7 th Annual Homeless Summit San Bernardino County, CA November 20, 2013 Matthew Doherty, USICH (Revised December 2013 to Reflect 2013 National Point-in-Time Count data)
Roles of US ICH • Coordinates the Federal response to homelessness • Maxim izes the effectiveness of 19 Federal agency partners • Shares best practices • Drives collaborative solutions www.usich.gov 2
Opening Doors No one should experience hom elessness. No one should be w ithout a safe, stable place to call hom e . www.usich.gov 3
Opening Doors Goals 1. Finish the job of ending chronic homelessness by 2015 2. Prevent and end homelessness among Veterans by 2015 3. Prevent and end homelessness for families, youth, and children by 2020 4. Set a path to ending all types of homelessness www.usich.gov 4
Chronically Homeless Individuals: California and National Data 120 ,0 0 0 10 9,8 12 10 8 ,917 10 7,148 99,8 94 10 0 ,0 0 0 92,593 8 0 ,0 0 0 60 ,0 0 0 35,38 6 33,996 33,8 19 34,0 40 33,422 4 0 ,0 0 0 20 ,0 0 0 0 20 0 9 20 10 20 11 20 12 20 13 National California www.usich.gov 5
2012 Trend Analysis • Some communities showed progress, most did not • Nation’s permanent supportive housing (PSH) inventory increased 45 percent between 2007 – 2012 • No statistically significant relationship between increases in PSH inventory and reductions in chronic homelessness www.usich.gov 6
Reasons for S low Progress • Existing PSH is inadequately targeted - only 45 percent of PSH for single adults nationally is dedicated to chronic homelessness • Population is more complex and involved with institutions than originally realized • Episodic homelessness is higher than realized www.usich.gov 7
Episodic Homelessness Nursing Hom e • Based on a recent Psychiatric study in Jail Hospital Philadelphia, 60-70 percent of individuals met the “Homeless” System Shelter Street definition of episodic homelessness Prison Hospital • New York City found that over 80 percent Alcohol/ Drug Detox met the episodic Treatm ent definition www.usich.gov 8
How Do Communities Make Progress?
HEARTH Act’s Indicators of Progress • Reducing the number of people who experience homelessness • Reducing the length of time people remain homeless • Reducing the rate at which people who exit homelessness later re-experience homelessness and return to shelter www.usich.gov 10
Five Key Tactics 1. Use Data to Drive Results: Use data to measure system and program performance and inform resource allocation decisions 2. Exploit Mainstream Resources: Engage mainstream systems and integrate those resources— housing, job training, child care, health care, etc … 3. Be Frugal – Target Wisely: Provide the right intervention at the right time to the right individual or family through a coordinated assessment system www.usich.gov 11
Five Key Tactics 4. Be Sm art – Use Evidence: Adopt Housing First practices to offer individuals and families experiencing homelessness immediate access to permanent affordable or supportive housing, without clinical prerequisites or other barriers 5. Expand the Pie Strategically: Use existing resources in smarter ways to help make clear case for new investments of Federal, State, local, and private sector resources to scale the innovations that work www.usich.gov 12
Critical Questions & Decisions • Is the system reducing the z of people experiencing homelessness? • Are resources targeted effectively to those with the greatest needs, including those who are unsheltered? • Does the community have the right balance of interventions (rapid re-housing, permanent supportive housing) to respond to local needs? www.usich.gov 13
Critical Questions & Decisions • Is the system exiting people from homelessness to permanent housing quickly and using the right size of intervention based on their needs? • How can the community align resources and design its system most strategically? www.usich.gov 14
Create a S ystems Approach Crisis Response System Alcohol/ Rapid placem ent Drug Psy chia tri into perm anent Trea tm en c Hosp ita l t Progra m housing with low barriers Hosp ita l Shelter Assertive outreach and Discharge engagem ent & planning standardized assessm ent Ja il/ Streets Prison Engagem ent in and provision of supportive services linked to health www.usich.gov 15
Retooled Crisis Response System • Access to services: centralized access, coordinated street outreach, integration with mainstream systems • Assessm ent of individual/ fam ily situation and needs to right-size the intervention: prevention, diversion, admit to shelter • Align housing interventions: prevention, rapid re-housing, affordable housing, and permanent supportive housing www.usich.gov 16
Using Data to Drive Results in San Bernardino County
Total Homelessness: San Bernardino County and National Data and Trends
National Total Point in Time Counts, 2009-2013 70 0 ,0 0 0 649,917 643,0 67 636,0 17 633,78 2 610 ,0 42 60 0 ,0 0 0 246,374 239,759 243,70 1 243,627 215,344 50 0 ,0 0 0 40 0 ,0 0 0 30 0 ,0 0 0 40 3,30 8 40 3,543 20 0 ,0 0 0 392,316 394,698 390 ,155 10 0 ,0 0 0 0 20 0 9 20 10 20 11 20 12 20 13 Sheltered Unsheltered www.usich.gov 19
San Bernardino CoC Total Population Point in Time Counts, 2009-2013 2,8 25 3,0 0 0 2,532 2,321 2,50 0 2,0 26 2,0 26 2,0 0 0 1,692 1,247 1,692 1,50 0 1,258 1,258 1,0 0 0 1,133 1,0 74 50 0 8 40 768 768 0 20 0 9 20 10 20 11 20 12 20 13 Sheltered Unsheltered www.usich.gov 20
Total Homelessness in S an Bernardino County Between 2009 and 2013, San Bernardino County’s count of people experiencing hom elessness increased by 14.6%, com pared to a 5.1% decrease in the nation However, the count of people experiencing hom elessness has decreased since 20 11 . www.usich.gov 21
Total Homelessness in S an Bernardino Between 2012 and 2013 alone, San Bernardino County’s count of people experiencing homelessness decreased by 8 .3% while the nation’s count decreased by 3.7% Compared to the rest of the country, people in San Bernardino County experiencing homelessness are significantly m ore likely to be unsheltered (54% vs. 35%) www.usich.gov 22
People Experiencing Chronic Homelessness: San Bernardino County Data and Trends
Chronically Homeless Individuals: S an Bernardino CoC 2,8 25 3,0 0 0 2,532 2,321 2,50 0 2,0 26 2,0 26 2,0 0 0 1,50 0 1,0 0 0 513 361 361 50 0 169 148 0 20 0 9 20 10 20 11 20 12 20 13 Total Chronically Hom eless www.usich.gov 24
Chronically Homeless in S an Bernardino CoC Compared to the rest of the country, people in San Bernardino County experiencing homelessness are significantly m ore likely to be experiencing chronic hom elessness (22% vs. 15%) www.usich.gov 25
Chronically Homeless in S an Bernardino CoC Between 2009 and 2013, San Bernardino County’s count of chronically homeless individuals increased by 42% com pared to a 16.5% decrease in the nation Between 2012 and 2013 alone, San Bernardino County’s count of chronically homeless individuals increased by 247% while the nation’s chronically hom eless population decreased 7.3% www.usich.gov 26
Veterans Homelessness: San Bernardino County and National Data and Trends
Distribution of Veterans Experiencing Homelessness Source: HUD 2013 AHAR www.usich.gov
Distribution of Veterans Experiencing Homelessness 26% of the nation’s Veterans who are experiencing homelessness live in California Source: HUD 2013 AHAR www.usich.gov
Homelessness Among Veterans: San Bernardino CoC 3,0 0 0 2,8 25 2,532 2,50 0 2,321 2,0 26 2,0 26 2,0 0 0 1,50 0 1,0 0 0 50 0 249 246 224 18 4 0 20 0 9 20 10 20 11 20 12 20 13 Total Veterans Note: 2010 Veteran data not available. www.usich.gov 30
Homelessness Among Veterans in S an Bernardino CoC Compared to the rest of the country, people in San Bernardino County experiencing hom elessness are slightly less likely to be Veterans (8 % vs. 9%) Between 2009 and 2013, San Bernardino County’s count of Veterans experiencing hom elessness decreased by 26%, com pared to a 24% decrease in the nation www.usich.gov 31
Homeless Among Veterans in S an Bernardino CoC Between 2012 and 2013 alone, San Bernardino County’s count of Veterans experiencing hom elessness decreased by 17.9% while the nation’s population of Veterans experiencing hom elessness decreased by 7.6% www.usich.gov 32
Homelessness Among People in Families: San Bernardino County and National Data and Trends
Homelessness Among People in Families: S an Bernardino CoC 3,0 0 0 2,8 25 2,532 2,50 0 2,321 2,0 26 2,0 26 2,0 0 0 1,50 0 920 90 9 1,0 0 0 751 629 629 50 0 0 20 0 9 20 10 20 11 20 12 20 13 Total Persons in Fam ilies www.usich.gov 34
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