June 4, 2013 Final Results Public Briefing Nashville Registry Week Facebook: Contact: Will Connelly, Metropolitan Homelessness Commission

Welcome Diane Kuhn Chair, Metropolitan Homelessness Commission

How’s Nashville Leadership Team:

Thanks To Our Partners Metro Social Services MDHA VA Mental Health Cooperative Park Center Open Table Nashville Colby’s Army Operation Stand Down Centerstone Eckman/Freeman NeedLink UNHS Safe Haven Family Shelter East Nashville Cooperative Ministries The Contributor Urban Housing Solutions Tennessee State University Nashville Downtown Partnership Room in the Inn Southern Alliance for People and Animal Welfare Community Resource Center Nashville Rescue Mission First Management Services Ghertner and Company Randy Phillips TN Fair Housing Coalition Evergreen Real Estate Community Food Advocates

Agenda Welcome 100k Homes Campaign Registry Week Results Strategic Approach 100-day Housing Goal Community Involvement Closing

100k Homes Campaign

Prioritizing Most Vulnerable Vulnerability Factors 1.Liver Disease 2.Kidney Disease/End-Stage Renal Disease 3.HIV+/AIDS 4.Age over 60 years 5.History of Cold Weather Injury 6.3 or more ER visits in previous 3 months 7.3 or more hospital inpatient visits in the past year 8.Tri-morbidity (mental health + substance use + physical illness)

Registry Week Overview

May 28 th – May 31 st Tuesday: Volunteer Training Weds, Thurs, Fri: 3:30 am to 7:30 am surveys (streets and camps) 341 surveyed week of over 3 days (29 th, 30 th, 31 st ) 28 surveyed in RITI; 100 surveyed in Rescue Mission June 1 st – June 3rd Data analysis, prepare community briefing June 4 th Community Briefing Next: Move vulnerable into housing

Mapping Nashville

Interview Methodology Team leader with at least three team members Divided Nashville into sectors (12 street, 8 camp teams) Covered assigned sector on 3 consecutive mornings Some teams had changes to coverage based on happenings the day before Asked each person encountered to participate Logged refusals Offered full day bus pass as a thank you for participating

Interview Methodology – Patient – Respectful – Persistent – Compassionate

Early Morning Search

Nashville Registry Week Results

469 surveyed 222 (47%) vulnerable 67 identified as veterans

Nashville Results: Time on Streets

Nashville Results – Serious Conditions

Nashville Results: Age

Nashville Results: Veterans 67 (14%) veterans identified 50 (75%) have honorable discharges 41 of 67 (61%) are vulnerable

Nashville Results – Health Coverage

Nashville Results – Frequent Users 663 total ER visits reported in last 3 months (annual cost of only $500/visit) 459 inpatient hospitalizations reported (annual cost of $1,462/day) Inpatient and ER costs combined total over $1,997,058 annual for 249 people

So Much Data…

The Next 100 Days Goal: House 200 people in 100 days (by Sept. 1) Goal: 50 of 200 will be veterans (25%) Goal: Raise $200,000 ($1,000 per person) for move-in costs

Rental Assistance MDHA prioritizing rental assistance to most vulnerable VA increasing % of rental assistance to chronically homeless/vulnerable vets

Private Landlords

100 Day Housing Supply

Targeting Housing/Support Resources Approx. $15,000 per year for permanent supportive housing (200 people X $15,000 = $3 million) For the next 100 days, we only need $1,000 per person in cash to move vulnerable into housing (200 people x $1,000 = $200,000)

$1,000 Opens the Door for 1 Person $1,000 to pay for one-time move-in costs Utility/security deposits Furniture and household supplies Personal Responsibility Tenant will pay 30% of income to rent/utilities Will agree to abide by lease agreement Will meet regularly with a housing retention worker

#1 Most Vulnerable in Nashville 66 years old 35 years without a home Vietnam Veteran, honorable discharge 3 ER visits in 3 months; 3 inpatient past year Kidney Disease Heart Disease Cancer Drinks alcohol everyday Likely has dx of mental illness

Another Vulnerable Neighbor (top 4%) 48 years old 3 years homeless Kidney Disease HIV/AIDS Cancer Asthma Hep C Brain Injury No health insurance No income other than Food Stamps

Open the Door for Housing Who in this room can sponsor at least 1 person for $1,000?

Ending Homelessness…NOW!