Showing posts with label DOPS. Show all posts
Showing posts with label DOPS. Show all posts

Wednesday, February 28, 2018

Our Homeless Response System at Work

At the last Continuum of Care General Assembly meeting, Lester Collins, our CoC Performance Analyst walked us through the newest MDHA Homeless Response System Community Dashboard. The Dashboard provides a snapshot of the core system metrics that inform us on achievements in moving individuals to permanent housing. In the next few days, we will be publishing the latest iteration of the Dashboard, which will include a brief executive review of what the data tells us, methods for systemic improvement, and other impacts to the system of care.  

As part of his presentation, Lester also shared the latest Housing Priority List (HPL) Tracker (pictured below). The HPL has been operational since early 2016. It represents the demand side of the housing equation. It is managed by the Documentation and Prioritization Status (DOPS) Coordinator, who ensures that the persons on it have not only been assessed and prioritized for service, but also have all necessary documents, so they may be housed without delay. Housing providers are expected to house those with a lower P number (indicating greater need and vulnerability) first.  


 
 
Cindy J. Crain, MDHA President and CEO, emphasized that what the HPL now tells us, with more than 750 individuals on it ready to be housed now, is that our Homeless Response System is working, and that what we really need is more housing. This is important information for local governments, who now have the hard data they need to act to create more housing.

We will be sharing a refresher/update of the workings of our Homeless Response System on this
blog, Ending Homelessness, in the next few weeks, so stay tuned!

Friday, May 13, 2016

Coordinated Access in Action in Dallas and Collin Counties

The MDHA team, under Crain’s leadership sought to replicate what the TCHC team did in Tarrant County on this side of the Metroplex in the area of Coordinated Access specifically and the development of an effective homeless response system, in general. Fortuitously, HUD, which had expected up until recently for communities to foot the bill for Coordinated Access, agreed to pay for these systems through the CoC grant process. (TCHC had received the first federal grant for CAS in the State of Texas.) Crain and her new team drew up a detailed plan to replicate the above Coordinated Access System on a scale that fit Dallas, based on the process and job descriptions in the Tarrant County CAS.

The Dallas plan would also include two additional contracted positions. One of these persons would help Collin County, with its unique needs, develop and manage the necessary systems to fully take advantage of the Coordinated Access System. Another would be devoted to helping persons experiencing homelessness obtain social security income, which for many would mean that they can then transition from a shelter or unsheltered living situation, into housing.

The CoC and the MDHA Board (which serves as the former’s board of directors) approved the plan, and it was submitted to HUD, which approved the funding. (Parts of the CAS have already been implemented with previously available funding.) Once this HUD funding arrives in May, the full CAS will be implemented. Here are some specific metrics that MDHA will be tracking:

Quantifiable Metric
Data to be Gathered
Specific Measure
Data Collection Procedure
Data Source
Assess 8 persons or more per day in the CAS
Total persons assessed every day
Did MDHA assess 8 persons or more per day?
Obtain number of those assessed every day
HMIS,
DOPS Coordinator
Decrease the amount of time between assessment and client going on to the housing priority list to 3 business days
Number of business days between assessment and client going on to housing the priority list
Is the number of business days between assessment and going on to the housing priority list, 3 business days or less?
Obtain dates of assessment and going on to housing list for all those assessed, and subtract the former from the latter
HMIS,
Housing Priority List,
DOPS Coordinator
Decrease the number of days any client is on the housing priority list prior to housing to 90 days or less
Number of days each person is on housing priority
Is the average number of days of persons on the housing priority list 90 or less?
Obtain dates of DOPS of each person going on to housing priority list and housing, and subtract the former from the latter
HMIS,
Housing Priority List
HIC Specialist
Raise the occupancy rates in all CoC programs to 98%
Number of beds in CoC programs vs. number of persons enrolled in the programs
Is the number of persons divided by the number of beds equal to or greater than 0.98?
Obtain the number of beds and number of persons in CoC programs, and divide the former by the latter
HMIS,
HIC Specialist

We look forward to keeping you up to date on how we are doing!

Wednesday, May 11, 2016

Coordinated Access in Action in Tarrant County – Pulling It All Together

As stated, the roles of the DOPS Coordinator and HIC Specialist are distinct. However for the process to work, someone needs to manage not only these vital employees, but to pull the whole process together in a systematic manner, aligning supply with demand, persons with units. This person would also work with the HMIS team to make sure that all information in the DOPS Matrix and the DOPS HIC properly line up with the information in HMIS reporting. This person would work with shelters and programs serving the unsheltered to align them within the existing system of care, rather than operating beside it. This person would also manage the relationships with service providers and housing providers in coordination with TCHC leadership. Hence the TCHC team established the role of the Coordinated Access System (CAS) Manager to carry out these functions.

Though HUD has been urging communities to “get going” in establishing Coordinated Access Systems, some have made more progress than others. Many around the country have cited TCHC’s work on implementing a Coordinated Access System, as an example for other communities. When one examines the reduction in a few short months in real time homelessness of the chronically homeless in Tarrant County, one understands why. Within four months of adoption, the TCHC team was able to house a full third of the chronically homeless population!

Wednesday, March 30, 2016

Coordinated Access in Action in Tarrant County – Documentation and Prioritization

MDHA is building a CAS for Dallas and Collin Counties, based on the successful model implemented in Tarrant County.  The Tarrant County Homeless Coalition (TCHC), led by Cindy J. Crain, was an early adopter in the world of effective homeless response systems and CAS. One of the early discoveries that Crain and her team made was that they needed a well-oiled system not only for a prioritization of services, based on a person’s needs, as stated above, but also for determination and documentation of each person’s status.

Why is this? Every housing program operates under very specific rules and regulations. The most basic of these define who is homeless, who is chronically homeless, and which housing solutions such status makes them eligible for. Other rules and regulations further segment these populations. Some programs are specific to veterans, but only veterans with specific types of discharges. Other programs are specific to persons with HIV/AIDS. Some programs are for only for single men and women, and others are only for families. These bureaucratic “hoops”, if not kept in mind and managed, may cause the best of systems to grind to a halt.

The TCHC team realized that if the housing priority list was to remain true to its name, rather than become another in a series of meaningless waiting lists, they needed to place a premium on documentation. Each client needed to have a documentation and priority status or DOPS. They needed a DOPS Coordinator to work on this task and this task only, so providers could easily “pull” persons off of the housing priority list without any bureaucratic holdups. At the above mentioned “front door” i.e. the point of assessment, all documents regarding a person’s history and status were to be collected. These would include birth certificates, driver’s licenses, marriage certificates, social security cards, military discharge papers, documents proving a person has a disability or HIV/AIDS, and documents attesting to one’s homelessness. Frequently, not all of these are readily available, and so the DOPS Coordinator would work with the service provider helping the client in obtaining these documents. Once all necessary documents were obtained, housing programs could then pull persons that match their programs, in order of priority off of the list and house them. This flow chart that MDHA uses today clarifies this in a visual way:
 
 
The TCHC team also realized they needed to create a set of Coordinated Assessment Prioritization Guidelines (the DOPS Matrix), that cross referencing each person’s DOPS status with a person’s level of vulnerability and need would guide housing providers, in deciding who needed to be housed first. This is the DOPS Matrix. It helpfully awards a priority ranking to each person, based on multiple factors, and simplifies the job of housing providers in a systematic way. By clicking here, you can see the DOPS Matrix in use by MDHA today.

Friday, March 18, 2016

Coordinated Access Blog Post Series

As we mentioned in the two previous blog posts, MDHA is building a Coordinated Access System (CAS). In CAS, all persons are assessed, using a common, uniform, objective and evidence based assessment tool, so they may be prioritized for service and matched with the services that will best help end their homelessness as quickly as possible. Wherever possible, persons are diverted from the system, by identifying means through which they can self-resolve, and where necessary connect to services outside of the homeless response system. Persons for whom this does not suffice, are placed on a housing priority list, and then matched with the programs that best fit their level of vulnerability and need. Housing programs populate their housing units exclusively from that list.

MDHA is building a CAS based on the successful model implemented in Tarrant County, which brought about a significant drop in the chronically homeless population. In this model, one professional manages the documentation and prioritization status (DOPS) of persons experiencing homelessness, so they may go on the housing priority list, and be ready for housing as soon as a unit becomes available. Another professional manages the supply of housing, primarily on the Housing Inventory Chart (HIC) of all HUD funded programs, so conversely, when a person needs housing, a unit is available, as soon as possible. These two professionals are guided by a manager, who pulls the whole process together in a systematic manner, aligns CAS with HMIS reporting, and integrates shelters, service providers working with the unsheltered, and housing service providers into one system of care. Dallas applied for and will receive a HUD grant to fund its CAS.

Stay tuned for our next blog posts, which tell the full story of our CAS:
  • Coordinated Access – the Heart of an Effective Homeless Response System
  • Coordinated Access in Action in Tarrant County – Documentation and Prioritization
  • Coordinated Access in Action in Tarrant County – Housing Inventory
  • Coordinated Access in Action in Tarrant County – Pulling It All Together
  • Coordinated Access in Action in Dallas and Collin Counties