1. Homelessness in Placer County Final Presentation of Findings and Strategic Action Plan Recommendations By Dr. Robert G. Marbut Jr. and Shaun Lee MSW & MBA Marbut Consulting - Placer Presentation - May 21, 20151

2. Our Research Process: Visited direct service agencies. Reviewed agency web sites. Conducted “street level” observations throughout Placer County (PC). Toured 4 regions within PC with LEOs. Experienced homelessness. Visited with dozens of individuals experiencing homelessness. Analyzed all known recent data sets. Conducted a Survey of individuals experiencing homelessness. Presentation of Survey Data and Observations February 19, 2015. Marbut Consulting - Placer Presentation - May 21, 20152

3. Triggers of Homelessness: Males- 50-60% of individuals have a major mental health issue. 70-80% of individuals have a substance abuse issue. Over 90% of individuals have at least one or both of these issues. Job retention. Females- Add domestic violence. Add financial hardship caused by divorce/breakup. Marbut Consulting - Placer Presentation - May 21, 20153

4. Placer County at Our First Glance: Lacked a strategically interconnected “System.” Marbut Consulting - Placer Presentation - May 21, 20154

5. Placer County at Our First Glance: Lacked a strategically interconnected “System.” Usable/Actionable data was very sparse. Decisions seemed to be based on anecdotes/myths, not strategies. Marbut Consulting - Placer Presentation - May 21, 20155

6. Placer County at Our First Glance: Lacked a strategically interconnected “System.” Usable/Actionable data was very sparse. Decisions seemed to be based on anecdotes/myths, not strategies. “Policies” that existed were tactical, not strategic. Marbut Consulting - Placer Presentation - May 21, 20156

7. Placer County at Our First Glance: Lacked a strategically interconnected “System.” Usable/Actionable data was very sparse. Decisions seemed to be based on anecdotes/myths, not strategies. “Policies” that existed were tactical, not strategic. Roseville, Auburn and Northeast County had different challenges. Marbut Consulting - Placer Presentation - May 21, 20157

8. Placer County at Our First Glance: Lacked a strategically interconnected “System.” Usable/Actionable data was very sparse. Decisions seemed to be based on anecdotes/myths, not strategies. “Policies” that existed were tactical, not strategic. Roseville, Auburn and Northeast County had different challenges. Relative to the USA, overall homelessness was low (per capita basis). Relative to the USA, families with children that were in crisis was low. Marbut Consulting - Placer Presentation - May 21, 20158

9. Placer County at Our First Glance: Lacked a strategically interconnected “System.” Usable/Actionable data was very sparse. Decisions seemed to be based on anecdotes/myths, not strategies. “Policies” that existed were tactical, not strategic. Roseville, Auburn and Northeast County had different challenges. Relative to the USA, overall homelessness was low (per capita basis). Relative to the USA, families with children that were in crisis was low. Adult chronic street homelessness was a major problem and getting worse. There were major gaps in services for adults. Marbut Consulting - Placer Presentation - May 21, 20159

10. Placer County Homeless Count 2015 (PITC): Preliminary Count 540 Individuals Veterans 8% Severely mentally ill 30% Chronically homeless 42% Chronic substance abuse 32% Domestic violence victims 28% Prior foster care 7% Males 61% : Females 39% Single Adults 86% : Children 14% Marbut Consulting - Placer Presentation - May 21, 201510

11. Critical Research Questions Still Existed - - Therefore We Conducted a Survey: Hard data should drive strategic decision making. Policy decisions should not be based on anecdotes/myths. Anecdotes can be used to develop research questions. Analysis should be filtered through national best practices.  Survey conducted at key gathering points.  December 2014 to January 2015.  Target was “Street-level” and “Chronic” Homelessness. Marbut Consulting - Placer Presentation - May 21, 201511

12. Our Questions: 1.Is the adult homeless population “homegrown” or “imported”? 2.Is the rail yard to blame? 3.How chronic is the adult homeless population? 4.Is chronic adult homelessness rising? 5.How mobile is the population intra-county? 6.Would a one-site solution or multi-site solution work better? Marbut Consulting - Placer Presentation - May 21, 201512

13. Q1: Adult Homelessness in PC is Homegrown Marbut Consulting - Placer Presentation - May 21, 201513 34% surveyed went to High School in PC. 50% had other family members in PC. 55% had a job in PC before they became homeless. 68% have lived in PC longer than 5 years. 82% became homeless while living in PC.

14. Q2: The Rail Yard is Not to be Blamed Marbut Consulting - Placer Presentation - May 21, 201514

15. Q3: Placer’s Adult Homelessness is VERY Chronic Marbut Consulting - Placer Presentation - May 21, 201515

16. Q4: Adult Chronic Homelessness is Rising in Placer Marbut Consulting - Placer Presentation - May 21, 201516

17. Q5: Intra-county Mobility is Very limited Marbut Consulting - Placer Presentation - May 21, 201517

18. Q6: A Multi-site Solution Would Work Best Marbut Consulting - Placer Presentation - May 21, 201518

19. Macro Observations (beyond the data): 1.There is no strategic level policy making... Instead, “policy” is a net of independent tactical activities. Marbut Consulting - Placer Presentation - May 21, 201519

20. Macro Observations (beyond the data): 1.There is no strategic level policy making... Instead, “policy” is a net of independent tactical activities. 2.Services are not integrated and seldom coordinated. Marbut Consulting - Placer Presentation - May 21, 201520

21. Macro Observations (beyond the data): 1.There is no strategic level policy making... Instead, “policy” is a net of independent tactical activities. 2.Services are not integrated and seldom coordinated. 3.Quality data is sparse and HMIS is not universal/real-time. Marbut Consulting - Placer Presentation - May 21, 201521

22. Macro Observations (beyond the data): 1.There is no strategic level policy making... Instead, “policy” is a net of independent tactical activities. 2.Services are not integrated and seldom coordinated. 3.Quality data is sparse and HMIS is not universal/real-time. 4.Un-validated myths have become fact. Marbut Consulting - Placer Presentation - May 21, 201522

23. Macro Observations (beyond the data): 1.There is no strategic level policy making... Instead, “policy” is a net of independent tactical activities. 2.Services are not integrated and seldom coordinated. 3.Quality data is sparse and HMIS is not universal/real-time. 4.Un-validated myths have become fact. 5.Placer County lacks a true 24/7 emergency center. Marbut Consulting - Placer Presentation - May 21, 201523

24. Macro Observations (beyond the data): 1.There is no strategic level policy making... Instead, “policy” is a net of independent tactical activities. 2.Services are not integrated and seldom coordinated. 3.Quality data is sparse and HMIS is not universal/real-time. 4.Un-validated myths have become fact. 5.Placer County lacks a true 24/7 emergency center. 6.Auburn lacks emergency and portal services. Marbut Consulting - Placer Presentation - May 21, 201524

25. Macro Observations (beyond the data): 1.There is no strategic level policy making... Instead, “policy” is a net of independent tactical activities. 2.Services are not integrated and seldom coordinated. 3.Quality data is sparse and HMIS is not universal/real-time. 4.Un-validated myths have become fact. 5.Placer County lacks a true 24/7 emergency center. 6.Auburn lacks emergency and portal services. 7.The Roseville “operational model” needs updating. Marbut Consulting - Placer Presentation - May 21, 201525

26. Macro Observations (beyond the data): 1.There is no strategic level policy making... Instead, “policy” is a net of independent tactical activities. 2.Services are not integrated and seldom coordinated. 3.Quality data is sparse and HMIS is not universal/real-time. 4.Un-validated myths have become fact. 5.Placer County lacks a true 24/7 emergency center. 6.Auburn lacks emergency and portal services. 7.The Roseville “operational model” needs updating. 8.There is a lack of transitional services and affordable housing. Marbut Consulting - Placer Presentation - May 21, 201526

27. Macro Observations (beyond the data): 1.There is no strategic level policy making... Instead, “policy” is a net of independent tactical activities. 2.Services are not integrated and seldom coordinated. 3.Quality data is sparse and HMIS is not universal/real-time. 4.Un-validated myths have become fact. 5.Placer County lacks a true 24/7 emergency center. 6.Auburn lacks emergency and portal services. 7.The Roseville “operational model” needs updating. 8.There is a lack of transitional services and affordable housing. 9.Challenge of homeless families with children is minor relative to adults. Marbut Consulting - Placer Presentation - May 21, 201527

28. Recommendation 1: Transform HMIS from a “Score Keeper Model” to a “Proactive Case Management Tool” Marbut Consulting - Placer Presentation - May 21, 201528

29. Recommendation 2: Roseville’s “Operational Model” Needs Updating in Order to Increase Graduation Rates Marbut Consulting - Placer Presentation - May 21, 201529

30. Recommendation 3: Open a Come-As-You-Are Services Center in Auburn Marbut Consulting - Placer Presentation - May 21, 201530

31. Recommendation 4: Within the Continuum of Care, Create a Work Group to Focus on Chronic Adults Marbut Consulting - Placer Presentation - May 21, 201531

32. Recommendation 5: Align “Street Feeding” Efforts with Holistic Service Programs Marbut Consulting - Placer Presentation - May 21, 201532

33. Recommendation 6: Increase “Longer Term” Housing Placements Marbut Consulting - Placer Presentation - May 21, 201533

34. Recommendation 7: The Culture of How the Community Addresses Homelessness Needs to Change Marbut Consulting - Placer Presentation - May 21, 201534

35. Recommendation 8: Develop a Coordinated Case Management System Marbut Consulting - Placer Presentation - May 21, 201535

36. Q & A Marbut Consulting - Placer Presentation - May 21, 201536