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HomeMy WebLinkAboutMINUTES - 06061995 - SD1 TO: BOARD OF SUPERVISORS F&HS-01 Contra FROM: FAMILY AND HUMAN SERVICES COMMITTEE Costa •�� �_ jt • `�. 1< May 22, 1995 County rr DATE: r+'Co SUBJECT: STATUS REPORT ON THE HOMELESS SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1. RECEIVE presentation by staff on Section 8 housing certificates. 2. REVIEW and APPROVE the criteria for the awarding of Section 8 housing certificates (see attached) . 3. DIRECT the Health Services Director to provide the Family and Human Services Committee with a description of the kinds of individuals and families who have received Section 8 certificates in the past, why some individuals and families were selected for Section 8 certificates and why other individuals and families were not selected for Section 8 certificates. 4. DIRECT the Health Services Director to adopt a policy requiring that within a time certain (number of days) after a meeting with the homeless ombudsman a written report will be made back to the client and any advocate the client designates. 5. ADD to the proposed Mission Statement for the Ad Hoc Task Force on the Homeless the following: • Develop a system that will decrease the amount of homelessness in our County with goals and measurable outcomes arrived at by the Task Force. 6. With the above addition, APPROVE the Mission Statement for the Ad Hoc Task Force on the Homeless, as attached. 7. REQUEST that Dr. Wendel Brunner make a presentation to the Contra Costa Mayors' Conference in July on the homeless. i CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD C M TT _APPROVE OTHER SIGNATURE(S): MARK DPSAULNTER JE ACTION OF BOARD ON June 9, 1995 APP VED AS RECOMMENDED iX OTHER Following comments from Susan Prather, P. O. Box 681, EI Cerrito 94530, on the plight of two families in their attempts to obtain housing; and all persons desiring to speak having been heard, the Board APPROVED the recommendations set forth above. Further the Board REQUESTED the Family and Human Services Committee to establish a policy for the two families who had "fallen through the cracks" in the change of policies relative to obtaining housing. VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON.THE DATE SHOWN. ATTESTED June 6, 1995 Contact: PHIL BATCHELOR,CLERK OF THE BOARD OF cc: See Page 2 SUPERVISORS AND COUNTY ADMINISTRATOR BY DEPUTY F&HS-01 8. DIRECT the Health Services Director to form the Ad Hoc Task Force, based on past direction from the Board of Supervisors, and have the Homeless Ombudsman, Duane Chapman, present at the next meeting of the Family and Human Services Committee when this subject is considered. 9. DIRECT the Health Services Director to report back to the Family and Human Services Committee on August 14, 1995 on the following: ✓ The status of meetings of the Ad Hoc Task Force on the Homeless. ✓ The status of the preparation of the Comprehensive Plan for Services for the Homeless in Contra Costa County. ✓ The status of funding for homeless programs in the County. ✓ An update on the work of the Homeless Ombudsman with homeless clients. ✓ The status of the contract for operation of the homeless shelters in the County. BACKGROUND: On May 2, 1995, the Board of Supervisors approved a report from our Committee which asked for several additional pieces of information to be provided to our Committee on May 22, 1995. On May 22, 1995 our Committee met with Dr. Wendel Brunner, Public Health Director; Brenda Blasingame, Homeless Services Program Manager; Del Price from the Housing Authority; Pat Pinkston from the Housing Authority; and Susan Prather, member of the Homeless Advisory Committee. Dr. Brunner reviewed the attached report with our Committee. We discussed at some length the Section 8 Program, how it is administered, how the very few certificates are issued to those considered eligible for them, and how we can try to insure that no favoritism is shown in the issuance of the Section 8 certificates. We felt that this was important enough that we have asked staff to be prepared to make a brief presentation to the Board on the Section 8 Program. We have also asked staff to prepare some written criteria which would determine which individuals and families are eligible to receive Section 8 certificates, recognizing that only a small fraction of eligaible individuals and families will be able to actually receive these certificates because the supply is so small. We think that it is important that the Board of Supervisors approve these criteria. We have also made one addition to the Mission Statement for the Ad Hoc Task Force on the Homeless and, with that addition, are recommending that the Board of Supervisors approve the Mission Statement. We are also asking Dr. Brunner to make a presentation to the Mayors' Conference in July in order to make sure the cities are aware of the need for their cooperation and involvement in trying to adequately address the issues involving the homeless in this County. We have also identified several subjects on which we think we need to have a progress report later this summer. cc: County Administrator Health Services Director Public Health Director Substance Abuse Program Director Executive Director, Housing Authority Acting Social Service Director Sara Hoffman, Senior Deputy County Administrator 2 MISSION STATEMENT for the AD HOC TASK FORCE ON THE HOMELESS IN CONTRA COSTA COUNTY Identify the scope of the homeless problem and monitor the number of homeless, their age and family status and particular problems, including health issues, substance abuse, mental health and family support needs. Develop and maintain an inventory of support services for homeless persons in Contra Costa County available through government, community-based and private charitable organizations. Develop a comprehensive plan for the continuum of homeless services in Contra Costa County. Identify priorities for homeless services in Contra Costa County which can be used as specific targets for funding opportunities. Provide effective advocacy for homeless services, and for the rights and dignity of homeless persons in our County. • Promote collaboration among agencies and organizations to better meet the needs of the homeless. Develop a system that will decrease the amount of homelessness in our County with goals and measurable outcomes arrived at by the Task Force. TO BE CONSIDERED FOR APPROVAL BY THE CONTRA COSTA COUNTY BOARD OF SUPERVISORS - June 6, 1995 CRITERIA FOR SECTION 8 ELIGIBILITY 1. The client and Case Manager must establish which category client is in: ✓ Low income single ✓ Low income family ✓ Single. person on SSI or SSDI 2. The client must be a current resident at the shelter and have at least 15 days of shelter stay from the time of the Section 8 recommendation presentation. All persons who want to be considered must have a complete packet turned in to their Case Manager by 5:00 P.M., the first Wednesday of the month in which selection will take place. Presentations are made to the Homeless Project Team on the second Wednesday of June 1995, August 1995, October 1995, December 1995, February 1996, and April 1996. 3. Clients who have a pre-existing history of substance abuse issues must have 5-6 months sobriety verified in writing by successful completion of a residential rehabilitation program with ongoing follow-up in day treatment, STEP meetings, sponsor meetings and counseling. The verification of sobriety can be through a residential or day treatment program. If the client is on probation/parole with a drug-testing requirement, the client must have 6 months of verified "clean" tests. 4. The client must demonstrate the ability to make the necessary deposits that are consistent with obtaining the housing the client is pursuing. The client will need to provide a recent (within the last 15 days) verification of income. The client will need to show the completion of two budgets: A. (internal) How money is spent while a resident at the shelter. B. (external, on the form provided) How money will be budgeted when living on own including a list of anticipated recurring monthly expenses. 5. The client will need two current pieces of identification for himself or herself and all members of his or her family, i.e., birth certificates and/or CCHP or medical health plan cards and/or Social Security card and/or California identification and/or military identification card. 6. The client must provide two written character references. However, these letters cannot be from the shelter or the transitional program employees or residents. These character references must include: ✓ How long the individual has known the client. ✓ What the individual's interaction with the client has been to date. ✓ Whether this relationship will be on-going when the client is in housing. 7. The client must provide at least one credit reference such as a previous landlord, PG&E, Pacific Bell, current landlord (if in the transitional program), physician/dentist to whom the client pays for services or a share of costs, or insurance company. 8. The client must provide verification that utility debts are paid off on any utility that a client will need to start up the household, such as PG&E, or work out a payment plan while at the shelter or the transitional program. Client must not have a past eviction from public or subsidized housing. 9. The client must provide a written statement, indicating from his or her perspective, the steps the client has taken to address his or her issues of homelessness and the steps the client has taken to achieve stable housing in the community during the client's stay in the shelter. 10. The client must show a basic understanding of the following: A. The public transit system, i.e., possession of a bus pass (unless the client owns private transportation). B. Housekeeping tasks such as cleaning laundry and cooking. C. Community resources available to the client. 11. The client must provide written verification of Contra Costa County residencerp for to entering the shelter/transitional program. 12. To qualify for a recommendation for a homeless project Section 8, if the client is eligible for other programs, the client must first or simultaneously apply to those programs as part of an alternative plan for housing. In addition, the client must develop a detailed, written alternative housing plan for use in the event that the client does not receive a Section 8 certificate. 13. Preference will be given to clients who have not received a Section 8 certificate in the past. 14. Decisions made by the Homeless Project Team may be appealed. The appeal process is in place. Appeal of the recommendation for a Section 8 certificate must be made in writing within 14 days from the presentation date. Written appeal requests should state the grounds on which the client is appealing. 15. If the client does not receive a Section 8 certificate recommendation, the client may request that his or her completed application be held and considered in the next selection round as long as the client will be a resident of the emergency shelter or transitional program at that time. Mail to: Homeless Project/Section 8 Recommendations 597 Center Street, Suite 375 Martinez, CA 94553 c � S w , S _L Contra Costa County � • Health Services ces Department j PUBLIC HEALTH DIVISION ,s Administrative Offices k� 597 Center Avenue Suite 200 - G Martinez, California 94553 ST`S`COUI`Z (510)313-6712 TO: Family & Human Services Committee Supervisor Jeff Smith, District 3 Supervisor Mark DeSaulnier, District 4 FROM: Wendel Brunner, M.D. Assistant Health Services Director for Public Health DATE: May 19, 1995 SUBJECT: STATUS REPORT TO THE FAMILY & HUMAN SERVICES COMMITTEE REGARDING THE HOMELESS This report on the status of homeless programs is to respond to the points 1 - 9 of the Family and Human Services Committee report of April 24, 1995; directed to the Health Services Department. Ad Hoc Task Force on Homelessness - Points 1, 3, and 4 Points 1, 3, and 4 relate to the organization of the Ad Hoc Task Force on the Homeless established by the Board of Supervisors on November 8, 1994. The Health Services Department has written to the groups entitled to a seat on the Ad Hoc Task Force inviting them to nominate their representatives to that committee. In particular we have written to the Interfaith Coalition about the Task Force and to the mayors of Richmond and Concord to invite participation. The purpose of the Ad Hoc Task Force would be to identify the scope of the homeless problem, develop and maintain an inventory of support services, develop a comprehensive plan for the continuum of homeless services, identify priorities, provide advocacy, and promote collaboration between agencies. A draft mission statement is attached as Attachment 1. We were also directed by the IO Committee to attempt to have the Homeless Planner on board in 30 days, if possible. We are currently interviewing several candidates with planning and homeless experience, and hope to have a person working with us shortly. Section 8 Housing Voucher Program - Point 2 Attachment 2 is a paper describing the Section 8 housing voucher program prepared by Del Price who is in charge of the Section 8 Program for the Housing Authority. Section 8 is a Department of Housing and Urban Development funded program to subsidize housing for low income Family & Human Services Committee Page 2 Supervisors Smith & DeSaulnier May 19, 1995 families. The Section 8 Program is not an entitlement program; there are currently 4800 persons in Contra Costa.on the waiting list for Section 8 vouchers. Some of these families have been waiting since 1987. Presently the Housing Authority administers approximately 5500 Section 8. contracts. Some Section 8 vouchers are specifically set aside to serve the homeless in collaboration with organizational partners. The Health Services Department's Home Team received and distributed 50 vouchers over the last several years to the emergency. shelters and transitional housing programs. The last vouchers were distributed in October, although one individual was given a voucher in December based on an appeal of a previous denial. Given the shortage of affordable housing in Contra Costa and the long waiting list for Section 8 vouchers, these homeless Section 8 vouchers are a much sought-after assistance. The number of vouchers does not nearly meet the need of the eligible homeless population, and the criteria for assigning vouchers was criticized as allowing for abuse and favoritism. When a new set of vouchers becameavailable around December, the Home Team developed a new set of criteria for distribution, which was also .reviewed and approved by the Housing Authority as required to meet HUD regulations. The new criteria were issued May 8, and clarified May 15 in response to community input, particularly from Contra Costa Legal Services (see Attachment 3). These criteria outlined a more objective mechanism for distributing the. 43 vouchers that had been made available (27 for,the shelters. and 16 for the transitional houses). Last week five additional vouchers became available to the Health Services Department from the Housing Authority, and will be incorporated into a revised distribution schedule. The Section 8 criteria are designed to ensure that all applicants meet HUD requirements and have a reasonable chance. to be successful in the Section 8 program, which provides no case management or support services. Within this eligibility pool, the available,vouchers will be distributed by drawings throughout the year,.thus ensuring all eligible homeless services clients have an equal opportunity for this benefit. A hearing procedure is in place in the Health Services Department, as required, which involves the Director of Homeless Services, and an appeal possible to the Assistant Health Services Director for Public Health. Ombudsperson - Point 7 Duane Chapman, who is well known in the community for his work with the homeless, has been appointed Ombudsperson for Contra Costa County homeless services clients. Duane will assist clients in conflicts with the bureaucracy and advocate for the rights and needs of homeless persons in our system. Attachment 4 is the announcement of Duane's appointment, which has .. been distributed to homeless programs throughout the county. Duane can be accessed directly. by homeless clients through his telephone and voicemail number, which is included on the poster. Family & Human Services Committee Page 3 Supervisors Smith & DeSaulnier May 19, 1995 1 Budget for Homeless Programs - Point 6 f Included in Attachment 5 is a tentative FY 95/96 budget for the Concord and Brookside Shelter Programs and associated support staff. This budget does not include funding for the Homeless Services Director and the Homeless Planner. The total budget for the shelIter programs is $1,156,000 for the fiscal year. Some of the indicated revenue services, though they have materialized over the last several years, are not guaranteed and depend on grant funding. We will be implementing a more complete analysis of the current fiscal year's funding and expenditures, when final accounting is completed at the Housing Authority. We understand the importance of carefully monitoring revenues and expenses, and to provide as long-range planning as possible. The budget reflects the requested "most likely scenario," but certainly does not imply guaranteed funding sources. Length of Shelter Sta - Point 8 i h Attachment 6 is provided by Pat Pinkston and is an analysis of the length of stay and outcome from the transitional programs and case managed shelters. The current length of stay at the Emergency Shelter Programs in Richmond and Concord are either 90 or 180 days during the two year period. A longer shelter stay would provide additional opportunities for clients to prepare for more successful transitional or permanent housing. A shorter stay limit facilitates serving an increased number of the needy homeless clients in the county. There are 'advantages and disadvantages of each option, and we have heard advocacy for changes in both directions. Attachment 7, prepared by Brenda Blasingame, outlines the conditions under which extensions of stay are generally granted. That paper also outlines some of the options for changes that could be considered. We are currently recommending no change in the shelter time limits. We would like to present this issue for further discussion and input with the Ad Hoc Task Force on the Homeless that is being developed. At that time, decisions on shelter stays, emergency shelter beds, and other issues could be put in the context of the continuum of services identified by the Task Force, coordination with existing services, and the priorities for change or development that would be identified by that body. Executive Summary of Homeless Services Plans - Point 5 'I This Executive Summary of Homeless Services Plans is being prepared by Pat P fnkston and will be available to the committee for distribution on Monday. WB:ah i Attachments I cc: Mark Finucane , i Draft Mission Statement ATTACHMENT 1 for Ad-Hoc Task Force on Homeless in Contra Costa f • Identify scope of the homeless problem and monitor the number of homeless, their age and family status and particular problems including health issues, substance abuse, mental health and family support needs. I • Develop and maintain an inventory of support services for homeless persons in Contra Costa available through government, and community based and charitable organizations. • Develop a comprehensive plan for the continuum of homeless services in Contra Costa. I • Identify priorities for homeless services in Contra Costa, which can be used as specific targets for funding opportunities. i • Provide effective advocacy for homeless services, and for the rights land dignity of homeless persons in our county. 1 • Promote collaboration between agencies and organizations to better meet the needs of the homeless. t i r i i r I I i r ATTACHMENT 2 I I Section 8 CertificateNo,ucher Program Set Aside For Homeless Individuals and Families I I Section 8 As A Resource For the Homeless In recognition of homelessness as a serious national concern, the Department of Housing and Urban Development(HUD) in recent years has encouraged Housing Authorities, in partnership with local jurisdictions,to set aside or specifically target Section 8certificates i for homeless individuals and families. I I i The intent of the Section 8 program,which was developed during the 1970's, is to more effectively privatize the use of federal housing resources by having the private sector involved in housing low income families. The underlying assumption is that there is i sufficient privately owned housing that could be occupied if subsidies were available. i The certificate program, unlike other federal programs such asAFDC and Social Security, is not an entitlement program. Certificates are available only to the extent that I they are allocated to individual Housing Authorities who compete nationwide for the allocations. Thus the Housing Authority is a conduit to the privately owned market for I families eligible to receive assistance. Currently the Housing Authority administers approximately 5,500 Section 8 contracts. Homeless Assistance Program i I In order to assist HUD in the goal of reaching homeless individuals and families, the i Housing Authority of Contra Costa County has implemented a Homeless Assistance Program. The program is a two-tiered system which begins with the Housing Authority applying for federal funds specifically targeted for homeless individuals and families. I The second tier involves the allocation of certificates to local partners who then'use their own criteria to make recommendations to the Housing Authority on who should be I i i considered for Section 8 assistance. Persons who are not recommended may.appeal the decision to the local partner in accordance with that agency's own due process criteria. Upon receipt of the recommendations from the local agencies, but prior to the issuance of any certificate, the Housing Authority must determine that the individual or family recommended for Section 8 assistance meets HUD's eligibility requirements. According to eligibility regulations'established by the Department of Housing and Urban Development(HUD), applicants must: (1) .qualify as a"family" (this definition includes single individuals) (2) be income eligible and (3) provide accurate social security numbers for all members'of the household who are at least six years of age or certify that they do not have social security cards. In addition to determining eligibility the Housing Authority may deny assistance to an applicant under the Section 8.Program if the applicant: • Currently owes rent or other amounts to the Housing Authority or another public housing authority in connection with Section 8 or public housing assistance. However, if the applicant pays the amount owed in full by the time they reach the top of the waiting list, the Housing Authority will consider the applicant to be eligible for assistance. • As a previous participant in the Section 8 Program, has not reimbursed the Housing authority or another public housing authority for any amounts paid to an Owner under a HAP contract for rent or other amounts owed by the family under its lease, of for a vacated unit However, if the applicant pays the amount owed, the Housing Authority will consider the applicant to be eligible for assistance. • Has engaged in drug-related or violent criminal activity as defined by this manual. 2 • Breaches a repayment agreement with the Housing Authority. • Has committed fraud in connection with any Federal housing program. • Has failed to comply with the requirements under the family's contract of participation in the Family Self-Sufficiency program. • Does not sign and submit consent forms (and have all household members sign and consent) as required by HUD regulations. If the applicant is denied a Certificate by the Authority they will be given prompt written notice of the decision to deny assistance. Applicants who are denied Section 8 assistance by the Housing Authority are given an opportunity for an informal review in accordance with HUD requirements. This two-tiered approach means the Housing Authority continues to handle the Section 8 program administration while the Health Services Department and other local partners provide support services and make recommendations to the Housing Authority based upon their own individual criteria. The organizational partners in this two-tiered system have included the County's Health Department Home Team which receives 66 certificates for Shelters in Concord, and Richmond and a separate allocation for Mt. View House -27, Volunteers of America-12, Battered Women's Alternatives - 37, Pittsburg Family Shelter- 30 and Rubicon- 27. All together, the partners have received 209 certificates and vouchers, 199 of which are recyclable. These certificates and vouchers have no "expiration", however, their availability is contingent upon continued HUD appropriation. Those 199 that"revolve", 3 can be recycled and distributed to someone new if the initial recipient no longer needs or uses the assistance. Shelter Plus Care In addition to the existing pool of certificates targeted for the Homeless Assistance Program, the Housing Authority in conjunction with Health Services Department,and over thirty local service providers is also implementing a Shelter+ Care program involving approximately 172 certificates These certificates are tied to a mandate by HUD that the local jurisdiction provide recipients with support services which equal or exceed the value of the Section 8 subsidies. These services are provided by a variety of local community-based organizations and appropriate county departments. The Housing Authority hired a coordinator for this program May 1, 1995 and is currently in the initial stages of coordination and implementation. 4 ATTACHMENT 3 :r RAk ClUSTAi, CUUNS]IFY IFi ®N UFLUSS, IV IU ®J61E CIF� x � F" 597 CENTER AVENUE, SUITE 375 MARTINEZ, CALIFORNIA 94553 (510) 313-6166 MEMORANDUM TO: ALL SECTION 8 APPLICANTS FROM: BRENDA BLASINGAME, HOMELESS PROGRAM SERVICES DIRECTOR" DATE: MAY,. 15, 1995 RE: SECTION 8 CRITERIA . The following information is to clarify some of the specific criteria for Section 8: Criteria #3: The sobriety requirement is for people who have a pre-existing history of substance abuse issues. The verification of sobriety can be through a residential or day treatment program. Criteria #4: Instead of showing a current history of saving money, the client must show the ability to make the necessary deposits that are consistent with obtaining the housing they are . pursuing. The client will still need to meet the income verification and budget requirements. Criteria #8: Change to the following: Client must provide verification that utility debts are paid off on any utility that a client will need to start up the household, such as PG&E, or work out,a payment plan while at the shelter or the transitional program. Client must not have an a past eviction from public or subsidized housing. Criteria#11: The 6 month period of time is removed but you still must provide verification as stated. '-` :>< <>::;. fes` i::88i"i%:i ...... .&^w.i: tSffi EE:.. 1'G&'i Y SPONSORED BY THE HOUSING AUTHORITY OF THE CONTRA COSTA COUNTY, THE CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT AND THE CONTRA COSTA COMMUNITY SERVICES DEPARTMENT e 597 CENTER AVENUE, SUITE 375 UAC MARTINEZ. CALIFORNIA 94553 (510) 313-6166 TO: All Emergency Shelter and Transitional Program Residents FROM: Brenda Blasingame, Homeless Program Services Director Sue Crosby, PHN, MBA Homeless Project Field Coordinator RE: Section 8 Certificates New Criteria for Homeless Project Recommendation DATE: May. 8, 1995 -�.>c=�>i-=c=£=c>i>c>c>c>'c>c>E>c:c>c='s:t'�>F>cTyr=s>'r�>`c�k'>c h'�>'r Yc>E ac'>'c h'-"r�>��`c X->`r>f'Nk'•Yc>G">i->f�E h'">F Yc��i^�E�E Yc�F>3-k'�Q-�>c Yr>'c>i-=�>c>c k'%>'c>iK=r>'i>c Attached is the Homeless Project Section 8 recommendation criteria approved by the Housing Authority. Section 8 is an independent living situation which will NOT,provide any on-going support services. There are not enough-Section 8 Certificates available for all those that meet the criteria or have need. Therefore, you must go through the criteria, gather the required information and present your completed packet to your case manager. The packet will be reviewed by the case manager to confirm its completion. If the packet is incomplete, it*will be returned to you with a,checklist stating the items that are missing. Once your packet is complete, we will schedule the presentation of your packet to the Homeless Project Team. 1) I have received a Section 8 criteria packet, pages numbering I thru 6 from my case manager. Applicant Signature Date Case Manager Signature Date 2) I understand residence at one of the above shelters or transitional programs and successful completion of the criteria outlined in the Section 8 criteria packet does NOT guarantee receipt of a Section 8 certificate. Applicant Signature Date 3) I understand application to Section 8 does NOT preclude pursuit of alternative options for housing. Furthermore, I understand I am responsible for continuing to pursue those options. Applicant Signature Date (APPLICANT COPY) Page 1 SS SPONSORED 3Y THE HOUSING AUTHORITY OE THE CONTRA COSTA COUNTY. THF (-.ntJTRA (.ngTa (-.(1I tt\ITY WIZ-hi Tt-t C RtJI( FS nFPARTNAFN)T ARir)TWP r(1NITP6 ((1CTA f GHANAI INI ITV CFIi111 FC rIFPARTNAI~NIT f� AL 1CICS1FIr CICS11FA 'CI®lUr1 ��' 111�� .1 ! I �� IPI�I�JI UCIF �;Wk­�-�;"- gf ilq 597 CENTER AVENUE, SUITE 375 MARTINEZ, CALIFORNIA 9'55 v (510) 313- 166 TO: All Emergency Shelter and Transitionali Program Residents FROM: Brenda Blasingame, Homeless Program Services Director Sue Crosby, PHN, MBA Homeless Project Field Coordinator RE: Section 8 Certificates ' New Criteria for Homeless Project Recommendation DATE: May 8, 199.5 Attached is the Homeless Project Section 8 recommendation criteria approved by the Housing Authority. Section 8 is an independent living situation which will NOT provide any on-going support services. There are not enough Section 8 Certificates available for all those that meet the criteria or have need. Therefore,.you must go-through the criteria, gather the required information and present your completed packet to your case manager. The packet will be reviewed by the case manager to confirm its completion. If the packet is incomplete, it will be returned to you with a checklist stating the items that are missing. Once your packet is complete; we will schedule the presentation of your packet to the Homeless Project Team. 1) I have received a Section 8 criteria packet, pages numbering 1 thru 6 from my case manager. Applicant Signature Date Case Manager Signature Date 2) 1 understand residence at one of the above shelters or transitional programs and successful completion of the criteria outlined in the Section 8 criteria packet does NOT guarantee receipt of a Section 8 certificate. Applicant Signature Date 3) I understand application to Section 8 does NOT preclude pursuit of alternative options for housing. Furthermore, I understand I am responsible for continuing to pursue those options.. Applicant Signature Date (FILE COPD Page 3 a-t.. :.a°.f_.;i:i Mieotai. SPONSORED BY THE HOUSING AUTHORITY OF THE CONTRA COSTA COUNTY" TLJC/�(1hITOA f`nQTA 1'rlI It,ITV IJCAI TU CCO\/I(`CC n1=0A OTA ACh IT ANI F)TUC r`ll h IT fn l• (` 07H (`(-1h At,AI IN I ITV CC0\/1/`CC f1COA OTh A CMT i PRIOR TO PRESENTATION FOR SECTION 8 1. CLIENT AND CASE MANAGER MUST ESTABLISH WHICH CATEGORY CLIENT IS IN: -LOW INCOME SINGLE -SINGLE PERSON ON SSI OR SSDI -LOW INCOME FAMILY 2. CLIENT MUST BE A CURRENT RESIDENT AT THE SHELTER AND HAVE AT LEAST 15 DAYS OF SHELTER STAY FROM TIME OF SECTION 8 RECOMMENDATION PRESENTATION. ALL PERSONS WHO WANT TO BE CONSIDERED MUST HAVE A COMPLETE PACKET TURNED IN TO THEIR CASE MANAGER BY 5:OOPM, THE FIRST WEDNESDAY OF THE MONTH SELECTION WILL TAKE PLACE. PRESENTATIONS ARE MADE TO THE HOMELESS PROJECT TEAM ON THE 2ND WEDNESDAY OF JUNE 1995, AUGUST 1995, OCTOBER 1995, DECEMBER 1995, FEBRUARY 1996 AND APRIL 1996. 3. CLIENT MUST HAVE 5-6 MONTHS SOBRIETY VERIFIED IN WRITING BY SUCCESSFUL COMPLETION OF RESIDENTIAL REHAB PROGRAM WITH ONGOING FOLLOW-UP IN DAY-TREATMENT, STEP MEETINGS; SPONSOR MEETINGS AND COUNSELING. IF ON PROBATION/PAROLE WITH A DRUG-TESTING REQUIREMENT MUST HAVE 6 MONTHS OF VERIFIED CLEAN TESTS. , 4. CLIENT MUST BE ABLE TO SHOW A CURRENT HISTORY OF SAVING MONEY FOR A MINIMUM OF AT LEAST THREE (3) MONTHS. (TWO MONTHS IF NON-GA AND THREE MONTHS IF GA). THIS CAN BE IN THE FORM OF A CHECKING ACCOUNT, SAVINGS ACCOUNT, MONEY ORDER OR CASHIER'S CHECK. CLIENT WILL NEED TO PROVIDE A RECENT within the last 15 days VERIFICATION OF INCOME AND A VERIFICATION OF MONEY SAVED. NEED TO SHOW COMPLETION OF TWO BUDGETS: A. (internal)HOW MONEY IS SPENT MONTHLY WHILE A RESIDENT AT THE SHELTER B. (external, on the form provided)HOW MONEY WILL BE BUDGETED WHEN LIVING ON OWN INCLUDING A LIST OF ANTICIPATED RECURRING MONTHLY EXPENSES. 5. CLIENT WILL NEED TWO CURRENT PIECES OF IDENTIFICATION FOR SELF AND ALL MEMBERS OF FAMILY i.e., BIRTH CERTIFICATES AND/OR CCHP OR MEDICAL HEALTH PLAN CARDS AND/OR SOCIAL SECURITY CARD AND/OR CAID AND/OR MILITARY IDENTIFICATION CARD. 6. PROVIDE TWO WRITTEN CHARACTER REFERENCES, HOWEVER, THESE LETTERS CANNOT BE FROM THE SHELTER OR THE TRANSITIONAL PROGRAM EMPLOYEES OR RESIDENTS. THESE CHARACTER.REFERENCES MUST INCLUDE; HOW LONG THEY HAVE KNOWN THE CLIENT; WHAT THEIR INTERACTION WITH THE CLIENT HAS BEEN TO THIS DATE; AND IF THIS RELATIONSHIP WILL BE ON-GOING WHEN THE CLIENT IS IN HOUSING. 7. CLIENT MUST PROVIDE AT LEAST ONE CREDIT REFERENCE, SUCH AS A PREVIOUS LANDLORD, PG&E, PACIFIC BELL, CURRENT LANDLORD (IF IN THE TRANSITIONAL PROGRAM) MD/DENTIST TO WHOM THE CLIENT PAYS FOR SERVICES OR A SHARE OF COSTS, INSURANCE COMPANY. Page 2 8. CLIENT MUST PROVIDE VERIFICATION THAT UTILITY DEBTS ARE PAID OFF, ESPECIALLY PG&E, TELEPHONE, WATER, GARBAGE (OR ANY UTILITY THAT A�CLIENT WILL NEED TO START UP THE HOUSEHOLD) OR WORK OUT A PAYMENT PLAN WHILE AT THE SHELTER OR THE TRANSITIONAL PROGRAM. ALSO, THERE MUST NOT BE ANY PENDING EVICTIONS OR UNSETTLED DISPUTES INVOLVING THE.CLIENT. 9. CLIENT MUST PROVIDE A WRITTEN STATEMENT, INDICATING FROM THEIR PERSPECTIVE, THE. STEPS THEY HAVE TAKEN TO ADDRESS THEIR ISSUES OF HOMELESSNESS AND STEPS THEY HAVE TAKEN TO ACHIEVE STABLE HOUSING IN THE COMMUNITY DURING.THEIR SHELTER STAY. 10. CLIENT MUST SHOW A BASIC UNDERSTANDING OF THE FOLLOWING: A. THE PUBLIC TRANSIT SYSTEM, i.e., POSSESSION OF BUS PASS (UNLESS THEY OWN PRIVATE TRANSPORTATION). B. HOUSEKEEPING TASKS; CLEANING, LAUNDRY AND COOKING. C. 'COMMUNITY RESOURCES AVAILABLE TO THEM. 11. CLIENT MUST PROVIDE WRITTEN VERIFICATION OF SIX (6) MONTHS CONTRA COSTA COUNTY RESIDENCY PRIOR TO ENTERING THE SHELTER/THE TRANSITIONAL PROGRAM. 12. TO QUALIFY FORA RECOMMENDATION FOR A HOMELESS PROJECT SECTION 8, IF . YOU ARE ELIGIBLE FOR OTHER PROGRAMS, YOU MUST FIRST OR SIMULTANEOUSLY APPLY TO THOSE PROGRAMS AS PART OF AN ALTERNATIVE PLAN FOR HOUSING. IN ADDITION, YOU MUST DEVELOP-A DETAILED, WRITTEN ALTERNATIVE HOUSING . PLAN FOR USE IN THE EVENT THAT YOU DO NOT RECEIVE A SECTION 8 CERTIFICATE. 13. PREFERENCE WILL BE GIVEN TO CLIENTS WHO PREVIOUSLY HAVE NOT RECEIVED A SECTION 8 CERTIFICATE IN THE PAST. 14. DECISIONS MADE BY THE HOMELESS PROJECT TEAM MAY BE APPEALED. THE APPEAL PROCESS IS IN PLACE. APPEAL OF THE RECOMMENDATION FOR SECTION 8 MUST BE MADE`IN WRITING WITHIN 14 DAYS FROM THE PRESENTATION DATE. WRITTEN APPEAL REQUESTS SHOULD STATE ON WHAT GROUNDS THE CLIENT IS APPEALING. 15. IF YOU DO NOT RECEIVE A SECTION 8 CERTIFICATE RECOMMENDATION, YOUH MAY REQUEST THAT YOUR COMPLETED APPLICATION BE HELD AND CONSIDERED IN THE NEXT SELECTION ROUND AS LONG AS.,YOU WILL BE A RESIDENT OF THE EMERGENCY SHELTER OR TRANSITIONAL PROGRAM AT THAT TIME. MAIL TO: HOMELESS PROJECT/SECTION 8 RECOMMENDATIONS 597..CENT,ER STREET, SUITE 375 MARTINEZ, CA 94553 Page 3 J ' HOMELESS PROJECT =`EXTERNAL BUDGET EXPENSES Rent/Mortgage $ Utilities PG&E $ Telephone $ Water/Sewer $ Garbage $ Cable $ $ Transportation Bus/BART/Taxi $ Auto Payment $ Gas $ Insurance $ Service $ $ Laundry and Cleaning Soap, Shampoo, Toothpaste & Razors Groceries Food $ Alcohol $ Cigarettes $ $ Clothing Child Support/Alimony Medical Doctor $ Dentist $ Eyeglasses $ Prescriptions $ Aspirin, Bandaids, Sinus, etc. $ $ Entertainment Movies, Ballgames, circus and other fun stuff $ Other TOTAL EXPENSES BUDGET TOTALS Income Totals $ $ Expense Totals - $ Savings Plan + $ Page 4 CLIENT NAME CASE MANAGER SECTION 8 CRITERIA CHECKLIST 1. Low Income Single Single Person on SSI Low Income Family. 2. Current Date Number of days remaining in shelter 3. Verification of Sobriety. 4. Verification of Savings (withing last 15 days). Internal Budget. External Budget. 5. Two (2) pieces of identification. 6. Two (2) written character references. .7. Credit reference. 8. Verification of utility debts(paid off or payment plan). 9. One page biography. 10. Understanding of: Transit System Housekeeping Tasks Community Resources 11. Verification of six (6) months Contra Costa County.residency. 12. Verification of denial-to other housing. Incomplete (see items checked above) Complete (Section 8 presentation date Page 5 Section 8 Selection Process After you have completed a Section 8 packet and submitted it to your case manager, the following procedure will take place: 1) All completed application packets for Section 8 consideration will be given to the Homeless Program Services Director of Contra Costa County. 2) The Homeless Project Team will review all application packets. Each packet will have a 3" x 5" card attached that identifies.the application by the last four (4) digits of the person's Social Security number. A list of names along with Social Security numbers will be kept by the Homeless Program Services Director. 3) Your completed packet will have a checklist attached for review by the Committee. The checklist will include all the necessary information that should be included in your packet. The review committee will verify that all necessary information has been included. 4) Upon successful completion of the review, the 3" x 5" cards will be removed and placed in the Section 8 pool. It is from this pool that a random drawing will take place. The number of people that will receive Section 8 Certificates during each drawing is as follows: Site June August October December February April Transitional 3. 3 2 3 3 2 Program Emergency 5 4 5 4 5 4 Shelter Programs Page 6 ATTACHMENT 4 sK--- Contra Costa County Health Services Department • _ = :. PUBLIC HEALTH DIVISION " -< S Administrative Offices .p O 597 Center Avenue `� • — __ vti4 Suite 200 Martinez,California 94553 S1A,COUIZ"� TO: Homeless Services Clients Homeless Services Providers FROM: Wendel Brunner, M.D. Assistant Health Services Director for Public Health DATE: May 1, 1995 SUBJECT: OMBUDSPERSON FOR HOMELESS SERVICES CLIENTS Duane Chapman has been appointed Ombudsperson for Contra Costa County homeless services clients. Duane will assist clients in conflicts with the bureaucracy and advocate for the rights and needs of homeless persons in our system. Duane Chapman's knowledge of the Health Department's system and his long experience in the community with the problems of homeless people make Mr. Chapman well qualified for this job. Duane's strong community advocacy was recognized by the Northern California Public Health Association, which presented Duane with it's "Outstanding Community Activist" award in 1991. Duane Chapman can be reached at 313-6182. WB:ah - PLEASE POST - COPi'MA COSTA COUNTY HOMELESS SHELTER PROGRAM BUDGET ATTACHMENT 5- -July 1, 1995 — June 30, 1996 Inccxne DSS/General, F=Ws FY 95/96 587,706 State EUM II 20,000 State FESG 110,376 FEM XIII 57,000 County CABG FY 95/96 75,000 CoLm•ty FESSG FY 95 80,000 concord CDBG FY 95 15,000 Richmond C am maity Services 25,000 . Anticipated Savings: Food 35,000 Other Grants 126,000 Donations/fundraising for winter relief 25,000 1,156,082 Expenditures Central Cbunt_v Shelter operations 425,000 Food 87,600 Trash F"awal 8,000 Water 5,500 Sanitary District Fees 4,500 Utilities itis 20,000 Repairs & Maintenance 6,000 Lease Payments/g�� 48, 00 604,6600 Broo}csikie Shelter Ope�Catinns 300,000 Food 81,760 Water and Sewer 31000 Utilities 4,000 Repairs & Maintenance 6,000 394,760 prpcGCt Staff .5 Programm 30,700 1.0 Homeless Referral/Staff Support 30,000 2.0' Case Managers ti 76,000 Program EqpenSes 20,000 156,700 TOTAL 1,156,060 C-\123R34\4OMELGSS\BUDGE -WWK3 19-May-95 TOTAL P.02 ATTACHMENT 6 Contra Costa Transitional Housing Program Year 1: (short program year w/rehab) Families Single adults Total Served: 11 14 Ethnicity: 50% Black 22% Hispanic 28% )yWte Number that left for permanent housing: 4 1 Housing type: Section 8 unsubsidized rental 2 public housing I w/family/friends I Length of stay- > 3 mo. 2 3-6 mo. I 7-12 mo. I Number that left w/out permanent housing: 1 13 Housing type: needed safe house I yam; (9/93 - 8/94) Total Served: 24 35 Ethnicity: 45% Black 26% Hispanic 3% Native American 38% White Number that left for permanent housing., 12 16 Housing type- Section 8 8 2 unsubsidized rental 3 4 other sub. housing I comm. residential facility 3 w/family/friends 4 2 other 2 Length of stay: > 3 mo. 2 6 3-6,mo. 9 6 7-12 mo. 1 4 Number that left w/out permanent housing: 4 10 Length of stay: >3 mo. 2 3 3-6 mo. 2- 4 7-12 mo. 3 Primary reason for departure. psychiatric 1 substance abuse problem/ active use 1 ] failure to meet program expectations/rules 2. 2 moved in w/family/ friends ] unknown 1 3 Year 3: to date (9/94- 5/17/95) Total number served: Mt. View: Total number served: 12 14 Average length of stay: 7,4 months 5.2 months Number that left for permanent housing: 4 4 Housing type: Section 8 3 1 unsubsidized rental 1 2 w/family/ friends 1 Length of stay:3-6 mo. i 6-12 mo. 4 3 Number that left w/out permanent housing: but now in permanent housing: 2 Housing type: hospital to housing 2 Length of stay: > 3 mo, 1 3-6 mo. 1 Number that left w/out permanent housing: 1' 1 Housing type: shelter/ shared housing 1 unknown 1 Length of stay: 3-6 mo. 1 6-12 mo. ] Number still in program: 7 7 San Joaquin II: Total served: 6 10 Number that left for permanent housing: Housing type: unsubsidized rental w/family/friends Length of stay: 3-6 mo. 6-12 mo, Number that left w/out permanent housing: Housing type: treatment program w/family/friends Length of stay: 3 mo. 3-6 mo. Number currently in program: ATTACHMENT 7'' RECOMMENDATION #8 LENGTH OF SHELTER STAY Currently in the Emergency Shelter programs in Richmond and Concord we are providing a length of stay of either 90 or 180 days during a two year period. When a person enters the shelter and they are on General Assistance (GA) they are allowed a 180 day stay, if the person is non-GA then the length of stay is 90 days. If after enter the shelter a person begins receiving GA then their stay is 180 days. There are times when a person's length of stay may be extended. Extensions are generally granted for the following reasons: 1. The person has applied for a supported housing program and is awaiting acceptance or is awaiting an appeal decision; 2. The person has been accepted into a supported housing program and is currently seeking housing; 3. The person has made arrangements to move into housing and has a move in date verified and scheduled; 4. The person is leaving the area and has purchased tickets or made arrangements for transportation; Extensions are granted by the Homeless Program Services Director only and range in length from a few days up to a one month period, depending on the individual circumstances. Many of the individuals using our emergency shelter services are people that have a history of mental health issues, substance abuse issues, or both. There are people that come through the shelter program because they have lost their housing due to a family problem (such as divorce), loss of a job, loss of temporary housing (they were living with friends or family), or they may have a history of being homeless continually or periods of homelessness. The following are some options for serving more people yearly through the emergency shelter programs, while still offering effective services: 1. Change the period of stay from two (2) years to one (1) year. This would mean that during any given calendar year the a person would have an opportunity for shelter stay of 90 or 180 days depending on their income situation. 2. Another option is to have a certain number of beds in the shelter designated as one night stay.beds. This would mean that everyday a designated number of beds would be available on a first come, first serve basis and that the person would get a bed and a meal for the night and would leave the next morning. Services would not be provided for these beds and individuals would need to get on a waiting list each day. 3. In addition to #2 there would be certain beds designated as service beds with case management and support services. The length of stay for these beds could be a three (3) to six (6) month period. People who had these beds would be expected to work with a case manager on a plan to address the issues that have lead to their homelessness and move towards a stable housing situation. 4. Explore the option of a facility that is only a bed/meal for the night and then to establish transitional housing only sites that would have the longer stays. ATTACHMENT S Planning for the Homeless in the Bay Area As part of HUD requirements for McKinney Fund in the Super NOFA process this spring, most Bay Area Counties prepared Continuum of Care plans to describe their particular community based process of planning to address the issues of homelessness and the provision of housing and supportive services to meet the needs of the homeless and those at risk of homelessness in their communities. Many Counties had already prepared homeless plans or homeless prevention plans during the past four to five years to help focus their attention, identify needs, and target resources to address the growing problem of homelessness in their communities. We have had the opportunity to review draft plans from other Bay Area counties and have summarized some of their concerns, findings, and priorities. Alameda County: The draft report on Homeless in Alameda County (1/95) provides information on homeless needs, available resources, and service gaps for the development of a county-wide continuum of care. This report is only the first step in the County's effort to develop a continuum of care. The next steps include convening one or more task forces or working groups representing all concerned and affected sectors of the community to identify specific actions needed to further develop the continuum. These groups will continue the work of identifying specific needs and gaps and will set priorities for the future with respect to available funding and resources. The exact number of homeless people in Alameda County is not known, but is estimated to be between 9000-15,000 people at any given time, and between 27,000 - 60,000 annually. The homeless population is diverse and includes families and individuals of all ages and of many ethnic groups and backgrounds. Among adults, the average age is 37, although homeless women tend to be younger than homeless men(average age 35), and homeless women with children tend to be even younger than homeless women (average age 31). Homelessness is concentrated in the north part of the County and is disproportionately high among African Americans. The homeless population is extremely poor, and many homeless people have life issues that make them even more vulnerable, such as mental illness, alcohol or drug problems, HIV/AIDS and domestic violence. Homeless services in Alameda County developed over time in response to the crisis. Federal, state, and local funding streams with little flexibility targeting different services, populations, and jurisdictions have resulted in a fragmented service delivery system. Currently efforts are underway to unify these services through a comprehensive continuum of care that can address emergency needs of homeless people as they enter the system and move them as quickly as possible to stability and greater levels of independence. Alameda County has many of the components of the continuum in place, but the resources do not approach the level of need. Increases in emergency shelter, transitional housing with services, permanent housing including housing with supportive services are needed to fill gaps in the continuum. In addition, supportive l services such as job training, child care, alcohol and drug treatment, health and mental health services need to be increased and made available within the continuum to stabilize those who are currently homeless and to prevent future homelessness. While the homeless population in Alameda is diverse, certain issues have been found to occur frequently within the homeless population which are sometimes a primary or contributing factor to the individual or family's homeless condition. In other cases, these issues may be brought on or exacerbated by homelessness. The single shared characteristic of virtually all homeless individuals and families is extreme poverty. Whatever other life issues they may have that may lead to a crisis and an episode of homelessness, homeless people lack the resources to remain housed. And whatever other services a homeless person may require to stabilize, s/he will not be able to obtain housing or remain housed without a source of income that is adequate to pay for housing. Income supports include a number of federal, state, and locally funded programs that provide low- and no-income individuals and families with income to live on, based on certain qualifying factors and indicators of need. AFDC provides income to poor families, especially single parents (usually women) with children. The amount of assistance depends on the size of the family, but tends to only bring families to roughly two-thirds of the official poverty threshold. According to Emergency Services Network (ESN) data, only 13% of homeless people seeking services reported they received AFDC, and according to Social Services data, less than 3% of those receiving AFDC are homeless. This indicates that while AFDC does not provide enough support to lift families out of poverty, it may be effective in preventing homelessness for many at risk households. ESN reports that 24% of homeless people applying for services in the first quarter of 1994 received SSI. This indicates that in spite of higher support levels than AFDC (approximately $614 to a single individual), for many people with disabilities, this income is not sufficient to keep them housed and it may also indicate a need for supportive services. In Alameda County, GA pays a single individual a maximum of$300 a month; 26% of GA recipients in Alameda County are homeless. Of service users in the ESN data who reported a problem with receiving income assistance, 41% said their assistance was still pending, 12% said the amount of assistance was inadequate, and 32% said they had not applied for assistance. Only 8% of service users in the ESN data reported income from a job as their primary source of income at the time they applied for services; however many had held jobs prior to becoming homeless. Nineteen percent reported loss of a job as the reason they were no longer able to pay rent and 23%reported inadequate income from a job as being the primary cause of their homelessness. In previous studies of the Bay Area, 14-22% of homeless people were working. Perhaps the single greatest contributing factor to homelessness besides poverty is addiction to alcohol or drugs. In the ESN report, 38% of respondents to a question regarding special needs reported having an alcohol or other drug problem and 12% of respondents to a question on the primary reasons for their homelessness identified a long term drug or alcohol problem. An 2 ongoing study by the Alcohol Research Group in Berkeley found that 48% of homeless persons in Alameda County have current alcohol or drug problems. Another study by this group found that homeless adults in treatment programs had more severe and chronic alcohol problems than their housed counterparts. While substance addiction may contribute to homelessness for some people, it also may develop as a result of homelessness. One study in San Francisco found that 19% of homeless adults developed an alcohol or drug problem after being homeless 1-5 years. Many homeless people are on the streets today because of changes in the mental health system and deinstitutionalization; others cycle through homelessness because of an untreated or uncontrolled mental disability or mental illness. Of respondents reporting a special need in the ESN report, 42% described themselves as mentally disabled. The Alameda County Department of Mental Health Services' Community Crisis Response Team estimates that 1/4 to 1/3 of all the clients it sees are homeless. Although ESN does not collect data indicating whether a service user has more than one special need concurrently, there is general agreement that a large percentage of the homeless population with a mental disability also have an alcohol or drug problem. The City of Berkeley estimates that 40% of the homeless people in their city are "dual diagnosed". Veterans make up a disproportionate share of the homeless population. Nationally, veterans account for approximately 1/3 of the homeless population, but only 10% of the work force. Homeless veterans nationally are 98% male, with a median age of 42. Vietnam veterans account for 40-60% of the homeless veterans and those who suffer from post traumatic stress disorder (PTSD) are more likely to become homeless. many veterans with untreated PTSD use alcohol or other drugs,to "self-medicate" to dull the symptoms. Homeless people have higher rates of health problems than the overall population. These problems may contribute to an episode of homelessness or may result from homelessness. Once homeless, the adverse conditions on the streets contribute to declining health in many homeless people. A study of the health status of homeless people conducted at food service sites in Alameda County found that homeless adults were twice as likely as the general population to report fair or poor health status, twice as likely to report a disability that interfered with their work, and 60% more likely to have been hospitalized. They were also 5 times as likely to report untreated medical problems. A city-wide study in Berkeley found that 51% of the homeless population had some type of medical problem. Thirty different medical problems were identified; the most frequently mentioned were asthma, diabetes, epilepsy, alcoholism, and migraine headaches. In the Alameda County study, 73% of the homeless people interviewed reported having no health insurance coverage at all, seven times the uninsured rate of the general population. Although 17% reported VA medical coverage, only I% reported use of any VA facility for medical care. Domestic violence is a major cause of homelessness among women. The San Francisco Domestic Violence Consortium estimates that 30% of homeless women are homeless as a result of domestic violence, while Alameda County shelter providers serving women, particularly those in South and East County, estimate as many as 60% of their female clients may be homeless as result of leaving 3 domestic violence. Nationally, 4 million women reported they were battered by their husbands or partners in 1990, double the number reported in 1980. it is estimated that only 7% of domestic violence incidents are actually reported to law enforcement officials; 19,733 incidents were reported to police in Alameda County in 1993. Incidents of domestic violence are not unduplicated individuals, and all victims of domestic violence do not seek emergency shelter services or become homeless. There are no specific estimates of the number of youth among Alameda's total homeless population; however the City of Berkeley estimates that homeless youth may constitute as much as 15% of their homeless population. It is particularly hard to count homeless youth because they frequently do not seek out shelters and homeless services and are more likely to end up with friends, other family or in another institutional system such as emergency foster care, Juvenile Hall, group homes, mental health facilities, or the California Youth Authority. As homelessness has emerged and grown in Alameda County over the past 15 years, a service system has evolved to address the crisis. Interim, emergency services were put in place and thought to be sufficient to address the need. Over time, new agencies were created and organizations that had previously served other clientele began to focus their resources on those now called "homeless". Prior to the 1980's, most services for low-income people were divided among a number of agencies and delivered over a period of time. For homeless people, however, the need for services of all types is more immediate. The fragmentation of the mainstream delivery system and the lack of coordination between agencies made it virtually impossible for existing services to meet the needs of the newly homeless and agencies that specifically served the homeless population were established. Federal, state, and_local dollars became available to serve the homeless, with each funding stream carrying different requirements. At the federal level alone, there are more than 20 programs to provide homeless housing and services, overseen by 6 different agencies. Fragmented funding and lack of coordination at the local government level led to a system of largely unconnected service providers and agencies trying to meet a host of needs for their client populations without strong ties to other programs. In Alameda County, however, there has been a strong interest among providers for some time to work together. In spite of continued fragmentation at the funding and oversight levels, agencies and service providers have collaborated around funding applications and service delivery in an effort to eliminate overlap, fill gaps, and strengthen the service system. There is growing recognition that the fragmented delivery system does not make the most effective use of limited resources and that the system that has been developed is difficult for most persons to navigate. Alameda County is currently working to transform its loosely connected programs into a coordinated and comprehensive system of housing and support services to reduce homelessness. While meeting immediate needs, the focus of the continuum of care is to provide people with permanent exits from homelessness and increased self-sufficiency. One of the factors that allows people to become and remain homeless is the sense of alienation and isolation they experience during the crisis precipitating their homelessness, and which is often reinforced once they become 4 homeless. To exit homelessness requires the building of support systems that end isolation and build community and self-esteem . Self-sufficiency is the ability to draw upon both one's own resources as well as the resources of a network of providers, benefits, and a social network. People are by nature social, interactive and interdependent. Alameda County's Continuum of Care must therefore facilitate the development of a system of linkages through which homeless people come to support themselves. Not every homeless person will access every portion of the continuum, but the system must be designed to ensure that people make the housing and service connections they need. Resources in Alameda County: Outreach and Emergency Services: Eden Information and Referral's Homeless,Hotline Food programs (hot meals, grocery bags, vouchers) at 37 sites Drop-in centers w/on-site services and referrals Mobile health and mental health teams: Health Care for the Homeless(HCH) & Community Crisis Response Team In 1993, HCH provided almost 30,000 "encounters" (consisting of primary care, alcohol and drug services, and case management services)to 8,001 different homeless persons. Emergency shelter: 23 programs provide 825 beds; average length of stay is 45 days Additional 90 winter beds Some short term hotel or motel vouchers distributed through about 16 agencies 3 emergency shelters for victims of domestic violence gaps: Too few beds for demand; of those who seek shelter, more than 2,500 are turned away each week because of lack of space Limited shelter beds for single men, the mentally disabled, or those w/HIV/AIDS Fewer beds in Mid, South or East County Too few beds for victims of domestic violence; shelter operators estimate 5 individuals are turned away for every one served each year. Transitional Housing and Services: 173 transitional beds in shared living facilities and 115 scattered units in the County, the majority targeted for families 30 additional transitional beds for veterans Rental subsidies for up to 18 months in the Transitions Program for graduates of other Berkeley-Oakland Support Services(BOSS) programs with services and support to continue to promote greater levels of self-sufficiency through a network of appropriate support (permanent housing with transitional services) Job training/employment Childcare/education for homeless children: need for on-site child care, structured tutoring programs on-site Alcohol or drug treatment programs: 506 licensed alcohol or drug treatment beds in the County including 3-5 day detox, short (30-90days) and long-term (6-18 months); 5 of these 364 are funded by the County and available to people with very-low incomes. No County beds are specifically dedicated for homeless people although 62% of persons in County paid beds may be homeless. gaps: Too few beds in residential recovery facilities to meet the needs of homeless people Need for supportive THE to provide clean and sober living/life skills needed to live independently Need for supportive permanent housing for those not able to stay clean and sober and housed in the community at large Transportation Permanent Housing and Services: Rental housing too expensive; in Alameda County, approximately 54,000 very-low income households pay more than 50% of their income as rent Some subsidized units and programs for low and very low-income people. Shelter Plus Care: 379 homeless households will be served by the County's program and an additional 129 households by Berkeley's program 29 other units for homeless people with disabilities 25 rooms in shared living facilities and 28 independent units for homeless people with HIV/AIDS 1,748 units of public housing (1,141 in Oakland and Berkeley) 15,387 Section 8 certificates or vouchers for Alameda County with waiting lists several thousand names and several years long Future trends: Proposed cuts and/or time limits for income support programs: SSI, AFDC, GA Closures of 3 military bases in Alameda County,job losses (60% of projected job losses are in the Bay Area) Increase in unemployment Already overloaded service system does not have the capacity to meet increased demands that may be placed on it Santa Clara County: Santa Clara County (SCC) developed a formalize, community based process to address the issue of homelessness in 1991. The organization, the Santa Clara County Collaborative on Affordable Housing and Homeless Issues(Collaborative), coordinates all groups serving the homeless and near homeless to create a comprehensive, seamless continuum of care. The Collaborative has formally established its vision statement to be partners cooperating together to create a community without homelessness through the provision of affordable housing and a continuum of supportive services. A steering committee comprised of members from each provider category, local government, private industry, and homeless or formerly homeless persons serves as the locus for planning, implementation, and evaluation of Collaborative activities and meets monthly. The 6 entire Collaborative, which consists of over 100 partners, meets twice a year. Subcommittees of the Collaborative meet regularly to address specific issues related to coordination of specific services, prioritizing identified gaps, and/or developing special projects. Thus the entire Collaborative, its steering committee, or one of its subcommittees meets at least once a week demonstrating this is a working group organized to serve the entire County and its population of homeless or near homeless persons. The collaborative envisions a system linking each support service and housing provider with all the other providers in the County. Access to the system is multi-point and available anywhere within the comprehensive continuum of care. Support services are provided to the homeless or near homeless person or family's relative to their particular location on the continuum.. Comprehensive prevention strategy: to maintain people in permanent housing the United Way's Emergency Assistance Network (EAN) consists of 8 agencies throughout the county assists individuals and families maintain their current housing. EAN provides comprehensive, one-stop emergency services such as food, clothing, information& referral, and utilities and rental/mortgage assistance. Each EAN agency is located in a different area of the county to provide services to people in their own neighborhoods and to prevent duplication of efforts. 1995 Collaborative Survey major findings: • 16300 people experienced an episode of homelessness in FY 1994. • The length of time in homelessness is increasing, with over 41% of respondents being homeless for more than one year(an increase of 40% from the 1989 report). • 26% of families with children reported being homeless for over one year. • The number of children who are homeless comprised 23% of the total sample population, and of this number, 64%were under the age of twelve. • The number of working homeless has more than doubled from the 12% identified in the 1989 report to 25% in 1995. • 82% of the County's homeless population state that their income is well below the national poverty level. • mental illness and substance abuse continue to be significant factors for the County's homeless population. One third of respondents had alcohol and drug abuse problems, 11% suffered from severe mental illness, and 8% combined an alcohol/drug problem with severe mental illness. The County's homeless population and their specific needs guide the Collaborative in the development and continual refinement of its continuum of care. During 1994, the Emergency Housing Consortium served 6,000 unduplicated homeless people through all of the shelter, housing, and supportive service programs that the agency provides, and over 3,000 were served in its three cold weather shelters in Gilroy, Sunnyvale, and San Jose. The County's Social Service Agency documented 3,232 requests for housing assistance from homeless families receiving AFDC in 1994. This represents 6,328 children and was a 27% increase from 1992 data. 7 r The Collaborative has developed a comprehensive inventory of existing housing and services available in Santa Clara County. The inventory showed that a Continuum of care currently exists, but not with the number of housing units or services to address the tremendous need. The County has 682 emergency shelter beds available year round, with an additional 607 winter shelter beds. There are currently 465 transitional housing beds available, with the last 6 youth beds to be phased out in June due to lack of funding. There are 228 permanent supported housing beds currently available in the County. There.are almost no outreach and assessment workers in Santa Clara County, and virtually no outreach and assessment is performed for the general homeless population. Currently, there are two service agencies providing outreach and assessment to youth, two service teams for the homeless mentally ill, and one team for homeless persons with alcohol/drug abuse problems. Gaps not currently met'in Santa Clara County: Emergency Shelters: Year-round emergency shelter Day Center facilities* Electronic networking of all emergency shelters and other supportive services such as Client VoiceMail, Shelter Bed Hotline, Electronic Housing Listing or JobMatch Transitional housing: Too few facilities Too few year-round facilities* Too few facilities for homeless families* No facilities or sufficient supportive services for homeless youth* Too few facilities for homeless disabled persons* Too few facilities for homeless persons with HIV/AIDS Permanent Housing: Too few total facilities with supportive services Supportive Services: Comprehensive job training and placement programs Affordable child care Coordination and availability of outreach, intake, and assessment* Rehabilitation services for substance abusers Rental and utility assistance Veterans The * indicates the most critical gaps identified by the Collaborative to be filled, and program areas for which proposals to HUD were prepared. The County also submitted Safe Havens and Shelter Plus Care proposals. One of the primary responsibilities of the Collaborative has been to coordinate and develop linkages between the service and housing providers and other public and private resource 8 providers. The membership contains organizations from city'and county government, developers, service providers, homeless and formerly homeless, education and training groups. As a result of effective County-wide collaboration, the various agencies and non-profit organizations are coordinating applications for federal funds and utilizing a broad range of mainstream services and resources available including County Mental Health Services, income assistance programs(GA, SSI & AFDC), Section 8 rental assistance, public and private subsidized housing, local CDBG and HOME funds, Department of Social Services, local police department crime prevention programs, and other related services. San Francisco: The Mayor's Homeless Budget Advisory Task Force has prepared the first draft of San Francisco's Continuum of Care (10/94), a five year strategic homeless plan which outlines the major goals of the plan and the problems of current approaches to addressing homelesness. This document links the development of a Continuum of Care Plan to a fiscal assessment of homeless expenditures. The major recommendations of the Continuum of Care Plan include the following: 1. A five year housing production plan to provide housing and support services to very-low income people. 2. Integrated and expanded substance abuse, mental health and primary health care services. 3. Centralization and computerization of information to provide more immediate, accessible, and effective service delivery. 4. Prevention programs such as family support centers to provide early intervention to reduce homelessness among families with children. 5. Employment strategies to create new jobs and more effectively use mainstream training programs to increase skill development,job training and job placement. 6. Improved coordination between City departments to eliminate barriers to efficient service delivery and to ensure accountability and monitoring of the Plan. A major goal of the Plan is to ensure that the Continuum of Care is endorsed by the Mayor and the Board of Supervisors as the official Homeless Plan for the City and County of San Francisco. It must be the long range strategy which governs and guides all homeless policy and budget decisions in San Francisco. This authority is essential to executing the recommendations of the Plan. The Plan requires the establishment of a Local Board to govern homeless policy and budget and to promote coordination among City departments, contract agencies, and community groups. The first draft has been broadly distributed for public review and comment. The second draft will include priorities for funding, costs associated with recommendations, sources of funding, and identification of responsibility for carrying out recommendations. I have requested a copy of the second draft and will summarize it next month. 9