Downtown Emergency Service Center Vulnerability Assessment for Chronically Homeless Individuals presented by Bill Hobson Annual Conference National Alliance to End Homelessness July 28 -30, 2008 – Washington D. C. www. desc. org
Downtown Emergency Service Center Overview of DESC supportive housing licensed mental health services licensed chemical dependency services emergency shelter high level of integration across programs www. desc. org
Downtown Emergency Service Center 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 www. desc. org
Downtown Emergency Service Center 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] www. desc. org
Downtown Emergency Service Center Common methods of tenant selection for permanent supportive housing Wait lists with rule-out criteria § criminal hx, rental hx, behavioral issues Housing readiness § sobriety, psychiatric stabilization, payeeships www. desc. org
Downtown Emergency Service Center 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 www. desc. org
Downtown Emergency Service Center 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 www. desc. org
Downtown Emergency Service Center www. desc. org
Downtown Emergency Service Center www. desc. org
Downtown Emergency Service Center www. desc. org
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