Continuum of Care - Veterans Integration

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Presenters: Continuum of Care - Veterans Integration Wednesday, February 26 2:00 3:00 pm ET Veterans Affairs: John K uhn V ince K ane Alliance Staff: Steve B erg N orm Suchar K ate Seif Ian L isman

Introductory Logistics Lines are muted to facilitate this call. Submit Questions! A recording of this webinar will be posted online / emailed in the next few days If you have questions during the webinar, submit them in the question box on your control panel. We will answer as many questions as possible at the end of the webinar.

Agenda Welcome and Introduction Progress made so far Veterans Affairs Vision SSVF NOFA Overview CoC Involvement in the NOFA process Identifying a good provider Final push Questions and Answers

Todays Speakers John Kuhn National Director SSVF Vince Kane Director, National Center on Homelessness Among Veterans Steve Berg - Vice President for Programs and Policy Norm Suchar -Director, Center for Capacity Building Kate Seif Policy Outreach Coordinator Ian Lisman Program and Policy Analyst on Veterans Homelessness

The National Center on Homelessness Among Veterans Promoting data-driven, evidence-based solutions to end Veteran homelessness The Path to Ending Homelessness among Veterans Vince Kane February 5, 2014

The National Center on Homelessness Among Veterans Promoting data-driven, evidence-based solutions to end Veteran homelessness Veteran PIT Counts, 2009-2013 90,000 80,000 75,609 76,329 70,000 67,495 62,619 Number of Homeless Veterans 60,000 50,000 40,000 30,000 43,409 43,437 32,200 32,892 40,033 57,849 35,143 34,695 20,000 27,462 27,476 23,154 10,000-2009 2010 2011 2012 2013 Sheltered Unsheltered Total Source: PIT data, 2009 2013

The National Center on Homelessness Among Veterans Promoting data-driven, evidence-based solutions to end Veteran homelessness Geographic Distribution of Homeless Veterans by State (Point-In-Time) Total: 57,849 Veterans Three states account for 44% of all homeless Veterans: California, Florida, and New York Source: PIT data, 2009 2013

Data is preliminary from SSVF Repository Jan 2014 The National Center on Homelessness Among Veterans Promoting data-driven, evidence-based solutions to end Veteran homelessness SSVF 2012 2013 Total served 32,676 (21,393) 62,371 (39,221) Prevention 14,351 28,606 Rapid Rehousing 21,159 34,531 In 2012 there were 8,886 children served In 2013 there were 14,300 children served

The National Center on Homelessness Among Veterans Promoting data-driven, evidence-based solutions to end Veteran homelessness Reaching VA s Goal to End Veteran Homelessness by end of 2015 We are within reach of ending Veteran homelessness by the end of 2015 if we coordinate and collaborate at federal and local levels. The four priority action items critical to meeting the goal are: Increased focus on permanent housing (HUD-VASH,SSVF and decrease our utilization and dependency on transitional housing Incentivizing and supporting local coordination and ownership of the goal and have data informed take down targets. Rapid engagement of street homelessness into permanent housing and treatment. Work faster smarter better together 9

U.S. Department of Veterans Affairs Veterans Health Administration Supportive Services for Veteran Families (SSVF) Program NAEH Webinar February 27, 2014

U.S. Department of Veterans Affairs Veterans Health Administration Basic Concepts Most important focus is housing stability. SSVF is a housing first model. Goal is to provide sufficient resources to stabilize housing or end homelessness. SSVF serves the entire household. Intervention is a short-term, crisis intervention. SSVF services are offered on a but for basis. Intensity and scope of services must match identified needs. Services integrated with community resources. 11

U.S. Department of Veterans Affairs Veterans Health Administration Program Overview Supportive Services Required Supportive Services: 1. Outreach services (Section 62.30) Use best efforts to ensure that hard-to-reach eligible participants are found, engaged, and provided supportive services Active liaison with local VA facilities, State, local, tribal, and private agencies and organizations providing services 2. Case management services (Section 62.31) Identifying housing (work with landlords) Careful assessment of participant functions Developing and monitoring case plans Establishing linkages to help participants Providing referrals and performing related activities as necessary Deciding how resources are allocated to participants Educating participants on issues 12

U.S. Department of Veterans Affairs Veterans Health Administration SSVF Program Overview Supportive Services (cont d) Required Supportive Services (Cont d): 3. Assist participants to obtain VA benefits (Section 62.32) Vocational and rehabilitation counseling Employment and training services Educational assistance Health care services 4. Assist participants to obtain and coordinate the provision of other public benefits provided by Federal, State, or local agencies, or any eligible entity in the area served by the grantee (provided directly or through referral to partner agencies) (Section 62.33) Health care services Fiduciary and representative Daily living services payee services Personal financial planning Legal services services Child care Transportation services Housing counseling services Income support services 13

U.S. Department of Veterans Affairs Veterans Health Administration Type of Temporary Financial Assistance SSVF Program Overview Supportive Services (cont d) Time/Amount Limitation Rental Assistance* Max. of 8 months in a 3-year period; no more than 5 months in any 12-month period Utility-Fee Payment* Assistance Security Deposits or Utility Deposits* Moving Costs* Emergency Supplies* Child Care** Transportation** Max. of 4 months in a 3-year period; no more than 2 months in any 12-month period Max. of 1 time in a 3-year period for security deposit; Max. of 1 time in a 3-year period for utility deposit Max. of 1 time in a 3-year period Max. $500 during a 3-year period Max. of 4 months in a 12-month period Tokens, vouchers, etc. no time limit Car repairs/maintenance max. of $1,000 during 3-year period *See 62.34 of Final Rule for additional requirements and restrictions. **See 62.33 of Final Rule for additional requirements and restrictions. 14

U.S. Department of Veterans Affairs Veterans Health Administration NOFA Available Funding Allocation Up to $600 million available for SSVF grants this year. Priority 1: Up to $300 million for 76 target communities Priority 2: Renewal of current grantees. May receive up to 2% COLA. Priority 3: New applicants. Available funding limited to funds remaining after Priority 1 and 2 allocations. Maximum allowable grant size is $2 million per year per grantee with a national limit of 7 grants per organization (there are no additional state caps). Caps do not apply to Priority 1. Limits do not apply to sub-contractors. Propose and justify the appropriate grant amount for your project 15

U.S. Department of Veterans Affairs Veterans Health Administration Use of TFA Funds TFA budget can be 50% of overall budget. TFA optional for priority 2 and 3 (priority 1 must budget at least 40% for TFA), but all successful grantees have included it in their proposals Appropriate to ask for co-pays. Payments to third party only. Limits on time described in Final Rule For TFA funding: 60% or more can be spent on Rapid Re-Housing (categories 2 and 3) A maximum of 40% can be spent on prevention (category 1). 16

U.S. Department of Veterans Affairs Veterans Health Administration Housing Outcomes by Veteran s Income at Entry, FY 2013 SOURCE: SSVF-HMIS Repository Data 2/26/2014 17

U.S. Department of Veterans Affairs Veterans Health Administration Changes in Median Monthly Income, by Housing Assistance Type, FY 2013 SOURCE: SSVF-HMIS Repository Data 2/26/2014 18

U.S. Department of Veterans Affairs Veterans Health Administration Results: Rapid Re-housing Survival Proportion 1 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0 Singles Families 1 Year Singles: 15.7% Families: 10.1% 0 60 120 180 240 300 360 420 480 540 Days Since SSVF Exit

U.S. Department of Veterans Affairs Veterans Health Administration VA Continuum of Care Becoming A Student of Available Services VA s Alphabet Soup Veteran Integrated Service Network (VISN) Community Based Outpatient Clinic (CBOC) Homeless Outreach (HCHV) National Call Center (NCCHV) Prevention (HCRV, VJO, SSVF, HUD-VA Pilot) Transitional Housing (GPD, CWT/TR, HCHV Contract Housing) Residential Rehab (RRTP) Voc Rehab (CWT) Permanent Supportive Housing (HUD-VASH) Services described at www.va.gov/homeless 8

U.S. Department of Veterans Affairs Veterans Health Administration Contact Information Email: SSVF@VA.gov Phone: (877)737-0111 Website: www.va.gov/homeless/ssvf.asp 21

Integrating CoC and SSVF Strategies Norm Suchar, National Alliance to End Homelessness 1

Coordinated Assessment For Veterans, the goal of the coordinated assessment process is to ensure that they are quickly identified and served by SSVF programs. Only exceptions: Not eligible Prioritized for VASH Refuse SSVF assistance SSVF is effective for veterans in nearly every circumstance (income, disability, family status, criminal history).

Coordinated Assessment Do Do Not Identify Veterans early in the assessment process Have a basic understanding of the resources Veterans can receive Involve VA in Coordinated Assessment planning and evaluation Assess whether Veterans are appropriate for SSVF (data indicates that SSVF is worth doing for every veteran) Lose Veterans in the referral process

CoC Partnerships with VA Coordinated Assessment planning Sharing best practices Integrating Housing First principles throughout homelessness programs (especially shelter, rapid re-housing, and permanent supportive housing) Coordinating housing search activities (common landlord outreach efforts, policies and procedures, case management practices)

Endorsing RRH Providers Prioritize providers that demonstrate: Housing First approaches and philosophy Willingness to plan and coordinate with CoC, VA, and other homelessness programs Commitment to house Veterans regardless of barriers

Final Push Steve Berg

Questions? Questions

Contact info Vince Kane - vincent.kane@va.gov John Kuhn john.kuhn2@va.gov Steve Berg sberg@naeh.org Kate Seif - cseif@naeh.org Norm Suchar - nsuchar@naeh.org Ian Lisman ilisman@naeh.org Together we can prevent and end homelessness among our nations heroes. We have made significant progress, but there is still work to be done. Thank you for your hard work and dedication! A link to the slides will be emailed to all webinar participants and a recording of this webinar will be posted on the Alliance s website soon.