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2007 CASE to Care Conference on Homelessness. Where have we been, where are we now, and where are we going? Matt White, CoC Consultant Carlin Abbott, HMIS System Director. Updated Needs Assessment: An Overview. Review of 2004 and 2007 Needs Assessment processes - PowerPoint PPT Presentation
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2007 CASE to Care Conference on Homelessness
Where have we been, where are we now, and where are we going?
Matt White, CoC Consultant
Carlin Abbott, HMIS System Director
2007 CASE to Care Annual Meeting 2
Updated Needs Assessment: An Overview
Review of 2004 and 2007 Needs Assessment processes
Understanding the data – what do we know now?
Consideration of model programs and emerging research on homeless program design and effectiveness
2007 CASE to Care Annual Meeting 3
Needs Assessment Context
2004 Needs Assessment Goals: Collect qualitative and quantitative data Assess effectiveness of services Target chronically homeless Recommend solutions for improving service
coordination and reducing homelessness
2007 Updated Needs Assessment Goals: Confirm our understanding of the needs of
homeless persons and extent of the problem
2007 CASE to Care Annual Meeting 4
Needs Assessment Data Sources
2004Survey of homeless individuals (n=117)Focus groupsCoC application data
2007HMIS data (participation rates over 75%)AHAR ReportCoC application data
2007 CASE to Care Annual Meeting 5
Annual Prevalence of Total Homeless Population
2004 NA Estimate
2007 AHAR Estimate
Total number of unique individuals experiencing homelessness
2,275 – 3,300 3,467
What do we know: Initial 2004 estimate was accurate Homelessness has increased 5% since 2004
2007 CASE to Care Annual Meeting 6
Annual Prevalence by Subpopulation
2004 NA Estimate
2007 AHAR Estimate
Adult Men 1,310 – 1,500 (47%) 1,852 (53%)
Adult Women 635 – 700 (29%) 828 (24%)
Children in Families 725 – 860 (24%) 774 (22%)
What do we know: Increase in homelessness is concentrated in
single adult male subpopulation Other subpopulations have remained constant
2007 CASE to Care Annual Meeting 7
Annual Prevalence by Household
2004 NA Estimate
2007 AHAR Estimate
Individual Adult Men 1,310 – 1,500 (57%) 1,774 (64%)
Individual Adult Women 335 – 400 (15%) 493 (18%)
Households with Children 435 – 520 (19%) 413 (15%)
Unaccompanied Youth 140 – 165 (9%) 63 (2%)
What do we know: Family households have not increased as much
as single adult male households Is this a factor of demand or accessibility?
2007 CASE to Care Annual Meeting 8
General Homeless Demographic Profile
NA Men NA Women NA Families AHAR
Median Age 38 35 25 31 - 50
High School graduate 66% 32% 58% -
High School graduate – AHAR 27% 28% 28% -
African-American 44% 49% 55% 47%
Veteran 67% 0% 8% 13%
Avg. Monthly Income $358 $450 $528 -
Avg. Monthly Income w/ $0 - AHAR $104 $293 $199 -
Avg. Monthly Income w/out $0 - AHAR $508 $619 $616 -
Avg. Number of Children - - 2.3 1.7
First Time Homeless 44% 32% 63% -
First Time Homeless – AHAR 56% 59% 54% -
More than 2 x homeless 33% 61% 11% -
Ethnicity – Hispanic - - - 7%
Disabled 56% 46% 54% 44%
2007 CASE to Care Annual Meeting 9
Inventory of CoC BedsBeds 2004 2007 % ∆
Men – Emergency Shelter 116 139 +20%
Men – Transitional Housing 98 91 -7%
Men – Permanent Housing 188 62 -67%
Men - TOTAL 401 292 -27%
Women – Emergency Shelter 42 45 +7%
Women – Transitional Housing 85 97 +14%
Women – Permanent Housing 46 20 -57%
Women - TOTAL 173 162 -6%
Families – Emergency Shelter 193 197 +2%
Families – Transitional Housing 261 160 -39%
Families – Permanent Housing 166 65 -61%
Families - TOTAL 620 422 -32%
2007 CASE to Care Annual Meeting 10
Inventory of CoC Beds
The way in which permanent beds are classified has changed from 2004 to 2007
Is the current inventory the right configuration to meet the need?
Does future growth in inventory need to be targeted to permanent beds for single adult men?
2007 CASE to Care Annual Meeting 11
Bed Utilization Rates
Emergency Shelter -Families
Emergency Shelter - Individuals
Transitional Housing - Families
Transitional Housing - Individuals
% of Beds Utilized on an Avg. Night
51% 93% 102% 79%
What do we know: Family shelter is under-utilized Transitional housing for families operates over
capacity
2007 CASE to Care Annual Meeting 12
Length of Stay
Emergency Shelter - Families
Emergency Shelter - Individuals
Transitional Housing - Families
Transitional Housing - Individuals
Avg. Length of Stay 74 days 54 days 338 days 172 days
% of Clients who Stayed > 180 Nights
0 1% N/A N/A
What do we know: Shelter stays are within national averages Very few long term stayers (chronic)
2007 CASE to Care Annual Meeting 13
Sheltered Population Compared to US and Poverty Populations
Persons by Household Type
% of Toledo Sheltered Homeless
Population
% of Sheltered Homeless
Population
% of US Poverty
Population
% of US Population
Adult Men 64% 66% 45% 52%
Adult Women 18% 16% 25% 26%
Households with Children
15% 13% 20.4% 23%
Unaccompanied Youth
2% 1% 0% 0%
What do we know: Toledo population is in line with national rates
2007 CASE to Care Annual Meeting 14
HMIS Demographics
See handouts from Carlin… What do we know:
Gender, age, race, and ethnicity rates in Toledo are consistent with US sheltered population and US poverty population
Mental health, substance abuse, and inadequate living condition continue to be primary reasons for homelessness
Chronic or long-term homelessness represents a small percentage of homeless clients, but those clients use a disproportionate amount of resources
2007 CASE to Care Annual Meeting 15
Gender(Change: Female increase as % of Total)
58%
42%
Male Female
2003-2006 2007 YTD (Oct)
53%47%
Male Female
2007 CASE to Care Annual Meeting 16
Age Range(Change: 0-18 yrs increase as % of total, 46-64 yrs decrease as % of total)
20%
29%23%
27%
1%
0-18 19-35 36-45
46-64 65+
2003-2006 2007 YTD (Oct)
25%
33%
21%
20%1%
0-18 19-35 36-45
46-64 65+
2007 CASE to Care Annual Meeting 17
Primary Race(Change: White pop increase as % of total, Black pop decrease as % of
total)
54%39%
6%1%
Black WhiteMulti-Racial Other
2003-2006 2007 YTD (Oct)
49%
44%
6%1%
Black WhiteMulti-Racial Other
2007 CASE to Care Annual Meeting 18
Ethnicity(Change: Hispanic decrease as % of Total)
7%
93%
Hispanic Non-Hispanic
2003-2006 2007 YTD (Oct)
4%
96%
Hispanic Non-Hispanic
2007 CASE to Care Annual Meeting 19
Primary Reason for Homelessness(Change: Mental Health increased as % of total)
15%
14%
14%
13%11%
9%
8%
6%
10%
Mental HealthSubstance AbuseInappropriate Living ConditionsRelease from institutionLow IncomeLoss of JobEvictionNo affordable housingOther
2003-2006 2007 YTD (Oct)
22%
16%
17%
14%
9%
5%
6%
4%
7%
Mental HealthSubstance AbuseInappropriate Living ConditionsRelease from institutionLow IncomeLoss of JobEvictionNo affordable housingOther
2007 CASE to Care Annual Meeting 20
Extent of Homelessness(Change: First Time Homeless increase as % of total, Long Term and Chronic
range from 12%-20% of total)
43%
36%
11%
10%
First Time Homeless1-2 times in pastLong Term: 2 Yrs or MoreChronic: 4 times in past 3 years
2003-2006 2007 YTD (Oct)
56%32%
6%6%
First Time Homeless1-2 times in pastLong Term: 2 Yrs or MoreChronic: 4 times in past 3 years
2007 CASE to Care Annual Meeting 21
Emerging Homeless Policy Issues:
Typology study of homeless families:80% short-term stayers; 20% long-termFamilies with long stays are no more likely
to have intensive behavioral health issues, to be disabled, or to be unemployed.
Policy and program factors, rather than family characteristics, are responsible for long shelter stays among families
Culhane, Housing Policy Debate, 2007
2007 CASE to Care Annual Meeting 22
Emerging Homeless Policy Issues:
Causes of family homelessness:Families paying more than half their income
for rent or living in severely substandard housing represent the most reliable indicator of future homelessness (not mental illness, substance abuse, or disability)
US Dept. of HUD, Affordable Housing Needs 2005
2007 CASE to Care Annual Meeting 23
Emerging Homeless Policy Issues:
Families at risk of homelessness can avoid homelessness by using housing vouchers
For families who become homeless, vouchers are the most effective way of leaving homelessness
Mills, Effects of Housing Choice Vouchers on Welfare Families, 2007
2007 CASE to Care Annual Meeting 24
Emerging Homeless Policy Issues:
The current voucher program, growing by 100,000 units annually, will still not provide enough affordable housing to prevent all families from experiencing homelessness.
Targeted case management programs should target those families that have difficulty using vouchers (past evictions from PHA, criminal records)
2007 CASE to Care Annual Meeting 25
Emerging Homeless Policy Issues:
Housing First is increasingly replacing transitional housing as an effective model for serving homeless families and moving them to permanent housing quicker and more successfully.
National Alliance to End Homelessness, Housing First for Families, 2005
2007 CASE to Care Annual Meeting 26
Emerging Homeless Policy Issues:
Programs that focus on increasing income and employment are most successful in ending homelessness for single adults.
A range of employment options is needed.
Rog, Reconnecting Homeless Individuals to the Community, 2004
2007 CASE to Care Annual Meeting 27
CASE to Care Annual Community Meeting
Questions?