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System Transformation for Homeless Individuals Worcester, Massachusetts Leah Bradley, MSW Community Healthlink, Inc. Worcester, System Transformation for Homeless Individuals Worcester, Massachusetts Leah Bradley, MSW Community Healthlink, Inc. Worcester, MA

Necessary Components Community Support/Buy-in n Targeted Resources n Culture Change n Necessary Components Community Support/Buy-in n Targeted Resources n Culture Change n

Community Support January 2007 – Home Again Initiative Starts Planning Process n April 2007 Community Support January 2007 – Home Again Initiative Starts Planning Process n April 2007 – City Manager Establishes Task Force to End Homelessness in 3 Years n Summer/Fall 2007 - State Establishes Commission to End Homelessness in 5 Years n

Results n n All Three Adopt Housing First as Model of Choice to End Results n n All Three Adopt Housing First as Model of Choice to End Homelessness State Provides Resources to Establish Regional Networks Statewide City of Worcester Establishes Closing of Local Emergency Shelter as Primary Goal Home Again Establishes Ending Chronic Homelessness as Goal

Closing Shelter n n n Community Goal Collaborative Effort of Shelter Provider and Community Closing Shelter n n n Community Goal Collaborative Effort of Shelter Provider and Community Healthlink - Healthcare for the Homeless/Home Again Provider Replace with 25 -Bed Assessment Center Ensure Responsible and Sustainable Closure Ensure Needs of Chronically Homeless Met

Closing Shelter (Con’t) n n Closed Referral to Shelter Triage Center Established – Ensures Closing Shelter (Con’t) n n Closed Referral to Shelter Triage Center Established – Ensures all individuals receive an assessment and services – Creates one coordinated list of all homeless individuals and plans for each person – Co-located with Health Care for the Homeless, detoxification program and emergency mental health assessment program

Targeted Resources n Home Again Program – The Health Foundation of Central Massachusetts provides Targeted Resources n Home Again Program – The Health Foundation of Central Massachusetts provides services dollars matched with Co. C Resources to end homelessness n Continuum of Care – Vote in Fall of 2009 to target 75% of all vacated and new slots to chronically homeless individuals

Targeted Resources (Con’t) n City Leads Area Regional Network – Controls resources coming into Targeted Resources (Con’t) n City Leads Area Regional Network – Controls resources coming into area n City HPRP Resources – Targeted to homeless individuals to close shelter n State HPRP Resources – City prioritizes funds for homeless individuals

Home Again Program n 21 -Month Pilot Project – Evaluate and Adapt Health Foundation Home Again Program n 21 -Month Pilot Project – Evaluate and Adapt Health Foundation Provides Funding for Services n Co. C Provides Funding for Housing n No Exclusionary Criteria n Demonstrates Success of Housing First n

Home Again Model Scattered and Clustered Housing n Individuals Re-housed When Needed n Services Home Again Model Scattered and Clustered Housing n Individuals Re-housed When Needed n Services Provided In Home of Individual n No Requirement for Treatment Compliance n Uses Harm Reduction Model n

Co. C Resources n n n Targeted for Chronically Homeless Samaritan Initiative (2007 and Co. C Resources n n n Targeted for Chronically Homeless Samaritan Initiative (2007 and 2008) Bonus Project 2009 Targets Chronically Homeless Individuals AND Families Only Eligibility Criteria is Chronic Homelessness – Flexible Resource Use Vacancies in Existing Programs for Chronically Homeless Individuals

Co. C Resources (Con’t) Shelter Plus Care Savings Used for Chronically Homeless n Supportive Co. C Resources (Con’t) Shelter Plus Care Savings Used for Chronically Homeless n Supportive Housing Programs Operate as Leasing Programs – Services Funded through Other Funding Streams n All Providers Assess Chronically Homeless Individuals for Vacancies n

HPRP Resources Targeted to Homeless Individuals with Short-term Housing Needs n Individuals Referred through HPRP Resources Targeted to Homeless Individuals with Short-term Housing Needs n Individuals Referred through Triage Center n

Culture Change Use Success of Home Again Program n Belief that All Homeless Individuals Culture Change Use Success of Home Again Program n Belief that All Homeless Individuals Can be Successfully Housed in the Right Model with the Right Services n Belief that Individuals Do Not Have to Be Sober to Live Successfully in the Community n

Challenges Resource Seeking Individuals n Pre-Chronic Individuals n Chronic Alcoholic/Drug Addicts Who Need 24 Challenges Resource Seeking Individuals n Pre-Chronic Individuals n Chronic Alcoholic/Drug Addicts Who Need 24 -Hour Supervision for Safety n Collaborative Partnership Challenges n Provider Count of Chronically Homeless n Capital Funds for Triage Center n

Results Hope n Reduced Chronic Homeless Individuals from 116 in 2007 to 19 as Results Hope n Reduced Chronic Homeless Individuals from 116 in 2007 to 19 as of Today (Have Co. C Slots for 15 as of Today) n Diverted 65% of Those Seeking Shelter n Census at Shelter Reduced to Approx. 55 n

Next Steps End Chronic Homelessness by January 1 st n Develop Model for 6 Next Steps End Chronic Homelessness by January 1 st n Develop Model for 6 -8 Individuals in Need of 24 Hour Staffing n Secure Medicaid Funding for Case Management Services n Secure Capital Funds for Assessment Center n