[PDF]Pathway: Situationally Homeless - Community Shelter Boarddocs.csb.org/files-Housing-Pathways-V-4-010-31-14.pdfCachedmilitary; behavioral health i...
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Housing Pathways Moving Individuals Experiencing Homelessness from Shelter to Housing Recommendations
Subgroups of the Homeless Population A large group of individuals comprised of providers (shelter, outreach, mental health, and physical healthcare), advocates for persons experiencing homelessness, and CSB met with the intended purpose of describing the individuals being served by shelters and homeless outreach providers. Each subgroup (initially called segment) was created to represent a subset of the larger homeless population. Each subgroup primarily describes the most frequently occurring challenges and barriers individuals typically face in getting and maintaining housing, taking into account the shared histories and common strengths that subgroup members also possess. 2
Housing Pathways for each Subgroup A smaller group of individuals comprised of providers (shelter, outreach, and mental health), advocates for persons experiencing homelessness, and CSB met with the intended purpose of identifying and recommending viable housing options and associated resources and supports for each subgroup with the primary focus on obtaining and maintaining housing.
The Housing Pathways were vetted with the larger group that worked on creating the Subgroups of the Homeless Population.
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Resource and Aftercare Needs for each Subgroup The Navigator Workgroup worked to develop and finalize a set of generalized recommendations around targeted Resource and Aftercare Needs for each subgroup as the final component of the work. The finalized product was vetted and approved by the Core Team in the Single Adult Crisis System Redesign. The framework is being piloted with the Navigator Program. It is intended to be used as a practical training tool and guide for navigators in the development of individualized housing stabilization plans.
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11 Subgroups of Individuals Experiencing Homelessness Situationally Homeless Real Options & Manageable Barriers - Adults
Real Options & Manageable Barriers - TAY Criminal Justice - Has history of stable housing Criminal Justice - Has no history of stable housing
Criminal Justice - Has disabilities; could be TAY Criminal Justice - Sex Offenders Physical & Behavioral Health Barriers – Eligible for Homeless Designated PSH in USHS Physical & Behavioral Health Barriers – Not Eligible for Homeless Designated PSH in USHS Military Service - Eligible for VA Benefits Military Service - Ineligible for VA Benefits 5
Subgroup: Situationally Homeless DESCRIPTORS
Have historically sustained housing Has some support system May be any age (though likely to be working age) No existing long term barriers; motivated to get out of shelter Can be quickly housed/stabilized Traveling worker who has come to find housing
Interventions: • quickly move toward housing/stabilization • support the identity as a stable, housed person
Resources: • temporary resources and referrals
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Subgroups: Real Options and Manageable Barriers* DESCRIPTORS
Marginally employed Undereducated No rental history No disabilities that prevent housing Capacities/strengths recognized May have behavioral health, AoD, or trauma issues but not needing long-term rehab DV survivors
*these folks are at high-risk for becoming chronically homeless
Group A: Adults No verifiable disabilities; employment-related homelessness (recently or temporarily employed); underemployed
Group B: Younger Folks TAY; aged out of foster care; under the age of 25 and employmentrelated homelessness (recently or temporarily employed); underemployed & no disability; on the streets/in shelter with multisystem connections; lethality concerns may be present (especially in LGBTQ youth); no employment 7
Subgroups: Criminal Justice* Group A Has history of stable housing
DESCRIPTORS Legal barriers impede ability to be housed Experience justice-related issues: felons, re-entry, long criminal history, all tiers of sex offenders
*Interventions: primarily to deal with legal barriers to housing and employment issues
Group B Has no history of stable housing
Group C Has disabilities; disability (MH, AoD, physical) unlinked & untreated at shelter entry; no income or benefits; other than honorably discharged from military; behavioral health issues; could be TAY
Group D Sex Offenders – all tiers and all preAdam Walsh status 8
Subgroups: Physical and Behavioral Health Barriers Group A: Eligible for Homeless Designated PSH in USHS
DESCRIPTORS Physical or behavioral health disabilities High users of physical and/or behavioral health services
SSI/SSDI application pending and no other income; disability (MH, AoD, Physical) unlinked & untreated at shelter entry; no income, no benefits; severe mental health – connected or disconnected from services; severely mentally ill – on/off meds, noncompliant; behavioral health concerns – mental health disability with no treatment, no insight, very hard to engage, could by TAY
Group B : Not Eligible for Homeless Designated PSH in USHS High utilizers of health services; physically disabled; mental health (axis II) multiple crisis/multiple service providers & interventions; youth adults with multiple traumas; do not qualify for PSH/USHS because their homeless history does not 9 meet criteria
Subgroups: Military Service DESCRIPTORS
Military service with pre- and postservice issues that impact their homelessness, including possible trauma and traumatic brain injury Possible relationship disruption Lethality concerns may be present Re-entry and re-integration into a nonmilitary culture support needed May have anger management issues Gender considerations, mental health concerns and AoD concerns may be present Legal issues may be present
Group A: Eligible for VA Benefits
Group B: Ineligible for VA Benefits
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11 Subgroups of Individuals Experiencing Homelessness Situationally Homeless Real Options & Manageable Barriers - Adults
Real Options & Manageable Barriers - TAY Criminal Justice - Has history of stable housing Criminal Justice - Has no history of stable housing
Criminal Justice - Has disabilities; could be TAY Criminal Justice - Sex Offenders Physical & Behavioral Health Barriers – Eligible for Homeless Designated PSH in USHS Physical & Behavioral Health Barriers – Not Eligible for Homeless Designated PSH in USHS Military Service - Eligible for VA Benefits Military Service - Ineligible for VA Benefits 11
Housing Options HOUSING OPTIONS Private Landlord Senior Housing Family & Natural Support
PSH/USHS Shelter Plus Care
Transitional Housing HUD VASH
Returning Home Ohio ADAMH Supportive Housing (upstream area) 12
Housing Options by Subgroup HOUSING OPTIONS BY SUBGROUP Situationally Homeless
Real Options, Manageable Barriers Adults (Group A)
Real Options, Manageable Barriers Youth (Group B)
Criminal Justice History of Stable Housing (Group A)
Criminal Justice No History of Stable Housing (Group B)
Private Landlord
X
X
X
X
X
Senior Housing
X
X
X
X
X
X
Family & Natural Support
X
X
X
X
X
X
PSH/USHS Shelter Plus Care Transitional Housing HUD VASH Returning Home Ohio ADAMH Supportive Housing (upstream area)
Criminal Justice Disabilities (Group C)
Criminal Justice Sex Offenders (Group D)
Physical & Behavioral Health Barriers Eligible for Homeless Designated PSH in USHS (Group A)
X
X
Military Service Eligible for VA Benefits (Group A)
Military Service Not Eligible for VA Benefits (Group B)
X (limited)
X
X
X
X
X
X
X
X
X
X
X
X
X (limited)
X
X
X
X
X (limited)
X
X
X
X
X
X
X
X
X
X
X
Upstream Area (contact CHN for current options)
Upstream Area (contact CHN for current options)
Upstream Area (contact CHN for current options)
X
X (prison)
X (prison)
X
X
X (prison)
X (prison)
Upstream Area (contact CHN for current options)
Upstream Area (contact CHN for current options)
Physical & Behavioral Health Barriers Not Eligible for Homeless Designated PSH in USHS (Group B)
Upstream Area (contact CHN for current options)
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Resource Need by Subgroup General Services Resources
Situationally Real Options, Real Criminal Criminal Criminal Homeless Manageable Options, Justice Justice Justice Barriers Manageable History of No History Disabilities Adults Barriers Stable of Stable (Group C) (Group A) Youth Housing Housing (Group B) (Group A) (Group B)
Criminal Justice Sex Offenders (Group D)
Physical & Physical & Military Military Behavioral Behavioral Service Service – Health Health Eligible for Not Eligible Barriers Barriers VA Benefits for VA Eligible for Not Eligible (Group A) Benefits Homeless for (Group B) Designated Homeless PSH in Designated USHS PSH in (Group A) USHS (Group B)
DCA
X
X
X
X
X
X
X
X
X
X
Furniture Bank
X
X
X
X
X
X
X
X
X
X
Application Fees
X
X
X
X
X
X
X
X
X
X
Housing Specialist
X
X
X
X
X
X
X
X
X
X
Employment Assistance
X
X
X
X
X
X
X
X
X
X
GED Assistance
X
X
X
X
X
X
X
X
X
X
Replacement Documents
X
X
X
X
X
X
X
X
X
X
X
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Resource Need by Subgroup Additional Supports Resources
Situationally Homeless
Real Real Criminal Criminal Criminal Criminal Physical & Physical & Military Military Options, Options, Justice Justice Justice Justice – Behavioral Behavioral Service – Service Manageable Manageable History of No History Disabilities Sex Health Health Eligible for Not Barriers Barriers Stable of Stable (Group C) Offenders Barriers Barriers VA Eligible Adults Youth Housing Housing (Group D) Eligible for Not Eligible Benefits for VA (Group A) (Group B) (Group A) (Group B) Homeless for (Group A) Benefits Designated Homeless (Group B) PSH in Designated USHS PSH in (Group A) USHS (Group B)
Aftercare Services Aftercare Services
Case Management (More Intensive)
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Justice and or Legal Services Probation Officer
X
Re-Entry Services
X
Legal Overlay Special MH Docket Court Special Veterans Docket Court
X
X
X
X
X
X
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Resource Need by Subgroup Connection to Other Systems and/or Services Resources
Situationally Homeless
Real Options, Manageable Barriers Adults (Group A)
Real Options, Manageable Barriers Youth (Group B)
Mediation
X
Programming Around Family Mediation
X
Huck House
X
Starr House
X
Criminal Criminal Criminal Criminal Justice Justice Justice Justice History of No History of Disabilities Sex Stable Stable (Group C) Offenders Housing Housing (Group D) (Group A) (Group B)
Physical & Behavioral Health Barriers Eligible for Homeless Designated PSH in USHS (Group A)
Physical & Military Military Behavioral Service Service Health Eligible Not Barriers for VA Eligible for Not Eligible Benefits VA Benefit for (Group A) (Group B) Homeless Designated PSH in USHS (Group B)
Community Mental Health
X
X
X
X
X
X
AoD Treatment
X
X
X
X
X
X
Medical Treatment
X
X
X
X
X
X
Payeeship
X
X
X
X
X
X
Connection to Benefits
X
X
X
X
X
X
Benefit Bank
X
X
X
X
X
X
X
X
Veterans Administration Veterans Service Commission
X
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X
Aftercare Needs by Subgroup Components of Aftercare
Situationally Homeless
Note: Case Management (CM)
Apartment Checks (safety & maintenance)
Client Meeting
Real Options, Manageable Barriers Adults (Group A)
Real Options, Manageable Barriers Youth (Group B)
Criminal Criminal Criminal Criminal Justice Justice Justice Justice History of No History of Disabilities Sex Stable Stable (Group C) Offenders Housing Housing (Group D) (Group A) (Group B)
X (combined with client meeting below)
X
Physical & Behavioral Health Barriers Eligible for Homeless Designated PSH in USHS (Group A)
Physical & Military Military Behavioral Service Service Health Eligible Not Barriers for VA Eligible for Not Eligible Benefits VA Benefit for (Group A) (Group B) Homeless Designated PSH in USHS (Group B)
X
X
X
X
X
X
X
X
(combined with client meeting below)
(combined with client meeting below)
X
X
X
X
X
X
X
X
X
X
(ensure firm linkage with CM)
(ensure firm linkage with CM)
X (combined with client meeting below)
X
X
X
X (ensure firm linkage with VA CM)
Linkages
X
X
X
X
X
X
Employment
X
X
X
X
X
X
X
Benefits
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
1
2
3
2
3
3
3
1 check within 30 days
Up to 3 months
Up to 6 months
Up to 3 months
Up to 6 months
Up to 6 months
Up to 6 months
Community Supports (faith-based & self)
X (may get while in shelter)
Life Skills Training Maintain Landlord Relationships Timing/Duration 1 – 5 Ranking (1 lowest Level to 5 highest level)
Length of Aftercare
X
X X
1
1
PSH = 1 check PSH = 1 check within 30 days within 30 days Assumption in Community PSH, if not CM = 1 check see Group B. in 30 days No CM = Up to 6 months
1
3
1 check within 30 days
Up to 6 months
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