Discharge Planning: Getting Mainstream Systems to the Table HUDHHSVADOL Policy Academy

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• Discharge Planning Getting Mainstream Systems to
  the Table HUD-HHS-VA-DOL Policy Academy
• Denver, CO
• October 2003
• United States Interagency Council on Homelessness
• 451 7th Street, SW, Suite 2200 ? Washington, D.C.
  20410
• Phone [phone] ? www.ich.gov ? Fax (202)
  708-1216

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Massachusetts Housing and Shelter Alliance (MHSA)
NUMBER OF MONTHS THE MASSACHUSETTS EMERGENCY
SHELTER SYSTEM WAS OVER CAPACITY IN EACH OF THE
LAST 11 YEARS
12
12
12
12
9
8
Represents data from the first 4 months of 2003.

Source 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 [phone] EMAIL abolition_at_mhsa.net
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Massachusetts Housing and Shelter Alliance (MHSA)
Emergency Shelters for Homeless IndividualsHave
Overflowed 59 Consecutive Months And 67 of the
Last 71 Months
128
124
120
116
112
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 [phone] EMAIL abolition_at_mhsa.net
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Massachusetts Housing and Shelter Alliance (MHSA)
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.
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 [phone] EMAIL abolition_at_mhsa.net
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RESEARCH, ADVOCACY, EDUCATION
DISCHARGE PLANNING FOR HOMELESSNESS
PREVENTION STEPS TO CHANGE
RESOURCE DEVELOPMENT
POLICY CHANGE
INSTITUTIONALIZING 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 FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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MASSACHUSETTS HOUSING AND SHELTER
ALLIANCE 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.
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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Massachusetts Housing and Shelter Alliance (MHSA)
Research on Emerging Homeless Populations
Ex-Prisoners and Massachusetts Shelters Individua
ls Entering Emergency Shelters Directly Upon
Discharge from a Federal, State, or County
Correctional Facility


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.
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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Massachusetts Housing and Shelter Alliance (MHSA)
Research on Emerging Homeless Populations
Corrections and Massachusetts Shelters Individual
s Entering Emergency Shelters With Prison or Jail
Records

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 [phone] EMAIL
abolition_at_mhsa.net
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Massachusetts Housing and Shelter Alliance (MHSA)
Research on Emerging Homeless Populations
Young Adults and Massachusetts Shelters
Individuals Age 18 to 24 Entering New to
Emergency Shelters
From 1997 to 2000, the number of young adults
entering new to Massachusetts shelters increased
by 275.

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 [phone] EMAIL
abolition_at_mhsa.net
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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 [phone] EMAIL
abolition_at_mhsa.net
11
Massachusetts Housing and Shelter Alliance (MHSA)
Research on Emerging Homeless Populations
Discharges by Hospital Category 2001 - 2002
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 [phone] EMAIL
abolition_at_mhsa.net
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Massachusetts Housing and Shelter Alliance (MHSA)
Research on Emerging Homeless Populations
Private Hospital Discharges by Facility June 2001
- May 2002
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 [phone] EMAIL
abolition_at_mhsa.net
13
RESEARCH, ADVOCACY, EDUCATION
DISCHARGE PLANNING FOR HOMELESSNESS
PREVENTION STEPS TO CHANGE
RESOURCE DEVELOPMENT
POLICY CHANGE
INSTITUTIONALIZING 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 FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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AF POLICY REPORTMOVING BEYOND SERVING THE
HOMELESSTO PREVENTING HOMELESSNESS
EXECUTIVE OFFICE FOR ADMINISTRATION AND FINANCE
(AF)
DEPT. OF CORRECTION

• EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES
  (EOHHS)

DEPT. OF HOUSING AND COMMUNITY DEVELOPMENT (DHCD)
DIVISION OF MEDICAL ASSISTANCE (DMA)
DEPT. OF MENTAL HEALTH (DMH)
DEPT. OF TRANSITIONAL ASSISTANCE (DTA)
DEPT. OF PUBLIC HEALTH (DPH)
DEPT. OF VETERANS SERVICES (DVS)
MA BEHAVIORAL HEALTH PARTNERSHIP (MBHP)
DEPT. OF YOUTH SEVICES (DYS)
COUNTY SHERIFFS
HMOs
DEPT. OF SOCIAL SEVICES (DSS)
OPERATIONAL SERVICES DIVISION
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The AF State Interagency Process Working
Group on Discharge Planning Working Group on
Housing Search and Retention
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
16
RESEARCH, ADVOCACY, EDUCATION
DISCHARGE PLANNING FOR HOMELESSNESS
PREVENTION STEPS TO CHANGE
RESOURCE DEVELOPMENT
POLICY CHANGE
INSTITUTIONALIZING 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 FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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MASSACHUSETTS HOUSING AND SHELTER
ALLIANCE 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.
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
11802170
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Massachusetts Housing and Shelter Alliance (MHSA)

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 14 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.
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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Massachusetts Housing and Shelter Alliance (MHSA)

• 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.
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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Massachusetts Housing and Shelter Alliance (MHSA)
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.
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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Massachusetts Housing and Shelter Alliance (MHSA)
Criminal Justice Recovery Home Admissions
Criminal Justice Initiative (CJI)
SOURCE Compiled by MHSA Staff from Massachusetts
Department of Public Health, Bureau of Substance
Abuse Services, and Correctional Recovery Bed
Initiative Reports.
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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Massachusetts Housing and Shelter Alliance (MHSA)
Referrals to Residential Recovery Homes by
Correctional Source
Criminal Justice Initiative (CJI)
SOURCE Compiled by MHSA Staff from Massachusetts
Department of Public Health, Bureau of Substance
Abuse Services, and Correctional Recovery Bed
Initiative Reports.
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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Massachusetts Housing and Shelter Alliance (MHSA)

• 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

MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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RESEARCH, ADVOCACY, EDUCATION
DISCHARGE PLANNING FOR HOMELESSNESS
PREVENTION STEPS TO CHANGE
RESOURCE DEVELOPMENT
POLICY CHANGE
INSTITUTIONALIZING 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 FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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• INSTITUTIONALIZING CHANGE
• Prioritizing Homeless Populationsthrough
  Targeting and Setasides
• Applying Evidence-based Approaches
• Monitoring Outcomes through Procurement Language
•  

MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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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 and www.ich.gov/innovations  
MASSACHUSETTS HOUSING AND SHELTER ALLIANCE FIVE
PARK STREET BOSTON, MA 02108 PHONE 617/367-
6447 FAX [phone] EMAIL
abolition_at_mhsa.net
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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