Downtown Emergency Service Center Vulnerability Assessment for Chronically Homeless Individuals...
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Transcript of Downtown Emergency Service Center Vulnerability Assessment for Chronically Homeless Individuals...
Downtown Emergency Service Center
www.desc.org
Vulnerability Assessmentfor Chronically Homeless Individuals
presented by Bill Hobson
Annual ConferenceNational Alliance to End Homelessness
July 28-30, 2008 – Washington D.C.
Downtown Emergency Service Center
www.desc.org
Overview of DESC
supportive housing
licensed mental health services
licensed chemical dependency services
emergency shelter
high level of integration across programs
Downtown Emergency Service Center
www.desc.org
Kerner-Scott House experience (1997)
Tenant Selection Process
severe and persistent mental disorders
not connected to anyone
too disorganized to self-advocate
most at risk of living on the streets
based selection on key informant observation
Downtown Emergency Service Center
www.desc.org
DESC emergency shelter experience (1979-2003)
How to allocate limited beds in high-demand environment?
first come, first serve [1979-1984]
random selection (the “fish bowl”) [ 1984-1994]
diagnosis [1994-2003]
scores on Vulnerability Assessment Tool [2003-present]
Downtown Emergency Service Center
www.desc.org
Common methods of tenant selectionfor permanent supportive housing
Wait lists with rule-out criteria criminal hx, rental hx, behavioral issues
Housing readiness sobriety, psychiatric stabilization, payeeships
Downtown Emergency Service Center
www.desc.org
High utilization (continued)
frequent use of hospital, jail, other institutions
“Million Dollar Murray” (2006)
DESC's 1811 Eastlake
Political power in using this method
Flaws diminishing return ignores vulnerability
Downtown Emergency Service Center
www.desc.org
DESC Vulnerability Assessment Tool
developed in 2003 to allocate limited shelter beds
began using as primary method for housing selection in 2005
have done 6,582 assessments since 2003
focuses on vulnerability induced by behavioral health issues who is at greatest risk if left on the streets
limited research shows high correlation with institutional use
Downtown Emergency Service Center
www.desc.org
Downtown Emergency Service Center
www.desc.org
Downtown Emergency Service Center
www.desc.org