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We don’t need random acts of kindness. We need deliberate acts of compassion. - Mark Horvath of invisiblepeople.tv


Meet “Homeless” Myron y …

62 year old Veteran

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30 years of homelessness

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Engagement challenges

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Addictions

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Lack of self-care self care


THERE WERE A MILLION REASONS NOT TO HOUSE MYRON. MYRON As a community, A it we committed itt d to do “WHATEVER IT TAKES” to bring him home.


Meet “Housed” Myron y …

Permanently housed

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Demonstrating self-care

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Actively engaged with VA

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Reengaging with f il members family b


What Systems Changed to Bring Myron Home? … … … … …

Navigation – a new approach to outreach Outreach teams collaborated Extensive community engagement VAMC Case Management HUD VASH expedited process


HOW DID WE DO IT?


Common Ground – New York Cityy

The Times Square Completed 1994 652 units

The Prince George Completed 1999 416 units

The Christopher Completed 2004 207 units


Dr. Jim O’Connell Boston Health Care for the Homeless


Medical Vulnerabilityy …

More than 6 months street homeless AND at least one of the following: End Stage Renal Disease † History of Cold Weather Injuries † Liver Disease or Cirrhosis † HIV+/AIDS † Over 60 years old † 3 or more emergency room visits in prior three months † 3 or more ER or hospitalizations in prior year † Tri-morbid (mentally ill+ abusing substances+ chronic p ) medical problem) †


Housing First Philosophy plus

prioritizing by Medical Vulnerability equals


National Partners 


Project j Overview

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Goal: To identify and house 50 of the most medically vulnerable people experiencing street homelessness in Maricopa County. Planning began August 3, 2009. Implementation p began g April p 19,, 2010.


Monday, April 19, 2010


Training Volunteers on the Vulnerability Index


Interview Methodology …

36 Teams – 2 experts and 2 2-3 3 volunteers

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Canvas same geographic area for 3 consecutive days

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Asked each person encountered on the streets to participate. Be persistent!

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Survey in exchange for $5 McDonalds gift certificates


Tuesday - Thursday


Friday, April 23, 2010


Interview Results …

262 chronically homeless adults identified & surveyed

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106 (40%) with high mortality risk (vulnerable)

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208 (79%) pictures allowed

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“Vulnerable” are people who have at least 1 mortality risk factor, rank ordered by length of homelessness


Mesa


Glendale


Sunnyslope


Capitol Mall


Downtown Phoenix


Prevalence of Risk Indicators Risk Indicator

Average From All Sites

Maricopa County Region

Sample Size

12,820

386

Tri-Morbid

23 %

25 %

3 X Hospital Last Year

20 %

17 %

3 X ER Last 3 Months

12 %

10 %

> 60 yyears old

10 %

8%

HIV+/AIDS

3%

.5 %

Liver Disease

8%

7%

Kidney Disease

4%

5%

Cold/Wet Weather Injury

6%

7%

% Vulnerable

44 %

43 %


Project Evaluation Partner


Why prioritize  yp people with people with  indicators of indicators of  vulnerability?  l bilit ?


Non‐Vulnerable Non Vulnerable         Twice Vulnerable Twice Vulnerable

0%

31%


Non‐Vulnerable Non Vulnerable         Twice Vulnerable Twice Vulnerable

0 7% 0.7%

20%


Non‐Vulnerable Non Vulnerable         Twice Vulnerable Twice Vulnerable

7%

41%


N V l Non‐Vulnerable         Twice Vulnerable bl T i V l bl

0

2


Non‐Vulnerable   16% Twice Vulnerable 76% Twice Vulnerable 76%


ER Non‐Vulnerable 44 Non‐Vulnerable   .44 Twice Vulnerable 1.7

Hospitalizations Non Vulnerable 28 Non‐Vulnerable   .28 Twice Vulnerable 1.5


AND THEN, WE BEGAN HOUSING… (BASED ON MEDICAL VULNERABILITY, NOT ENTITLEMENT)


Targeted Housing - SHP


Project Based Section 8


Public Housing – Senior


HUD VASH

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Housing

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Services


Housing Choice Vouchers

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Phoenix Housing Department † Executed

MOU with AZCEH to provide 25 vouchers for Project H3 † First briefing for 2 clients occurred 10/15/10 † Expedited Eligibility and Briefing Process † Combined with HPRP for deposits


Housing Choice Vouchers

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Glendale Community Partnerships Housing g Division † Created

local preference for homeless † Opened waiting list for Project H3 † Expedited process † Currently awaiting eligibility determination


Housing Choice Vouchers

Â…

Mesa Housing & Revitalization Department † Created

local preference f ffor high risk homeless individuals as determined by the results of the Vulnerability Index † Waiting List will open November 1, 2010 specifically p y for this preference p and will remain open indefinitely


B id Housing Bridge H i Strategy St t Provides immediate stabilityy and base for Navigators g to work with the participants to obtain ID, documentation and build trust and rapport while navigating permanent housing option


Navigation – Supportive Services

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Outreach Providers changing the way they do business for this demonstration project


Navigation – Supportive Services … … …

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Motto: Do whatever it takes… From street to home Eliminate barriers to access mainstream entitlement systems Coordinate services with providers Crisis intervention and stabilization Independent Living Skills Assistance Advocacy and Peer Support


COMMUNITY ENGAGEMENT


Volunteerism …

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Implementation Team Surveying Data entry Community Briefing Sponsorships Donations


Community Invitations


Community Sponsorships


Move In Celebrations


Move In Celebrations


Birthday Parties


Mainstream Media … … … … …

Horizon Channel 8 Channel 12 Channel 11 Chandler paper Arizona Republic


Social Media

MMLord Just presented on @ProjectH3 to ASU Social Work students. They asked great questions g q about #homelessness. Hope I helped to influence them! Shikemore @AZCEH is hosting our 2nd Community Briefing to present on @ProjectH3, our l local l @100khomes kh initiative on 11/3/10 | http://bit.ly/bFa7DI


Social Media W b it Website www.azceh.org g … … …

Power Point Video d clips l Media links

Bl Blogging i


Weekly Digests … … …

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Celebrations C l b ti Announcements Participant updates and stories Partner updates Nationall efforts ff How you can h l help


H3 Score Card …

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Engaged on the streets = 2 In temporary housing = 4 In permanent housing = 9


What’ss Next for Project H3 & AZCEH? What …

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House the remaining g vulnerable participants p p in the project. Communityy Briefing g – November 3,, 2010 from 1 – 3 PM at Disability Empowerment Center Transition use of the Vulnerability Index to the provider community. Bring the procedural changes to a policy level. Solidify the systems changes.

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Continue evaluation/publication with ASU.

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Replicate in other communities…Tucson!


Project H3 Presentation - AZCEH Conference 2010