June 4, 2013Final Results Public Briefing

Nashville Registry Week

www.howsnashville.orgTwitter: @howsnashvilleFacebook: www.facebook.com/HowsNashville

Contact: Will Connelly, Metropolitan Homelessness Commissionwill.connelly@nashville.gov

Welcome

Diane Kuhn Chair, Metropolitan Homelessness Commission

How’s Nashville Leadership Team:

Thanks To Our Partners• Metro Social Services• MDHA• VA• Mental Health Cooperative• Park Center• Open Table Nashville• Colby’s Army• Operation Stand Down• Centerstone• Eckman/Freeman• NeedLink• UNHS• Safe Haven Family Shelter• East Nashville Cooperative

Ministries• The Contributor

• Urban Housing Solutions• Tennessee State University• Nashville Downtown Partnership• Room in the Inn• Southern Alliance for People and

Animal Welfare• Community Resource Center• Nashville Rescue Mission• First Management Services• Ghertner and Company• Randy Phillips • TN Fair Housing Coalition• Evergreen Real Estate• Community Food Advocates

Agenda

Welcome100k Homes CampaignRegistry WeekResultsStrategic Approach100-day Housing GoalCommunity InvolvementClosing

100k Homes Campaign

Prioritizing Most Vulnerable

Vulnerability Factors1. Liver Disease2. Kidney Disease/End-Stage Renal Disease3. HIV+/AIDS4. Age over 60 years5. History of Cold Weather Injury6. 3 or more ER visits in previous 3 months7. 3 or more hospital inpatient visits in the past year8. Tri-morbidity (mental health + substance use + physical

illness)

Registry Week Overview

Registry Week Overview

May 28th – May 31st • Tuesday: Volunteer Training • Weds, Thurs, Fri: 3:30 am to 7:30 am surveys (streets and camps)• 341 surveyed week of over 3 days (29th, 30th, 31st)• 28 surveyed in RITI; 100 surveyed in Rescue Mission

June 1st – June 3rd• Data analysis, prepare community briefing

June 4th • Community Briefing• Next: Move vulnerable into housing

Mapping Nashville

Interview Methodology

• Team leader with at least three team members• Divided Nashville into sectors (12 street, 8 camp

teams)• Covered assigned sector on 3 consecutive mornings• Some teams had changes to coverage based on

happenings the day before• Asked each person encountered to participate• Logged refusals• Offered full day bus pass as a thank you for

participating

Interview Methodology

– Patient– Respectful– Persistent– Compassionate

Early Morning Search

Nashville Registry Week Results

Nashville Registry Week Results

469 surveyed222 (47%) vulnerable67 identified as veterans

Nashville Results: Time on Streets

Vulnerable Non-Vulnerable0

1

2

3

4

5

6

7

8

7.6 years

3.6 years

Nashville Results – Serious Conditions

Heart DiseaseKidney Disease

Liver DiseaseHep C

CancerAsthma

EmphysemaHIV/AIDS

Cold Weather InjuryDiabetes

0 20 40 60 80 100 120

Nashville Results: Age

Vulnerable Not Vulnerable44

45

46

47

48

49

50

51

50.5 yrs

46.7 yrs

Nashville Results: Veterans

• 67 (14%) veterans identified• 50 (75%) have honorable discharges• 41 of 67 (61%) are vulnerable

Nashville Results – Health Coverage

Medicaid Medicare Private Other VA None0

50

100

150

200

250

30057%

Nashville Results – Frequent Users

• 663 total ER visits reported in last 3 months (annual cost of $1,326,000 @ only $500/visit)

• 459 inpatient hospitalizations reported (annual cost of $671,058 @ $1,462/day)

• Inpatient and ER costs combined total over $1,997,058 annual for 249 people

So Much Data…

The Next 100 Days

Goal: House 200 people in 100 days (by Sept. 1)

Goal: 50 of 200 will be veterans (25%)

Goal: Raise $200,000 ($1,000 per person) for move-in costs

Rental Assistance

MDHA prioritizing rental assistance to most vulnerable

VA increasing % of rental assistance to chronically homeless/vulnerable vets

Private Landlords

100 Day Housing Supply

62

3650

52

Set-Aside ApartmentsSection 8VABaseline

Targeting Housing/Support Resources

Approx. $15,000 per year for permanent supportive housing (200 people X $15,000 = $3 million)

For the next 100 days, we only need $1,000 per person in cash to move vulnerable into housing

(200 people x $1,000 = $200,000)

$1,000 Opens the Door for 1 Person

$1,000 to pay for one-time move-in costs• Utility/security deposits• Furniture and household supplies

Personal Responsibility• Tenant will pay 30% of income to rent/utilities• Will agree to abide by lease agreement• Will meet regularly with a housing retention

worker

#1 Most Vulnerable in Nashville

66 years old35 years without a homeVietnam Veteran, honorable discharge3 ER visits in 3 months; 3 inpatient past yearKidney DiseaseHeart DiseaseCancerDrinks alcohol everydayLikely has dx of mental illness

Another Vulnerable Neighbor (top 4%)

48 years old3 years homelessKidney DiseaseHIV/AIDSCancerAsthmaHep CBrain InjuryNo health insuranceNo income other than Food Stamps

Open the Door for Housing

Who in this room can sponsor at least 1 person for $1,000?

Ending Homelessness…NOW!