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Beginning the Coordinated Entry Process

  Seth Howard - Building Changes
  Tedd Kelleher - Department of Commerce
  Troy Christensen - Pierce County

  February 14, 2012
Learning Objectives


• Learn more about what is going on in different counties
  around the state
• How to begin the coordinated entry plan in your county
• Who should be involved in the planning process
• What have been some common stumbling blocks in
  counties that have coordinated entry systems




                                                            2
Coordinated Entry


A uniform method of client intake which may be customized for families or
single adults, etc. There must at the very least be a common tool at intake
 that consistently screens for eligibility and need for housing and services
                       (including type and intensity).

 -Department of Commerce Administrative Requirements for Consolidated Homeless Grant


  All Lead and Sub Grantees must have a system in place by 12/31/14




                                                                                       3
Different Types of Coordinated Entry



  Physically/Geographically Centralized- a single location,
                  building, room or space
Centralized Telephone- one call access to services (i.e. 211,
      Clark County Emergency Shelter Clearinghouse)
Decentralized- Multiple coordinated locations throughout the
                   community or county




                                                                4
Advantages and Disadvantages
                  Physically            Centralized            Decentralized
                  Centralized           Telephone
Physical          Single, centralized   Space for              Multiple
Requirements      location              Phones/staff           coordinated
                                                               locations
Advantages        Fewer sites needed, Easier to handle         More locations=
                  Control over        large # of clients,      easier access for
                  consistency         Cost                     clients
Drawbacks         Accessibility for     Need for additional    Less control over
                  clients               referrals /in person   consistency of
                                        meeting can slow       services, Cost
                                        down process




                                                                                   5
House Bill 1811 and Informed Consent



HB 1811 allows social service providers to screen clients over
the phone and enter their information into HMIS, provided
they attain informed oral consent from the client over the
phone, and informed written consent the first time a client
meets in person with the agency.




                                                                 6
“Planning across disciplines takes time. There needs to be a
clear and transparent communication structure and process
with lots of opportunity for dialogue. And there needs to be
a point at which decisions are clearly made and not
constantly revisited.”




                                                               7
Making the Transition to Coordinated Intake


• Involve all stakeholders (not just those in the homelessness
  system)
• Use the Stakeholder Analysis to look at the entire system
  for strengths and weaknesses
• Get buy-in from providers
• Evaluate, evaluate, evaluate




                                                                 8
Pierce County


• Telephone Based, multiple offices around the county where
  assessment is available. If transportation is an issue, outreach is
  possible
• Funded by Document Recording Fees
• Steering Committee made up of funders and consultants that were
  informed by a group of providers and people who were currently or
  formerly experiencing homelessness.
• Biggest Challenge: Demand




                                                                        9
Snohomish County


• Telephone or in person at multiple coordinated locations
• Pilot phase: families only
• Design Process: Strategic Advisory Coordinating Committee made
  up of key stakeholders and consultants, that was informed by a
  large number of frontline and management staff who worked on
  specific committees.
• Hindsight learning: more involvement from domestic violence
  providers and churches.




                                                                   10
Kitsap County


• Multiple coordinated sites, appointments can be made by phone
• Funded by Document Recording Fees
• Open transparent decision making process that included critical
  constituencies
• Challenge providers to do business differently




                                                                    11
Clark County


• Telephone based
• Serves all populations, except for those in immediate domestic
  violence crisis: transferred to DV shelter and advocacy line
• Expanding to prevention efforts in 2012, with system-wide common
  assessment form
• Funded through Document Recording Fees, local and private
  donations
• Staffed by 1.8 FTE and telephones answered by volunteers




                                                                     12
Whatcom County


• Multiple coordinated sites
• Serves all populations (including prevention)
• Funded by Document Recording Fees, CHGs, and other local grants
• The need for Multi-Agency HMIS data sharing agreements
• Never underestimate the willingness of independent agencies to
  collaborate if you offer the right mix of incentives




                                                                    13
Additional Resources


Case Studies from today:
http://www.buildingchanges.org/our-work/advocacy/358-
coordinated-entry-resources



NAEH One Way In: The Advantages of Introducing System-
Wide Coordinated Entry for Homeless Families
http://www.endhomelessness.org/content/article/detail/3974



                                                             14

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Beginning the Coordinated Entry Process

  • 1. Beginning the Coordinated Entry Process Seth Howard - Building Changes Tedd Kelleher - Department of Commerce Troy Christensen - Pierce County February 14, 2012
  • 2. Learning Objectives • Learn more about what is going on in different counties around the state • How to begin the coordinated entry plan in your county • Who should be involved in the planning process • What have been some common stumbling blocks in counties that have coordinated entry systems 2
  • 3. Coordinated Entry A uniform method of client intake which may be customized for families or single adults, etc. There must at the very least be a common tool at intake that consistently screens for eligibility and need for housing and services (including type and intensity). -Department of Commerce Administrative Requirements for Consolidated Homeless Grant All Lead and Sub Grantees must have a system in place by 12/31/14 3
  • 4. Different Types of Coordinated Entry Physically/Geographically Centralized- a single location, building, room or space Centralized Telephone- one call access to services (i.e. 211, Clark County Emergency Shelter Clearinghouse) Decentralized- Multiple coordinated locations throughout the community or county 4
  • 5. Advantages and Disadvantages Physically Centralized Decentralized Centralized Telephone Physical Single, centralized Space for Multiple Requirements location Phones/staff coordinated locations Advantages Fewer sites needed, Easier to handle More locations= Control over large # of clients, easier access for consistency Cost clients Drawbacks Accessibility for Need for additional Less control over clients referrals /in person consistency of meeting can slow services, Cost down process 5
  • 6. House Bill 1811 and Informed Consent HB 1811 allows social service providers to screen clients over the phone and enter their information into HMIS, provided they attain informed oral consent from the client over the phone, and informed written consent the first time a client meets in person with the agency. 6
  • 7. “Planning across disciplines takes time. There needs to be a clear and transparent communication structure and process with lots of opportunity for dialogue. And there needs to be a point at which decisions are clearly made and not constantly revisited.” 7
  • 8. Making the Transition to Coordinated Intake • Involve all stakeholders (not just those in the homelessness system) • Use the Stakeholder Analysis to look at the entire system for strengths and weaknesses • Get buy-in from providers • Evaluate, evaluate, evaluate 8
  • 9. Pierce County • Telephone Based, multiple offices around the county where assessment is available. If transportation is an issue, outreach is possible • Funded by Document Recording Fees • Steering Committee made up of funders and consultants that were informed by a group of providers and people who were currently or formerly experiencing homelessness. • Biggest Challenge: Demand 9
  • 10. Snohomish County • Telephone or in person at multiple coordinated locations • Pilot phase: families only • Design Process: Strategic Advisory Coordinating Committee made up of key stakeholders and consultants, that was informed by a large number of frontline and management staff who worked on specific committees. • Hindsight learning: more involvement from domestic violence providers and churches. 10
  • 11. Kitsap County • Multiple coordinated sites, appointments can be made by phone • Funded by Document Recording Fees • Open transparent decision making process that included critical constituencies • Challenge providers to do business differently 11
  • 12. Clark County • Telephone based • Serves all populations, except for those in immediate domestic violence crisis: transferred to DV shelter and advocacy line • Expanding to prevention efforts in 2012, with system-wide common assessment form • Funded through Document Recording Fees, local and private donations • Staffed by 1.8 FTE and telephones answered by volunteers 12
  • 13. Whatcom County • Multiple coordinated sites • Serves all populations (including prevention) • Funded by Document Recording Fees, CHGs, and other local grants • The need for Multi-Agency HMIS data sharing agreements • Never underestimate the willingness of independent agencies to collaborate if you offer the right mix of incentives 13
  • 14. Additional Resources Case Studies from today: http://www.buildingchanges.org/our-work/advocacy/358- coordinated-entry-resources NAEH One Way In: The Advantages of Introducing System- Wide Coordinated Entry for Homeless Families http://www.endhomelessness.org/content/article/detail/3974 14