Registry Week Survey Results

May 7 - 11, 2012

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.

The PlanLocate, 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.

How we did it• Local Insight & Experience

• Divided County into 7 Sectors

• Identified 40 target areas

• + 7 strategic Food, Service & Shelter Locations

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Hard working, dedicated volunteers

• 3 days of Field Surveying at 4 - 6am!

• 7 food, service & shelter locations

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• Deployed 102 volunteers in teams from Santa Cruz & Watsonville

Essential community support

• Homeless Service Center• SC County Homeless

Persons’ Health Project• United Way of SCC• Second Harvest Food

Bank• Potter’s House• PV Shelter Services• Salvation Army-

Watsonville• Mountain Community

Resources• County VA Outreach• Applied Survey Research

• Appleton Foundation• Twin Lakes Church• Resource Center for

Nonviolence• Homeless Garden Project• PV Loaves & Fishes• Santa Cruz Community

Counseling Center• St. Francis Catholic

Kitchen• Front Street Housing,

Inc.• River Street Shelter• Downtown Santa Cruz

Outreach Services

Survey methodology• Best practices from 100k Homes• Name, Location & Photo• Timing, Trust and Persistence

• Information is Confidential & Protected

• Participation is voluntary

• Consent agreements

• $5 gift card as Thanks

The results

Cross-county surveying

• 500+ people encountered

• 325 completed surveys

• 155 (47%) Vulnerable - with high mortality risk

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What is the Vulnerability Index?

Vulnerability factors / 6 months homeless and at least one of the following:

1. Liver Disease2. End-Stage Renal Disease3. HIV+/AIDS4. Age over 605. History of Cold Weather Injury6. 3 or more ED visits in the previous 3

months7. 3 or more hospital and/or Inpatient

episodes in the past year8. Tri-morbidity (mentally ill + abusing

substances + chronic medical problem)

Profile - the 155 most vulnerable

• 22% Female• 78% Male• 24 Veterans• Oldest - 75• 22% over 60• Youngest - 20• Average Age - 48

• 24% Hispanic

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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

Commonly reported reasons for homelessness

• Loss of Job / Low Income

• Substance Abuse

• Divorce / Separation

• Mental Health

• Eviction / Rent Increase

Where do you sleep most frequently?

• Streets - 41%

• Shelter - 15%

• Beach / Riverbed - 12%

• Vehicle - 12%

• Park / Forest - 10%

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

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

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 episodes in past year

17%

8.) Tri-Morbidity (mentally ill + abusing substances + chronic medical condition)

65%

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

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

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

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

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

Thank you!