HomeMy WebLinkAboutCOM 0779.000 2016-2018 JNty os-- , Wil Okabe
^ 41d1r„ Managing Director
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Harry Kim ; i r ,r*E ✓,'t
Mayor - •v
- - Barbara J.Kossow
'4 of ' ;`",' Deputy Managing Director
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25 Aupuni Street,Suite 2603 • Hilo,Hawai'i 96720 • (808)961-8211 • Fax(808)961-6553
KONA: 74-5044 Ane Keohokalole Hwy.,Bldg C • Kailua-Kona,Hawaii 96740
(808)323-4444 • Fax(808)323-4440
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February 23, 2018 i
M
Council Chairperson Valerie Poindexter
and Members of the County Council
County of Hawaii
25 Aupuni Street
Hilo, HI 96720
Dear Chair Poindexter and Council Members:
It is my pleasure to submit the attached "Homeless Plan for the County of
Hawai'i" to the Council for review. The purpose of this plan is to determine the County's
role in relation to other community partners addressing the homelessness issue.
Please place this communication on your next available and appropriate
committee agenda. I look forward to discussing this Plan and answering any questions
the Council may have.
If you need to contact me prior to placement of this item, you may reach me at
961-8866.
Gk� Aloha,
•
Lance Niimi
EXECUTIVE ASSISTANT
LN:dkj
Enclosure
Comm. No. 1 l
Ref. To: Hs SSC
Ref. Date FEB 2 3 2018
County of Hawai`i is an Equal Opportunity Provider and Employer.
OM ELESS PLAN
AWA I I
MAYOR'S OFFICE
FEBRUARY 2018
Al
01
Executive Summary
The purpose of this plan is to determine the County's role in relation to other community partners
addressing the homeless issue. The County is a member of the Community Alliance Partners (CAP). This
County plan has been developed in the context of CAP's strategic plan.
The goals, objectives, strategies, County role, performance measures, and priority projects for 2018 are
summarized in the following table.
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Contents
1 Goal.......................................................................................................................................................1
2 Existing Situation...................................................................................................................................1
2.1 Status and Trends.........................................................................................................................1
2.2 Partners and Role of County.........................................................................................................1
3 Objectives..............................................................................................................................................3
4 Coordination Strategy...........................................................................................................................4
4.1 Existing and Planned Programs.....................................................................................................4
4.2 Gaps..............................................................................................................................................5
4.3 County Actions..............................................................................................................................5
5 Prevention Strategy.............................................................................................................................. 5
5.1 Existing and Planned Programs.....................................................................................................5
5.2 Gaps..............................................................................................................................................7
5.3 County Actions..............................................................................................................................7
6 Outreach Strategy.................................................................................................................................8
6.1 Existing and Planned Programs.....................................................................................................8
6.2 Gaps..............................................................................................................................................8
6.3 County Actions..............................................................................................................................8
7 Assessment Strategy.............................................................................................................................9
7.1 Existing and Planned Programs.....................................................................................................9
7.2 Gaps..............................................................................................................................................9
7.3 County Actions..............................................................................................................................9
7.4 Existing and Planned Programs...................................................................................................11
7.5 Gaps............................................................................................................................................12
7.6 County Actions............................................................................................................................12
8 Affordable Rental Housing Strategy....................................................................................................12
8.1 Existing and Planned Programs...................................................................................................12
8.2 Gaps............................................................................................................................................14
8.3 County Actions............................................................................................................................14
9 Support Services: Build Self -Sufficiency Capacity..............................................................................14
9.1 Existing and Planned Programs...................................................................................................14
9.2 Gaps............................................................................................................................................
21
9.3 County Actions............................................................................................................................21
Appendix A. Definitions
Appendix B. Homeless Profile
Appendix C. Homeless Service Partners
Appendix D. Homeless Shelters and Housing Inventory
Consistent with the State and the federal veteran's program, our County's goal is to reach the point
described as "functional zero" homelessness ( (Hawaii State Governor's Office, July 1, 2016). Reaching
functional zero does not mean there will be zero homelessness, but indicates that our County will have:
• An adequate supply of shelter and housing units, and
• Appropriate types of interventions in place,
• To rapidly respond to any person who is experiencing homelessness, regardless of their level of
need.
The special terms and acronyms used in federal or state programs are italicized and defined in Appendix
A.
2 Existing Situation
Is the Count Going Up or Down? Based on the 2016 Point in Time count, our County had the highest
per capita rate of homelessness in the State at 70 homeless persons per 10,000 residents. In 2017, our
count reduced by 46%, from 1,394 to 953, resulting in a homeless rate comparable to the statewide rate
at about 50 homeless persons per 10,000 residents. This significant reduction was in part due to the
efforts of our homeless service agency partners where our County had the shortest length of time that
shelter users remained homeless (112 days) and the highest percentage of clients exiting homeless
services (50.4%) (University of Hawaii, Center on the Family, 2016). The sheltered proportion increased
from 19% in 2016 to 29% in 2017. The highest counts were in Hilo (26%), followed by Ka'u (20%),
Kealakehe (19%), and Pahoa (13%).
How Many Are Families? Family individuals comprised 40% of the homeless count in 2017. Slightly
more than half of the family individuals were unsheltered (52%). A disproportionate amount of the
unsheltered family individuals were in Ka'u (49%), followed by Keaau (16%), Hilo (12%), and Pahoa
(11%). Approximately 25% of the homeless population were children or minors under 18 years old.
Who Are the Homeless? Veterans comprised 17% of the homeless population in 2016. Caucasians
comprised 38% of the homeless population (compared to 28% statewide), followed by Hawaiian/Part
Hawaiian (31%) (28% statewide), Marshallese (7%), and Micronesian (4%). The chronic homeless are
those with a disability, including mental health disorders or substance abuse issues, who have been
homeless continuously for 12 months or more. Statewide, the chronic homeless comprise
approximately 8% of the homeless population (University of Hawaii, Center on the Family, 2016). The
estimate for this County is significantly higher at 23%.
See Appendix B for more detailed data and graphs.
=.2 Partners and Role of Count`
It takes a collaboration among partners—nonprofits, faith -based, community volunteers, and
government—to address homelessness. Federal funding recognizes the importance of collaboration by
requiring Continuum of Care (CoC) organizations. In Hawai'i, there are two CoCs—Partners in Care for
Oahu, and Bridging the Gap for the neighbor islands. Bridging the Gap is represented by Maui Homeless
Alliance, Kauai Community Alliance, and Community Alliance Partners (CAP) for Hawai'i Island.
Lead Organization=
DHS
Continuum of Care
(COC)
Oahu (Partners in Neighbor Islands
Care/PIC) (Bridging the
Gap/BTG)
For Hawai'i Island, there are currently 20 partners that comprise the CAP membership:
1. BISAC
2. Catholic Charities Hawaii
3. Child and Family Services
4. Connect Point Church
5. County of Hawai'i Office of Housing & Community
6. East Hawaii Family Promise
7. Going Home Hawai'i
8. Hawaii Disability Legal Services
9. Hawaii Island Home for Recovery
10. Hawaii Island HIV/AIDS foundation
11. Hawaii Sober Living & Recovery Center
12. Hope Services
13. Interfaith Communities in Action
14. Na Kahua Hale O Ulu Wini HI Affordable Properties, Inc.
15. Neighborhood Place of Kona
16. Neighborhood Place of Puna
17. Partners in Development Foundation, Ka Pa'alana
18. Rachelle Ching
19. St. Michael's Parish
20. The Salvation Army Family Intervention Services
CAP coordinates this island's annual application for federal funding and administers the annual Point in
Time Count. CAP has prepared a strategic plan (Community Alliance Partners (CAP), January 2018).
Within the context of the CAP plan, this plan clarifies and focuses on the role of the County government.
See Appendix C for a more detailed list and description of partners, many of whom are CAP members
and others who are involved with homeless services but not CAP members.
3 Objective,,
The CAP and County objectives to address homelessness are as follows:
1) Coordination. Develop a data system to match homeless or at -risk individuals to appropriate
services and housing;
2) Prevention and Diversion. Prevent homelessness by providing safety nets for the at -risk
population and divert families from staying in shelters;
3) Outreach. Engage unsheltered homeless persons with respect, advise them of trespass
restrictions, and offer shelter and employment options;
4) Assessment and Emergency Shelter. Shelter first without any conditions, then assess needs to
determine appropriate services and housing requirements;
5) Appropriate Transitional and Permanent Supportive Housing. Rapidly shelter in temporary
(transitional) or permanent supportive housing with appropriate supportive services and priority
to the most vulnerable for the limited permanent supportive housing;
6) Affordable Rental Housing. Increase the inventory of rental housing affordable to the
extremely low (30% AMI) and low (50% AMI) income individuals and households;
7) Self -Sufficiency. Partner to provide services to increase self-sufficiency capabilities.
The following sections discuss the existing and planned programs, gaps, and county role for each
objective. Where appropriate the programs distinguish among the following categories of homeless
individuals:
• Individuals and Families. Individuals or households that have no significant substance abuse or
mental health issues (referred to as Individuals and Families);
• Chronic Homeless. Individuals who have significant substance abuse or mental health issues
who would remain homeless unless provided special treatment (referred to as Chronic
Homeless);
• Veterans. Individuals who have served in active military duty could qualify for benefits
depending on the eligibility criteria of the particular program. Caseworkers can assist with
verifying the individual's status as a veteran.
4 Coordination Strategy
a,1_ Fxisting and Plannr=rl Prnaram .
Efficient and effective collaboration among partners depends upon a robust data system. The federal
government requires a Homeless Management Information System (HMIS). The State Department of
Human Services is the lead agency that oversees the statewide HMIS.
Hawai'i County's CAP relies upon HMIS as the central data repository to:
• Uniquely track every homeless individual or household;
• Maintain a real-time occupancy and capacity inventory;
• Match the homeless individual or household to appropriate housing and services; and
• Measure performance.
The annual Point In Time count is a quick assessment of the homeless situation in terms of how many
and where. If the surveyed individual is not already in the HMIS system, then an outreach caseworker
works with the individual or household to provide assistance. To provide assistance, a more in-depth
assessment is necessary to determine the appropriate services and/or housing.
To qualify for federal Permanent Supportive Housing (PSH) funding, HUD requires CoCs to employ a
tenant selection process for PSH that prioritizes those most in need rather than a first-come, first-served
method (U.S. Department of Housing & Urban Development (HUD), July 2014). The CoC to which
Hawai'i County belongs (Bridging the Gap) selected a standardized vulnerability assessment tool called
the Vulnerability Index (VI) and Service Prioritization Decision Assistance Tool (SPDAT). VI-SPDAT
combines the strengths of a hybrid prescreening tool that covers medical risk factors (VI) with social risk
factors (SPDAT), making it the most chosen standardized assessment tool by CoCs nationwide.
In Hawai'i County, CAP outreach workers use the VI-SPDAT to assess every homeless individual or
household that requests services to determine:
• Personal identification with a photo ID;
• Certification as homeless (meets the federal definition of homeless);
• Certification as chronic homeless, as applicable (meets the federal definition of chronic
homeless);
• Veteran status, as applicable;
• Priority classification.
Based on the priority classification, CAP's Coordinated Entry system matches the homeless individual or
household to appropriate vacant housing. Service providers enter vacancies into HMIS.
Photo lD
• Homeless certification
• Chronic certification
• Veteran verification
• Priority classification
4.2 Gaps
• Personal ID
• Demographics
• Vulnerability assessment
• Current livingsituation
• Exit situation
• Services utilized
• Housing inventory
• Annual Point In Time Report
• Annual Services Utilitization Report
The Point in Time unsheltered surveys are not geographic specific. Improved methods using GIS
technology are being explored. Otherwise, the HMIS and Coordinated Entry system works well to match
needs with resources, so full support for its continued improvement should persist.
4.3 County Actions
The County Office of Housing and Community Development (OHCD) manages the Coordinated Entry
System for CAP. The County can also provide GIS support for the PIT survey and maintain a GIS
inventory of shelter and affordable rental units.
S Prevention and Diversion Strategy
5.1 Existing and Planned Programs
The intervention points and types of intervention programs include the following:
• Prevention programs target the at -risk to prevent them from losing their existing home;
• Diversion programs strive to divert the individual or family from having to stay in a shelter, if an
individual or family has already lost their home and is at the front door of a shelter or other
entry point seeking shelter;
• Rapid -Rehousing programs strive to find permanent housing as quickly as possible, if an
individual or family is already homeless in a shelter.
Successfully diverting families or individuals may require the provision of financial assistance to get
them back into their former housing, to enable them to stay a bit longer in a doubled up situation while
they look for permanent housing, to unify them with family members, or to help them move quickly into
a new housing unit. The following hypothetical cases illustrate situations when diversion can be effective
(case examples adapted from (National Alliance to End Homelessness, 2011)):
• Staying in someone else's housing. A single mother and her two sons, aged 13 and 7, go to a
local family shelter because they have been evicted as a result of the mother's job loss. The
family's current temporary housing arrangement with the children's grandmother is falling apart
because neighbors have complained about the children causing trouble in her apartment
complex after school. The grandmother's landlord has already spoken to her twice about the
issue and has said if he gets one more complaint, he may have to take serious action against her.
After speaking with the mother and the grandmother, the case manager on duty at the shelter
determines that the family could stay with the grandmother a bit longer if the children had a
place to go after school. The case manager begins looking for after-school care for the children
and funds to help the mother pay for it.
• Evicted from a unit. A couple and their two children come to the centralized intake center were
evicted from their apartment several days earlier because they used money they planned to use
to pay rent to pay one of the children's medical bills. They are currently living with a friend, but
indicate that they cannot stay any longer. They would like to go back to their old building
because it is conveniently located to the father's job and the children's school, but fear their
relationship with their former landlord is damaged beyond repair. The mother says she might
have a co-worker who would be willing to put them up for a week or so but had felt too
ashamed to ask. The intake worker helps the mother strategize about how to ask the co-worker
for assistance and the mother calls from the office to make the request. The intake worker also
provides a referral to a low-cost health care clinic nearby where the family can take their sick
child for continuing care and gives them information about affordable health insurance options.
Once the family has confirmed that they can stay with the mother's co-worker, the intake
worker focuses on the family's longer-term housing plan. He collects contact information for the
family's landlord and sets up a meeting to discuss the family's situation. The intake worker tells
the landlord that his agency can cover most of the rental arrears if the landlord is willing to let
the family return to the unit and make up the remaining costs over the course of the next few
months. He also promises to continue to work with the family to ensure they have gotten back
on their feet financially and help resolve any other issues that might arise. After a few days of
staying with their co-worker, the family is able to move back into their previous unit.
Existing services available for all interventions—prevention, diversion, and rapid rehousing—include:
• Comprehensive Services: Coordinated Statewide Homeless Initiative (CSHI) is a State funded
program with master contract to Aloha United Way. CSHI services are provided by Hope
Services, Catholic Charities, OHCD, and HCEOC for housing navigators, case management,
security deposit, first month's rent, overdue rent;
• Rental subsidy: Tenant -Based Rental Assistance (TBRA) through HOME funds—priority given to
homeless or at -risk to subsidize rent over 30% of income; limited to 24 months as a transitional
assistance program.
• Financial assistance and counseling: Hawaiian Community Assets
• Utility assistance: HCEOC administers the Hawai'i Low Income Home energy Assistance Program
(LIHEAP) to assist household who are on the verge of utility termination
• Food assistance: SNAP outreach by The Food Basket
• Veterans programs: Services to veterans include:
o Supportive Services for Veteran Families (SSVF) by Catholic Charities;
o HUD VASH Program — Permanent Housing Program for Chronically homeless veterans
o eRANGE MHICM Program - (Enhanced Rural Access Network for Growth &
Enhancement) — Clinical team (RN & two LCSW's) that provides intensive case
management services (weekly) to (SMI) seriously mentally ill veterans.
o Veteran's Justice Outreach — clinical provider (LCSW) which provides
outreach/assessment/case management for justice involved veterans to prevent
unnecessary criminalization of mental illness.
o VA CBOC (Community based outpatient clinic) — VA outpatient clinic that provides
outpatient services such as: primary care, mental health counseling (individual/groups),
specialty care, substance abuse treatment (individuals/groups), and home based
primary care.
o Vocational Rehabilitation — VBA provider who works to prepare veterans (with service -
connected conditions) for suitable employment.
o Vet Center - The goal of the Vet Center program is to provide a broad range of
counseling, outreach, and referral services to eligible veterans in order to help them
make a satisfying post-war readjustment to civilian life.
5.2 Gaps
An effective prevention and diversion program requires a screening process to quickly determine
whether a family or individual is a good candidate for the program and to measure the effectiveness of
the type of assistance provided. CAP is looking into a prevention assessment tool developed by the
vendor of VI-SPDAT that would integrate with HMIS.
CAP members already provide a full range of prevention and diversion services. As performance
measures demonstrate the effectiveness of prevention and diversion programs, funding should expand.
CAP should aggressively seek federal funding to bolster prevention and diversion programs (National
Alliance to End Homelessness, 2011):
• Homelessness Prevention and Rapid Re -housing Program (HPRP). Relevant activities funded
include rental assistance, mediation, housing stabilization services, rental arrears, moving costs,
legal services.
• Emergency Solutions Grant (ESG). Relevant activities funded include short-term rental
assistance, housing relocation and stabilization services, mediation. For most localities, a major
source of federal funding for diversion will be the Emergency Solutions Grant (ESG), which was
modified by the HEARTH Act to include more robust prevention assistance. Eligible uses of funds
will be very similar to those of HPRP, including rental assistance (issued to a third party),
mediation, and other housing stabilization services (case management, legal services, etc.).
• Temporary Assistance for Needy Families (TANF) funds can be used to provide short-term rental
assistance, case management, and other temporary non -recurrent benefits to homeless and
low-income families. Communities can combine TANF and HPRP resources to better serve
homeless families.
5.3 County Actions
Continue funding and seek expansion of the Tenant -Based Rental Assistance (TBRA) Program.
Participate in a landlord summit to increase awareness of the prevention and diversion programs.
6 Outreach Strategy
F,1_ Fyictina Anrd Plannr=r- Prnaramc.
Outreach caseworkers meet with the unsheltered homeless living in their cars, streets, parks and
beaches. This outreach, currently conducted by HOPE Services, help the homeless connect to
emergency shelters, be document ready for housing including helping with the acquisition of their photo
ID and birth certificate, and make referrals and linkages to employment, health care, behavioral health
care, medical insurance, SNAP, Social Security and TANF assistance. The Fire Department community
paramedics periodically accompany the caseworkers to provide wound care to the unsheltered
homeless.
Other agencies provide outreach as part of their case management functions and currently assist with
assessments (VISPDAT)-- Neighborhood Place of Puna, Neighborhood Place of Kona, Parents Inc. of Ka'u,
and Uluwini Transitional Shelter (Kona). These access points provide geographic coverage for our
expansive island to facilitate getting the at risk and unsheltered homeless connected to services.
Finally, a quasi homeless/mental health outreach, e.g. for psychiatric and psychosocial emergencies [e.g.
suicidal clients] is also done by the Crisis Mobile Outreach program of Care Hawaii. Although it is not
widely publicized, Care Hawai'i also "assists the individual stabilize in the community" through limited
short term housing arrangements.
6.2 Gaps
Hope Services outreach staff could be supplemented/work in tandem with agencies providing Substance
Abuse (e.g. Big Island Substance Abuse Council), Mental Health Services (Adult Mental Health, Care
Hawai'i and/or Lokahi Treatment Center), and or Medical Outreach; some of these collaborations are
already in effect, but the recommendation is to implement or support these further.
6.3 County Actions
• Support increased outreach collaboration to connect the chronic homeless to appropriate services.
o Pilot work opportunities that encourage the homeless to be more productive and
contributing members to their families and communities. The funding amount is estimated
at $100,000 ($50,000 for West Hawai'i and $50,000 for East Hawai'i. This program would
foster a positive image of the homeless to the community by hiring the homeless to do
community service, such as cleaning park and other areas where litter has accumulated.
The homeless worker would be paid a monetary stipend at the end of each day. The work
would not require special skills. The commitment is only for the day, which is suitable for
certain individuals who do not have the capacity or discipline for regular work. The vision is
that the able bodied homeless individuals would be working alongside or be supervised by
County, e.g. Parks and Recreation, Public Works, Environmental Management, etc. or other
business or non-profit personnel. For the homeless, the work would build a sense of pride,
hope and dignity by providing an opportunity for the homeless to give back and become re-
connected to the community. For the outreach caseworker, the relationship developed
through this program would enhance their ability to get our homeless into available shelter
or housing. The program has proven to be successful in other jurisdictions (e.g., "There's a
Better Way Program", https://www.cabq.gov/mayor/priorities-initiatives/theres-a-better-
way).
7 Assessment Strategy
7.1 Existing and Planned Program,
The concept of an assessment center, which embraces the Housing First philosophy, is to have a place
where any homeless person would be accommodated, whether they come on their own initiative or are
sent there by a law enforcement officer or outreach caseworker. Upon arrival, their profile would be
entered into HMIS to match the individual or household to appropriate housing and services. The
assessment center also serves as an emergency shelter to accommodate them until they can be
matched to appropriate transitional or permanent housing, and provides 1 -stop services.
The model for an assessment center is the Kakaako Family Assessment Center. This center is a
renovated maintenance shed. The capital costs were funded by the State through the Department of
Human Services. The operational costs are funded year by year by the State Legislature through the
Department of Human Services. DHS contracts with Catholic Charities to operate the center.
The center has 14 cubicles (partial wall partitions), each with individual beds. Services provided include
assistance with finding a permanent home, healthcare and Medicaid enrollment, job training and
placement, school enrollment for the children, and personal documents (e.g., social security cards, birth
certificates, medical records).
7.2 Gaps
There are no assessment centers in Hawai'i County.
i.3 County Actions
Hawai'i County is working with the State Hawai'i Housing Finance and Development Corporation
(HHFDC) to lease a State parcel for a pilot assessment center. The proposed site is approximately 15
acres referred to as Village 9 in Kealakehe. The concepts to be tested at this site include:
• Target Beneficiaries. In comparison to the Kakaako Assessment Center that focused on families
with children, the County's project will take all types of homeless, assess their needs, temporary
shelter them as needed, and match them with available transitional shelters managed by other
partners.
• Emergency Shelter. This site will serve as an overflow emergency shelter when there are no
vacancies in the other shelters.
• Flexible Residential Design. The units would be designed as cottages (a.k.a tiny homes) clustered
around common open spaces (a.k.a pocket neighborhoods). The clusters would enable
separation or integration of the homeless types (e.g., families, individuals, chronic) as
appropriate. Some of the units would be self-contained with toilets and showers, while others
would share common facilities. Various housing types could be tested for quickness to build,
cost, comfort, flexibility, and other criteria (e.g., igloos, adapted containers, pre -approved tiny
package homes).
Conversion Potential. Depending on the capacities of the service agency partners, the units
could convert from emergency to transitional to permanent supportive housing, or affordable
rentals for individuals and families.
1 -Stop Services and Capacity Building. A multi-purpose community center would be a place for
meetings, service providers, cooking, eating, health services, exercise, tutoring, and other uses.
An open area would be used for growing food (e.g., garden and/or hydroponics or aquaponics).
The services available to any homeless or at -risk person include:
o Food Self -Sufficiency. Initially Camp Kikaha relied on donated meals. In lieu of receiving
handout meals, the project will test the following:
■ Learn to raise food crops and livestock together with the community using
natural farming methods, hydroponics, aquaculture, and aquaponics;
■ Learn to prepare and cook own meals in a common area kitchen;
■ Mentorships would be sought from university agricultural cooperative extension
personnel, master gardeners, and community college chefs.
o Economic Self -Sufficiency. Partner with entry-level skill employers (including County
Parks, Highways and Public Works, farmers, resorts, landscape maintenance firms,
resort homeowner associations, entry-level employers) to train and hire. Service
providers would solicit partners, identify training needs, develop training programs, and
provide job coaches to support the client's performance. Financial literacy coaching
would also be provided to manage any income earned. Security training would be
provided through the camp security program where the homeless residents (in teams of
2) would be trained and provide camp security.
o Housing. Caseworkers (also referred to as Housing Navigators) would assist with debt
management, rental deposit assistance, emergency loans, rental assistance, and finding
affordable units. The homeless would be offered construction skills training by building
the homes on-site.
o Transportation Services. Vans would be purchased to shuttle homeless to their jobs,
etc. A relationship would be established with Uber and/or Lyft. Qualified drivers would
drive the vans to earn income.
o Mental Health and Substance Abuse Treatment. Mental health services will be provided
on-site. Substance abuse programs will be available, and recovering substance abusers
would be asked to counsel their peers.
o Education. The intake process would include an evaluation of the individual's
educational level. The site would include a library. Tutors would assist willing
individuals at whatever level.
o Health and Hygiene. The Fire Department's community paramedicine program would
team up with other health care providers to provide regular on-site checkups. Hygiene
would be mandatory as part of the rules for staying or receiving services at the camp --
toiletries would be provided as well as facilities (showers, sinks, toilets). Fitness
instructor to lead daily exercises. Fitness events like Ironman to be asked to donate
bicycles and fitness equipment.
After Village 9 has been started with the benefit of lessons learned, the County will work to find sites
and build assessment centers in Hilo, Pahoa, and Ka'u where the needs seem greatest based on the
Point in Time counts.
The State provides emergency shelter stipends to the shelter provider, provided minimum requirements
are met relating to number of showers and bathrooms, minimum area of partitioned space, and storage
(HRS §346-374.5).
8 Transitional and Permanent Supportive Housing Strategy
8.1 Existing and Punned Programs
The State homeless stipends available for emergency shelters are also available to operate transitional
shelters (HRS §346-374).
If the County provides assessment centers with emergency shelter capacity, the partner service agencies
can concentrate on transitional or permanent housing. The existing inventory of transitional and
emergency housing is as follows:
III,
organization Name
wiiik
pir
Project Name FISH
AM il�
CCH - SSVF Rural RRH (Priority 2) *No 0
Grand
Total
0
Catholic Charities
shelters- Provides support in finding
permanent housing.
Child and Family
CFS - Hale Kahua Pa'a
13
13
Service
Child and Family
CFS - Hale Ohana *Now bunk beds are
28
28
Service
provided.
CFS - West Hawaii Domestic Abuse
22
22
Shelter
Hawaii Affordable
HAP - Na Kahua Hale O Ulu Wini
115
115
Properties, Inc.
(Kaloko) *Left a message
Hawaii Island
HIHR - Permanent Housing Project
16
16
Home for
(FY2011)
Recovery, Inc.
HIHR -Transitional Housing Project
19
19
Hawaii Island
HIHR - New HIHR PSH (FY2014)
5
5
Home for
Recovery, Inc.
0
0
Hawaii Public
VASH - Rural Counties *No emergency
Housing Authority
housing. Waitlist for permanent
housing only.
HOPE - Continuum of Care II (SPC)
HOPE Services
14
14
Hawaii
HOPE - EHI Men's Emergency Shelter
32
32
HOPE - ESG RRH (Family Shelter)
48
48
HOPE - Hale Kikaha
22
22
HOPE - HPP RRH *will call back after
220
220
2pm.
HOPE - Kiheipua Emergency Shelter
48
48
HOPE - Kukui Shelter Plus Care
41
41
HOPE - Kuleana House
HOPE - Ohea/HOPTEL (homeless
8
8
5
5
veterans)
HOPE - State Housing First Program
48
48
HOPE - State Rapid Rehousing Program
80
80
Organization
HOPE - West Hawaii Emergency
31
Total
31
Housing Program
10
10
HOPE - Wilder House
Salvation Army Big
SARMY - Big Island RHY TLP
2
2
Island
0
0
Steadfast Housing
SHDC - Eono Shelter Plus Care *No
Development
beds- offer program for mental health
Corporation
illness to provide permanent housing.
USVETS True Hope
USVETS - SSVF Rural RRH (Priority 2)
5
5
Ministries
Grand Total
353
166
167
146
832
RR"- RCI PIU Rc IUUJII IS Jl.CILLCl cU "ul l ICJ vuuk' ICI J, LJ- LII ICI Scl ILy Jl lcl Lcl a, l n— l l al1ZIMUl lal nUuan ls,
PSH= Permanent Supportive Housing
See Appendix DError! Reference source not found. for locations.
8.2 Gaps
Based on an average wait list, CAP estimates the needs as follows (Community Alliance Partners (CAP),
January 2018):
• Transitional Units
o Families
■ West Hawai'i: 35 units
■ East Hawai'i: 20 units
o Individuals: 60 beds
o Chronic homeless: 60 beds
8.3 County Actions
Fill the inventory gaps with priority to families.
9 Affordable Rental Housing Strategy
9.1 Existing and Planned Programs
Rental and other housing assistance programs include:
• Rental assistance
o Section 8 vouchers—eligible individuals and households up to 80% AMI pay up to 30% of
their income with the balance of market rent subsidized; under Section 8 self-sufficiency
program, option to pay into an escrow savings account the difference in subsidy as
income increases;
o HUD–Veterans Affairs Supportive Housing (VASH)— Targeting the chronic homeless, the
HUD-VASH program combines Housing Choice Voucher (HCV) rental assistance for
homeless Veterans with case management and clinical services provided by the
Department of Veterans Affairs (VA). VA provides these services for participating
Veterans at VA medical centers (VAMCs) and community-based outreach clinics.
o Rental Supplement—State program funded through Hawai'i Housing Authority. The
rental supplements help eligible families pay for part of their monthly rent. Families
must pay at least 30% of their adjusted family income for rent. The difference between
the family contributing rent payment and the total monthly rent, up to a maximum of
$230.00 per month, is paid directly to the owner by HPHA. To qualify for this rental
assistance program, a family must:
■ Be in a properly sized unit for its family size.
■ Not be receiving financial assistance from the State of Hawaii, Department of
Human Services.
■ Provide reasonable assurances that you can pay your rent on time.
■ Not have any outstanding debts owed to HPHA.
■ Must be a legal resident of the State of Hawaii.
■ Must not own or have majority interest in a dwelling unit on the same island on
which you seek rent assistance.
■ Must be within the income limits as prescribed in the Hawaii Administrative
Rules, Title 15, Chapter 184, Rent Supplement Program.
Financing available to encourage the development of affordable rental projects include:
• Project -based section 8—units within a project -based section 8 must be rented to holders of
Section 8 vouchers; the developer is assured of a predictable cashflow for the 10 -year contract
period;
• Low-income housing tax credit (LIHTC)— The LIHTC Program is a financing tool for private
developers and non-profit entities to construct or rehabilitate affordable rental units. Federal
and state tax credits may be used to obtain a dollar -for -dollar reduction in income tax liability
for 10 years. The tax credit may be sold to a qualified investor in exchange for an equity
investment in the project. The federal LIHTC is a program administered by the Internal Revenue
Service. The HHFDC is responsible for the administration of the LIHTC program for the state of
Hawaii. A state LIHTC equal to 50% of the federal LIHTC is also available to qualified applicants.
The tax credit is available only for units rented to low-income occupants. This means that a
project must have:
o Income restriction:
■ at least 20% of its units rented to households with incomes of 50% or less of
area median income; or
■ at least 40% of the units must be rented to households with incomes of 60% or
less of area median income.
o Rent restriction: Low-income rents are restricted based on the number of bedrooms in
the unit and the area median income as established annually by HUD. If the tenant pays
for utilities, the rent must be adjusted by the applicable utility allowance.
Incentives to increase the inventory of scattered affordable rentals include:
• Disincentives for vacation rentals to encourage more long-term rentals—County regulation in
process;
• Property tax incentives for affordable rentals—to qualify for the tax credit, the rent must be less
than 75% of the Payment Standards established by OHCD (Hawai'i County Code §19-2).
9.2 Gaps
The Section 8 wait list for Hawai'i County is at approximately 5,000 upon closing the acceptance of
applications in 2015, indicating a need for a two -prong effort to increase the affordable rental inventory:
• Increase the number of vouchers where eligible individuals and households can pay market rent;
• Increase the number of subsidized rent -restricted units.
To increase the number of vouchers, it is futile to rely on the federal government. The State's rental
subsidy program needs bolstering. As currently administered, Hawai'i County can assist only six
households.
9.3 Countv Actions
The County can encourage an increase in the inventory of scattered affordable rentals by incentivizing
landowners by:
• Streamlining the requirements to permit accessory dwellings;
• Work with package home providers for pre -approved building permits for affordable tiny home
units;
• Amend the property tax code to align the affordable rent limits closer to market rents;
• Encourage landlord participation at landlord summits.
Other actions include:
• Encouraging higher -density mixed use developments in the urban core in proximity to jobs,
multiple transportation options, and daily services;
• Offering government land for affordable rental projects;
• Lobby the State and/or finding other sources to increase rental assistance programs.
10 Support Services: Build Self-S��ffi�ienc
10.1 7xisting and Planned Progra ,-,
Social determinants of health indicate the intervention points to improve the self-sufficiency capacity of
homeless or at -risk individuals.
Social Determinants of Health
Economic Neighborhood
Community
Health Care
and Physical
Education
Food
and Social
Stability
System
•
Context
Employment
Housing
Literacy
Hunger
Social
Health
Ilhi.
integration
coverage
Income
nsportation
Language
Accesstohealthy
Support
Provider
Expense,uiiSafety
Early childhood
options
systems
availability
education
Debt
Parks
Community
Provider
Medical billsaygrounds
Vocational
en a ement
g g
lin uistic and
gcultural
training
Support
alkability
Higher
Discrimination
competency
education
Quality of care
Health Outcomes
Mortality, Morbidity, Life Expectancy, Health Care Expenditures, Health Status, Functional Limitations
Source: (U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, accessed January
2018)
Based on the social determinants of health, the following are the existing intervention services to assist
and support the homeless or at risk:
ECONOMIC
Catholic Charities Hawaii
Financial Assistance. Assists with answering questions, helping with applications for assistance,
providing emergency financial assistance and referring applicants to Catholic Charities Hawai'i
programs or other appropriate programs in Hawai'i. Applicants must show proof of financial
sustainability to be eligible. Proof of Native Hawaiian ancestry and an income of at or below 250% of
the current Federal Poverty Guideline are required. The Punawai Program can also refer Native
Hawaiian households to a matched -savings program.
Provides immigration services to immigrants from all countries. This service is provided by partially
accredited representatives of the U.S. Department of Justice. This accreditation shows the workers
possess the requisite experience and knowledge of immigration law to assist immigrants with their
immigration needs such as citizenship, relative petitions, change of status, and other related
immigration applications.
State Homeless Emergency Grant (SHEG). Assists with answering questions, helping with applications
for assistance, providing emergency financial assistance and referring applicants to Catholic Charities
Hawai'i programs or other appropriate programs in Hawai'i. Applicants must show proof of financial
sustainability to be eligible. (Security deposit, first month's rent, overdue rent, etc.). Applicants must
be homeless or at -risk of homelessness.
Going Home Hawaii
Island -wide coordinated multi -agency reentry services. Assist Hawaii Island men, women and youth
released from correctional institutions with reintegration into community life through employment,
training and supportive services. Reduce recidivism and increase public safety.
Hawaii County Economic Opportunity Council (HCEOQ
Utility Assistance. The Hawaii Low Income Home Energy Assistance Program (LIHEAP) is divided into
two categories: Energy Crisis Intervention (ECI) — is a crisis program to assist households who are on
the verge of utility termination or has been terminated with 60 days from the date of application. The
program is available from October 1, 2016 through May 15, 2017; and July 1, 2017 to September 30,
2017. The ECI Program will provide assistance to 20 people per month, on a first come, first served
basis. Currently, the program allots up to $500 towards the past due amount. The ECI program will
not be applied to deposits or fees. Approved applicants will be ineligible for the June 2017 Energy
Credit program. Energy Credit (EC) — non -crisis program to assist household with the heating and/or
cooling of their residences with bill payment. This program has a limited application period, usually
around May and or June.
Hawaiian Community Assets
Financial and Housing Education and Counseling. Hawaiian Community Assets (HCA) is a HUD -
Certified financial education and housing counseling agency and Native Community Development
Financial Institution. We offer Individualized Counseling, Group Education and Financial Products.
Neighborhood Place of Puna
Resource Center. Neighborhood Place of Puna provides information about and referrals to resources
in the community. If you are not sure who to call, or are looking for information about specific
services, we may be able to help. This service is free and open to the community members.
The Clubhouse for Adult Mental Health
Assists Homeless with Mental Health issues. Employment coaching, job, support, and lifeskills
training.
EDUCATIONAL
Partners in Development Foundation
Family education programming using Native Hawaiian values and traditions. Serves homeless and at -
risk families through collaborative partnerships, Ka Pa'Alana assists families by providing basic needs
items as well as educational programming (family -child interaction Preschool, Parent Education, Adult
Education, Home visiting) to equip families toward greater self-sufficiency and prepare children for
school success. Ka Pa'Alana also serves as an initial contact agency for families who are ready to
transition to local shelters or temporary housing facilities.
The Makery
Provides access to conventional tools and machines, CAD programs, CNC machines, and 3D printers.
Expert instructors and mentors serve as guides through the process of turning ideas into products.
Empowers companies and individuals for 21st Century manufacturing in Hawaii by providing
necessary resources.
The Men of Pa'a
Recovery and Support for formerly incarcerated or substance abusing men. Men meet at least
monthly and serve the community through service projects. They provide mutual support to one
another while helping others which is one of the keys to their recovery. Their program draws much
from Hawaiian cultural practices and "tapping into" the wisdom of their Kupuna.
FOOD
DOH/East Hawaii WIC Program
The Special Supplemental Nutrition Program for Women, Infants and Children (WIC), is a federally
funded program which provides Hawaii residents with nourishing supplemental foods, nutrition
education, breastfeeding promotion and health and social service referrals. The participants of WIC
are either pregnant, breastfeeding, or postpartum women, and infants and children under age five
who meet income guidelines and have a medical or nutritional risk.
Neighborhood Place of Puna
Family Strengthening and Support Program. Neighborhood Place of Puna provides ongoing weekly
case management and strength based support services to families with underage children. This
includes pregnant first time mothers as well as pregnant and/or parenting teens. Families in our
program can access a wide range of services to help stabilize their living situation, learn positive and
developmentally appropriate parenting skills, learn essential and basic life skills, gain employment
readiness skills, get connected to resources and supports in the community, receive support and
advocacy, and much, much, much more. All services are Free and Voluntary. Serving families in Puna
and Hilo.
The Food Basket
SNAP Outreach. Pre -Screening, step-by-step application assistance, and follow-up contact to those
eligible and/or interested in applying for SNAP (foodstamp) benefits.
The Salvation Army -Family
Food Assistance. 1. The Feeding Program is from 12p.m - 1p.m. every Mondays, Wednesdays,
Fridays. It's a free meal offered to anyone who needs it. Another meal is also held at the Salvation
Army on Sundays at 5:30 p.m. This particular one is run by churches and volunteers. 2. The Food
Pantry Program is held every second and fourth Thursdays of each month from 9a.m. - 11:30a.m.
Photo I.Ds, children's birth certificates, and a proof of income are required. Clothing vouchers are also
offered during this time. 3. Christian Programs are available throughout the week for all ages.
Examples for some of these are: Youth groups, troops programs, men and women's Bible fellowships,
and Sunday worship meetings. All are welcome to attend and participate. We help with
transportation within Hilo for some of the programs.We also offer opportunities for people to attend
our camps in the Summer.
HEALTH AL
Adult Mental Health
Adult Mental Health Division. Provides comprehensive services to adults who are suffering from a
serious mental illness or are in acute mental health crisis. Conducts psychiatric evaluation and
treatment, counseling and psychotherapy, case management, outreach, and psychosocial
rehabilitation. Accessibility: Barrier -free for disabled. Transportation: Rides not provided by agency.
Insurance: Medicaid, Medicare, Quest, HMSA, and other private carriers. Additional Phones: After
hours: 935-3393.
BISAC
Substance Abuse Treatment and Mental Health Services for Adults and Adolescents. Provides a
comprehensive continuum of substance abuse treatment services which include Intensive Outpatient
(IOP), Outpatient Treatment (OP), Therapeutic Living Program (TLP), Clean and Sober Housing and
Mental Health Services (Hawaii Island Health and Wellness Centers in Hilo and Keaau) for all of
Hawaii County. BISAC also provides adolescent outpatient services and over 32 school-based Youth
Services Programs throughout the island of Hawaii. Other BISAC services include Employee
Assistance Program (Kokua EAP), Vocational Training (Pookela), and the "Big Island Fusion" Food
Trailer. BISAC also provides "Koho Pono Products" which is a subsidiary of BISAC created to
implement a social enterprise model to provide funding to improve the wellbeing of our clients. All
proceeds from Koho Pono support treatment sustainability.
Hawaii Fire Department
Medical Outreach. This Community Paramedicine program is part of the Fire Department's
Emergency Management Services (EMS). EMT's assigned to the Community Paramedicine program
join with other medical partners to regularly visit homeless camps for wound care and other medical
needs.
Lokahi Treatment Center
Domestic Violence Intervention Anger Management. Medical Insurance: Lokahi accepts most medical
insurance. Upon scheduling assessment, individuals will be informed if the services they require will
or will not be covered by their insurance plan.
Mental Health Evaluations. Eligibility for treatment programs are based upon completions of
assessments with individuals. All assessments include recommendations for treatment.
Outpatient Substance Abuse Treatment. Provides outpatient substance abuse treatment, mental
health treatment, anger management, and domestic violence intervention services for adolescents
and adults. Individuals in our outpatient treatment program have the opportunity to be referred to
our internal clean and sober housing program, should they meet eligibility requirements (currently in
outpatient treatment with Lokahi, re-entry or judiciary involved, and able to afford program fees). All
program services are available in six (6) office locations: Hilo, Kailua-Kona, Pahoa, Waikoloa,
Honoka'a, and Kohala.
Project Vision Hawai'i
Vision Screening. Keiki screening includes either manual distance, near, and color screening or using a
Plusoptix camera which screens for anisometropia, astigmatism, hyperopia (farsightedness), myopia
(nearsightedness), corneal reflexes, and anisocoria. Keiki receive free sunglasses. Adult screening
includes distance and near acuity screening. People who need non-prescription reading glasses will
receive free glasses. Adults also receive a free retinal screening which ophthalmologists look at to
determine if the client as cataracts, diabetic retinopathy, glaucoma, macular degeneration, and other
eye diseases.
Queen Lili'uokalani Trust
Family building social service agency working with Hawaiian children orphaned by death of one or
both parents and children of terminally ill parents and those in kinship care households. Provide
information and referral services, individual and family counseling service, and group services to
complement family and individual counseling. Work collaboratively with community resources that
we know will impact the Hawaiian child and the overall well being of the community in which they
reside.
YMCA of Hawaii Island
Family Visitation Center is a safe place where child/children can go from one parent to another
without any incidents. We do supervised visits and exchanges. Eligibility and Criteria: Court referrals
or Self Referrals. Both parties need to complete a registration before visits can take place.
HOUSING
CARE Hawaii
Crisis Management. 1. Crisis Mobile Outreach (CMO)CMO provides community-based services to
individuals experiencing psychiatric and psychosocial emergencies, responding to emergencies with
timely (within 45 minutes) face-to-face crisis stabilization services. Services are designed to assess the
individual's needs in relation to the crisis he or she is experiencing and then insure that a plan is
implemented to assist the individual to be safe and to insure the safety of the community.
Individuals are referred to the CMO team by the Adult Mental Health Division's Direct Access Line
(808-832-3100), Services are provided by crisis workers with education, experience and training in
crisis intervention and management. CMO provides services throughout Oahu, Kauai and the island of
Hawaii. 2. Crisis Support Management (CSM)CSM services provide time-limited support and
interventions to individuals who are in crisis and in need of necessary services, and are not linked to a
case manager. The goal of the program is to return consumers who have known or suspected mental
health or substance abuse diagnosis to their pre -crisis state. Consumers are administered services at
the request of The State of Hawaii's Adult Mental Health Division. Services typically include assisting
the individual in stabilizing community living and accessing needed services. Services are provided by
crisis case managers with education, experience and training in crisis stabilization. CSM provides
services throughout Oahu, Kauai and the island of Hawaii.
Child and Family Services
Emergency Shelter for victims fleeing from domestic violence. The shelter itself has a 24 hour hotline
and a temporary shelter for domestic violence victims.
Hawaii Island Home for Recovery, Inc. (HIHR)
HIHR-PSHP. Serves the single adult homeless population with mental illnesses, substance abuse and
other disabilities, prioritizing the chronically homeless. The program helps focus homeless individuals
to achieve specific goals that includes but is not limited to: obtaining and maintaining long term
permanent housing, improving life and general skills, increasing personal income, enhancing self-
determination for pursuing life goals and dreams, reduced barriers to housing by implementing the
Housing First model, to live independently and to function at the highest possible level so as to
become contributing members of our local community.
Hawaii National Guard Youth Challenge Academy Hilo
Youth Challenge. To intervene in & reclaim the lives of 16-18 year old high school dropouts,
producing program graduates with the values, life skills, education & self-discipline necessary to
succeed as productive citizens.
Hope Services Hawaii, Inc.
Housing First. Eligible program participants are persons or families experiencing homelessness, meets
HUD's definition of "chronically homeless" and have a disabling condition. Candidates for this
program is identified as the household with the deepest needs as determined by the VI-SPDAT
assessment tool. Continuum of Care: Kukui Program *Housing First.
Housing Placement Program. Applicants must be families with a minor child under the age of 18 and
experiencing homelessness, at -risk of homelessness or be a new Section 8 Voucher Holder.
Preference provided to households who are literally homeless, with the deepest needs. Applicants
must show proof of financial sustainability to be eligible. Able to assist family with security deposit,
first month's rent, and utility deposit. Housing Locator assists family with possible rental leads,
current rental listing, unit inspection, and secure housing. Home-based case manager assists formerly
homeless families transition to their new home and provide support to achieve housing stability and
maintain their housing.
Housing. East Hawaii: 1)Kihei Pua Emergency Shelter: Bed capacity 48 people (4 single women and
44 family members) 2)E.HI Men's Shelter: 32 beds: 3)Veteran's Shelter (5 days): Safe Haven: (2 - 4
beds) (60 yrs and above) West Hawaii : Friendly Place Campus: 1) West Hawaii Emergency Shelter(31
beds) 2) Hale Kikaha (currently 23 Permanent Supportive Housing residents), 3) Camp Kikaha (County
run facility for displaced homeless from the old airport (currently 20 resident campers), 4)Resource
Center: (Residents are referred by the Homeless Outreach program or agencies who visually verifies
household's homelessness situation where they are at. Preference are provided to families with a
minor child who are literally homeless, with the deepest needs as determined by the VI-SPDAT
assessment tool. Other eligible residents are single individuals and couples experiencing
homelessness or at -risk of homelessness as space becomes available. Program fee of $5/night. Units
are shared/congregate living space.
Residents are referred by Kihei Pua Emergency Shelter, Homeless Outreach program or other
agencies who visually verifies household's homelessness situation where they are at. Preference are
provided to families with a minor child who are literally homeless, with the deepest needs. Other
eligible residents are single individuals and couples experiencing homelessness or at -risk of
homelessness as space becomes available. Program fees vary per site. Beyond Shelter Transitional
(studio, one bedroom and two bedroom apartment units) Wilder House Transitional (4 bedroom
single family home) Kuleana House Transitional (3 bedroom single family home.
State Rapid Re -housing Program. Applicants must be homeless or at -risk of homelessness. Assistance
is available to single individuals, couples and family households. As of October 1, 2016, Homeless
Prevention assistance has been depleted for FY 2017. Rapid Re -housing assistance funds still
available. Preference provided to households who are literally homeless, with the deepest need.
Able to assist households with short-term and medium term rent assistance. Housing Locator assists
household with possible rental leads, current rental listing, unit inspection, and secure housing.
Home-based case manager assists formerly homeless households transition to their new home and
provide support to achieve housing stability and maintain their housing.
Interfaith Communities in Action
Housing Fund. Interfaith Communities in Action (ICIA) was created in 1999 to offer interfaith
networking, education, fundraising, community change, and service opportunities in East Hawaii. ICIA
receives donations to assist families in the transition process to locate housing.
Mayor's Office
Comprehensive Assistance. Through collaboration with the county, various agencies, community
groups and concerned citizens, work together with Mayor Kim to address homeless issues on Hawaii
Island. Respond to inquiries and homeless related community concerns referred from the Mayor's
office. Oversight over Camp Kikaha which was the county facility created to house the homeless
displaced from the old Kona Airport.
Steadfast Housing
Mental Health Group Home. Steadfast Housing is a group home referred by case management from a
mental health agency. Steadfast Supported Housing is referred by case management from a mental
health agency supporting independent living with monitoring twice monthly until transitioned into
County housing.
The Salvation Army -Family
Residential Services Outreach and Prevention Services. Provides emergency shelter and group home
services for youth ages 12-17 who are in need of out of home placement. Provides youth and their
families with an array of prevention and outreach services (independent living, substance abuse
prevention, life skills, family management and case management services) from ages 5-24.
OUTREACH
Hope Services Hawaii, Inc.
Outreach. Staff conducts outreach in the community, seeking individuals and families literally
homeless and living in their cars, streets, parks and beaches and connect people in need to
emergency shelter, and housing. Staff serves persons and families identified with the deepest needs
first. Staff help households be document ready for housing including helping with the acquisition of
their photo ID and birth certificate, and make referrals and linkages to employment, health care,
behavioral health care, medical insurance, SNAP, Social Security and TANF assistance.
VETERANS
Access Capabilities
Veterans Assistance. Assists with answering questions, helping with the application for a clean and
sober living or residential depending on the needs. Assist with substance abuse and mental health
challenges. Helping with VA Vets that are homeless and is interested in obtaining a clean and sober
living environment and referring applicants to other appropriate programs in Hawaii. Working closely
with other Agencies to bridge the gap for substance abuse, mental health and living a clean and sober
lifestyle. Hale Imi'na'au'ao Residential Program, Laukapu Clean and Sober Living, known as Aunty
Debra's House, Hawaii Paradise Living Clean and Sober.
Hope Services Hawaii, Inc.
Supportive Services for Veteran Families (SSVF). Eligible veterans experiencing homelessness. Assists
veterans and their families with housing search, housing placement, provide financial assistance for
rental deposit, rent and provide supportive services while transitioning into permanent housing to
achieve housing stability.
HUD - VASH
HUD-VASH provides permanent housing for eligible homeless Veterans who are single or eligible
homeless Veterans with families. Veterans must meet the definition of homelessness defined in
HEARTH Act of 2009.
U.S. Department of Veterans Affairs
Hilo Vet Center. Readjustment Counseling Service (RCS) is provided at more than 200+ community-
based Vet Centers nationwide to combat veterans in the effort to make a satisfying transition from
military to civilian life. Services include: Individual, Group, Marital, Family, Sexual Trauma, and
Bereavement Counseling. Other services provided are assistance in applying for VA benefits, Medical,
Employment, Alcohol/drug assessments, General Information, and Referral to Community Resources.
Vet Centers also provides outreach in various locations in the community.
10.2 Gaps
Ideally there would be a system to maintain a comprehensive updated inventory of service agencies, a
description of the types of services they provide to whom, and a means to match the service provider to
clients. An existing tool, called Resources Match, could fulfill this objective. If CAP determines that this
is a useful tool, then CAP should be sure that its members are included in the Resource Match system
and the system delivers according to its needs. If improvements are needed, the County can work with
the vendor to make changes.
10.3 County Actions
Support expanded and improved use of Resources Match to maintain a comprehensive inventory of
available services and match clients.
Works Cited
Community Alliance Partners (CAP). (January 2018). County of Hawaii Homeless Strategic Plan.
Hawaii State Governor's Office. (July 1, 2016). Pressing the Levers of Change: Hawaii State Framework to
Address Homelessness.
National Alliance to End Homelessness. (2011). Closing the Front Door: Creating a Successful Diversion
Program for Homeless Families. http://endhomelessness.org/wp-
content/uploads/2011/08/creating-a-successul-diversion-program.pdf.
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion.
(accessed January 2018). Healthy People 2020. Retrieved from HealthyPeople.gov:
https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health
U.S. Department of Housing & Urban Development (HUD). (July 2014). Notice CPD -14-012: Prioritizing
Persons Experiencing Chronic Homelessness in Permanent Supportive Housing and
Recordkeeping Requirements for Documenting Chronic Homeless Status.
University of Hawaii, Center on the Family. (2016). Homeless Service Utilization Report.
Appendix A. Definitions
Definitions
Affordable Housing – In general, housing is considered "affordable" when the cost is less than 30
percent of a household's income. When housing costs exceed this amount, a household is considered to
be housing -cost burdened. With an estimated 57.5% of renters paying more than one-third of their
income to rent, Hawai'i has the second highest number of cost -burdened renters in the nation.' The
households who face the most severe lack of affordable housing are the extremely low income, who
earn less than 30% Area Median Income (AMI), or less than $28,750 per year for a household of four in
Honolulu.
At Risk of Homelessness (as defined by HEARTH)—The term 'at risk of homelessness' means, with
respect to an individual or family, that the individual or family—
(1) has income below 30 percent of median income for the geographic area;
(2) has insufficient resources immediately available to attain housing stability; and
(3) whose housing situation is one of the following:
a. has moved frequently because of economic reasons;
b. is living in the home of another because of economic hardship;
c. has been notified that their right to occupy their current housing or living situation will
be terminated;
d. lives in a hotel or motel;
e. lives in severely overcrowded housing;
f. is exiting an institution; or
g. otherwise lives in housing that has characteristics associated with instability and an
increased risk of homelessness.
Bridging the Gap (BTG)– BTG is the Continuum of Care for the neighbor island counties, including
Hawai'i County, Maui County, and Kauai County. Membership for BTG includes service providers, county
government, the Department of Human Services, and community members from within each county.
BTG serves as a planning, coordinating, and advocacy body that develops recommendations for
programs and services related to homelessness.
Chronically Homeless – A person who is chronically homeless is a homeless person with a disability who
has been homeless continuously for at least 12 months, or has been homeless on at least four separate
occasions over the past three years.14 A chronically homeless family is a family with an adult head of
household who meets the definition for a chronically homeless person.
Continuum of Care (CoC) – A CoC is a regional or local planning body that coordinates housing and
services funding from HUD for homeless families and individuals. In Hawai'i there are two CoCs –
Partners in Care for the island of Oahu, and Bridging the Gap for the balance of the state. Each CoC
includes membership from government agencies, homeless service providers, funders, and other
interested members of the community. Each CoC is responsible for submitting an annual application for
federal homeless assistance funds. The federal funding for homeless services are sometimes also
' 13 Corporation for Enterprise Development. Assets & Opportunity Score Card, Housing Cost Burden — Renters.
Available at: http:Hscorecard.assetsandopportunity.org/latest/measure/housing-cost-burden-renters. Accessed
April 25, 2016.
referred to as "CoC funds." In addition to applying for funding, the CoC is also tasked with administering
the annual Point in Time Count of the homeless population and the annual Housing Inventory Count.
These counts provide an overview of the state of homelessness in a CoC.
Coordinated Entry System (CES)— Coordinated entry is a process to ensure that all people experiencing a
housing crisis have fair and equal access and are quickly identified, assessed for, referred, and
connected to housing and assistance based on their strengths and needs. A coordinated entry system
helps communities to prioritize housing and homeless assistance based on a homeless person's
vulnerability and the severity of their needs, so that people who need assistance the most can receive it
in a timely manner. Federal law requires that CoCs establish a coordinated entry system.
Emergency Shelter — An emergency shelter generally is a facility with overnight sleeping
accommodations that provides short-term, temporary shelter for homeless persons and does not
require occupants to sign a lease or occupancy agreement. Emergency shelters differ from transitional
shelters (also known as transitional housing) that typically allows a maximum stay of up to 24 months.
Functional Zero — This is a point where a community has both sufficient and appropriate housing
resources to assist homeless persons encountered in their community. Functional zero does not mean
that there is zero homelessness, but instead means that a community has the full capacity and resources
needed to connect people to shelter or permanent housing.
Gap Financing — Many affordable rental housing projects are financed using the low- income housing tax
credit (LIHTC), which provides either a 9 percent or 4 percent credit against federal income tax liability.
The proceeds from the sale of the tax credits to investors provide equity for the project. For most
projects, the combination of bank financing and tax credits still results in a "gap" in financing. Gap
financing, intended to close the gap, generally comes in the form of subsidies from federal, state, and
local government. Two of the most used federal programs for gap financing are the HOME Investment
Partnerships (HOME) program and the Community Development Block Grant (CDBG). A primary state
program for gap financing is the Rental Housing Revolving Fund (RHRF), which is administered by the
Hawai'i Housing Finance and Development Corporation (HHFDC).
Hawai'i Interagency Council on Homelessness — The HICH was formally established in July 2011 through
executive order by then -Governor Neil Abercrombie. Hawai'i was the first state in the nation to create a
state interagency council patterned after the U.S. Interagency Council on Homelessness. In 2012, the
HICH was established in statute through Act 105 by the state legislature. Composed of state department
directors, federal agency representatives, and community leaders, the HICH is tasked with providing
solutions to end homelessness and strengthen the continuity of efforts to end homelessness across
future state administrations. Housed administratively within the Department of Human Services (DHS),
the HICH is chaired by Scott Morishige, appointed in August 2015 to serve as the Governor's Coordinator
on Homelessness.
Homeless (as defined by HEARTH)-- The term "homeless", "homeless individual", and "homeless
person" means:
(1) Irregular Nighttime Residence. An individual or family who lacks a fixed, regular, and
adequate nighttime residence;
(2) Relatively Fixed Nighttime Residence. An individual or family with a primary nighttime
residence that is a public or private place not designed for or ordinarily used as a regular
sleeping accommodation for human beings, including a car, park, abandoned building,
bus or train station, airport, or camping ground;
(3) Sheltered. an individual or family living in a supervised publicly or privately operated
shelter designated to provide temporary living arrangements (including hotels and
motels paid for by Federal, State, or local government programs for low-income
individuals or by charitable organizations, congregate shelters, and transitional housing);
(4) Exiting. An individual who resided in a shelter or place not meant for human habitation
and who is exiting an institution where he or she temporarily resided;
(5) Imminent. An individual or family who—
a. will imminently lose their housing, including housing they own, rent, or live in
without paying rent, are sharing with others, and rooms in hotels or motels not
paid for by Federal, State, or local government programs for low-income
individuals or by charitable organizations, as evidenced by—
i. a court order resulting from an eviction action that notifies the
individual or family that they must leave within 14 days;
ii. the individual or family having a primary nighttime residence that is a
room in a hotel or motel and where they lack the resources necessary to
reside there for more than 14 days; or
iii. credible evidence indicating that the owner or renter of the housing will
not allow the individual or family to stay for more than 14 days, and any
oral statement from an individual or family seeking homeless assistance
that is found to be credible shall be considered credible evidence for
purposes of this clause;
b. has no subsequent residence identified; and
c. lacks the resources or support networks needed to obtain other permanent
housing; and
(6) Youth and Families. Unaccompanied youth and homeless families with children and
youth defined as homeless under other Federal statutes who—
a. have experienced a long term period without living independently in permanent
housing,
b. have experienced persistent instability as measured by frequent moves over
such period, and
c. can be expected to continue in such status for an extended period of time
because of chronic disabilities, chronic physical health or mental health
conditions, substance addiction, histories of domestic violence or childhood
abuse, the presence of a child or youth with a disability, or multiple barriers to
employment.
(7) Domestic Violence. Any individual or family who is fleeing, or is attempting to flee,
domestic violence, dating violence, sexual assault, stalking, or other dangerous or life-
threatening conditions in the individual's or family's current housing situation, including
where the health and safety of children are jeopardized, and who have no other
residence and lack the resources or support networks to obtain other permanent
housing.
Homeless Emergency Assistance and Rapid Transition to Housing (HEARTH) Act (42 USC 11302)—The
federal HEARTH Act of 2009 was signed into law on May 20, 2009. The HEARTH Act amends and
reauthorizes the McKinney-Vento Homeless Assistance Act with substantial changes, including: a
consolidation of HUD's competitive grant programs; the creation of a Rural Housing Stability Assistance
Program; a change in HUD's definition of homelessness and chronic homelessness; a simplified match
requirement; an increase in prevention resources; and an increase in emphasis on performance.
Homeless Management Information System (HMIS) –A HMIS is a local information technology system
used to collect client -level data, and data on the provision of housing and services to homeless persons
and families, as well as persons at immediate risk of homelessness. Each Continuum of Care is
responsible for selecting an HMIS software solution that complies with HUD's data collection,
management, and reporting standards. HawaiTs HMIS system is owned and administered by the
Continua of Care – Partners in Care and Bridging the Gap.
Housing First – Housing First is a philosophy that centers on providing homeless people with housing
quickly and then providing services as needed. In a Housing First approach, there is an immediate and
primary focus on accessing and sustaining permanent housing for all homeless populations. In addition
to the Housing First philosophy, the term is used to refer to specific permanent supportive housing
programs that target chronically homeless households for services.
Housing Inventory Count (HIC) – The HIC is a point -in -time inventory of programs within a Continuum of
Care that provide beds and units dedicated to serve persons who are homeless. The HIC includes beds
for emergency shelter and transitional housing, as well as permanent housing beds.
Landlord Summit–A landlord summit is a gathering of landlords, property managers, and members of
the public to share information on various housing and social services programs available through the
community and government. The primary purpose of a landlord summit is to provide information, and
to encourage increased utilization of housing and social service programs, such as Section 8 or the
Housing First program.
Outreach –The work of homeless outreach includes meeting homeless persons on streets or sidewalks,
or in remote rural areas that includes beaches and valleys. Outreach providers assist with the
completion of program applications, the determination of program eligibility, housing search and
placement, and work with the person to obtain identification and other vital documents (e.g. birth
certificate or social security card).
Partners in Care (PIC) – PIC is the Continuum of Care for the City and County of Honolulu, which
encompasses the island of Oahu. Membership for PIC includes more than 30 service providers, as well as
local and state government agencies, and other community members. PIC serves as a planning,
coordinating, and advocacy body that develops recommendations for programs and services related to
homelessness.
Permanent Supportive Housing (PSH) – PSH is a service delivery model that combines low -barrier
affordable housing, health care, and supportive services to enable homeless persons to attain and
maintain permanent housing. PSH programs typically target chronically homeless persons, or homeless
persons who experience multiple barriers to housing and are unable to maintain housing stability
without supportive services. PSH program have been shown to not only impact housing status, but also
result in cost savings to various public service systems, including health care. The state and city Housing
First programs that target chronically homeless persons are both examples of a PSH program.
Point -in -Time (PIT) Count – A PIT count is an unduplicated count on a single night of the people in a
community who are experiencing homelessness, and includes both the sheltered and unsheltered
populations. HUD requires that communities receiving federal funds for homeless services conduct a PIT
count at least every other year. During these counts, communities are required to identify whether a
person is an individual, a member of a family unit, or an unaccompanied youth under the age of 18. In
addition, communities must identify if a person is chronically homeless.
Rapid Re -housing – Rapid re -housing places a priority on moving a family or individual experiencing
homelessness into permanent housing as quickly as possible. The duration of financial assistance
provided in a rapid re -housing program can include either short- term (up to 3 -months) or medium-term
(6 -months to 24 -months) support. In general, the core components of rapid re -housing are housing
identification, rent and move -in assistance, and case management.
Section 8 – "Section 8" refers to Section 8 of the Housing Act, which authorizes the payment of rental
housing assistance to private landlords for low-income households. A common form of Section 8
assistance is the HUD Housing Choice Voucher Program, also known as a Section 8 voucher, which
provides direct rental payment to the landlord. Typically, a Section 8 voucher recipient will pay one-third
of their income towards rent, with the remaining balance of rent provided by the Section 8 voucher
payment.
Supplemental Nutrition Assistance Program (SNAP) --The Supplemental Nutrition Assistance Program
(SNAP) is a federal program funded through the U.S. Department of Agriculture (USDA). SNAP (formerly
known as Food Stamps) provides crucial food and nutritional support to qualifying low-income and
needy households, and those making the transition from welfare to self-sufficiency. Low-income
households whose gross incomes are less than the federal poverty guidelines are eligible. Able-bodied
adult applicants must meet certain work requirements. SNAP benefits are given each month on a plastic
card called an EBT (electronic benefits transfer) card, which works like a debit card.
Temporary Assistance to Needy Families (TANF)— TANF and TAONF (Temporary Assistance for Other
Needy Families) are time-limited welfare reform programs for adults with children. Family participation
in TANF or TAONF depends on the household composition. Where all members are U. S. citizens the
family is eligible for federally -funded welfare under TANF. Families that include at least one non -citizen
are eligible for state -funded welfare under TAONF. Other than the funding sources, the TANF/TAONF
programs are identical. These programs are designed to protect those who cannot work and to require
those who are able to work to do so. Unlike the old welfare program, which fostered dependence and
low self-esteem, the TANF and TAONF programs require work and promote self-reliance, responsibility,
and family stability. Both TANF and TAONF offer a package of strong incentives and penalties, child care
support for working parents, and restructured welfare benefits so that it "pays to work." Households
which include an adult who is not exempt, are allowed to receive TANF or TAONF cash benefits for a
maximum of five years in their lifetime. SNAP benefits are considered an "entitlement" program,
meaning anyone who needs food assistance can receive it for as long as they need it. TANF, on the other
hand, is deliberately temporary. TANF and TAONF provide monthly cash benefits to families for food,
clothing, shelter, and other essentials. To qualify for this assistance, a family must include children under
the age of 19 and earn a total gross income under 185% of the 2006 Federal Poverty Level (FPL).
Transitional Housing (as defined by HEARTH and HRS §346-361) – Transitional housing, also referred to
as transitional shelter, is designed to provide homeless individuals and families with temporary stability
and support, so that they can eventually move to and maintain permanent housing. Transitional housing
is generally for a period of up to 24 months of housing with accompanying supportive services.
Veteran-- Title 38 of the Code of Federal Regulations defines a military veteran as "a person who served
in the active military, naval, or air service and who was discharged or released under conditions other
than dishonorable." However, with regard to veterans benefits, differing eligibility criteria apply.
Eligibility criteria primarily relate to length of active service and type of discharge. Active duty is full-
time, so there are specifications to determine the active duty time served for part-time military services
such Reserves and National Guards. When discharged, veterans receive a DD214 discharge summary
form. For a veteran to show they're eligible for benefits, they must first present the VA office with an
official copy of their DD Form 214/215, or NGB 22/22A, which are some of the most significant
documents issued by the military. They are a requirement for all VA business and inquiries in addition to
several state and federal veteran's benefits programs.
Vulnerability Index (VI) and Service Prioritization Decision Assistance Tool (SPDAT) (VI-SPDAT)—VI-
SPDAT is a survey product of OrgCode Consulting, Inc. that meets HUD coordinated entry standards.
Both the VI and the SPDAT are backed by years of rigorous testing. The VI is based on medical research,
and before its convergence with the SPDAT, over 120 communities used it to house more than 80,000 of
their most medically vulnerable homeless. The antecedent of the concept for the VI is rooted in an
environmental vulnerability index developed by the South Pacific Applied Geoscience Commission
(SOPAC) with the United Nations Environment Programme (UNEP). The SPDAT is also an evidence -
informed tool that stems from academic research and scholarship, with further refinement in the field.
It was developed after extensive review of existing literature and assessment tools, and its development
was overseen by the advisement of an outside panel of experts. Thus the convergence of these two
instruments into the VI-SPDAT represents the creation of a highly valid tool that accurately pinpoints
correct interventions and assistance through correct need measurement—thus ensuring its capability to
make accurate recommendations.
Appendix B. Homeless Profile
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