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SR-301-004 (7) +CD PROGRAM-PROGRAM AREAS\Homeless Programs\Staff Reports\Annual Review 2001.doc Council Meeting: September 11, 2001 Santa Monica, CA TO: Mayor and City Council FROM: City Staff SUBJECT: Transmittal of the FY 2000-01 Annual Review of the City’s Coordinated Plan for Homeless Services and Recommendation to Hold a Public Hearing INTRODUCTION This report transmits the FY 2000-01 Annual Review of the City’s Coordinated Plan for Homeless Services and recommends the City Council hold a public hearing on the Plan pursuant to Municipal Code Section 2.69.030. BACKGROUND The Public Safety Initiative (now Municipal Code Section 2.69.010 through 2.69.030), adopted by the City Council in September of 1994, required the City to adopt a plan to coordinate services to homeless individuals and to report on the effectiveness of this plan annually. The City’s Coordinated Plan for Homeless Services was adopted by the City Council in June of 2000 as part of the City’s Consolidated Plan, a five-year planning document required by the U.S. Department of Housing and Urban Development (HUD). This report transmits the FY 2000-01 Annual Review of the City’s Coordinated Plan for Homeless Services and related issues. 1 In connection with the annual review and pursuant to Municipal Code Section 2.69.030, a public hearing is required to gain input on: the impact of the City’s homeless population on other residents of the City, ? the effectiveness of the delivery of services to homeless persons by the City and ? various social service agencies, the cost of those services; and ? the changes which should be made in the plan in order to carry out its primary ? goals and objectives Notice of this public hearing has been sent to City Boards and Commissions, the Chamber of Commerce, the Santa Monica-Malibu Unified School District, Santa Monica College, the Los Angeles Homeless Services Authority (LAHSA), City-funded organiza- tions, local hospitals, and other relevant community groups. A display ad was placed in the “Westside Weekly" section of the Los Angeles Times on August 31, 2001, as well as notices in the Santa Monica Mirror and Surfsantamonica.com. DISCUSSION As detailed in the attached FY 2000-01 Annual Review of the City’s Coordinated Plan for Homeless Services, the City continues to refine its coordinated homeless services in compliance with Municipal Code Section 2.69.010. In FY 2000-01, over 2,000 homeless people seeking stabilization were provided with shelter and case managers with whom they could work out plans to achieve self-sufficiency; nearly a fifth of that group transitioned into permanent housing during the course of the year. There was a 10% increase in program participants during FY 2000-01 over FY 1999-2000, the lowest increase in several years. In FY 1998-99, enrollment in homeless case management 2 programs jumped 35% over the previous year, and FY 1999-2000 saw a striking 52% increase in the number of unduplicated persons served over the year before. These dramatic increases were believed to represent the impact of welfare reform, as well as the number of dually diagnosed homeless people who were beginning to seek services, * stretching the capacities of service providers to their limits. With the supply of affordable housing continuing to shrink on the Westside, permanent housing placements dropped 21% this year to 373 from the previous year’s 471. Emergency shelter placements decreased 18% over FY 1999-2000, while transitional housing placements increased 17% over the previous year. This may indicate lower turnover of emergency shelter beds in addition to the lack of affordable long-term housing, as participants stayed longer in transitional programs or were moved to other transitional beds outside Santa Monica. In spite of the decrease in permanent housing placements, almost 62% of those people seeking stabilization services received some form of housing during the year. Job placements rose 4% over last year, which indicates that 29% of those receiving case management held or found jobs during the course of the year. Fifty six percent of all people in the system experience one or more disabilities, and many were not able to enter the job market. During this last year, service providers anecdotally reported more elderly people displaced from long-time rent control apartments. Of 168 units lost this year or pending * Dually diagnosed indicates people who suffer from two or more disabilities, such as a mental disability and a substance abuse problem. 3 loss due to the Ellis Act, 21 seniors are currently in apartments pending removal through the Ellis Act. During the last quarter of the year, there was a significant rise in the number of single homeless women seeking shelter in Santa Monica and not enough beds to house them, as a result of the Union Rescue Mission in downtown Los Angeles changing its program to house only women with children (this policy has since been revised). Local service providers have reported a rise in assaults against homeless women since this influx has occurred. The increase in people seeking services appears to be tapering off during the past year. With permanent housing placements decreasing, it is possible the homeless service system has reached, or exceeded, its capacity to shelter and permanently house people. The implications of the homeless service system reaching maximum capacity will be examined as the Human Services Division formulates the funding rationale for its next three-year grant cycle beginning in FY 2003. There were several community roundtables discussing the problems of homelessness, culminating in a forum hosted by the Social Services Commission in May 2001, as described in the report that follows. 4 BUDGET/FINANCIAL IMPACT On June 20, 2000, the City Council approved City funding of homeless programs for FY2000-01 in the amount of $1,783,200. Funding for homeless services in FY2001-02 was approved on June 19, 2001, in the amount of $1,826,722. (These amounts do not include the HUD Supportive Housing Program grant, as the City acts as a pass-through agent for those funds.) The City’s FY2001-02 homeless services budget represents a 1.1% increase over last year. RECOMMENDATION City staff recommends that the City Council accept this report and hold a public hearing to gain input on the FY 2000-01 Annual Review of the City’s Coordinated Plan for Homeless Services. Prepared by: Barbara Stinchfield, Director Julie Rusk, Manager Tracy Scruggs, Supervisor Joel Schwartz, Homeless Services Coordinator Human Services Division Community and Cultural Services Department Attachment 1: Report: FY 2000-01 Annual Review of the City’s Coordinated Plan for Homeless Services Attachment 2: Letters: Input from the Public and Service Providers 5 Attachment 1 FY 2000-01 Annual Review City’s Coordinated Plan for Homeless Services and Related Issues Overview This report provides an overview of the effectiveness and cost of service delivery to homeless persons by City-funded social services. Additionally, the report discusses the computerized case management tracking system, as well as how the City complies with the stated goals of Municipal Code Section 2.69.010. Concluding the report is an overview of homeless funding since FY1993-94.Also attached are letters submitted by the public and from homeless service providers regarding the City’s Coordinated Plan. Effectiveness and Cost of Delivery of Services Homeless services in Santa Monica are based on a “continuum of care” model char- acterized by the following components: outreach, emergency assistance (i.e., food, clothing, showers, laundry, lockers, mailing address), intake and assessment, emer- gency shelter, case management and employment services, transitional housing, permanent housing and aftercare. These components work together to assist a homeless individual or family in moving off the streets and into permanent housing and employment. Case management and other supportive services are provided throughout the continuum of care as depicted below: CONTINUUM OF CARE MODEL Out- Emergency/ Intake & Emergency Transitional Permanent Aftercare - - - - - - reachDay ServicesAssessmentShelter Housing Housing Services ??????? |__________________________________________| |______________| Food ? | | Clothing ? ShowersCoordinated Case ManagementJob Retention ?? LockersIntake and AssessmentSupport Groups ??? Address MailingBenefits Advocacy (e.g., GR, SSI)Counseling ??? Crsis iInterventionMental Health ServicesMentoring ??? / InformationReferralsHealth Services ?? Drug/Alcohol Intervention ? Money Management ? Job/Skills Training ? Employment Search Assistance ? Employment Placement ? Housing Search Assistance ? 1 In FY 2000-01 the City supported ten agencies including Chrysalis, the CLARE Foundation, New Directions, Ocean Park Community Center, St. Joseph Center, Step Up on Second, The Salvation Army, Upward Bound House, the Westside Food Bank, and the YWCA. Each agency’s program plan, included in the City’s Grantee Agreement, specifies how delivered services will address this continuum and effectively assist homeless individuals to obtain greater self-sufficiency. Each agency is required to monitor the effectiveness of service delivery by generating regular progress reports from a computerized case management system and evaluating client outcomes. City staff monitors the delivery of services and clients’ progress toward self-sufficiency through site visits and regular review of reports. The following table summarizes homeless participant and program outcomes during FY1999-00 and FY 2000-01. FY99-00 FY00-01 % No. No. increase/ Served Served <decrease> % Placed % Placed Total SM Program --- 3,254 --- 10% 2,953 Participants Placements in 471 16% 373 11% <21%> permanent housing Placements in 743 25% 870 27% 17% transitional housing Placements in 931 767 24% <18%> 32% emergency shelter Placements in 369 11% <4>% 384 13% permanent employment Placements in temporary 213 7% 251 7% 18% employment 2 Note that 73% of those seeking stabilization services in FY 1999-2000 were ? placed in a shelter or found permanent housing, whereas that percentage dropped to 62% in the current fiscal year. This represents both the dwindling supply of affordable housing, and the increase in numbers of those seeking housing. Since no new transitional housing beds were added to the system, the 17% ? increase in those participants placed in transitional housing represents program graduates who were not successful in finding permanent housing during the limits of their stays and had to be referred to transitional housing programs in other communities. Without the availability of more affordable housing on the Westside, the capacity of the local homeless service system is capped at the “back end” and is not in a position to expand. Although the increase in the demand for services appears to be tapering off, there are still far more people seeking stabilization than existing resources can accommodate. Impact on the Public “Homelessness” was again cited in the annual City Resident Survey conducted by phone last November as the most pressing issue facing the City. Several organizations held roundtable discussions about the issue, and the Ocean Park Community Organization facilitated a large neighborhood dialogue on the subject during its last annual convention. Most of the concerns focused on the sizable mentally ill population, whose members have limited options, since Santa Monica programs targeting the mentally ill are operating at maximum capacity and there is a significant shortage of beds in the County Mental Health system. Concerns voiced by the public at last year’s Annual Homeless Review about the need for quicker police response to reported misdemeanors, such as public drunkenness and aggressive panhandling, have resulted in an increase in the Police Department’s Homeless Liaison Program (HLP) team from four to five full-time officers. Possibly as a result of this increase, there were only sixteen written complaints (including email) regarding the homeless from unduplicated residents or businesses during the year, which is a decrease over last year. More than a third of those complaints—plus several telephone complaints—occurred shortly after non-Westside missions, from Van Nuys to Koreatown, introduced new feeding programs in Santa Monica parks. The City’s Social Services Commission focused on homelessness as one of its top concerns during FY 2000-01. During the first half of the year, it held public meetings to determine the scope and needs of homeless youth on the Westside, resulting in a White Paper to the City Council concluding that the size of that population has still not been clearly identified. In May 2001, the Social Services Commission hosted a very well attended community dialogue on homelessness, with a panel representing those from the public and private sector—including the 3 faith community—who provide services to the homeless. A wide range of opinions were expressed as to how the community should respond to the numbers of unserved homeless people on the streets, with an emphasis on prioritizing recently evicted long-term Santa Monica residents and homeless seniors. Effectiveness of the Service Delivery System Santa Monica is fortunate in having a comprehensive continuum of care (though with limited services for homeless youth) within and around the community. The ten City-funded agencies provide twenty-two programs ranging from senior outreach to job retention for those who have stabilized with housing and employment. Programs share a common computerized data bank in a Wide Area Network (WAN) to track unduplicated participants and their outcomes, as well as coordinate case management within the system. For example, a participant may be sheltered and receive case management at one agency, receive mental health services at another agency, substance abuse services at a third provider, and employment assistance at a fourth. Through the computerized network, these complex case plans can be coordinated to provide the most effective use of the community’s limited resources. During this last year, the computerized network was upgraded to a cutting-edge Windows-based system with photo scanners capable of digitizing clients’ personal documents, such as California ID’s or MediCal cards, which are traditionally mislaid by clients and can now be restored through system printouts. The system, which “went live” in June 2001, is considerably more user-friendly than the previous system and requires less training for case managers and other data entry inputters. Its annual maintenance costs are half the previous system’s cost. Also during this past year, with the help of outside consultants, program directors and frontline staff have developed a unique survey instrument to test the effectiveness of the network as a whole, as well as feedback for each agency’s executive directors. For example, responsiveness among agencies will be examined, as well as the knowledge level of all service staff regarding resources available. Nearly 100 staff members of the City-funded agencies have now been surveyed, and an Executive Summary will be transmitted to the City Council when the data has been analyzed. Cost of Services In FY 2000-01, the City budgeted $1,783,200 to fund homeless services. In addition, the City administered $430,780 in HUD funds for the first year of a two- year Supportive Housing Program grant. The grant was awarded a three-year renewal; however, changes in HUD’s criteria reduced funding for the 4 computerized system. While the new system is half as expensive to maintain as the previous system, its future funding is presently uncertain beyond next year. Dividing the amount the City budgeted by the number of homeless people served in City-funded programs, an average of $519.28 was spent per person. This is less than the cost of two weekends in County Jail, or $1,320 per day at UCLA’s Neuropsychiatric Institute (Santa Monica-UCLA Medical Center’s psychiatric affiliate). Therefore, stabilization through homeless services is a highly cost- effective use of public funds for this population. It should also be noted that for every dollar the City allocates from its General Fund to its grantees for homeless services, it leverages $2.85 in non-City funding. Consistent with Municipal Code Section 2.69.010, and to promote a continuum of care that addresses the divergent needs of Santa Monica’s homeless population, City funds have increasingly supported long-term employment services including job retention, aftercare counseling programs, and case management linked to housing. In FY 2000-01, City funding for employment services and case management linked to housing represented 83% of all City funding for homeless services, compared to 26% in FY 1993-94. A series of pie chartsprovides an overview of homeless funding since FY1993-94 (see pages 8-9). Changes Which Need to be Made As the numbers indicate, there is a limit to the size of the population which can be served successfully. While success at the end of the continuum of care is limited by the decreasing availability of affordable housing, the “front end” continues to provide services to greater numbers than the system can accommodate. Guided by their organizational missions, the service providers do not refuse services to anyone seeking stabilization, despite the dwindling hope of finding permanent housing on the Westside. City funding increasingly is targeted toward housing and job placements, addressing long-term stabilization rather than front end emergency services. Since much of the attraction of homeless people to Santa Monica has been attributed to the availability of free food in the parks (which is not funded by the City), staff will be re-evaluating policies regarding feeding programs from non-Westside communities so as not to increase the size of the local homeless population. While City staff and the service providers have developed close relations with the Edelman Mental Health Center through its new Homeless Outreach Team, the City also needs to advocate with the County and State Mental Health Departments for more funding targeting the homeless mentally ill. Public Input and Agency Comments The rising cost of housing is not only a limiting factor for the homeless but for service providers as well. Office space is becoming more expensive, and agencies have expressed concerns about space considerations. Due to present 5 limitations, several of the homeless service agencies have renovated or refurbished their current offices and shelters—in some cases with City capital grants—to make more efficient use of the space they have. Since the public and the service agencies may have additional perceptions regarding homelessness during this past year, a collection of letters submitted to the City for this Annual Review follows this report (see Attachment 2). Conclusion The existing homeless service system continues to work more efficiently in providing a coordinated approach to case management. While staff at agencies have become more knowledgeable about working with the dually diagnosed population, it is unreasonable to expect that the City can provide sufficient mental health resources and beds to meet the needs of the homeless with mental disabilities and/or substance addictions. Since the increase in feeding programs conducted by Los Angeles-based missions has created the greatest amount of disruption in the parks and impact on residents, the ability of the City to address these programs should be reevaluated, considering the complex legal issues. 6 Compliance with the Public Safety Initiative The Public Safety Initiative requires the City to implement a coordinated plan for homeless services in compliance with the following seven goals. City-funded programs are addressing these goals as described below. Goal #1- Effectively assist homeless individuals in returning to a self-sufficient ? status Homeless services effectively assist individuals in achieving self-sufficiency through housing and employment. The chart at the end of this reporthighlights the amount of funding targeted toward helping program participants obtain housing and employment in FY 2000-01. Goal #2- Monitor the progress of individuals receiving services ? City staff and service providers monitor the progress of individuals receiving services through the computerized case management system, program reports and regular site visits. Goal #3- Eliminate duplication of services ? Through the use of the computerized network and improved service coordination, duplication of services has been greatly reduced and nearly eliminated. Goal #4- Emphasize long-term solutions to homelessness by combined housing, ? counseling, and job training The coordinated network of Chrysalis, CLARE, New Directions, Ocean Park Community Center, St. Joseph Center, Step Up on Second, The Salvation Army, the Westside Food Bank, and the YWCA together offer long-term solutions to homelessness by providing services which combine housing, counseling, job training and placement. Goal #5- Provide non-housing services for approximately the same number of ? homeless individuals as can be temporarily sheltered in the City Given the nature of homelessness and the crisis of affordable housing in the community, City-funded programs provide non-housing services for a greater number of homeless individuals than can be temporarily sheltered in the City. Goal #6- Prevent an increase, and wherever feasible, reduce expenditures relating to ? homeless services The City has sustained an effective level of services without substantially changing its budget. The FY 2000-01 budget includes a 1.1% increase over FY 1999-2000. Goal #7- Impose reasonable time limits on the provision of services to the same ? individuals City-funded organizations impose varying time limits on the provision of services to the same individuals, from six months at SAMOSHEL and SHWASHLOCK, to a range from nine months (Daybreak Shelter and Turning Point) to eighteen months (Upward Bound) and other longer-term transitional living programs. 7 FY 1996-97 FUNDING LEVEL: $2,248,486 FY 1993-94 FUNDING LEVEL: $1,141,397FY 1994-95 FUNDING LEVEL: $1,487,859FY 1995-96 FUNDING LEVEL: $1,611,711FY 1998-99 FUNDING LEVEL: $2,158,196FY 1997-98 FUNDING LEVEL: $2,126,400 GF $1,346,452 Prop A $44,400 CDBG $244,200 Federal $613,434 GGF $1,430,245 Prop A $42,520 CDBG $233,700 Federal $451,731GF $1,459,986 Prop A $45,000 CDBG $86,725 Federal $20,000F $1,387,165 Prop A $42,520 CDBG $245,100 Federal $451,615GF $1,381,506 Prop A $35,000 CDBG $71,353GF $1,111,397 Prop A $30,000 FY 2001-02 COMMUNITY DEVELOPMENT PROGRAM OVERVIEW OF HOMELESS CONTINUUM OF CARE FUNDING SINCE 1993 Outreach Outreach Emergency/ Employment 5% 7% Employment Day Services 14% Emergency/ 18% 31% Day Services Case 45% Case Management Management 15% 9% Shelter Shelter Transitional Transitional 23% 4% Housing Housing 12% 17% Tracking 11% Emergency/ Emergency/ Outreach Day Services Outreach Day Services Employment 4% 13% 3% 15% 14% Employment Shelter 12% 18% Shelter 26% Case Transitional Management Case Transitional Housing 32% Management Housing 8% 33% 11% TrackingTracking 3%3% Emergency/ Emergency/ OutreachOutreach Day Services Day Services 3%3% 14% 17% EmploymentEmployment 14%14% Shelter 20% Shelter 18% Case Case Transitional ManagementTransitional Management Housing29%Housing 30% 16% 16% 8 FY 2001-02 FUNDING LEVEL: $2,233,838FY 1999-00 FUNDING LEVEL: $2,192,743FY 2000-01 FUNDING LEVEL: $2,213,980 GF $1,524,758 Prop A $42,520 CDBG $238,350 Federal $428,210GF $1,462,873 Prop A $42,520 CDBG $235,200 Federal $452,150GF $1,485,760 Prop A $42,520 CDBG $233,550 Federal $452,150 Tracking 3% Emergency/ Emergency/ Outreach Tracking Day ServicesDay Services 4% Employment 3% 17%17% 14% Employment 14% ShelterShelter 18%18% Case Case Management ManagementTransitional Transitional 32% 28% HousingHousing 16%16% Emergency/ Tracking Day Services Employment 3% 17% 14% Shelter 19% Case Management Transitional 31% Housing 16% 9 Attachment 2 Public Input and Agency Comments 10