project h3 community presentation - july 2010
DESCRIPTION
Presentation used for community presentations (Mesa, Tucson) as of July 2010TRANSCRIPT
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We don’t need random acts of kindness.We don t need random acts of kindness.We need deliberate acts of compassion.
- Mark HorvathMark Horvath
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Meet “Homeless” Myron
• 61 years old veteran
• 30 years of homelessnesso e ess ess
• Engagement challengesg g g
• Addictions
• Lack of self-care
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There were a million reasons NOT to house Myron.
As a community we committedAs a community, we committed to do “WHATEVER IT TAKES”
to bring him home.
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Meet “Housed” Myron• Permanently housed
• Demonstrating self-care
• 2 months sober
Acti el engaged ith• Actively engaged with VA
• Reengaging with family members
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Housewarming CelebrationHousewarming Celebration
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What Systems Changed?
• Navigation – a new approach to g ppoutreach
• Outreach teams collaborated• Outreach teams collaborated • Extensive community engagement• VAMC Case management• HUD VASH expedited process• HUD VASH expedited process
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How did we do it?
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Project OverviewProject Overview
• Goal: To identify and house 50 of the most medically vulnerable people experiencing street homelessness in p gMaricopa County.
• Planning began August 3, 2009.g g g• Implementation began April 19, 2010.
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Project H3 Committees
• Core Vision Team (4)• Leadership Team (10)• Subcommittees (25)( )
– Housing– Support Services– Survey Week LogisticsSurvey Week Logistics– Media/PR– Data
I l t ti T (60)• Implementation Team (60)• Volunteers (163)
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Commitment of ExistingCommitment of Existing Resources
• Housing– Temporary housing optionsp y g p– PHAs for HCVs – set asides & preference points– Project Based Section 8j– SHP grantees– VA HUD VASHU S
• Support services– SAMSHA grantee– SAMSHA grantee– PATH grantee
DES outreach funds– DES outreach funds
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Monday, April 19thMonday, April 19th
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Interview MethodologyInterview Methodology
• 36 Teams – 2 experts and 2-3 volunteers
• Canvas same geographic area for 3 consecutive days
• Asked each person encountered on the t t t ti i t B i t t!streets to participate. Be persistent!
S i h f $5 M D ld ift• Survey in exchange for $5 McDonalds gift certificates
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Tuesday - Thursday
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Jose
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Clyde
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405 Facebook Fans!
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Friday, April 23rd
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Interview Results
• 262 chronically homeless adults identified & surveyedsurveyed
• 106 (40%) with high mortality risk (vulnerable)• 106 (40%) with high mortality risk (vulnerable)
208 (79%) pict es allo ed• 208 (79%) pictures allowed
“V l bl ” l h h t l t 1• “Vulnerable” are people who have at least 1 mortality risk factor, rank ordered by length of homelessnesshomelessness
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Downtown PhoenixDowntown Phoenix
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Prevalence of Risk Indicators
Risk indicator Average From All Sites Phoenixg
Sample Size 4362 262
Tri-morbid 30% 24%
3x hospital last year 12% 11%
3x ER last 3 months 10% 5%
> 60 years old 10% 8%
HIV+/AIDS 3% .3%
Liver Disease 10% 8%Liver Disease 10% 8%
Kidney Disease 5% 3%
Cold/Wet Weather Injury 10% 7%Cold/Wet Weather Injury 10% 7%
% vulnerable 42% 40%
106 (40%) of those surveyed met at least one High-Risk Criteria
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Age/Seniors
• 24 (9%) people are over 60 years oldy
• Oldest respondent was 77 years oldyears old
• 10 of them report being homeless for over 10 yearshomeless for over 10 years.
• The longest has been homeless for 30 yearshomeless for 30 years.
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Length of Homelessness
7.88.0
9.0
5 26.0
7.0
5.2
4.0
5.0 Non-vulnerableVulnerable
2.0
3.0
0.0
1.0
Length of Homelessness
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Mental Health & Substance Abuse
113
150
113102
100
50
All
17
50
0Mental Illness Substance Abuse Dual-Diagnosis
89% of respondents report at least one behavioral health issue
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Veterans
55
50
60
40
2120
30AllVulnerable
10
20
0
21% of respondents are veterans
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Youth & Foster CareYouth & Foster Care
• 11% of respondents reported having been in• 11% of respondents reported having been in foster care 8 d t d 25 ld• 8 respondents were under 25 years old
• 2 respondents under 25 have mortality risk specific to that age group
• 2 respondents under 25 have mortality risk for p yadults
• Youngest respondent was 19 years oldYoungest respondent was 19 years old
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Ethnicity/Race of the 106Ethnicity/Race of the 106
• 58% Caucasian• 58% Caucasian• 13% Latino13% Latino• 12% African American% ca e ca• 11% Native Americans
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Gender of the 106Gender of the 106
• 81% male• 81% male• 19% female19% female• 1% transsexual% t a sse ua
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ER & Inpatient Hospitalizationsp p
168180 168
129120140160180
6080
100120
0204060
• Annual estimated cost of ER = $632k
0Emergency Room Trips 3 Months Inpatient Episodes Last Year
Annual estimated cost of ER $632k• Annual estimated cost of inpatient hospitalizations =
$382k$• More than $1 M spent on health care for 262 people
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Health System Impactsy p
31 3030
35
26
20
25
17
20%
15
20All
20%
5
10
0BannerDesert
CarlHayden
MaricopaCounty
Banner GS St. Joseph
24% report having no insurance
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Income SourcesIncome Sources
79 8180
90
6160
70
3520%
40
50All
2020
30
0
10
Social Public Work On Off Books Panhandling RecyclingSecurity Assistance Books
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Victims of Violent Crime & Brain Injuryj y
• 95 (36%) report being a victim of a violent attack since becoming homelessviolent attack since becoming homeless
• 64 (24%) report suffering from a brain injuryinjury
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Thank you to our sponsors!
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And then, we began HOUSING…
(based on medical vulnerability(based on medical vulnerability, not entitlement)
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H3 Score Card
E d th• Engaged on the streets = 2
• In temporary h i 3housing = 3
• In permanent housing = 5
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Troy
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Jesse
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Next…
• “Wild Bill”d• Donna• John
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What’s next for us?
• Continue to house the first 50• Continue to house the first 50.
B i th d l h t li• Bring the procedural changes to a policy level. Solidify the systems changes.
• Broaden use of the Vulnerability Index.y
• Potential evaluation/publication with ASU• Potential evaluation/publication with ASU.
• Replicate in other communities…Tucson!