annual gathering: 2012 emergency solutions to rapidly re-house homeless households
TRANSCRIPT
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7/29/2019 Annual Gathering: 2012 Emergency Solutions to Rapidly Re-House Homeless Households
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H.O.U.S.E. PROGRAM(Helping Others Until Self-Empowered)
Catholic Social ServicesDiocese of Fall River, Massachusetts
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H.O.U.S.E. PROGRAM
The H.O.U.S.E. Program is an emergency shelter
program that is contracted to provided a safe temporaryemergency shelter to families referred by theDepartment of Housing and Community Development(DHCD) under the Emergency Assistance (EA) Programof the Commonwealth of Massachusetts.
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H.O.U.S.E. PROGRAM
The EA Shelters are apartments that are located within the
communities of our service area. The apartments are leasedand maintained through Catholic Social Services.
Each apartment has 3 bedrooms,
and is leased for a family of 6. The
apartments are completely furnished
and have all the basic requirements
needed for a homeless family to arrive
at the shelter at a moments notice.
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H.O.U.S.E. PROGRAM
Intake and Triage Intake Admission Data FormHMIS DATA ENTRY ____________ HMIS EXIT ENTRY ___________________
Housing Specialist:___________________ SS Location: _________________________________
Head of Household:
Entry Date: _____________DTA Office: ________________DTA Case Worker_______________
First: ________________________Middle:___________________Last:____________________
DOB: __________________ SS# ____________________ Phone #_______________________
M / F/Transgender Health Insurance Y/N Company: _______________________________
Mothers Maiden Name: __________________ U.S. Citizen Y N Green Card Y N
Second Adult:
First: ________________________Middle:___________________Last:____________________
DOB: __________________________________SS# ___________________________________
M / F/Transgender Health Insurance Y/N Company: _______________________________
Mothers Maiden Name: ___________________ U.S. Citizen Y N Green Card Y N
Marital Status:HOH:Single __Married __Divorced __Widowed
2nd
AdultSingle __Married __Divorced __Widowed
Does HOH receive SNAP and Cash Benefits? Yes No Cash Amt $______ SNAP $______Do all Family Members Have Insurance Benefits at this time? Yes No Ins Co:________________*** Please list all family members who will require assistance with Insurance benefits._______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
Pregnancy:Is anyone in the household pregnant: Yes / No
Who: _________________________________________Due Date: ________________________
Emergency Contact: ____________________________ Relationship: ______________________
Address: _______________________ Phone #: ______________________ Release: Yes No
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7/29/2019 Annual Gathering: 2012 Emergency Solutions to Rapidly Re-House Homeless Households
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H.O.U.S.E. PROGRAM
Rapid Re-Housing Planami y em er:
EA Six months:
Department of Housing and Community DevelopmentDivision of Housing Stabilization
Re-housing Plan (Section 1)
(for each family member 18 and older)
ys Date: Date Placed:
d of Household:vidual:
SSN (last 4 digits): Contact Number:
ily Size: Males: Females:
ter Name: Address: Contact Number:
ousing Case Manager: Contact Number:
D Homeless Coordinator: TAO: Contact Number:
Case Manager: TAO: Contact Number:
ur Re-housing Plan outlines specific activities intended to bring you closer to economicity and sustainable housing. Your goals, strengths and resources will be the basis for
oping a strategy to overcome homelessness as you, shelter staff and DHCD staff develops theusing plan.
hile you are in shelter, you will be expected to:
take part in activities leading to increased economic stability for 30 hours a week, such as:job search or job training, and addressing any barriers to obtaining employment;
attend shelter meetings and workshops as a requirement of your re-housing plan;
meet with and cooperate with re-housing placement staff;
save 30% of your net income; andaccept an offer of housing unless you have good cause.
r case manager and/or re-housing case manager will help connect you with appropriateunity resources, including child care, transportation, medical and other supportive services,
eded.1
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H.O.U.S.E. PROGRAM
With the Re-Housing Plan, case management is
focused on helping families achieve a successfulhousing placement and ongoing stabilization in order
to assist families develop the skills and resources
needed to sustain housing.
The area of focus in the Re-Housing Plan are:
1. Secure Housing2. Economic Stability
3. Health and Safety
4. Childrens Stability
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H.O.U.S.E. PROGRAM
Secure Housing
1. Explore all housing options
2. Collect necessary documentation
3. Address barriers: CORI, credit
issues, utility arrears, rental arrears4. Devise strategy to increase income
5. Educational Attainment
6. Review & discuss housing offers
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H.O.U.S.E. PROGRAM
Economic Stability
1. Create a budget and repayment plan.
2. Work with DTA to enroll in ESPprograms and access child care andtransportation.
3. Save 30% of households net monthly
income and provide documentation.4. Identify financial barriers and reduce
debt.
5. Attend financial education workshops.
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H.O.U.S.E. PROGRAM
Health & Safety
1. Attend required workshops2. Access any services identified in the assessment process.
3. Schedule and keep all necessary medical appointments.
4. Weekly hours in all activities add up to 30 hours , unless
good cause is determined.
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H.O.U.S.E. PROGRAM
Childrens Stability Register children for school,
access transportation and
ensure attendance.
1. Attend parent/teacher conf.
and other school functions.2. Ensure well being of children
through after school
programs, recreation and
study time
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TEST YOUR KNOWLEDGE: How much income must a family have in order t
afford market rent and avoid paying more than the recommended 30% o
their income towards rent in the state of Massachusetts?
EXPLORE ALL
HOUSING OPTIONS
COLLECT NECESSARY
DOCUMENTATION
ADDRESS BARRIERS:
CORI ISSUES
CREDIT ISSUES
UTILITY ARREARS
STRATEGY TO
INCREASE INCOME
REVIEW AND DISCUSS
HOUSING OFFERS
SECUREHOUSING
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Snapshot of the most Common
Barriers for Homeless Families
:
Poor Rental History, Evictions and Foreclosures
Poor Credit HistoryCori Records
Low Income
No income
Physical, Emotional and Mental Disabilities
Poor Housing Resumes
Utility arrearages
No banking history
Basic educational attainment
Lack of work history
English proficiency ability
Immigration status
Adequate child care arrangements
Transportation
Lack of safe, affordable housing (not enough
subsidized housing or vouchers available.
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Last updated on 02/6/2012 1
Intake Admission Data Form
HMIS DATA ENTRY ____________ HMIS EXIT ENTRY __________________
Housing Specialist:___________________ SS Location: _______________________________
Head of Household:
Entry Date: _____________DTA Office: ________________DTA Case Worker______________
First: ________________________Middle:___________________Last:____________________
DOB: __________________ SS# ____________________ Phone #_______________________
M / F/Transgender Health Insurance Y/N Company: _______________________________
Mothers Maiden Name: __________________ U.S. Citizen Y N Green Card Y N
Second Adult:
First: ________________________Middle:___________________Last:____________________
DOB: __________________________________SS# ___________________________________
M / F/Transgender Health Insurance Y/N Company: _______________________________
Mothers Maiden Name: ___________________ U.S. Citizen Y N Green Card Y N
Marital Status:HOH:Single __Married __Divorced __Widowed
2nd
Single __Married __Divorced __WidowedAdult
Does HOH receive SNAP and Cash Benefits? Yes No Cash Amt $______ SNAP $______Do all Family Members Have Insurance Benefits at this time? Yes No Ins Co:_____________*** Please list all family members who will require assistance with Insurance benefits.____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
Pregnancy:Is anyone in the household pregnant: Yes / No
Who: _________________________________________Due Date: ________________________
Emergency Contact: ____________________________ Relationship: ______________________
Address: _______________________ Phone #: ______________________ Release: Yes No
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Child/Children Names:
1. ______________ _______________ ________________ F M DOB _____________ SS#First Middle Last
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2. ______________ _______________ ________________ F M DOB _____________ SS#First Middle Last
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3. ______________ _______________ ________________ F M DOB _____________ SS#First Middle Last
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4. ______________ _______________ ________________ F M DOB _____________ SS#First Middle Last
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5. ______________ _______________ ________________ F M DOB _____________ SS#First Middle Last
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6. ______________ _______________ ________________ F M DOB _____________ SS#First Middle Last
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Ethnicity:
HOH: Hispanic _______ Non Hispanic ________Secondary Adult: Hispanic _______ Non Hispanic ________Children: ____________ Hispanic _______ Non Hispanic ________Children: ____________ Hispanic _______ Non Hispanic ________
Children: ____________ Hispanic _______ Non Hispanic ________Children: ____________ Hispanic _______ Non Hispanic ________
Children: ____________ Hispanic _______ Non Hispanic ________
Race:HOH:
_____White _____Asian _____Asian/White_____Multi-Racial _____American Indian/Alaskan Native_____ Hawaiian/Other Pacific Island _____American Indian/Alaskan & White _____Black/African American /W_____American Indian/Black ______Black/African American
Second Adult:_____White _____Asian _____Asian/White_____Multi-Racial _____American Indian/Alaskan Native_____ Hawaiian/Other Pacific Island _____American Indian/Alaskan & White _____Black/African American /W_____American Indian/Black______Black/African American
Children:_____White _____Asian _____Asian/White_____Multi-Racial _____American Indian/Alaskan Native_____ Hawaiian/Other Pacific Island _____American Indian/Alaskan & White _____Black/African American /W_____American Indian/Black______Black/African American
Reason for Homelessness:
_____Mental Health Disability _____ Unemployment/Loss of Job_____Discharge from Jail/Prison _____Military Discharge_____Divorce/Break-up _____Natural Disaster/Fire_____Domestic Violence/Child Abuse _____Need for safety Animal
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_____Eviction for behavior or Zero Tolerance Drug Policy _____Overcrowding_____Eviction- Expiring Use Building _____Over Housed_____Eviction Landlord non-renewal, no fault _____Physical Disability_____Family Conflict/Roommate Dispute _____Relocation_____Financial-Rent Burden/Utilities Burden _____Substandard Housing_____Health Code/Safety Code Violations _____ Substance Abuse behaviors_____Immigration from another Country _____Unable to pay utilities_____Immigration from U.S. City or State _____Other:
Last Permanent Address: (Other than Hotel or Shelter)
City/Town with zip code_______________________________________________________________________________
_____Community Residence for Ex-Offenders _____Owned by client No Housing SubsidyLiving Situation
_____Emergency Shelter/Hotel with Voucher _____Owned by client with Housing Subsidy_____Foster Care Home/Group Home _____Perm. Housing for formally homeless (SHP,S+C,SRO_____Living Outside/somewhere illegally _____Rented by client/no housing subsidy_____Hospital or Nursing Home _____Rented by client/Veterans Affairs
_____Hospital/Psych Facility _____Rented by client/Non Veterans Affairs_____Hotel/Motel without Voucher _____Safe Haven_____In the Military _____Student Housing_____Jail/Prison _____Substance Abuse/Detox Facility_____Living/Staying with Family _____Transit. Housing_____Living/Staying with Friends _____Youth Residential Programs_____Mental Health Group Home _____Other Housing___________________
_____ Less than one week _____More than one yearLength of Time at Living Situation
_____More than one week but less than a month _____Client does not know
_____One to three months _____Client refused to say_____Three months to less then one year
Education:HOH:_____Less than 9th
_____ Unknowngrade _____ Some High School _____ HS or GED _____ Post High School
Second Adult:____Less than 9th
____ Unknowngrade _____ Some High School _____ HS or GED _____ Post High School
Employment/Programs:HOH:Employed Yes / NoEmployed by: __________________________ Job Title: ______________________________Programs enrolled in_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Second Adult:
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Employed Yes / NoEmployed by: __________________________Job Title: ______________________________Programs enrolled in:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Was income received in from any source in the past 30 days? Yes / NoIncome: For ALL Family Members
Family Member Income Amount_____No Income_____Alimony/Spousal Support __________/_________ $__________/$_______________Child Support __________/_________ $__________/$_______________Earned employment Income __________/_________ $__________/$_______________Job Pension __________/_________ $__________/$_______________Private Disability Insurance __________/_________ $__________/$_______________Public/General Assistance __________/_________ $__________/$_______________Rental Assistance __________/_________ $__________/$_______________Retirement from Soc. Sec. __________/_________ $__________/$_______________Social Security Retirement __________/_________ $__________/$__________
_____SSDI __________/_________ $__________/$_______________SSI __________/_________ $__________/$_______________TANF/TAFDC/EAEDC __________/_________ $__________/$_______________Unemployment Insurance _________/_________ $__________/$_______________Veterans Pension/Disability __________/_________ $__________/$_______________Workers Compensation __________/_________ $__________/$_______________Other________________ __________/_________ $__________/$__________
Were non-cash benefits received from any source in the past 30 days? Yes / NoFamily Member Amount (If applicable)
_____Food Stamps __________/_________ $__________/$_______________Free Care __________/_________ $__________/$_______________Healthy Start __________/_________ $__________/$_______________Medicaid __________/_________ $__________/$_______________Medicare __________/_________ $__________/$_______________State Childrens Health Ins __________/_________ $__________/$_______________WIC __________/_________ $__________/$_______________VA Medical Services _________/_________ $__________/$_______________Private Disability Ins __________/_________ $__________/$_______________TANF Child Care __________/_________ $__________/$__________
_____TANF Transport Services __________/_________ $__________/$_______________TANF/Other Funded Services_________/_________ $__________/$_______________Pub Hsg/Sec 8/other rental assist__________/_________ $__________/$_______________Unemployment Insurance _________/_________ $__________/$__________
_____Veterans Benefits Medical __________/_________ $__________/$_______________Vocational Rehab __________/__________ $__________/$_______________Workforce Investment Act __________/__________ $__________/$_______________Other insurance/benefit __________/__________ $__________/$__________
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Special Conditions:
Condition Affected HH Member/Condition Receiving treatment orServices for condition
____None ____________/____________ _____No _____Yes____Alcohol Abuse 1 ____________/____________ _____No _____Yes____Drug Abuse 1 ____________/____________ _____No _____Yes____Developmental Disability ____________/____________ _____No _____Yes____Chronic Health Condition ____________/____________ _____N0 _____Yes
____Domestic Violence 2 ____________/____________ _____No _____Yes____HIV/AIDS ____________/____________ _____No _____Yes____Physical Disability ____________/____________ _____No _____Yes____Mental Health Problems 3 ____________/____________ _____N0 _____Yes
1= If alcohol or drug abuse, is the abuse expected to last a long time and impair the persons ability to liveindependently? _____No _____Yes2= If DV when did the last experience occur?
____Within the past three months ____Three to six months ago____Six to twelve months ____More than one year
3= if mental illness, is it expected to last a long time and impair the persons ability to live independently?
_____No _____Yes
Shelter:
Have you been in a Family Shelter before? Yes / No Where was it located? ___________________________
If yes when did you enter____________ and when did you exit ______________.
Veteran Status:
Is the HOH a Veteran? Yes / No Is the Second Adult a Veteran? Yes / No
Language:
Whats your Primary Language? ___________________ Would you like to enroll in ESL classes? Y N
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Head of Household:
Family Member:
10/4/20121
Department of Housing and Community Development
Division of Housing Stabilization
Part 2
Re-housing and Stabilization Plan
(for each family member 18 and older)
Todays Date: _________ Date placed
: ____________
Head of Household:Individual:
SSN (last 4 digits): Contact Number:
Family Size: Males: Females:
Home Address: Unit: Contact Number:
Stabilization Case Manager: Shelter Program: Contact Number:
DTA Case Manager TAO: Contact Number:
Your Stabilization Plan outlines specific activities and responsibilities intended tobring you closer to economic stability and maintaining sustainable housing. Your
goals, strengths and resources will be the basis for developing a strategy to overcomehomelessness as you, stabilization staff and DHCD staff develops the StabilizationPlan. You are encouraged to take on as much independent responsibility as you canto maximize the benefits of your plan.
Your case manager and/or stabilization manager will help connect you withappropriate community resources in your region, including child care, transportation,medical and other supportive services, as needed. In addition to your ownstabilization obligations, your stabilization worker will:
Initiate primary contact with your landlord in person, by telephone, or letter andfollow up with your landlord at a minimum of every 3 months. Obtain 6 and 12 month lease compliance verification letters from your landlord. Contact you at least once a month in person (individually or in groups), bytelephone, or by letter in order to verify lease compliance, refer you to relevantcommunity services, and educate you about tenant rights and responsibilities. Tailor stabilization services as necessary in response to your personal needs.
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Head of Household:
Family Member:
10/4/20122
The following activities are part of your plan to maintain housing and move towards economicand housing self-sufficiency. The assessment tool may be used to identify appropriate areas of
concentration. Your and your case manager will review your participation and completion of
these activities on a monthly basis.
Important:
If a member of your family has a mental or physical disability that may prevent
you from doing an activity, we may be able to modify the activities in your plan to help youparticipate successfully. Please request an ADA Accommodation.
Health Issue: Yes No if yes, please explain andverify_____________________________
Activities
Todays Date: _____________
Activity Status
Progress
1.
Comments
Lease Compliance and Ongoing Housing Search:
Meet with or contact stabilization Y N_______________________
worker at least once a month regarding ___________________________________lease status ___________________________________
___________________________________
Change addresses with housing authorities Y N _______________________and management companies _____________________________
_________________________________
____________________________________
Track housing authority and management Y N _______________________company waitlists at least every 3 months ____________________________________
____________________________________
____________________________________
Address barriers to permanent housing Y N _______________________(ex.: CORIs, bad credit) ___________________________________
___________________________________
___________________________________
Strengthen and update housing resume, Y N ______________________including landlord history and references ____________________________________
____________________________________
____________________________________
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Head of Household:
Family Member:
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Activity Status
Progress2.
CommentsEconomic Stability and Development
Follow your budget and repayment plan Y N _______________________(Rental/utility arrearages, credit) ____________________________________(See Attachment B
____________________________________
) ____________________________________
Maximize and increase income through Y N _______________________benefits, employment and financial ___________________________________education ____________________________________
____________________________________
Develop a plan for savings and accessing Y N _______________________basic banking programs
________________________________________________________________________
____________________________________
Continue education through GED & college Y N _______________________. ____________________________________
____________________________________
____________________________________
Participate in work training or professional Y N _______________________certification programs __________________________________
____________________________________
____________________________________
Access DTA CIES program if TAFDC Y N _______________________recipient ____________________________________
(job placement assistance, childcare, transportation) ____________________________________
____________________________________
3. Health, Safety, and Well-Being
Register children for Head Start, Y N ______________________preschool, elementary and high school; ___________________________________access transportation and ensure attendance ___________________________________
___________________________________
Attend parent/teacher conferences and Y N ______________________other school functions ___________________________________
___________________________________
___________________________________
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Head of Household:
Family Member:
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Ensure well being of children through Y N ______________________after school programs, recreation and ___________________________________
study time ___________________________________
___________________________________
Access any relevant services offered by Y N ______________________our community based private and public ___________________________________
partners ______________________________________________________________________
Work with stabilization manager to Y N ______________________secure specialized services such as ___________________________________
mental health, substance abuse, or ___________________________________
domestic violence counseling ___________________________________
Schedule and keep all necessary Y N ______________________appointments with stabilization worker ___________________________________and other service providers ___________________________________
___________________________________
Schedule next appointment with stabilization staff
to update stabilization plan Date: ________ _______________
Additional notes:
__________________________________________________________________________
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Head of Household:
Family Member:
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Stabilization Plan Agreement
I understand that the stabilization plan is a work in progress and that I am responsible forcompleting the agreed upon activities and cooperating in the development of new activities.
I understand that consistently participating in and completing the stabilization plan activities
and remaining eligible for Emergency Assistance benefits pursuant to 106 C.M.R. ch. 309 arerequirements for continuing eligibility for temporary housing assistance.
I acknowledge that I have received a copy of the Flex Funds Case Review Policy and agreethat the Policy is incorporated into my Re-housing and Stabilization Plan and forms a part of
that Plan.
I agree to accept any modifications to my Re-housing and Stabilization Plan that are requiredby DHS as part of any amendment to the DHS standard form Re-housing and Stabilization
Plan.
I understand that any extension of my Flex Funds subsidy at the end of my current Flex Funds
subsidy is subject to program and funding availability.
I understand that, if additional Flex Fund extensions are unavailable at the end of my current
Flex Funds subsidy, I will remain eligible for temporary emergency shelter benefits, provided
that I have been in substantial compliance with the stabilization plan and remain otherwise
eligible for Emergency Assistance.
I also understand that if I fail to cooperate with the stabilization plan, which is considered
housing assistance program services, and then lose the Flex Funds unit, I will be ineligible fortemporary emergency shelter benefits as specified in 106 CMR 309.040 (B) (7).
_____________________________________________ ________________Adult Household Member Signature Date
_____________________________________________ ________________
Stabilization Case Manager Date
Amendments
_______________________________________________________ ________________
_______________________________________________________ Date_______________________________________________________ Initial _________
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Head of Household:
Family Member: