Coordinated Assessment in Rural Communities

Presented by HUD September 12, 2012

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Presenters

Matthew Aronson, Office of Special Needs Assistance Programs, HUD

William Snow, Office of Special Needs Assistance Programs, HUD

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Why Coordinated Assessment?

A powerful tool for improving system-wide entry, assessment, and referral processes.

Designed to improve the following:Service Provision

Referral appropriateness Assessment time Assessment consistency Placement time Multi-provider coordination Service access

Data Management Individual tracking System

monitoring Resource allocation - planning Reporting

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Why Coordinated Assessment?

The HEARTH Act regulations CoC’s must “establish and operate”

ESG grantees must participate

Minimum Requirements:

All geography Easily accessible Advertised Comprehensive and Standard

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Coordinated Assessment Defined

Current State of Assessment A different access and assessment process for each

program

An ad hoc referral process for programs to recommend prevention, housing, and/or other related services.

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Coordinated Assessment Defined

Question Most People Ask Now:

“Should we accept this household into our program?”

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Coordinated Assessment Defined

Coordinated Assessment A standardized access and assessment process for

all clients

A coordinated referral process for clients to receive prevention, housing, and/or other related services.

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Coordinated Assessment Defined

Questions CoC Systems Should Be Asking:

“What housing and service assistance strategy among all available services is best for each household?”

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AssignAssessmentAccess

Flowchart

Mainstream Services

Standardized Access and Assessment Coordinated Referral

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Flowchart

Access Assessment

Coordinated Referral

Assign

Mainstream Services

Standardized Access and Assessment

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Flowchart

Coordinated systems can serve all demographics

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Flowchart

Access Assessment

Coordinated Referral

Assign

Mainstream Services

Standardized Access and Assessment

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Flowchart

Access

Mainstream Services

Standardized Access and Assessment

Mainstream Services

Assessment

Coordinated Referral

Assign

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Flowchart

Various models, standardized process

Single Point of Access Multisite Centralized No Wrong Door Assessment Hotlines

Intake

Access

Standardized Access and Assessment

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Flowchart

Access Assessment

Coordinated Referral

Assign

Mainstream Services

Standardized Access and Assessment

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Flowchart

Assessment

Mainstream Services

Standardized Access and Assessment

Mainstream Services

Access

Coordinated Referral

Assign

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Flowchart

Meet client, provider, and funder needs

Document client’s homeless history and housing barriers

Match client to appropriate service

Capture data to meet program needs

Assessment

Assessment

Standardized Access and Assessment

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Flowchart

Meet client, provider, and funder needs

Capture data to meet funder requirements

Obtain consent for sharing with providers

Create the beginning of a client’s housing plan

Assessment

Assessment

Standardized Access and Assessment

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Flowchart

Access Assessment

Coordinated Referral

Assign

Mainstream Services

Standardized Access and Assessment

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Flowchart

Mainstream Services

Standardized Access and Assessment

Access

Mainstream Services

Assessment

Coordinated Referral

Assign

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Flowchart

Qualities of a good referral system

Accurate: Matches client needs

Informed: Matches facility availability

Effective: Provider accepts and enrolls

Coordinated Referral

Assign

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Flowchart

Qualities of a good referral system

Standard: One process, all clients and services

Comprehensive: all funder and provider fields

Electronic: Uses HMIS, two-way communication

Coordinated Referral

Assign

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Flowchart

Qualities of a good referral system

Mandatory: Every provider, all the time

Coordinated Referral

Assign

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Flowchart

Access Assessment

Coordinated Referral

Assign

Mainstream Services

Standardized Access and Assessment

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Flowchart

Coordinated assessment leverages mainstream servicesClient level Information sharingSystem-wide information sharing Resource sharing and co-locationComprehensive community planning

Mainstream Services

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Tips for Large Low Density Areas

Standardize tools regardless of geographyNot all system services need to be easily

accessible to all clientsHybrid approach for two or more distant

population centers2-1-1 telephone services can be a strong allyPrecise demographic analysis for assessment and

referral efficiencies

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For More Information…

HUDHRE Centralized Intake/HPRP Report: http://

www.hudhre.info/documents/HPRP_CentralizedIntake.pdf

HUDHRE HEARTH Page: http://hudhre.info/hearth/index.cfm

HUDHRE Virtual Help Desk: http://hudhre.info/index.cfm?do=viewHelpdesk