How to incorporate screening to your basic I & R program Screening & Outcomes

Objective Demonstrate how screening positions I & R as the gateway to Continuums of Care.

Arent we doing this already? The difference is reach of service & tighter connection of services to client needs. ADRCs Veterans and Military Housing

Where to begin Information Gathering Revenue Generating

Information Gathering Identify target population Validate agency role in the continuum Position for future funding In-reach to learn about the current caller needs Helps with overall assessment process for better referrals Examples: Veterans Health Insurance and utilization

Revenue Generating Leverage current and upcoming programs Logical connections Capitalize on data collection capabilities regarding target populations Build on relationships with community partners to avoid duplication of services Examples CETF-bridging the digital divide SNAP (food stamps) Developmental Screening HPRP-housing

Developing Key Partnerships Identify Potential Funding Streams When you are developing screening you want to be sure it is in SUPPORT of the service network needs. Develop MOUs Take time to develop a trusting relationship (understand each others organizations) Plan on some pro bono work but establish boundaries Be clear about roles and responsibilities Use the MOU in day to day business-its a living document * Service and data have value!*

How to develop a screening Groups to consult or engage with Collaboratives and advisory committees Subject matter experts Other I & R providers Steps Develop basic screening questions internally-establish target population is already using I & R service Take data to the partners to share and learn Review and/or gather resources for your database Learn about the culture of the target population Avoid duplication of services Test screening

Screening/Reporting Type Screening Purpose Developmental Delay Screen for children that may be at high risk for developmental delay or autism. Offer a screening to callers with an expressed concern and a random sampling of children 0-5. Veterans and Military Screen all non-crisis callers for military background to provide referrals to local services especially designed and funded for veterans that they may not be aware of. HPRP (Homeless prevention and rapid re-housing) Screen callers who recently became homeless or were in danger of becoming homeless for eligibility for HPRP programs. CETF (California Emerging Technology Fund) Screen callers for Internet access and training needs. Connected with low cost services to help bridge the digital divide. CalFreshOutreach to callers for nutritional assistance and to provide information and referral regarding eligibility and enrollment. Examples of Screening Conducted by 211 LA to Various Target Populations Examples of Screening Conducted by 211 LA to Various Target Populations

Break for Part 2

Implementation Steps Technology needs and requirements Training Data collection Outcomes reporting Utilization of data

Technology needs and requirements How will you collect the data? Integration with I & R software is ideal Other tools will work (Survey Monkey, etc.) Individualized fields Quality requirements Development of protocol Measurable goals Sample size Who to screen Time frame

Training staff Introduction to concept Understanding the WHY Training styles Incorporation of practice and role play Utilize subject matter experts Teach to the protocol without becoming prescriptive Revisit the training with regularity (tips of the day, coaching, huddles, & refresher training)

Why training is so important…

Outcomes reporting Show impact Tell a story with your data Show the partners how to use the data Utilize data for future funding Success stories to emphasize impact Sample Reports in your packets!

211 Impact data 211 Impact data reporting examples: HPRP – 19,113 screening with 16,630 targeted referrals Bridging the digital divide – 2,096 screens with 96,694 referrals Homeless family vouchering – 1,169 screens with 1,479 referrals in 2011 CalFresh education and outreach – 55,585 screens with 5,818 referrals in 2011 Developmental delay screening (0-5) – 2,845 screens with 2,759 referrals Veterans screening – 7% of 211 callers are Veterans or former military Caller needs (geographic, quantitative, and topical) Disaster response and recovery GIS mapping of available resource and/or services provided

Health screening data Screened over 80,000 callers over a 2 month period 23% of callers to 211 do not currently have health insurance 32% of children under 18 years of age are also not insured 11% of callers identify as having Type 1 or 2 diabetes 24% have received services from an emergency room in the past year (1/2 more than once) *211 LA County callers need assistance accessing preventative health care and utilizing health insurance

*Families represent 43% of total shelter calls received and 40% of total food calls. **Other multiple includes households with multiple members such as a family with adult children, and agency calling for a client, etc. ***Daytime encompasses calls received Monday Friday from 9:00am to 2:59pm. After hour calls are Monday Friday from 3:00pm to 8:59am and all day Saturday and Sunday. **** All Emergency Shelter and Food requests are included under the DPSS call count reported in the monthly invoice.

Data can lead to programs…

Maribel MarinLaura Mejia Executive DirectorProgram Manager Amy Latzer Chief Operating Officer