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Creating a High Performing Rural Continuum of Care




             Maine
        Balance of State
       Continuum of Care
         Melany Mondello, Shalom House
   Cindy Namer, Maine State Housing Authority
Maine BOS Continuum Structure
Basic Structure
    Staff person with direct responsibility for 
    Continuum process
    Open membership
    Set meeting schedule
    Formal Agenda
    Governance Document
    Sub‐Committee structure
    Partnerships with other working groups
MBOS Standing Committees

o Steering                    o Scoring Criteria 
   o CoC Co‐Chairs and all      o Updated annually
     Committee Chairs           o Points awarded to 
   o Guides Application           incentivize goals
o Data & Gaps                 o Project Selection 
   o Point‐in‐Time/HIC          &Prioritization
   o HMIS
                                o Non‐competing members
o Monitoring &                  o Recruitment from outside 
  Evaluation                      of CoC membership
   o Renewal Projects         o Ad hoc committees 
o Engagement &                  as needed
  Resources                     o Governance review
   o Community outreach         o Dispute resolution
   o Mainstream resources
MBOS Sub-Committees
o   Workgroups to perform tasks required for completion 
    of the annual COC application
o   Focus on action steps to meet goals of CoC & HUD
o   All Committee work must be approved by the CoC
o   Committees cannot make policy or funding related 
    decisions unless authorized to do so by the CoC
o   All CoC members encouraged to join a committee
o   You do not have to attend regular full CoC meetings in 
    order to participate on a committee
Aroostook



                                                                                   Maine Balance of State Continuum of Care
                                                                                   Population: 1,106,000
                                                                                   Area: 27,444 square miles
                                       Piscataquis                                 2010 Pro rata Amount: $1,888,355
                                                                                   2010 PIT Count:
                 Somerset                                                            ES=388       TH=897    PSH=1093

                                                                                     Greater Penobscot Continuum of Care
                                                Penobscot             Washington
          Franklin                                                                   Population: 149,500
                                                                                     Area: 3,396 square miles
                                                            Hancock
                                                                                     2010 Pro rata Amount: $336,479
                                             Waldo
 Oxford                 Kennebec                                                     2010 PIT Count: ES=150 TH=303    PSH=341
                  in
                gg
                co




                                         Knox
                s
            dro




                                   Lincoln                                              City of Portland Continuum of Care
                       Sa
           An



                        ga
                            da




                                                                                        Population: 63,000
                             ho




       Cumberland
                               c




                                                                                        Area: 21 square miles
                                                                                        2010 Pro rata Amount: $731,806
York
                                                                                        2010 PIT Count: ES= 316 TH=311   PSH=368
Aroostook
                                                                                       Maine Statewide Homeless Council
                                                                                       Created by the Governor and the Legislature
                                                                                       Chaired by Nancy Fritz, Director of Homeless
                                                                                       Initiatives at Maine State Housing Authority
                                                                                       and a member of the Governor’s Cabinet
                                       Piscataquis                                 Region 3 Homeless Council
                                                                                   Covers the 5 most rural counties
                 Somerset
                                                                                   Largest Geographic area, least densely populated
                                                                                   Includes Greater Penobscot Continuum of Care


          Franklin
                                                Penobscot             Washington      Region 2 Homeless Council
                                                                                      Covers 9 counties
                                                            Hancock
                                                                                      Rural west & north, more densely populated near coast
                                             Waldo
 Oxford                 Kennebec
                                                                                      Includes state capitol of Augusta
                  in
                gg
                co




                                         Knox
                s
            dro




                                   Lincoln                                              Region 1 Homeless Council
                       Sa
           An



                        ga
                            da
                             ho




       Cumberland                                                                       Cumberland and York Counties
                               c




                                                                                        Smallest geographic area, but most densely populated
York                                                                                    Includes the City of Portland Continuum of Care
Establishing Relationships
             Partner Working Groups

o Statewide Homeless Council
o Portland Continuum of Care
o Emergency Shelter Assessment Committee (ESAC)
o Greater Penobscot Continuum of Care
o Regional Homeless Councils (3 Statewide)
o Augusta Homeless Working Group
o Lewiston Auburn Area Services for the Homeless (LAASH)
o Greater Franklin County Resource Network
o Washington County Coalition for the Homeless
o Homeless Voices for Justice
Maine BOS Continuum Organizations

o   Homeless Service Providers
o   Social Service/Non‐Profit Agencies
o   State and Local Government Agencies
o   State Housing Finance Agency
o   Public Housing Authorities
o   Veterans Services
o   Advocacy Groups and Consumers 
o   Non‐Profit Housing Developers
o   DOC Pre‐Release and Re‐entry programs
o   Youth Providers
o   Domestic Violence Service Providers
Coordination is the key
The Maine Balance of State Continuum of Care tries to include and involve 
  ALL of the programs, agencies and activities in our State working to end 
  and prevent homelessness by:
      Embracing other working groups as allies/partners not competition
      Creating one HMIS system – MaineHousing is the lead agency, that 
      coordinates with each continuum 
      Coordinating and consolidating data gathering processes
          Simplify forms and utilize the same day and process for Point‐in‐Time Counts
          Centralize and conduct one annual Housing Inventory Update
      Distributing information to all partners and allow each community to decide 
      what pieces to focus their resources toward
      Sharing any tools and processes between working groups
      Leveraging resources by developing and modifying new forms and process 
      together for consistency
Relationships & Infrastructure

Legislation created the Statewide Homeless Council as an 
  advisory group to the following entities:
         Governor’s Office
         Maine State Housing Authority 
         Department of Corrections
         Department of Health & Human Services 
         State Legislature 
    They provide leadership and are the legislated body responsible for 
    coordination, system changes, education, and advising top officials in 
    the State. 
    Council members are nominated to the statewide council through the 
    regional councils to represent each region’s needs. 
Relationships & Infrastructure

Statewide Homeless Council created Maine’s Plan to
End & Prevent Homeless as the roadmap for the
Regional Homeless Councils and the Continuums
Regional Homeless Councils & Continuums provide
the grassroots collaboration from service providers,
state agencies, local government and consumers
Combination of “top down” and “grassroots“
approach creates a high level of stakeholder
involvement and leadership for the planning process
Key Agencies to Maine’s Success

The following agencies provide key support and services to Maine’s 
  Continuum of Care structure and Statewide Homeless Councils

Maine State Housing Authority
The Housing Finance Agency for Maine provides staff, technical 
  resources and financial resources

Maine State Department of Health and Human Services
State Government department provides staff and financial 
  resources.
Why Get Involved?

Limited personnel resources in rural areas are the 
  biggest challenge to getting provider participation.
o HEARTH Act going into full effect in 2011
  o Changes in the homeless definition will open up resources to previously 
    exclude rural people
  o Creation of simplified rules and criteria for rural areas
  o More flexibility to utilize funds for prevention

o HUD Continuum structure allows for response to individual 
  community needs
o Get the voice of your customers heard! 
o Get resources allocated to your geographic area!
Accountability

Maine Homeless Management Information System
(HMIS) provides the statewide framework for data
collection and reporting
Data quality reports and provider participation are
key factors to the success of strategic planning,
application process and Federal reporting
MaineHousing requires HMIS participation as a
contractual obligation for ESG funding, HPRP
initiatives and capital housing development
Maine Outcomes

Foundation created over the past 10 years allows:
o Established provider/community relationships to build 
  program partnerships upon
o Multiple studies on Rural Homelessness in our State
  o Four Homelessness Reports about Maine to educate and 
    document the reality of our citizens 
o Statewide Housing focus 
o Development of functional rural housing models
o HPRP rapidly put into place due to prior planning
Rural Maine Cost Study – 1st year
          Average Cost Per Person Before and After
          Permanent Supportive Housing Placement
                       State of Maine
$20,000
                                       Total $17,281


$15,000                                  $4,577


$10,000                                                       Average cost savings
                 $18,629
                                                               $1,348 per person
                                         $12,704
 $5,000


    $0
              Before Housing*         After Housing*

                  Service Cost   Housing Cost      * 6 month timeframe
Rural Maine Cost Study
                 Cost Avoidance After Participants Entered Supportive
                                       Housing
                                                                                           $738,112
Mental Health Care
  57% Savings                                   $314,617
                                                                After Housing
                                                                                      Before Housing
Emergency Shelter                                    $363,010
  99% Savings     $2,082


                                     $179,964
Emergency Room
  14% Savings                      $154,415



      Jail               $40,894
   95% Savings       $1,934

                                                                                Before Housing
   Ambulance             $38,400
                                                                                After Housing
   32% Savings         $26,267
Conclusion


Partnership and leveraging resources is 
 key to success.  A competitive process 
 does not exclude creating partnerships.

Don’t be afraid to try!  Any structure you 
 can put into place gets the process 
 started.
Creating a High Performing Rural Continuum of Care



           Maine Balance of State
             Continuum of Care
     Any questions please contact either:

      Melany Mondello                  Cindy Namer
       MBOS Co-Chair            Manager of Homeless Initiatives
      Grant Coordinator            Homeless Department
     Shalom House, Inc.                MaineHousing
       1-207-874-1080                 1-800-452-4668
 mmondello@shalomhouseinc.org    cnamer@mainehousing.org

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5.11 Critical Success Factors in High Performing Rural Continuums of Care (Mondello)

  • 1. Creating a High Performing Rural Continuum of Care Maine Balance of State Continuum of Care Melany Mondello, Shalom House Cindy Namer, Maine State Housing Authority
  • 2. Maine BOS Continuum Structure Basic Structure Staff person with direct responsibility for  Continuum process Open membership Set meeting schedule Formal Agenda Governance Document Sub‐Committee structure Partnerships with other working groups
  • 3. MBOS Standing Committees o Steering o Scoring Criteria  o CoC Co‐Chairs and all  o Updated annually Committee Chairs o Points awarded to  o Guides Application incentivize goals o Data & Gaps o Project Selection  o Point‐in‐Time/HIC &Prioritization o HMIS o Non‐competing members o Monitoring &  o Recruitment from outside  Evaluation of CoC membership o Renewal Projects o Ad hoc committees  o Engagement &  as needed Resources o Governance review o Community outreach o Dispute resolution o Mainstream resources
  • 4. MBOS Sub-Committees o Workgroups to perform tasks required for completion  of the annual COC application o Focus on action steps to meet goals of CoC & HUD o All Committee work must be approved by the CoC o Committees cannot make policy or funding related  decisions unless authorized to do so by the CoC o All CoC members encouraged to join a committee o You do not have to attend regular full CoC meetings in  order to participate on a committee
  • 5. Aroostook Maine Balance of State Continuum of Care Population: 1,106,000 Area: 27,444 square miles Piscataquis 2010 Pro rata Amount: $1,888,355 2010 PIT Count: Somerset ES=388 TH=897 PSH=1093 Greater Penobscot Continuum of Care Penobscot Washington Franklin Population: 149,500 Area: 3,396 square miles Hancock 2010 Pro rata Amount: $336,479 Waldo Oxford Kennebec 2010 PIT Count: ES=150 TH=303 PSH=341 in gg co Knox s dro Lincoln City of Portland Continuum of Care Sa An ga da Population: 63,000 ho Cumberland c Area: 21 square miles 2010 Pro rata Amount: $731,806 York 2010 PIT Count: ES= 316 TH=311 PSH=368
  • 6. Aroostook Maine Statewide Homeless Council Created by the Governor and the Legislature Chaired by Nancy Fritz, Director of Homeless Initiatives at Maine State Housing Authority and a member of the Governor’s Cabinet Piscataquis Region 3 Homeless Council Covers the 5 most rural counties Somerset Largest Geographic area, least densely populated Includes Greater Penobscot Continuum of Care Franklin Penobscot Washington Region 2 Homeless Council Covers 9 counties Hancock Rural west & north, more densely populated near coast Waldo Oxford Kennebec Includes state capitol of Augusta in gg co Knox s dro Lincoln Region 1 Homeless Council Sa An ga da ho Cumberland Cumberland and York Counties c Smallest geographic area, but most densely populated York Includes the City of Portland Continuum of Care
  • 7. Establishing Relationships Partner Working Groups o Statewide Homeless Council o Portland Continuum of Care o Emergency Shelter Assessment Committee (ESAC) o Greater Penobscot Continuum of Care o Regional Homeless Councils (3 Statewide) o Augusta Homeless Working Group o Lewiston Auburn Area Services for the Homeless (LAASH) o Greater Franklin County Resource Network o Washington County Coalition for the Homeless o Homeless Voices for Justice
  • 8. Maine BOS Continuum Organizations o Homeless Service Providers o Social Service/Non‐Profit Agencies o State and Local Government Agencies o State Housing Finance Agency o Public Housing Authorities o Veterans Services o Advocacy Groups and Consumers  o Non‐Profit Housing Developers o DOC Pre‐Release and Re‐entry programs o Youth Providers o Domestic Violence Service Providers
  • 9. Coordination is the key The Maine Balance of State Continuum of Care tries to include and involve  ALL of the programs, agencies and activities in our State working to end  and prevent homelessness by: Embracing other working groups as allies/partners not competition Creating one HMIS system – MaineHousing is the lead agency, that  coordinates with each continuum  Coordinating and consolidating data gathering processes Simplify forms and utilize the same day and process for Point‐in‐Time Counts Centralize and conduct one annual Housing Inventory Update Distributing information to all partners and allow each community to decide  what pieces to focus their resources toward Sharing any tools and processes between working groups Leveraging resources by developing and modifying new forms and process  together for consistency
  • 10. Relationships & Infrastructure Legislation created the Statewide Homeless Council as an  advisory group to the following entities: Governor’s Office Maine State Housing Authority  Department of Corrections Department of Health & Human Services  State Legislature  They provide leadership and are the legislated body responsible for  coordination, system changes, education, and advising top officials in  the State.  Council members are nominated to the statewide council through the  regional councils to represent each region’s needs. 
  • 11. Relationships & Infrastructure Statewide Homeless Council created Maine’s Plan to End & Prevent Homeless as the roadmap for the Regional Homeless Councils and the Continuums Regional Homeless Councils & Continuums provide the grassroots collaboration from service providers, state agencies, local government and consumers Combination of “top down” and “grassroots“ approach creates a high level of stakeholder involvement and leadership for the planning process
  • 12. Key Agencies to Maine’s Success The following agencies provide key support and services to Maine’s  Continuum of Care structure and Statewide Homeless Councils Maine State Housing Authority The Housing Finance Agency for Maine provides staff, technical  resources and financial resources Maine State Department of Health and Human Services State Government department provides staff and financial  resources.
  • 13. Why Get Involved? Limited personnel resources in rural areas are the  biggest challenge to getting provider participation. o HEARTH Act going into full effect in 2011 o Changes in the homeless definition will open up resources to previously  exclude rural people o Creation of simplified rules and criteria for rural areas o More flexibility to utilize funds for prevention o HUD Continuum structure allows for response to individual  community needs o Get the voice of your customers heard!  o Get resources allocated to your geographic area!
  • 14. Accountability Maine Homeless Management Information System (HMIS) provides the statewide framework for data collection and reporting Data quality reports and provider participation are key factors to the success of strategic planning, application process and Federal reporting MaineHousing requires HMIS participation as a contractual obligation for ESG funding, HPRP initiatives and capital housing development
  • 15. Maine Outcomes Foundation created over the past 10 years allows: o Established provider/community relationships to build  program partnerships upon o Multiple studies on Rural Homelessness in our State o Four Homelessness Reports about Maine to educate and  document the reality of our citizens  o Statewide Housing focus  o Development of functional rural housing models o HPRP rapidly put into place due to prior planning
  • 16. Rural Maine Cost Study – 1st year Average Cost Per Person Before and After Permanent Supportive Housing Placement State of Maine $20,000 Total $17,281 $15,000 $4,577 $10,000 Average cost savings $18,629 $1,348 per person $12,704 $5,000 $0 Before Housing* After Housing* Service Cost Housing Cost * 6 month timeframe
  • 17. Rural Maine Cost Study Cost Avoidance After Participants Entered Supportive Housing $738,112 Mental Health Care 57% Savings $314,617 After Housing Before Housing Emergency Shelter $363,010 99% Savings $2,082 $179,964 Emergency Room 14% Savings $154,415 Jail $40,894 95% Savings $1,934 Before Housing Ambulance $38,400 After Housing 32% Savings $26,267
  • 19. Creating a High Performing Rural Continuum of Care Maine Balance of State Continuum of Care Any questions please contact either: Melany Mondello Cindy Namer MBOS Co-Chair Manager of Homeless Initiatives Grant Coordinator Homeless Department Shalom House, Inc. MaineHousing 1-207-874-1080 1-800-452-4668 mmondello@shalomhouseinc.org cnamer@mainehousing.org