Community Engagement Program Central City Concern Portland Oregon

Community Engagement Program Central City Concern Portland, Oregon Central City Concern

Timeline n 2002 - PATH q q n 2003 - CEP q q q n CCC conducts needs assessment of Hooper clients PATH grant funds the Community Engagement Program 28 community partners convene to develop 3 -year “Collaborative Initiative to Help End Chronic Homelessness” (SAMHSA, HRSA, HUD, VA) Multnomah Co. i-Tax funds new CEP team for the intractable street population with dual diagnoses: CEP II 28 community partners convene to respond to 5 -year “Ending Chronic Homelessness through Customized Employment and Housing” (DOL, HUD) Both federal initiatives awarded for total of 9. 2 million CEP receives national recognition as Exemplary Program: US Dept of Health and Human Services 2004 - CEP q q CEP III and CEP IV teams open to referrals, secure permanent supportive housing for chronically homeless adults PATH grant ends; CEP I clients/staff transitioned into other CEP teams, other community providers CENTRAL CITY CONCERN 2

Timeline n 2005 – CEP Since it’s inception, CEP has supported and housed over 300 homeless adults. New projects include: q q n 2006 - CEP q q n Housing Rapid Response, Family Latino Outreach and Addiction Treatment (FLOAT), OHSU Recuperative Care Providence expansion Multnomah County i-Tax funding for CEP II continues through July 2007 SAMHSA, HRSA, VA funding for CEP III ends March 2007 2006 – Housing Rapid Response q q Funded by Bureau of Housing and Community Development through December 2006 Funded by Office of Neighborhood Involvement, Portland Business Alliance 2006 -2007 CENTRAL CITY CONCERN 3

Integrated Services at CEP Portland Police Department/Bureau of Housing & Community Development - Housing Rapid Response Family Latino Outreach & Addictions Treatment (FLOAT) CMHS CEP • Intensive Case Management • Co-occurring Disorders Tx (A&D and MH) • Primary Healthcare • Benefits Acquisition • Employment Services • Housing Services Consumer-run Life Skills Center – The Client Empowerment Place CENTRAL CITY CONCERN Office of Neighborhood Involvement Portland Business Alliance Recuperative Care Project (RCP) OHSU / Providence 4

What services does CEP provide? n Multi-disciplinary, ethnically diverse teams provide an integrated approach to: q Outreach and engagement; q Intensive case management and consumer-centered plans for addressing substance abuse, mental health treatment and physical healthcare, benefits, employment, and housing. q On-going supports to maintain Recovery CENTRAL CITY CONCERN 5

CEP: 3 teams…. multiple partners n CEP II q Funded by Multnomah Co. itax until July 2006 q Team serves 60 clients with supported housing attached n CEP III q Funded by federal ICH grant (SAMHSA, HRSA, VA, HUD) until October 2006 q Collaboration with Westside Health Clinic, Portland VA, HAP q Serves up to 93 clients CENTRAL CITY CONCERN n CEP IV q Funded by Dept. of Labor and HUD q Collaboration with Outside In, JOIN, Worksystems, HAP, West Portland One Stop q Serves 87 clients 6

Who are the people seen at CEP? n n n Homeless for an average of 8. 6 years Most with poor rental history, no income, no benefits 68% with a criminal history 74% with a mental illness 90% with an active substance addiction 63% with a chronic medical condition such as HIV/AIDS, Hepatitis C, diabetes CENTRAL CITY CONCERN 7

CEP Housing Outcomes July 2003 -June 2006 CENTRAL CITY CONCERN 8

Where are people living? n n n CENTRAL CITY CONCERN 70 separate locations: private landlords, HAP Affordable Housing portfolio, CCC SRO units 24 zip code areas across Multnomah County Location based on individual choice and greatest likelihood for long-term success 9

Hotel Alder n CCC contribution to the ICH project: Eight Section 8 rooms n Resident selection & move-in began July 2005 CENTRAL CITY CONCERN 10

Employment Outcomes n HUD/DOL project has primary goal of developing customized employment opportunities for 89 clients on CEP IV over 5 years. Services are linked to the One Stop system. n ICH project (CEP III) includes employment supports as part of its multi-disciplinary team. n 60 people have been involved in planning for their return to work and are in active job development. n 57 people have succeeded in working in a competitive setting for some period of time. CENTRAL CITY CONCERN 11

Accessing Services n n n 100% have been engaged into services with an intensive case manager 85% have received primary care services 77% have received substance abuse treatment 76% have received mental health services 23% have received assistance in applying for Social Security benefits; 100% for food stamps CENTRAL CITY CONCERN 12

Access HRR Access Housing Rapid Response (HRR) n n Population - Frequent offenders, multiple arrests (avg. 24/month), chronically homeless Screening and referral - the Portland Police Department, Dept. of Community Justice q n n n 200 person “livability list” collected by City of Portland Police Dept. identifying potential clients Referral placement - Access HRR staff screens for appropriateness Services provided - Immediate transitional housing and intensive case management such as placement into treatment services, permanent housing and retention support, benefits acquisition and vocational assistance provided by CCC, community partners and other stakeholders Goal - Decreased contact with the criminal justice system, permanent housing placement and self sufficiency CENTRAL CITY CONCERN 13

Access HRR Reduction rates in identified target area n n Collectively, the 55 Access HRR clients had been arrested an average of 24 times per month prior to intervention services After Access HRR intervention services, clients were arrested an average of 13 times per month q q This is an 45% decrease in arrests Access HRR time period is 10/1/05 - 6/30/06 (9 months) CENTRAL CITY CONCERN 14

Monthly Average Arrests Befor e Access HRR After Access HRR 21 clients CENTRAL CITY CONCERN 16 clients 18 clients 15

Housing Retention n Retention of Housing for high-risk chronic repeat offenders who are homeless q q From 10/1/2005 to 5/31/2006, a total of 55 individuals have been housed through Access HRR Program. Of 55 unduplicated individuals placed in the Access HRR Program, 7 (12%) were transitionally housed for 15 days or less; 35 (64%) were transitionally housed for 15 days or more; and 17 (24%) were moved into permanent housing Contracted goal (on an abbreviated 9 month contracting period) was to permanently house 22 people by 06/30/06 n As of 07/01, Access HRR had housed 17 individuals, 63% of targeted goal of housing 22 people Retention of permanent housing placement measured at 9, 12 and 18 months Access HRR has engaged/touched 76 people in 9 months CENTRAL CITY CONCERN 16

Achieving Success n Key Factors for Success: q Excellent communication among partners, including: n n n q q Central City Concern Office of Neighborhood Involvement/Mayor’s Office Bureau of Housing and Community Development Portland Police Department of Community Justice Portland Business Alliance Housing First/Harm reduction Relationship building CENTRAL CITY CONCERN 17

Achieving Success n Key Factors for Success (cont. ): q Staff/cultural match: n n q q Periods of incarceration Homelessness Recovery from addiction/mental illness Professional skill set Referral to and/or provision of culturally appropriate treatment services Structured transitional housing and access into permanent supported housing in the greater community n n Rent assistance (min. 9 months), vocational assistance, benefits acquisition, healthcare, recovery support, Time unlimited services CENTRAL CITY CONCERN 18

What has it taken to accomplish this? Motivated staff willing to go out on the streets to find people, listen to their stories, accept them at whatever point they are at, and instill in them a glimmer of hope for the future. CENTRAL CITY CONCERN 19