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2	"The most important thing" The most important thing, by far, is deciding you’re going to do it.
3	Purpose of Project 50 Identify the 50 most chronic and vulnerable homeless individuals sleeping on Skid Row and place them into permanent supportive housing County demonstration project of sustainable financial model for delivering long term supportive services in housing for chronically homeless population
4	Project 50 Overview Adaptation of Street to Home in NYC Phase I: Registry Creation Phase II: Placement into housing – Project 50 Outreach Team Phase III: Retention through Permanent Supportive Housing - Project 50 Integrated Supportive Services Team and Skid Row Housing Trust
5	Project 50 - Timeline Oct 4^th 2007: LA County hosts Common Ground and US Interagency Council Nov 20^th: County Supervisors Passed Motion to Implement Project 50 within 100 days Dec 7^th: Project 50 Launched with Skid Row Street Count (17 days) Dec 10th – 18^th: Registry Creation (28 days) December 20^th: Presentation on Registry Creation (30 days) January 17^th 2008: Phase II: Outreach began (58 days) January 28^th: Phase III: Housed first person! (69 days) April 16^th: 23 people housed with 5 in process
6	Phase I: Registry Creation Baseline count found 471 people sleeping on streets of Skid Row 25 outreach personnel & LAPD created a by-name list over 9 days Administered 45 question survey to capture critical data Applied Vulnerability Index to identify the individuals who are chronically homeless and are at greatest risk for dying on the street 50 individuals with the most co-occurring risk indicators recommended to Los Angeles County for inclusion in Project 50
7	Registry Creation Results 350 interviews completed (74% of baseline count) 250 pictures (71% of respondents allowed) 140 individuals met at least one high risk criteria
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9	Top 50: Years Homeless, Mental Heath & Substance Abuse
10	Top 50: Criminal Justice & Insurance
11	Top 50 – Hospital & ER Visits
12	Self-reported Risk Indicators
13	Phase II: Outreach & Housing Placement Outreach Team DPH, DMH, VA, LAHSA Support from DPSS, DHS, HACLA and Skid Row Housing Trust Training in January Motivational Interviewing Techniques Comprehensive training on process for getting into housing Engage clients around permanent housing “What ever it takes” approach Flexible working schedules with daily communication Never give up!
14	Housing Placement Early Outcomes 23 people in housing (46% of Top 50) 14 days from contact with person on the street to move in 5 people in housing placement process Confirmation of intense health needs and vulnerability Myth-busting: “if homeless people won’t go into the shelter, they must be service resistant.” Collaboration and communication with local service providers & residents Trust building
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16	Housing Placement: Challenges Early challenges identified Housing process difficult to navigate Fragmented service delivery system Solutions: Collaboration, collaboration, collaboration! Systems navigation
17	Phase III: Housing Retention & Integrated Supportive Services Partnership with Skid Row Housing Trust to dedicate 50 apartments Development of Integrated Supportive Services Team Intensive services onsite where people live Federal Qualified Health Center (FQHC) Outpatient Mental Health Clinic Sustainable funding models Building capacity
18	Integrated Supportive Services Team (ISST) This multi-disciplinary team will provide services and supports necessary to help participants live successfully in the community rather than in jails, hospitals or on the streets. Project Director (DPH) Medical Doctor (JWCH) Psychiatrist (JWCH) 2 LCSWs (JWCH & DMH) Licensed Vocational Nurse (JWCH) Substance Use Counselor (ADPA/Didi Hirsch) 2 Case Managers (SRHT) Housing Specialist (SRHT) Billing Clerk (JWCH)
19	ISST Components Comprehensive Biopsychosocial Assessment Multnomah Community Ability Scale Individual Treatment Plan (ITP) Daily care planning meetings Weekly ITP meetings Benefits establishment Proactive engagement approach Emphasis on integrated services and cross training Social networking/therapy groups
20	Next Steps Full implementation of Integrated Services Team Complete Phase II: Housing Placement Evaluation & Cost avoidance study Assess most effective approach for housing the next 50
21	Leaders, staff and participants