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Top 51 Pilot in Hennepin County Minnesota: Lessons Learned

Top 51 Pilot in Hennepin County Minnesota: Lessons Learned. Chris Michels Lisa Thornquist. Hennepin County, Minnesota. 1.2 million residents – 1/3 Minneapolis 2,300 in shelter on any given night. 1,400 are in families, 900 are single adults. Over year, 7000 single adults in shelter.

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Top 51 Pilot in Hennepin County Minnesota: Lessons Learned

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  1. Top 51 Pilot in Hennepin County Minnesota: Lessons Learned Chris Michels Lisa Thornquist

  2. Hennepin County, Minnesota • 1.2 million residents – 1/3 Minneapolis • 2,300 in shelter on any given night. 1,400 are in families, 900 are single adults. • Over year, 7000 single adults in shelter. • About 500 single adults stay off and on for over a year • 3,000 PSH Units for single adults – 600 turn over each year

  3. Distribution of Nights in Shelter

  4. Top 51 clients identified • Top users of shelter 1/1/2008-4/15/2011 • They had 47,294 nights in shelter during this time • They accounted for 8 percent of shelter capacity (we typically have 900 single adults in shelter on any given night)

  5. Service Use of Top 51

  6. Top 51 Pilot • 4 case managers contracted to agencies (with supervision) • 2 county staff PATH homeless outreach • Steering committee of 10-12 • $710,000 for 2.5 years in contracted services • Started July 1, 2012

  7. Top 51 Program Participants • 55 clients selected – 49 men and 6 women • 12 had been in shelter since at least 1997 – first year of record • Average first year in shelter 2002

  8. Pre-Engagement • Case Manager can identify client • Case Manager watches/observes a client whenever possible and identifies daily routine • Case Manager does research on client, obtains information from various sources and plans/strategizes how to approach client

  9. Early Engagement • Client knows Case Managers name and is aware of Case Managers role and program involvement. CM offers incentives to a client, begins to establish trust and build a relationship. • Client Assessment completed

  10. Advocacy • Case Manager approaches client to discuss client needs, offers resources and support. • Client approaches Case Manager and expresses needs. • Case Manager identifies barriers through verbal interaction with client and begins plan for addressing needs and pilot goals.

  11. Partnership • A mutually trusting relationship has been established. • CM and client meetings have been set up and client is showing up for meeting. CM and client form common goals and plan and are actively working on client's plan.

  12. Outcomes - Housing • Of the original 55 clients, 34 are housed – 62%. • Clients obtained housing in various housing settings (single room occupancy, scattered site Group Residential Housing, private market housing, nursing home, transitional housing)

  13. Outcomes – Reduction in shelter • In first year – 55 clients reduced shelter use by 23% one year pre versus post - mostly by those housed. • Saved 2,980 bed nights – equal to the bottom 2,463 shelter users • Equivalent to opening up 8 shelter beds a night.

  14. Outcomes – Health care utilization for first 20 housed

  15. Outcomes – criminal justice • 41 arrests in year prior to pilot. 34 arrests in first year of pilot – 17% reduction. • Of the 13 people with arrests, only 3 occurred while they were housed • Almost half the arrests were related to alcohol consumption. • Other arrests: disorderly, trespassing, panhandling. No violent crimes

  16. Vignettes • Jorge – 10 years in shelter, undocumented, non-English speaker • Gus – severe mental illness • John – severe mental illness

  17. Who is left to house??? • Barriers of the remaining 21 yet to house • Immigration status • SPMI (especially female clients) • Individuals that have a higher thresholds of income and do not see housing as a priority • Criminal record • Chemical Dependency

  18. Lessons Learned • To effectively move people into housing, it takes time. • It takes 8 months to get them into housing. • It takes another year to engage them around issues that kept them in shelter.

  19. Lessons Learned • Not every client see a need to leave shelter. Dedicated case managers are needed to work with those who are not willing to leave. • Multiple Housing Options • Payment for case management services has to start before housing placement

  20. Lessons Learned • Program development is an iterative process – HF should be monitored to see who it is serving and who is it NOT serving

  21. For More Information • Website www.hennepin.us/HeadingHomeHennepin • Email • Lisa.Thornquist@hennepin.us • Christine.Michels@cctwincities.org

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