moving individuals experiencing homelessness from shelter
TRANSCRIPT
Housing Pathways
Moving Individuals Experiencing
Homelessness from Shelter to Housing
Recommendations
Subgroups of the Homeless Population
A large group of individuals comprised of providers (shelter,
outreach, mental health, and physical healthcare), advocates
for persons experiencing homelessness, and CSB met with
the intended purpose of describing the individuals being
served by shelters and homeless outreach providers.
Each subgroup (initially called segment) was created to
represent a subset of the larger homeless population.
Each subgroup primarily describes the most frequently
occurring challenges and barriers individuals typically face in
getting and maintaining housing, taking into account the
shared histories and common strengths that subgroup
members also possess.
2
Housing Pathways for each Subgroup
A smaller group of individuals comprised of providers (shelter,
outreach, and mental health), advocates for persons
experiencing homelessness, and CSB met with the intended
purpose of identifying and recommending viable housing
options and associated resources and supports for each
subgroup with the primary focus on obtaining and maintaining
housing.
The Housing Pathways were vetted with the larger group that
worked on creating the Subgroups of the Homeless
Population.
3
Resource and Aftercare Needs for each Subgroup
The Navigator Workgroup worked to develop and finalize a
set of generalized recommendations around targeted
Resource and Aftercare Needs for each subgroup as the final
component of the work.
The finalized product was vetted and approved by the Core
Team in the Single Adult Crisis System Redesign.
The framework is being piloted with the Navigator Program. It
is intended to be used as a practical training tool and guide for
navigators in the development of individualized housing
stabilization plans.
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11 Subgroups of Individuals Experiencing Homelessness
Military Service - Eligible for VA Benefits
Military Service - Ineligible for VA Benefits
Physical & Behavioral Health Barriers – Eligible for Homeless Designated PSH in USHS
Physical & Behavioral Health Barriers – Not Eligible for Homeless Designated PSH in USHS
Criminal Justice - Has history of stable housing
Criminal Justice - Has no history of stable housing
Criminal Justice - Has disabilities; could be TAY
Criminal Justice - Sex Offenders
Real Options & Manageable Barriers - Adults
Real Options & Manageable Barriers - TAY
Situationally Homeless
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Subgroup: Situationally Homeless
Have historically sustained housing
Has some support system
May be any age (though likely to be working age)
No existing long term barriers; motivated to get out
of shelter
Can be quickly housed/stabilized
Traveling worker who has come to find housing
Interventions:
• quickly move toward
housing/stabilization
• support the identity as a
stable, housed person
Resources:
• temporary resources and
referrals
DESCRIPTORS
6
Subgroups: Real Options and
Manageable Barriers*
Marginally employed
Undereducated
No rental history
No disabilities that prevent housing
Capacities/strengths recognized
May have behavioral health, AoD,
or trauma issues but not needing
long-term rehab
DV survivors
Group A: Adults No verifiable disabilities;
employment-related homelessness
(recently or temporarily employed);
underemployed
Group B: Younger Folks TAY; aged out of foster care; under
the age of 25 and employment-
related homelessness (recently or
temporarily employed);
underemployed & no disability; on
the streets/in shelter with multi-
system connections; lethality
concerns may be present (especially
in LGBTQ youth); no employment *these folks are at high-risk for
becoming chronically
homeless
DESCRIPTORS
7
Subgroups: Criminal Justice*
Legal barriers impede
ability to be housed
Experience justice-related
issues: felons, re-entry,
long criminal history, all
tiers of sex offenders
Group A Has history of stable housing
Group B Has no history of stable housing
Group C Has disabilities; disability (MH, AoD,
physical) unlinked & untreated at
shelter entry; no income or benefits;
other than honorably discharged from
military; behavioral health issues;
could be TAY
*Interventions: primarily to
deal with legal barriers to
housing and employment
issues
Group D Sex Offenders – all tiers and all pre-
Adam Walsh status
DESCRIPTORS
8
Subgroups: Physical and Behavioral
Health Barriers
Physical or behavioral health disabilities
High users of physical and/or behavioral health services
Group A: Eligible for Homeless
Designated PSH in USHS SSI/SSDI application pending and no other
income; disability (MH, AoD, Physical)
unlinked & untreated at shelter entry; no
income, no benefits; severe mental health –
connected or disconnected from services;
severely mentally ill – on/off meds, non-
compliant; behavioral health concerns –
mental health disability with no treatment,
no insight, very hard to engage, could by
TAY
Group B : Not Eligible for
Homeless Designated PSH
in USHS High utilizers of health services; physically
disabled; mental health (axis II) multiple
crisis/multiple service providers &
interventions; youth adults with multiple
traumas; do not qualify for PSH/USHS
because their homeless history does not
meet criteria
DESCRIPTORS
9
Subgroups: Military Service
Military service with pre- and post-
service issues that impact their
homelessness, including possible
trauma and traumatic brain injury
Possible relationship disruption
Lethality concerns may be present
Re-entry and re-integration into a non-
military culture support needed
May have anger management issues
Gender considerations, mental health
concerns and AoD concerns may be
present
Legal issues may be present
Group A:
Eligible for VA
Benefits
Group B:
Ineligible for VA
Benefits
DESCRIPTORS
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11 Subgroups of Individuals Experiencing Homelessness
Military Service - Eligible for VA Benefits
Military Service - Ineligible for VA Benefits
Physical & Behavioral Health Barriers – Eligible for Homeless Designated PSH in USHS
Physical & Behavioral Health Barriers – Not Eligible for Homeless Designated PSH in USHS
Criminal Justice - Has history of stable housing
Criminal Justice - Has no history of stable housing
Criminal Justice - Has disabilities; could be TAY
Criminal Justice - Sex Offenders
Real Options & Manageable Barriers - Adults
Real Options & Manageable Barriers - TAY
Situationally Homeless
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Housing Options
HOUSING OPTIONS
Private Landlord
Senior Housing
Family & Natural Support
PSH/USHS
Shelter Plus Care
Transitional Housing
HUD VASH
Returning Home Ohio
ADAMH Supportive Housing (upstream area)
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Housing Options by Subgroup HOUSING OPTIONS BY SUBGROUP
Situationally
Homeless
Real
Options,
Manageable
Barriers
Adults
(Group A)
Real
Options,
Manageable
Barriers
Youth
(Group B)
Criminal
Justice
History of
Stable
Housing
(Group A)
Criminal
Justice
No
History of
Stable
Housing
(Group B)
Criminal
Justice
Disabilities
(Group C)
Criminal
Justice Sex
Offenders
(Group D)
Physical &
Behavioral
Health
Barriers
Eligible for
Homeless
Designated
PSH in
USHS
(Group A)
Physical &
Behavioral
Health
Barriers
Not Eligible
for
Homeless
Designated
PSH in
USHS
(Group B)
Military
Service
Eligible for
VA
Benefits
(Group A)
Military
Service
Not
Eligible for
VA
Benefits
(Group B)
Private
Landlord X X X X X X X
X
(limited) X X
Senior
Housing X X X X X X X X X X
Family &
Natural
Support
X X X X X X X X X X X
PSH/USHS X X
(limited) X X X
Shelter Plus
Care X
X
(limited) X X X X
Transitional
Housing X X X X X
HUD VASH X X X X X
Returning
Home Ohio
X
(prison)
X
(prison)
X
(prison)
X
(prison)
ADAMH
Supportive
Housing
(upstream
area)
Upstream
Area
(contact
CHN for
current
options)
Upstream
Area
(contact CHN
for current
options)
Upstream
Area
(contact CHN
for current
options)
Upstream
Area
(contact CHN
for current
options)
Upstream
Area
(contact
CHN for
current
options)
Upstream
Area
(contact
CHN for
current
options)
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Resource Need by Subgroup General Services
Resources Situationally
Homeless
Real Options,
Manageable
Barriers
Adults
(Group A)
Real
Options,
Manageable
Barriers
Youth
(Group B)
Criminal
Justice
History of
Stable
Housing
(Group A)
Criminal
Justice
No History
of Stable
Housing
(Group B)
Criminal
Justice
Disabilities
(Group C)
Criminal
Justice
Sex
Offenders
(Group D)
Physical &
Behavioral
Health
Barriers
Eligible for
Homeless
Designated
PSH in
USHS
(Group A)
Physical &
Behavioral
Health
Barriers
Not Eligible
for
Homeless
Designated
PSH in
USHS
(Group B)
Military
Service
Eligible for
VA Benefits
(Group A)
Military
Service –
Not Eligible
for VA
Benefits
(Group B)
DCA X X X X X X X X X X
Furniture
Bank X X X X X X X X X X
Application
Fees X X X X X X X X X X
Housing
Specialist X X X X X X X X X X
Employment
Assistance X X X X X X X X X X
GED
Assistance X X X X X X X X X X
Replacement
Documents X X X X X X X X X X X
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Resource Need by Subgroup Additional Supports
Resources Situationally
Homeless
Real
Options,
Manageable
Barriers
Adults
(Group A)
Real
Options,
Manageable
Barriers
Youth
(Group B)
Criminal
Justice
History of
Stable
Housing
(Group A)
Criminal
Justice
No History
of Stable
Housing
(Group B)
Criminal
Justice
Disabilities
(Group C)
Criminal
Justice –
Sex
Offenders
(Group D)
Physical &
Behavioral
Health
Barriers
Eligible for
Homeless
Designated
PSH in
USHS
(Group A)
Physical &
Behavioral
Health
Barriers
Not Eligible
for
Homeless
Designated
PSH in
USHS
(Group B)
Military
Service –
Eligible for
VA
Benefits
(Group A)
Military
Service
Not
Eligible
for VA
Benefits
(Group B)
Aftercare Services
Aftercare Services X X X X X X X X X
Case Management
(More Intensive) X
Justice and or Legal Services Probation Officer X
Re-Entry Services X X X X
Legal Overlay X X X
Special MH Docket
Court X X X X
Special Veterans
Docket Court X X
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Resource Need by Subgroup Connection to Other Systems and/or Services
Resources Situationally
Homeless
Real
Options,
Manageable
Barriers
Adults
(Group A)
Real
Options,
Manageable
Barriers
Youth
(Group B)
Criminal
Justice
History of
Stable
Housing
(Group A)
Criminal
Justice
No History of
Stable
Housing
(Group B)
Criminal
Justice
Disabilities
(Group C)
Criminal
Justice
Sex
Offenders
(Group D)
Physical &
Behavioral
Health
Barriers
Eligible for
Homeless
Designated
PSH in
USHS
(Group A)
Physical &
Behavioral
Health
Barriers
Not Eligible
for
Homeless
Designated
PSH in
USHS
(Group B)
Military
Service
Eligible
for VA
Benefits
(Group A)
Military
Service
Not
Eligible for
VA Benefit
(Group B)
Mediation X
Programming
Around Family
Mediation
X
Huck House X
Starr House X
Community
Mental Health X X X X X X
AoD Treatment X X X X X X
Medical
Treatment X X X X X X
Payeeship X X X X X X
Connection to
Benefits X X X X X X
Benefit Bank X X X X X X
Veterans
Administration X X
Veterans
Service
Commission
X X 16
Aftercare Needs by Subgroup Components
of Aftercare
Note: Case
Management (CM)
Situationally
Homeless
Real
Options,
Manageable
Barriers
Adults
(Group A)
Real
Options,
Manageable
Barriers
Youth
(Group B)
Criminal
Justice
History of
Stable
Housing
(Group A)
Criminal
Justice
No History of
Stable
Housing
(Group B)
Criminal
Justice
Disabilities
(Group C)
Criminal
Justice
Sex
Offenders
(Group D)
Physical &
Behavioral
Health
Barriers
Eligible for
Homeless
Designated
PSH in
USHS
(Group A)
Physical &
Behavioral
Health
Barriers
Not Eligible
for
Homeless
Designated
PSH in
USHS
(Group B)
Military
Service
Eligible
for VA
Benefits
(Group A)
Military
Service
Not
Eligible for
VA Benefit
(Group B)
Apartment
Checks
(safety &
maintenance)
X (combined with
client meeting
below)
X X X X X X
X (combined with
client meeting
below)
X (combined with
client meeting
below)
X (combined
with client
meeting
below)
X
Client Meeting X X X X X X X X X X X
Linkages X X X X X X X
(ensure firm
linkage with CM)
X (ensure firm
linkage with CM)
X (ensure firm
linkage with
VA CM)
X
Employment X X X X X X X
Benefits X X X X X X X
Community
Supports
(faith-based & self)
X (may get while in
shelter)
X X X X X X X
Life Skills
Training X X X X X X
Maintain Landlord
Relationships X X X X X X X
Timing/Duration
1 – 5 Ranking
(1 lowest Level to 5
highest level)
1 2 3 2 3 3 3 1 1 1 3
Length of
Aftercare
1 check
within 30
days
Up to 3
months
Up to 6
months
Up to 3
months
Up to 6
months
Up to 6
months
Up to 6
months
PSH = 1 check
within 30 days
Assumption in
PSH, if not
see Group B.
PSH = 1 check
within 30 days
Community
CM = 1 check
in 30 days
No CM = Up to
6 months
1 check
within 30
days
Up to 6
months
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