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5e - KCRHA UpdateKing County Regional Homelessness Al..s.thority KCRHA Yl Federal Way, May 2023 If we create a homeless response system that centers the voices of people with lived experience, Then we will be able to meet needs and eliminate inequities, In order to end homelessness for all. KCRHA 41 2 How We Got Here `,0 KCRHA /1 �� too 201- 2019 20 2021 2022 2023 9� - IWA - - IWA - - NIS Design & Inter -Local Agreement (I LA) National Innovation Service engaged in 2018 to evaluate the system. KCRHA established Decernber 2019 by ILA between Seattle and King County. Administrative Start -lip & Global Pandemic K!Rg County, Seattle, and Sound Cities set up governance structures for KCRHA; COVID-19 changed the landscape and responses to homelessness. Hiring and Planning CEO Marc Dones started in April 2021, focused on start-up & hived executive team. Started sub -regional planning in late June. Integrated data analysis finds40,000+ people experiencing homelessness. Implementation and Redesign Transferring 268 contracts: Partnership for Zero & Systems Advocates, Severe weather planning; Qualitative research on unsheltered homelessness; Service redesign process. Service Redesign Continues, Goal of Transformative Change /;� 1 KCRHA * 1 4 011� City 4f Seatt[e Housing Capital and Development;/ CoC Funded Programs Shelter Diversion Rapid Re -Housing Coordinated Entry HMIS Outreach Encampment Cleans Behavioral Health and Crisis Response LQ KIrvg Cour ty 0 0 U , "0, R H 4 r` f �w Kx�g Crr..rlqu+ol �wd!i. fk�k�r�es, twMra 2022 Point in Time Count RACE & ETHNICITY OF HEAD OF HOUSEHOLD 65 . 2022 PIT Total King County Population (2019 American Community Survey) 25% 20% 17% 0 13% 9 /o o 2% 4 /o American Indian, Asian Black, African His anicj Multiple Race Native Hawaiian Alaskan Native, or Asian American or Latin a)(o)(x) or Pacific or Indigenous American African Islander 48% White -preare-an re "arip • More Than 5,600 individuals, couples, and families moved to Permanent Housing in 2022 • Over 1,000 people engaged throughout 2022: UUHP and Five -Year Plan • Emergency Housing Vouchers:100% utilization rate and nearly twice the utilization rate of peer communities (over 1,400 households) • Launching Re -procurement using our equitable procurement manual • Ensured encampment resolutions are focused on housing 0 Improved coordination and effectiveness of severe weather response • Summer - Fall 2022: Community Engagement Across King County o Workshops with sub -regions, systems, and sub -populations • Fall -Winter 2022: Content Development with Community Review o South King City Staff weighed -in throughout process • January 2023: First Release & Public Comment Period o City Staff Feedback o Provider Leadership Lunch and Learn & Feedback Sessions • February - March 2023: Restructure • April (Now): Implementation Board & Governing Committee Review How Many People are Experiencing Homelessness? _ - Who is Experiencing Homelessness? - Racial Disproportionality - Sub -populations and identities - Limitations on Data - Our Work in Memoriam Ad inistrative Statistical D t ts Projections Annually versus a moment in time Regardless of method, all numbers indicate that we do not have enough temporary housing/sheltering options for people. Emergency Shelter King County Sub -Region Beds % of Countywide East 715 15.5% North 143 3.1 % Seattle 3,009 65.3% South 568 12.3% Southeast 89 1.9% Snoqualmie Valley 44 1.0% Urban Unincorporated 41 0.9% Total 4,609 100% South King County has 10 Service Providers Offering Emergency Shelter 2 Emergency Shelters welcome drop -in guests RACE & ETHNICITY* OF HEAD OF HOUSEHOLD 65% 2020 PIT Total ■ 2022 PIT Total King County Population (2019 American Community Survey) 25% 25% 20% 15% 074��� 17% 9°� 2% 2% American Indian, Asian or Asian Black, African Hispanic/ Multiple Race Native Hawaiian Alaskan Native American American or Latin(a)(o)(x) or Pacific or Indigenous African Islander White *HUD requires submission of race and ethnicity as separate categories. Here, we have included households identifying as Hispanice/Latin(a)(o)(x) with the HUD -required race categories. Since these questions are asked separately, a respondent may identity as Hispanic/Latin(a)(o)(x) and in another category represented in this chart. !o, •� 1+� KCRHA +A �14=.I o1 12 HEALTH CARE NEEDS Experiencing homelessness is traumatic and can trigger, create, or exacerbate health conditions, disability, substance use, and mental and behavioral health conditions, while at the same time making it harder to access treatment and care. Navigating the health care system is difficult, and it's harder for people who are regularly being displaced to make traditional appointments. Expanded access to stable housing and high -acuity care would directly improve health outcomes. Identify as Having a Disability Identify as Having 31 % a Mental Health Disorder Identify as Having 3 7% a Substance Use Disorder fi _WI F0 1 KC HA 1 13 Number of Deaths of People Experiencing Homelessness 1C,3 2012 2013 2014 2015 61 2016 2017 (Source: King County Medical Examiners Office) 2018 2019 2020 2021 Overall 31D 1,739(1DOM) 2022 Nitural: 538 (324) IFS KCRHA *I ` /0 14 How the current homelessness system is functioning Our ideal system state Staffing Wages Data/Reporting Funding Training Increased Acuity Overdose Deaths • Data Sharing Between Providers • Referral pathways • Sub -regional gaps • Sub -population gaps • How our programs are fairing • How the system operates ■ ■ • Lack of collaboration and alignment • Limited connective tissue between systems • Data sharing and transparency • Accountability and Role Clarity • Coordination on funding sources Every service provider is able to adequately hire and retain trained staff that can carry out best practices when serving clients. All service providers are coordinated through data, every sub -region has services, and all disproportionately impacted sub -populations are served. No missed opportunities to intercept someone before becoming homeless. Supportive transitions. - One, Overall Goal - Metrics of Success - Activities Sequenced & Within Budget - Funding Strategy Shift `Bring Unsheltered People Inside as Quickly as Possible to Prevent Death and Further Harm" Number of households accessing the homelessness response system Number of households entering the homelessness response system Number of households exiting the homelessness response system to permanent housing Number of households returning to homelessness after 6, 12, and 24 months from a permanent housing exit Number of temporary and permanent housing units in the system Throughput through temporary and permanent housing units in the system Where possible, these measures will be broken down by: Household type: Single Adults, Families with Children and Youth and Young Adults Race & Ethnicity Program Type Year 1 - Year 2 Key Actions Topic Areas Impact Status Develop a real-time bed availability tool inclusive of Data Insight into real-time shelter vacancies will allow for greater In -Motion all types of shelter and emergency housing enrollments into the shelter system at any given time which will Resource Availability improve our understanding of how many single adults, families and youth may be accessing the system. Partner with the behavioral health organizations to Behavioral Health Establishing connections and providing smooth transitions for support connections to behavioral health services. individuals to behavioral health supports enhances the quality of care, Health Care mitigates future needs for support, and increases the chances of success in permanent housing; ultimately reducing rates of return High -Acuity into homelessness and increasing throughput in homelessness programs. System Connection Enhanced Care Partner with King County Behavioral Health and Behavioral Health partnerships across systems allows for efficient use of resources, In -Motion Recovery Division and Public Health and Healthcare better understanding of system processes, and increased ability to for the Homeless Network to improve communication, Health Care care for people quickly which can increase the chances of success coordination, education, and information sharing in permanent housing, increase throughput in our system, and across our homelessness response system for high High -Acuity reduce returns to homelessness. acuity individuals. System Connection Within Current Budaet: C� Table l: Activities for Years 1-2 of plan Table 2: Activities for Years 3-5 of plan Go First Strategies for New Funding Table 3: Activities that would require new funding South King County Sub -Regional implementation Plan What does it mean to implement and act on these goals in South King County? Rooted in equity & social justice principles, there are six key components: 1. Landscape of services 2. Investment/Funding 3. Lived experiences 4. Gaps and Needs 5. Action steps 6. Timeline 2023 HIC/RSD Updated 2023-2024 Biennium Figures Cl Request with Participatory Researchers Re -Analyze + Cloudburst Implementation Plan Implementation Plan • From the Five -Year Plan, 30 activities will be tailored to each sub -region • Identified in collaboration with service providers, community partners, and city human services staff • Some activities require either region -wide standardization or are KCRHA administrative tasks • Action steps and timelines developed in partnership with SKC community Subject Matter Working Croups (Examples: Cities/Jurisdictions; Service Providers; LGBTQIA2S+; Native & Indigenous; Families w/Children) 230+ Individuals Identified Already Activity: Deploy an effective communications strategy to ensure the Ombuds Office is well-known and easily accessible, including the creation of centralized contact mechanisms (e.g., a hotline). This activity will be developed to include action steps and timeline appropriate for South King Co Example Action Steps for South King County could look like: 1. Educate South King community on Ombuds office; identify stakeholders to convene; develop strategy. 2. Deploy - January 2025 3. Review & enhance - January 2026 29 - What do you want to see in the Sub -Regional Implementation Plan? - What should be built into the South King County Homelessness Response? - What is missing from the South King County Homelessness Response? - What level of guidance would you like to see in the plan? - How would you as a council like to stay informed or involved? - Which key stakeholders should we engage in the plan development process? Any other suggestions? 30 Thank You www.KCRHA.org infogkcrha.org a biga le.a nderson g kcrha.org Find us on Linkedln, Facebook, and Twitter @KC-RHA