YAY HOUSING…. I Think? Derek Holt – Group Residential Housing/Top 51 Program Manager

Agenda • Housing First • Dimensions of Permanent Supportive Housing • Exercise • What comes after housing? • Best Practices • Conclusion 10/12/2016 | PAGE 2 Derek Holt

Why are we talking about this.!.!.! 10/12/2016 | PAGE 3 Derek Holt

We all know this, can I leave? Refresher for direct service staff Creation of Coordinated Assessment 10/12/2016 | PAGE 4 Derek Holt

Components of Housing First Direct or nearly direct placement of consumers in housing Not requiring consumers to participate in supportive services Use of assertive community outreach to engage potential consumers The use of harm reduction Continuing to provide housing and services if consumers leave 10/12/2016 | PAGE 5 Derek Holt

Dimensions of Permanent Supportive Housing Minnesota Department of Human Services states: Choice in housing and living arrangements Separation of housing and services Decent, safe, and affordable housing Housing integration Rights of tenancy Access to housing Flexible, voluntary services http://www.csh.org/wp-content/uploads/2012/10/T29.pdf 10/12/2016 | PAGE 6 Derek Holt

Strengths • Reduced days of stay in shelter • Supportive services • Transition to community • Client choice • Encouraged higher utilization rate of community services http://www.hennepin.us/~/media/hennepinus/your-government/projects-initiatives/documents/housing-first-program-evaluation-2009.pdf?la=en 10/12/2016 | PAGE 7 Derek Holt

Weakness • Client can feel isolated • Landlords may get burned out • Market rate rents create instability • Low vacancy rate limits choice • Transportation barriers http://www.hennepin.us/~/media/hennepinus/your-government/projects-initiatives/documents/housing-first-program-evaluation-2009.pdf?la=en 10/12/2016 | PAGE 8 Derek Holt

What do you know about camels? 10/12/2016 | PAGE 9 Derek Holt

I know They spite They have one or two humps They retain water in humps Used for transportation They migrate Hooves Long eyelashes Smelly Live in desert Mammals Adapt to outside 10/12/2016 | PAGE 10 Derek Holt

What comes after housing? • Need for social service communities to collaborate • Using agreed upon fidelity standards • Landlord engagement • Tenant education 10/12/2016 | PAGE 11 Derek Holt

Housing Stability Best Practices • Client is leader of goal plan • Services are documented • Staff in collaborative have clear roles • Services are flexible and may not be forever 10/12/2016 | PAGE 12 Derek Holt

Community Services Housing Provider Primary Care County Client Community Provider 10/12/2016 | PAGE 13 Derek Holt

Client does not understand lease expectations or seen lease To Much Not Enough Case manager dictates engagement time Case manager utilizes unnecessary assessment/forms Client does not understand lease expectations or seen lease Client has limited knowledge of appointments Case manager is providing services which they are not trained or qualified for Case manager migates all landlord conflict Client does not understand additional services they are eligible for Case manager is only provider on services team Best Client knows staff roles Client completed tenant education Client knows when to expect and purpose of meeting Services:documentated with possible end date 10/12/2016 | PAGE 14 Derek Holt

Similar to camel’s voyage • Clients become adaptive to environment • We see our world and collaboration challenges biases • Staff are historians for client • Learning client’s story helps understand behavior • Most important, we don’t know and always strive to learn 10/12/2016 | PAGE 15 Derek Holt

Conclusion • Must ensure separation between services and landlord • Appropriate services are used and documented • Tenants understand their lease and rights • Staff in collaborative have clear roles • Services are flexible, reevaluated and terminated when appropriate 10/12/2016 | PAGE 16 Derek Holt

Questions? Separation of LL/CM 10/12/2016 | PAGE 17 Derek Holt

Contact: Derek Holt – derek.holt@cctwincities.org Separation of LL/CM 10/12/2016 | PAGE 18 Derek Holt

References UD Department of Human Services. Permanent Supportive Housing An Evidence Based Practices and a Framework for Systems Change. Retrieved from http://www.csh.org/wp-content/uploads/2012/10/T29.pdf Watson, D., Wagner, D., & Rivers, M. (2013). Understanding the Critical Ingredients for Facilitating Consumer Change in Housing First Programming: A Case Study Approach. Journal Of Behavioral Health Services & Research, 40(2), 169- 179. doi:10.1007/s11414-012-9312-0 10/12/2016 | PAGE 19 Derek Holt