**Table 1A**

**Homeless and Special Needs Populations**

> **Continuum of Care: Housing Gap Analysis Chart**

+--------+-------------------------+----------+-----------+----------+
|        |                         | *        | **Under   | **Unmet  |
|        |                         | *Current | Deve      | Need/**  |
|        |                         | Inv      | lopment** |          |
|        |                         | entory** |           | **Gap**  |
+--------+-------------------------+----------+-----------+----------+

> Individuals

  ------------- -------------------------- ----------- ------------ -----------
  **Example**   **Emergency Shelter**      **100**     **40**       **26**

                Emergency Shelter                                   

  **Beds**      Transitional Housing                                

                Permanent Supportive                                
                Housing                                             

                Total                                               
  ------------- -------------------------- ----------- ------------ -----------

> Persons in Families With Children

  ---------- -------------------------- ----------- ------------ -----------
             Emergency Shelter                                   

  **Beds**   Transitional Housing                                

             Permanent Supportive                                
             Housing                                             

             Total                                               
  ---------- -------------------------- ----------- ------------ -----------

> Continuum of Care: Homeless Population and Subpopulations Chart

+----------------------------+---------+---------+-----------+--------+
|                            |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+
| ## P                       | ## Sh   |         | ## Un     | ##     |
| art 1: Homeless Population | eltered |         | sheltered |  Total |
+----------------------------+---------+---------+-----------+--------+
|                            | ## Em   | #       |           |        |
|                            | ergency | # Trans |           |        |
|                            |         | itional |           |        |
+----------------------------+---------+---------+-----------+--------+
| Number of Families with    |         |         |           |        |
| Children (Family           |         |         |           |        |
| Households):               |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+
| 1\. Number of Persons in   |         |         |           |        |
| Families with Children     |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+
| 2\. Number of Single       |         |         |           |        |
| Individuals and Persons in |         |         |           |        |
| Households without         |         |         |           |        |
| children                   |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+
| **(Add Lines Numbered 1 &  |         |         |           |        |
| 2 Total Persons)**         |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+
| **Part 2: Homeless         | **Shel  |         | **Unsh    | ##     |
| Subpopulations**           | tered** |         | eltered** |  Total |
+----------------------------+---------+---------+-----------+--------+
| a\. Chronically Homeless   |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+
| b\. Seriously Mentally Ill |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+
| c\. Chronic Substance      |         |         |           |        |
| Abuse                      |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+
| d\. Veterans               |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+
| e\. Persons with HIV/AIDS  |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+
| f\. Victims of Domestic    |         |         |           |        |
| Violence                   |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+
| g\. Unaccompanied Youth    |         |         |           |        |
| (Under 18)                 |         |         |           |        |
+----------------------------+---------+---------+-----------+--------+

**[Optional Continuum of Care Homeless Housing Activity
Chart]{.underline}:**

![](media/image1.wmf)

## 

##  

##### Optional Continuum of Care Homeless Housing Activity Chart Instructions

##### 

## Column Name 

**Provider Name**: Self-explanatory.

**Facility Name**: Self-explanatory.

**HMIS:** Enter one of the following three codes for each project
concerning its participation in the Continuum of Care's HMIS.

C=Currently entering client data into the HMIS; P-Month/year (P-4/04) =
Planned month/year that the program will begin entering client data into
the HMIS; and N=the program currently does not plan to participate in
the HMIS.

**Geo Code:** Indicate the Geographic Area Code (Geo Code) for the
project. Where there is only one geographic code for the Continuum,
check the box and indicate that code in the first project only. If the
project is located in multiple jurisdictions, select the jurisdiction
where the majority of the provider's inventory is located.

**Target Population A**: Select the code that best represents your
project: **SM**= only Single Males (18 years and older); **SF**= only
Single Females (18 years and older); **SMF**= only Single Males and
Females (18 years and older with no children); **FC**= only Families
with Children; **YM**= only unaccompanied Young Males (under 18 years);
**YF**= only unaccompanied Young Females (under 18 years); **YMF**= only
unaccompanied Young Males and Females (under 18 years); **M**= mixed
populations. Only one code should be used per facility. If more than one
group is served use the **M**=mixed populations code

**Target Population B:** Indicate whether the project serves these
additional characteristics: **DV**= only Domestic Violence victims;
**VET**= only Veterans, and **AIDS**= only persons with HIV/AIDS.

**2004 Year-Round Units/Beds:**

**Family Units:** Enter the number of units that the project set-aside
for serving families.

**Family Beds:** Enter the number of beds that are contained in family
units.

**Individual Beds:** Enter the number of beds serving individuals.

**2004 All Beds (Emergency Shelters Only)**

Emergency shelters are usually structures with year-round beds, but
there are structures with seasonal beds that are made available to
homeless persons during particularly high-demand seasons of the year,
usually wintertime. In addition, projects may have overflow capacity
that includes cots or mats in addition to permanent bed capacity that is
not ordinarily available but can be marshaled when demand is especially
great, for example, on the coldest nights of the year. Vouchers are to
be identified under overflow beds. The total number of year-round,
seasonal and overflow beds would provide a point-in-time snapshot of the
housing inventory for homeless people at its highest point in the year.

**Year-Round Beds:** The number of family beds in (column "Family Beds")
**plus** the number of beds for individuals (column "Individual Beds").

**Seasonal Beds:** The number of beds made available to individuals and
families on a seasonal basis.

**Overflow Beds:** The number of beds, mats or spaces or vouchers that
are made available on a very temporary basis.

**Current Inventory:** List all facilities and voucher programs that are
currently operating.

**Under Development:** List all the projects that are fully funded but
are not yet serving homeless people.

## Optional Continuum of Care Homeless Service Activity Chart:

Using the format below, describe the fundamental service components of
your Continuum of Care system currently in place, and any additional
services being planned.

+-----------------------------------------------------------------------+
| **Fundamental Components in Continuum of Care System \-- Service      |
| Activity Chart**                                                      |
+-----------------------------------------------------------------------+
| [Component]{.underline}: ***Prevention***                             |
|                                                                       |
| [Services in place]{.underline}: Please arrange by category (e.g.,    |
| rental/mortgage assistance), being sure to identify the service       |
| provider.                                                             |
|                                                                       |
| [Services planned]{.underline}:                                       |
|                                                                       |
| [How persons access/receive assistance]{.underline}:                  |
+-----------------------------------------------------------------------+
| [Component]{.underline}***: Outreach***                               |
|                                                                       |
| [Outreach in place]{.underline}: (1) Please describe the outreach     |
| activities for homeless persons who are living on the streets in your |
| Continuum of Care area and how they are connected to services and     |
| housing.                                                              |
|                                                                       |
| \(2\) Describe the outreach activities that occur for other homeless  |
| persons.                                                              |
|                                                                       |
| [Outreach planned]{.underline}: Describe any planned outreach         |
| activities for (1) persons living on the streets; and (2) for other   |
| homeless persons.                                                     |
+-----------------------------------------------------------------------+
| [Component]{.underline}: ***Supportive Services***                    |
|                                                                       |
| [Services in place]{.underline}: Please describe how each of the      |
| following services are provided in your community (as applicable):    |
| case management, life skills, alcohol and drug abuse treatment,       |
| mental health treatment, AIDS-related treatment, education,           |
| employment assistance, child care, transportation, and other.         |
|                                                                       |
| [Services planned]{.underline}:                                       |
|                                                                       |
| [How homeless persons access/receive assistance]{.underline}:         |
+-----------------------------------------------------------------------+