Coordinated Assessment Norm Suchar & Denise Neunaber September 2013 !1 The National Alliance to End Homelessness is a nonprofit, non-partisan, organization committed to preventing and ending homelessness in the United States. By improving policy, building capacity, and educating opinion leaders, the Alliance has become a leading voice on this issue. The Alliance’s Center for Capacity Building is leading the implementation of solutions that reduce homelessness in communities across the country. The Center accelerates the adoption of solutions that are cost effective, data driven, and that will ultimately accomplish the goal of ending homelessness. !2 Agenda • Why are we here? • Break • Learn about coordinated assessment • Coordinated assessment planning exercise and debrief • System design overview • Next steps • Exercise about assessment tools !3 Big, Important Questions What is the end goal of all the work that we do? How will our coordinated assessment process connect people to permanent housing? How can we make things easier for the consumer seeking assistance? !4 Project Phases • Kickoff and Goal Setting: Beginning immediately through October 2013 • Planning and Design: September 2013 – March 2014 • Implementation and Evaluation: April 2014 – June 2014 !5 Examples of Front Doors Shelter or transitional housing program !6 Government office !7 Intake Center or Centers !8 2-1-1 !9 Combinations + !10 Problems with Front Doors? • May admit people to a program without proper screening • Program staff have limited access or knowledge of other community resources • Potential waste of staff time, program resources • Potential waste of consumer time !11 What should front doors do? • Be accessible • Do an initial assessment of need • Provide some services/crisis-oriented support • Capture data • Provide referrals/admit households to the program that fits them best !12 Coordinated Assessment !13 ? Centralized Intake ? ? Coordinated Intake ? ? Coordinated Entry ? ? Single Point of Entry ? !14 Why Do We Care About Coordinated Assessment? • Sends households to best program fit from the start • Provides system-wide prevention and diversion opportunities • Improves system efficiency • Fosters more collaboration among providers • Improves ability to perform well on HEARTH outcomes !15 Instead Of… ? !16 One Way In !17 Models • Centralized • Decentralized • Virtual • Mixed !18 Best Practices • Prioritize people with greatest need • No side doors • Simple • Drives system change !19 Assessment Tools • Can this episode of homelessness be prevented? (Diversion Screening) • What assistance does this household need right now? (Emergency Needs Assessment) • What assistance does this household need to exit homelessness? (Barrier Screening) • Given the lack of resources available, how much of a priority is providing assistance to this household? (Triage/Prioritization) !20 Assessment Tools • Diversion Screening Easy • Emergency Needs Assessment Easy • Barrier Screening Hard • Prioritization Painful !21 Exercise !22 2 minutes !23 30 seconds !24 Time's up! !25 System !26 Ending Family Homelessness Diagram of Coordinated Crisis Response System for Families !27 www.usich.gov Prevention and Diversion !28 What Does Prevention Entail? • Assistance to help a person maintain their current housing (usually financial assistance) • May be one-time • May include short-term service provision (case management, budget help, landlord mediation, etc.) !29 Prevention – Best Practice • Offer as little as is necessary to resolve crisis • Use an assessment tool to determine extent of crisis and level of need • Target funds to households whose profiles closely match those of households in shelter • Connect households with mainstream resources to improve chances at housing stabilization !30 What Does Diversion Mean? • Finding temporary alternate housing options outside of shelter when appropriate (safe) • Prevents unnecessary shelter entry and the accompanying stress • Happens when a household comes to the system to request shelter • Requires service flexibility !31 Diversion – Best Practice • Do prevention/diversion assessment before admitting someone to a shelter or other program • Create a system where services are accessible outside of shelter !32 !33 How do you know if it is working? • Outcome measures: fewer people becoming homeless, shorter episodes of homelessness, and fewer people experiencing multiple homeless episodes. • Consumer surveys !34 Exercise Using the materials at your table, diagram a coordinated assessment process. !35 • Where and how do people first access assistance? • What questions get asked? What kind of things are assessed? (no need to be too specific) • Who does the assessment? (government agency? nonprofit? clinic?) • Where do they get referred? (no need to be specific) • What additional assessments (if any) does the referee agency do? • Is there any point at which people get reassessed? How? Why? Note: This exercise is intended for you to use your creativity and try out some ideas? It is OK to be "wrong!" !36 2 minutes !37 30 seconds !38 Time's up! !39 !40 Next Steps Visioning Exercises October 3 8:30 am to 12:30 pm • Kickoff and Goal Setting: Through October 2013 • Planning and Design: September 2013 – March 2014 • Implementation and Evaluation: April 2014 – June 2014 • "Switch On" Date: May 1, 2014 !41 !42