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Effectively Allocating Homeless Assistance Resources to End Homelessness

Effectively Allocating Homeless Assistance Resources to End Homelessness. NAEH Conference, Washington DC July 17, 2012 Katharine Gale Consulting Berkeley, CA (510) 710-9176 kgaleconsulting@sbcglobal.net www.focusstrategies.net. 1. Overview. How do we know what we're buying?

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Effectively Allocating Homeless Assistance Resources to End Homelessness

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  1. Effectively Allocating Homeless Assistance Resources to End Homelessness NAEH Conference, Washington DC July 17, 2012 Katharine Gale Consulting Berkeley, CA (510) 710-9176 kgaleconsulting@sbcglobal.net www.focusstrategies.net 1

  2. Overview • How do weknow what we're buying? • Thinking about the need • Allocating resources across program types • Shifting resources within and between programs

  3. What are we buying now? • Outcomes by program type, household type, and programs • Exits to permanent housing • Lengths of stay • Returns to homelessness • Source: HMIS • Cost for outcomes achieved • Source: outcome data + grants and budgets

  4. Average Rate of Exits to Permanent Housing - Families Source: Data from 14 Continuums in seven states that prepared Evaluators for NAEH Performance Improvement Clinics in 2011-2012

  5. Average Rate of Exits to Permanent Housing - Singles Source: Data from 14 Continuums in seven states that prepared Evaluators for NAEH Performance Improvement Clinics in 2011- 2012

  6. Average lengths of stay by outcome - system wide and by program type Source: Montana HMIS, 2010 data, Chart prepared by Focus Strategies

  7. Rates of Return within 12 months after gaining permanent housing Source: Data averaged from seven Continuums in four states that prepared Homeless System Evaluators for NAEH Performance Improvement Clinics in 2011-2012

  8. Averages are only part of the story -Outcome vary across programs.

  9. Where's the money going now?

  10. Sample- Investments by Program TypeSingles Source: CA county, Data from provider budgets (only partial participation)

  11. Sample - Investments by Program TypeFamilies Source: CA county, Data from provider budgets (only partial participation)

  12. Average Cost Per Exit and Per PH Exit Source: Data from 14 Continuums in seven states that prepared Homeless System Evaluators for NAEH Performance Improvement Clinics in 2011-2012

  13. Average Cost Per Exit and Per PH Exit Source: Data from 14 Continuums in seven states that prepared Evaluators for NAEH Performance Improvement Clinics in 2011-2012

  14. Caveat: costs, like outcomes, vary across programs

  15. Do the current programs and outcomes fit the need? 9

  16. Information to think about need • Population data • Source: HMIS, Point in Time count • Utilization data • Source: HMIS, turn away data, other systems of care

  17. Point in Time Count Source: Sacramento PIT 2011 10

  18. Point in Time Count 11 Source: Sacramento PIT 2011

  19. Single vs. Multiple Program users - families Source: Sacramento HMIS, analyzed by Focus Strategies 14

  20. Single vs. Multiple Program users - singles Source: Sacramento HMIS, analyzed by Focus Strategies 15

  21. Re-Allocator Demonstration

  22. Reallocation practicalities The Building(s) The Budget The Staff The Clients 19

  23. Reallocation practicalities • Facility(ies) –what is their layout? quality? What are they most suited for? What about cash?? (Should you sell? Can you?) • Funding – will the current resources still be available if the program changes? Are there replacement sources? • Who are current staff? What specialities do they have, and what will you need? • Who are current clients? Will they continued to be served in this program/intervention? If not, where will they go? • *(consider regular permanent affordable housing- especially if some service funds could go to rapid rehousing…) 22

  24. The Memphis Decision • 81 units family TH becoming permanent housing with Project-based Section 8 from PHA • At least 25 units will be PSH, pay for the services from a small SHP grant • Taking the $850,000 SHP + match that operated the 81 TH units and using that for rapid rehousing = 400 families every year • 25 PSH units + 56 permanent affordable units + 400 rapid rehousing slots every year – 88 transitional housing slots = lots more housing! 20

  25. The Oakland Process • 53 unit SRO used as transitional housing for families. Annual SHP grant > $1M. • Possible options: • Interim housing (shorter stays) for families plus rapid rehousing support from same grant • Permanent supportive housing for singles with new resources; spin off most of SHP grant for rapid rehousing for families • Process to determine next steps includes City, PHA, Public Health, Behavioral Health and providers 21

  26. How will we know if it’s worked? • Are lengths of stay for households shorter? • Are housing outcomes the same or better? • Are we serving more households in need? • Do people we help become homeless again at same or lower rate? • (all measured under HEARTH!) • Are clients (our customers) satisfied with the change? 27

  27. Summary • Need to know what we're buying = key outcomes AND the cost to get them • Improving outcomes/shortening stays increases system capacity with no new money! • Reallocating to meet unmet need may mean moving dollars across programs and populations. • Evidence to date shows rapid rehousing is very cost-effective. It may not work for everyone but so far it does very well at a fraction of the price. • The proof is in the results; measure them!

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