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Smart Shelter: How Shelters Can Improve Outcomes in
                Housing First Systems

           2012 NAEH National Conference on
         Ending Family and Youth Homelessness

                      Devra Edelman
                 Deputy Director, Programs
                  Hamilton Family Center

                     February 10, 2012

              DEdelman@hamiltonfamilycenter.org
Guinea Worm Eradication and
Ending Homelessness
Eradicating Guinea                   Clean Water                            Housing
Worm / Ending
Homelessness =
Root Solutions:                      Water filtration and infrastructure    Affordable Housing (Including
                                     (wells; piping; etc.) to provide       Subsidized Housing; Shallow Rental
                                     clean drinking water                   Subsidies; Permanent Supportive
                                                                            Housing; etc.)
If you only implement the solution   NO ~ Open wounds in watering           NO ~ families and individuals may still
will the issue be addressed?         holes considered sacred will           become homeless for various reasons
                                     continue to release larvae into        (evictions; tragedy; health issues; etc.)
                                     drinking water
How to Address Both the Root         Protection and care of Wounds          Emergency Shelter that provides basic
and the Entire Tree:                 Education of Villagers in Culturally   needs AND
                                     Appropriate and Sensitive Manner       Focuses on life-skills training, wage &
                                     (VBHWs)                                income development & sustainability,
                                     ~ Shift Culture to encourage safe      and housing placement
                                     water                                  ~ Shift agency culture to Housing First
Hamilton Family Center - Overview

           Rebuilding Lives ~ Ending Homelessness
     The mission of Hamilton Family Center is to break the cycle of homelessness and poverty.
         Through a Housing First approach, we provide a continuum of housing solutions and
         comprehensive services that promote self-sufficiency for families and individuals, and
                              foster the potential of children and youth.




                                                Hamilton Family
                                               Emergency Center



                                                                                     Hamilton Family
               First Avenues:
                                                                                       Residences
              Housing Solutions                    Project
                                                  Potential:
                                            Child and Youth Services




                                                                         Hamilton Family
                         Dudley Apartments
                                                                       Transitional Housing
                         Supportive Services



 2
San Francisco’s
Family Homeless Services System
                             HOMELESS
                              FAMILIES
         Hamilton Family                            Providence /
           Emergency                               Oshun / Winter
             Center                                   Shelter


                           Connecting Point
                            Centralized Wait
                           List for Full-Service
 Raphael House
                                 Shelter




    Hamilton Family           St. Joseph’s            Compass
      Residences             Family Center          Family Shelter
San Francisco ~ Population Snapshot

 San Francisco Population ~ 805,235 (2010)

 2011 Point-in-Time Count:

      6,455 Homeless Persons
           48% (3,106) Unsheltered

      635 Homeless Persons in Families
           15% (95) Unsheltered



 4
Housing First Principles:
       Homelessness is first and            Everyone is valuable and
        foremost a housing problem            capable of being a valuable
        and should be treated as such         resident and community
                                              member
       Housing is a basic human
        need and right to which all are      Residents, property managers,
        entitled                              and service providers work
                                              together to integrate services
       Families are more responsive          into housing
        to intervention and social
        service support once in              Client focused services
        permanent and stable housing
                                             Move homeless families into
       People who are homeless or            permanent, affordable housing
        on the verge of homelessness          as Rapidly as Possible
        should be returned to or
        stabilized in permanent              Time-limited, home-based
        housing as quickly as possible        support services
        and connected to resources
        necessary to sustain that
        housing
Housing First Service Delivery Components

    Emergency services that address the immediate need for shelter or
     stabilization in current housing

    Housing, Resource, and Support Services Assessment which
     focuses on housing needs, preferences, and barriers; resource
     acquisition (e.g., entitlements); and identification of services needed
     to sustain housing

    Housing placement assistance including housing location and
     placement; financial assistance with housing costs (e.g., security
     deposit, first month’s rent, move-in and utilities connection, short- or
     long-term housing subsidies); advocacy and assistance in
     addressing housing barriers (e.g., poor credit history or debt, prior
     eviction, criminal conviction)

    Case management services (frequently time-limited) specifically
     focused on maintaining permanent housing or the acquisition
     and sustainment of permanent housing
Shifting Gears toward Smart Shelter:
Rapid Re-Housing Strategies
             Community Needs                                 Problem Statement

   Schwab Foundation Initiative, convenes        San Francisco is one the most expensive
    Bay Area collaboration; identifies Rapid       and competitive housing markets in the
    Re-Housing as one of three priorities to       country. Rents increased by 6% from 2010
    end homelessness (July, 2004)                  to 2011 and vacancies have decreased
   Homeless Families Services Redesign            with the average rent for a 1-bdrm apt. at
    Committee: Community Stakeholders              $2,300.
    recommend the development of Rental           Homeless families lack the resources to
    Subsidies as the Number One Priority           afford market rate rent.
    (June 2006)                                   Stock of existing affordable housing for
   SF Local Homeless Coordinating Board           extremely low income families does not
    identifies Permanent Housing                   meet demand
    (subsidized according to need) as their       A Rapid Re-Housing Strategy requires a
    number one priority in the Five Year           systemic shift in programmatic focus,
    Strategic Plan. (January 2008)                 resources, and goals.
                                                  Emergency and interim housing programs
   HPRP and HEARTH Act support federal            lack an assessment tool to assist in
    shift in priorities and funding for            determining the best housing fit
    Housing First programs (2009 to               New shallow rental subsidy and
    present)                                       eviction prevention funding lacks a
                                                   strong evaluation component
Shifting Gears toward Smart Shelter:
Rapid Re-Housing Strategies
                                    Influential Factors
   Schwab Foundation funds a Shallow subsidy pilot program (January 2005)
   Hamilton Family Center redirects $500,000 in emergency shelter resources toward
    Housing First initiatives (July 2006)
   SF Mayor & Advocacy Groups support Housing First approach (2005)
   Homeless Family Redesign Recommendations from community stakeholders results
    in $2.3 million in new Shallow Rental Subsidy funding for homeless, at-risk, and
    doubled-up families (February 2007)
   The ARRA provides $8.75M to San Francisco for Homelessness Prevention and
    Rapid Re-Housing (Sept 2009)
   Salesforce.com Foundation and SF Mayor’s Homeless Assistance Fund allocate
    $3M to rapidly re-house families from SF Shelter Waitlist of over 250 families (Dec.
    2011)




    8
Shifting Gears toward Smart Shelter:
Rapid Re-Housing Strategies
                               Outcomes
      Fund shallow rental subsidies, eviction prevention assistance
       and move-in support for homeless, at-risk, and doubled-up
       families in San Francisco.
      Develop family shelter services to focus on: Connections to

       Mainstream Resources (including Childcare); Wage & Income
       Development & Sustainability; and Housing.
      Develop Housing Assessment Matrix (HAM) Tool to identify

       best housing fit.
      Increase the number of families Rapidly Re-Housed from the

       family shelters to permanent housing.
      Increase the number of families for whom homelessness is

       prevented and who are diverted from shelter.
      Develop services that follow families into housing and focus

       on income development and housing stability
 9
First Avenues Rental Subsidy Entries &
San Francisco Family Shelter Waitlist
      300




      250




      200



                                    Total First Avenues Medium
      150                           Term Rental Rapid Rehousing
                                    Entries
                                    Shelter Waitlist Average
      100




       50
                 HPRP Begins




        0




 10
Lessons Learned ~ Key Components of
Smart Shelter
     Housing Assessment as early as possible upon entry into
      system and incorporated throughout programs.
     Housing Advocate Case Managers at entry points
      Connecting Point & Emergency Shelter
     Collaboration between Shelter Case Managers and
      Housing Case Managers       weekly Exit Planning meetings
     Aftercare case management post housing to strengthen
      roots in new home and community
     Systems Level Collaboration and Partnerships: Shelter
      Consortium; Family Eviction Prevention Collaborative;
      HPRP Workgroup; Rapid Re-Housing Network; etc.
     Implement systemic processes in programs that are
      geared toward periodic review of progress toward
      employment and housing      Team reporting on rapid
      re-housing, employment and increased income.
Housing Assessment Matrix (HAM) Tool:
Strategically targeting resources to maximize opportunities for homeless families




Housing Assessment Matrix:

http://hamiltonfamilycenter.org/
Videos & News / Evidence Based Practice
Housing Assessment Matrix ~
Options & Indicators
                                          Assessment Indicators include:
•    Housing Assessment Matrix (HAM)       Income level
     tool used at all entry points:
      • Emergency Shelter Intake           History of Homelessness
      • Transitional Housing Referral /    Housing options
          Application                      Lease History
      • Housing Subsidy Program            History of Evictions
          Application                      Age of Primary Caregiver
                                           Mental Health History
•    Housing Options / “Fit” May be:       Substance Use
      • Market Rate Housing                Criminal Justice Barriers
      • Short-term Rental Assistance       Temporary Financial Strain
      • Medium-term Rental Assistance      Recent Trauma
      • Affordable Housing                 Child Welfare History
      • Deeply Subsidized Housing          Education Level
      • Transitional Housing Program       Work Experience
      • Permanent Supportive Housing       Work Inhibiting Disabilities
                                           Income Plans
                                           Family Composition
                                           Transportation Barriers
    13                                     Child Care Barriers
                                           Income Sources
Cultural Shift to Smart Shelter

Agency-wide Cultural Shift to support Core Philosophies of:

    Harm Reduction: Motivating change in a collaborative, empathic
     environment; policies based upon behaviors; explore options with clients
     and encourage to identify own needs

    Trauma-Informed Services: adopting a holistic view of care and
     recognizing the connections between housing, employment, mental and
     physical health, substance abuse, and trauma histories; and

    Provide Effort Based Support: moving from a model of Social Services
     to Social Support

         While focusing on STABLE HOUSING FIRST at all times!



    14
Questions???




     Contact:
     Devra M. Edelman
     Deputy Director, Programs
     Hamilton Family Center
     415-409-2100 x122
     dedelman@hamiltonfamilycenter.org
     www.hamiltonfamilycenter.org

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6.2 Smart Shelter: How Shelters Can Improve Outcomes in Housing First Systems

  • 1. Smart Shelter: How Shelters Can Improve Outcomes in Housing First Systems 2012 NAEH National Conference on Ending Family and Youth Homelessness Devra Edelman Deputy Director, Programs Hamilton Family Center February 10, 2012 DEdelman@hamiltonfamilycenter.org
  • 2. Guinea Worm Eradication and Ending Homelessness Eradicating Guinea Clean Water Housing Worm / Ending Homelessness = Root Solutions: Water filtration and infrastructure Affordable Housing (Including (wells; piping; etc.) to provide Subsidized Housing; Shallow Rental clean drinking water Subsidies; Permanent Supportive Housing; etc.) If you only implement the solution NO ~ Open wounds in watering NO ~ families and individuals may still will the issue be addressed? holes considered sacred will become homeless for various reasons continue to release larvae into (evictions; tragedy; health issues; etc.) drinking water How to Address Both the Root Protection and care of Wounds Emergency Shelter that provides basic and the Entire Tree: Education of Villagers in Culturally needs AND Appropriate and Sensitive Manner Focuses on life-skills training, wage & (VBHWs) income development & sustainability, ~ Shift Culture to encourage safe and housing placement water ~ Shift agency culture to Housing First
  • 3. Hamilton Family Center - Overview Rebuilding Lives ~ Ending Homelessness The mission of Hamilton Family Center is to break the cycle of homelessness and poverty. Through a Housing First approach, we provide a continuum of housing solutions and comprehensive services that promote self-sufficiency for families and individuals, and foster the potential of children and youth. Hamilton Family Emergency Center Hamilton Family First Avenues: Residences Housing Solutions Project Potential: Child and Youth Services Hamilton Family Dudley Apartments Transitional Housing Supportive Services 2
  • 4. San Francisco’s Family Homeless Services System HOMELESS FAMILIES Hamilton Family Providence / Emergency Oshun / Winter Center Shelter Connecting Point Centralized Wait List for Full-Service Raphael House Shelter Hamilton Family St. Joseph’s Compass Residences Family Center Family Shelter
  • 5. San Francisco ~ Population Snapshot San Francisco Population ~ 805,235 (2010) 2011 Point-in-Time Count: 6,455 Homeless Persons 48% (3,106) Unsheltered 635 Homeless Persons in Families 15% (95) Unsheltered 4
  • 6. Housing First Principles:  Homelessness is first and  Everyone is valuable and foremost a housing problem capable of being a valuable and should be treated as such resident and community member  Housing is a basic human need and right to which all are  Residents, property managers, entitled and service providers work together to integrate services  Families are more responsive into housing to intervention and social service support once in  Client focused services permanent and stable housing  Move homeless families into  People who are homeless or permanent, affordable housing on the verge of homelessness as Rapidly as Possible should be returned to or stabilized in permanent  Time-limited, home-based housing as quickly as possible support services and connected to resources necessary to sustain that housing
  • 7. Housing First Service Delivery Components  Emergency services that address the immediate need for shelter or stabilization in current housing  Housing, Resource, and Support Services Assessment which focuses on housing needs, preferences, and barriers; resource acquisition (e.g., entitlements); and identification of services needed to sustain housing  Housing placement assistance including housing location and placement; financial assistance with housing costs (e.g., security deposit, first month’s rent, move-in and utilities connection, short- or long-term housing subsidies); advocacy and assistance in addressing housing barriers (e.g., poor credit history or debt, prior eviction, criminal conviction)  Case management services (frequently time-limited) specifically focused on maintaining permanent housing or the acquisition and sustainment of permanent housing
  • 8. Shifting Gears toward Smart Shelter: Rapid Re-Housing Strategies Community Needs Problem Statement  Schwab Foundation Initiative, convenes  San Francisco is one the most expensive Bay Area collaboration; identifies Rapid and competitive housing markets in the Re-Housing as one of three priorities to country. Rents increased by 6% from 2010 end homelessness (July, 2004) to 2011 and vacancies have decreased  Homeless Families Services Redesign with the average rent for a 1-bdrm apt. at Committee: Community Stakeholders $2,300. recommend the development of Rental  Homeless families lack the resources to Subsidies as the Number One Priority afford market rate rent. (June 2006)  Stock of existing affordable housing for  SF Local Homeless Coordinating Board extremely low income families does not identifies Permanent Housing meet demand (subsidized according to need) as their  A Rapid Re-Housing Strategy requires a number one priority in the Five Year systemic shift in programmatic focus, Strategic Plan. (January 2008) resources, and goals.  Emergency and interim housing programs  HPRP and HEARTH Act support federal lack an assessment tool to assist in shift in priorities and funding for determining the best housing fit Housing First programs (2009 to  New shallow rental subsidy and present) eviction prevention funding lacks a strong evaluation component
  • 9. Shifting Gears toward Smart Shelter: Rapid Re-Housing Strategies Influential Factors  Schwab Foundation funds a Shallow subsidy pilot program (January 2005)  Hamilton Family Center redirects $500,000 in emergency shelter resources toward Housing First initiatives (July 2006)  SF Mayor & Advocacy Groups support Housing First approach (2005)  Homeless Family Redesign Recommendations from community stakeholders results in $2.3 million in new Shallow Rental Subsidy funding for homeless, at-risk, and doubled-up families (February 2007)  The ARRA provides $8.75M to San Francisco for Homelessness Prevention and Rapid Re-Housing (Sept 2009)  Salesforce.com Foundation and SF Mayor’s Homeless Assistance Fund allocate $3M to rapidly re-house families from SF Shelter Waitlist of over 250 families (Dec. 2011) 8
  • 10. Shifting Gears toward Smart Shelter: Rapid Re-Housing Strategies Outcomes  Fund shallow rental subsidies, eviction prevention assistance and move-in support for homeless, at-risk, and doubled-up families in San Francisco.  Develop family shelter services to focus on: Connections to Mainstream Resources (including Childcare); Wage & Income Development & Sustainability; and Housing.  Develop Housing Assessment Matrix (HAM) Tool to identify best housing fit.  Increase the number of families Rapidly Re-Housed from the family shelters to permanent housing.  Increase the number of families for whom homelessness is prevented and who are diverted from shelter.  Develop services that follow families into housing and focus on income development and housing stability 9
  • 11. First Avenues Rental Subsidy Entries & San Francisco Family Shelter Waitlist 300 250 200 Total First Avenues Medium 150 Term Rental Rapid Rehousing Entries Shelter Waitlist Average 100 50 HPRP Begins 0 10
  • 12. Lessons Learned ~ Key Components of Smart Shelter  Housing Assessment as early as possible upon entry into system and incorporated throughout programs.  Housing Advocate Case Managers at entry points Connecting Point & Emergency Shelter  Collaboration between Shelter Case Managers and Housing Case Managers weekly Exit Planning meetings  Aftercare case management post housing to strengthen roots in new home and community  Systems Level Collaboration and Partnerships: Shelter Consortium; Family Eviction Prevention Collaborative; HPRP Workgroup; Rapid Re-Housing Network; etc.  Implement systemic processes in programs that are geared toward periodic review of progress toward employment and housing Team reporting on rapid re-housing, employment and increased income.
  • 13. Housing Assessment Matrix (HAM) Tool: Strategically targeting resources to maximize opportunities for homeless families Housing Assessment Matrix: http://hamiltonfamilycenter.org/ Videos & News / Evidence Based Practice
  • 14. Housing Assessment Matrix ~ Options & Indicators Assessment Indicators include: • Housing Assessment Matrix (HAM)  Income level tool used at all entry points: • Emergency Shelter Intake  History of Homelessness • Transitional Housing Referral /  Housing options Application  Lease History • Housing Subsidy Program  History of Evictions Application  Age of Primary Caregiver  Mental Health History • Housing Options / “Fit” May be:  Substance Use • Market Rate Housing  Criminal Justice Barriers • Short-term Rental Assistance  Temporary Financial Strain • Medium-term Rental Assistance  Recent Trauma • Affordable Housing  Child Welfare History • Deeply Subsidized Housing  Education Level • Transitional Housing Program  Work Experience • Permanent Supportive Housing  Work Inhibiting Disabilities  Income Plans  Family Composition  Transportation Barriers 13  Child Care Barriers  Income Sources
  • 15. Cultural Shift to Smart Shelter Agency-wide Cultural Shift to support Core Philosophies of:  Harm Reduction: Motivating change in a collaborative, empathic environment; policies based upon behaviors; explore options with clients and encourage to identify own needs  Trauma-Informed Services: adopting a holistic view of care and recognizing the connections between housing, employment, mental and physical health, substance abuse, and trauma histories; and  Provide Effort Based Support: moving from a model of Social Services to Social Support While focusing on STABLE HOUSING FIRST at all times! 14
  • 16. Questions??? Contact: Devra M. Edelman Deputy Director, Programs Hamilton Family Center 415-409-2100 x122 dedelman@hamiltonfamilycenter.org www.hamiltonfamilycenter.org