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Home My WebLink AboutAgenda 12-02-19 Item 4-d - Orange County Partnership to End Homelessness – 2019 Data Update 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: December 2, 2019 Action Agenda Item No. 4-d SUBJECT: Orange County Partnership to End Homelessness — 2019 Data Update DEPARTMENT: County Manager ATTACHMENT(S): INFORMATION CONTACT: 1. 2019 Homeless Infographic Corey Root, 919-245-2496 2. Updated Homeless Service System Gaps Analysis 3. Data Update PowerPoint PURPOSE: To review updated data about homelessness in Orange County submitted to the United States Department of Housing and Urban Development (HUD) earlier this year. BACKGROUND: The Orange County Partnership to End Homelessness (OCPEH) was created in 2008 to coordinate funding and activities to end homelessness in Orange County. OCPEH is jointly funded by Orange County (39%) and the Towns of Carrboro (15%), Chapel Hill (41%), and Hillsborough (5%). OCPEH Coordinator Corey Root will present the updated data and discuss how current data relate to identified gaps in the homeless service system, including rapid re-housing and street outreach programs. FINANCIAL IMPACT: There is no financial impact associated with receiving the update. SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable to this item: • GOAL: FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION AND INEQUITY The fair treatment and meaningful involvement of all people regardless of race or color; religious or philosophical beliefs; sex, gender or sexual orientation; national origin or ethnic background; age; military service; disability; and familial, residential or economic status. • GOAL: CREATE A SAFE COMMUNITY The reduction of risks from vehicle/traffic accidents, childhood and senior injuries, gang activity, substance abuse and domestic violence. ENVIRONMENTAL IMPACT: There is no Orange County Environmental Responsibility Goal impact associated with this item. RECOMMENDATION(S): The Manager recommends that the Board receive the report as information and provide any comments or questions. 2019 HOMELESSNESS IN ORANGE COUNTY J� J On one night r1� The Point-in-Time(PIT)Count is a nationwide,annual count of people experiencing sheltered homelessness(emergency shelter and transitional housing)and unsheltered homelessness(places not meant for human habitation like vehicles,sheds,or outside)on one night.PIT data track demographic information and trends over time. People POINT-IN-TIME COUNT DATA 120 im 131 experiencing 2010-2019 100 homelessness 150 80 60 100 40 50 20 0 Sheltered Unsheltered ° 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 SPECIAL POPULATIONS Sheltered Unsheltered 50 2010-2018 Chronically Homeless Families 40 f Homeless Veterans 30 15% zo DECREASE I ' 10 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 ETHNICITY RACE %of People Experiencing Homelessness in Orange County 4kjo %of People Experiencing Homelessness in Orange County o% Z% 0°/0 e r r .r • o %of People in Orange County Overall %of People in Orange County Overall 2.6% 6% /° I/ ' r wa ■Non-Latinx Latinx ■Not Answered Black or African-American White ■Multiple Races ■American Indian or Alaska Native ■Asian ■Native Hawaiian or Other Pacific Islander 0% 0% 1% 0%O GENDER AGE HOUSEHOLD TYPE ■Male ■25 and Older , , w Adults Only ■Female ■17 and Younger ■Families 0 ■Transgender . ■18-24 I , ■Unaccompanied Youth ■Gender (17 and Younger) Non-Conforming \J Orange Count The Orange County Partnership to End Homelessness conducted the latest Point-in-Time(PIT)Count on January 30,2019 and submitted 2019 PIT data to the Dept.of �1• g Partnership too Housing&Urban Development(HUD)in April2019.The Point-m-luneCountprovidesa high-levelsnapshot aboutpeople experiendng homelessness on one night, usually the last Wednesday in January. J(\'� End Homelessness 1 For more information about homelessness in Orange County,contact Corey Root,Groot@orangecountync.gov,(919)245-2496. 2019 HOMELESSNESS IN ORANGE COUNTY How we are doing overall. . . q-1f The Orange County Partnership to End Homelessness,aligned with the U.S.Interagency Council on Homelessness strategic plan,Home,Together, works to make homelessness Rare,Brief&One-Time.System Performance Measure data inform our progress on these goals. 300 • People served 290 298 290 by the homeless system in one year 250 271 252 A'M'M5 235 Of those,people 200 214 experiencing I I homelessness for 197196 197 the first time 150 2016 2017 2018 2019 BRIE Length of time homeless(days) Length of time in shelter or 340 zoo transitional housing(days) 177 ` 1 , 340 350 Average days 300 272 150 140 121 250 114 86 94 162200 13�2 ,Oo 62 5a 74 Median days 00 50 zola 2019 2016 2017 2018 2019 ■Average Median ONETIME1 2016 2017 Returned to ^n % within homelessnessJill 18 2 years 33% From Shelter 27% 26% 11% 43% 106 Exits 67 Exits 2018 2019 From Transitional Housing 10% 0% 0% 26% Exited to From Permanent Housing 22% 0% 3% 3% permanent housing Total Returns 20% 10% 6% 18% idl ; Number of Exits 81 Exits 73 Exits Orange County Data from FY2018 System Performance Measures covers outcomes from October 2017—September 2018 recorded in the Homeless Management Information System �• r Partnership t o (HMIS)database.The Orange County Partnership to End Homelessness submitted FY2018 SysPM data the Dept.of Housing&Urban Development(HUD)in May 2019. J• •^ System Performance Measures track homeless system-level outcomes over 12-month period. r�� End Homelessness For more information about homelessness in Orange County,contact Corey Root,Groot@orangecountync.gov,(919)245-2496. 4 �J Orange County Partnership to f* End Homelessness Update to Homeless System Gaps Analysis June 2019 Background In 2016-2017 the Orange County Partnership to End Homelessness(OCPEH)gathered people with lived experience of homelessness,homeless service providers,community leaders,and state homeless experts to map the homeless service system in Orange County.This process created the Orange County homeless system map and the homeless system gaps analysis.OCPEH staff update the gaps analysis each year,the last update completed June 2019. One of the three breakthrough initiatives in the 2019-2020 Plan to End Homelessness is to fill homeless system gaps. Below are the updates to the Orange County Homeless System Gaps Analysis,adopted by the OCPEH Leadership Team on June 17,2019. Changes to 2017-2018 gaps Best Practice,Fully Funded Rapid Re-Housing • Gap has increased—average of 105 people on HOME list in January—April of 2019 compared with 65 people during same time period in 2018;no current Rapid Re-Housing program for non-veterans • Budget increase to reflect increase in current numbers of people experiencing homelessness • Fully funded program $1,074,150 • Could be phased in over three years by adding case managers to increase#of households served from 30 in Year 1,to60 in Year 2,to90 in Year 3 FULL IMPLEMENTATION PHASED IMPLEMENTATION GAP FULL ANNUAL COST YEAR 1 YEAR 2 YEAR 3 Rapid Re-Housing $1,074,150 $364,100 $728,200 $1,074,150 Further budget details on pages 6-7 Income-based Rental Housing • Remains a gap • Funding needed dependent on approach; many other community partners involved/in leadership roles Housing Locator • Gap filled by interlocal funding through the OCPEH FY2019-2020 budget • Housing Justice Fellow funded via private donation at CEF starting July 2018 Drop-In Day Center with Integrated Services • Remains a gap • Funding needed dependent on approach 1 5 Street Outreach Program • Remains a gap • Change from 1 LCSW-level staff to 2 peer support-level staff to increase coverage time and to integrate with Home- Link program that can offer connections to mental health treatment • Could be phased in over two years by adding one peer support staff in Year 1 then the other peer support staff in Year 2;3%cost of living increase included for Year 3 FULL IMPLEMENTATION PHASED IMPLEMENTATION GAP FULL ANNUAL COST YEAR 1 YEAR 2 YEAR 3 Street Outreach $130,753 $69,468 $130,753 $134,675 Further budget details on page 5 24-Hour Bathrooms in Downtown Chapel Hill/Carrboro • Remains a gap • Town of Chapel Hill Downtown Bathrooms Workgroup proposing a phased-in approach:improving existing facili- ties, new pilot project,and finally use data to plan more permanent community bathroom • Costs TBD,other community partners taking leadership roles Accessible&Housing-Focused Shelter • Partially filled gap-women and families need met by IFC HomeStart • IFC Community House unable to meet this gap for men who make up 80%of people experiencing homelessness because of the Good Neighbor Plan • Next steps will be to come to community consensus on how to fill gap:realignment of IFC Community House, build a new shelter,or another approach • Facilitated community conversations coming in 2019-2020 Diversion Funding • Gap filled by Focus on Franklin nonprofit,created by UNC undergraduate students in the Fall of 2018 • Diversion implemented by CEF and DSS at coordinated entry access sites • $6,145 and 4 mediations provided since October 2018 to divert 26 households • 27%of households seeking shelter diverted from homelessness • Funding estimate to maintain program:$400/household x 32 households= $12,800 • If funding needed from other sources,could be phased in over three years 2 6 Gaps added in 2019 Coordinated Entry staff • Staff to assist people accessing homeless services,being assessed for programs,and program referrals • 1.5 full time employees for direct service • 1 full time employee for administration and coordination of coordinated entry • Could be phased in over three years,one full time direct service staff in Year 1,adding half time direct service staff + half time administrative staff in Year 2,increasing administrative staff to full time to cover coordination duties in Year 3 FULL IMPLEMENTATION = PHASED IMPLEMENTATION GAP FULL ANNUAL COST YEAR 1 YEAR 2 YEAR 3 Coordinated Entry Staffing $161,051 $69,234 $129,701 $156,926 Further budget details on page 5 Medical respite beds • People without housing exiting hospital or detox who are unable to complete activities of daily living,therefore unable to stay at either IFC Community House or IFC HomeStart • 3 program beds in 4 bedroom apartment; live-in residential support paid monthly stipend plus contracted services for case management, medical management,occupational therapy • Program design for apartment does not lend itself to phase in;3%cost of living increase included for Years 2-3 FULL IMPLEMENTATION Am PHASED IMPLEMENTATION GAP FULL ANNUAL COST YEAR 1 YEAR 2 YEAR 3 Medical Respite Beds $217,180 $217,180 $223,695 $230,406 Further budget details on page 8 Memorial Service Funding • Many people with lived experience of homelessness have serious medical needs,and several people with ties to our system pass away each year.Community members would like to have funds available to provide a simple ser- vice and cremation. • $1000 for five people each year= $5000 • Could be phased in over three years FULL IMPLEMENTATION PHASED IMPLEMENTATION GAP FULL ANNUAL COST YEAR 1 YEAR 2 YEAR 3 Memorial Service Funding $5,000 $2,000 $4,000 $5,000 No further budget details 3 7 Youth Host Homes Program • Expansion of Durham LGBTQ Center program to help youth (age 18-24)from Orange County who are experiencing homelessness • Program trains community members to provide safe and affirming housing for up to 6 months and provides case management for mental health and housing • Could be phased in over three years,serving five youth in Year 1,ten youth in Year 2,and fifteen youth in Year 3 FULL IMPLEMENTATION PHASED IMPLEMENTATION GAP FULL ANNUAL COST YEAR 1 YEAR 2 YEAR 3 Youth Host Homes Program $129,180 $71,500 $100,320 $129,180 Further budget details on page 8 Summary Budget This table brings together program costs for all Orange County Homeless System Gaps,looking at the total implementation costs, and costs if Orange County were to phase in gap filling over three years.If Orange County jurisdictions were to split funding to fill gaps by population,those total costs and costs for a phased implementation over three years are included at the bottom of the table. FULL IMPLEMENTATION PHASED IMPLEMENTATION GAP FULL ANNUAL COST YEAR 1 YEAR 2 YEAR 3 Rapid Re-Housing $1,074,150 $364,100 $728,200 $1,074,150 Income-Based Rental Units dependent on approach Housing Locator gap filled by local funding Day Center with Services dependent on approach Street Outreach $130,753 $68,676 $130,753 $134,675 24-Hour Bathrooms costs TBD Accessible,Housing-Focused dependent on approach Shelter Diversion Funding gap filled by Focus on Franklin Coordinated Entry Staffing $161,051 $69,234 $129,701 $156,926 Medical Respite Beds $217,180 $217,180 $223,695 $230,406 Memorial Service Funding $5,000 $2,000 $4,000 $5,000 Youth Host Homes Program $129,180 $71,500 $100,320 $129,180 • 1 1 Chapel Hill 41% $651,135 $295,688 $498,703 $656,475 Orange County 39% $619,372 $281,264 $474,376 $624,451 Carrboro 15% $238,220 $108,179 $182,452 $240,174 Hillsborough 5% $79,407 $36,060 $60,817 $80,058 4 8 Street Outreach CATEGORY DESCRIPTION TOTAL YEAR 2 Personnel 2 40hr. Employees-salaries and benefits $100,000 $50,000 $100,000 Personnel Training/conferences $3,000 $1,500 $3,000 Personnel Mileage $1,926 $963 $1,926 Supplies 1 time cost-computers,printers,phones $2,500 $1,250 $2,500 Supplies Phone $1,440 $720 $1,440 Supplies Office overhead $6,000 $6,000 $6,000 Supplies Annual costs-participant gift cards,food,bus passes $4,000 $2,000 $4,000 Subtotal $118,866 $62,433 $118,866 Admin $11,887 $6,243 $11,887 TOTAL $130,753 $68,676 $130,753 Coordinated Entry Staffing CATEGORY DESCRIPTION TOTAL YEAR 1 YEAR 2 YEAR 3 Salary and benefits for 1.5 full time direct service employees;duties: day-to-day crisis intervention, Personnel service connection,referrals,covering homeless $78,000 $52,000 $78,000 $78,000 hotline,data entry Salary and benefits for.5 full time admin combined employee;duties:coordinating HOME and with.5 Personnel Veterans By-Name Lists,care coordination,data coordinating $26,000 quality,training users and updating training employee materials below Salary and benefits for.5 full time coordinating employee;duties:ongoing quality improvements, Personnel fostering connections between agencies, $52,000 $52,000 coordinating between Durham and Wake and rural counties Personnel Training/conferences $4,500 $3,000 $4,500 $4,500 Supplies 1 time cost-computers,printers,phones $3,750 $2,500 $1,250 Supplies Phone $2,160 $1,440 $2,160 $2,160 Supplies Office overhead $6,000 $4,000 $6,000 $6,000 Subtotal $146,410 $62,940 $117,910 $142,660 Admin. $14,641 $6,294 $11,791 $14,266 TOTAL $161,051 $69,234 $129,701 $156,926 5 9 Budget Details Rapid Re-Housing HOUSEHOLD COST CALCULATIONS LOW MID HIGH Monthly m-W Rent $850 $850 $850 Monthly Utilities $200 $300 $300 One-time Deposits $1,200 $1,600 $2,200 One-time Arrears $250 $1,500 Months 2 6 14 HOUSEHOLD TOTAL $3,300 $8,750 $19,800 FULL PROGRAM IMPLEMENTATION - FINANCIAL ASSISTANCE TYPE COST/HOUSEHOLD NUMBER TOTAL Low $3,300 40 $132,000 Mid $8,750 30 $262,500 High $19,800 20 $396,000 FINANCIAL ASSISTANCE SUBTOTAL 4 $790,500 81% CASE MANAGEMENT Case manager salary+benefits $62,000 Number of case managers 3 Case load/month 15 CASE MGMT.SUBTOTAL $186,000 19% PROGRAM SUBTOTAL $976,500 ADMIN $97,650 TOTAL $1,074,150 6 10 Rapid Re-Housing,continued 2/3 PROGRAM IMPLEMENTATION - FINANCIAL ASSISTANCE COST/HOUSEHOLD NUMBER TOTAL Low $3,300 26 $85,800 Mid $8,750 20 $175,000 High $19,800 14 $277,200 FINANCIAL ASSISTANCE SUBTOTAL $538,000 81% CASE MANAGEMENT Case manager salary+benefits $62,000 Number of case managers 2 Case load/month 15 CASE MGMT.SUBTOTAL $124,000 19% rPROGRAM SUBTOTAL $662,000 ADMIN $66,200 TOTAL $728,200 1/3 PROGRAM IMPLEMENTATION - FINANCIAL ASSISTANCE TYPE COST/HOUSEHOLD NUMBER TOTAL�- Low $3,300 13 $42,900 Mid $8,750 10 $87,500 High $19,800 7 $138,600 FINANCIAL ASSISTANCE SUBTOTAL $538,000 81% CASE MANAGEMENT Case manager salary+benefits $62,000 Number of case managers 1 Case load/month 15 CASE MGMT.SUBTOTAL $62,000 19% PROGRAM SUBTOTAL $331,000 ADMIN $33,100 TOTAL $364,100 7 11 Medical Respite HOURS/WEEK COST/MONTH COST/YEAR Case management 20 $30 $2,600 $31,200 RN 20 $45 $3,900 $46,800 MD consultant 5 $100 $2,167 $26,000 OT 10 $45 $1,950 $23,400 Residential support(stipend of$1200/month) $1,200 $14,400 SUPPLIES&OTHER COSTS PER MONTH PER UNIT Start-Up Costs (furniture,linens,washer/dryer, $15,000 one-time costs $15>000 apartment deposit.etc) Medical Supplies $500 $6,000 Client Transportation(15 rides per week for 3 45 $20 $900 $10,800 people) Food(3 meals per day for 4 people) 122 $7 $852 $10,220 Rent,4 BR apartment $1,500 $18,000 Utilities(water,trash,gas,electricity,internet) $700 $8,400 Renters insurance and other liability coverage $300 $3,600 Cleaning service 2x per month 2 140 $280 $3,360 TOTAL PROGRAM COST $217,180 Youth Host Homes Program CATEGORY DESCRIPTION ' TOTAL YEAR 1 YEAR 2 One-third cost of 2 FTEs-salaries and benefits (1/3 cost Personnel of$120,000 in Year 1 with 3%COLA added in Year 2 $42,436 $40,000 $41,200 and Year 3) Personnel Contracted therapist($500/client) $7,500 $2,500 $5,000 Host stipends($500/month x 18 host months in Year 1; Program costs $27,000 $9,000 $18,000 36 host months in Year 2; 54 host months in Year 3) Program costs Client financial assistance($2700/client) $40,500 $13,500 $27,000 Subtotal $117,436 $65,000 $91,200 Admin 10%administrative overhead $11,744 $6,500 $9,120 TOTAL $129,180 $71,500 $100,320 8 12 0 r a n g e C 0 4 Lin ty Partn e rsh I p to End Homeessness Board of County Commissioners December 2A, 2019 -I F17 At Risk 1 Homelessness ExperiencingHomelessness PermanentHousing Permanent Prevention Supportive Services Diversion Pp Housing Emergency Income-Based Engagement Response Housing IL • • Program ^,Mow, Transitional Street Housing Rapid Outreach Services Re-Housing s . . Case Management Market Rate A Housing Mental Housing N�_N Search 9 Health 14 The context in Orange County Struggling TotalOrange • with Serious County • substance Population - - Poverty illness illness use 4. 1 % 12.8% 18.5% 4.0% 8.5% • 5,900 185553 26,815 5,798 12,320 • Sources • https://www.census.gov/guickfacts/fact/table/orangecountynorthcarolina#viewtop • http://www.nationaltasc.org/wp-content/uploads/2012/11/Substance-Abuse-in-North-Carolina-North- Carolina-Medical-Journal.pdf • https://www.nami.org/learn-more/mental-health-by-the-numbers 15 Point-in-Time count: annual "census" of ex eriencinpeople experiencing homelessness • Longstanding PROs • Nationwide • Accurate for one night • Does NOT count everyone in housing crisis • • Affected by weather • One of several important outcomes �.] OrarlgC CGUnty '. Partnership to End Homelessness 16 People livingoutside, in shelters, & in transitional housing are counted homeless People 120 -3 experiencing 100 homelessness 80 60 40 20 �.] OrarlgC COUnty 0 '.� Partnership to Sheltered Unsheltered End Homelessness 17 Orange County Point-in-Time (PIT) count numbers relatively flat since 2010 POINT-IN-TIME COUNT DATA � 2010-2019 � 150 104 � 1 � ' 1 50 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Sheltered Unsheltered 18 Numbers are decreasing statewide and nationwide 2010-2018 15% DECREASE 60WIAMMA • If Orange County was on track with these decreases, our PIT would be lower: • 15% decrease = 115 people • 24% decrease = 103 people 19 51% of p people ex . homelessness are Black/African American — 4x general pop RACE o% 2% % of People Experiencing Homelessness in Orange County 0% • . i 6°Ia. % of People in Orange County Overall Z.rb°/a .1% i i . i Black or African-American White ■ Multiple Races ■ American Indian or Alaska Native ■ Asian Native Hawaiian or Other Pacific Islander �.] OrarlgC CGUnty '. Partnership to End Homelessness 20 Great towards ending chronic progress g homelessness in Orange County SPECIAL POPULATIONS i 50 � Chronically Homeless Families Homeless Veterans � 3 2 1 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 21 Returns to Reducethehomelessness number of people homelessnessexperiencing 4r Length Stabilizing of time Increase th People homeless at risk of homelessness Eiiminate homelessness Number of people experiencing homelessness First time hamelessness Jab and income � �. growth numberp •o � Successful placementquickly and stably and retentionhoused ofhousing 22 PIT counted 131 on one how people night, many in 12 months? lip 300 People served 2-1 298 298by the homeless 211 system in one year 2� 252 235 10F,yea h 0 Of those, people zoo 274 197 experiencing 196 197 homelessness for the first time ,50 2016 7011 2018 2019 • People with entries into Shelter, Transitional Housing, & Permanent Housing • Homeless for first time = no entries for 24 months prior 23 Goal: transition folks to housingpermanent as quiddy as possible Length of time homeless(days) Length of time in shelter or 340 2P° transitional housing{days) 177 350 340 � 1 _ Average days NO Z72 �' 1 s0 14�.� .� 121 250 162114 94 200 162 100 74 86 50 10 62 Median days iooI ISU 2013 2019 2016 2017 2019 2019 ■Average Median • Shelter, Transitional • Shelter & Housing, & Permanent Transitional Housing Housing only • Includes approximate date • Program entry to of homelessness exit 24 Goal: People exit to permanent housing ONETIME 2016 2017 ^,iArk,N, tall I . . . A 33 % 106 Exits 67 Exits 2018 2019 Exited to #. permanent housing 81 Exits 73 Exits 25 Goal: people do not return to homelessness Returned to homelessness 18% within 2 years IM=MM1 • From Shelter 27% 26% 11% From Transitional Housing 10% 0% C26% From Permanent Housing 22% 0% 3% 3% (Exited Oct. 2015- Total Returns 20% 10% 6% 18% Sept. 2017 to • - ' • permanent I ousing 26 OCPEH updated Homeless Service YS stem Gaps Anal sis in une 2019 FULLY 1 1 l ' aRapid Re-Housing $1,074,150 AIncome-Based Rental Units Dependent on approach 11; Day Center with Services Dependent on approach Street Outreach $130,753 Q24-Hour Bathrooms Costs TBD Accessible,Housing-Focused Shelter Dependent on approach Coordinated Entry Staffing $161,051 Medical Respite Beds $217,180 n Memorial Service Funding $5,000 OrarlgC COUnt , 00 Partnership to 0.mTm Youth Host Homes Program $129,180 End Homelessness TOTAL $1,717,314