how you received services.
Estimated release mid-November
Use data to measure outcomes from your
homelessness assistance system.
Reduce new episodes of homelessness
Reduce lengths of homeless episodes
Reduce returns to homelessness
HEARTH Measures
Measuring exits to permanent housing is the key!
• Record housing status at exit
• Update housing status real time
Track Length of EpisodesShelter 116 days
Shelter 221 days
Rapid Re-Housing90 days
Gap5 days
Permanent Housing
Track Length of EpisodesShelter 116 days
Shelter 221 days
Rapid Re-Housing90 days
Gap5 days
Permanent Housing
Length of Stay42 days
More Strategies for Tracking Lengths of Episodes
Track average stays in individual programs.
Look at how many people use multiple programs.
Reduce Repeat Episodes
People who exited homelessness during a
period of time Of the group that exited, how many experienced an
additional episode of homelessness within a
period after exiting.1,000
100
Reduce Repeat Episodes
Short Follow-Up
Period
Long Follow-Up
Period
Focus on rapid re-housing, and things
more within the control of
homelessness system
Focus on self sufficiency, and
things more affected by job markets and
mainstream systems
Perform a Simple Cost Analysis
1. Calculate how much is spent on an intervention for each permanent housing exit.
2. Adjust for the fact that interventions serving higher barrier people will likely cost more for each exit to permanent housing.
Compare Interventions
Intervention A – $1,000 per exit to PH
Intervention B – $5,000 per exit to PH
Intervention C – $20,000 per exit to PH
Quality Exits
The number of people who exit to permanent housing within 60 days of becoming homeless minus the number who exited homelessness one year ago and since returned to homelessness.
Field testing now. Estimated release late November
System Performance Tool
How do you make your
system work better?
Functions of Homelessness Assistance
Shelter
Re-housePrevent
Diverting People From HomelessnessDudley Diversion Pilot, Boston, MA
Rapid Re-HousingHennepin County, MN
In one four year period, when internal County ‐funding and staffing changes were implemented to support rapid re housing, shelter admissions ‐declined by 42%, average length of stay by 47% and the total number of purchased “bed nights” ‐
was reduced by 70%.
(Community Spotlight: Rapid Re Housing—Rapid Exit Program in Hennepin ‐County, MN from the HUD HRE website)
Put the Pieces Together
First Contact
Point of Entry
Stabilize current housing
Immediate re-housing
Assess barriers
Refer to shelter and/or re-
housing
Exit Strategy
Point of Entry
Shelter
Re-HousingPermanent
Housing
Example of Progressive Engagement
Point of Entry
Housed
RRH 1$ RRH 2
$$ RRH 3$$$ PSH
$$$$
Example of Triage
Point of Entry
Housed
RRH 1$
RRH 2$$
RRH 3$$$
PSH$$$$
Assessment of Barriers to Housing
High:EvictionsSubstance Use
Medium:Inconsistent workNo supports
Low:Service engagedIncome
None:Rental historySupport network
Current System
New Interventions
Shelter nights
Days homeless
# of entries Diversion RRH 1 RRH 2 RRH 3 PSH Old
DesignNew
Design
1-7 30 15 15 0 0 0 120 60
8-30 25 5 10 10 0 0 475 300
31-180 30 0 6 18 6 0 3,150 1,080
181+ * 15 0 0 5 5 5 4,050 765
Total 100 20 31 33 11 5 7,795 2,205
*including multiple episodes Average Length of Episodes 78 28
Forecasting a New System
What about all the other programs?
Employment
Transitional Housing
Services
Opportunities for Transitional
Housing
Assets
Buildings
Housing location
Stabilization
Service coordination
Employment
Options
Shelter
Interim Housing
Rapid Re-Housing
Convert to PSH
Transition in Place
Specialize
Making the Transition
1. Analyze your data.
2. Analyze your programs.
3. Identify gaps and underserved populations.
4. Prioritize changes.
5. Assign timelines, benchmarks, responsible entities.
6. Start transforming!
Making the Transition
Implementing proven strategies to end homelessnessPresented by the National Alliance to End Homelessness
HEARTH Academy
Implementation Clinic
Participants in this 1.5 day clinic will assess the performance of their homelessness assistance and implement community-wide strategies to better achieve the goals of the HEARTH Act.
Individualized Consulting
The Alliance’s Center for Capacity Building and other expert consultants will be available to provide customized assistance.
Webinars and Tools
Webinars, tools, and training materials will help communities prepare for the Implementation Clinic and learn about and implement the strategies that help prevent and end homelessness.
Aisha WilliamsCenter for Capacity Building National Alliance to End [email protected]
If you are interested in participating in the HEARTH Academy or would like more information, please contact:
Note: The HEARTH Academy is not sponsored by or affiliated with the Department of Housing and Urban Development (HUD) or any other federal agency. The HEARTH Academy is a project of the National Alliance to End Homelessness.