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HomeMy WebLinkAboutBOARD STANDING COMMITTEES - 05112015 - FHS Cte Agenda Pkt            FAMILY & HUMAN SERVICES COMMITTEE May 11, 2015 10:30 A.M. 651 Pine Street, Room 101, Martinez Supervisor Federal D. Glover, Chair Supervisor Candace Andersen, Vice Chair Agenda Items: Items may be taken out of order based on the business of the day and preference of the Committee              1.Introductions   2.Public comment on any item under the jurisdiction of the Committee and not on this agenda (speakers may be limited to three minutes).   3. RECOMMEND the Board of Supervisors appoint Teri Mountford to the Member at Large Seat #19 on the Advisory Council on Aging for a term expiring on September 30, 2015.   4. RECOMMEND the Board of Supervisors appoint Liliana Gonzalez to the Member at Large Seat #19 on the Contra Costa Commission for Women.   5. CONSIDER accepting the report from the Employment and Human Services Department, Workforce Services Division, on the Supplemental Nutrition Assistance Program (SNAP) known in California as CalFresh. (Wendy Therrian, Workforce Services Director)   6. ACCEPT the reports provided on the Continuum of Care Plan for the Homeless and the Healthcare for the Homeless and direct staff to forward the reports to the Board of Supervisors. (Lavonna Martin, Rachael Birch)   7.Adjourn   8.The next meeting is currently scheduled for June 8, 2015.   The Family & Human Services Committee will provide reasonable accommodations for persons with disabilities planning to attend Family & Human Services Committee meetings. Contact the staff person listed below at least 72 hours before the meeting. Any disclosable public records related to an open session item on a regular meeting agenda and distributed by the County to a majority of members of the Family & Human Services Committee less than 96 hours prior to that meeting are available for public inspection at 651 Pine Street, 10thPage #1 less than 96 hours prior to that meeting are available for public inspection at 651 Pine Street, 10th floor, during normal business hours. Public comment may be submitted via electronic mail on agenda items at least one full work day prior to the published meeting time. For Additional Information Contact: Dorothy Sansoe, Committee Staff Phone (925) 335-1009, Fax (925) 646-1353 dorothy.sansoe@cao.cccounty.us Page #2 FAMILY AND HUMAN SERVICES COMMITTEE 3. Meeting Date:05/11/2015   Subject:Appointments to the Advisory Council on Aging Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,  Department:County Administrator Referral No.: N/A   Referral Name: Appointments to Advisory Bodies  Presenter: Contact: Dorothy Sansoe, 925-335-1009 Referral History: On December 6, 2011 the Board of Supervisors adopted Resolution No. 2011/497 adopting policy governing appointments to boards, committees, and commissions that are advisory to the Board of Supervisors. Included in this resolution was the requirement that applications for at large/countywide seats be reviewed by a Board of Supervisors sub-committee. Referral Update: Staff to the Advisory Council on Aging has submitted the attached request for appointments to seats on the Council. Recommendation(s)/Next Step(s): RECOMMEND the Board of Supervisors appoint Teri Mountford to the Member at Large Seat #19 on the Advisory Council on Aging for a term expiring on September 30, 2015. Fiscal Impact (if any): No fiscal impact from this appointment. Attachments Memo and Application - Mountford Page #3 1 of 1 Kathy Gallagher, Director 40 Douglas Dr., Martinez, CA 94553  Phone: (925) 313-1579  Fax: (925) 313-1575  www.cccounty.us/ehsd. MEMORANDUM DATE: 04/15/2015 TO: Family and Human Services Committee CC: Lori Larks, Division Manager, Area Agency on Aging FROM: Jaime Ray, Secretary for the Area Agency on Aging SUBJECT: Advisory Council on Aging – Appointments Requested The Contra Costa Area Agency on Aging (AAA) recommends for immediate appointment to the Contra Costa Advisory Council on Aging (ACOA) the following applicant: Ms. Teri Mountford for Member at Large Seat # 19. The MAL #19 Seat was previously held by Ms. Darlene Commiskey who has resigned effective 11/17/2014. MAL #19 was vacated on 1/20/2015 for a term ending September 30, 2015. Recruitment has been handled by both the Area Agency on Aging, the ACOA and the Clerk of the Board using CCTV. AAA staff has encouraged interested individuals including minorities to apply through announcements provided at the Senior Coalition meetings and at the regular monthly meetings of the ACOA. The Contra Costa County EHSD website contains dedicated web content where interested members of the public are encouraged to apply and are provided an application with instructions on whom to contact for ACOA related inquiries, including application procedure. Ms. Mountford was interviewed by members of the ACOA Membership Committee at their March 2015 meeting using the Council’s standard informational interview format. The April minutes of the meeting record that the Council on Aging agreed by consensus to recommend the appointment of Ms. Mountford; please find a copy of the application for ACOA membership provided as a separate attachment. Prior to the March meeting of the Council’s Membership Committee and subsequent to the previous MAL appointment, there was one other MAL application received from Ms. Delores Hill who later withdrew her application. Ms. Mountford is being recommended for an MAL appointment to the Advisory Council on Aging. Thank You Page #4 I Contra Costa County For Office Use Only Date Received : BOARDS, COMMITTEES, AND COMMISSIONS APPLICATION MAIL OR DEUVER TO : Cortra Ccsta Cwnty a..ERK OF TI-E BOARD 651 Pile street, Rm 100 Martirez, Caifomia 94553-12:)2 PLEASE TYPE OR PRINT IN INK (Each Position Requires a Sep;ir.E Application) BOARD, COMMITTEE OR COMMISSION NAME AND SEAT TITLE YOU ARE APPLYING FOR: Advi sory Council on Aging Member at Large For Reviewers Use Only: Accepted Rejected PRINT EXACT NAME OF BOARD, COMMITTEE, OR COMMISSION PRINT EXACT SEAT NAME (if applicable) 1. Name:Mountford Teri Print Form ------------------------------------------------------------------------~ (Last Name) (First Name) 2 . Address: 155 M idhill Rd ., Martinez (No.) (Street) 3. Phones: (925) 372-7846 (Home No.) (Work No.) 4. Email Address: mountfd@sbcglobal.net (Apt.) California (State) (9250 405-2811 (Cell No.) 5 . EDUCATION: Check appropriate box if you possess one of the following : (Middle Name) 94553 (Zip Code) High School Diploma IE) G .E.D. CertificateD California High School Proficiency Certificate D G ive Highest Grade or Educational Level Achieved, __________________________ _ Names of colleges I universities Degree Degree Date Course of Study I Major Units Completed Degree attended Awarded Type Awarded Semester Quarter A) CSU , Fresno Therapeutic Recreation Yes No~ ).><{ BS 12/77 B) Yes No C) Yes No D) Other schools I training Course Studied Hours Completed Certificate Awarded : comgleted : Certifie Therapeutic Rec. Theraii Yes Nom THIS FORM IS A PUBLIC DOCUMENT Page #5 I 6. PLEASE FILL OUT THE FOLLOWING SECTION COMPLETELY . List experience that relates to the qualifications needed to serve on the local appointive body. Begin with your most recent experience. A resume or other supporting documentation may be attached but it may not be used as a substitute for completing this section. A) Dates (Month , Day , Year) Title Duties Performed From To Managed Senior Services , 2/02 9/14 Program Manager Therapeutic Recreation and Teen Programs. Duties induded hiring , Emglo~er's Name and Address training , supervising and evaluation Total : Yrs . Mos . City of a Ramon Parks and of staff and volunteers ; budget Community Services Dept. 12 years 6 months 2226 Camino Ramon , San Ramon , preparation and management; CA . 94583 programm ing ; commun ity outreach , Hrs . per week~ . Volunteer [] social services ; evaluating services and facility management. Oversite of San Ramon Senior Advisory Com B) Dates (Month , Day , Year) Title Duties Performed From To Supervised the Therapeutic 1/02 Recreation Supervisor Recreation Program for persons 6/84 with developmental disabilities ages Employer's Name and Address 5-adult, Tiny Tot Programs , Total : Yrs . Mos . City of Anaheim Volunteer Program and one 200 S. Anaheim Blvd . Community Center. Respons ible for 17 years 1 month Anaheim , CA 92805 programm ing , hiring, training and Hrs. per week~ . Volunteer [] evaluating staff and volunteers , budgeting , community outreach , social services . C) Dates (Month , Day , Year) Title Duties Performed From To Employer's Name and Address Total : Yrs . Mos . Hrs . per week __ . Volunteer Cl D) Dates (Month , Day , Year) T itle Duties Performed From To Employer's Name and Address Total : Yrs. Mos . Hrs . per week __ . Volunteer [J THIS FORM IS A PUBLIC DOCUMENT Page #6 I ' 7. How did you learn about this vacancy? DCCC Home page 0 Walk-ln Q Newspaper Advertisement C) District Supervisor []Other Through my job. 8 . Do you have a Familial or Financial Relationship with a member of the Board of Supervisors? (Please see Board Resolution no. 2011/55, attached): No _lEI_ Yes_o_ If Yes, please identify the nature of the relationship : ------------------ I CERTIFY that the statements made by me in this application are true , complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge and understand that all information in this application is publically accessible. I understand and agree that misstatements I omissions of material fact may cause forfeiture of my rights to serve on a Board, Committee, or Commission in Contra Costa County. Important Information 1. This~ is a p.Jllic doarnentand is SLbject to the Califooia Pullic Recads Ad (CA Gov. Code §6250-6270). 2 . Send the canpeted ~application to the Office ctthe ClerK of the 8oad at: 651 Pine Street, Room 106, Martinez, CA 94563. 3. A resune or dher relevcnt information may be submitted with this application. 4. All members ere req.Jired to take the follcming training: 1) The BroNn Ad, 2) The Better Goverrmert Ordincnce , a1d 3) Ettics Trailing . 5. Members ct bocrds , canmissions, a1d canmittees may be reqUred to: 1) file a Statement ct Eooromic Interest Foon aso knoNn as a Foon 700, a1d 2) canpete the State Ethics Training Cou'se as required by AB 1234. 6. AdV.say txx:ly meetings may be held in vaious locatia1s and some locations may nd: be accessible by pullic 1ra1sportati<n 7. Meeting dates and times Cl'e &.qed to cha1ge a1d may oc:ar ~to two days per mooth. 8. Sane boa"ds, canmittees , a canmissia'ls may assig1 members to slixxxnmittees awak gtl.4)S which may reqlire en a::lcfitia1al canmitrnent of time . THIS FORM IS A PUBLIC DOCUMENT Page #7   Page #8 FAMILY AND HUMAN SERVICES COMMITTEE 4. Meeting Date:05/11/2015   Subject:Appointments to the Contra Costa Commission for Women Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,  Department:County Administrator Referral No.: N/A   Referral Name: Appointments to Advisory Bodies  Presenter: Contact: Dorothy Sansoe, 925-335-1009 Referral History: On December 6, 2011 the Board of Supervisors adopted Resolution No. 2011/497 adopting policy governing appointments to boards, committees, and commissions that are advisory to the Board of Supervisors. Included in this resolution was the requirement that applications for at large/countywide seats be reviewed by a Board of Supervisors sub-committee. Referral Update: The Chair of the Contra Costa Commission on Women has submitted the attached request for appointments to seats on the Commission. The Commission reviewed the application and interviewed the candidate and recommends the appointment.. Recommendation(s)/Next Step(s): RECOMMEND the Board of Supervisors appoint Liliana Gonzalez to the Member at Large Seat #19 on the Contra Costa Commission for Women. Fiscal Impact (if any): No fiscal impact from this appointment. Attachments Gonzalez Application Page #9 Page #10 Page #11 Page #12 Page #13 Page #14 Page #15 Page #16 FAMILY AND HUMAN SERVICES COMMITTEE 5. Meeting Date:05/11/2015   Subject:SNAP (Food Stamps) Program Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,  Department:County Administrator Referral No.: 103   Referral Name: SNAP (Food Stamps) Program  Presenter: Rebecca Darnell Contact: Dorothy Sansoe, 925-335-1009 Referral History: The SNAP Program was originally referred to the Family and Human Services Committee by the Board or Supervisors on February 15, 2011. This program was formerly known as Food Stamps and is the Federal Supplemental Nutrition Assistance Program (SNAP). In California, the name of the program is CalFresh. Referral Update: Please see the attached report from the Employment and Human Services Department. Recommendation(s)/Next Step(s): Accept report and forward to the Board of Supervisors for their information Fiscal Impact (if any): No fiscal impact - informational only. Attachments SNAP/CalFresh Report Page #17 Page #18 Page #19 Page #20 Page #21 Page #22 Page #23 Page #24 Page #25 Page #26 Page #27   Page #28 FAMILY AND HUMAN SERVICES COMMITTEE 6. Meeting Date:05/11/2015   Subject:Continuum of Care for the Homeless/Healthcare for the Homeless Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,  Department:County Administrator Referral No.: 5   Referral Name: Continuum of Care for the Homeless/Healthcare for the Homeless  Presenter: Lavonna Martin, Rachael Birch Contact: Dorothy Sansoe, 925-335-1009 Referral History: This referral to the Family and Human Service Committee was originally made by the Board of Supervisors on December 3, 1996. Since that time, the Health Services Department regularly updates the Committee on the services provided to the homeless. Referral Update: Please see the attached reports. Recommendation(s)/Next Step(s): ACCEPT the reports provided on the Continuum of Care Plan for the Homeless and the Healthcare for the Homeless and direct staff to forward the reports to the Board of Supervisors. Fiscal Impact (if any): No fiscal impact, report only. Attachments Continuum of Care for the Homeless Report Health Care for the Homeless PowerPoint Page #29 WILLIAM B. WALKER, M.D. HEALTH SERVICES DIRECTOR CYNTHIA BELON, LCSW BEHAVIORAL HEALTH DIRECTOR CONTRA COSTA BEHAVIORAL HEALTH HOMELESS PROGRAM 1350 Arnold Drive, Ste. 202 Martinez, California 94553-4675 PH 925 313-6124 FAX 925 313-6761 TO: Family and Human Services Committee, Contra Costa County Board of Supervisors FROM: Lavonna Martin, MPH, MPA, Chief, Homeless Services RE: Annual Report on Homeless Continuum of Care DATE: April 30, 2015 RECOMMENDATIONS 1. Accept this report from the Health Services Department; and 2. Forward this report to the Board of Supervisors for acceptance; and, 3. Direct Staff to continue to report on an annual basis to the FHS Committee regarding progress of the effort to end homelessness and the activities of Contra Costa Inter-Jurisdictional Council on Homelessness (Homeless Advisory Board). BACKGROUND In November 2014, the Board approved “Forging Ahead Towards Preventing and Ending Homelessness: An Update to Contra Costa’s 2004 Strategic Plan”, that renewed our 2004 plan with the latest data, best practices, and community feedback and reaffirmed our commitment to the Housing First approach. As such, “Forging Ahead” establishes this guiding principle: “Homelessness is first a housing issue, and necessary supports and services are critical to help people remain housed. Our system must be nimble and flexible enough to respond throught shared responsibility, accountability, and transparency of the community.” The Strategic Plan Update identifies two goals: 1) Decrease the length of time people experience homelessness by focusing on providing Permanent Housing and Services and; 2) Decrease the percentage of people who become homeless by providing Prevention activities. To achieve these goals, three strategies emerged: 1) Implement a coordinated entry/assessment system to streamline access to housing and services while addressing barriers, getting the right resources to the right people at the right time; 2) Use best, promising , and most effective practices to give the consumer the best possible experience through the strategic use of resources; and 3) Develop the most effective platforms to provide access, support advocacy, and connect to the community about homelessness and available resources. The Homeless Program partners with the Homeless Advisory Board and Continuum of Care to develop and carryout an annual action plan that identifies the objectives and benchmarks related to each of the goals and strategies of Forging Ahead. Further, the Homeless Program incorporates the strategic plan goals into its own delivery system of comprehensive services, interim housing and permanent supportive housing as well as contracting with community agencies to provide additional homeless services and housing with the goal of ending homelessness in our community. Attached is a summary of Key Activities and Accomplishments of the Homeless Continuum of Care for fiscal year 13- 14/14-15, as well as the Contra Costa Homeless Continuum of Care Annual Report that provides a summary of program services, outcomes, and consumer demograhics for Fiscal Year 2013-2014. Additionally, information about Contra Costa Zero:2016 Campaign to end veteran homelessness by December 2015 and chronic homelessness by the end of 2016 is included. Page #30 HOMELESS PROGRAMS KEY ACTIVITIES AND ACCOMPLISHMENTS FY 13-14 / 14-15 The Homeless Program, partnered/s with the Homeless Continuum of Care Advisory Board, service providers, and other community stakeholders, to implement the following key activities and achieve the following outcomes. 1. Housing and Services  Forty additional rental assistance vouchers were added to the Continuum of Care. Overall, 1451 homeless consumers obtained permanent housing during FY 13-14.  Work continues towards the development of permanent supportive housing units for homeless individuals and families on the Concord Naval Weapons Station. The Homeless Program, in concert with the Interagency Council on Homelessness, continues to work with the City of Concord to develop a timeline to bring the units on-line. 2. System Design and Delivery  Work is in progress to develop a coordinated assessment system to streamline and coordinate program participant intake, assessment and prioritization for housing. The Contra Costa Homeless Continuum of Care has selected the Vulnerability Index – Service Prioritization Decision Assistance Tool (VI-SPDAT) as the comprehensive and standardized assement tool. Training for all Homeless Service providers was completed 1/15/15. The administration of the VI-SPDAT continuum-wide began February 2015.  The Strategic Plan Update was approved by the County Board of Supervisors November 2014. The updated plan emphasizes that the only solutions to homelessness are permanent housing and homeless prevention services. 3. Outreach/Engagement/Community Awareness  Project Homeless Connect was held in Richmond August 6, 2014. Over 750 participants had access to free services including health care, vision screenings, homeless court, benefits enrollment, and pet vaccinations and also received summer hygiene kits and free transportation to-and-from the event.  The point-in-time count of homeless individuals living on the streets and in shelters was conducted over a three day period in January 2015. Nearly 3,700 individuals were identified as homeless the night of January 27, 2015 in Contra Costa. 4. Funding and Special Initiatives  Successfully competed for HUD McKinney-Vento Homeless Assistance funds which brought more than $10M to Contra Costa homeless service providers.  Contra Costa was selected to join Zero: 2016, a national campaign coordinated by Community Solutions, to end homelessness for veterans by the end of 2015, and all chronically homeless individuals by 2016. Page #31 1 Contra Costa County Homeless Continuum of Care ANNUAL REPORT Fiscal Year 2013-2014 * The Contra Costa CoC is a local planning body that organizes and delivers housing and support services for homeless individuals across the county. * A chronically homeless individual or family has experienced homelessness for a year or longer, or who has experienced at least four episodes of homelessness in the last three years, and has a disability. PROGRAMS AND CONSUMER DEMOGRAPHICS ADULTS SENIORS 34% of consumers are children and youth 2,013 were under 17 years of age 820 were between the ages of 18 and 24 18% of consumers are above 55 years of age 78% had a disabling conditfon 22% were veterans 46% were chronically homeless 48% of consumers are between ages 25 and 54 56% had a disabling conditfon 6% were veterans 36% were chronically homeless* YOUTH 8,409 men, women, and children received shelter, support services, or housing assistance. 23% of homeless households are families. HOMELESSNESS IS FIRST A HOUSING ISSUE Fiscal Year 2013-2014 was a critfcal year for the Contra Costa Interagency Council on Homelessness (CCICH) in addressing issues specific to the homeless populatfon in the County. As a council, we contfnue to reaffirm that homelessness is first a housing issue. This means that rapidly placing homeless individuals and families in healthy and permanent living environments results in greater success in addressing the social, developmental, and physical challenges that attributed to their homelessness in the first place. Over the last fiscal year, we focused on five core strategies: 1. Facilitatfng greater communicatfon across the Contra Costa Contfnuum of Care (CoC)*; 1. Updatfng the Strategic Plan; 2. Seeking insights from consumers and stakeholders; 3. Analyzing programmatfc and outcome data; and, 4. Identffying best practfces to better serve our community. We have already embarked on a great new year and look forward to working collaboratfvely in the months to come. Teri House, Chair Contra Costa Interagency Council on Homelessness For more informatfon email homelessprogram@hsd.cccounty.us. Page #32 2 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% Across the CoC Veterans Chronically homeless Youth 16 - 24 Individuals within families Performance Measure 1: Retentfon rate for those living in Permanent Supportfve Housing 97% of those placed in Permanent Supportfve Housing, retain housing for over a year. COUNTY HEALTH SERVICES UTILIZATION COSTS FOR CONSUMERS USING HOMELESS SERVICES Contra Costa County contfnues to integrate services across Behavioral Health and Primary Health providing a comprehensive array of services and programs for homeless consumers. During FY 2013-2104, CoC consumers utflized over $32 Million in behavioral and primary health services at County facilitfes while also receiving homeless services from CoC providers. Contra Costa County Homelessness Continuum of Care SYSTEM-WIDE MEASURES CONSUMER INSIGHTS The Strategic Plan Update incorporated a significant amount of consumer feedback. Focus groups and interviews were conducted with 58 consumers. Some of their quotes are provided below to share some of the challenges and perspectfves of those we serve. “It’s like a domino effect [into homelessness].” “Once you hit rock bottom like that, it’s so hard to get out of it.” “We’re here for more than one reason.” How long have you been homeless? “It’s been too long.” “I just never pictured myself homeless. No one thinks about it untfl they’re here. Once you’re there, you’re homeless with everyone else in the world.” “The reason I fight it [being labeled homeless] is not from pride, it’s from strategy. The moment someone labels you as homeless, they assume drugs, alcohol, or laziness. There’s not room [under this term] for people who actually work.” PERFORMANCE MEASURES FOR FY 2013-2014 Contra Costa CoC documents success using a variety of measures to identffy service utflizatfon and consumer outcomes across the contfnuum. PRIMARY HEALTH $19,101,083 MENTAL HEALTH $11,598,983 AOD $1,343,320 Performance Measure 2: Recidivism rate back into homelessness once discharged into permanent housing 90% of consumers that obtain permanent housing do not return to our system of care. Recidivism: Percent returning to homelessness after obtaining permanent housing Performance Measure 3: Number of consumers obtaining permanent housing 1,451 consumers obtained permanent housing 72 Chronically homeless families 237 Chronically homeless single adults 142 Veterans 73 Unaccompanied youth and young adults Page #33 3 Contra Costa County Homelessness Continuum of Care 2013-2014 ACTIVITIES PROJECT HOMELESS CONNECT The 10th annual Project Homeless Connect was very successful thanks to the many service agencies, volunteers, and donatfons. Partfcipants had access to free services including health care, vision screenings, homeless court, benefits enrollment, and pet vaccines. They also received summer hygiene kits and free transportatfon to-and-from the event. 639 Adults served 119 Youth served STRATEGIC PLAN UPDATE Updatfng the CoC Strategic Plan required a community-wide effort integratfng feedback from a variety of stakeholders. The updated plan emphasizes that the only solutfons to homelessness are permanent housing and preventfon services . Thus, the CoC established two primary goals: 1) decrease length of time homeless, and 2) decrease the number who become homeless. These goals may be achieved with three core strategies: 1. Utflize Coordinated Assessments to streamline housing and support services and address barriers in obtaining and sustaining housing. 2. Apply Performance Standards that utflize evaluatfon and performance measures to augment best practfces in programming and implementatfon. 3. Develop Communication platiorms that improve access for consumers, supports advocacy, and connects with the larger community about homelessness and resources. Race 38% Black/African American 28% American Indian/Alaska Natfve 20% White 8% Asian/Natfve Hawaiian/Pacific Islander 6% Multfple Races Ethnicity 36% Hispanic/Latfno 54% had substance abuse issues 7% were veterans 38% had mental health issues Gender 51% Female 49% Male 2014 POINT IN TIME COUNT Each year, Contra Costa County’s Contfnuum of Care conducts a Point in Time (PIT) Count to provide an estfmate of the number of homeless individuals and families and their housing needs. PIT counts are required by the United States Department of Housing and Urban Development (HUD) and are important for demonstratfng issues of homelessness in the community and across the country. This year the PIT Count identffied 2,263 sheltered homeless individuals. Strategy 3 Strategy 2 Strategy 1 Permanent Housing and Prevention Page #34 4 Contra Costa County Homeless Continuum of Care FUNDING AND PARTNERS DISTRIBUTION OF FEDERAL FUNDS Federal funds are distributed to homeless service providers across the CoC to run programs and services, develop and administer the Homeless Management Informatfon Systems (HMIS), and facilitate CoC planning and coordinatfon. These federal resources include the Housing and Urban Development CoC funds, Federal Emergency Management Administratfon (FEMA), Community Development Block Grant (CDBG), and the Emergency Solutfons Grant (ESG). PROGRAM HIGHLIGHTS BEHAVIORAL HEALTH HOMELESS PROGRAM Destination Home Meet Douglas, one of the formally chronically homeless individuals served by the newest Permanent Supportfve Housing Program in the CoC. Destfnatfon Home uses a Housing First approach by establishing low-threshold enrollment criteria. Partfcipants in the 12 units receive extensive case management from the County’s Homeless Program staff and are connected with a wide variety of behavioral and primary health services. SHELTER, INC. Supportive Services for Veteran Families (SSVF) Over 665 veteran households have received support through the SSVF program at Shelter, Inc. since its inceptfon is 2012. The SSVF program provides emergency assistance to veterans who are at risk of losing their housing as well as rapid re-housing for veterans who are homeless. Comprehensive case management helps veterans and their families to be stably housed within 90 days of program entry. $10,164,852 Programs and Services $241,500 Planning and Coordination $235,760 HMIS Administration  Berkeley Food and Housing  Bi Bett Corp  East Bay Community Recovery Project  Monument Crisis Center  West Contra Costa Unified School District Contra Costa CoC consists of local service providers that offer an array of programs and services for the homeless community. Together, CoC partners work with consumers to improve their quality of life and sustain permanent housing. 4 Page #35 Homeless is first a housing issue, and it is solvable. There were 122 veterans living on Contra Costa County’s streets in January 2015. Another 483 people were chronically homeless – without housing for years, and struggling with disabilities. With your help we can end veteran and chronic homelessness over the next two years. join the movement Zero: 2016 is a national campaign coordinated by Community Solutions to house all homeless veterans by the end of 2015, and all people who are chronically homeless by 2016. Contra Costa has joined 70 other communities across the U.S., all working to quickly and efficiently reduce the number of veterans and chronically homeless people in need of permanent housing solutions. what zero means Zero means that, on an average night, there will be no veterans or chronically homeless people without housing in our county. We can reach zero by connecting the right people to the right housing, right now. We cannot always prevent people from becoming homeless, but we can build a way to immediately address the need for permanent housing when it arises in our communities. how to make it happen If we concentrate on housing solutions, rather than short-term housing or aid without housing, zero is realistic. Only 3% of permanent supportive housing residents become homeless again in Contra Costa. But we need strategic partners with skills, experience and knowledge of the resources in their own communities to help find permanent housing solutions – people like you. With your help, we can increase local housing opportunities to achieve zero veteran and chronic homelessness in your community. To learn more, visit cchomelesscouncil.org. Contra Costa Council on Homelessness Multi-Faith ACTION Coalition Richmond Community Foundation Shelter, Inc. Contra Costa Health Services Housing Authority of Contra Costa County U.S. Department of Veterans Affairs Contra Costa County Probation Department Martinez Police Department PARTNERS Page #36 I pledge to join the Contra Costa Zero: 2016 campaign, and to do my part to end veteran homelessness in my community by December 2015, and chronic homelessness by December 2016. I commit to working with the campaign and encouraging others to do so, lending my experience, knowledge and expertise about the resources within my own community that could be used to find permanent housing solutions. Additionally, I will work regionally with the Contra Costa Zero: 2016 campaign to further our goals. I understand that homelessness affects every community in Contra Costa County, and that as community members, we all have a role in finding permanent housing solutions for residents in need. By supporting the Zero: 2016 campaign, I also endorse a Housing First model for Contra Costa County. Using this approach provides people experiencing homelessness with housing as quickly as possible with few barriers, and then providing services as needed. By focusing on housing opportunities and helping to build strategic partnerships, I believe that we can quickly provide homes to all of the homeless veterans and chronically homeless people in our county, and provide the services they need to remain housed. I agree to help build a system that meets the housing need in Contra Costa County, and specifically within my own city and community. Signed on this day, Name Title Organization pledgeForm Date Contra Costa Council on Homelessness Multi-Faith ACTION Coalition Richmond Community Foundation Shelter, Inc. Contra Costa Health Services Housing Authority of Contra Costa County U.S. Department of Veterans Affairs Contra Costa County Probation Department Martinez Police Department PARTNERS Page #37 HEALTH CARE FOR THE HOMELESS (HCH) CONTRA COSTA HEALTH SERVICES MAY 11 TH , 2015 PRESENTATION TO THE FAMILY & HUMAN SERVICES COMMITTEE CONTRA COSTA COUNTY BOARD OF SUPERVISORS Page #38 WHO QUALIFIES AS “HOMELESS?” •All homeless people in Contra Costa County •Lacking a fixed, regular, adequate nighttime residence •Primary nighttime residence in a shelter, welfare hotel, transitional housing or street •“Doubled-up” without name o n a lease, couch surfing, etc. Page #39 FUNDING FOR HCH SERVICES •Section 330(h) Public Health Services Act Health Care for the Homeless grant from the Federal Government (BPHC/HRSA) – approx. $2M per year. Page #40 NUMBER OF PATIENTS IN 2014 All homeless patients served by CCHS in 2014 •21,397 unduplicated homeless patients •121,046 visits Page #41 HOW UTILIZATION IS GROWING OVER TIME: •2013 vs. 2014: •2.5% increase in homeless patients •Living Situation •Increase in Doubled Up and Sheltered population. Page #42 HCH SERVICES •Primary & Urgent Health Care •Dental Care •Behavioral Health Services (Substance Abuse and Mental Health Counseling and treatment) •Eligibility Assistance (Medi-cal/CC enroll ment) •Linkages to care – Specialty Services, establishing a medical home/PCP •Life Skills/Group Classes •Respite Care •Outreach Services Page #43 HCH AMBULATORY CARE CLINICS •Operate specialized homeless clinics: •West County Health Center •Antioch Health Center •Concord Respite Center •Concord Health Center 2 •Miller Wellness Center •System-wide the HCH program has priority access to schedule appointments and assign PCPs. •Helping patients transition to mainstream health system •Bypassing waiting times for appointments •Reduce barriers to getting care Page #44 HCH MEDICAL RESPITE Page #45 PATIENT DEMOGRAPHICS 2014 •46% Male •54% Female •11.4% Uninsured (16.7% in 2013) •71.7% Medi-Cal (63% in 2013) •2% Veterans •22.5% Best served in language other than English Page #46 RACE/ETHNICITY IN 2014 Race CCHS County White*31.2% 46.3% Latino/Hispanic*30.2% 24.9% Black/African American* 18% 9.6% Asian/Pacific Islander 12.3% 15.9% American Indian/Alaskan Native .7% 1.0% Unknown/Unreported/Multi 7.6% 2.3% * Disproportionate homeless Page #47 WHERE ARE PATIENTS BEING SERVED? District 2012 2013 2014 I 22% 20.6% 24.6% II 2.6% 2.8% 2.4% III 34.8% 40.5% 36.2% IV 21% 19.9% 19.5% V 12.6% 10.4% 10.9% Other 7% 5.8% 6.4% Page #48 STRONG CONSUMER INVOLVEMENT Consumer Advisory Board •Pro-bono dental services for homeless clients Page #49 CONSUMER INPUT •Expanding HCH Education Program •Dental Care Education presentations •Diabetes, Hypertension and Medication Education Page #50 CHANGES & UPDATES •HCH received a HRSA grant in Sept 2014 to expand medical and dental capacity. •Respite Dental Clinic with Dentist and RDA •Hired a new Nurse Practitioner for medical services •New Staff: •Medical Director – Joe Mega, MPH, MD •Mike Myette – LCSW (Behavioral Health Services) •Mickey Ryan, RN – Clinical Nurse •HCH continues to operate an Outreach and Enrollment program •2 Enrollment Counselors Page #51