Indiana HPRP Training

Indiana HPRP Training Welcome & Introductions

Indiana HPRP Training Trainers: Andrea White & Howard Burchman Stephanie Hartshorn IHCDA Staff: Rodney Stockment, Kirk Wheeler, Kelli Barker , Kelly Pickell & Lynn Morrow

Indiana HPRP Training Housekeeping Mute cell Phones. No calls in the training room. Lunch served at 12:15. Expectations Active interaction No manuals Tolerance for ambiguity

Indiana HPRP Training 8:30 – 9:00 Coffee 9:00 – 11:15 Housing Case Management 11:15 – 12:15 I-HOPE 12:15 - 1:15 Lunch 1:15 - 2:30 Assessment and Care Planning 2:45 - 4:30 Reporting & HMIS

Indiana HPRP Training MODULE 3: Housing Based Case Management

Agenda • Introduction to the sessions • What are we trying to accomplish? • Who are we serving? • What are the people we serve asking for? • Housing Focused Case Management • Key Principles • Prevention • Diversion and Rapid Re-Housing • Assessment and Housing Planning • I HOPE Tool • Case Studies and Planning

HPRP is a step toward transformative change

HPRP One Shot Program • Goal is to use resources to achieve meaningful impact in reducing homelessness • Time limited focused intervention • Dependant on effective transition to mainstream resources • Outcome driven • New HEARTH Act will continue prevention and re-housing aspects of HPRP

Housing Stability requires linkages between homeless and mainstream services

Intended Outcomes of Indiana HPRP Program • Reduction in the numbers of homeless individuals and families • Documented through PIT count and HMIS • Reduction in length of stay in homeless shelters or in homelessness • Documented through HMIS • Reduction in the number of persons experiencing homelessness for the first time • Reduction in number of repeat episodes of homelessness

Relationship Between HPRP and HEARTH Act • Hearth Act provides Emergency Solutions Grant (20% of federal funds for homeless assistance) • Includes traditional shelter and outreach of the Emergency Shelter Grant Program • Expands eligible services to include homelessness prevention and rapid re-housing • 40% of ESG grant must be spent on prevention and rehousing • Expands definition of homelessness to include those at imminent risk of homelessness • Losing housing in next 14 days with no place to go and no resources or support networks to obtain housing

Who are we serving? • Families and individuals in a temporary crisis and at risk of losing their housing. • Families and Individuals chronically at risk of losing their housing. • Families and Individuals who are in imminent risk of losing their housing and out of options. • Families and Individuals who are currently homeless or living in a place not fit for human habitation.

Categories of Assistance • Prevention • 35% of resources • Diversion and Rapid Re-Housing • 65% of resources

What do we know? • On the night before entering shelter: • 40% of homeless people came from another homeless setting • 40% moved from a housed situation • 20% came from institutions, hotels/motels, or unspecified • Most common prior living situations • 28.5% staying with family/friends • 24.3% staying in another homeless facility • 13% streets or places not meant for human habitation • 13% from a home they owned or rented

Comparing Families and Individuals Prior Housing Situation • 60% of homeless families came into shelter from a prior housing situation – families and friends • 40% of individuals entered shelter from a prior housed situation • 60% of individuals were already homeless when entering shelter • 10% came directly from institutions

Use of Homeless Services • Few homeless people move from shelters to transitional housing to permanent • Individuals • 65% stayed in shelter for less than 7 days • Median LOS in shelters: 18 days • 5% were sheltered for 6 months or more • Families • 50% stayed in shelter for less than 7 days • Median LOS was 30 days • 10% were sheltered for 6 months or more

What are people looking for? • Safe affordable housing • Some people will have lost jobs and are behind on bills and rent • Some people have been barely making it for a long time • Some people will be in crisis and about to lose their housing • Some people will be homeless • Some people will not have had stable housing before • Some people will have been homeless for a long time

Everyone is looking for: • A safe affordable place to live • Community • Services appropriate to their needs • Choice • Money enough to live on • A role in the community and in their families • A chance for their children and themselves to get ahead

Housing Focused Case Management:Stages in the Process • Outreach and Engagement • Assessment and Education • Goal Setting and Housing Planning • Evaluate Progress on Goals • Establish New or Revised Goals

Tasks • Determine eligibility and program type • Educate people about available housing options and expectations of each • Identify skills and supports needed to maintain chosen housing options • Refer or provide direct assistance • Establish housing stability as a service goal • Assist people to secure or increase their incomes

Tasks • Prepare for the expectations of each housing opportunity • Plan for and assist in maintaining housing (paying rent, apartment maintenance and upkeep, complying with the lease and following house rules, accessing services and supports)

Case Management: Engagement Strategies • Pro-active outreach: go to places that people might go for food, shelter, financial assistance. • Ensure each project provides access to people that need prevention, diversion and rapid re-housing services • Introduce yourself and how you can be helpful • Repeated, predictable, non-intrusive patterns of interaction • Listen to felt needs • Respecting boundaries • Allowing people as much control as possible over interactions • Be patient and persistent

Case Management-Goal Based Assessment • Explore what the persons choice means • Assess the history (i.e. housing, employment) • How person/ family became homeless, lost employment/ income • Preferences • Financial Issues • Concrete needs such as transportation or child care • Implications of disabilities or service needs and how this relates to goal • Long term goals, particularly as relate to children

Education • Housing Opportunities, eligibility and expectations of each • Eligibility for resources including on-going rental assistance, benefit income, job training or transportation services • Expectations of tenancy • Rent payment • Quiet enjoyment • Maintaining apartment • Financial Realities • Application process and timelines

Finding Common Ground • Negotiation Strategies • Link proposed option to client’s aspirations • Frame move as intermediate and identify future options • Reflect on persons experience in housing to better understand current needs • Open up discussion of other options • Test available options with peers • Negotiate to improve skills/resources to access/maintain preferred option

Finding Common Ground • Worker should be forthright about the reasons for assessment and what they are able to access • Worker has to be clear that this is a time limited resource • Worker should anticipate reactions to disagreement and remain connected

Developing the Plan • Elicit and listen to the family or individual and reflect back to clarify and check understanding. • Goal setting is an individual process • Empathize about goal setting and unmet goals • Be clear about what you can or can not provide • Listen to person’s perception of past successes and struggles in accessing or maintaining housing • List and discuss strengths that may facilitate reaching goals • List and discuss resources that may assist in reaching goals

Developing the Plan • Positively reinforce all achievements along the path toward reaching goals and objectives • Normalize any setbacks that may occur and help the person develop alternate strategies or new objectives that are attainable • Do not over promise: The resources here are time limited and not designed to meet all needs

Using the right plan • Prevention Plan: • Designed for three months • Can go longer for participants in “chronic housing crisis” • Focus on stabilizing current situation • Uses referrals as primary intervention for housing barriers • 5 focus areas • Diversion / Re-Housing Plan • Designed for up to 4 phases • Goal is to stabilize and refer • First phase may focus on getting needed documents • 6 focus areas

Housing Plan • Assessment • Initial Assessment • Income (does individual or family qualify can they maintain housing on present income) • Employment (is the employment steady and sustainable) • Rental history (is the person housed, is it sustainable, is housing access going to be difficult) • Utilities (are the utilities active, are there arrears, is it in the name of the head of household, can it be connected) • Credit (are there delinquencies, consumer debt, does it affect ability to pay rent, can the household access housing)

Housing Plan • Assessment • Housing Needs • Basic needs • Is this an emergency, what are the immediate needs, how have these been met in the past • Rental assistance needs • Will short term rental assistance be helpful • Preferences • Where does this family want to live • Consider issues such as transportation, support, childcare

Housing Plan • This section of the assessment is for plans expected to go over 3 months: • Assessment: Financial Stability • Education and Training • Relates to job skills and ability to access a higher paying job • Access to Health Care • Can the individual or family access and do they have insurance • Childcare • Access to childcare to cover work hours, cost and location

Housing Plan Assessment • Over 3 months • Skills and resources to locate and maintain housing • Transportation • Criminal history • Health needs • Maintain apartment • Negotiation skills • Support systems • Family support

Scoring • Section 1 and 2: Confirm eligibility length of assistance • Score of 1-3 • Prioritize for short term assistance, focus on referrals • Complete HMIS life areas assessment • Score of 3-5 • May need longer term assistance • Complete entire assessment • Complete the HMIS Life Area Assessment

Housing Plan • Goals • Goals set as a team of clients and worker • Focus on the issues that affect housing • Immediate and longer term goals clear • Focus by phase • Use the plan for the intervention • Steps to reach goal clearly defined and measurable • Longer term needs require connections to other resources.

Housing Plan • Resource Identification • Clearly defines resources needed to access and/or maintain housing including: income, rental voucher, clean credit report, child care, school, assistance with housekeeping, assistance with money management, access to services such a mental health, substance abuse, legal services, etc.

Housing Plan • Client and Worker Role • Separate Plan for Prevention and Diversion / Re-housing • Reflects areas of the assessment • Prioritizes areas for work • Sets time frames for work to be accomplished

Housing Plan • Measure Success • Uses documented steps to reach goal and benchmarks set • Uses phases to gage expectations and progress • Identifies need to renegotiate goals and resources

Programmatic Interventions • Develop a list of outreach contacts • Local Shelter • TANF sites • Church Utilities assistance programs • Food banks • Allowing Time for Engagement • Allow time to assist in helping participant assemble needed documents: • financial assistance • housing applications • Conduct On-going Assessments • Track outcomes • Teach Advocacy Skills • Build Motivation • Celebrate Small Successes

Building Motivation for Change • Assessment • Stages of change • Intervention • Motivational Interviewing • Negotiation • Harm Reduction Strategies

Stages of Change • Provides a tool for assessment of where person is in their awareness of problem behavior and desire to change developed by Prochaska, DiClemente and Norcross • Breaks down the process that people typically move through to change a problem behavior • Seen as a wheel and normalizes set backs and repeating the process

Stages of Change • Precontemplation • Contemplation • Preparation • Action / Relapse • Maintenance

Differences in the Model • Most programs are designed for the action stage • Sees cycling through the stages several times as normal, not as failure • Interventions match where person is • Resistance is seen in terms of not understanding where someone is • Workers focused on the process of change

Motivational Interviewing • Way to work with people in the precontemplation and contemplation stage of change • Helps to resolve ambivalence and get a person moving along the path to change • Client is treated as an ally • Worker serves to persuade rather than coerce

Motivational Interviewing • Express Empathy • Develop Discrepancy • Avoid Arguing • Roll with Resistance • Support Self-Efficacy

Resolution • Recognizing change is ideal outcome but accepting alternatives to reduce harm • Providing user friendly services including low barriers for participation, informal atmospheres, flexible hours and locations. • Offering services to people where ever they are • Focus on housing access and maintenance: • Identify resources for longer term services

Referrals Develop protocols Identify Resources • Job training • Unemployment Insurance • Social Security (SSA, SSI, SSDI) • Child Support Assistance • Veterans Administration • Public assistance, TANF • Medicare • Medicaid • Food stamps • WIC • Child Care subsidy (TANF) • Domestic Violence Services • Services for People with Physical Disabilities • Ryan White Program • State Children’s Health Insurance • VA Medical Services • TANF Transportation services • Medicaid Transportation Services • S+C , SHP subsidy • Section 8, Public housing • HOPWA • Chemical Dependence Services • Mental Health Services • Health Clinics with sliding scale • MRDD Services

Resources • Engagement • Assessment and Education • Goal Setting Planning • Evaluate Progress on Goals • Establish New or Revised Goals

Mental Health Resources • Engagement • Pro-active outreach (meet with directors, highlight positive experiences, know who was referred to program, ) • Introduce yourself and how you can be helpful • Assess need (target population, health insurance, etc) • Be persistent and reachable • Know mandates for the program • Responding to needs • Recognize that this is their program • Recognise they too may be overloaded • Be patient and persistent

Mental Health Program • Assessment of what is needed • Stable Housing • Quick access • Health Insurance • Showing up for appointments

Indiana HPRP Training