Ending Chronic Homelessness Are we there yet Ana

Ending Chronic Homelessness – Are we there yet? Ana Rausch, Ana Senior Rausch, Research MA, Senior Project. Research Manager, Project Coalition Manager, for the Coalition for the Homeless

Coalition for the Homeless Ending Chronic Homelessness – Are we there yet? Mission: Ana Rausch, Senior Research Project Manager, Coalition for the • To provide leadership in the development, advocacy, and Homeless coordination of community strategies to prevent and end homelessness. Role: • Coordinate the community response to homelessness • Lead agency for the TX-700 Continuum of Care (Co. C) • Homeless Management Information System (HMIS) lead.

Key. Ending Concepts: Chronic Homelessness – Are we there yet? Anaof. Rausch, Senior Research Project Manager, Coalition for the Overview the Coordinated Access System Homeless Review the Coordinated Access Refinement Process used to revamp vulnerability tools and housing placements Overview of Navigation Workgroups and “surges” Review data used and how it’s used

Cities that Fit into Houston Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless TX-700 Co. C = 3, 739 sq miles From: Knudson, LP www. knudsonlp. com

Ending Chronic Homelessness – Are we there yet? ! un Ana Rausch, Senior Research Project Manager, Coalition for the F r Homeless o f t us J Houstonia Feb 2016

Homeless in Houston - 2018 PIT Ending Chronic N Homelessness – Are we there yet? = 4, 143 Ana Rausch, Senior Research Project Manager, Coalition for the Transitional Housing; 815; 20% [CATEGORY NAME], [VALUE], [PERCENTAGE] Emergency Shelter; 1714; 41% Homeless

2018 PIT - Breakdown • • Ending Chronic Homelessness – Are we there yet? 12% increase compared to 2017 Project Manager, Coalition for the Ana Rausch, Senior Research Homeless 51% decrease since 2011 18% unsheltered reported being homeless due to Hurricane Increase in number in PSH Ø 162% since 2011 • Approximately 1 in 4 identified as chronically homeless • Zero unsheltered & 9 sheltered chronically homeless family identified • 1 in 2 had mental health & substance abuse problems • 1 in 7 was a veteran Ø Veteran numbers at steady state level – 2/3 are in shelters

Chronic Homelessness PIT Ending Chronic Homelessness – Are we there yet? 600 Ana Rausch, Senior Research Project Manager, Coalition for the Homeless 500 400 300 200 100 0 2015 2016 Unsheltered 2017 Sheltered 2018

Ending Chronic Homelessness – Are we there yet? Coordinated Access (CA) Ana Rausch, Senior Research Project Manager, Coalition for the Homeless Rolled out January 1, 2014 PSH Only Centralized Waitlist VI Prioritization

CA Expansion Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless Rolled out January 15, 2015 Added RRH (youth & families) Centralized Waitlist RRH Next-Step Assessments (sub-pops)

Coordinated Access Houston Highlights Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Assessments Access Points HMISHomeless • 13 Hubs • Shelters, dropin centers, ministries • Outreach Teams dedicated to CA • Call-in option • Match to PSH, RRH, Income, SOAR • Consent is electronic • Vulnerability tools prioritize populations • 20+ Navigators • All matching • Bed availability • PSH, RRH, Income, & SOAR Waitlist prioritization • Referral outcomes • CA part of NOFA Scoring

CA Ending Chronic Homelessness – Are we there yet? Refinement Ana Rausch, Senior Research Project Manager, Coalition for the Lab – Homeless July 2016 VI – no longer working RRH – families not rolling off Hubs – needed better access

Ending Chronic. Vulnerability Homelessness – Are we there yet? factors for families Ana Rausch, Senior Research Project Manager, Coalition for the Homeless Vulnerability factors for single adults Vulnerability factors for youth Housing Prioritization Tools 12/16/16

Mayor’s Housing Challenge Ending Chronic Homelessness – Are we there yet? Rausch, Senior Research Project Manager, Coalition for the Ø March. Ana 2017 Homeless Ø Community Concerns • encampments Ø City of Houston Mayor deadline Ø Meeting with partner agency leadership • CEOs & Executives Ø Staff commitment • PSH case managers • Navigators • Outreach Ø Meetings scheduled

Mayor’s Challenge – reports used Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless All Open Referrals • Referrals that have no response • Initial data cleanup • Goal is 7 days

Mayor’s Challenge – reports used (cont. ) Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless Accepted Not Housed • Accepted referral no bed check-in • Troubleshoot with housing authority & navigators

Mayor’s Challenge – reports used (cont. ) Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless All Vacant Units • Units available for all of Co. C • Compare units to referrals

Mayor’s Challenge – Results 100 90 Ending Chronic Homelessness – Are we there yet? 90 Ana Rausch, Senior Research Project Manager, Coalition for the 88 Homeless 80 80 70 78 67 66 60 53 48 50 40 30 20 10 0 March April May June July August September October

Mayor’s Challenge – Results (cont. ) Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless Goal met in August 461 HHs, 548 Individuals Waitlist at 291 down from 511 Avg housing rate at 95 down from 167

Hurricane Harvey – August 2017 Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless Source: NOAA

Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless Tidwell St Before Tidwell St After Source: Houston Chronicle

Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless Source: Houston Chronicle

After Harvey Effects Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Increase in unsheltered count Research Project Manager, Coalition for the Homeless • 18% reported being homeless due to Harvey Thousands of affordable housing units destroyed • Houston Housing Authority estimated 1000 in its inventory • 122, 000 homes damaged, 1000 destroyed Staff resources re-routed to house over 900 individuals out of Red Cross shelters Decline in the number of people housed monthly

Change Needed Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the By January 2018, PSH waitlist was over 600 Homeless Average number of individuals housed decreased from 66 to 35 No since of urgency Mayor’s Housing Challenge shifted to Ending Chronic Homelessness

Look at the Data Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless What’s happening with inflow? Those who How many are were turned were assessed “aging” into away and for the first chronicity and reassessed at time and selfwhat can we another point reported do about it in time being chronic

What the Data Showed Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless Newly Assessed • We were assessing 80 -110 new people per month • Avg 80% had less than 20 service dates in HMIS Timing into chronicity • 30 -40 per month Previously on PSH waitlist & not housed • 30 -40 per month • Were removed due to 90 days no activity in HMIS

Strategies Implemented Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Newly Assessed Homeless • Changed PSH waitlist placement procedure based on data collected • Easily displayed on client’s dashboard so Assessors can see Timing into chronicity • Open RRH for non-chronic singles • HOME, TIRZ, ESG funds for “diversion” & quick assistance Previously on PSH waitlist & not housed • Stopped removing from PSH waitlist • Continuous engagement for this high-need group Encampment Initiative • Intense effort towards closing encampments

Encampment Initiative Ending Chronic Homelessness – Are we there yet? Three major Anaencampments: Rausch, Senior Research Project Manager, Coalition for the Homeless • Wheeler Ø 73 residents identified on 3/23/18 Chartres Ø ~140 residents identified on 3/26/18, with the highest being 203; population greatly fluctuates in this area Pierce Ø ~69 residents identified on 5/10/18, with the highest being 151

Encampment Counts – Are we there yet? Ending Chronic Homelessness Ana Rausch, Senior Research Project Manager, Coalition for the Homeless 73 203 151 Chartres Pierce Wheeler

100% 90% Encampment Populations Ending Chronic Homelessness – Are we there yet? 99% Ana Rausch, Senior Research for the 91% Project Manager, Coalition 89% Homeless 82% 80% 74% 70% 61% 60% 50% 40% 30% 20% 10% 9% 7% 1% 0% Veterans CA Assessed Chartres Pierce Wheeler Chronically Homeless

100% Disabling Conditions Ending Chronic Homelessness – Are we there yet? Ana Senior Research Project Manager, Coalition for the 90%Rausch, 89% 86% Homeless 90% 81% 80% 70% 67% 64% 58% 60% 64% 56% 60% 53% 50% 40% 36% 32% 30% 25% 20% 10% 4% 10% 8% 0% Any Disabling Condition Mental Illness Developmental Disability Chartres Pierce Physical Disability Wheeler HIV/AIDS Substance Abuse

60% Length of Homelessness Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the 53% Homeless 50% 38% 40% 32% 30% 25% 23% 19% 20% 12% 10% 15% 7% 5% 6% 9% 11% 8% 8% 3% 0% Up to 6 Months 7 -12 Months 1 -2 Years Chartres 3 -4 Years Pierce Wheeler 5 or More Years Unknown

Time since First Outreach Contact Ending Chronic Homelessness – Are we there yet? 35% Ana Rausch, Senior Research Project Manager, Coalition for the 30% Homeless 29% 28% 30% 25% 20% 19% 20% 16% 16% 14% 15% 14% 11% 10% 5% 0% 1% 0% No outreach contact 14% 8% 7% 2% 12% 0% Up to 3 Months 4 -6 Months Chartres 7 -12 Months Pierce 1 -2 Years Wheeler 3 -4 Years 5 or More Years

Times Served in the Past 12 Months 70% Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless 58% 60% 50% 41% 40% 37% 30% 22% 20% 15% 16% 15% 10% 0% 22% 6% 6% 15% 9% 5% 1% 1% 1% 0% None 18% 1 day 2 -3 days Chartres 4 -9 days Pierce 10 -49 days Wheeler 4% 5% 50 -99 days 100+ days 3%

Sheltered Before 1/1/2018 70% 60% 50% Ending Chronic Homelessness – Are we there yet? 64% Ana Rausch, Senior Research Project Manager, Coalition for the Homeless 56% 48% 40% 30% 20% 10% 11% 12% 10% 5% 0% Emergency Shelter Transitional Housing Chartres Pierce Wheeler Permanent Housing

PH Placements since 1/1/18 Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless 36 43 6 Chartres Pierce Wheeler

Avg Number of Days from Referral to Move-In 120 100 Ending Chronic Homelessness – Are we there yet? 110 Ana Rausch, Senior Research Project Manager, Coalition for the Homeless 80 60 52 40 20 0 Encampment Residents Non-Encampment Population Experiencing Chronic Homelessness

Barriers to Engagement/Housing Ending Chronic Homelessness – Are we there yet? Ana Rausch, • Substance Use Senior Research Project Manager, Coalition for the Homeless • Frequent Incarceration • Unable to Locate Ø This is the primary reason why some Wheeler Residents remain in Navigation Ø Moving from one encampment to another • Criminal Record Ø Difficult finding a willing landlord • Inconsistent Cooperation

New Client Dashboard Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless • Data from: Ø Clients newly assessed Ø Clients referred and not housed (no show or unable to contact) Ø Clients timing into chronicity Ø Clients placed on PSH waitlist multiple times • Yes/No on the client dashboard Ø 5 service months (or lack thereof) in the past year was the most common variable in the populations described above

Chronics Take-Down Calculator Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless

Looking Ahead • • Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the PSH Waitlist Homeless • Dropped to 260 once assessment changes implemented Progress • 413 households housed from April – September 2018 Navigation Workgroup • Continues through the end of 2018 then re-evaluate Housing Prioritization Tools • Revised and new tool will be implemented by the end of October • Looking at true vulnerability not predictors of success

Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless

Thank You!! Ending Chronic Homelessness – Are we there yet? Ana Rausch, Senior Research Project Manager, Coalition for the Homeless leads in the development, The advocacy, and coordination of community strategies to prevent and end homelessness. The Way Home is the collaborative model to prevent and end homelessness in Houston, Harris, Ft. Bend, & Montgomery Counties. For more information visit www. thewayhomehouston. org Ana Rausch, MA arausch@homelesshouston. org