Maintaining a Dynamic Housing Priority List

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Maintaining a Dynamic Housing Priority List Cindy Crain President & CEO Lester Collins, Jr. CoC Performance Analyst Metro Dallas Homeless Alliance Dallas, TX CoC TX-600

Coordinated Assessment System Parts a) Prioritization of Clients (HUD CPD Notices 14-012 and 16-11) b) HMIS Based Documentation of Priority Status: Vulnerability Assessment, Documentation of Homelessness and Documentation of Disability c) Centralized Housing Priority List creation and maintenance d) Together providing a picture of Homeless Response System Performance

CAS Prioritization Components a) Prioritization Guidelines based on our DOPS Matrix P1 through P12 and NP (handout) b) VISPDAT/SPDAT for vulnerability - integrated in HMIS and posted on client dashboard demographic c) HUD Definition of Homelessness and Recordkeeping requirements for length of stay in homelessness - uploaded in HMIS client record d) HUD Disability Recordkeeping requirements - uploaded in HMIS client record when applicable

DOPS Matrix a) Approved by CoC Membership and Board b) Housing rates of persons P1-P4 a part of CoC local competition c) Client s P level is documented in HMIS as a demographic on dashboard d) Only CAS/HMIS Staff can assign the P level Let s walk through the Matrix..

DOPS Request Process 1. Street outreach, day shelter, emergency shelter, Safehaven case managers are the DOPS requesters a category of a service request similar to an HMIS service request to track number, time, pending and completed requests. 2. DOPS Coordinator (1.0 FTE CAS staff) evaluates documentation and prioritizes in HMIS and formal form/signature OR pending if documentation insufficient (HUD monitor proof) Avg. time 1.6 business days 12-18 a day 3. Deletes any inappropriate disability related info (HIPAA) 4. DOPS training is a part of new HMIS user training AND new case manager training

DOPS Request Process 1. Street outreach, day shelter, emergency shelter, Safehaven case managers are the DOPS requesters a category of a service request similar to an HMIS service request to track number, time, pending and completed requests. 2. DOPS Coordinator (1.0 FTE CAS staff) evaluates documentation and prioritizes in HMIS and formal form/signature OR pending if documentation insufficient (HUD monitor proof) Avg. time 1.6 business days 12-18 a day 3. Deletes any inappropriate disability related info (HIPAA) 4. DOPS training is a part of new HMIS user training AND new case manager training

Housing Priority List 1. Weekly Housing Priority List (HPL) published to all HMIS eligible users/viewers 2. Viewing the HPL requires HMIS security and privacy level clearance 3. Updates MUST be standard list management to assure the list reflects actual demand for housing 4. CoC and ESG agencies must use the CAS HPL for housing programs 5. CoC and ESG local competitions consider housing of prioritized persons 6. CoC PSH MUST house P1 - P4

Client ID Date Completed Update Date Priority Status Gender Household Type Veteran In RRH bridge housing Income Referring Project 154571 3/9/2016 6/13/2016 P1 Female Individual Not Vet Yes 0 Austin Street HCC 100996 3/23/2016 6/9/2016 P1 Male Individual Not Vet Yes 733 City Square Homeless 139838 3/23/2016 6/9/2016 P1 Male Individual Not Vet Yes 733 City Square Homeless 145525 3/28/2016 2/8/2017 P1 Female Individual Not Vet No 0 Austin Street HCC 143741 3/30/2016 8/26/2016 P1 Male Individual Not Vet Yes 0 Tent City 126694 4/4/2016 8/26/2016 P1 Male Individual Not Vet Yes 0 Tent City 142542 4/8/2016 8/26/2016 P1 Female Individual Not Vet Yes 0 Tent City 86341 4/8/2016 8/26/2016 P1 Male Individual Not Vet Yes 0 Tent City 146895 4/18/2016 8/26/2016 P1 Male Individual Not Vet Yes 0 Tent City 143819 4/21/2016 8/26/2016 P1 Male Individual Not Vet Yes 0 Tent City 143619 5/3/2016 2/1/2017 P1 Male Individual Not Vet No 0 Tent City 143598 5/19/2016 8/26/2016 P1 Male Individual Not Vet Yes 0 Tent City 137707 5/19/2016 8/26/2016 P1 Male Individual Not Vet Yes 0 Tent City 130386 6/3/2016 6/3/2016 P1 Female Individual Not Vet Yes 0 City Square Homeless 115733 6/3/2016 6/13/2016 P1 Male Individual Not Vet Yes 0 City Square Homeless 102702 6/9/2016 6/17/2016 P1 Male Individual Not Vet Yes 0 City Square Homeless 147148 6/9/2016 6/28/2016 P1 Male Individual Not Vet Yes 0 City Square Homeless 141478 6/10/2016 6/10/2016 P1 Female Individual Not Vet Yes 753 City Square Homeless 138800 6/13/2016 6/13/2016 P1 Male Individual Not Vet Yes 0 City Square Street 69815 6/14/2016 6/14/2016 P1 Male Individual Not Vet Yes 732 Austin Street HCC 99575 6/20/2016 6/20/2016 P1 Female Individual Not Vet Yes 0 City Square Street 144654 6/21/2016 6/21/2016 P1 Female Individual Not Vet Yes 0 Austin Street HCC 62720 7/5/2016 7/5/2016 P1 Male Individual Not Vet Yes 750 Austin Street HCC 85832 7/8/2016 7/8/2016 P1 Female Individual Not Vet Yes 0 City Square Street 142111 7/8/2016 7/8/2016 P1 Female Individual Not Vet Yes 733 City Square Street 141609 7/12/2016 7/12/2016 P1 Male Individual Not Vet Yes 733 Austin Street HCC 81483 7/13/2016 7/13/2016 P1 Male Individual Not Vet Yes 733 City Square Street

Housing Priority List Maintenance 1. Re-VISPDAT only after 90 days with cause and request new DOPS 2. Over 90 days on HPL Updates (conducted weekly working with most recent weeks cut off initiated by CAS DOPS staff): - Are they still active? any service recorded in last 90 days? If NO, deactivate. If reactivate with update DOPS If YES, case manager of record updates Documentation of Homelessness and SPDAT if necessary, confirm priority 3. Updates less than 120 days: Request DOPS through service request with reason (e.g. recent hospitalization/diagnosis, etc. or hit 1 year time line.) 4. 180 day + of TOTAL time on HPL conduct CoC Committee staffing of all chronic as a by-name list to staff what needs to be done to get them housed.

FUSE MATRIX Frequent Users System Enhancement Matrix Priority Level Jail Hospital Emergency Department APOWW / EMS 1 ## Book-Ins per quarter ## Admissions per quarter ## Transports per quarter 2 # Book-Ins per quarter # Admissions per quarter # Transports per quarter 3 # Book-Ins per year # Admissions per quarter # Transports per Year

Client ID Date Completed Update Date Priority Status 154571 3/9/2016 1/1/1900 P1 1 JAIL ED APOWW Gend er Femal e Household Type Veteran In RRH bridge Income housing Referring Project Individual Not Vet Yes 0 Austin Street HCC 100996 3/23/2016 6/9/2016 P1 1 Male Individual Not Vet Yes 733 City Square Homeless 139838 3/23/2016 6/9/2016 P1 1 Male Individual Not Vet Yes 733 City Square Homeless 145525 3/28/2016 2/8/2017 P1 Femal e Individual Not Vet No 0 Austin Street HCC 143741 3/30/2016 8/26/2016 P1 2 Male Individual Not Vet Yes 0 Tent City 126694 4/4/2016 8/26/2016 P1 Male Individual Not Vet Yes 0 Tent City 142542 4/8/2016 8/26/2016 P1 1 1 1 Femal e Individual Not Vet Yes 0 Tent City 86341 4/8/2016 8/26/2016 P1 1 Male Individual Not Vet Yes 0 Tent City 146895 4/18/2016 8/26/2016 P1 1 Male Individual Not Vet Yes 0 Tent City 143819 4/21/2016 8/26/2016 P1 1 2 Male Individual Not Vet Yes 0 Tent City 143619 5/3/2016 2/1/2017 P1 Male Individual Not Vet No 0 Tent City 143598 5/19/2016 8/26/2016 P1 3 Male Individual Not Vet Yes 0 Tent City 137707 5/19/2016 8/26/2016 P1 Male Individual Not Vet Yes 0 Tent City 130386 6/3/2016 6/3/2016 P1 3 3 Femal City Square Homeless Individual Not Vet Yes 0 e 115733 6/3/2016 6/13/2016 P1 Male Individual Not Vet Yes 0 City Square Homeless 102702 6/9/2016 6/17/2016 P1 3 2 Male Individual Not Vet Yes 0 City Square Homeless 147148 6/9/2016 6/28/2016 P1 1 Male Individual Not Vet Yes 0 City Square Homeless 141478 6/10/2016 6/10/2016 P1 2 1 Femal City Square Homeless Individual Not Vet Yes 753 e 138800 6/13/2016 6/13/2016 P1 1 1 Male Individual Not Vet Yes 0 City Square Street 69815 6/14/2016 6/14/2016 P1 2 Male Individual Not Vet Yes 732 Austin Street HCC Femal City Square Street 99575 6/20/2016 6/20/2016 P1 Individual Not Vet Yes 0 e Femal 144654 6/21/2016 6/21/2016 P1 2 Individual Not Vet Yes 0 Austin Street HCC e 62720 7/5/2016 7/5/2016 P1 1 Male Individual Not Vet Yes 750 Austin Street HCC Femal City Square Street 85832 7/8/2016 7/8/2016 P1 1 1 Individual Not Vet Yes 0

Housing Priority List Tracker a) HPL updated daily b) HPL Tracker published weekly c) Tracker depicts trends in housing patterns based on priority status (age, FUSE, veteran status) d) Provides picture of Homeless Response System performance

Housing Priority List Tracker

Housing Priority List Tracker

MDHA Homelessness Response System Community Dashboard Quarterly Measures related to the demand for housing and available supply of housing Will compare Quarter to Quarter changes 10 basic measures Basic Message: What is the rate of homelessness and How well are we using our resources to end homelessness

Community Dashboard Housing Need/Demand

Community Dashboard 1. Overall demand for housing a) Total number of persons on the Housing Priority List on last day of each quarter b) Total number of persons permanently housed from the Housing Priority List c) Total number of new persons added to the Housing Priority List d) Total number of persons removed from the Housing Priority List with no known exit or death

Community Dashboard 2. Progress ending chronic homelessness a) Total number of chronically homeless persons on the Housing Priority List on last day of each quarter b) Total number of chronically homeless persons permanently housed from the Housing Priority List c) Total number of new chronically homeless persons added to the Housing Priority List d) Total number of chronically homeless persons removed from the Housing Priority List with no known exit e) Total number of chronically homeless persons removed from the Housing Priority List due to death

Community Dashboard 3. Progress ending veteran homelessness a) Total number of homeless veterans b) Total number of homeless veterans permanently housed c) Total number of new homeless veterans d) Total number of homeless veterans no longer in system of care with no known exit

Community Dashboard 4. Progress ending unaccompanied youth homelessness a) Total number unaccompanied homeless youth aged or under during quarter b) Total number of transitional aged youth 18-24 c) Total number of unaccompanied homeless youth under 18 permanently housed d) Total number of unaccompanied homeless youth 18-24 permanently housed

Community Dashboard 5. Progress ending family homelessness a) Total number of homeless families with children b) Total number of homeless families with children permanently housed c) Total number of new homeless families with children d) Total number of families with children no longer in system of care with no known exit

Community Dashboard Housing Supply

Community Dashboard 6. Permanent Supportive Housing Occupancy a) Average occupancy rate of permanent supportive housing b) Average occupancy rate of Veterans VASH permanent supportive housing c) Positive exits from permanent supportive housing to a permanent housing destination d) Negative exits from permanent supportive housing to unknown destination or return to homelessness 1. Don t Know/Refused or Missing Information within negative exits

Community Dashboard 6. Permanent Supportive Housing Occupancy Cont. f) Average length of stay of persons leaving permanent supportive housing g) Total new permanent supportive housing beds/units added to the inventory h) Total permanent supportive housing beds/units removed from the inventory

Community Dashboard 7. Rapid Rehousing Occupancy a) Number of Persons in RRH rapid rehousing b) Positive exits from rapid rehousing housing to a permanent housing destination c) Negative exits from rapid housing to unknown destination or return to homelessness 1. Don t Know/Refused or Missing Information within negative exits d) Average length of stay of persons leaving RRH

Community Dashboard 8. Transitional and SafeHaven Housing Occupancy (HMIS participating programs only, no domestic violence programs) a) Average occupancy rate of transitional & safe haven housing b) Positive exits from transitional & safe haven to a permanent housing destination c) Negative exits from transitional & safe haven to unknown destination or return to homelessness 1. Don t Know/Refused or Missing Information within negative exits d) Average length of stay of persons leaving TH & SH

Community Dashboard 9. Emergency Shelter Occupancy (HMIS participating programs only, no domestic violence programs) a) Average occupancy rate of emergency shelter beds b) Positive exits from emergency shelter to a permanent housing destination c) Negative exits (including no exit interview) from emergency shelter 1. Don t Know/Refused or Missing Information within negative exits d) Average length of stay of persons leaving emergency shelter

Community Dashboard 10. DHA Voucher Status for HCV Homeless Preference for Authorized Referral Agencies HMIS ARA Data Number of HCV-HP Pre-Applications Number of HCV-HP Vouchers Issues Number of HCV-HP Ineligible Number of HCV-HP Housed Number of HCV-HP Expired/Withdrawn *when new HMIS system is implemented.

Next Steps for CAS, HPL, and DOPS a) FUSE merges with CoC DOPS b) HPL a standard report in HMIS with capacity to: Sort by Chronic Sort by Veterans Sort by seniors (CoC local goal)

Questions?