Community Engagement Program

1. Community Engagement Program Central City Concern Portland, Oregon

2. Timeline • 2002 - PATH • CCC conducts needs assessment of Hooper clients • PATH grant funds the Community Engagement Program • 2003 - CEP • 28 community partners convene to develop 3-year “Collaborative Initiative to Help End Chronic Homelessness” (SAMHSA, HRSA, HUD, VA) • Multnomah Co. i-Tax funds new CEP team for the intractable street population with dual diagnoses: CEP II • 28 community partners convene to respond to 5-year “Ending Chronic Homelessness through Customized Employment and Housing” (DOL, HUD) • Both federal initiatives awarded for total of 9.2 million • CEP receives national recognition as Exemplary Program: US Dept of Health and Human Services • 2004 - CEP • CEP III and CEP IV teams open to referrals, secure permanent supportive housing for chronically homeless adults • PATH grant ends; CEP I clients/staff transitioned into other CEP teams, other community providers

3. Timeline • 2005 – CEP Since it’s inception, CEP has supported and housed over 300 homeless adults. New projects include: • Housing Rapid Response, • Family Latino Outreach and Addiction Treatment (FLOAT), • OHSU Recuperative Care • Providence expansion • 2006 - CEP • Multnomah County i-Tax funding for CEP II continues through July 2007 • SAMHSA, HRSA, VA funding for CEP III ends March 2007 • 2006 – Housing Rapid Response • Funded by Bureau of Housing and Community Development through December 2006 • Funded by Office of Neighborhood Involvement, Portland Business Alliance 2006-2007

4. CEP • Intensive Case Management • Co-occurring Disorders Tx (A&D and MH) • Primary Healthcare • Benefits Acquisition • Employment Services • Housing Services Integrated Services at CEP Portland Police Department/Bureau of Housing & Community Development - Housing Rapid Response Office of Neighborhood Involvement Portland Business Alliance Family Latino Outreach & Addictions Treatment (FLOAT) CMHS Consumer-run Life Skills Center – The Client Empowerment Place Recuperative Care Project (RCP) OHSU / Providence

5. What services does CEP provide? • Multi-disciplinary, ethnically diverse teams provide an integrated approach to: • Outreach and engagement; • Intensive case management and consumer-centered plans for addressing substance abuse, mental health treatment and physical healthcare, benefits, employment, and housing. • On-going supports to maintain Recovery

6. CEP: 3 teams….multiple partners • CEP II • Funded by Multnomah Co. i-tax until July 2006 • Team serves 60 clients with supported housing attached • CEP III • Funded by federal ICH grant (SAMHSA, HRSA, VA, HUD) until October 2006 • Collaboration with Westside Health Clinic, Portland VA, HAP • Serves up to 93 clients • CEP IV • Funded by Dept. of Labor and HUD • Collaboration with Outside In, JOIN, Worksystems, HAP, West Portland One Stop • Serves 87 clients

7. Who are the people seen at CEP? • Homeless for an average of 8.6 years • Most with poor rental history, no income, no benefits • 68% with a criminal history • 74% with a mental illness • 90% with an active substance addiction • 63% with a chronic medical condition such as HIV/AIDS, Hepatitis C, diabetes

8. CEP Housing Outcomes July 2003-June 2006

9. 70 separate locations: private landlords, HAP Affordable Housing portfolio, CCC SRO units 24 zip code areas across Multnomah County Location based on individual choice and greatest likelihood for long-term success Where are people living?

10. Hotel Alder • CCC contribution to the ICH project: Eight Section 8 rooms • Resident selection & move-in began July 2005

11. HUD/DOL project has primary goal of developing customized employment opportunities for 89 clients on CEP IV over 5 years. Services are linked to the One Stop system. ICH project (CEP III) includes employment supports as part of its multi-disciplinary team. 60 people have been involved in planning for their return to work and are in active job development. 57 people have succeeded in working in a competitive setting for some period of time. Employment Outcomes

12. Accessing Services • 100% have been engaged into services with an intensive case manager • 85% have received primary care services • 77% have received substance abuse treatment • 76% have received mental health services • 23% have received assistance in applying for Social Security benefits; 100% for food stamps

13. Access HRR Access Housing Rapid Response (HRR) • Population - Frequent offenders, multiple arrests (avg. 24/month), chronically homeless • Screening and referral - the Portland Police Department, Dept. of Community Justice • 200 person “livability list” collected by City of Portland and Portland Police Dept. identifying potential clients • Referral placement - Access HRR staff screens for appropriateness • Services provided - Immediate transitional housing and intensive case management such as placement into treatment services, permanent housing and retention support, benefits acquisition and vocational assistance provided by CCC, community partners and other stakeholders • Goal - Decreased contact with the criminal justice system, permanent housing placement and self sufficiency

14. Access HRR Reduction rates in identified target area • Collectively, the 55 Access HRR clients had been arrested an average of 24 times per month prior to intervention services • After Access HRR intervention services, clients were arrested an average of 13 times per month • This is an 45% decrease in arrests • Access HRR time period is 10/1/05 - 6/30/06 (9 months)

15. Monthly Average Arrests Before Access HRR After Access HRR 21 clients 16 clients 18 clients

16. Housing Retention • Retention of Housing for high-risk chronic repeat offenders who are homeless • From 10/1/2005 to 5/31/2006, a total of 55 individuals have been housed through Access HRR Program. Of 55 unduplicated individuals placed in the AccessHRR Program, 7 (12%) were transitionally housed for 15 days or less; 35 (64%) were transitionally housed for 15 days or more; and 17 (24%) were moved into permanent housing • Contracted goal (on an abbreviated 9 month contracting period) was to permanently house 22 people by 06/30/06 • As of 07/01, Access HRR had housed 17 individuals, 63% of targeted goal of housing 22 people • Retention of permanent housing placement measured at 9, 12 and 18 months • Access HRR has engaged/touched 76 people in 9 months

17. Achieving Success • Key Factors for Success: • Excellent communication among partners, including: • Central City Concern • Office of Neighborhood Involvement/Mayor’s Office • Bureau of Housing and Community Development • Portland Police Department • Department of Community Justice • Portland Business Alliance • Housing First/Harm reduction • Relationship building

18. Achieving Success • Key Factors for Success (cont.): • Staff/cultural match: • Periods of incarceration • Homelessness • Recovery from addiction/mental illness • Professional skill set • Referral to and/or provision of culturally appropriate treatment services • Structured transitional housing and access into permanent supported housing in the greater community • Rent assistance (min. 9 months), vocational assistance, benefits acquisition, healthcare, recovery support, • Time unlimited services

19. What has it taken to accomplish this? Motivated staff willing to go out on the streets to find people, listen to their stories, accept them at whatever point they are at, and instill in them a glimmer of hope for the future.