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The Source forHousing Solutions
Targeting and Prioritization: Best Practices for Serving the Most Vulnerable
Kim WalkerSenior Program Manager, CSHSeptember 22, 2014
Our Mission
Improve lives of vulnerable
people
Maximize public
resources
Build strong, healthy
communities
Advancing housing solutions that:
Supportive Housing Training Center
Agenda
Coordinated Assessment: A Tool for Targeting
Prioritization Standards
Targeting Example: FUSE
Coordinated
Assessment Process to Determine Housing
Exit Strategy
Shelters
Rapid Re-Housing
Permanent Supportive Housing
Homelessness Prevention
Community Supports
Coordinated Access Processes
Systemwide Targeting with Coordinated Assessment
Clear definitions and parameters for all interventions
Data-informed decisions and targeting Housing First system orientation Commitment to low-barrier entry to
programs
Progessive Engagement…
LIGHT TOUCH
HOUSING STABILITY
SERVING ALLOUTCOME DRIVEN
CONSUMER RESILIENCE
Assessment Tools: Qualities
Barriers related to housing
Length of homeless episodes
Referrals correspond to prioritization standards and community priorities
Success or failure of previous interventions
Diversion
“Where did you stay last night? Could you safely stay there again?”
“Why did you have to leave where you stayed last night?”
“Is there anyone else you could stay with for a few days while we work with you?”
HUD Prioritization Guidance
For chronically homeless households (and CoC CH PSH beds) Longest history of homelessness + most severe service
needs Longest history of homelessness Most severe service needs All other CH households
For non-chronically homeless households (and CoC non-CH PSH beds) Households with disabilities + most severe service
needs Households with disabilities + long period/episodic
homelessness Households with disabilities coming from PNMFHH, Safe
Havens, or emergency shelter Households with disabilities coming from TH
What is FUSE?
FREQUENT
USERS
SYSTEMS
ENGAGEMENT
Thousands of people with chronic health conditions cycle in and out of hospitals, jails, detox, and homelessness - at great public expense and with limited positive human outcomes.
Targeted supportive housing for the most vulnerable and costly of this group can reduce costs while getting better outcomes
FUSE program serves as a catalyst for system change at the local level
FUSE & High Utilizer Initiatives
Re-entry FUSE – Operating
Re-entry FUSE – Significant planning
Health FUSE – Operating
Health FUSE – Significant planning
Douglas Co, NE FUSE
King Co FACT
KCC/SIF
SIF+FUSE/ErtJust in Reach 2.0Project 25
Maricopa Co FUSE
Hennepin Co FUSE
Bexar Co High Utilizers- TBD
Washtenaw FUSE/SIF
Detroit FUSE
Chicago FUSEColumbus BJA FUSE
Wash. DC FUSE
NYC FUSE
CT SIFCT FUSE
Rhode Island FUSE
Richmond FUSE
MeckFUSE
Denver FUSE
Travis Co BJA
Louisville ACT
Frequent user program totals17 re-entry FUSE programs
8 health high utilizer programsApprox. 1000 people housed
Approx. 825 to be housed
The FUSE Blueprint
Data-Driven Problem-Solving
Cross-system data match to
identify frequent users
Track implementation
progress
Measure outcomes/impact
and cost-effectiveness
Policy and Systems Reform
Convene interagency and
multi-sector working groupTroubleshoot barriers to
housing placement and
retentionEnlist
policymakers to bring FUSE to
scale
Targeted Housing and
ServicesCreate supportive
housing and develop
assertive recruitment
processRecruit and place clients into
housing, and stabilize with
servicesExpand model
and house additional
clients
Evaluation Results:FUSE Reduces Recidivism
40% fewer jail days 91% fewer shelter
days 50% fewer psychiatric
inpatient hospitalizations (not shown)
Results from Columbia
University’s evaluation of the
New York City FUSE program, released in
November 2013
