Top 51 Pilot in Hennepin County Minnesota: Lessons Learned Chris Michels Lisa Thornquist.
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Transcript of Top 51 Pilot in Hennepin County Minnesota: Lessons Learned Chris Michels Lisa Thornquist.
Top 51 Pilot in Hennepin County Minnesota: Lessons Learned
Chris Michels
Lisa Thornquist
Hennepin County, Minnesota• 1.2 million residents – 1/3 Minneapolis
• 2,300 in shelter on any given night. 1,400 are in families, 900 are single adults.
• Over year, 7000 single adults in shelter.
• About 500 single adults stay off and on for over a year
• 3,000 PSH Units for single adults – 600 turn over each year
Distribution of Nights in Shelter
Top 51 clients identified
• Top users of shelter 1/1/2008-4/15/2011
• They had 47,294 nights in shelter during this time
• They accounted for 8 percent of shelter capacity (we typically have 900 single adults in shelter on any given night)
Service Use of Top 51
Top 51 Pilot
• 4 case managers contracted to agencies (with supervision)
• 2 county staff PATH homeless outreach
• Steering committee of 10-12
• $710,000 for 2.5 years in contracted services
• Started July 1, 2012
Top 51 Program Participants
• 55 clients selected – 49 men and 6 women
• 12 had been in shelter since at least 1997 – first year of record
• Average first year in shelter 2002
Pre-Engagement
• Case Manager can identify client
• Case Manager watches/observes a client whenever possible and identifies daily routine
• Case Manager does research on client, obtains information from various sources and plans/strategizes how to approach client
Early Engagement
• Client knows Case Managers name and is aware of Case Managers role and program involvement. CM offers incentives to a client, begins to establish trust and build a relationship.
• Client Assessment completed
Advocacy• Case Manager approaches client to
discuss client needs, offers resources and support.
• Client approaches Case Manager and expresses needs.
• Case Manager identifies barriers through verbal interaction with client and begins plan for addressing needs and pilot goals.
Partnership
• A mutually trusting relationship has been established.
• CM and client meetings have been set up and client is showing up for meeting. CM and client form common goals and plan and are actively working on client's plan.
Outcomes - Housing
• Of the original 55 clients, 34 are housed – 62%.
• Clients obtained housing in various housing settings (single room occupancy, scattered site Group Residential Housing, private market housing, nursing home, transitional housing)
Outcomes – Reduction in shelter
• In first year – 55 clients reduced shelter use by 23% one year pre versus post - mostly by those housed.
• Saved 2,980 bed nights – equal to the bottom 2,463 shelter users
• Equivalent to opening up 8 shelter beds a night.
Outcomes – Health care utilization for first 20 housed
Outcomes – criminal justice
• 41 arrests in year prior to pilot. 34 arrests in first year of pilot – 17% reduction.
• Of the 13 people with arrests, only 3 occurred while they were housed
• Almost half the arrests were related to alcohol consumption.
• Other arrests: disorderly, trespassing, panhandling. No violent crimes
Vignettes
• Jorge – 10 years in shelter, undocumented, non-English speaker
• Gus – severe mental illness
• John – severe mental illness
Who is left to house???
• Barriers of the remaining 21 yet to house– Immigration status– SPMI (especially female clients)– Individuals that have a higher thresholds of
income and do not see housing as a priority– Criminal record– Chemical Dependency
Lessons Learned
• To effectively move people into housing, it takes time.
• It takes 8 months to get them into housing.
• It takes another year to engage them around issues that kept them in shelter.
Lessons Learned
• Not every client see a need to leave shelter. Dedicated case managers are needed to work with those who are not willing to leave.
• Multiple Housing Options
• Payment for case management services has to start before housing placement
Lessons Learned
• Program development is an iterative process – HF should be monitored to see who it is serving and who is it NOT serving
For More Information
• Websitewww.hennepin.us/HeadingHomeHennepin
• Email– [email protected]– [email protected]