HFPC 2018 Presentation Schedule

Presentation Schedule April 10, 2018 9:00 AM ‐ 9:50 AM

Workshop 100

Intentional Design

Michele Christensen, Zach Penland, Housing Catalyst Session Description: Housing Catalyst will present Redtail ponds, an award winning Permanent Supportive Housing development in Fort Collins, Colorado. We will discuss the building design elements that were chosen on this new construction, single‐site project and how we were able to successfully get buy in from partner agencies through a deliberate process.

Workshop 101

Testing the limits of the Housing First Philosophy with Opioid Users Christine Simiriglia, Pathways To Housing PA Bill Maroon Resources for Human Development

Session Description: Two programs from two different organizations will share their experience, outcomes, successes and challenges of utilizing the HF service model with actively using Opioid users. RHD Camden Supportive Housing started in 2008 and Pathways to Housing PA started a HF program specifically designed to work with Opioid users in 2016.

Workshop 102

Increasing stability and maximizing individual potential in Scattered Site settings Danielle Burt, Lisa Grillo, DESC

Session Description: Providing services in a Scattered Site setting comes with its own unique challenges. While we strive to create stability, conquer goals, and focus on a greater quality of life, we are constantly faced with circumstances outside of our professional control that challenge the integrity of our programs.

Workshop 103

Organizing college students for Housing First: From research to policy Dr. Deborah Padgett, Lynden Bond, New York University Josh Dean, Christina Wusinich, Hakook

Session Description: This presentation features members of ‘Hakook’—a student‐run group founded at New York University in 2015 to carry out street outreach, policy advocacy, and research designed to understand the barriers to permanent housing described by homeless persons themselves. The ultimate goal of Hakook is to promote adoption of Housing First.

April 10, 2018 9:00 AM ‐ 9:50 AM Cont’d.

Workshop 104

RRH (Rapid Re‐housing) with High Needs People

Margaret King, Katrina Sterling, DESC

Session Description: Leveraging Rapid Re‐Housing as a housing intervention for those with the highest access barriers and greatest need for PSH, is an innovation in Housing First practice and in line with HUD prioritization guidance and Rapid Re‐Housing best practices. Using RRH as an alternative to shelter allows communities to permanently house more of HUD's priority population (people with the longest histories of homelessness and high service needs).

Workshop 105

Moving On: Moving Stable Tenants Forward and Increasing Opportunities Michael Quinn, Jeremy Kern, Plymouth Housing Group Kristy Johnson, King County Housing Authority

Session Description: With permanent supportive housing opportunities insufficient to meet the totality of need, housing providers must effectively marshal limited resources. Some individuals within permanent supportive housing have reached a stable foundation, no longer needing intensive services. Moving‐on programs for suitable tenants to transition creates greater housing capacity for current homeless individuals.

Workshop 106

THIS is Housing First for Youth Part 1

Dr. Stephen Gaetz, Canadian Observatory On Homelessness At York University

Session Description: In response to concerns regarding the appropriateness of Housing First for youthful populations, a new program model “Housing First for Youth” (HF4Y) has been developed designed to meet needs of developing adolescents. This presentation looks at the HF4Y program model including adapted core principles and models of accommodation and support.

Workshop 107

Housing First Plus: Integrating employment services in housing programs John Rio, Advocates For Human Potential Laura O'Neill, DESC Tammy Bellofatto, The Colorado Coalition for the Homeless Ian Lisman, Advocates for Human Potential

Session Description: To achieve employment outcomes in Housing First, you must include an appropriate, matched employment service strategy. In this presentation panelists will present the evidence that supports linking housing and employment; two case studies, PSH in Seattle and RRH in Denver; comments from a working tenant; and the implications for practice.

April 10, 2018 9:00 AM ‐ 9:50 AM Cont’d.

Workshop 108

From the HEART: Housing First and Family Well‐Being

Zelimna Taveras, HEART Leah Rhea, Corporation for Supportive Housing

Session Description: This session will share how supportive housing and housing first principles positively influences housing and family stability based on a national demonstration with child welfare and homeless involved families in Broward County. This session will highlight the significant system of care collaboration and strategies to incorporate housing first principles into this system of care.

Workshop 109

Creating Housing First Culture in a SSVF (Veteran Specific) Program

Zach Riley, John Tribbett, St. Stephen's Human Services

Session Description: The presentation is an opportunity to assess how the underlying culture of the St. Stephen’s program leads it to uphold the philosophies of housing first and harm reduction, in a rapid rehousing model effectively and what supports are needed to ensure success.

Workshop 110

What We Have Here is a Revolution of the Heart

Meg Martin, Interfaith Works

Session Description: Participants will brainstorm creative ways to ensure the integrity of the Housing First model. The presenter will offer many practical applications of the principles of harm reduction to holistically strengthen your program at every level.

Housing First is much more than an apartment or coordinated entry… let’s explore the possibilities!

April 10, 2018 10:00 AM ‐ 10:50 AM

Workshop 111

Maintaining Scattered Housing for Individuals Facing Barriers Beyond Housing Sarah Gorry, Lt. Col. Matt Urban Human Services Center Of WNY

Session Description: Individuals enrolled in Housing First programs represent one of the most vulnerable populations who have faced structural barriers that have prevented stable housing. Creative linkages to supportive services, focus on increasing ADLs, and landlord relationships are paths to longevity in Housing First programs and promote thriving client lives.

Workshop 112

Housing First: Leading Through Racial Equity

Felicia Salcedo, All Home Danielle Winslow, Chief Seattle Club

Session Description: Homelessness is inextricably linked to racism. People of color experience homelessness at dramatically higher rates than their white counterparts. The homeless response system can either perpetuate racial disparities or disrupt them with intentional and targeted funding, policies and service delivery.

Workshop 113

Housing First and Harm reduction Practices and Standards in Permanent Supportive Housing Suzanne Moore, Caracole, Inc.

Session Description: Caracole, Inc. is a full service ASO in Cincinnati, Ohio with programs including prevention, medical case management, and housing. This presentation will include discussion about our client's improved health outcomes, decreases in overdoses and survival sex work, as well as barriers we have faced as practitioners.

Workshop 114 Conducting Housing First Research within Organizational and Systems Contexts Molly Brown, Camilla Cummings, Dao Tran, Depaul University Lauren Fay, DESC Rachel Fyall, University of Washington Sam Tsemberis, Pathways to Housing National

Session Description: This presentation will introduce an ongoing randomized trial of single‐site and scattered‐site Housing First conducted in collaboration with DESC. In addition to an overview of the study, the presentation will illuminate challenges and facilitators to study implementation occurring within the organizational context and the broader local homelessness service sector.

April 10, 2018 10:00 AM ‐ 10:50 AM Cont’d.

Workshop 115 Impact of a Housing First Approach on Perceptions of Self‐Determination Andrea Dakin, AIDS Foundation of Chicago Britt Shawver, Housing Opportunities for Women, Inc. Dave Thomas, All Chicago

Session Description: Self‐determination, as viewed by women participating in a supportive housing program that incorporated a Housing First approach, was explored in a qualitative research study through in‐depth, semi‐structured individual interviews.

Results showed that how women defined independent decision‐making and self‐determination were highly influenced by the Housing First structure of the program.

Workshop 116 Property management and service providers: Dynamic duos in PSH Carrie Craig, Jeff Linn, Colorado Coalition For The Homeless

Session Description: Colorado Coalition for the Homeless’ Renaissance Property Management Company (RPMC) and Housing First teams have been collaborating extensively to improve permanent supportive housing for Denver's chronically homeless population. This presentation will review collaborative efforts including: planning and administration, team roles and responsibilities, staff supervision and training, and cross‐team communication.

Workshop 117 Creating a Housing First System: You can do it too Kira Zylstra, Dusty Olson, All Home

Session Description: The Seattle/King County CoC is working diligently at systems change to align strategies, funding and services towards Housing First philosophy. Utilizing data and concrete examples, presenters will speak to the coordination, innovation, and governance necessary for communities to integrate HF throughout systems, including lessons learned, challenges faced and offer tools.

Workshop 118 The Role of Faith‐Based Partners in Housing First Systems Joe Savage, USICH

Session Description: As a key partner in a community’s efforts towards ending homelessness, faith‐based organizations bring a variety of housing and service resources to the homelessness crisis response system. The Department of Housing and Urban Development's(HUD) Housing Inventory data shows that faith‐based organizations operates at least thirty percent of the nation's emergency shelter beds for single adults and families.

April 10, 2018 10:00 AM ‐ 10:50 AM Cont’d.

Workshop 119 Homeless to Housed: Qualitative Analysis of Permanent Supportive Housing Cohorts Dr. James Petrovich, Texas Christian University Erin Murphy, University of Texas at Arlington, School of Social Work

Session Description: This study examined the experiences of formerly homeless individuals entering an innovative, privately‐developed site‐ based permanent supportive housing program located in Fort Worth, Texas. Qualitative interviews conducted at program entry and every three months after for one calendar year examined housing‐related challenges, available support systems, goals, and needs.

Workshop 120 Housing First, Healthcare Too: Coordinated Entry and Mental Health Providers Dr. Christine Laguna, Integral Care Preston Petty, Ending Community Homelessness Coalition (ECHO)

Session Description: While mental health should not be a barrier to entering housing, many individuals need support after move‐in.

Effective homeless services systems must include mental health as a core service within assessment, referral, and housing. Learn how Austin’s Continuum of Care and Local Mental Health Authority partnered to redesign their system.

Workshop 121 Outcomes From the Doorway program, an Australian Housing First Program Beth Fogerty, Rosalie Frankish, Wellways Australia

Session Description: Doorway is a housing first program that supports individuals to secure housing within the private rental market in Australia. This presentation will explore preliminary results from the current Doorway evaluation. Outcomes for both mental health and housing will explored using case examples to illustrate the findings and future program directions.

April 10, 2018 11:00 AM ‐ 11:50 AM

Workshop 122 Mind the Gap: Bridging Crisis Services and Housing First Principles Caren Sumption, Shanee Colston, Dana Dunklin, CSC‐DESC

Session Description: Crisis services are an essential component of a successful Housing First program. At DESC's Crisis Solutions Center, a diverse staff ‐‐ including Chemical Dependency Professionals, Case managers, and Peer Specialists ‐‐ connect client‐ residents in crisis to resources, model positive relationships, and build skill sets that keep client‐residents in their housing. Come discuss strategies bridging trauma‐informed care and Housing First principles.

Workshop 123 The Hard Work to Bring Housing and Child Welfare Systems Together Zelimna Taveras, KID Inc Leah Rhea, CSH Debra Struzinski, Betsy Cronin, The Connection Inc.

Session Description: This session examines supportive housing specifically designed to keep families together that are involved with child welfare system and to achieve optimal behavioral health, housing stability and successful family functioning. The child welfare system was a required partner in these programs, a system historically operating with a housing last framework.

Workshop 124 Site Based Coordinated Care: Maximizing In‐Home Care in Supportive Housing Jonnie Matson, ALTSA Noah Fay, Patrick Duffie, CSH Kelli Larsen, Plymouth Housing Group

Session Description: Site Based Coordinated Care is a pilot partnership between SH providers, In‐Home Care Agencies, and Long Term Care Services. This presentation will offer details on the planning, implementation, and evaluation of a new model of service delivery for tenants receiving In‐Home Care Services in Supportive Housing Sites.

Workshop 125 Using Data to Support CES John Horn, Martha Macias, LA Family Housing

Session Description: Good data is required to measure impact and instill public confidence in CES. This presentation will detail how data strengthens CES through successful collection, analysis, and reporting. Examples of outcome dashboards will be provided that can be replicated for use. Participants will learn how to make data come alive.

April 10, 2018 11:00 AM ‐ 11:50 AM Cont’d.

Workshop 126 Leveraging Stories of Success to Empower Individuals and Influence Policy Ann English, Sharon Rapport, CSH Laura Estrada, Speak Up! Advocate

Session Description: The CSH Speak Up! Initiative invests in tenants with lived experience of homelessness to develop leadership, advocacy, and storytelling skills to become active participants in the programming and policies of their communities. Personal stories of success provide a foundation for effective advocacy with local and state policymakers around ending homelessness.

Workshop 127 Rethinking Community Building: Leveraging Expertise through Interdisciplinary Programming Rica Bryan, Amy Sharp, Janice Walker, Ana Moran, Community Access Session Description: This presentation will offer practical tools to leverage tenant, staff, and neighbor expertise in order to activate meaningful community cohesion. We’ll focus on identifying both needs and assets and address those through interdisciplinary programming such as urban agriculture, art, and entrepreneurship in order to create lasting change in supportive housing.

Workshop 128 HUD's Housing First Assessment Tool: Measuring your agency's capacity to operate under a Housing First model Heather Lyons, CSH Norm Suchar, US Department of Housing and Urban Development

Session Description: Learn to use HUD’s “Housing First Assessment Tool” released on September 20, 2017 to review housing first standards in systems and programs. The tool is designed for internal self‐evaluation, external fidelity assessment and for use with coordinated entry, street outreach, emergency shelter, transitional housing, rapid rehousing, and permanent supportive housing.

April 10, 2018 11:00 AM ‐ 11:50 AM Cont’d.

Workshop 129 The Role Of Resilience Skills Training With Homeless Veterans To Strengthen Protective Factors Dr. Keith Wilson, VA Housing Program (HUD‐VASH)‐VAPAHCS Daniel Smee, Greater Los Angeles‐VAMC Shoba Sreenivasan

Session Description: Building resilience in homeless veterans offers a powerful method to mitigate destructive behaviors. Resilience is the ability to recover from adversity. Protective factors are defined as psychological and social elements that enhance positive coping and inner strength when faced with adversity. Resilience skills are from CSF2, a US Army program.

Workshop 130 Upscaling Housing First as a Social Policy towards ending Homelessness in Europe Professor Jose Ornelas, Ispa – Iu

Session Description: The Project HOME_EU: Reversing Homelessness in Europe is a Horizon 2020 research grant on reversing inequalities within the European Union territory. It is being implemented by a consortium of 12 partners from 9 countries is to contribute towards an empirically based EU theory & practice of justice for political guidance.

Workshop 131 Myth Busting Common and Persistent Misconceptions about Barriers to Housing Piper Ehlen, Gillian Morshedi,Homebase

Session Description: Many assumptions about legal barriers to HUD‐funded affordable and homeless housing resources are based on outdated or misunderstood regulations. This session will break down some of the most prevalent myths about eligibility for HUD‐funded housing and discuss strategies to address those myths in local communities to facilitate quicker housing placements.

Workshop 132 Autism and Homelessness: Strategies for Identification, Support, and Examples of Innovation Across the Country Desiree Kameka, Autism Housing Network

Session Description: Do you know who in your program is autistic? Join us to discuss autism and homelessness, try a quick autism/Asperger’s identification tool, learn simple strategies to supporting the needs of adults with autism, and a walkthrough of innovative models across the country that are meeting this need.

April 10, 2018 2:00 PM ‐ 2:50 PM

Workshop 133 Innovative Strategies in Landlord Recruitment for Housing Programs Matt Hurd, Atlanta Real Estate Collaborative

Session Description: Open Doors recruits companies with professionally managed properties willing to rent to individuals and families in need of affordable housing. Working with skilled case managers employed by the best nonprofits in Metro Atlanta, Open Doors connects rental communities with Housing First programs providing financial subsidy and ongoing supports to households.

Workshop 134 Housing First in Edmonton, Alberta: A Coordinated Systems Approach Susan McGee, Homeward Trust Edmonton

Session Description: HTE brings funding, planning, and coordination under one umbrella, with direct management of centralized functions including Coordinated Access, training, landlord relations and property management. This presentation will explore the evolution of a community approach informed by principles of Housing First throughout a variety of programs models and system level planning.

Workshop 135 Having Difficult Conversations Lindsay Casale, Hilary Melton, Pathways Vermont

Session Description: "Housing First" doesn't mean "Housing Only!" We believe our primary goal is to have conversations with participants that other people in their lives aren't having ‐ and often, these are difficult conversations. This interactive presentation will explore challenges and provide an opportunity to practice this core component of our work.

Workshop 136 Innovative Outreach Strategies & Meaningful Engagement Howard Jefferson Bess II, Samantha Oppenheimer, DESC

Session Description: Meaningful community‐based outreach is proven to result in positive outcomes for clients, and yet what is considered appropriate, reasonable, and effective varies wildly across programs. This panel will explore non‐traditional strategies outreach workers can use to address system inequities and develop strong working alliances with people experiencing chronic homelessness.

April 10, 2018 2:00 PM ‐ 2:50 PM Cont’d.

Workshop 137 Cultural Competency Amongst Providers: Navigating Social Privilege within Housing First Joel Berdie, Ilyas El‐Amin, Christina García, Colorado Coalition for the Homeless

Session Description: As global communities become more segregated through increased commercial globalization, climate change, and resource scarcity, HF providers have a responsibility to challenge gender, racial, and socioeconomic biases that oppress our clients. This presentation will explore strategies of how providers can most effectively utilize their social capital to empower clients.

Workshop 138 Innovations in Health and Housing Dr. Joshua Bamberger, University of California

Session Description: The research that supports the value of supportive housing is undeniable. In a recent report, we document 9 communities around the country where the healthcare system has invested to expand permanent supportive housing for chronically homeless adults. These cases can serve as a template for innovation and expansion.

Workshop 139 Incorporating Housing First Supportive Housing Standards into Medicaid and Managed Care Provider Contracts Debbie Thiele, Cheryl Winter, CSH

Session Description: As more U.S. states move to cover supportive housing services through their Medicaid program, state agencies and Medicaid Managed Care Organizations are setting standards for housing first services providers seeking Medicaid reimbursement. Learn what standards are being used and how supportive housing providers are becoming Medicaid providers across the U.S.

Workshop 140 Integrating Dual Diagnosis Treatment Within Veteran Housing First Program Dr. Stephanie Lynam, Dr. Theddeus Iheanacho, Debbie Deegan, Dr. Marcia Hunt, Yale University Jimmy Portner, Ohio State University

Session Description: Interdisciplinary Dual Diagnosis Treatment (IDDT) is a team‐based treatment modality that utilizes Motivational Interviewing techniques among others to enhance recovery for individuals diagnosed with substance abuse disorders and severe mental illnesses. This presentation will explain IDDT and its unique implementation process within a housing first model at VA Connecticut.

April 10, 2018 2:00 PM ‐ 2:50 PM Cont’d.

Workshop 141 Substance Use and Social Networks after Moving into Permanent Supportive Housing Dr. Harmony Rhoades, USC Suzanne Dworak‐Peck School of Social Work

Session Description: This presentation describes changes in substance use and the relationship between social network characteristics and individual substance use among a sample of more than 400 formerly‐homeless persons during their first year living in permanent supportive housing.

Workshop 142 Housing First and a Strategy for Poverty, Housing and Homelessness Daniel Brisson, University of Denver

Session Description: Housing First is an innovative and successful approach to providing housing to some of the most vulnerable in our society. Yet, the housing demand for families living in poverty far outweighs the supply. This presentation links Housing First with the Burnes Center comprehensive policy strategy to address poverty, housing and homelessness.

April 10, 2018 3:00 PM ‐ 3:50 PM

Workshop 144 Housing First from Scratch: A Recipe To Challenge Community Norms Chuck Albanese, Nicholas Coulter, PCHO Inc.

Session Description: PCHO Founders, Chuck Albanese and Nicholas Coulter are proposing a presentation to the Housing First Partners Conference that provides an overview of our work towards developing a non‐profit to implement Housing First as an evidence based practice in a community climate that was adverse to the model and struggled to see the benefits of this model due to multiple social and political factors that PCHO has since overcome.

Workshop 145 Racism and Homelessness: Findings from the SPARC Initiative Jeff Olivet, Molly Richard, Center For Social Innovation

Session Description: This presentation examines the intersection of racism and homelessness across the United States. The session will present findings from the six‐city SPARC study on race and homelessness. Participants will learn how racism and homelessness intersect and they will leave equipped to create change in their communities.

Workshop 146 Go with the Flow: Movement and graduation Steve Gaspar, Gill Roussel, The Alex Community Health Centre – Homebase

Session Description: HomeBase has started to increase client movement through programs to promote client capacity. The presenters will discuss key indicators that show if a client should move, how to ensure the client and new program feels supported during the flow, and how increases in flow has impacted both staff and clients.

Workshop 147 Training for Fidelity: Taking Housing First to Scale in Charlotte, NC Lori Thomas, Chloe Vercruysse, University Of North Carolina At Charlotte Karen Pelletier, Mecklenburg County Community Support Services Sam Tsemberis, Pathways to Housing

Session Description: Training and evaluation play key roles in ensuring housing first program fidelity in efforts to end chronic homelessness.

This presentation describes the interrelated processes of training and evaluation in Charlotte, NC and reports on research findings related to program fidelity and implementation. Challenges to taking effective programs to scale are discussed.

April 10, 2018 3:00 PM ‐ 3:50 PM Cont’d.

Workshop 148 Negative Effects: Hurdles in Telling the Housing First Story Rob Wetherington, Pathways To Housing PA

Session Description: When program participants share their story there is a tendency for them to relapse, experience intense mental health episodes, or to generally distance themselves. This makes sharing the purpose and impact of Housing First initiatives difficult and has led to proactive and preventative measures to address this nuanced need.

Workshop 149 Better Health through Housing: A Collaboration Between Permanent Supportive Housing Providers and the Health Care Sector Brandi Calvert, Abbie See, Center For Housing And Health

Session Description: The Better Health through Housing partnership between Hospitals and Managed Care Organizations and the Center for Housing for Health is an innovative program that provides permanent supportive housing to high emergency room and in‐patient hospital users that are experiencing homelessness. The supportive housing providers in our collaborative practice Housing First and Harm Reduction in their programs. We introduce Housing First principles to our health care partners because housing provides the foundation for wellness. People experiencing homelessness are offered permanent housing with no programmatic preconditions such as demonstration of sobriety, completion of alcohol or drug treatment, or agreeing to comply with medical treatment upon entry into the program.

Workshop 150 Mergers and Affiliations as a Housing First Survival Strategy Stacy Olsen DiStefano, M.C., Bill Maroon, MSW, Resources For Human Development

Session Description: Organizations must find ways to survive in the rapidly changing landscape of human services. RHD is embracing the mergers and affiliations mindset to create sustainable groups of experienced providers that share the Housing First vision. Learn about the value of this strategy and how to get started.

April 10, 2018 3:00 PM ‐ 3:50 PM Cont’d.

Workshop 151 Nursing Role(s) within Housing First Teams: Promoting Community Integration Maria Whetsel, Andrea Vigil, Sarah McBride, Nenna Arnold, Rachael Miller, Colorado Coalition For The Homeless

Session Description: Colorado Coalition for the Homeless has incorporated nursing services on their modified ACT Teams. We will demonstrate how our roles continue to evolve in order to provide integrated care. Participants will be given the opportunity to learn from our successes and challenges. We will discuss how we strategize community integration.

Workshop 152 Back to Basics: Correcting Program Drift in Housing First Jennifer Harrison, Michael Rudolph, FrontLine Service

Session Description: FrontLine Service and EDEN, Inc. have partnered since 2006, providing property management and social services to Cleveland's nine permanent supportive housing sites. This presentation offers an overview of how to ensure strategic alignment with Housing First principles, and ways they have adapted when aspects of the program have drifted.

Workshop 153 Hand in Glove: Housing First and Supported Employment Navid Daee, Ishan Heru, Community Connections

Session Description: Community Connections – DC’s largest non‐profit behavioral health agency – will present two Housing First initiatives utilizing supportive employment: 1) SAMHSA‐funded CABHI program with SOAR and also Supported Employment with Individual Placement & Support approach; and 2) HUD‐funded Supportive Housing Programs for Veterans and Families with Supported Employment. CC staff will also provide preview of newest Housing First program harnessing Supported Employment approach with transitional aged youth.

April 10, 2018 4:00 PM ‐ 4:50 PM Workshop 155 Engaging and Retaining Landlords in a Housing First Model Jennifer Lee, Path

Session Description: High rent and low vacancy cities have a multitude of challenges for any Housing First provider to overcome. PATH’s Housing Partnership Department share their ideas and experiments, for a data driven landlord engagement and retention model, to overcome the challenges of finding affordable housing in Los Angeles.

Workshop 156 PENDING

Workshop 157 We're in this together: Coordinated care enhances Housing First interventions Mike Savara, Central City Concern

Session Description: The Bud Clark Commons houses some Portland, Oregon's most vulnerable, complex individuals. Residents often intersect multiple systems, including hospitals, criminal justice, health clinics, substance use and mental health supports and housing. This presentation is a conversation about how to link systems together while engaging and supporting Housing First participants.

Workshop 158 Development and Testing of a Distance‐Based Housing First Implementation Strategy Dennis Watson, Indiana University Valery Shuman, Midwest Harm Reduction Institute

Session Description: The Housing First Technical Assistance and Training Program (HFTAT) is a distance‐based implementation strategy developed to assist programs to implement the Housing First model. This presentation discusses results from research demonstrating improvements in organizational‐ and staff‐level outcomes from three programs that participated in the HFTAT pilot.

April 10, 2018 4:00 PM ‐ 4:50 PM Cont’d.

Workshop 159 Building the Next Homeless Services System: Trends, Challenges and Solutions Jean‐Michel Giraud, Friendship Place

Session Description: The homeless services field has made tremendous progress thanks to the Housing First Model. This workshop is a three‐part conversation on trends, challenges and solutions in the homeless services space. Workshop participants will examine current needs and conditions and discuss their impact on consumers and staff. We will develop a vision for the next service space and discuss effective strategies to implement it.

Workshop 160 Landlord Engagement Strategies for Housing First programs Ashley Mann‐McLellan, Technical Assistance Collaborative

Session Description: As communities and housing programs work to adopt a Housing First approach, it is critical that they have an implemented strategy to both recruit and maintain positive landlord relationships. Workshop attendees will learn both program and system‐level landlord engagement strategies from the presenter and their peers.

Workshop 161 THIS is Housing First for Youth Part 2 Melanie Redman, A Way Home Canada

Session Description: While the evidence base for the Pathways model of Housing First is well established and extensive, we need to build the same for important adaptations of the model, including adaptations for youth. This presentation explores early findings of national demonstration projects on Housing First for Youth in Canada.

Workshop 162 Costs of Supportive Housing for Homeless Families: Findings from the High Needs Family Evaluation Kathryn Henderson, Deb Rog, Westat

Session Description: The High Needs Family Program, supported through the Washington Youth and Family Fund, provided an opportunity to examine the costs that families in supportive housing incur on various mainstream service systems compared to families in shelter and those in public housing. High utilizer families also were identified.

April 10, 2018 4:00 PM ‐ 4:50 PM Cont’d.

Workshop 163 When Housing First Becomes a Dirty Word: Overcoming Resistance and Anxiety When Implementing Housing First for Families Amanda Harris, Montgomery County Department Of Health And Human Services

Session Description: The focus is on applying Housing First principles to family services. In many communities, Housing First has a bad rap due to poor fidelity to the model. Housing First is more than housing and must include services. We will explore how to repair the reputation by appealing to shared values.

Workshop 164 Implementation of a North Texas County's Coordinated Entry System Erin Murphy, University Of Texas At Arlington James Petrovich, Texas Christian University, Department of Social Work

Session Description: This study presents findings from a monitoring evaluation examining a newly implemented coordinated entry system (CES). The mixed‐methods study leveraged local HMIS data to evaluate system‐level performance metrics and qualitative focus groups with clients, navigators and program administrators to identify system strengths and opportunities for system improvement.

Workshop 165 Engaging and Housing the Most Vulnerable Using an Integrated Team Brittany Jasker, Rachel Giles, St. Joseph Center

Session Description: The Integrated Mobile Health Team is a street team of professionals from multiple disciplines who serve individuals experiencing chronic homelessness, severe mental illness, medical conditions, and substance use. Participants will learn how this integrated, field based approach is effective in getting people off the street using the Housing First model.

April 11, 2018 9:00 AM ‐ 9:50 AM

Workshop 200 The FUSE Model of Supportive Housing in Oregon: Community Activation to create housing for frequent users from project planning, implementation, and sustainability Annie Bacci, Heather Lyons, CSH Danielle Bautista, Lane County

Session Description: This session focuses on the Lane County, OR, FUSE program that is currently in implementation, in addition to a new effort in Multnomah County that brings together partners from the county and city with housing and philanthropy to create supportive housing for frequent users of jails, homeless, and health systems.

Workshop 201 MCO and Provider Talk Housing First in Managed Care Environment Stacy Olsen DiStefano, M.C., Resources For Human Development Michael Golinkoff, Ph.D., M.B.A., PerformCare Session Description: Can Housing First programs survive with fidelity in a fee‐for‐service world? Which services are billable, what can be bundled, what must be absorbed, and how can providers prepare for pay for value? A presenter dialogue will be followed by audience participation in sharing experiences, insights and actionable information.

Workshop 202 Denver HUD/VASH: Housing is the Door to Recovery Jennifer Daly, Hannah Lambert, Heather Powers, Veterans Affairs

Session Description: Denver’s HUD‐VASH program demonstrated their commitment to Housing First most notably in January of 2016. After 20 years of combined service to the Homeless Veteran population managers considered challenges faced by veterans and staff and redesigned. We approach our most vulnerable homeless with a Veteran‐centered, recovery focused, Housing First process.

Workshop 203 Community Health and Wellness: Mobile Integrated Healthcare Partnered with Supportive Housing Michael Brose, Mental Health Association Oklahoma Whitney Phillips, University of Oklahoma School of Community Medicine

Session Description: Mental Health Association Oklahoma and University of Oklahoma Community Medicine designed a mobile, integrated healthcare model using mid‐level and nursing providers, and peer support specialists to bring "to the door" integrated care to untreated medically/psychiatrically vulnerable, formally homeless individuals living in PSH with 2 years of outcome measurements.

April 11, 2018 9:00 AM ‐ 9:50 AM Cont’d.

Workshop 204 Housing First residents as educators on the mental and physical health crisis within the chronically homeless population Jennie Ann Cole, Kim Scholtz, East Carolina University

Session Description: A small body of research has explored how the aging formerly homeless population can inform health policy on how to secure housing for the chronically homeless. Drawing on their own experiences, participants offer suggestions regarding the best ways to understand the recovery process as clients’ transition into housing.

Workshop 205 Integrated Models for Treatment and Support Mike Savara, Central City Concern Shalonna Jackson, Home Forward

Session Description: Housing First often involves a heavy orchestration of services and supports across agencies. This presentation will focus on the challenges and benefits of collaboration between local housing authority, Home Forward, and a local non‐profit Central City Concern. Discussion of the roles that Resident Services, Case Management and Property Management hold.

Workshop 206 Housing First for Youth and Young Adults Amy Louttit, National Network For Youth

Session Description: Options are critical to a community based system which is effective at preventing and responding to youth homelessness. Housing First is a necessary component of any system and must be tailored to the needs of young people. But what does Housing First for Youth look like? Where does it fit?

Workshop 207 Team‐Based Approaches for Opioid Addicted Participants: Leveraging Your Role Kate Gleason‐Bachman, Joe Quinn, Pathways to Housing PA

Session Description: This presentation will address specific strategies for fully utilizing a team approach to meet the needs of those with opioid addiction while also adhering to housing first and harm reduction principles. We will use discussion/case studies to explore the role of nursing and peer support in moving participants towards goals.

April 11, 2018 9:00 AM ‐ 9:50 AM Cont’d.

Workshop 208 Naloxone for all! An agency response to the Opioid Epidemic Monica Fisk, DESC

Session Description: This workshop will explore how DESC has responded to the crisis of opioid overdoses among our clients by implementing an agency‐wide Opioid Overdose and Naloxone Administration policy. We will review the legal and social context that led to the creation of this policy, in particular the rise in Opioid‐related deaths and a WA state law that allows for institutional Naloxone prescriptions. We will discuss agency considerations around the policy, including agency size and structure, service provision in a Housing First context, and the particular needs of our client population which is highly vulnerable, chronically homeless, mentally ill, and substance‐dependent. The workshop will then cover the management processes and training mechanisms for implementing this policy on the ground, including supplying all sites with Naloxone and regular ongoing training for all staff. Finally, we will reflect on the success and lessons of the policy after two years, and engage the audience in conversation about they could replicate this in their own housing first programs.

Workshop 209 Housing First & Client Engagement: Implementing Motivational Interviewing and other Client‐centered Models Mayte Antelo‐Ovando, Heading Home

Session Description: This presentation aims to share an overview of how Housing First is implemented in our programs, while making the point that this philosophy is very much aligned with client‐centered models such as Motivational Interviewing, Trauma‐ Informed Care and Harm Reduction, asserting that clients have autonomy and deserve respect.

Workshop 210 Maintaining Program Integrity During Housing First Replications Tod Lipka, Step Up On Second

Session Description: Step Up has replicated it's services into numerous new communities. We will cover lessons learned in successful replication including how to maintain program integrity and service continuity, developing and managing new relationships, creating goodwill through responsiveness to community needs, handling diverse funding & strategies to build capacity within each community.

April 11, 2018 10:00 AM ‐ 10:50 AM

Workshop 211 Beyond Housing First: Community Planning and Investment Strategies for Vulnerable Populations Gregory Shinn, Mental Health Association Oklahoma Bill Major, Zarrow Family Foundations

Session Description: Mental Health Association Oklahoma and Zarrow Foundations have partnered to establish a portfolio of 1,500 units of housing and programs in Oklahoma. Speakers will demonstrate how leveraging public and private resources drives an intentional community plan that serves vulnerable populations and forges business relationships that advance the Housing First philosophy.

Workshop 212 Maintaining Traction in a Rebuilding System ‐Tips for Early Adopters Sara Schwab, Truman Behavioral Health Assertive Community Outreach

Session Description: As communities embrace Coordinated Entry and Housing First practices, early adopters of the models may feel stuck, even derailed as the rest of their systems catch up. Attendees will learn the benefits and challenges of early adoption including their role as leaders in broader efforts.

Workshop 213 Dignity in Death: Housing clients with palliative conditions Steve Gasper, James Murch, The Alex HomeBase

Session Description: More and more programs find themselves providing housing first to clients with palliative conditions. This presentation will focus on interventions and strategies used at HomeBase to support clients with terminal illness and prevent compassion fatigue in staff.

Workshop 214 Understanding 'Good' and 'Bad' HF‐Policy‐implementation ‐ Comparative Studies from Canada and EU Dr. Nienke Boesveldt, Utrecht University

Session Description: Explaining housing and service coverage of homeless persons by looking at elements of policy, structure and management in local administrative‐political approaches reveals why Montreal, Copenhagen and initially also Amsterdam are less effective than Glasgow in implementing housing‐first. Strength of normative and empirical policy‐ assumptions appears a decisive factor in policy making.

April 11, 2018 10:00 AM ‐ 10:50 AM Cont’d.

Workshop 215 Walking the Walk: Building Trauma Informed Housing First Organizations Amy Turk, Downtown Women's Center

Session Description: It is not enough, to just train professionals about trauma in order to establish a trauma informed workforce. It is critical that we embed principles of trauma informed care throughout our organizations. This session will shift the onus of self‐ care from the individual to the agency to foster Trauma‐Informed Organizations.

Workshop 216 Trauma‐Informed Supervision: Developing Resiliency in the Workforce Christina Clayton, DESC

Session Description: Trauma‐Informed Supervision is an approach that can train new direct service staff and supervisors learn the underlying aspects of trauma and its impact on those on the front lines. Housing First work inherently means helping people who have experienced trauma and it is our job to be prepared by having the tools to return each day ready to be present and hopeful. To do that, we must invest in ourselves, our supervisors and that crucial supervisory relationship to help those we serve.

Workshop 217 The Soteria Model Hilary Melton, Pathways Vermont

Session Description: The Soteria model, developed by Dr. Loren Mosher in the late 70’s, offers an alternative approach to the experience of psychosis by providing person‐centered adaptive care in a home‐like environment. In the context of increasing interest in the model, a review of controlled trials suggested the Soteria paradigm yields equal, and in certain specific areas better, results in the treatment of people diagnosed with first‐ or second‐episode schizophrenia spectrum disorders (and with considerably lower use of medication) when compared with conventional, medication‐based approaches.

Workshop 218 Sharing Decisions: Medication Assisted Treatment in Housing First Wayne Centrone, Steven Samra, Center For Social Innovation

Session Description: The U.S. is experiencing a public health epidemic. This is particularly true for people living in homelessness. A diverse team developed a web tool to change the conversation about opioid use and medication assisted treatment. The presentation will review how housing first programs can support access to evidence based treatment.

April 11, 2018 10:00 AM ‐ 10:50 AM Cont’d.

Workshop 219 Using DBT in a Harm Reduction Setting Andy Tilton, Anna Siembor, DESC

Session Description: Dialectical Behavior Therapy is considered to be the gold standard of clinical practice for many of the diagnoses that our clients carry. However there are many barriers to consumers enrolling in a DBT group‐‐cost, requirements around attendance, language used in these groups, substance use, etc. At the DESC's SAGE program we have adapted the DBT skills group and curriculum to better fit our population‐‐here are some of the things we have learned along the way.

Workshop 220 Building Successful Housing First Teams Using a Change Management Approach Jean Field, Ms. Ali Rabe, HomeBase: The Center for Common Concerns

Session Description: Even after an agency commits to Housing First, change is an ongoing process. To build a successful, empowered Housing First team, we will suggest a change management approach involving: (1) self‐evaluation, (2) commitment to vision & communication, (3) defining clear roles & providing strong support, and (4) monitoring & evaluation.

Workshop 221 Housing First: Innovative Practices of a Multidisciplinary Team Jaclyn Culleton, Maricruz Gomez, Betty Garfield, Crystal Snow, Humboldt County Department Of Health And Human Services

Session Description: Humboldt County, California, Department of Health and Human Services Housing Unit will present their housing first program and a multidisciplinary team. Discussion topics include: care coordination smart phone app, flexible structuring of field team to meet the changing goals/needs of clients, challenges of the newly housed, and community engagement.

April 11, 2018 11:00 AM ‐ 11:50 AM

Workshop 222 Realizing the Potential of Olmstead Using a Housing First Approach Ann Oshel, Marti Knisely, Debra King, Alliance Behavioral Healthcare

Session Description: Creating access to affordable housing is a significant challenge. Combined with an Olmstead violation requiring 3000 persons be moved to community housing within 8 years and the challenges seem insurmountable. This workshop will describe NC's efforts to transform the housing system and local innovative strategies to meet the lawsuit requirements.

Workshop 223 Collaborative Engagement: Leveraging Data & Resources Across Disciplines to Serve High Utilizers Brian Hardgrave, City of Santa Monica Zachary Coil, The People Concern

Session Description: Santa Monica's Homeless Multidisciplinary Street Team (HMST) provides field‐based interventions to the 25 highest utilizers of City resources. Collaboration/data‐sharing between Human Services, Police, Fire, City Attorney, and hospitals developed the cohort and guide HMST's work. HMST works across systems daily to stabilize clients while linking to appropriate housing and services.

Workshop 224 Encountering Ethical Decision Making in Housing First and Harm Reduction Matt Tice, Pathways To Housing PA

Session Description: Harm Reduction in professional practice can often be abstract and difficult to define especially if the issues participants and professionals face are ethical dilemmas. This workshop will examine ethical dilemmas posed by the approach and define an ethics model for decision making informed by the Harm Reduction philosophy.

Workshop 225 Promising evidence for adapting Housing First for DV survivors Dr. Cris Sullivan, Michigan State University Linda Olsen, Washington State Coalition Against Domestic Violence Elizabeth Eastlund, Rainbow Services, Inc. Amy Turk, Downtown Women's Center

Session Description: This presentation describes how the Housing First model has been adapted for domestic violence survivors and provides evidence for this approach. Findings will be provided from DV survivors about how this model impacted their safety and housing stability over 9 months. Lessons learned from providing this approach will be shared.

April 11, 2018 11:00 AM ‐ 11:50 AM Cont’d.

Workshop 226 Participant Choice, Participant Empowerment: a panel discussion on the viability of self‐directed programming Mr. Ilyas El‐Amin, Mrs. Sophia Lawson, Mrs. Sarah Turnbach, Mr. Arthur Quintana, Mr. Matt Mollica, Colorado Coalition For The Homeless

Session Description: In the current housing market, there is a decrease of affordable housing options for individuals experiencing homelessness. Does the restrictive market allow for Housing First programs to encourage and support participant choice? Are there limits to participant choice? If not, how can participant choice be implemented in Housing First programs?

Workshop 227 Pure Peer Power: Using Peer Advocates to Achieve Resident Success Stacey Hartnett, Anthony Haynes, Brent Smith, Dennis King, Pamela Marshall, Skid Row Housing Trust

Session Description: Peer advocates can be an invaluable asset to an organization where working with clients can be challenging. In this presentation the Skid Row Housing Trust peer advocate team will talk about how they creatively connect with residents, service providers, student interns, and most importantly life experience to navigate the housing process and assist residents achieving their goals.

Workshop 228 Effectiveness and Future sustainability of Homeless Services Lacheryl Porter, Dr. Va Lecia Kellum, St. Joseph Center Andrea Ilouian, Hilton Foundation Sarah Mahin, Los Angeles Homeless Services Authority

Session Description: Capacity building from three perspectives: Non‐profit, government and philanthropic foundations. Presenters will discuss what the increase means to their respective agencies when a sudden higher level of activity exposes the vulnerability of our processes and systems, which are already reaching or exceeding capacity.

Workshop 229 Words Hurt. Examining Stigma and Unintentional Harms from Commonly Used Terms Jessica Nagel, Karen Rosenthal, Duysal Karakus, Community Access, Inc.

Session Description: Common words we use as harm reduction providers can perpetuate stigma and shame, when our goal is to promote the opposite. In this workshop we will lead a discussion of frequently used terms, e.g. “clean,” “enable,” “replacement therapy,” the complexities of judgment and stigma, and unintentional harms that may result.

April 11, 2018 11:00 AM ‐ 11:50 AM Cont’d.

Workshop 230 Stepping Stones to Sustained Engagement: Developing Skills in Therapeutic Communication & Reducing Program Barriers Brittny Jo Meek, M. Auden, DESC

Session Description: Presenters will draw on their experience in outreach and crisis diversion programs at DESC, one of the greater Seattle‐ area's harm reduction mental health agencies. Those attending this presentation will discuss and create tangible tools for creatively engaging with individual clients through strength based approaches, properly setting boundaries, all while fostering an environment for continued engagement. We will also discuss strategies for attendees to identify program barriers and advocate for changes and creation of new policies within their own organizations that support engagement rather than ceasing to serve individuals at their time of need.

Workshop 231 Stuck In The Middle?: Navigating the demands and responsibilities of middle management Cheryl Winter, CSH Niki Novak, Pathways to Housing DC

Session Description: This session focuses on supporting the Housing First workforce, particularly middle managers juggling multiple demands and responsibilities in a fast‐paced environment with competing priorities. Topics including recruiting and investing in frontline staff, supporting your peer workforce, training front line staff and leading with a trauma‐informed lens through change.

Workshop 232 Integrating Shelter Diversion Sarah Chess, Diversion 1st

Session Description: Shelter Diversion has emerged as an important approach to ending homelessness. This low cost intervention is meant to end homelessness at the front door of the shelter and can be a key component of in any community strategy to end homelessness. This workshop is designed to help practitioners understand what diversion is, present recent research findings, and highlight several programs and implementation strategies.

April 11, 2018 2:00 PM ‐ 2:50 PM

Workshop 233 Same Pie, Different Slices: Housing Prioritization for Single Adults Christina Clayton, Lauren Fay, Samantha Oppenheimer, DESC

Session Description: DESC has operated 3 successive outreach teams designed to find and connect with those prioritized for Permanent Supportive Housing units. The difference: the eligibility criteria, housing available or dedicated and the process for accessing PSH. Come hear the pros and cons, lessons learned and suggestions for successfully implementing prioritization in your community.

Workshop 234 Reaching Functional Zero: How Milwaukee County is ending chronic homelessness James Mathy, Eric Collins‐Dyke, Milwaukee County Housing Division

Session Description: Though a combination of innovative public and private funding sources for permanent housing, Milwaukee County reduced homelessness by 40% in two years and chronic homelessness by 80% with a housing retention rate of 97% through the use of multidisciplinary community partnerships.

Workshop 235 On‐site Management of Alcohol Withdrawal in a Supportive Housing Setting Sonya Starr, Patrick Duffie, DESC

Session Description: This interactive workshop gives an overview of the methods, application and outcomes of managing alcohol withdrawal in a supportive housing setting, using a simple medical model of evaluation, assessment and planning.

Discussion focuses on applicability in different settings, such as in housing where medical staff may not be available on‐ site.

Workshop 236 The challenges of Medicaid in housing first, harm reduction PSH Michael Banghart, Renaissance Social Services, Inc.

Session Description: Funding for evidence based service delivery in supportive housing can be a challenge as it often requires a lower client to staff ratio. Medicaid is a potential source for service funding that can bring with it great opportunity as well as big risks. Using an operating program as an example, this presentation will discuss those opportunities as well as other potential sources for service funding.

April 11, 2018 2:00 PM ‐ 2:50 PM Cont’d.

Workshop 237 From push pins to GIS coordinates – Anchorage’s commitment to outreach.

Nancy Burke, Tina Miller, Municipality Of Anchorage Lt. Jack Carson, Anchorage Police Department Melina Breland, United Way of Anchorage

Session Description: A cop, therapist, social worker and engineer walk into a room…learn how this scenario works out! Anchorage has utilized an innovative approach to conducting outreach in a Housing First focused implementation of coordinated entry. Using GIS mapping and smart phone technology, outreach workers, police, mental health providers and supporting non‐profits can coordinate location, engagement and prioritization of people for housing in the community.

Workshop 239 Community, Organized: Coalition Building for Housing First‐oriented Systems Ian Fletcher, Metro Denver Homeless Initiative

Session Description: This interactive workshop will share the important role of broad‐based community organizing in building effective Housing First‐oriented homeless crisis response systems, through case studies on coordinated entry & faith communities. Learn to navigate complex funding sources, hierarchical bureaucracies, and stakeholders that do not believe in Housing First as a model.

Workshop 240 Under One Umbrella ‐ The Housing In Place (HIP) Team Maryanne Smallwood, Cory O'Handley, Services And Housing In The Province (ship)

Session Description: The Housing In Place Team aims to secure housing for individuals as it relates to their preferred communities and service needs promoting recovery, independence, housing stability and increased quality of life. The Housing In Place has built a network of non‐traditional disciplines committed to meet you where you already are.

Workshop 241 Trauma‐informed Care in an Integrated Healthcare and Housing Provider Molly Brown, Depaul University Valery Shuman, Heartland Health Outreach

Session Description: This presentation will provide a case example of trauma‐informed care (TIC) implementation in an integrated healthcare and housing provider. The TIC implementation strategies utilized within the organization will be described.

Findings from a qualitative study with service participants on the needs of trauma survivors in homeless services will be presented.

April 11, 2018 2:00 PM ‐ 2:50 PM Cont’d.

Workshop 242 Navigating the World of Medicaid in Support of Housing First Paul Rossi, Foothold Technology Lindsay Casale, Pathways Vermont

Session Description: Housing First organizations can leverage Medicaid dollars to support services. Rules and requirements vary state‐to‐ state. Documentation requirements can feel overwhelming. Some providers are sharing tips through an information exchange called the Supportive Housing Resource Center. In this session we take a closer look at best practices from across the nation.

Workshop 243 Building your Identity, Skills and Confidence as a Supervisor Ken Kraybill, Center for Social Innovations/T3

Session Description: Quality supervision is critical to fostering staff members’ development, enhancing their skills, implementing best practices, and improving client outcomes. This workshop will provide an overview of the administrative, evaluative, educative, and supportive functions of supervision. It will also incorporate aspects of trauma‐informed care and motivational interviewing that inform supervision.

April 11, 2018 3:00 PM ‐ 3:50 PM

Workshop 244 Diversion for Families: A Housing First Strategy Anne Marie Edmunds, Pierce County Human Services Annie Pennucci, Building Changes

Session Description: With support from Building Changes, in 2014‐16 Pierce County implemented a pilot diversion project for families seeking help from their homelessness crisis response system. This presentation describes the project and includes data on family characteristics and outcomes.

Workshop 245 Beyond a Roof: Support and the Role of Community Dr. Donald Burnes, Burnes Center On Poverty And Homelessness Michelle McHenry‐Edrington, Colorado Cross‐Disability Coalition Dr. Barbara Jackson, Daniels School of Business Leanne Wheeler, Wheeler Group Dr. Jamie Rife, Purposity

Session Description: Session participants will hear from a panel of individuals who at one or more points in their lives lacked a safe, stable place to call home but moved beyond this experience. First‐person accounts will frame a discussion on housing, community supports and policy implications.

Workshop 246 “Drug, Set, Setting”: A Training tool Bridging Theory with Practice Karen Rosenthal, Duysal Karakus, Community Access, Inc.

Session Description: Come learn how ‘Drug, Set, Setting’ can grow beyond an academic concept into a concrete tool with workers experiencing helplessness around complex drug use in supportive housing. Facilitators will share how implementing the model in training/supervision supports workers to enhance their harm reduction service delivery.

Workshop 247 Prediction, Retention, and Cost Utilization of Emergency Services in the First Massachusetts Social Innovation Financing Housing First Program Dr. Singumbe Muyeba, Massachusetts Housing And Shelter Alliance

Session Description: This presentation examines the impact of Massachusetts’ first ‘Housing First’ Pay for Success initiative. It evaluates the extent to which the PFS triage assessment tool predicts high utilization of emergency services, and examines the effects of housing first on utilization of emergency medical services, cost‐savings and housing retention.

April 11, 2018 3:00 PM ‐ 3:50 PM Cont’d.

Workshop 248 Intersectionality and Ending Homelessness for Women Anne Miskey, Downtown Women's Center

Session Description: Building off Housing First movements to end homelessness for Veterans, chronically homeless, and youth, it’s time to address women as a unique population of their own. Cutting through intersections of poverty, structural racism, violence, LGBTQIA experiences, and age‐related dynamics, this session helps build programs meeting women's unique needs.

Workshop 249 Fighting Myths About Addiction Maia Szalavitz, Author

Session Description: This workshop will explore common myths about addiction and how they can harm people with addiction and their loved ones. For example, failing to understand why methadone treatment is not "replacing one addiction with another" causes medication use to be stigmatized. Myths about coercive treatment, the possibility of recovery and moderation and stereotypes about people with addiction will also be examined and debunked.

Workshop 250 Young People Are Ready for Housing Right Now Megan Gibbard Kline, A Way Home America

Session Description: This workshop will counter commonly held beliefs around young people's "developmental readiness" for housing. We will honor and reflect ways that youth and young adults (YYA) are in a unique place in their development and growth, as we discuss the compatibility of a housing first framework for YYA.

Workshop 251 Improving Practice With Housing First Populations: A New Perspective Ms. Marjorie Wherley, Abt Associates, Inc.

Session Description: Some practitioners reject the Housing First approach because they believe their clients are too impaired or disabled to be capable of immediately moving into permanent housing. Science is providing increasing evidence of the impact of stress on behavior, emotions and cognition. This is essential information for effective Housing First practice.

April 11, 2018 3:00 PM ‐ 3:50 PM Cont’d.

Workshop 252 Implementing Housing First in Domestic Violence Housing Programs Brittani Manzo, USICH

Session Description: Building on the research and model offered by the Washington State Coalition Againt Domestic Violence, many domestic violence housing providers are working to shift to implement Housing First prinicples in their work and thereby expand the range of Housing First options available in communities across the country. This session will explore the five key components of Washington's Domestic Violence Housing First model (survivor‐driven engagement, trauma informed care, mobile advocacy, flexible financial assistance, and community engagement) in comparison to the core principles of Housing First.

Workshop 253 What’s the Harm? Applying Harm Reduction in Housing First Settings Robert Nesbit, Mecklenburg County ‐ Community Support Services

Session Description: “What’s the Harm” offers practical Harm Reduction (HR) skills and strategies to help service providers support tenants of Housing First programs. Participants will have the opportunity to role‐play different scenarios and discuss how to apply HR principles in clinical practice.

Workshop 254 Tiny Houses: A Crisis Response to Homelessness Sharon Lee, Stephanie Endres, Herman Kahaloa, Low Income Housing Institute Dusty Olson, City of Seattle’s Homeless Strategy & Investment Division

Session Description: How seven Seattle tiny house villages, located on public, private and church‐owned properties, provide an effective, high quality crisis response to homelessness with strong support from stakeholders, including neighbors, businesses, and government/public health. Includes best practices for building partnerships, overcoming NIMBY, crafting legislation, resident self‐governance, case/crisis management, and house rules.

April 11, 2018 4:00 PM ‐ 4:50 PM

Workshop 255 Creating a Comprehensive Service Delivery Model ‐ From Police to Housing Lana Dalton, Salt Lake City Police Department Ed Snoddy, Volunteers of America‐ Utah and 4th Street Clinic

Session Description: Salt Lake City has a long history of creating and maintaining inter‐agency and inter‐disciplinary relationships utilizing a “no wrong door” approach and the sequential intercept model. Attendees will look at how Salt Lake Valley entities have developed a multidisciplinary comprehensive model to reduce barriers and increase access to housing services.

Workshop 256 Will Montgomery County, MD be next to achieve functional zero for chronic homelessness using a Housing First model?

Mr. George Leventhal, Montgomery County Council Amanda Harris, Montgomery County Department of Health and Human Services

Session Description: In 2015, Montgomery County achieved functional zero for veteran homelessness. Building upon this success, the community aims toward functional zero for chronic homelessness by March 2018. This presentation will tell how we gained political momentum, leveraged new and existing resources, and engaged the housing community to implement Housing First system‐wide.

Workshop 257 Harm Reduction: Practical strategies to support participants with high‐risk behaviors Shalonna Jackson, Mike Savara, Central City Concern ‐ Bud Clark Commons

Session Description: Housing First cannot be implemented to fidelity without a strong underlying harm reduction approach. We will tackle practical strategies that HF programs can utilize to serve clients who are engaging in high‐risk behaviors such as drug and alcohol use. Going deeper into harm reduction will ensure commitment to HF principles.

April 11, 2018 4:00 PM ‐ 4:50 PM Cont’d.

Workshop 258 Using Evidence to Expand Housing Options for Vulnerable, Justice‐Involved Populations Kim Keaton, CSH Dr. Regenia Hicks, Harris County Stacy Lowry, MSW, Mecklenburg County

Session Description: Recent evaluations of supportive housing initiatives for frequent users of jails and homeless systems were completed in Harris Co., TX, and Mecklenburg Co., NC. Both studies found significant reductions in homeless and jail systems use, and contain rich findings on health and housing outcomes that will have far‐reaching policy implications.

Workshop 259 Peers and Housing First Tracey Compton, Shanee Colston, DESC – CSC

Session Description: Join the discussion on how Peer Support, an evidence‐based mental health model of care, improves the recovery outcomes of individuals with mental illness and substance use disorders, from the perspective of a certified peer.

Workshop 261 Employment and Housing First: Square Peg in a Round Hole?

Cindy Borden, National Coalition For Homeless Veterans

Session Description: For many individuals and families experiencing homelessness, employment is the key to long‐term housing stability.

Traditionally, housing and employment programs have operated separately resulting in delays and missed opportunities. This session will examine the role of employment in Housing First, discuss individual/organizational barriers, and explore real world examples.

Workshop 262 Trauma Informed Care: Housing First Through a Trauma Lens Erica Ernst, Renaissance Social Services, Inc.

Session Description: Trauma Informed Care is a key intervention in Housing First. Our participants have commonly experienced repeated traumatic events that can impact their lives and interactions with their environments. Changing the focus from symptoms to an individual's story, that story's effect on their lives, and their related adaptations.

April 11, 2018 4:00 PM ‐ 4:50 PM Cont’d.

Workshop 263 Supporting Child Wellbeing, Development and Safety in Housing First Settings for Families Sharon McDonald, NAEH

Session Description: Staff of the National Alliance to End Homelessness (NAEH) will host a facilitated discussion regarding promoting child well‐being, development and safety in a Housing First/harm reduction approach. Additional presenters in the session will be providers (TBD) with direct experience operating low‐barrier HF/HR programs for families. Bring positive experiences, barriers, questions and concerns from your community to participate and learn in this lively dialogue with experienced colleagues.

Workshop 264 After Making It Home: Procedures to Promote Housing Stability Laura Sandoval, Maria Brown, Path Ventures

Session Description: PATH Ventures staff share a four‐step retention model to address common housing challenges for persons emerging from homelessness. Presenters guide a group discussion and practice exercise to apply this integrated approach for Property Management and Supportive Service professionals to create opportunities for tenants’ success in their new communities.

April 12, 2018 9:00 AM ‐ 9:50 AM

Workshop 300 Housing First in the Coordinated Entry System Elizabeth Heger, Haley Fuselier, Meredith Berkson, PATH , Session Description: The Coordinated Entry System in Los Angeles provides an avenue for families, individuals, and veterans to receive services from a “no wrong door” policy. Putting the Housing First for these populations allows for the stability they need to be successful.

Workshop 301 Tiny Homes and Housing First: Rethinking Cost, Community, and Control Cole Chandler, Nathan Hunt, Colorado Village Collaborative

Session Description: Experience creating tiny‐home villages provides a backdrop for conversation on the complexities of establishing housing as a human right: a) the growing unaffordability of building affordable housing, b) inclusive, caring community as key to long‐term success, c) justly distributing power to disempowered (and traumatized) people, and d) identifying emerging options.

Workshop 302 Implementation Science for Evidence‐based, Medically Necessary, Value‐based Services Mr. John Monahan, LCSW, Integrated Care For Recovery

Session Description: Providers must manage (1) evidence‐based practice, (2) consumer and staff safety, and (3) documentation compliance to succeed in a Medicaid fee‐for‐service environment. All three can be effectively managed by using Implementation Science to create an infrastructure with clear staff instructions, ongoing coaching supports, real‐time supervisory reporting, and managerial oversight.

April 12, 2018 9:00 AM ‐ 9:50 AM Cont’d.

Workshop 303 Supported Employment in the 21st Century: Understanding the Ethical, Moral, and Professional Boundaries in Today's Society.

Michael Swann, PACT

Session Description: Supported employment is often thought of as something which can only be done at the behest of the case manager or counselor who works with the client. It calls for eight things to happen. These include the following: focus on competitive employment, eligibility based on client choice, integration of rehabilitation and mental health services, attention to client preferences, personalized benefits counseling, rapid job search, systematic job development, and time‐unlimited and individualized support. In order to properly apply these IPS supported employment principals to regular, everyday practice, one must be able to analyze and understand the modern issues associated with these principals. This presentation covers the multidisciplinary facets of modern supported employment, and how technology can improve or detract from the goal of finding adequate employment for clients. Topics covered include client's perception of the eight IPS principles as they relate to technology, case management and the effort given to even the playing field for clients, and what the future holds for technology and it's use in achieving client employment goals. The five core responsibilities of evidence‐based supported employment will also be analyzed in this presentation.

Workshop 304 Allowing Choices: Serving Transgender Clients Using Housing First Principles Sydny Watson, Ryan Yanke, Colorado State University–Pueblo,

Session Description: Transgender individuals encounter numerous systemic barriers when accessing housing, employment and healthcare.

Despite this, many will avoid seeking services due to fear of discrimination from the providers themselves. Through educational development, best practice suggestions, and practical skill‐building, this session will explore how to help bridge the gap in care for this highly vulnerable population. Practitioners will review supportive strategies to effectively meet the complex needs of transgender individuals when accessing homeless and housing services.

April 12, 2018 9:00 AM ‐ 9:50 AM Cont’d.

Workshop 305 Creating a Continuum of Housing Options for Unaccompanied Women: Open Arms Housing in Washington, D.C. Ms. Marilyn Kresky‐Wolff, Open Arms Housing, Inc.

Session Description: Since 2009, Open Arms Housing has operated single site projects for unaccompanied women in Washington, D.C. Recently, we launched scattered sites in partnership with the D.C. Department of Human Services. This presentation will examine networking with landlords, partnering with developers who set‐aside units, and promoting community integration in each setting,

Workshop 306 The Impact of Housing on Sexual Labor Magalie Lerman, Reframe Health And Justice

Session Description: This session discusses sex work through a harm reduction perspective highlighting the differences between types of sex work, pathways to entry, and barriers to exit. Participants will explore housing first as a safety and wellness intervention, and best practices in housing first resource and service provision to this population.

Workshop 307 Psychiatric Drugs: A Harm Reduction, peer‐informed, rights’ based approach Karen Rosenthal, Duysal Karakus, Community Access

Session Description: All drugs, including those that psychiatrists prescribe, have potential benefits, risks and long term consequences. Facilitators will bring their experience with being prescribed/taking psychiatric drugs, and their professional work utilizing self‐determination, to share strategies for enhancing conversations & concrete support around individuals’ prescribed drug use preferences/decisions in supportive housing.

Workshop 308 Beyond Training: Developing Proficiency in Motivational Interviewing Ken Kraybill, Center for Social Innovation/T3

Session Description: Training is important– but it’s not enough. How can we ensure that staff are putting the spirit, skills and strategies of Motivational Interviewing (MI) into practice? Ongoing practice with accurate feedback and coaching is what’s needed.

Learn about ideas, tools, and methods to help staff strengthen their MI skills and confidence.

April 12, 2018 9:00 AM ‐ 9:50 AM Cont’d.

Workshop 309 Moral & Ethical Dilemmas in Housing First: Pushing the limits of Harm Reduction and Trauma Informed Care Lisa Thompson, James Ginsburg, Colorado Coalition For The Homeless

Session Description: Clinicians and housing providers are often faced with tough decisions where the philosophies of harm reduction and client centered care may be in conflict with securing the health and safety of a community. Participants will have a safe place to discuss real life moral dilemmas encountered in Housing First Programs.

Workshop 310 The Surge Model ‐ Housing First for Elders Experiencing Chronic Homelessness Ian Gendreau, MA Executive Office Of Elder Affairs Laila Bernstein,Department of Neighborhood Development

Session Description: In Boston there are 250+ chronically homeless (CH) elders. The City, Housing Authority, Elder Affairs, and MassHealth held a “surge” event so a person can get an address and services the same day. With instant access to housing, the Surges linked 135+ CH older adults to housing and Medicaid services.

April 12, 2018 10:00 AM ‐ 10:50 AM

Workshop 311 Stabilization Case Management and Community Integration in a Housing First Model Mr. Ilyas El‐Amin, Ms. Kamrey Lucero, Ms. Hollee Hagen, Ms. Sarah Schlabach, Community Member Co Coalition For The Homeless

Session Description: After the lease‐up what comes next? What are the necessary steps to reintegrate chronically homeless individuals back into a community setting and how to provide the necessary supports to help ensure housing stability?

Workshop 312 The Seattle Navigation Center Charles Schragg, Ms. Margaret King, DESC Jessica (Jess) Chow, City of Seattle Human Services Department

Session Description: Exploring the implementation of a new 24‐hour, low‐barrier and harm reduction shelter in a shifting homelessness and crisis response system and City administration in Seattle, WA.

Workshop 313 Making a Ham Sandwich: Mental Health and Harm Reduction Valery Shuman, Ms. Erica Ernst, Heartland Health Outreach (HHO)/Midwest Harm Reduction Institute

Session Description: Harm Reduction is often narrowly applied only to substance use, even though social service and health care providers apply the framework beyond behaviors related to drug use. Organizations providing housing or community support to people with a mental illness can also benefit from using a harm reduction approach.

Workshop 314 Vetting the VI‐SPDAT: Use and Measurement Validity in Charlotte, NC Dr. Lori Thomas, Justin Lane, Dr. Jenny Hutchison, University Of North Carolina At Charlotte Stacy Lowry, Mecklenburg County, NC Liz Clasen‐Kelly, The Men's Shelter of Charlotte

Session Description: The VI‐SPDAT, while evidence‐informed and widely used, lacks a robust evidence base establishing its measurement validity. Researchers and community leaders present and discuss findings from the Housing First Charlotte‐ Mecklenburg Research Project that examined the relationship of VI‐SPDAT scores to objective and subjective measures of health and mental health.

April 12, 2018 10:00 AM ‐ 10:50 AM Cont’d.

Workshop 315 Indigenous Youth aging out of Care Sharon Redsky, Dakota Ojibway Child and Family Services

Session Description: The workshop will discuss culturally appropriate services such as Dakota Ojiway Child and Family Services strengths‐ based approach to support Indigenous youth aging out of care with holistic and culturally appropriate supports.

Workshop 316 Using Pay for Success Financing to Scale Housing First Programs Katie Bonamasso, Jessica Monge Coria, CSH Matt Mollica, Carrie Craig, Colorado Coalition for the Homeless

Session Description: Pay for Success (PFS) is a contracting approach that drives financial resources toward social programs that deliver results by tying payment to achievement of measureable outcomes. In this session, two existing PFS‐funded projects will discuss how this type of financing has been used to scale Housing First programs justice‐involved individuals.

Workshop 317 Beyond the Research ‐ Output and Outcome measures in Housing First Will Doyle, Rachel Pierre, Pathways, DC

Session Description: Pathways to Housing DC will share the internal dashboard they created to track outcomes in their housing first program serving 500+ adults. The dashboard measures length of time between every step from referral to move‐in, housing retention, voucher vacancies, health outputs‐ from micro to macro levels, this tool is invaluable.

Workshop 318 Using a Housing First/Harm Reduction in HIV Supportive Housing Chuck Peterson, Michele Boyer, Clare Housing

Session Description: Stable housing is a lifeline for people living with HIV/AIDS. Clare Housing staff will discuss how they implement a housing first/harm reduction philosophy while effectively delivering services. They will share challenges faced in achieving positive health outcomes among a low‐income population that struggles with mental illness, substance abuse and poverty/homelessness.

April 12, 2018 10:00 AM ‐ 10:50 AM Cont’d.

Workshop 319 The Role of Systems Change in Fostering Housing First: Preliminary Findings from the Gates Homeless Families Systems Initiative Evaluation Kathryn Henderson, Debra Rog, Westat

Session Description: Reforming service delivery systems for homeless families involves shifting from a focus on shelter and transitional housing to diversion, rapid rehousing, and other permanent housing solutions. This presentation will provide six month findings from the evaluation of three counties’ efforts to reform their systems, with a focus on housing outcomes.

Workshop 320 De‐Criminalizing Homelessness: Effective Police and Homeless Services Collaborations Richard Cho, Council of State Governments Justice Center

Session Description: Individuals living on the street often encounter the criminalization of homelessness—arrests or citations for status offenses related to living outside such as loitering, curfew laws, public urination, etc. However, law enforcement agencies can also play critical roles in reducing chronic homelessness by helping individuals off the streets and into homes and shelters. Through collaborative partnerships with homeless service providers, social service agencies, and businesses, law enforcement agencies can work with community agencies to address the underlying problems that lead to a life on the streets. Law enforcement agencies have identified teams of officers that focus on the needs of this vulnerable population. They aim to keep homeless individuals out of jail and divert them to shelters, stable housing, or services for health, substance abuse and other behavioral health needs, and connect them to other critical wraparound services.

Workshop 321 Housing First in Sydney – what works, what doesn’t‐ lessons to learn!

Mr Digby Hughes, Homelessness NSW

Session Description: The data clearly shows that when Housing First approaches were used in Sydney the number of rough sleepers declined dramatically. With little attempt to stop people becoming homeless and no new housing first models commenced the numbers are higher the ever. Why is government following a failed policy agenda?

April 12, 2018 11:00 AM – 11:50 AM

Workshop 322 Evidenced Based Supported Employment for Housing First Participants Tonya Ridley, Pathways to Housing DC

Session Description: Supported Employment is a core component of the ACT model, yet many teams struggle with implementation in housing first programs. Learn from an expert at Pathways DC about how her team successfully partners with people across all stages of readiness to change to meet their employment goals.

Workshop 323 Converting Philadelphia’s Emergency Housing from High‐Barrier, to Low‐Barrier, Housing Focused Crisis Beds Fred Gigliotti, Tara Gaudin, City Of Philadelphia Office Of Homeless Services

Session Description: Housing First is a new concept for emergency shelter providers, including those that provide Philadelphia’s 2,200 beds.

Using a “before and after” approach, learn about Philadelphia’s change process, including concrete actions taken to convert our shelter system from a high‐barrier, punitive, authoritarian system to a low‐barrier, person‐centered, housing‐focused crisis intervention.

Workshop 324 Managing Intoxication in Shared Spaces: Approaches in Shelter and Housing Patrick Duffie, Elizabeth Duffie, DESC

Session Description: Fidelity to a housing/shelter first model means encountering the challenges that come with clients being intoxicated in shared spaces. Bringing perspectives from shelter and PSH settings we will discuss specific strategies for managing the medical risks and disruptive behaviors that often lead service providers to create barriers around intoxication.

Workshop 325 Nourished: Breaking Bread & Building Community. A university based volunteer program to provide meals and community for residents in PSH Mr. Jack Lahey, University Of Southern California

Session Description: This presentation will explore the methods and outcomes of this innovative pilot program focused on community engagement and nutrition education for the formerly homelessness as well as formation and education of the university student population on the issues surrounding homelessness, social isolation, policy failure, and offering opportunities for leadership.

April 12, 2018 11:00 AM – 11:50 AM Cont’d.

Workshop 326 Building Positive Relationships within the Community through Partnerships Tiffany Chavarria, Fresno Housing Authority Latasha Marin, Fresno Economic Opportunities Commission Mary Ann Calderon‐Knoy, WestCare California

Session Description: Fresno Housing and other non‐profits collaborate to provide quality affordable housing to the homeless population using the “housing first” model. Fresno Housing assists with housing regulations while the non‐profits provide case management and other services to ensure stability for the individual.

Workshop 327 Housing as a Human Right The Rev. Dr. Peter W Peters, Reach (Rocherstarians Engaging In Action For The Chronically Homeless)

Session Description: Public housing is a failing policy in the US. We need to speak of housing as a human right and religious communities, with their commitment of hospitality to the stranger, are potential allies in the Housing First movement.

Workshop 328 How HF Leaders Deal with Dilemmas between Fidelity and Reality Rick McHutchion, The Alex Wendy Bouwman Oake, Boyle McCauley Health Centre

Session Description: Leaders in Housing First programs regularly negotiate competing interests of stakeholders and programs, and face friction when attempting to stay client centred within funding and performance requirements. We’ll explore the challenges leaders face and how to approach decision‐making to best meet the needs of Clients and staff alike.

Workshop 329 Serving Domestic and Sexual Violence Survivors Who Are Homeless Ms. Amanda Mole, Dawn Center Domestic And Sexual Violence Services

Session Description: Trauma is trauma, right? Not necessarily! In this session, participants will learn about the specific needs of individuals and families who are experiencing homelessness due to domestic and sexual violence ‐‐ including child maltreatment, addiction, emotional and behavioral disorders, and specific housing needs.

April 12, 2018 11:00 AM – 11:50 AM Cont’d.

Workshop 330 Housing for Health: Evaluation Shows Cost Savings Sarah Hunter, Rand Sanielle Wildkress, Brilliant Corners

Session Description: Housing for Health was established to provide supportive housing to patients experiencing homelessness in Los Angeles. Our results show a dramatic reduction in service use post‐housing. Overall, the cost reductions more than covered a year's worth of supportive housing costs, as we observed a net cost savings of 20 percent.