# Presentation: 829444

## 
Discharge Planning: Getting Mainstream Systems to the Table HUD-HHS-VA-DOL Policy Academy 
Miami, FL
December 2003

United States Interagency Council on Homelessness
451 7th Street, SW, Suite 2200  Washington, D.C. 20410
Phone (202) 708-4663  www.ich.gov  Fax (202) 708-1216 

**Discharge Planning: Getting Mainstream Systems to the Table ****HUD-HHS-VA-DOL Policy Academy**** **
**Miami, FL**
**December 2003**
**United States Interagency Council on Homelessness**
- 451 7th Street, SW, Suite 2200  Washington, D.C. 20410
- Phone (202) 708-4663  www.ich.gov  Fax (202) 708-1216

## *

**NUMBER OF MONTHS THE MASSACHUSETTS **
**EMERGENCY SHELTER SYSTEM WAS OVER CAPACITY**
**IN EACH OF THE LAST 11 YEARS**

- Source:  Data is based on information reported from shelters statewide in Massachusetts.

**8**

**9**

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL: abolition@mhsa.net

**12**

**Massachusetts Housing and Shelter Alliance (MHSA)**

**12**

**12**

**12**

- *Represents data from the first 11 months of 2003.

## Emergency Shelters for Homeless IndividualsHave Overflowed 70 Consecutive Months

**Emergency Shelters for Homeless Individuals****Have Overflowed 70 Consecutive Months**
**and 70 of the Last 72 Months**

**MHSA Shelter Census reflecting monthly occupancy as % of capacity.**

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL: abolition@mhsa.net

**Massachusetts Housing and Shelter Alliance (MHSA)**

**112%**

**116%**

**120%**

**124%**

**128%**

## Average Shelter Census for the Past Ten Years  1993-2002

**Average Shelter Census for the Past Ten Years  1993-2002**

**MHSA Shelter Census reflecting yearly occupancy as % of capacity.**

- Data is based on information reported from shelters statewide in Massachusetts.

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL: abolition@mhsa.net

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.                                                                                   For more information please contact MHSA at 617/367-6447.*

**Massachusetts Housing and Shelter Alliance (MHSA)**

## INSTITUTIONALIZING CHANGE

- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

**INSTITUTIONALIZING ****CHANGE**

**POLICY CHANGE**

**RESOURCE **
**DEVELOPMENT**

**RESEARCH, **
**ADVOCACY, **
**EDUCATION**

**DISCHARGE PLANNING FOR HOMELESSNESS PREVENTION:**
**STEPS TO CHANGE**

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

## MASSACHUSETTS HOUSING AND SHELTER ALLIANCE

**M****ASSACHUSETTS ****H****OUSING AND ****S****HELTER ****A****LLIANCE**
**Research on Emerging Homeless Subpopulations**
**Comparison of Emerging Populations in **
**Massachusetts Emergency Shelters**

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

## Ex-Prisoners and Massachusetts Shelters

**Massachusetts Housing and Shelter Alliance (MHSA) **
**Research on Emerging Homeless Populations**

**Ex-Prisoners and Massachusetts Shelters**
**Individuals Entering Emergency Shelters Directly Upon Discharge from a**
**Federal, State, or County Correctional Facility**

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

- * 2001 was the first year in which MHSA collected Federal Prison statistics.

- *

- *

- *

- *

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

## Corrections and Massachusetts Shelters

**Massachusetts Housing and Shelter Alliance (MHSA) **
**Research on Emerging Homeless Populations**

**Corrections and Massachusetts Shelters**
**Individuals Entering Emergency Shelters With Prison or Jail Records**

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

## Young Adults and Massachusetts Shelters Individuals Age 18 to 24 Entering New to Emergency Shelters

**Massachusetts Housing and Shelter Alliance (MHSA) **
**Research on Emerging Homeless Populations**

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

**Young Adults and Massachusetts Shelters**** ****Individuals Age 18 to 24 Entering New to Emergency Shelters**

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

- From 1997 to 2000, the number of young adults entering new to Massachusetts shelters increased by 275%.

- *

## Hospital Discharges and MA Shelters Individuals Entering Emergency Shelters Upon Discharge from Psychiatric Care in Hospitals

**Massachusetts Housing and Shelter Alliance (MHSA) **
**Research on Emerging Homeless Populations**

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

## Discharges by Hospital Category

**2001 - 2002**

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

**Massachusetts Housing and Shelter Alliance (MHSA) **
**Research on Emerging Homeless Populations**

## Private Hospital Discharges by Facility

**June 2001 - May 2002**

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

**Massachusetts Housing and Shelter Alliance (MHSA) **
**Research on Emerging Homeless Populations**

## INSTITUTIONALIZING CHANGE

- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

**INSTITUTIONALIZING ****CHANGE**

**POLICY CHANGE**

**RESOURCE **
**DEVELOPMENT**

**RESEARCH, **
**ADVOCACY, **
**EDUCATION**

**DISCHARGE PLANNING FOR HOMELESSNESS PREVENTION:**
**STEPS TO CHANGE**

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

## EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES (EOHHS)

**EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES (EOHHS)**

**DIVISION OF **
**MEDICAL **
**ASSISTANCE **
**(DMA)**

**DEPT. **
**OF PUBLIC **
**HEALTH (DPH)**

**MA BEHAVIORAL HEALTH **
**PARTNERSHIP **
**(MBHP)**

**HMOs**

**DEPT. **
**OF MENTAL **
**HEALTH (DMH)**

**DEPT. **
**OF SOCIAL SERVICES (DSS)**

**DEPT. **
**OF YOUTH SERVICES (DYS)**

**DEPT. **
**OF TRANSITIONAL ASSISTANCE (DTA)**

**EXECUTIVE OFFICE FOR ADMINISTRATION AND FINANCE (A&F)**

**DEPT. **
**OF HOUSING AND COMMUNITY DEVELOPMENT (DHCD)**

**OPERATIONAL SERVICES DIVISION **

**DEPT.**
**OF VETERANS’ SERVICES (DVS) **

**DEPT. OF CORRECTION**

**COUNTY SHERIFFS **

**A&F POLICY REPORT:****MOVING BEYOND SERVING THE HOMELESS****TO PREVENTING HOMELESSNESS **

## The A&F State Interagency Process:

- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

**The A&F State Interagency Process:**
**Working Group on Discharge Planning**
**Working Group on Housing Search and Retention**

## INSTITUTIONALIZING CHANGE

- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

**INSTITUTIONALIZING ****CHANGE**

**POLICY CHANGE**

**RESOURCE **
**DEVELOPMENT**

**RESEARCH, **
**ADVOCACY, **
**EDUCATION**

**DISCHARGE PLANNING FOR HOMELESSNESS PREVENTION:**
**STEPS TO CHANGE**

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

## MASSACHUSETTS HOUSING AND SHELTER ALLIANCE

**M****ASSACHUSETTS ****H****OUSING AND ****S****HELTER ****A****LLIANCE**
**POSITIVE INITIATIVES TO PREVENT ****AND END HOMELESSNESS**

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

- 11802170

## Special Initiative to House the Homeless Mentally Ill

** **

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

_**Special Initiative to House the Homeless Mentally Ill**_
**FY ’92 – FY ’01: **
** ****DMH developed or gained access ****to 1,154 new housing units**
**Annual State appropriation increase of $1-2 million ****leverages 1:4 match in Federal funds**
**Ongoing costs annualized into Departmental budget**

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

## Special Initiative to House the Homeless Mentally Ill

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

_**Special Initiative to House the Homeless Mentally Ill**_
** ****Placed 2,359 homeless clients with mental illness ****into new or existing units with services, ****including 443 in FY ’01**

*MHSA: 6 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

## Special Initiative to House the Homeless Mentally Ill

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

_**Special Initiative to House the Homeless Mentally Ill**_
**FY ’92 – FY ’01: **
**8,106 homeless individuals have received community-based services, including health care, counseling, and referral ****and case management services.**

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

## Criminal Justice Initiative (CJI)

**Criminal Justice Recovery Home Admissions **

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

*SOURCE: Compiled by MHSA Staff from Massachusetts Department of Public Health, Bureau of Substance Abuse Services, **and Correctional Recovery Bed Initiative Reports. *

_**Criminal Justice Initiative (CJI)**_

## Criminal Justice Initiative (CJI)

**Referrals to Residential Recovery Homes **
**by Correctional Source **

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

*SOURCE: Compiled by MHSA Staff from Massachusetts Department of Public Health, Bureau of Substance Abuse Services, **and Correctional Recovery Bed Initiative Reports. *

_**Criminal Justice Initiative (CJI)**_

## MORE POSITIVE INITIATIVES

- MASSACHUSETTS HOUSING AND SHELTER ALLIANCE
- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

**MORE POSITIVE INITIATIVES**
** ****HUD Affordability Study**
** ****MA Affordable Housing Trust Fund Setasides**
** ****MA Housing Bond Bill Setasides**
** ****MA LIHTC Allocation Requirement **
** ****MA Department of Correction – DOJ Offender Reentry           ****	****Funding: Pre-release Housing Search   **** **

## INSTITUTIONALIZING CHANGE

- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

**INSTITUTIONALIZING ****CHANGE**

**POLICY CHANGE**

**RESOURCE **
**DEVELOPMENT**

**RESEARCH, **
**ADVOCACY, **
**EDUCATION**

**DISCHARGE PLANNING FOR HOMELESSNESS PREVENTION:**
**STEPS TO CHANGE**

*MHSA is a statewide homeless advocacy alliance of 86 agencies serving homeless people throughout Massachusetts.*
*For more information please contact MHSA at 617/367-6447.*

## INSTITUTIONALIZING CHANGE

- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

**INSTITUTIONALIZING CHANGE**
**Prioritizing Homeless Populations****through Targeting and Setasides**** **
**Applying Evidence-based Approaches**** **
**Monitoring Outcomes through Procurement Language**
** **
** **

##  ESSENTIAL RESOURCES 

- FIVE PARK STREET
- BOSTON, MA 02108
- PHONE: 617/367- 6447
- FAX:  617/367-5709
- EMAIL:   abolition@mhsa.net

** ****ESSENTIAL RESOURCES **
**FOR DISCHARGE PLANNING**
** **** ****Published collaboratively by the Massachusetts Housing and Shelter Alliance (MHSA) ****and the National Health Care for the Homeless Council (NHCHC) **
** **** **
**I.  Introduction and Overview   **
** ****II.  Assessment Materials    **
** **
**III.  Collaborating with Local Stakeholders  **
** ****V.  Exemplary Policies and Practices   **
**  **
**V.  Improving Outcomes  ****Available on-line at **_[www.nhchc.org](http://www.nhchc.org/)_
**and www.ich.gov/innovations **
** **

## The federal United States Interagency Council on Homelessness                develops and implements comprehensive national strategies to end homelessness through interagency, intergovernmental, and intercommunity collaborations. 

- The federal United States Interagency Council on Homelessness                develops and implements comprehensive national strategies to end homelessness through interagency, intergovernmental, and intercommunity collaborations.
- Information on innovations in discharge planning for homeless prevention can be found on the ICH web site:
- www.ich.gov