Lake County Homeless Needs Assessment Presented to the Lake County Coalition for the Homeless Strategic Planning and System Performance Measure Committee April 3, 2017

Sources of Data Report Type of Information Limitations Point in Time Count Homeless numbers and demographics Snapshot in time is not necessarily representative Draft data pending minor updates Housing Inventory Chart Full list of housing inventory Not yet finalized for 2017 System Performance Measures Homeless numbers and demographics; System outputs and outcomes Does not include domestic violence providers Coordinated Entry/By-Name List Vulnerabilities and numbers for those who enter CE Focuses on a subset of the overall homeless populations-

Overall Homelessness

Number of Homeless People (SPM #3)   10/1/14 – 9/30/15 10/1/15 – 9/30/16 Difference Unduplicated Total Sheltered Homeless Persons and Persons Receiving Day Shelter Services 1,167 1,060 -107 Emergency Shelter (PADS +Haven) 945 839 -106 Transitional Housing 297 273 -24 9% 9% reduction in homelessness Loss of TH capacity (COOL) Better housing placements Recovering economy and housing market

Where are people coming from? 1060 people experienced homelessness in Lake County last year 40% from housing 11% from the streets 15% from institutions 34% from shelter

Point in Time Counts of Homelessness 20% UPDATED WITH 2017: Using the SP data for unsheltered population Explanations: Missing SSVF information, increase in unsheltered,

Length of Time Homeless/Nights of Shelter (SPM #1) ES+TH 2015 2016 ES 25th Percentile 9 6 5 4 Median 50th Percentile 29 30 17 75th Percentile 98.5 102.5 50 48.25 Maximum LOTH 774 740 416 412 Mean 84 86 41 37

Number New Homeless (SPM #5) Number of persons entering ES, SH, and TH projects with no prior enrollments in HMIS in the last 24 months   10/1/14– 9/30/15 10/1/15 – 9/30/16 Difference Number of persons experiencing homelessness for the first time 719 620 -99 % of Homeless who are New 65% NEW report coming.

Returns to Homelessness (SPM #2)  FY2015 Total Persons Exited to Permanent Housing % Returns within 6 Months after Exit % Returns Between 6 & 12 Months after Exit % Returned Between 13 & 24 Months after Exit TOTAL CUMULATIVE Percentage of Returns 2 Years after Exit From Shelter 332 18% 11% 3% 31% From Transitional Housing 116 4% 7% 1% 12% From All Permanent Housing 18 5% 6% 0% TOTAL Returns 466 14% 9% 2% 26% FY2016 348 16% 28% 118 76 17% 24% 542 22% Impact of housing the most vulnerable through coordinated entry

PIT Count of Unsheltered Homeless

Increased Income (SPM #4) For Adult System Stayers   10/1/14 – 9/30/15 10/1/15 – 9/30/16 Difference Number of adults (system stayers) 86 98 12 Number of adults with increased total income 26 22 -4 Percentage of adults who increased total income 30% 22% For Adult System Leavers 10/1/13 – 9/30/14 Number of adults who exited (system leavers) 80 94 14 Number of adults who exited with increased total income 32 30 -2 40% 32% I don’t like this

Exits to Permanent Destinations/Retention (SPM #7)   10/1/14 – 9/30/15 10/1/15 – 9/30/16 ES, SH, TH, and RRH 54% 58% PSH 93% 96%

Homelessness by Program Type in the PIT Updated with 2017 data: Note: Safe Haven, an intensive response to chronic homelessness, transitioned to different program structure after 2014

What is the current system capacity? Program Type PIT Utilization Description Emergency Shelter 85% 67 beds at 3 fixed facilities Two motel voucher programs with limited, flexible capacity Rotating site seasonal beds: 95 on PIT night Transitional Housing 6 projects with 148 beds 8 beds targeted to HIV 16 beds targeted to substance use disorders Rapid Rehousing 100% 3 projects with 128 beds 13 beds targeted to veterans Permanent Supportive Housing 8 projects with 389 beds 194 beds targeted to veterans 76 beds targeted to survivors of domestic violence Need to update PIT utilization numbers Beds available from DV on PIT night? 65 Beds on PIT night? 30 Site 1; 35 Site 2; Including Overflow???

Veteran Homelessness

Veteran Homeless Data 53 (5%) of the homeless in Lake County were veterans 4 homeless veterans on average (based on Coordinated Entry data) 3 unsheltered veterans in PIT count 194 VASH vouchers SSVF can be used for Homeless Prevention or Rapid Rehousing 13 beds on 2016 HIC

Veteran Homelessness in Lake County (PIT) Primary driver of the decrease: 60-bed facility at Lovell VA was reclassified from a shelter to an institution

Chronic Homelessness

Of the 1060 who experienced homelessness over the course of a year . . . 201 (19%) were chronically homeless 446 (44%) had a disabling condition

Chronic Homelessness in the PIT 56%

Chronic as Percentage of Homelessness in the PIT Needs to be updated with 2017 Contributing factors to the decrease: In 2014, 100% of PSH beds prioritized for chronic In 2015 coordinated entry went live with PSH placements of the most vulnerable chronically homeless.

Chronic Homeless Data from Coordinated Entry 10.2 3.3 Chronic Homelessness Average monthly inflow (over 6-months) Average monthly housing placements (over 6-months) Average monthly inflow = 10.2 Average monthly housing placements = 3.3

Vulnerabilities of People Experiencing Homelessness 35% have spoken with a mental health professional in the last six months 18% threatened to or tried to harm themselves or others in the last year 29% have gone to the emergency room because you weren't feeling 100% well emotionally or because of your nerves 49% have experienced emotional, physical, psychological, sexual or other trauma Brenda VI-SPDAT is self-report 44. Spoken with a psychiatrist, psychologist or other mental health professional in the last six months because of your mental health - whether that was voluntary or because someone insisted that you do so?(1976) 35% 9. Threatened to or tried to harm yourself or anyone else in the last year?(1933) 18% 43. Gone to the emergency room because you weren't feeling 100% well emotionally or because of your nerves?(1975) 29% 50. Yes or No - Have you experienced any emotional, physical, psychological, sexual or other type of abuse or trauma in your life which you have not sought help for, and/or which has caused your homelessness?(1983) 49% 5. In the past six months, how many times have you been taken to the hospital in an ambulance?(1929) 28% 42. Ever been taken to a hospital against your will for a mental health reason?(1974) 20% 6. In the past six months, how many times have you used a crisis service, including distress centers and suicide prevention hotlines?(1930) 14% 7. In the past six months, how many times have you been hospitalized as an in-patient, including hospitalizations in a mental health hospital?(1931) 25% 12. Ever do things that may be considered risky like exchange sex for money, run drugs for someone, have unprotected sex with someone you don't really know, share a needle, or anything like that?(1936) 15%

Permanent Supportive Housing Inventory 155 Jodi. Housing First Statistics Both LCCH and County are funders of PSH Describe reasons for successful increase in PSH Mention Cost Savings on their handout

Homeless Youth (18-24)

Homeless Youth 106 youth experienced homelessness last year 10% of total homeless population When Staben transitions, there will be 16 beds for parenting youth Do we have CE data to add here?

Homeless Youth (up to age 24) Point in Time Count Data 2016 2017 Total Number of Youth 18 10 Number of Unaccompanied Youth 7 Number of Parenting Youth 8 3 Number of people in parenting youth households 25 9 Need to update with 2017 PIT Maybe add a chart?

Homeless Families

Homeless Families based on SPM #3 42% of people experiencing homeless were in families

Homeless Families (in the PIT data)   2009 2010 2011 2012 2013 2014 2015 2016 2017 Families 65 96 78 74 53 67 62 47 36 Total 370 474 464 450 497 404 386 299 239 % of Total 18% 20% 17% 16% 11% 15%

Capacity to serve families based on the HIC Limited family shelter beds Limited family PSH (limited need) On average, 4 chronic families on the By-Name List Increased RRH capacity offsets decreased transitional housing beds