Showing posts with label Center for Social Innovation. Show all posts
Showing posts with label Center for Social Innovation. Show all posts

Tuesday, April 3, 2018

Homeless Response System Online Learning Clinic 2018 – Part V: Building Dallas’ Homeless Response System – 2015-2017 – Data Transparency

All homeless service providers must practice full transparency, by reporting all data into the Homeless Management Information System (HMIS), the federally-mandated community wide database, that drives improvement of homeless services programs, without exception (barring issues of safety). Reporting into HMIS is not simply an issue of bureaucratic compliance. This is the only way we know if and how much progress our community is making. More importantly, this is the only way we can improve and self-correct, where we are not[i].
 
In the last three years, Dallas made huge strides, specifically, in this area. For instance, as late as 2014, no emergency shelter beds were reported into HMIS. It is impossible to assess system performance, in the absence of data on the point of entry into homelessness. Therefore, communities that do not have that data in their HMIS are routinely penalized for it, as Dallas was. However, unlike the housing programs, funded through the Continuum of Care (CoC) Program, MDHA cannot simply require shelters to enter their data. MDHA methodically worked with each of the major shelters, and over the last three years brought most of them into the system. As of December 2017, with the Salvation Army adding all of their 700 beds into the system, 57% of shelter beds are now entered into HMIS. In 2018, we will meet and exceed the standard set by the Federal Government, 86%.
 
These simple numbers, important as they are, bely a more fundamental shift in the HMIS, here in Dallas. In early 2015, MDHA and its partners began a discovery process that led the Continuum of Care (CoC) to adopt a new HMIS system, built from the ground up, by a non-profit founded by the Parkland Health and Hospital System, PCCI[ii], and its for-profit affiliate, Pieces Tech[iii]. This system was designed to be part of a larger ecosystem tracking individuals as they move through the healthcare system and social service organizations, Pieces Iris.


Dr. Steve Miff, PCCI

Pieces Iris was born out of the recognition that limited communication between the healthcare system and social service organizations, may cause vital information to slip through the cracks. The idea was to create a seamless system that connects healthcare and community-based organizations, allowing for smart sharing of information that makes a tangible difference in the lives of the most vulnerable populations[iv]. As PCCI President and CEO, Dr. Steve Miff, told the Becker Hospital Review[v], in September 2017, “Up to 50 percent of clinical outcomes are driven by social, economic or environmental factors, and not necessarily related to the direct care the individual received. That has basically set the stage and created the need for this solution to connect communities, and through that, to drive personalized medicine."

Over the course of the last three years, MDHA, PCCI and Pieces Tech worked hand in hand to launch the new HMIS, which went live in mid-2017. As Politico Magazine[vi] wrote in December 2017, Pieces Iris is already, “having a powerful impact on overwhelmed homeless organizations in Dallas… The availability of data showed… that homeless people were 167% more likely to have emergency room visits than the non-homeless population, and that from 300 to 400 homeless were arrested in Dallas each month. Neither of these pieces of information was shocking, but they gave [MDHA President and CEO, Cindy J.] Crain data she could take to officials to try to influence policy on homelessness. If she could show that housed people needed fewer EMS transports, ER visits and less time in jail, then, she reasoned, ‘I can make a business case to say, it’s not only the moral thing to bring housing to these homeless, mentally ill people. It’s going to save you money. If you don’t serve these people they’ll die in the street or eat you alive with these public response systems.’”

Finally, one glaring fact that “jumps out” at anyone who analyzes the data on homelessness in Dallas, is the overrepresentation of African Americans in the homeless population. Since late 2016, with the support of the United Way of Metropolitan Dallas[vii] Unite Dallas Relief Fund[viii], we are partnering with six other cities, towards establishing more racial equity in homeless services, through SPARC (Supporting Partnerships for Anti-Racist Communities)[ix], a new research and action program from the Center for Social Innovation (C4)[x].

Monday, March 12, 2018

Homelessness in Dallas is Wakanda

I know what you are saying to yourself: Great, another hot take on Black Panther, the zillionth one so far. Hear me out, though.
 
I am not really into comic books. I can think of only one comic book series, recently, which I have watched in full, Jessica Jones. That should tell you something. I have gone to comic book movies, because my children have dragged me to them, but these experiences have only reinforced my understanding that I am not the audience for these flicks. So, I really didn’t know what to expect when my 17-year-old wanted me to go to Black Panther with him, but go I did.

Wow. Like many people, I was blown away, and you can read critics’ reviews, to find out why. You don’t need me for that. I did want to address the message, which I found uplifting, even if my kid is right that the way it was presented was a little too ham-fisted. I really could not stop thinking about the film and its message, and I wondered why. Then I got it. I could not stop thinking about it, because it is so close to the work we do here every day.


 
Earlier this week on this blog, and last week on social media and via email, we shared the news of the Center for Social Innovation’s first public report on incredible work they have engaged in with the Metro Dallas Homeless Alliance (MDHA), and five other cities, towards establishing racial equity in homeless services, through SPARC (Supporting Partnerships for Anti-Racist Communities), a new research and action program.
 
One of the ideas that we, at MDHA, have brought to the forefront of Dallas consciousness these last 16 months, is that homelessness in Dallas is largely about race. When around 60-70% of those experiencing homelessness are African-American, the question Larry James, CEO of CitySquare was asked in public in mid-2016, “Why do you have to make this about race,” is self-evident in its willful blindness.
 
Once you remove the scales from your eyes, be it regarding homelessness in Dallas, be it regarding the history of colonialism, you have two options that can explain the challenges Africans and African-Americans face. Option 1, and this is the option our region of the country held on to firmly into the mid-sixties: There is something wrong with Africans and African-Americans. Hopefully, that sentence just made you flinch, but don’t think that approach does not still exist in our world. The “great” thing about this approach is that it demands no action on our part, as a local or global society.

Option 2, and, spoiler alert, this option is the one backed up by a pesky thing called data or facts: What we see today is the result of how colonial powers treated Africa, and our society in Dallas treated and often still treats African Americans.


 
Black Panther allows us to imagine what would have happened had colonial powers not plundered Africa of its natural and human resources. Beyond that, it imagines an Africa with superior natural resources, that breeds technology beyond our wildest dreams. Though my 17-year-old might think this is a little too inelegant a presentation, I find the simplicity of it refreshing. The message of the Afro-Futuristic past and present of Wakanda is: The only difference between the condition of real world Africa and its diaspora and Wakanda is that the former lacks the resources of the latter, and that the latter suffered the trauma that did not befall the former. To bring it back to homelessness in Dallas: The difference between the white person who is housed and the black person experiencing homelessness, is that the black person comes from a traumatized community, robbed of its resources, and the white person does not.

Ok, so practically speaking, what now? The movie explores three paths. Path 1 is the status quo, the path of Wakanda up until that point, which was, essentially, to do nothing. Both Killmonger and the Black Panther realize that that path is no longer tenable. Path 2 is the path of Killmonger, the villain, who is uncharacteristically for comic books, rather nuanced. He favors the Wakandans treating the world like the world treated Africa. Path 3 is the path that the Black Panther chooses, that Wakanda begin to share its resources with the African Diasporas, in order to create racial equity.  


 
We, as Americans, confronting a crisis of homelessness, that has lasted for forty years have to decide what to do in our real world. The SPARC report is unflinching in its assessment:
 
The homelessness field stands at a crossroads: continue to use color-blind strategies to solve an entrenched social problem that disproportionately impacts people of color, or embrace a racial equity approach to addressing homelessness… Commitment to racial equity must permeate all other tactics and strategies that cities, counties, states, and the nation use to prevent and end homelessness… Unless we as a field address structural racism within housing, homelessness response, criminal justice, child welfare, employment, education, and health care, we will continue to witness high rates of homelessness for people of color. Our responses must be ambitious and focused on dismantling racist structures, systems, and programs.
 
We, in Dallas, stand at a crossroads too. There is no escaping that. Will we have the courage to rise to the challenge? Will we have the courage to marshal our abundant resources to end homelessness and create racial equity in this and all other areas? Only time will tell.

Tuesday, March 6, 2018

On the Release of SPARC’s Phase I Report of Research on Racial Inequity and Homelessness

Since late 2016, with the support of the United Way of Metropolitan Dallas' Unite Dallas Relief Fund, we, at the Metro Dallas Homeless Alliance (MDHA), have been partnering with five other cities, towards establishing racial equity in homeless services, through SPARC (Supporting Partnerships for Anti-Racist Communities), a new research and action program from the Center for Social Innovation (C4).

Our motivation to join this effort was born out of the deeply tragic and difficult work of assisting in closing multiple large homeless encampments, in 2016. MDHA President and CEO, Cindy J. Crain, described the realization that experience brought about, “The truth of the dramatic overrepresentation of persons of color, predominantly black, in this population, was right in front of us. Our annual homeless counts and periodic reporting to the Federal Government affirmed these facts too. We wanted our community’s experience to be a part of a greater body of research and action necessary to effect system change and address this racial disparity head on.”
 
Cindy J. Crain, with a friend, in 2016
Today, March 2, 2018, the Center for Social Innovation released its first public report, based on careful analysis of qualitative and quantitative data, from Dallas and five other cities, including, “111,563 individual records of people from HMIS (homeless management information systems)… 148 oral histories of people and data from 18 focus groups in six communities across the United States.” (pg. 4)
 
The research and action over the course of the last 16 months has shown us, as it has shown the Center for Social Innovation researchers that, “it is critical to understand that racial equity should not simply be another initiative or program that is implemented in the mix with other strategies. Instead, commitment to racial equity must permeate all other tactics and strategies that cities, counties, states, and the nation use to prevent and end homelessness.” (pg. 21)

We are thankful to United Way of Metropolitan Dallas, and to all our friends and supporters who have traveled and continue to travel with us on this journey of social justice, and we invite you read the full report.


Friday, March 2, 2018

Supporting Partnerships for Anti-Racist Communities

One glaring fact that "jumps out" at anyone who analyzes the data on homelessness in Dallas, is the overrepresentation of African Americans in the homeless population. Since late 2016, with the support of the United Way of Metropolitan Dallas' Unite Dallas Relief Fund, we are partnering with six other cities, towards establishing more racial equity in homeless services, through SPARC (Supporting Partnerships for Anti-Racist Communities), a new research and action program from the Center for Social Innovation (C4).
 
Cindy J. Crain and Rev. Dr. Michael W. Waters
In Early February the Raikes Foundation and the Bill & Melinda Gates Foundation invited all of the six cities, as well as national leaders and funders to participate in the Center for Social Innovation's first-of-its-kind national summit on Racial Equity and Homelessness, at the headquarters of the Bill and Melinda Gates Foundation, in Seattle, Washington. Representing MDHA and Dallas were Cindy J. Crain, MDHA President and CEO, David S. Gruber, MDHA Development and Communications Director, and Rev. Dr. Michael W. Waters, Pastor of Joy Tabernacle AME Church.


We are already putting what we learned into action, and Cindy will share more of our upcoming plans in this area during the State of the Homeless Address. That's just one more reason to RSVP today!     


Monday, December 18, 2017

We Need to Talk about Race - the Homeless Response System Community Dashboard Race Addendum

Today, we are fulfilling an important action item on our Continuum of Care Strategic Work Plan, to “track and report race and ethnicity data within all CoC reporting tools and as an addendum to the CoC Quarterly Homeless Response System Community Dashboard(Goal VII, Action Item 2).

Goal VII: Address Racial Disparities in Homelessness and Service Delivery was included in the plan, due to our commitment to tackle the overrepresentation of African Americans in the homeless population. We began this effort in the aftermath of the July 7, 2016 tragedy, with the help of a $32,700 grant from United Way of Metropolitan DallasUnite Dallas Relief Fund. Partnering with other cities across the country, we joined a new research and action program from the Center for Social Innovation (C4) titledRacism and Homelessness – Addressing Inequity in 10 American Cities”, which is part of C4’s SPARC (Supporting Partnerships for Anti-Racist Communities) effort.


 
The MDHA Homeless Response System Community Dashboard Race Addendum, highlights the above mentioned overrepresentation, and zeros in on three specific groups, veterans, emergency shelter (ES) guests and permanent supportive housing (PSH) residents. In all three groups, it includes overall percentages. With regards to veterans, it highlights percentages of those housed and those newly coming into the system. With regards to emergency shelter (ES) guests and permanent supportive housing (PSH) residents, it highlights positive exits to permanent housing (PH), as well as negative exits.
 
 
As with the MDHA Homeless Response System Community Dashboard last released, it includes a Housing Priority List (HPL) tracker. This HPL tracker, however, is broken down specifically by race. This provides a visually arresting display of the overrepresentation of African Americans in the homeless population, over the course of the last twelve months. As Lester R. Collins, Jr., our Continuum of Care Performance Analyst points out, when viewed in tandem, with the standard HPL tracker, what stands out is how little difference one sees. With the overrepresentation of African Americans in the homeless population being so high, this is not surprising.
 
 
This coming February, MDHA will participate in SPARC’s 2018 Racial Equity and Homelessness Summit: Redesign with Racial Equity, in Seattle, Washington, underwritten by the Bill & Melinda Gates Foundation and the Raikes Foundation. Attending on our behalf are Cindy J. Crain, MDHA President and CEO, Shanette Eaden, City of Plano Housing and Community Services Manager and MDHA board member, David S. Gruber, MDHA Development and Communications Director, Larry James, CitySquare CEO, and Rev. Dr. Michael W. Waters, founder and Senior Pastor of Joy Tabernacle African Methodist Episcopal (A.M.E.) Church. This summit will bring together SPARC communities, national and local leaders, and philanthropic partners for an in-depth conversation about how to center racial equity within homelessness prevention and response systems. We look forward to sharing these innovative tools, highlighted here today, with summit attendees.

Friday, June 16, 2017

Addressing Racism and Homelessness in Dallas – a Progress Report

It’s hard to believe that the first time we discussed the disproportionate representation of African Americans in Dallas’ homeless population, on this blog, was just a little over nine months ago. Since then, we have endeavored to make the glaring racial disparities in homelessness an integral part of every conversation surrounding homelessness in our community.

With the help of a generous grant from United Way of Metropolitan DallasUnite Dallas Relief Fund, we are in the midst of a research and action program from the Center for Social Innovation (C4) titledRacism and Homelessness - Addressing Inequity in 10 American Cities”, nicknamed SPARC (Supporting Partnerships for Anti-Racist Communities). In the words of C4, “While no single initiative can end structural racism across all systems, we believe,” that through this initiative we can, “create positive change in attitudes and behaviors that will begin to close the racial gap that has led to the disproportionate prevalence… of homelessness among African Americans.”
Hard Conversations: Racism and Homelessness
We launched the program, with a number of activities in late November 2016, including a first round of training for service providers, and the first meeting of a planning body to help MDHA and C4 shepherd this program in Dallas. The highlight that month was an installment of our Hard Conversations series on Racism and Homelessness. It was a packed house, in what could only be described as a combination of a church service and rock concert, with some serious learning and consciousness raising.

In February, C4 staff spent a week here in Dallas collecting qualitative data. They held focus groups with individuals experiencing homelessness, case managers and other front-line professionals, and mid to upper management personnel of service providers. They recorded about twenty Story corps style interviews with persons experiencing homelessness, where these individuals shared their life histories. Through this qualitative research, which they are conducting in all participating cities, they are looking for patterns in how people of color enter homelessness and what barriers prevent them from rapidly and permanently exiting homelessness.

We also spent time that week, MDHA and C4 staff together, meeting with a variety of stakeholders in the community to seek their guidance and input, including a large group of African-American and allied clergy, and leaders of other anti-racism efforts in our community. We also had another in-person meeting of the local planning body we had formed to help us shepherd this effort, whom we have and continue to meet with regularly over the phone.
2017 State of the Homeless Address
During the State of the Homeless Address in March, Cindy J. Crain, MDHA’s President and CEO, shared the relevant data on racism and homelessness, from the 2017 Homeless Count, and the Homeless Management Information System (HMIS). These numbers reiterated what the 2016 Homeless Count numbers showed us already: 60-70% of those experiencing homelessness in our community are African-American. She vowed that MDHA would continue to work to, “counter the systemic influences that created such extraordinary disparity with systemic changes.”
Along the way, we were heartened to see the media address these issues, with Tasha Tsiaperas’ Does Dallas' homeless population show the city is racist? in the Dallas Morning News, and Stephanie Kuo’s How Dallas' History Paved The Way For A Disproportionately Black Homeless Population, on KERA, as two prime examples. Race has also been constantly in the background of KERA’s excellent series, One Crisis Away: No Place to Go, which focuses on the plight of families in West Dallas, who are at risk of losing their homes.

Currently, as C4 analyzes the qualitative data collected here in Dallas at the end of February, they are also in the process of collecting quantative data from the HMIS system, which they will subject to rigorous analysis. They have also begun to connect us with the other cities they are working with in a budding online learning collaborative, where we are sharing our challenges, and how we are beginning to tackle them. It is fascinating to see the commonalities and differences between the different communities regarding the connections between racism and homelessness. 

C4 encouraged us, from the beginning of this process, to develop and incorporate structural changes that could begin to move the needle on racism and homelessness in Dallas. To that end, as we developed our new Continuum of Care (CoC) Strategic Work Plan, with our partners in the CoC General Assembly, we included as an overarching goal, addressing racial disparities in homelessness and service delivery. We encourage you, the reader, to review these action items to see how you can help. 

A key action item pertains to one of our most important innovations in our homeless response system this year, the MDHA Homeless Response System Community Dashboard. It provides a quarterly snapshot of the core system metrics that inform us on achievements in moving individuals to permanent housing. We will add an addendum to this important tool, which will capture, along racial and ethnic lines, who is homeless and in need of housing. Even more importantly, it will inform the community on how well we are utilizing the housing resources we have, in a way that promotes racial equity and begins to eliminate racial disparities in service delivery.

Promoting racial equity in service delivery begins “at home”. What do we mean by that? During the State of the Homeless Address, Cindy Crain shared a slide that showed the racial and gender breakdown of the CEOs/Executive Directors of the main thirty-two service providers in the homeless arena in Dallas. The numbers are troubling, to put it mildly: 44% white males, 44% white females, 6% black males, 6% black females. A key action item is to build on this, and conduct and publish an annual demographic survey of all senior management and board officers of federally funded homeless response system agencies. We can and must begin to move to a more diverse make-up of senior staff, as well as lay and professional leadership, that better reflects the population we are all here to serve.
Last Hard Conversation with Randy Mayeux on Housing First
Later this month, we will host another public event, related to racism and homelessness, as we seek to keep this issue front and center in our work.  MDHA, CitySquare, and the Dallas Public Library will present a book synopsis of Toxic Inequality: How America’s Wealth Gap Destroys Mobility, Deepens the Racial Divide, and Threatens Our Future. Randy Mayeux, renowned scholar and longtime book reviewer at CitySquare’s Urban Engagement Book Club, will lead the discussion. Larry James and Rev. Dr. Michael Waters, will join him for the Q&A portion. They will expound on how the lessons of Toxic Inequality can be applied to race, poverty and homelessness in Dallas. RSVP today, so you don’t miss this exciting and informative event!

We look forward to continuing to work with C4, with our partners, and with the community at large on addressing this important issue. Together, we can fulfill the vision we started this process with, and “create positive change in attitudes and behaviors that will begin to close the racial gap that has led to the disproportionate prevalence… of homelessness among African Americans.”

Thursday, January 5, 2017

The Story of Homelessness in Dallas Keeps Coming Back to One Simple Truth

It is my privilege to tell the story of the incredible work my twelve MDHA colleagues are doing, and beyond that the story of all those who play a part in our homeless response system. These include funders, policy makers, organizational management, case managers, and those experiencing homelessness themselves. Every time I write, from social media to grant requests, and every time I speak, from a one on one conversation to an invocation in front of hundreds, I try to tell the story of homelessness, and how we are working to make it rare, brief and nonrecurring. And every communication includes a call to action, be it implicit or explicit.

Now, this one overarching story of homelessness has many facets. Consequently, making homelessness rare, brief and nonrecurring, rarely involves silver bullets; it is usually all about silver buckshot. However, the more you carefully analyze the different facets of the problem and its solutions, the more you see that the same ideas, themes and challenges show up again and again.
Logo of United Way of Metropolitan Dallas
I noticed this again these last few days. I am currently working on a grant request we will be submitting shortly to United Way of Metropolitan Dallas, within the scope of their Basic Needs funding stream. We are seeking to renew their existing grant that provides funding for the MDHA Flex Fund.

If you know me, you know that I constantly talk about and write about the Flex Fund, which pays for minor but impactful expenditures that can help folks end their homelessness. We track every one of these expenditures in the Homeless Management Information System (HMIS), and we break them down into 16-17 different categories. This helps us better understand exactly what the current needs are. That way we, from the system level down to the case manager level, can better address those needs.

For the United Way of Metropolitan Dallas Basic Needs grant application, we are asked to produce detailed information not only regarding the individual solutions the Flex Fund provides, but also detailed demographic information about the population that is helped through the Flex Fund. Our HMIS team pored through the records, and gave me this demographic information, and one thing immediately jumped out at me.

The Flex Fund helped 129 persons or families during the second half of 2016, and here is their breakdown by race:
American Indian: 1
Asian: 1
Black: 87
Two or More Races: 5
White: 34
Unknown: 1
Without even calculating percentages, the number of persons of color, in general, and African-Americans, specifically, is immediately noticeable. When you actually do the math, and divide 87 by 129, the result is shocking yet eerily familiar – about 67%. If you are familiar with our previous posts on Racism and Homelessness, you have seen this percentage before. When we look at the homeless population, in Dallas County, as a whole, we find exactly the same percentage of African Americans!
Logo of the Unite Dallas Relief Fund
No matter what angle or facet of this problem we analyze, the story of homelessness in Dallas keeps coming back to one simple truth: Homelessness in Dallas, to our shame, is inextricably tied to race. Without addressing this, we won't be able to make homelessness rare, brief and nonrecurring. This is why United Way of Metropolitan Dallas' Unite Dallas Relief Fund awarded us $32,700 late last year to partner with the Center for Social Innovation and nine other cities to address Racism and Homelessness. Through this research and action program, we will begin to gain a better understanding of this problem, while we act to tackle it. That is the only way we can, in the words of United Way, lay “the foundation for a successful, just and united future in North Texas.”