The current issue of HUD’s peer-reviewed journal, Cityscape, includes an article on the Silicon Valley Triage Tool that was developed by the Economic Roundtable. This statistical model provides a fair, objective tool for triage—prioritizing which individuals should have immediate access to permanent supportive housing. Santa Clara County voters have approved major investments in affordable housing for people experiencing homelessness, but the number of individuals who need housing still substantially exceeds the amount of housing that is available for them.
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Overview Within the past year, Los Angeles County and City voters approved $4.75 billion for services and housing to combat homelessness. The Greater Los Angeles Homeless Count is crucial for identifying how this money should be used to help people escape homelessness. The Count is an increasingly comprehensive effort to count and describe Los Angeles’ homeless residents, but it is not yet sufficiently accurate to identify year-to-year changes in homelessness.
This paper explains the methods used to develop the Silicon Valley Triage Tool for identifying homeless individuals in jails, hospitals and clinics who have continuing crises in their lives that create very high public costs. The model is very robust and accurate, taking advantage of advanced prediction methodologies and a unique and exceptionally valuable database created by Santa Clara County, home to Silicon Valley, linking service and cost records across county departments for the entire population of residents who experienced homelessness over a six-year period – a total of 104,206 individuals.
Why the Silicon Valley Triage Tool is Important: The number of homeless people needing housing far exceeds the available housing supply, and there is not a fair, objective system for prioritizing who gets to be housed. The triage tool addresses this problem by identifying individuals for whom the solution of housing costs less than the problem of homelessness.
The number of Los Angeles residents experiencing chronic homelessness continues to grow even after housing over 10,000 individuals in the past three years. The flow of individuals into chronic homelessness is unabated—the pathways have not been closed. Public assistance programs are Los Angeles’s primary interface with individuals experiencing homelessness.
Purpose This report identifies the characteristics of the most vulnerable, distressed and costly homeless residents of Santa Clara County to guide strategies for stabilizing their lives through housing and supportive services, improving their wellbeing and reducing public costs for their care. The Study This report analyzes 25 million records for the entire population of residents who experienced homelessness in Santa Clara County at any point from 2007 to 2012 – a total of 104,206 individuals.
Evaluating the outcomes for 163 hospital patients screened from April 2011 to May 2013 by the 10th Decile Project in Los Angeles, which works with hospitals to identify the 10 percent of homeless patients with the highest public and hospital costs – the 10th decile – and provide immediate services for placing these individuals into permanent supportive housing.
This study extrapolates data about public costs for homelessness in Los Angeles County to clients of three San Francisco Collaborative Courts: Drug Court, Community Justice Center (CJC) and Behavioral Health Court. This information identifies the probable level of engagement by health care providers, public assistance agencies and the jail system in providing services to different cohorts of court clients that are experiencing homelessness. For clients with the most acute problems, who have recurrent encounters with hospitals and jails, information about high public costs associated with homelessness can point the way toward cost-effective investments in housing and supportive services that reduce net public outlays.
Executive Summary The triage tool, or crisis indicator, identifies homeless individuals in hospitals and jails who have continuing crises in their lives that create very high public costs. This redesigned tool is four times more accurate than the earlier screening tool released in 2010. The tool is developed for use in jails, hospitals and clinics where homeless individuals with high levels of need and high public costs are most likely to be found.
Executive Summary Counties bear large hidden costs for individuals with disabilities who are indigent or homeless. This includes costs for health care, jails and probation in addition to readily identifiable county costs for public assistance. A large share of this cost is health related – costs that the federal and state governments would pay through Medi-Cal if the individuals were receiving Supplemental Social Security Income (SSI).
Executive Summary The central question investigated in this study is the public costs for people in supportive housing compared to similar people that are homeless. The typical public cost for residents in supportive housing is $605 a month. The typical public cost for similar homeless persons is $2,897, five-times greater than their counterparts that are housed.
The most concrete characteristic of a recession is that demand disappears for some of the commodities produced by workers and unwanted unemployment is imposed on a large segment of the labor force. With growing job losses in the current recession it is important to know, whose boat falls when the economic tide recedes?
A comprehensive strategy with 25 actions, accountable agencies, timelines, and performance benchmarks to prevent and end homelessness in Los Angeles County. From 2002 through 2004 the Economic Roundtable and the Institute for the Study of Homelessness and Poverty at the Weingart Center carried out research, listened to ideas from community stakeholders, and met with public officials in order to prepare this strategic plan for ending homelessness in Los Angeles County.
Policy Questions Covered: How many people are homeless? What services are needed? How much spendable resources do homeless people have? How are housing needs met? Summary of Findings: More effective efforts to help homeless residents re-enter the labor force and obtain public benefits will reduce costs by an estimated 16 percent (cautious to semi-optimistic scenario).
Policy Issues Covered: Acute poverty Vulnerable groups Institutional accountability Municipal Engagement Findings About Efforts by Local Government to Address Homelessness: Only 24 of the 88 cities in Los Angeles County report making any expenditures for homeless services or housing. Expenditures among cities making outlays range from $25.21 per capita in Pasadena to $.01 per capita in Bellflower.
Synopsis Homeless in LA is a report commissioned by the Los Angeles Homeless Services Authority as part of its strategic planning process for Bring LA Home: The Ten Year Plan to End Homelessness in Los Angeles. Begun in 2003, Bring LA home is developing consensus and community input on the best way for ending homelessness in Los Angeles, and mobilizing the political resources and will to accomplish the goal.
SYNOPSIS Lack of jobs for California’s labor force has growing costs in the form of poverty, welfare, homelessness, sickness, crime, and diminished futures for the state’s children. The Southern California Inter-University Consortium on Homelessness and Poverty has prepared this report to provide objective information about the broadly shared interest of California residents in reducing the social and personal costs of poverty and welfare.