Download - Atlanta 2013 homeless registry debriefing
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Unsheltered No More InitiativeHomeless Registry Community Debrief
February 1, 2013
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Registry Sponsors
Thank you
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Our Provider Partners
Thank you
ACSSAtlanta MissionAtlanta OutreachCaring WorksCentral OutreachCommunity FriendshipCrossroadsDennis bowmanFirst Step StaffingGatewayGrady Hope AtlantaProject Community Connections, Inc.Project Interconnections, Inc.Quest 35St. Joseph’sUnited Way of Greater AtlantaVA
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Thank You
Our Volunteers
“I was very intrigued and moved by this experience. I got an opportunity to interact with a very misrepresented part of America’s population…I can honestly say this experience touched my life and will stay with me for a long time.
- Amanda Gosselin, Emory University Student
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Who is Homeless?
- Living in uninhabitable space; shelter, TH or exiting an institution with no place to go
- People losing their primary night time residence- Families with children or youth unstably housed- People fleeing domestic violence with no place to
go
- Experienced homelessness for > 1 yearOR
- Experienced 4 episodes of homelessness in last 3 years
AND- Has a disability (or debilitating disorder)
HUD Definition of Homeless
HUD Definition of Chronic
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A tool used to identify and prioritize the homeless population for housing based on the fragility of their health.
-A by name list of every homeless neighbor who is willing to be registered
- Info is collected via a survey called the Vulnerability Index (VI)
-The VI measures mortality risk and ranks individuals by their risk factor and length of time on the street
What is a Registry?
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What the VI Measures
At least 1 Risk Factor- 3+ hospitalizations in prior year- 3+ ER visits in prior 3 months- End State Renal Disease- History of Cold Weather Injuries- Liver Disease or Cirrhosis- HIV+/AIDS- Over 62 years old- Tri-morbidity: co-occurring
psychiatric, substance abuse and chronic medical condition
Time on the Street
Street homeless 6 months or more
7
AND
- Developed by Dr. Jim O’Connell- In Boston, 40% of those living
with a risk factor died prematurely
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Voice Over: This picture was taken in 2000 – all of these gentlemen have been homeless for > 6 mos and have at least one risk factor. Only one of them are alive today.
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Resource Planning
Who the most vulnerable are
Scope of predominant issues
Scale of subpopulations
What the VI Tells Us
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Atlanta Registry Night
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190 volunteers in two shifts:Shelter and Street Outreach
90 concentration areas
Registry Summary
5 shelters
20 APD Officers
637 VI surveys conducted
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What They Told Us
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49%51%
Homeless >1 yr OR 4X in 3 yrs Other
Population Profile
- Avg age : 47-Oldest: 83 yrs-Youngest: 18 yrs-5 were 18 years old-81% are Male- longest time living on the street: 50 years
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Findings: Risk Indicators
Indicator Atlanta National
3X hospital last yr 85/13% 12%
> 62 yrs old 55/9% 10%
Liver Disease 35/5% 10%
3X ER last 3 mos 127/20% 10%
HIV+/AIDS 33/4% 3%
Tri-Morbid 172/23% 30%
Weather Injury 75/12% 10%
*numbers based on total registry of 762 to include pilot data
69.5% reported at least one of the risk factors
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Debilitating Disorders - Comparables
Mental Health 336 44% 48%
Substance Abuse 489 64% 59%
Tri-Morbid 172 23% 24%
Co-occurring (MH+SA) 240 32% 35%
NUMBER PERCENTAGE NATIONAL AVERAGE
POPULATION
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23%
15%
5%8%
32%
18%
Chronic Veterans HIV+/AIDS Families Episodic Other
Registry by Subpopulation
Housing Strategies
- Chronic – pilot with DBHDD and 17 providers
- Veterans – Initiative has housed 323 since May 2012
- Episodic – launching 100 housed with 100 jobs in 100 days in partnership with First Presbyterian and ACSS
Chronic
Episodic
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31%
69%
Episodic Other
Episodically Homeless Profile
53% homeless less than 6 months
Of these...
• 10% with “house-able” income of >$700/mo
• 60% without serious criminal background
• 21% with work experience
• 21% with income in last 6 months
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Cost to the System
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1,147 ER Visits in the past 3 months
= $1,055,240 in ER Costs($4,220,960 annulaized)
642 hospitalizations in the past year
= $4,494,000 in hospitalization
Research shows a 60% reduction in healthcare costs after the first
year of housing.
$5,228,976 potential savings to Grady.
Healthcare Registry Results
Annual cost of over $8 Million
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= $210,760
958 Homeless arrests in 2012 (misdemeanors)
17,944 nights in jail
= $1,769,560 cost to corrections
68% of those surveyed have been to jail or prison
Criminal Justice Costs
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$11,000
$5,774
$500
$17,274
Personal
Services
Housing
Cost of PSH for Chronic Homeless/year
Cost to house 200 chronically
homeless: $3,098,200
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$1,540
$439
$198
$2,200
Administrative
Avg Utilities
Avg Move-in Costs
Cost to Re-House Episodically Homeless
Cost to house 200 episodically
homeless: $440,000
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Next Steps
-Registry- ID most vulnerable
-Validate vulnerable status
-Begin intake process
Outreach
-Designated Assessment Centers
-Standard Assessment Tool
-Referrals from Registry Only
Assessment
-Healthcare as Stabilizer
-Shared Standards-Evidenced Based practices
-Centralized Housing Inventory
Housing/Services
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Thank You!