Slide 1:
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
INITIATING SOLUTIONS TO END HOMELESSNESS
DISCHARGE PLANNING
FOR HOMELESSNESS PREVENTION:
GETTING MAINSTREAM SYSTEMS TO THE TABLE
WEDNESDAY, MAY 21, 2003
HUD-HHS-VA POLICY ACADEMY
ATLANTA
MHSA is a statewide homeless advocacy
alliance of 86 agencies serving homeless people throughout Massachusetts.
For more information please contact MHSA at 617/367-6447.
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
FIVE PARK STREET
BOSTON, MA 02108
PHONE: 617/367- 6447
FAX: 617/367-5709
EMAIL: abolition@mhsa.net
Slide 2:
Number of Months the Massachusetts Emergency Shelter System was over
Capacity in each of the Last 11 Years
- 1993 = 0 months
- 1994 = 1 month
- 1995 = 4 months
- 1996 = 5 months
- 1997 = 8 months
- 1998 = 9 months
- 1999 = 12 months
- 2000 = 12 months
- 2001 = 12 months
- 2002 = 12 months
- 2003 = 4 month (data from first 4 months of 2003)
Source: Data is based on information reported from shelters statewide
in Massachusetts.
Slide 3:
Emergency Shelters for Homeless Individuals Have Overflowed 54 Consecutive
Months and 62 of the last 65 Months
Data from October 1998 through March 2003 indicate totals over
100% in all months.
With increasing peaks in December, January and February and valleys all above
105% capacity from 2000 on.
- 10/98 = 101% capacity
- 11/98 = 102% capacity
- 12/98 = 104% capacity
- 1/99 = 110% capacity
- 2/99 = 110% capacity
- 3/99 = 112% capacity
- 4/99 = 107% capacity
- 5/99 = 104% capacity
- 6/99 = 104% capacity
- 7/99 = 102% capacity
- 8/99 = 101% capacity
- 9/99 = 101% capacity
- 10/99 = 104% capacity
- 11/99 = 109% capacity
- 12/99 = 112% capacity
- 1/00 = 116% capacity
- 2/00 = 116% capacity
- 3/00 = 116% capacity
- 4/00 = 115% capacity
- 5/00 = 110% capacity
- 6/00 = 109% capacity
- 7/00 = 105% capacity
- 8/00 = 106% capacity
- 9/00 = 107% capacity
- 10/00 = 110% capacity
- 11/00 = 110% capacity
- 12/00 = 113% capacity
|
- 1/01 = 118% capacity
- 2/01 = 120% capacity
- 3/01 = 118% capacity
- 4/01 = 115% capacity
- 5/01 = 110% capacity
- 6/01 = 109% capacity
- 7/01 = 109% capacity
- 8/01 = 108% capacity
- 9/01 = 107% capacity
- 10/01 = 110% capacity
- 11/01 = 113% capacity
- 12/01 = 115% capacity
- 1/ 02 = 121% capacity
- 2/ 02 = 123% capacity
- 3/ 02 = 124% capacity
- 4/ 02 = 118% capacity
- 5/ 02 = 115% capacity
- 6/ 02 = 113% capacity
- 7/ 02 = 110% capacity
- 8/ 02 = 108% capacity
- 9/02 = 109% capacity
- 10/02 = 111% capacity
- 11/02 = 115% capacity
- 12/02 = 123% capacity
- 1/03 = 128% capacity
- 2/03 = 127% capacity
- 3/03 = 126%capacity
|
Slide 4:
Average Shelter Census for the Past Ten Years 1993-2002
Data reported to the Massachusetts Housing and Shelter Alliance
from shelters statewide shows that yearly shelter occupancy
rose from 95% of capacity in 1993 to 117% of capacity in 2002. The
yearly occupancy as a percent of capacity is as follows:
- 1993 - 95% of capacity
- 1994 - 97% of capacity
- 1995 - 97% of capacity
- 1996 - 100% of capacity
- 1997 - 102% of capacity
- 1998 - 103% of capacity
- 1999 - 106% of capacity
- 2000 - 112% of capacity
- 2001 - 114% of capacity
- 2002 - 117% of capacity
Slide 5:
Flow chart "Discharge Planning for Homelessness Prevention: Steps
to Change"
Research, advocacy education leading to policy change leading to
resource development leading to institutionalizing change.
Slide 6:
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
Research on Emerging Homeless Subpopulations
Comparison of Emerging Populations in Massachusetts Emergency Shelter
Slide 7:
Ex Prisoners and Massachusetts Shelters
Individuals Entering Emergency Shelters Directly Upon Discharge
from a Federal, State or County Correctional Facility
- Federal Facilities (2001 was first year MHSA collected Federal
Prison statistics)
- State Facilities
- 1997 = 276
- 1998 = 298
- 1999 = 185
- 2000 = 231
- 2001= 365
- County Facilities
- 1997 = 643
- 1998 = 813
- 1999 = 728
- 2000 = 715
- 2001 = 589
- State and County Total
- 1997 = 919
- 1998 = 1111
- 1999 = 913
- 2000 = 946
- 2001 = 954
Slide 8:
Corrections and Massachusetts Shelters
Individuals Entering Emergency Shelters With Prison or Jail
Records
New Guests with Jail Records:
- 1997 = 3683
- 1998 = 4681
- 1999 = 4104
- 2000 = 5302
Slide 9:
Young Adults and Massachusetts Shelters
Individuals age 18 to 24 Entering New to Emergency Shelters
New Guests aged 18 – 24:
- 1997 = 839
- 1998 = 1278
- 1999 = 2383
- 2000 = 3144
Slide 10:
Hospital Discharges and MA Shelters
Individuals entering emergency shelters upon discharge from
Psychiatric Care in Hospitals
New Shelter Guest Arriving Upon Hospital Discharge
- 1997 = 761
- 1998 = 806
- 1999 = 656
- 2000 = 705
- 2001 = 798
Slide 11:
Discharges by Hospital Category 2001 – 2002
- Private 72%
- State 2%
- Other 6%
- Veterans 1%
- Public 19%
Slide 12:
Private Hospital Discharges by Facility June 2001 – May 2002
- Lowell General = 4%
- Bayridge = 14%
- Malden = 5%
- Holy Family 2%
- Newton-Wellesley = 4%
- Berkshire Medical Center = 2%
- McLean = 7%
- Arbour = 18%
- Carney = 4%
- Fuller = 3%
- Beverly = 2%
- Beth Israel = 2%
- Mass General = 4%
- Brockton = 6%
- Cambridge = 4%
- Cape Cod= 8%
- Bournewood = 7%
- Baldpate = 5%
Slide 13:
Flow chart "Discharge Planning for Homelessness Prevention: Steps
to Change"
Research, advocacy education leading to policy change leading to
resource development leading to institutionalizing change.
Slide 14:
A&F Policy Report: Moving Beyond Serving the Homeless to Preventing
Homelessness
Executive Office for Administration and Finance (A&F)
Organization chart
- Department of Correction above Department of Housing and Community
Development above Department of Veteran’s Services above County
Sheriffs above Operational Services Division
- On same level of Department of Corrections is the Executive Office
of Health and Human Services with three divisions underneath:
- Department of Transitional Assistance
- Division of Medical Assistance
- Dept of Mental Health.
- Department of Public Health, Department of Youth Services and
Department of Social Services come under Transitional Assistance.
- Massachusetts Behavioral Health Partnership and HMOs come under
Medical Assistance
Slide 15:
The A&F Process:
Working Group on Discharge Planning
Working Group on Housing Search and Retention
Slide 16:
Flow chart "Discharge Planning for Homelessness Prevention:
Steps to Change"
Research, advocacy education leading to policy change leading to
resource development leading to institutionalizing change.
Slide 17:
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
POSITIVE INITIATIVES TO PREVENT AND END HOMELESSNESS
Slide 18:
Special Initiative to House the Homeless Mentally Ill
FY ’92 – FY ’01:
- DMH developed or gained access to 1,154 new housing units
- Annual State appropriation increase of $1-2 million leverages
1:4 match in federal funds
- Ongoing costs annualized into Departmental budget
Slide 19:
Special Initiative to House the Homeless Mentally Ill
- Placed 2,359 homeless clients with mental illness into new or
existing units with services, including 443 in FY ’01
Slide 20:
Special Initiative to House the Homeless Mentally Ill
FY ’92 – FY ’01:
- 8,106 homeless individuals have received community-based services,
including health care, counseling, and referral and case management
services.
Slide 21:
Criminal Justice Initiative (CJI)
- Fiscal Year 98 = 293 Criminal Justice Admissions
- FY 99 = 339 Criminal Justice Admissions
- FY 00 = 533 Criminal Justice Admissions
- FY 01 = 494 Criminal Justice Admissions
- FY 02 = 593 Criminal Justice Admissions
(SOURCE: Compiled by MHSA Staff from Massachusetts Department of Public
Health, Bureau of Substance Abuse Services, and Correctional Recovery
Bed Initiative Reports.)
Slide 22:
Criminal Justice Initiative
- FY 00
- DOC = 184
- HOC = 349
- Total = 533
- FY 01
- DOC = 180
- HOC = 314
- Total = 494
- FY 02
- DOC = 220
- HOC = 373
- Total = 593
(SOURCE: Compiled by MHSA Staff from Massachusetts Department of Public
Health, Bureau of Substance Abuse Services, and Correctional Recovery
Bed Initiative Reports.)
Slide 23:
MORE POSITIVE INITIATIVES
- HUD Affordability Study
- MA Affordable Housing Trust-Fund Setasides
- MA Housing Bond Bill Setasides
- MA LIHTC Allocation Requirement
- MA Department of of Correction - DOJ Offender Reentry Funding:
Pre-release Housing Search
Slide 24:
Flow chart "Discharge Planning for Homelessness Prevention:
Steps to Change"
Research, advocacy education leading to policy change leading to
resource development leading to institutionalizing change.
Slide 25:
INSTITUTIONALIZING CHANGE
- Prioritizing Homeless Populationsthrough Targeting and Setasides
- Applying Evidence Based Approaches
- Monitoring Outcomes through Procurement Language
Slide 26:
ESSENTIAL RESOURCES FOR DISCHARGE PLANNING
Published collaboratively by the Massachusetts Housing and Shelter
Alliance (MHSA) and the National Health Care for the Homeless Council
(NHCHC)
I. Introduction and Overview
II. Assessment Materials
III. Collaborating with Local Stakeholders
IV. Exemplary Policies and Practices
V. Improving Outcomes
Available on-line at www.nhchc.org and www.ich.gov/innovations
|