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Homeward Trust Edmonton
      National Alliance to End Homelessness
National Conference on Ending Homelessness
                                July 13, 2011




        www.homewardtrust.ca
Contents



    1   About Homeward Trust & Edmonton


    2      Priority Setting & Coordinating


    3           Metrics to Consider


    4               What‟s next




               www.homewardtrust.ca          2
Contents



    1   About Homeward Trust & Edmonton


    2      Priority Setting & Coordinating


    3           Metrics to Consider


    4               What‟s next




               www.homewardtrust.ca          3
Homeward Trust Edmonton


        Housing Body Consolidating Functions of Previous Bodies


    Planning & Priorities
                                                   Management body
►Community Involvement                            mandated to implement
►Aboriginal Engagement
                                                  10 year plan and fund
                                                     priority projects
►Monitoring Progress




     Community Plan on                               Implementation
    Housing and Supports
                                              ►Focused efforts on priorities
    City and Provincial 10                    ►Innovation and new development
          Year Plans                          ►Taking risks and learning
Homeward Trust Edmonton

             Funds and coordinates efforts to
             end homelessness in Edmonton
                   ►Provides capital and assistance for new units
                     ►Funds and coordinates support services

                   ►Undertakes planning, research and promotes

                              community engagement

      New Units                      Supports                  Community


 •Long Term Supportive          •Housing First Teams         •Community Plan
•Accessing Existing Units         •Interim Housing              •Awareness
      •Long Term                 •Supported Housing         •Homeless Connects
     Strategies, i.e.                 Models
                                                          •Research & Promotion of
     Landbanking
                                                               Best Practices
Homeward Trust Edmonton

1. Some important outputs

    New Units                   Supports                       Community
 •Over 1900 units            • Housing 1st Program          •8 Homeless Counts

 •800+ Market Appt.          •Over 1400 housed              •5 Homeless Connects

 •Monitoring 80 projects     •Innovative partnerships       •600+ volunteers


2. 2011/12 Budget

                 D                 A Federal:           $   6.5 million
             C
                                   B Provincial:        $ 15.4 million
                         A

                                   C City:              $   1.8 million

                     B
                                   D Other:             $    .5 million

                                         Total     :    $ 24.2 million
Homelessness in Edmonton
2421 homeless individuals were counted on
October 5, 2010 in the City of Edmonton as a part
of the 9th Homeless Count. This marked a 21%
decrease from the 3079 individuals counted in
2008.
Contents



    1   About Homeward Trust & Edmonton


    2      Priority Setting & Coordinating


    3           Metrics to Consider


    4               What‟s next




               www.homewardtrust.ca          8
Plans and Planning

• “A Plan for Alberta” – A 10 year plan to End Homelessness
   – Estimates need for 11,000 new units across Alberta
     over 10 years
   – 17 Strategies
• “A Place to Call Home” Edmonton‟s 10 year plan to End
  Homelessness
   – 800 supported housing units by 2011
   – 1650 modestly-sized units by 2019
   – 1000 units of permanent supportive housing by 2014
• Community Plan on Housing and Supports
Plans and Planning

• Annual Service Plan
  – Developed and submitted to Housing and
    Urban Affairs for resource allocation
  – Identifies gaps and priorities based on system
    capacity, strength of teams, emerging
    demands and opportunities
     •   Increased emphasis on Assertive Outreach
     •   Needs of sub-populations: Youth & Aboriginal
     •   Less intensive case management for some
     •   Interim Housing and coordinated referral system
Housing First Program

• Relied extensively on the experience of other
  communities
• Central Administration
• Delivered through Nine Community Agencies
• Case Management through Efforts to Outcomes
• Find. Furnishing Hope - Dedicated Furniture
  Bank
• Direct Client Costs Start Up Costs
• Rental Assistance Program
Systems Approach - Supports

                  Centralized Administration
          Program definition, contracts and data analysis
                                                                    Housing
               Furniture Bank – Find Furnishing Hope                 First
                                                                    Advisory
          Team Development, Coordination and training               Council
        Landlord Relations & Rental Assistance Program




 Partner Organizations Housing First Teams & Interim Housing




Institutions                          Street &         Drop-ins &
                     Shelters &
  (Justice/                           Parkland          Agency
                    Transitional
  hospital)                                             Referral
Coordination & Priority setting

• Agency Engagement
  – Housing First Advisory Council
  – Team Lead Meetings
  – Committee working groups on:
     • Policy development, housing referral
       processes, etc.
• Community Planning
• Provincial and Municipal Initiatives
  – Cross Ministerial work, Data, Pilot
    Initiatives
Training


• Training offered to all teams
  – Housing First
  – Case Management
  – SPDAT (Service Prioritization and Decision
    Assistance Tool)
  – Aboriginal Diversity Training
• Yardstick
  – Online training tool
  – Repository of all supporting documents
The Landlord & Housing
     Development

• Relationship is critical both at the ‘systems’
level and at the FSW/Team level
    • Housing First participants or graduates currently live in
    more than 400 different buildings across Edmonton.
    • More than 80 landlords and property managers supporting
    the program
•Managing tenant mix in non-market projects
    •Funding directed at ending homelessness
    •SPDAT as tool for balancing tenancy
SPDAT integration


•Recently integrated SPDAT in
ETO for Case Management
•Will develop rich data source for
analysis
•Alignment of tools and avoiding
redundancies
1   About Homeward Trust & Edmonton


2     Priority Setting & Coordinating


3                 Metrics


4              What‟s next




          www.homewardtrust.ca          17
Outcomes: (HUA Mandated)

• Those housed through the program will remain
  stably housed.
• Those persons housed in the program will show
  a reduction in inappropriate use of the public
  systems.
• Those persons accepted into the program will
  demonstrate improved self-sufficiency.
• Persons accepted into the program will
  demonstrate engagement in mainstream
  services.
Outcome Indicators/Measures: (HUA
   Mandated)


• At any given reporting period, 85% of the people housed
  will still be permanently housed.
• Those persons permanently housed will show reduced
  incarcerations, reduced emergency room visits and
  reduced in-patient hospitalizations.
• Persons housed in the program will have a stable
  income source (e.g. employment income, AISH, Alberta
  Works, disability pension, Old Age Security, etc.).
• Persons housed in the program will be engaged in main
  stream services (e.g. medical doctors or specialists,
  legal service, etc.).
Housing First Results

From April 2009 to May 2011:
• 1371 people have found housing through the program.
   – This number includes 170 families; there are 502 people in those families.
   – 87% of clients remain successfully housed.

• Of the 1371 people who have found housing:
   – 53% were considered chronically homeless at the time of intake into the program.
   – The average age for all participants is 36 years old; the average age for adults is
     41, and for children is 8 years old.
   – 55% are male, 45% are female, less than 1% are transgendered.
   – 47% of clients are Aboriginal
   – 178 different landlords are providing housing to participants.
   – The average rent for a participant is $771 per month.
   – 374 households, in the program or recently graduated, receive rental assistance.
Monthly Data Reports

                         Monthly Report - May
•What do the                                                          Team 1        Team 2        Team 3        Team 4        Team 5        Team 6
                                                                                                                                                          Housing First
                                                                                                                                                              - all
numbers tell us?         Target # of Clients                                   80        220           100           120           200               80            800
                         Active Housed                                         88        208               97            46        142           110               691
                         Client to Worker Ratio (x:1)                     22.00         18.91         19.40          7.67         14.20         27.50            17.28
•What don‟t the          Active Housed (Adults Only)                           78        140               68            42        115               60            503

numbers tell us?         Client to Worker Ratio (x:1) (Adults Only)       19.50         12.73         13.60          7.00         11.50         15.00            12.58
                         # Active Households (Ind + Fam)                       70        127               68            42        113               52            472
                         New Housing Units since Sept 1                        30            59            27            24            59            27            226

•What do we collect      Housed in Month                                        4             6             6             6             7            15             44
                         Chronic in Month                                       4             2             2             3             6             4             21
we aren‟t using?         Individuals Housed in Month                            2             3             2             6             7             1             21
                         Families Housed in Month                               1             1             1                                         3               6


•What is buried in the
                         Exited in Month*                                       4             8                           2             9             6             29
                         Grads in Month                                                       1                           2             7             6             16

case management          Housing Retention                             91.67%        63.16%        87.22%        75.86%        84.30%        83.04%            77.51%
                         Nearing Exit                                           8            61             8             4            18             1            100
and efforts              # Past 12 Months                                      33            28            32            16            45            40            194
                         # Past 12 Months SPDAT >= 42                           3             9             5             3             7             1             28
                         # Past 12 Months SPDAT Between 41 & 35                 3             7             2                           9             2             23
                         # Past 12 Months SPDAT < 35                           24            11             7             9            25            24            100
                         # Grads Before 1yr                                     0             4             0             6            12            13             35
                         Ave Intake Acuity                                     43            44            45        37.6              39        41.2            41.63
                         >52 Intake                                                           1                                                                       1
                         <=41 Intake                                                          2                           5             3             2             12
                         <=34 Intake                                                          2                                         2             1               5
                         SPDATS Missing                                         0             3             1            17             0             0             21
Data for system improvement


• Retention rates don‟t tell whole story
  – 85% in the program – significant decline post
    graduation vs. 70% in the program consistent
    post graduation
• Every „situation‟ or „number‟ has a
  reasonable explanation.
  – Look for the constellation to inform decisions
• Training & Retention rates
  – Teams with high participation rate in training
    have highest retention rates
Data for system improvement

• Tracking efforts per client
   – When, what and how efforts are provided
   – Last 3 months of service provision of particular
     interest given impact of graduation stress
• Pre-homelessness circumstance
   – Ensuring the right intervention and allocation of
     resources for the situation
• Expanding ETO to include other Service Points
   – Financial planning and trusteeship
   – Clinical Assessment Team
   – Elder services
1   About Homeward Trust & Edmonton


2     Priority Setting & Coordinating


3          Metrics to Consider


4              What‟s next




          www.homewardtrust.ca          24
The Feedback Loop

•How are Team Leads using
feedback for data management?
•What differences are there in team
performance as a result?
•How is Yardstick utilzation being
tracked to contribute to the „feedback
loop‟ effect



“The premise of a feedback loop is simple:
Provide people with information about their
actions in real time, then give them a
chance to change those actions, pushing
them toward better behaviors”
               Thomas Goetz, Wired Magazine, July 2011
Tools and testing

• What tools and systems can be
  employed to modify behaviour
  and promote solid and consistent
  data entry and utilization?
• Experiment „on myself‟, then my
  team, then consider what‟s
  relevant to improve community
  level performance
• Examples: Rypple is a social
  performance platform built for
  teams to share goals, recognize
  great work, and help each other
  improve.
• Being in new territory means
  translating seemingly non-
  relevant to highly useful.
Continuous Development


• Better, and better and better
• More training available outside of Housing
  First „system‟ to develop community of
  practice
• More sharing of data analysis and
  generating a „feedback loop‟ at a
  community level.
• Have a nerd on every team. Or make one.
Thank You!
  www.homewardtrust.ca

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2.12 Susan McGee

  • 1. Homeward Trust Edmonton National Alliance to End Homelessness National Conference on Ending Homelessness July 13, 2011 www.homewardtrust.ca
  • 2. Contents 1 About Homeward Trust & Edmonton 2 Priority Setting & Coordinating 3 Metrics to Consider 4 What‟s next www.homewardtrust.ca 2
  • 3. Contents 1 About Homeward Trust & Edmonton 2 Priority Setting & Coordinating 3 Metrics to Consider 4 What‟s next www.homewardtrust.ca 3
  • 4. Homeward Trust Edmonton Housing Body Consolidating Functions of Previous Bodies Planning & Priorities Management body ►Community Involvement mandated to implement ►Aboriginal Engagement 10 year plan and fund priority projects ►Monitoring Progress Community Plan on Implementation Housing and Supports ►Focused efforts on priorities City and Provincial 10 ►Innovation and new development Year Plans ►Taking risks and learning
  • 5. Homeward Trust Edmonton Funds and coordinates efforts to end homelessness in Edmonton ►Provides capital and assistance for new units ►Funds and coordinates support services ►Undertakes planning, research and promotes community engagement New Units Supports Community •Long Term Supportive •Housing First Teams •Community Plan •Accessing Existing Units •Interim Housing •Awareness •Long Term •Supported Housing •Homeless Connects Strategies, i.e. Models •Research & Promotion of Landbanking Best Practices
  • 6. Homeward Trust Edmonton 1. Some important outputs New Units Supports Community •Over 1900 units • Housing 1st Program •8 Homeless Counts •800+ Market Appt. •Over 1400 housed •5 Homeless Connects •Monitoring 80 projects •Innovative partnerships •600+ volunteers 2. 2011/12 Budget D A Federal: $ 6.5 million C B Provincial: $ 15.4 million A C City: $ 1.8 million B D Other: $ .5 million Total : $ 24.2 million
  • 7. Homelessness in Edmonton 2421 homeless individuals were counted on October 5, 2010 in the City of Edmonton as a part of the 9th Homeless Count. This marked a 21% decrease from the 3079 individuals counted in 2008.
  • 8. Contents 1 About Homeward Trust & Edmonton 2 Priority Setting & Coordinating 3 Metrics to Consider 4 What‟s next www.homewardtrust.ca 8
  • 9. Plans and Planning • “A Plan for Alberta” – A 10 year plan to End Homelessness – Estimates need for 11,000 new units across Alberta over 10 years – 17 Strategies • “A Place to Call Home” Edmonton‟s 10 year plan to End Homelessness – 800 supported housing units by 2011 – 1650 modestly-sized units by 2019 – 1000 units of permanent supportive housing by 2014 • Community Plan on Housing and Supports
  • 10. Plans and Planning • Annual Service Plan – Developed and submitted to Housing and Urban Affairs for resource allocation – Identifies gaps and priorities based on system capacity, strength of teams, emerging demands and opportunities • Increased emphasis on Assertive Outreach • Needs of sub-populations: Youth & Aboriginal • Less intensive case management for some • Interim Housing and coordinated referral system
  • 11. Housing First Program • Relied extensively on the experience of other communities • Central Administration • Delivered through Nine Community Agencies • Case Management through Efforts to Outcomes • Find. Furnishing Hope - Dedicated Furniture Bank • Direct Client Costs Start Up Costs • Rental Assistance Program
  • 12. Systems Approach - Supports Centralized Administration Program definition, contracts and data analysis Housing Furniture Bank – Find Furnishing Hope First Advisory Team Development, Coordination and training Council Landlord Relations & Rental Assistance Program Partner Organizations Housing First Teams & Interim Housing Institutions Street & Drop-ins & Shelters & (Justice/ Parkland Agency Transitional hospital) Referral
  • 13. Coordination & Priority setting • Agency Engagement – Housing First Advisory Council – Team Lead Meetings – Committee working groups on: • Policy development, housing referral processes, etc. • Community Planning • Provincial and Municipal Initiatives – Cross Ministerial work, Data, Pilot Initiatives
  • 14. Training • Training offered to all teams – Housing First – Case Management – SPDAT (Service Prioritization and Decision Assistance Tool) – Aboriginal Diversity Training • Yardstick – Online training tool – Repository of all supporting documents
  • 15. The Landlord & Housing Development • Relationship is critical both at the ‘systems’ level and at the FSW/Team level • Housing First participants or graduates currently live in more than 400 different buildings across Edmonton. • More than 80 landlords and property managers supporting the program •Managing tenant mix in non-market projects •Funding directed at ending homelessness •SPDAT as tool for balancing tenancy
  • 16. SPDAT integration •Recently integrated SPDAT in ETO for Case Management •Will develop rich data source for analysis •Alignment of tools and avoiding redundancies
  • 17. 1 About Homeward Trust & Edmonton 2 Priority Setting & Coordinating 3 Metrics 4 What‟s next www.homewardtrust.ca 17
  • 18. Outcomes: (HUA Mandated) • Those housed through the program will remain stably housed. • Those persons housed in the program will show a reduction in inappropriate use of the public systems. • Those persons accepted into the program will demonstrate improved self-sufficiency. • Persons accepted into the program will demonstrate engagement in mainstream services.
  • 19. Outcome Indicators/Measures: (HUA Mandated) • At any given reporting period, 85% of the people housed will still be permanently housed. • Those persons permanently housed will show reduced incarcerations, reduced emergency room visits and reduced in-patient hospitalizations. • Persons housed in the program will have a stable income source (e.g. employment income, AISH, Alberta Works, disability pension, Old Age Security, etc.). • Persons housed in the program will be engaged in main stream services (e.g. medical doctors or specialists, legal service, etc.).
  • 20. Housing First Results From April 2009 to May 2011: • 1371 people have found housing through the program. – This number includes 170 families; there are 502 people in those families. – 87% of clients remain successfully housed. • Of the 1371 people who have found housing: – 53% were considered chronically homeless at the time of intake into the program. – The average age for all participants is 36 years old; the average age for adults is 41, and for children is 8 years old. – 55% are male, 45% are female, less than 1% are transgendered. – 47% of clients are Aboriginal – 178 different landlords are providing housing to participants. – The average rent for a participant is $771 per month. – 374 households, in the program or recently graduated, receive rental assistance.
  • 21. Monthly Data Reports Monthly Report - May •What do the Team 1 Team 2 Team 3 Team 4 Team 5 Team 6 Housing First - all numbers tell us? Target # of Clients 80 220 100 120 200 80 800 Active Housed 88 208 97 46 142 110 691 Client to Worker Ratio (x:1) 22.00 18.91 19.40 7.67 14.20 27.50 17.28 •What don‟t the Active Housed (Adults Only) 78 140 68 42 115 60 503 numbers tell us? Client to Worker Ratio (x:1) (Adults Only) 19.50 12.73 13.60 7.00 11.50 15.00 12.58 # Active Households (Ind + Fam) 70 127 68 42 113 52 472 New Housing Units since Sept 1 30 59 27 24 59 27 226 •What do we collect Housed in Month 4 6 6 6 7 15 44 Chronic in Month 4 2 2 3 6 4 21 we aren‟t using? Individuals Housed in Month 2 3 2 6 7 1 21 Families Housed in Month 1 1 1 3 6 •What is buried in the Exited in Month* 4 8 2 9 6 29 Grads in Month 1 2 7 6 16 case management Housing Retention 91.67% 63.16% 87.22% 75.86% 84.30% 83.04% 77.51% Nearing Exit 8 61 8 4 18 1 100 and efforts # Past 12 Months 33 28 32 16 45 40 194 # Past 12 Months SPDAT >= 42 3 9 5 3 7 1 28 # Past 12 Months SPDAT Between 41 & 35 3 7 2 9 2 23 # Past 12 Months SPDAT < 35 24 11 7 9 25 24 100 # Grads Before 1yr 0 4 0 6 12 13 35 Ave Intake Acuity 43 44 45 37.6 39 41.2 41.63 >52 Intake 1 1 <=41 Intake 2 5 3 2 12 <=34 Intake 2 2 1 5 SPDATS Missing 0 3 1 17 0 0 21
  • 22. Data for system improvement • Retention rates don‟t tell whole story – 85% in the program – significant decline post graduation vs. 70% in the program consistent post graduation • Every „situation‟ or „number‟ has a reasonable explanation. – Look for the constellation to inform decisions • Training & Retention rates – Teams with high participation rate in training have highest retention rates
  • 23. Data for system improvement • Tracking efforts per client – When, what and how efforts are provided – Last 3 months of service provision of particular interest given impact of graduation stress • Pre-homelessness circumstance – Ensuring the right intervention and allocation of resources for the situation • Expanding ETO to include other Service Points – Financial planning and trusteeship – Clinical Assessment Team – Elder services
  • 24. 1 About Homeward Trust & Edmonton 2 Priority Setting & Coordinating 3 Metrics to Consider 4 What‟s next www.homewardtrust.ca 24
  • 25. The Feedback Loop •How are Team Leads using feedback for data management? •What differences are there in team performance as a result? •How is Yardstick utilzation being tracked to contribute to the „feedback loop‟ effect “The premise of a feedback loop is simple: Provide people with information about their actions in real time, then give them a chance to change those actions, pushing them toward better behaviors” Thomas Goetz, Wired Magazine, July 2011
  • 26. Tools and testing • What tools and systems can be employed to modify behaviour and promote solid and consistent data entry and utilization? • Experiment „on myself‟, then my team, then consider what‟s relevant to improve community level performance • Examples: Rypple is a social performance platform built for teams to share goals, recognize great work, and help each other improve. • Being in new territory means translating seemingly non- relevant to highly useful.
  • 27. Continuous Development • Better, and better and better • More training available outside of Housing First „system‟ to develop community of practice • More sharing of data analysis and generating a „feedback loop‟ at a community level. • Have a nerd on every team. Or make one.
  • 28. Thank You! www.homewardtrust.ca

Notas do Editor

  1. Other things that shape the responseLarge river valley park system40-50% aboriginal population1217 was the total capacity of shelter spaces – includes womens shelter,detox and recovery939 were occupied for an average rate of 77%
  2. The first 200 modestly-sized units should come online in 2011
  3. The first 200 modestly-sized units should come online in 2011
  4. profiling of us. how data is used everyday. Numerati. interesting stats. stats as decision making tools when people get data they become hyper data aware. they will investigate. higher someone with a data has moved from happening to teams to how did they come up with this number to I better know the data.
  5. Are the outliers to be statistically ignored or followed up on.
  6. Tim Ferris on Twitter June 21Wired Magazine, July 2011 article. Harnessing the Power of Feedback Loops, Thomas Goetz ,Over the past 40 years, feedback loops have been thoroughly researched and validated in psychology, epidemiology, military strategy, environmental studies, engineering, and economics
  7. Love the data. If it is shared routinely it isn’t a punitive discussion. i.e contracts.