{"id":6921,"date":"2020-05-21T13:40:13","date_gmt":"2020-05-21T13:40:13","guid":{"rendered":"https:\/\/beta.homelessvoice.org\/?p=6921"},"modified":"2020-06-22T17:37:55","modified_gmt":"2020-06-22T17:37:55","slug":"data-driven-hope-for-homelessness","status":"publish","type":"post","link":"https:\/\/beta.homelessvoice.org\/?p=6921","title":{"rendered":"Data-Driven Hope for Homelessness"},"content":{"rendered":"<h2><span style=\"font-weight: 400;\">Advocates for the homeless see the centralized databases and standardized assessments of the coordinated entry approach as superior to the scattershot approaches of the past.<\/span><\/h2>\n<h6>By Sam Mire<\/h6>\n<p><span style=\"font-weight: 400;\">A random meal, a care package of toiletries, an occasional instance of a homeless person receiving permanent housing \u2014 these are individual approaches that don\u2019t lend themselves to learning much about the rate of homelessness across the state and the nation. Without quantifying this data, and consistent monitoring of homeless populations, advocates say progress is virtually impossible to gauge, let alone achieve.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A new data-driven approach to securing housing for the homeless would represent a break from these fragmented approaches, and one now has the backing of the federal government and many of these local advocates for the homeless.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Named \u201ccoordinated entry\u201d, the new tactic is now mandated by The Federal Department of Housing and Urban Development (HUD) as a condition of receiving funding for Continuum of Care (CoC) programs and Emergency Solutions Grants from the federal government. The primary requirement: for municipalities to set up a coordinated assessment system intended to keep track of local homeless populations and assess individuals for their vulnerability.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This tactic started in June 2010, when a new agenda for fighting homelessness from the federal level down was published by the United States Interagency Council on Homelessness. <\/span><a href=\"https:\/\/www.usich.gov\/tools-for-action\/opening-doors\/\"><span style=\"font-weight: 400;\">The report<\/span><\/a><span style=\"font-weight: 400;\">, titled<\/span><i><span style=\"font-weight: 400;\"> Opening Doors: Federal Strategic Plan to Prevent and End Homelessness<\/span><\/i><span style=\"font-weight: 400;\">, had an agenda aspect requiring \u201cnew and innovative types of system coordination\u201d.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Specifics for the requirements of coordinated entry have evolved since that report was published though.\u00a0<\/span><\/p>\n<blockquote>\n<h4><span style=\"font-weight: 400;\">The pecking order of the chronically homeless is determined <\/span><a href=\"https:\/\/www.bmj.com\/content\/360\/bmj.k902\/rr\"><span style=\"font-weight: 400;\">according to tri-morbidity<\/span><\/a><span style=\"font-weight: 400;\">, meaning by who is more likely to suffer from physical health conditions, mental health conditions, as well as substance abuse problems.\u00a0<\/span><\/h4>\n<\/blockquote>\n<p><span style=\"font-weight: 400;\">In 2017, HUD described how regional and local governments would need to comply with federal CoC guidelines to receive certain forms of funding. These mandates were entered into the <\/span><a href=\"https:\/\/www.law.cornell.edu\/cfr\/text\/24\/578.7\"><span style=\"font-weight: 400;\">record of federal regulatory guidelines<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The specific guidelines detailing coordinated entry state they must, \u201cestablish and operate either a centralized or coordinated assessment system that provides an initial, comprehensive assessment of the needs of individuals and families for housing and services,\u201d and it must define \u201chow its system will address the needs of individuals and families who are fleeing, or attempting to flee, domestic violence, dating violence, sexual assault, or stalking\u2026\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The assessment by which members of the homeless community are measured also takes into account their vulnerability of being chronically homeless and, ultimately, dying on the street, regardless of the circumstances that caused them to become homeless.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Questions asked of the homeless may vary between institutions who are directly implementing coordinated entry in their community. HUD provides a sample checklist for how a coordinated entry questionnaire might look, <\/span><a href=\"https:\/\/www.hudexchange.info\/resource\/5182\/sample-chronic-homelessness-documentation-checklist\/\"><span style=\"font-weight: 400;\">which can be found here<\/span><\/a><span style=\"font-weight: 400;\">. The questionnaire concentrates on their housing history and details mainly along with possible disabilities.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Director of Community Development Marcy Esbjerg in Pasco County \u2014 which has implemented this tactic \u2014 explained that the entry questionnaire system helps determine who the chronic homeless in a community are. The pecking order of the chronically homeless is determined <\/span><a href=\"https:\/\/www.bmj.com\/content\/360\/bmj.k902\/rr\"><span style=\"font-weight: 400;\">according to tri-morbidity<\/span><\/a><span style=\"font-weight: 400;\">, meaning by who is more likely to suffer from physical health conditions, mental health conditions, as well as substance abuse problems.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to <\/span><a href=\"https:\/\/www.govinfo.gov\/content\/pkg\/CFR-2017-title24-vol3\/xml\/CFR-2017-title24-vol3-part578.xml#seqnum578.57\"><span style=\"font-weight: 400;\">The Code of Federal Regulations<\/span><\/a><span style=\"font-weight: 400;\">, to be considered chronically homeless they must be a homeless individual with a disability who:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">is living somewhere not meant for human habitation, or in an emergency shelter<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">has been homeless and living this way continuously for at least 12 months or on at least 4 separate occasions in the last 3 years, as long as the combined occasions equal at least 12 months and each break in homelessness separating the occasions included at least 7 consecutive nights of living under conditions described as homelessness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">has family with an adult head of household who meets the above conditions<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The chronically homeless are prioritized for housing in this tactic as they tend to tax community resources \u2014 such as emergency response, jails, and medical facilities \u2014 more than most. Programs that have targeted the most vulnerable, chronically-homeless individuals in a community have proven massively effective in saving taxpayers money and taking the most vulnerable off the street.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another program that has shown promise is Permanent Supportive Housing (PSH), it provides permanent housing for the chronically homeless and gives support services at a subsidized rate.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When implemented in Denver, 19 people were given permanent housing and the <\/span><a href=\"https:\/\/endhomelessness.org\/study-data-show-that-housing-chronically-homeless-people-saves-money-lives\/#.WQpSl2XScdU\"><span style=\"font-weight: 400;\">approach saved over $15,000 per person housed per year<\/span><\/a><span style=\"font-weight: 400;\"> in the form of reduced strain on public costs for shelter, criminal justice, health care, emergency room, and behavioral health costs. Even after accounting for the cost of subsidized housing, taxpayers saved more than $2,300 per individual housed. Some cities running the program were able to house people in the hundreds.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">By documenting the homeless in a community in a central database, and assessing their individual states of homelessness and vulnerability to dying on the streets, HUD and those who implement coordinated entry at the local level hope to achieve similar savings for taxpayers while reducing the number of homeless deaths directly related to those people being unsheltered.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Esbjerg, who is in full support of the tactic, describes the rationale behind it, \u201cAs a community, we want to be able to look at [the homeless landscape] by the numbers, and the [best] way of doing that is by doing coordinated entry, a standard assessment helping the people that are most in need.\u201d She continues that, \u201cIf three of us went to the emergency room, and one of us was bleeding out from a gunshot wound, one of us had the flu, and the third had a cough, who is going to be treated first? The one that is bleeding out.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The goal of coordinated entry is to identify who among the homeless is most at risk of \u201cbleeding out\u201d \u2014 either literally or metaphorically \u2014 secure housing for them, and provide the services they require to remain in housing; whatever it might be.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201dCare could look like budgeting help, it could look like childcare, if there is substance abuse or mental health issues it could look like care in those arenas, certainly health-related care,\u201d Esbjerg says. \u201cIt really depends on the individual.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">She notes that there will be challenges, one of them being trust in the system from both housing providers and the homeless. Still, she remains optimistic about the ability of coordinated entry.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWhen you\u2019re working with people who have not been housed for a long time, there is a lot of lack of trust in the system and in people who represent the system. So, oftentimes&#8230;you\u2019re working on building a relationship and building trust.\u201d<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Advocates for the homeless see the centralized databases and standardized assessments of the coordinated entry approach as superior to the scattershot approaches of the past. By Sam Mire<\/p>\n","protected":false},"author":3,"featured_media":6925,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,551,549],"tags":[54,554,555,79,560,145,157,558,161,559,556,557],"class_list":["post-6921","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-homeless-voice-newspaper","category-national","category-news","tag-chronic","tag-coc","tag-coodinated-entry","tag-data","tag-esbjerg","tag-homeless","tag-homelessness","tag-housing","tag-hud","tag-marcy","tag-permanent","tag-supportive"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Data-Driven Hope for Homelessness - Homeless Voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/beta.homelessvoice.org\/?p=6921\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Data-Driven Hope for Homelessness - Homeless Voice\" \/>\n<meta property=\"og:description\" content=\"Advocates for the homeless see the centralized databases and standardized assessments of the coordinated entry approach as superior to the scattershot approaches of the past. 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