Wednesday April 25 2018 Presentation By Heidi Marston Director Community Engagement and Reintegration Service Community Engagement amp Reintegration Service CERS Briefing Agenda Analysis Rental Costs in Major Metropolitan Markets ID: 686520
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Los Angeles County Housing Summit: Veteran Resources
Wednesday, April 25, 2018
Presentation By: Heidi Marston, Director, Community Engagement and Reintegration ServiceSlide2
Community Engagement & Reintegration Service (CERS)
Briefing Agenda:
Analysis: Rental Costs in Major Metropolitan Markets
Definitions
Overview:
Domiciliary
Overview: HUD VASH
Overview: Grant Per Diem
Overview: Outreach
Overview: HPACT
Overview: VCED
OutcomesQuestions?
2Slide3
Exploring the use of publicly available data sources to better understand how changes in the rental market impact availability of rental units for Veterans holding HUD-VASH vouchers.
Zillow Rent Index (ZRI): A smoothed, seasonally adjusted measure of the median estimated market rate rent across a given region and housing type.
ZRI is a dollar-denominated alternative to repeat-rent indices. Zillow publishes ZRI and other housing data for local markets
as well as its ZRI methodology.
3
Community Engagement & Reintegration Service (CERS)
Analysis: Rental Cost in Major Metropolitan Markets
By The Numbers: Veterans Looking for Housing:
MethodologySlide4
December ZRI by Zip Code (Metropolitan Areas)
Chicago, IL
ZRI (Chicago): $1,707/
mo
PIT (2016-2017): Veteran homelessness decreased by 12%
Overall ZRI increased
2.2% from 2015 to 2017Estimated Veteran Population: 175,023
Darkest Red = ZRI Values above $3,000/month
Dallas, TX
ZRI (Dallas): $1,630/
mo
PIT (2016-2017): Veteran homelessness increased by 17%Overall ZRI increased 6.6% from 2015 to 2017Estimated Veteran Population: 98, 265 Seattle, WA
ZRI (Seattle): $2,270/
mo
PIT (2016-2017): Veteran homelessness
increased
by 103%
Overall ZRI
increased
12.6% from 2015 to 2017.
Estimated Veteran Population: 106, 627
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Community Engagement & Reintegration Service (CERS)
4Slide5
Community Engagement & Reintegration Service (CERS)
5
December ZRI by Zip Code (Metropolitan Areas)
Los Angeles, CA
ZRI: $2,843/
mo
PIT (2016-2017): Veteran homelessness
increased
by 64%
Overall ZRI
increased
9.6% from 2015 to 2017Estimated Veteran Population: 281,706Darkest Red = ZRI Values above $3,000/monthSlide6
Community Engagement & Reintegration Service (CERS)
6
Definition of Chronic Homelessness for Veterans Affairs
A Homeless Individual …
Lives in a place not meant for human habitation, a safe haven, or in an emergency shelter.This also includes an individual who has been residing in an institutional care facility for fewer than 90 days and was in one of the above locations before entering.
A Veteran admitted into a Grant and Per-Diem (GPD) program or CWT/TR program retains homeless status throughout the Veteran’s length of stay in these programs.However, stays in GPD and CWT/TR programs do not count towards the “12 months” or “4 episodes” rule for determining chronic homeless status.
i.e. Veterans who are not chronically homeless at admission to GPD do not gain chronic homeless status after 12 months of stay.
…with a disability
A physical, mental, or emotional impairment, including an impairment caused by alcohol or drug abuse, post-traumatic stress disorder, or brain injury that (1) is expected to be long-continuing or of indefinite duration; (2) substantially impedes the individual’s ability to live independently; and (3) could be improved by the provision of more suitable housing conditions.Slide7
Community Engagement & Reintegration Service (CERS)
7
Definition of Chronically Homelessness (highest priority) for Veterans Affairs
A “homeless individual with a
disability,” as defined in
section 401(9) of the McKinney-Vento Homeless
Assistance Act (42 U.S.C. 11360(9)),
who:
Lives
in
a place not meant for human habitation, a safe haven, or in an emergency shelter; andHas been homeless and living as described in
paragraph
(1)(i) of this definition continuously
for
at
least 12 months or on
at
least 4
separate
occasions in the
last
3
years,
as long as the
combined
occasions equal
at
least 12 months and each break in homelessness
separating
the occasions included
at
least 7 nights of not living as described in in
paragraph
(1) (i).
Stays
in institutional
care facilities
for fewer than 90 days will not constitute
as a break in homelessness, but rather such stays are
included in the 12-month
total,
as long
as
the individual
was
living or residing in a place not meant
for
human habitation, a
safe
haven,
or an emergency
shelter
immediately
before
entering the institutional
care
facility;Slide8
Community Engagement & Reintegration Service (CERS)
8
Domiciliary
Mental Health/Substance Use Disorder treatment needs and/or housing/employment needs
Medically stableWilling & able to participate in treatment (4-6 hours a day of groups and individual sessions)
Agree not to not use substances while living at the Dom and to regular drug testingAbstain form aggressive behavior and illegal activities
Take medications prescribed by VA Doctors (no non-VA medications)Be able to manage ADLs (Activities of Daily Living) independentlyWilling to suspend SSI or food stamps while at Dom
Eligibility Criteria
About
296
BedsSix treatment tracks including Substance Use Disorder (SUD), Severely Mentally Ill (SMI), Women, PTSDOver 1,600 Veterans served by Domiciliary ProgramsSlide9
Community Engagement & Reintegration Service (CERS)
9
Chronically Homeless Veterans
will be given the highest priority for admission and will be admitted in the following order: First Priority: Chronically homeless individuals and families with the longest history of homelessness and with the most severe service needs.
Second Priority: Chronically homeless individuals and families with the longest history of homelessness.Third Priority: Chronically homeless individuals and families with the most severe service needs.
Fourth Priority: All other chronically homeless individuals and families.Also …Must be healthcare eligible
Must below a PHA’s income maximum income requirement
Cannot be a lifetime registered sex offender
Housing and Urban Development – VA Supportive Housing (HUD VASH)
Eligibility Criteria
About
6,386 vouchers 5,100 Veterans case managed in their own apartments2,000 Vouchers managed through contract providers Largest Peer Support Program in the country
HUD-VASH Housing Placements
Average monthly housing placements increased from
65
in June 2016 to
78
(
13
) in March 2018
HUD-VASH Voucher Utilization (HACLA/
HACoLASlide10
Community Engagement & Reintegration Service (CERS)
10
Grant Per Diem (GPD) and Healthcare for Homeless Veterans
GPD Eligibility:
Homeless or at risk of becoming homelessPlacement is clinically appropriate (i.e. Veteran is able to live independently and would benefit from one of the five models of care: Clinical Treatment, Bridge, Service Intensive, Low Demand or Hospital to Housing)
Qualifying Military Discharge from Active Military Service (Honorable, General, OTH, Bad Conduct with Special Court Martial, Uncharacterized)Discharge into permanent housing is the goal.
HCHV Eligibility: Homeless or at risk of becoming homeless (some programs require chronic homeless status)
Placement is clinically appropriate (i.e. Veteran is able to live independently and would benefit from Harm Reduction model)
Veteran is health care eligible
Eligibility Criteria
About
1,400 Transitional/Bridge Beds Includes Healthcare for Homeless Veterans (HCHV) contracts for low-demand, safe haven housingFive-Models of care provided among grantees Slide11
Community Engagement & Reintegration Service (CERS)
Outreach: Welcome Center, Street Outreach and Veterans Justice Program
FY 2018 Street Outreach (Up to March)
Welcome Center
4,700 Veteran Walk-ins in FY 2018 (up to March)
Bridge (short-term) Housing
Wrap Around Services
Same Day Assessments
Over 10 Community Partners rotate through to provide services
Veterans Justice Program
FY18 To Date
Hosted 10 community Stand Downs Participated in 60 Community Engagement Events Over 2,000 Veterans served through Street Outreach Goal: To help transition Veterans out of the criminal justice system by providing them VA homeless services (including residential and substance abuse treatment) upon dischargeAbout: Conducts Outreach assessment and case management for Veterans in local courts and jails
Develops and maintains Veterans Courts, or Veterans Dockets within a court, to encourage the legal system to allow Veteran to take advantage of Veterans’ Felony and Misdemeanor Diversion statutes and VA rehabilitation and recovery services.
Provide training for court and law enforcement staff regarding VA services (DOM, GPD, Outpatient mental health and recovery programs) and the clinical needs of our Veterans (i.e., what is trauma, PTSD, substance abuse, psychosis, etc.)
Facilitates linkage with VA and community service/resources.
Annually, VJO serves over 1,100 Veterans.
Work with nine Veteran Courts in the Counties of Los Angeles, (Lancaster,
Compson
, Van Nuys, downtown [2]), Ventura, and Santa Barbara (Santa Maria, Santa Barbara, Lompoc)
*
October numbers includes large annual VA WLA Stand Down
11Slide12
Community Engagement & Reintegration Service (CERS)
12
Homeless Patient Aligned Care Team (HPACT)
About
Follows the Housing First approach, complementing social work services with primary care and mental health
HPACT Veterans cases are more medically complex (Average NOSOS Score of 2.37 compared to 1.05 for GLA Veterans overall)
Started in 2012 in the WLA ED, now have four (4) sites (of 60 nation-wide).
Largest HPACT nationally, with 4,000 veterans in our clinics at Sepulveda, LAACC, ED and building 402.
5,000 unique Veterans served in FY17, resulting in over 48,000 visits
GLA HPACT sees 20% of all HPACT Patients nationwide
Continuity of Care
Mission: To identify and engage in care the highest-risk, highest-need homeless Veterans who are not able to get the care they need through traditional channels and to then provide high-intensity, wrap around, integrated team care that stabilizes them clinically, incorporates social determinants of health into their care delivery, and expedites their placement in housing.Number of HPACT Veterans Seen each Month in FY 2018
Follow-up after Hospital Inpatient DischargeSlide13
Community Engagement & Reintegration Service (CERS)
13
Veteran Community Employment and Development (VCED)
Eligibility Criteria
About
VCED consists of a variety of programs and services with the mission to maximize veterans’ opportunities for competitive employment that serve as an essential component of Veteran recovery and integration in the community.
About 800 Veterans served annually.
Homeless Veterans Community Employment Services (HVCES):
Transitions homeless Veterans back to the workforce through establishing long-term relationships with local employers and supporting Veterans once placed into employment.
Community Based Employment Services (CWT/CBES):
Intensive support and follow along employment services for Veterans experiencing significant barriers to obtaining competitive employment.Supported Employment (CWT/SE): Targets Veterans with the most severe psychiatric disabilities and integrates community employment as part of the Veterans’ mental health recovery. Intensive case management.CWT/Transitional Work (CWT/TW): A pre-employment vocational assessment program. Participants are matched to real-life work assignments for a time-limited basis. Offers real training for competitive jobs in Federal agencies and within the communityEligible to receive VA healthcare services &Have a goal of a return to competitive employment and Have barriers to obtaining and/or retaining employment which requires the intensive supports provided by the VCED service components Currently enrolled and active in VA or VA-affiliated clinical programs to address assessed barriersHave a diagnosis of psychosis to be eligible for the Supported Employment program
Meeting 40% VA Employment Target for HUD-VASH Participants
Employment Outcomes by VCED ProgramSlide14
Community Engagement & Reintegration Service (CERS)
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Outcomes
Program Entries -- Calendar 2017
*
*
Only CERS entries in Los Angeles County. (GLA ‘s full catchment area includes: Los Angeles Kern, Ventura, Santa Barbara, and San Luis Obispo Counties. )
Housing Placements – FY 2018
By the Numbers
FY 2018 (up to March)
Number of Unique
Veterans Served by CERS
11,678
Number of Clinical Visits by CERS Clinical Staff
150,131
Veterans Housed through VA Funded Programs in FY 2018
719Slide15
Community Engagement & Reintegration Service (CERS)
15
Questions?