1. Overview of the 25 Cities Initiative July 15, 2014

2. The 25 Cities… San Diego Tampa San Francisco Phoenix Tucson Las Vegas Orlando Houston Atlanta Detroit Denver New Orleans New York Miami Boston Washington Baltimore Philly Fresno Honolulu Chicago Seattle Portland Riverside Los Angeles

3. What this Effort is All About Aim of 25 Cities Effort How? Accelerate the pace and integrate our efforts towards ending Veteran and chronic homelessness in 25 cities with the largest concentration of homeless Veterans 1.Build and strengthen elements of Coordinated Assessment and Housing Placement 2.Strengthen and integrate data systems 3.Integrate VA efforts on homelessness more seamlessly into broader community efforts

4. San Diego’s First 100 Day Project San Diego will focus on building a complete (front and back end) Coordinated Assessment and Housing Placement (CAHP) System in Downtown San Diego. Building the Community Team San Diego will build a Community Team to design and implement a CAHP System during the first 100 Day Project that launches on June 4 th and 5 th. Common Assessment Tool San Diego chose to use the VI-SPDAT for the first 100 Day Pilot and will evaluate performance to determine future use. Prioritization San Diego will build a system focused on Veterans and chronic homeless first. Both individuals and families will be served in the CAHP system. Clearing the Path During the 100 Days, the San Diego Leadership Team will work with the Community Design Team to target resources to the CAHP and break down barriers to it’s use.

5. Framing Coordinated Assessment and Housing Placement System: Language and Components

6. Coordinated Assessment and Housing Placement System Without CAHP System With CAHP System ? ? ! ? ? ! Courtesy of Chris Ko CAHP System

7. CAHP System – 6 key components Outreach to ALL Homeless in the Community Applying a Common Assessment Tool Prioritizing Based upon Common Assessment Tool Housing Navigation and Case Conferencing Matching with Choice Coordinated Assessment Housing Placement Performance Management & Communications Platform

8. Downtown San Diego Community Design Team 100-Day Launch

9. Community Design Team Gabe Kendall, 211 San Diego Amy Gonyeau, Alpha Project Martha Ranson, Catholic Charities Monica Ball, Community Volunteer Tom Theisen, Community Volunteer Bruce Menser, DT Fellowship of Churches and Ministries Kelly Knight, DT Partnership Clean & Safe Homeless Outreach Brian Gruters, Mental Health Systems Jennifer Hark Dietz, PATH Imelda Mcclendon, Regional Task Force on the Homeless Steven Paymard, SD County Health and Human Services Agency Melissa Peterman, SD Housing Commission Maria Callow, San Diego Housing Commission Felipe Murillo, SD County Housing and Community Development John Liening, SDPD Homeless Outreach Team Sumaya Dinglasan, VA San Diego Healthcare System Eduardo Carrasco, VA San Diego Healthcare System David Smith, VA San Diego Healthcare System Teresa Grenawalt, Veteran Community Services Paul Delessio, St. Vincent de Paul Villages

10. Mission & Goal OVERALL GOAL: By September 17th, 2014, we, the San Diego Community Design Team, will design and test a system that assesses all downtown homeless and effectively matches, houses, and retains 150 veterans and 100 chronic homeless individuals … 100-day goal is to build a sustainable, ongoing system that will END veteran and chronic homelessness in downtown 250 housing placements intended to demonstrate system is working – not the ultimate goal

11. Sub-Goal #1: Assess all Downtown Homeless Estimated 800 unsheltered downtown homeless Week of June 23-26 – HOT Team, Alpha, other providers and 145 Volunteers – Assessed homeless on downtown streets using VI-SPDAT Now assessed over 1200 unsheltered homeless on downtown streets using VI-SPDAT Will continue our outreach to newly homeless and people we missed

12. Sub-Goal #2: Housing Navigation Housing Navigators prepare clients for housing Approximately 20 FTE’s Housing Navigators – Volunteered by their agencies!!! – Prepare clients for housing through CAHP system Approximately 100 clients already assigned to Housing Navigators – Most vulnerable clients assigned to Navigators first – Based upon their VI-SPDAT assessments

13. Sub-Goal #3: Matching & Placement Identify and gather housing resources Likely resources for downtown 100-day pilot: – 40 Permanent Supportive Housing beds – 50 VASH vouchers for veterans – 100 Rapid Rehousing Beds – 100 SSVF beds for veterans Match clients to housing – Using community agreed priority rules – Most vulnerable clients matched first Client always has choice of housing

14. 14 1.Use Data to Drive Results: Use data to measure system and program performance and inform resource allocation decisions 2.Leverage Mainstream Resources: Engage mainstream systems and integrate those resources— housing, job training, child care, health care, etc … 3.Be Frugal – Target Wisely: Provide the right intervention at the right time to the right individual or family through a coordinated assessment system Five Key Tactics

15. 15 4.Be Smart – Use Evidence: Adopt Housing First practices to offer individuals and families experiencing homelessness immediate access to permanent affordable or supportive housing, without clinical prerequisites or other barriers 5.Expand the Pie Strategically: Use existing resources in smarter ways to help make clear case for new investments of Federal, State, local, and private sector resources to scale the practices and innovations that work Five Key Tactics

16. The Performance Management and Communications Platform (PMCP): An Overview

17. PMCP: the CAHP System Engine Regular Case Conferencing Housing provider and funding agency engagement in system Housing Navigation Assignment Prioritization Assessment Coordinated outreach Vacancy notification MATCHING AND CLIENT SELECTION! List of dedicated units and resources Eligibility criteria Front End Most vulnerable entered into the system, prioritized and ready for housing Back End Housing supply identified and vacancies entered into the system Housing Document Collection

18. for Homelessness

19. PMCP Dashboards and Visualizations Dashboards will allow us to track in real time – Number of housing placements – Progress towards ending Veteran/chronic homelessness Consistent with VA’s Gaps Analysis Tool Dashboards are powered by community data

20. Demographic Breakdown VI-SPDAT Demographics (Individuals) TotalsPercentage Chronically Homeless69262% Veterans15414% Over 6013412% Serious Medical Condition63357% Mental Health Condition81674% Substance Abuse Condition68662%

21. Planned Housing Intervention VI-SPDAT Individual Dashboard TotalsPercentage Mainstream Housing24722% Rapid Rehousing55250% PSH30828%

22. Age Distribution Age distribution (Individuals) TotalsPercentage Less than 301039% 30-3922620% 40-4927625% 50-5935632% 60-691009% Over 70383%

23. Where Did Our Homeless Come From? Location Prior to Becoming Homeless All HomelessVeterans County of San Diego61%58% Southern California66%60% Outside of Southern California33%40% Percentage of Homeless from Outside California who are Veterans17%

24. Questions?