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Mental Health and Addiction Ad Hoc Agenda 08/27/2019Mental Health and Addiction Ad Hoc Committee Workshop August 27, 2019 – 8:30 am Collier County Museum – Main Campus 3331 Tamiami Trail E. Naples, FL 34112 1. Call to Order 2. Pledge of Allegiance 3. Roll Call 4. Adoption of the Agenda 5. Public Comment 6. Adoption of Minutes from Previous Meeting (August 13 Work Product) 7. Staff Reports 8. New Business 8.1. August 13 Workshop Product and Next Steps 8.2. September 10 Workshop 8.3. Florida Council on Homelessness Annual Report (Previous request) 9. Old Business 10. Public Comment 11. Announcements 12. Committee Member Discussion 13. Next Meeting Time, Date and Location 12.1. September 10, 2019 – 8:30 am – 12:30 pm 14. Adjournment 11.1.b Packet Pg. 298 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 1 | P a g e MINUTES OF THE REGULAR MEETING OF THE COLLIER COUNTY Mental Health and Addiction Ad Hoc Committee Meeting August 13, 2019 Naples, Florida LET IT BE REMEMBERED that the Collier County Mental Health and Addiction Ad Hoc Committee met on this date at 8:30 A.M. at 3331 Tamiami Trail East, Main Campus Museum, Naples, Florida with the following Members Present: Mental Health Committee Present: Dale Mullin Scott Burgess Dr. Thomas Lansen (by phone) The Honorable Janeice Martin Dr. Pam Baker Susan Kimper Council Member Michelle McLeod Pat Barton Trista Meister Russell Budd Janice Rosen Dr. Paul Simeone Caroline Brennan Dr. Jerry Godshaw (virtual) Dr. Michael D’Amico Not Present: Lt. Leslie Weidenhammer Reed Saunders Christine Welton (resigned) Staff Present: Heather Cartwright-Yilmaz – Sr. Operations Analyst 1. Call to Order & Pledge of Allegiance Chairman Scott Burgess called the meeting to order at 8:33 A.M. and led the Pledge of Allegiance. 3. Roll Call – Committee Members Fifteen (15) members of the Mental Health and Addiction Ad Hoc Committee were present, representing a quorum. 11.1.b Packet Pg. 299 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 2 | P a g e 4. Adoption of the Agenda A motion was made for the adoption of the agenda and it was approved. 5. Public Comment There was no public comment. 6. Adoption of Minutes from Previous Meeting A motion was made and minutes from the previous meeting were approved as amended. 7. Staff Reports There was no staff report beyond participation in the workshop. 8. New Business 8.1 Group Workshop The group proceeded into a workshop on the strategic plan. The attached work product in the agenda packet summarizes the discussions had and work completed and will serve as a recorded record of the business of the August 13 Mental Health and Addiction Ad Hoc Committee workshop. 9. Old Business There was no business on the agenda besides the workshop agenda. 10. Public Comment There was no public comment. 11. Announcements There were no announcements. 12. Committee Member Discussion There was no further discussion. 13. Next Meeting Time, Date and Location August 27, 2019 – 8:30 am – Collier County Main Museum 11.1.b Packet Pg. 300 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 3 | P a g e 14. Adjournment The meeting adjourned at 12:30 pm with nothing further left to discuss. Collier County Mental Health and Addictions Ad Hoc Advisory Committee Scott Burgess – Chairman The foregoing Minutes were approved by Committee Chair on August 27, 2019, “as submitted” [ ] or “as amended” [ ] 11.1.b Packet Pg. 301 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc TO: MHAAHC Members FROM: Chet Bell, Consultant RE: Next Steps DATE: August 19, 2019 ------------------------------------------------------------------------------------------------------------------------- I want to thank the members of the Collier Mental Health and Addictions Ad Hoc Committee for their excellent work at our workshop on August 13. The product from that meeting is attached. That said, there are some details from the meeting that need to be addressed. They include: 1. Completion of workshop activities for the two priorities not addressed at the workshop: Non- Emergency Baker Act /Marchman Act Transportation and Mental Health/Substance Use Disorder Data Collaborative. 2. Identification of the person who collaborated with Dale Mullin on the Veteran’s Priority – I neglected to get that person’s name. Regarding #1, Sean has volunteered to draft the items required (review/revised priority statement, goal statement, objectives, outcomes and data elements for the Data Collaborative priority, then send out to Gerry Godshaw and Michael Overway for additional review and comment. I will follow up with Leslie Weidenhammer to work on the Non-Emergency Transportation priority. #2 can be easily addressed by providing that information to Sean. In addition, I would like to request that all members of the Committee do some additional individual work to develop our Overview of each priority. Note that Committee members cannot collaborate or discuss an issue outside of our called meetings. Thus I request that you do some writing on your own to provide the overview of the issue. You will recall that I would like each overview to be 1-2 pages of material that provides background about why the priority is important. If each of you could write a few paragraphs on this topic and send it by email to Sean no later than September 3, he will then forward it to me and I will be able to create a draft overview for us to review at our next workshop on September 10. For an example consult the overview statements in SAMHSA’s Strategic Plan. 11.1.b Packet Pg. 302 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 1 Collier County Mental Health and Addiction Ad Hoc Committee Mission Statement (Revised) The Committee will collaboratively plan for and coordinate a full array of evidence informed services and supports to improve the lives of individuals with mental health and substance use disorders and overall quality of life in the Collier County community. 11.1.b Packet Pg. 303 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 2 Priority #: 1 Central Receiving Facility (System) Priority Statement: Design, build and operate a Centralized Receiving Facility for those in acute crisis as a result of a mental health and/or substance use disorder. Goal: Ensure that there is a coordinated system and adequate capacity to assure that citizens in crisis will be able to access emergency mental health and substance use disorder services over the next 20 years. Objectives: • Design, build, staff and operate Central Receiving Services by XXXXX • Assure sustainable funding to ensure ongoing Central Receiving operations over the next 20 years. • Provide both Baker Act and Marchman Act services as part of Central Receiving Services. Outcome/Impacts: • Program: Successful bridging from Central Receiving to community-based outpatient services • Program: Law enforcement processing time at Central Receiving • Program: Transfer time from local hospitals to Central Receiving • Population: Patient satisfaction with access to and quality of care in Central Receiving Services. Data: • Episode of care data, law enforcement time in drop off data, hospital transfer referral data, patient satisfaction questionnaire at discharge. Workgroup: Scott Burgess, Susan Kimper 11.1.b Packet Pg. 304 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 3 Priority #: 2 Permanent Supporting Housing Priority Statement: Increased availability of scattered site permanent supportive housing based on the Housing First model for chronically homeless persons diagnosed with a mental health disorder and increased availability of transitional housing for persons in recovery from substance use disorders. Goal: Provide safe, affordable and available housing options for those with mental health and substance use disorders through the use evidence based and evidence informed best practices, including rental assistance, rapid re-housing, recovery housing, transitional housing, peer run respite and permanent supportive housing, bundled with appropriate services and support. Objectives: • 100% of chronically homeless who are diagnosed with a severe mental health disorder will be housed within x days of enrollment in coordinated entry. • 100% of persons with a severe mental health disorder identified annually during the Point in Time count will not meet the definition of chronically homeless. Outcomes/Impact: • # of affordable housing units available to persons with a mental health and/or substance use disorder. • 100% of all Collier County approved affordable housing will include required 10% set aside for persons with a mental health and/or substance use disorder. Data: • # of agencies, # of providers, increased capacity, # of hours of service, Collier County annual report Workgroup: Dr. Pam Baker, Dr. Jerry Godshaw, Cormac Giblin 11.1.b Packet Pg. 305 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 4 Priority #: 3 Increased Use of Evidence Informed (Evidence-based) and Best Practices Priority Statement: Increase use of evidence informed and best practices in all programming for persons with mental health and substance use disorders. Goal: Whenever possible, implement evidence based or informed practices and services to enhance quality and cost effectiveness for targeted mental health and/or substance use disorders Objectives: Population: Decreased symptoms per targeted disorder; decreased lost productivity, absenteeism, arrests; decreased number and severity of medication related co -morbidities (CHF, Diabetes); decreased number and severity of negative social determinants of health (housing, income, safety, education, access to health services); increased patient satisfaction Performance: # of staff trained in evidence based treatment/practices; # and % of patients referred to evidence based treatment as opposed to treatment as usual; treatment completion rates of patients in evidence based treatment as opposed to treatment as usual; % of no show rates in evidence based treatment as opposed to treatment as usual; patients screened for various mental health/substance use disorder problems; admission/readmission rates pre/post implementation of evidence based practices; # of ED visits pre/post; length of stay in outpatient treatment; medication compliance ; # of case management contacts. Data: Workgroup: Dr. Paul Simeone, Nancy Dauphinais 11.1.b Packet Pg. 306 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 5 Priority #: 4 Data Sharing, Collection and Outcomes Reporting Mental Health and Substance Use Disorder Data Collaborative Priority Statement: Develop a mental health and substance use disorder data collaborative focused on data collection, data sharing, and outcomes reporting Objectives: Multiple sources collect internal data and share with other entities in limited ways, but there is not a process for comprehensively using relevant data, both at the system and clinical levels, to inform the planning and delivery of behavioral health care among all related community organizations. The data could be aggregated for use in planning, quality improvement, program evaluation, and grant applications. A repository, along with staff, would be needed to maintain, aggregate, and disseminate reporting on the data collected. Outcomes/Data: A centralized data collaborative could collect information from entities including the David Lawrence Center, hospitals, courts, law enforcement, community providers, including but not limited to: • Numbers and demographics of persons served by each provider • Demonstration of cost avoidance in criminal justice through diversion activities • Justification for efficient distribution of public funding • Number of days acute care units are at or over capacity • Other metrics used to gauge effectiveness and efficiencies of community health system Action Items: 1. Start with a list of data points we would like to report on – including frequency, granularity, and sophistication of data; 2. Work backward to outline who was needed to participate in the collaborative and what specific data was necessary; 3. Draft MOUs for each participating entity surround collection and distribution of data; 4. Establish a steering committee to guide the project development; 5. Design a project plan to establish the database to house collaborative data; 6. Begin to collect data and report on a routine basis. Workgroup: Sean Callahan, Michael Overway, Dr. Gerry Godshaw 11.1.b Packet Pg. 307 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 6 Priority #: 5 Increasing the Effectiveness and Capacity of Treatment Courts Justice System Response Priority Statement: Expand, improve and sustain the responses of the justice system to persons with mental health and substance use disorders. Goal: Expedite the diversion of persons with mental health and/or substance use disorders from jail to treatment, thereby reducing recidivism, improving community safety and directing resources to optimize outcomes. Objectives: Population: • Reduce number of arrests; improve symptoms; improve child and family reunifications with supports; # employed; # receiving additional education and training; increased independence and self -reliance; maintenance of sobriety - # of days sober; reduce returns to use Performance: • Reduce time between arrest and connection with treatment; increased stable housing; reduced # of arrests/rearrests; increased # of treatment services; increased # of appropriate referrals into diversion; increased capacity of each diversionary court program; increased graduation rates; increased pathways to treatment (new programs) Outcomes/Data • Jail days; CSU reports; Drug Court case management system; Misdemeanor mental health diversion data; CCSO data; Community Drug Response Team data (EMS Captain is leader); Units of service from treatment providers Workgroup: Janice Rosen, Honorable Judge Janeice Martin, Trista Meister 11.1.b Packet Pg. 308 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 7 Priority #: 6 Non-Emergency Baker Act and Marchman Act Transportation Priority Statement: Establish non-emergency Baker Act and Marchman Act transportation plans Goal: Objectives: Population: Performance: Data: Workgroup: Leslie Weidenhammer, ? 11.1.b Packet Pg. 309 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 8 Priority #: 7 Community Prevention, Education, and Advocacy Priority Statement: Enhance and augment community prevention, education and advocacy efforts to reduce stigma and discrimination while increasing access and community engagement. Goal: Provide education and training on mental health and substance use disorders to the community at large. Objectives: • Create an ongoing educational program that would certify community businesses and organizations to raise public awareness. • Make available to 100% of the population ongoing education to increase access and reduce stigma related to mental health and substance use disorders. Outcomes/Impact: • Develop prevention and education activities within Blue Zones Data: • Workgroup: Caroline Brennan, Pat Barton, Michelle McLeod, Dr. Tom Lansen 11.1.b Packet Pg. 310 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 9 Services to Veterans Priority Statement: Design and Implement services to meet the unique needs of veterans experiencing mental health and/or substance abuse disorders in including post-traumatic stress disorder, traumatic brain injury and military sexual trauma. Goal: Make the public and the veteran community aware of the transitional, mental health, housing, and employment needs of post-combat veterans and mobilize resources to address these issues for veterans and their families. Objectives: Population: • Reduce veteran suicides – no data available for Collier County • Reduce veteran substance abuse – 274-500 Collier vets treated by VA in 2018 • # of veterans arrested in Collier County – 100 per year. Typically, 10 veterans in veteran treatment court • 40+ homeless vets in Collier County per 7/19 count Performance: • Combat related unique treatment – prolonged vs multiple therapies • Education and advocacy to community and professionals regarding size and demographics of this group in our region – this data will become self- demonstrated • Make veterans and their families aware of and engaged in the programs and services. A social worker at the CRF to interact and refer. Possible physical facility outside CRF. Data: # of homeless vets, # of veterans arrested, # of veterans enrolled in treatment, veteran treatment outcomes Workgroup: Dale Mullin and Dr. Thomas Lansen 11.1.b Packet Pg. 311 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 10 Q: What does the term “social determinants of health” mean? Healthy People 2020 defines social determinants of health as conditions in the environments in which people live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. Conditions (e.g., social, economic, and physical) in these various environments and settings (e.g., school, church, workplace, and neighborhood) have been referred to as “place.” In addition to the more material attributes of “place,” the patterns of social engagement and sense of security and well-being are also affected by where people live. Healthy People 2020 developed a “place-based” organizing framework, reflecting five key areas of SDOH: • Economic Stability • Education • Social and Community Context • Health and Health Care • Neighborhood and Built Environment Resources that enhance quality of life can have a significant influence on population health outcomes. Examples of these resources include safe and affordable housing, access to education, public safety, availability of healthy foods, local emergency/health services, and environments free of life-threatening toxins. 11.1.b Packet Pg. 312 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 2019 ANNUAL REPORT SUBMITTED JUNE 2019 FLORIDA’S COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 313 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Florida’s Council on Homelessness 1317 Winewod Boulevard, Tallahassee, 2399-0700 June 30, 2019 Governor Ron DeSantis 400 South Monroe Street Tallahassee, Florida 32399-0001 Dear Governor DeSantis, On behalf of the Florida Council on Homelessness, its members and state agency partners, I submit the “Council on Homelessness 2019 Report” for your consideration. In accordance with state law, the Council has prepared recommendations for reducing homelessness in our state. The report also summarizes the extent of homelessness and characteristics of the men, women, and children who do not have a home; and outlines best practices for ending homelessness. The 2019 Report shows that Florida’s rate of “literal homelessness” continues to decline. This is due to an improving economy, increased use of best practices and enhanced capacity at the local level, and an increase in housing set aside for the use of homeless and special needs households. However, homelessness by a broader definition — including those couch-surfing with family and friends, living in motels, etc.— among school children and their families continues to increase. Two of the primary factors are the lack of housing affordable to low-wage earning families and the devastation caused by recent hurricanes. A University of Florida study shows these students will struggle in school and have lower education attainment. And, if not properly assisted, these students are at-risk of falling into literal homelessness, which will have life-long impacts on the children, their families and the communities in which they live. Florida’s success to date demonstrates that homelessness is not an intractable issue—with targeted efforts we can continue to work toward a time when all Floridians have a home. The recommendations in this report are designed to build upon the success Florida has achieved in recent years and incorporate the objectives of Home, Together: The Federal Strategic Plan to Prevent and End Homelessness published in 2018 by the United States Interagency Council on Homelessness. The factor that most influences the rate of homelessness is the number of affordable housing options for homeless, special needs, and extremely low-income households. The Council strongly encourages increasing efforts to ensure there is an adequate supply of housing affordable to Florida’s most vulnerable households. In addition, the continuation of flexible funding, supporting local initiatives, increasing interagency collaboration to better meet the needs of shared consumers, and providing services to households with extremely low incomes are recommendations presented in this report. There is no doubt that effective private and public collaboration at the State and local levels, combined with strong community participation, are key to solving homelessness. The Council appreciates your continued support of these efforts. If you would like any additional information, please do not hesitate to contact the Council. Sincerely, Shannon Nazworth Chairperson for the Council on Homelessness 1317 Winewood Boulevard, Tallahassee, 32399-0700 11.1.b Packet Pg. 314 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc TABLE OF CONTENTS Appendix I: Updates on 2018 Council Recommendations ..............................43 Appendix II: Continuum of Care Funding ...............44 Appendix III: Point-in-Time Count Data ..................46 Appendix IV: CoC Geographic Areas and Lead Agencies ..............................54 Appendix V: Designated CoC Lead Agency Contact Information ............................55 Appendix VI: Homeless Students in Public Schools .................................59 Appendix VII: Council on Homelessness Members .............................................65 Appendix VIII: Definitions of “Homeless” .................66 Appendix IX: Glossary ..............................................68 Appendix X: References ..........................................71 2 Executive Summary 4 2019 Policy Recommendations 12 What are Homeless Continuums of Care? 14 Understanding Homelessness What is Homelessness? ......................................15 Why is it Important to Address Homelessness? .................................15 The Economics of Addressing Homelessness The Human Side of Homelessness How to End Homelessness ................................17 Scarcity of Affordable Housing In Focus: Successful CoC Local Projects Need for Employment and Better Income Opportunities Inadequate Access to Physical and Behavioral Health Care 22 Building Systems to Make Homelessness Rare, Brief, and One-Time Federal Landscape ..............................................23 Home, Together: The Federal Strategic Plan for Preventing and Ending Homelessness Goals HUD Funding Awards In Focus: Integrating Systems to Help End Homelessness State Landscape ...................................................26 What the Data Tells Us About Homelessness in Florida In Focus: Impact of Natural Disasters on CoC Crisis Response Systems 2019 PIT Count Overview DCF Unified Funding Contract Florida Housing Finance Corporation 36 Homeless Education Program in Florida, Florida Department of Education Defining Homelessness in School Systems ......37 The Education of Homeless Children and Youth .......................................40 In Focus: Santa Rosa School District 2019 ANNUAL REPORT 1 11.1.b Packet Pg. 315 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc WITHIN THE LAST YEAR, THE NUMBER OF PEOPLE EXPERIENCING HOMELESSNESS IN FLORIDA DECREASED BY ALMOST FOUR PERCENT SINCE LAST YEAR’S COUNT AND BY 20 PERCENT SINCE 2015. 2 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 316 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc EXECUTIVE SUMMARY In 2001, the State of Florida created an Interagency Council on Homelessness and implemented what has become a national best practice. The purpose of the Council is to develop policy and make recommendations on how to reduce homelessness throughout Florida. Pursuant to section 420.0622(9), Florida Statutes, the Council on Homelessness submits its annual report to the Governor and Legislature offering recommended actions to reduce homelessness and data on persons currently experiencing homelessness in Florida. Consistent with a positive five-year trend, Florida continues to make significant progress in reducing the number of persons experiencing homelessness. While this reduction in homelessness is partially due to improved conditions in the economy, it can also be attributed to adoption of best practices, increased funding, and leadership from the state. The solution to ending homelessness is housing. In Florida, for every 100 extremely low-income renter households there are only 23 affordable and available rental units1. The limited supply of affordable housing paired with low wages, job loss, a disability, or poor educational opportunities is often the catalyst for a family’s housing crisis, sometimes even leading to homelessness. The annual Point-In-Time (PIT) Count, completed over a 24-hour period in January 2019, offers a snapshot of homelessness in Florida and nationally (available in Appendix III, Tables 1-7). Within the last year, the number of people experiencing homelessness in Florida decreased by almost four percent since last year’s count and by 20 percent since 2015. The number of people experiencing homelessness identified in 2019’s count totaled 28,591; amounting to a reduction of 1,126 people since last year’s PIT Count. This decrease tells us that the implementation of best practices and targeted housing interventions paired with services are effectively creating successful outcomes in the fight to end homelessness in local communities throughout Florida. According to the 2019 Shimberg Rental Market Study, the number of cost burdened renters increased by nearly half a million households between 2000-2019; with about 30 percent of those households living at or below 60 percent of the area median income (AMI). In addition, Florida has a deficit of 356,808 affordable rental homes. To ensure continued success in decreasing the number of Floridians who are experiencing homelessness, it is a moral imperative that the State of Florida address this deepening issue, as various populations throughout the entire state are already experiencing the negative impacts from the undersupply of affordable housing. In this report, the Council provides an overview of the causes and characteristics of homelessness in Florida, including extensive data on subpopulations, geographic areas, and trends. In addition, a review of best practices is offered. Finally, based on the data, trends, and best practices, the Council provides specific recommendations for the State’s consideration. 2019 ANNUAL REPORT 3 11.1.b Packet Pg. 317 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc BECAUSE THE NEED IS SO GREAT, THE COUNCIL RECOMMENDS ALLOCATING AN INCREASED PORTION OF SADOWSKI HOUSING TRUST FUND DOLLARS TO THE CREATION OF HOUSING FOR HOMELESS PERSONS AND PERSONS WITH SPECIAL NEEDS HOUSEHOLDS. 4 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 318 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc RECOMMENDATION #1 Appropriate 100 percent of Affordable Housing Trust Fund monies for affordable housing and increase the allocation that is dedicated for Persons Experiencing Homelessness and Persons with Special Needs. The Council recommends all Sadowski Affordable Housing Trust Fund resources be used for their intended purpose: affordable housing. Additionally, the Council recommends that Sadowski Funds be prioritized to meet the affordable rental housing needs of extremely low- income, homeless, and special needs households. As outlined in this report, the lack of affordable housing is a fundamental driver of enduring homelessness in Florida. Appropriating 100 percent of Affordable Housing Trust Fund monies and targeting a significant share of those resources for homeless households is critical to effectively ending homelessness in Florida. Persons experiencing homelessness must have access to decent, safe, and affordable housing to recover from homelessness. Because the need is so great, the Council recommends allocating an increased portion of Sadowski Housing Trust Fund dollars to the creation of housing for Homeless Persons and Persons with Special Needs households. According to the 2019 Rental Market Study, Homeless and Special Needs households represent 23% of the overall rental housing need; but the percentage of affordable apartments developed is far less than this. Therefore, it is imperative to increase funding that is dedicated to developing or subsidizing housing for these vulnerable populations. The Council also recommends passing legislation which will “stop the sweep” of Sadowski Affordable Housing Trust Fund dollars so that 100 percent of those monies are appropriated for housing every year going forward. Since 1992, nearly $2.2 billion of Housing Trust Fund resources have been redirected for other uses. The redirection must stop so that Florida can begin to adequately address the affordable housing needs of all Floridians. 2019 POLICY RECOMMENDATIONS $350 $300 $250 $200 $150 $100 $50 ANNUAL AFFODABLE HOUSING TRUST FUND REVENUE & SWEEPS 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19MILLIONS0 COLLECTIONS LEGISLATIVE SWEEP FIGURE 1. Source, Sadowski Coalition 2019 ANNUAL REPORT 5 11.1.b Packet Pg. 319 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc RECOMMENDATION #2 Continue strengthening the capacity of Homeless Continuums of Care by appropriating full annual funding for Challenge Grants and Continuum of Care Lead Agency Staffing Grants. Homeless Continuums of Care (CoCs) are responsible for creating a plan to prevent and end homelessness in their local geographic area, implementing that plan, collecting and using data to assess needs and effectiveness of programs, and coordinating local community stakeholders to achieve the plan’s goals. This work is challenging and cannot be executed without the support of the State of Florida. The Council recommends that the State appropriate funding for both CoC Staffing Grants and Challenge Grants. For the past several years, the State provided support to CoCs through two primary funding streams— Challenge Grants and Staffing Grants. In addition, the State provides pass-through funding for certain homelessness prevention activities, Emergency Solutions Grant (ESG) programs, and technical assistance for CoCs. The CoC lead agencies have utilized State funding to prevent and reduce homelessness and as leverage for federal funding of more than $85 million annually. “In Focus: Florida’s Critical Support for Continuums of Care” on page 30 gives a more detailed account of the need for Challenge Grant funding in our state’s efforts to effectively end homelessness. RECOMMENDATION #3 Embrace best practices and incentivize the use of best practices at the local level. Reward local governments that invest local, state, and federal funding sources toward the development and expansion of permanent housing opportunities for people experiencing homelessness. As part of its annual funding application, the U.S. Department of Housing and Urban Development (HUD) evaluates CoCs on their ability to increase the number of permanent housing units for homeless households within their local community. This requires the support of external funding sources to leverage state and local funding with federal dollars, thus increasing the capacity for development and rental assistance and creating permanent housing solutions to end homelessness. Local governments, like CoCs, have limited financial resources to increase housing units for targeted special populations. When local governments and CoCs strategically work in partnership, they should be rewarded. Multi-system coordination is encouraged and documented as a best practice by the United States Interagency Council on Homelessness (USICH). As quoted from the USICH 2018 Home, Together: Federal Strategic Plan for Preventing and Ending Homelessness, “Achieving these shared goals is not possible through federal action alone—it requires strategic focus, effort, and investments from both the public and the private sectors and across all levels of government.” 6 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 320 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Leveraging resources offers maximum benefit to the public by creating healthy and thriving communities, increases the potential for successful outcomes, and encourages comprehensive and multi-sector approaches to addressing homelessness at the local level and employing recognized best practices throughout the entire Continuum of Care. To ensure that homelessness is rare, brief, and one-time, a community-wide effort is required. Therefore, the Council recommends creating an incentive for local governments who direct funding to expand housing opportunities for people experiencing homelessness. Best practices for effectively ending homelessness include: ■Housing First programs and policies geared at helping households move into stable permanent housing as quickly as possible, followed by the provision of appropriate support services; ■Service providers that offer employment and training opportunities for individuals experiencing, or at risk of experiencing, homelessness; ■Permanent Supportive Housing for chronically homeless households and those with the greatest needs; ■Rapid Re-housing for households with moderate to serious need; ■Diversion of those for whom the homeless system does not offer the best solution; ■Prevention Services to keep people at imminent risk of homelessness stably housed; ■Coordinated Entry to ensure data-sharing and appropriate prioritization for housing interventions; ■Data-driven decision making to ensure that resources are being used effectively and efficiently; and, ■A focus on system-wide performance outcomes so the system works well to effectively end homelessness for the community. The Council recommends the following specific State actions: 1. Reestablish funding for the Department of Economic Opportunity (DEO) homeless training and technical assistance efforts, formerly funded through the Housing Trust Fund; 2. State agencies represented on the Council on Homelessness, as well as the Office on Homelessness, should take a leadership role in modeling and sharing these best practices at the state level to ensure that all entities using state resources to end homelessness are implementing best practices; 3. The Office on Homelessness should continue to use a system to gather data, assemble performance outcome measures, and accurately report on statewide progress toward the goals adopted by the Council; 4. The Office on Homelessness should continue to incentivize the adoption of best practices at the local level by incorporating best practices and housing outcome performance measures into funding application processes and monitoring for grants managed by the Office; 5. Local CoC organizations should incentivize the adoption of best practices at the service provider level by incorporating best practices and housing outcome performance measures into funding application processes for grants managed by the local CoC. 2019 ANNUAL REPORT 7 11.1.b Packet Pg. 321 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc RECOMMENDATION #4 Pass legislation to revise Florida Statute 420.621-626. Florida Statutes governing the State Office on Homelessness and the programs administered under the Office’s purview have become antiquated and are inconsistent with federal law governing homelessness grant funding programs. Those same federal grant funding programs provide the majority of funding for Florida’s programs targeting those experiencing homelessness. The proposed statutory revisions will conform state law to current federal law and grant program definitions, as well as clarify statutory responsibilities for local homeless CoC Lead Agencies, while preserving financial and programmatic accountability provisions in state law for programs administered by the State Office on Homelessness. By conforming state and federal law, the State can more effectively ensure that homeless-related programs are utilizing best practices, adequately measuring performance, and serving local communities. In addition, the changes related to definitions will be remediated. The recommended statute revision will further advance the work of the Council and position the State to drive further reductions in homelessness. 8 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 322 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 2019 ANNUAL REPORT 9 11.1.b Packet Pg. 323 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc RECOMMENDATION #5 Support increased collaboration between Florida’s Community Based Care Child Welfare Lead Agencies, Behavioral Health Managing Entities, the Florida Housing Finance Corporation, Homeless Continuums of Care, and Public Housing Authorities. Homelessness and child welfare commonly intersect, creating exacerbated trauma and stress for the most vulnerable community members: our children. Stable housing, supplemented with supportive services, creates a foundation for these families and reduces the long-term consequences associated with homelessness. When families have a stable place to call home, it promotes the wellbeing of children in the family. According to the 2019 PIT data, 26 percent of the homeless households identified have children, accounting for a total of 7,287 people. Understanding that a variety of circumstances and factors beyond the family’s control placed them into homelessness, our communities are now attempting to resolve crises that lack simple solutions. This cannot be solved by the homeless system alone and requires the support and active involvement of multiple sectors. The 2019 PIT data also reflects intersection between the homelessness and behavioral health systems. 4,947 of the individuals surveyed reported experiencing serious mental illness, while 3,948 reported a substance use disorder. As nationally recognized best practices encourage, increasing coordination and leveraging financial resources to expand housing opportunities are proven successful strategies for ending homelessness. People experiencing homelessness often overlap between multiple systems. This creates duplication of effort and escalates costs for multiple systems of care. Developing a collaborative effort between Community Based Care Lead Agencies, Managing Entities, CoCs, Public Housing Authorities, Florida Housing Finance Corporation, and other local community-based care providers will enhance the ability to strategically target these multi-system consumers and coordinate housing and services aimed at housing stabilization and retention. This strategy will help providers better utilize public funds and improve housing stability outcomes. Most recently, HUD began keeping a watchful eye on a new population: Parenting Youth. Youth experiencing homelessness with children of their own are a highly vulnerable population requiring specialized targeted services during homeless episodes to help obtain housing. Once housed, they need appropriate support and resources to maintain permanent housing independently. As of January 2019, a total of 245 Parenting Youth Households were documented in Florida’s PIT count. The Council supports increased collaboration to strategically address family and youth homelessness throughout Florida. 10 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 324 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc IN FOCUS Passed in 1992, the Sadowski Act created an Affordable Housing Trust Fund with dedicated revenue from documentary stamp taxes to fund affordable housing programs. These programs increase and preserve the stock of affordable housing units through development, rehabilitation, renovation, and retrofitting for low-income, very-low income, and extremely low-income households. In Governor DeSantis’ inaugural budget, he acknowledged the importance of fully funding the Sadowski Affordable Housing Trust Fund, refusing to sweep any of those dedicated dollars to the General Fund. Florida is currently in a deficit of 430,946 affordable and available units for ELI households2, and with this budget, the Governor sent a message that housing is a priority and the State Legislature should use our locally sourced funds to ensure every Floridian can obtain housing. As of December 2018, it was estimated that $352 million was available in the Sadowski Housing Trust Fund.3 The primary source for developing affordable rental housing, the primary need of homeless households, is the State Apartment Incentive Loan (SAIL) program; funded by the State Housing Trust Fund. SAIL funds are used to provide no- or low-interest loans using FHFC’s competitive process. As the cost to develop and construct multi-family housing is expensive, these funds are used to bridge the gap between the development’s primary financing and the total cost of the development. SAIL funds are required to be distributed according the rental housing needs identified in the triennial Rental Market Study. However, allocations targeted to Homeless Persons and Persons with Special Needs households did not start until comparatively recently. This has resulted in the cumulative supply of rental housing produced to be disproportionately short of meeting the needs of Florida’s most vulnerable households. Unless otherwise mandated by the Legislature, thirty percent of the Affordable Housing Trust Fund dollars are allocated to the State Housing Trust Fund. The remainder are allocated to the Local Government Housing Trust Funds (LGHTF). These funds are used for the State Housing Initiative Partnership (SHIP) program. The purpose is to use these funds as an incentive for local governments to develop and preserve affordable homeownership and multi-family housing. Eligible activities include repair, rehabilitation, retrofitting, financial assistance for first-time homebuyers, rental assistance, and mortgage assistance. Sixty-five percent is required to be used for homeownership activities. In addition to the funding appropriated for rental housing and homeownership throughout the state, the full funding of Sadowski is estimated to provide a $4 billion-dollar boost to Florida’s economy, and create roughly 30,000 jobs for Floridians4. The Council strongly recommends supporting the full funding of the Sadowski Affordable Housing Trust Fund. Sadowski Affordable Housing Trust Fund ...the full funding of Sadowski is estimated to provide a $4 billion-dollar boost to Florida’s economy, and create roughly 30,000 jobs for Floridians. 2019 ANNUAL REPORT 11 11.1.b Packet Pg. 325 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc GENERALLY SPEAKING, A COC IS MADE UP OF ALL STAKEHOLDERS IN A GEOGRAPHIC AREA THAT ARE WORKING TOGETHER TO ADDRESS HOMELESSNESS WITH A FOCUS ON PERSONS EXPERIENCING “LITERAL” HOMELESSNESS; NAVIGATING PERSONS SERVED THROUGH THE COC’S CRISIS RESPONSE SYSTEM. 12 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 326 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc WHAT ARE HOMELESS CONTINUUMS OF CARE? Throughout this report, the terms Continuum of Care (CoC) and CoC Lead Agency are used. These terms have different meanings in different contexts, so a brief explanation is offered here. Generally speaking, a CoC is made up of all stakeholders in a geographic area that are working together to address homelessness with a focus on persons experiencing “literal” homelessness; navigating persons served through the CoC’s crisis response system. The CoC is comprised of not only homeless-serving nonprofits but also the philanthropic sector, businesses, local governments, housing developers, realtors, health care systems, and more. These partnerships help create a strong crisis response system that incorporates housing and services funded by a variety of funding sources; allowing the system to quickly identify, assess, shelter, and permanently house individuals and families experiencing homelessness. Each homeless CoC is specific to a particular geographic area, much like a catchment area. The geographic areas for the CoCs are agreed upon by the local communities and HUD. The State of Florida also recognizes CoC geographic areas consistent with HUD’s strategy. The Florida CoC geographic areas are provided in Appendix IV and the contacts for each CoC are presented in Appendix V. As required by the federal HEARTH Act5, the CoC establishes a local planning body to organize and deliver housing and services to meet the needs of people who are homeless as they move to stable housing and maximum self-sufficiency. The planning body is typically a CoC Board or CoC Council that is built of community leaders, as well as representatives of multiple stakeholder groups. The CoC also designates a “CoC Lead Agency.6” The CoC Lead Agency provides staff leadership for the system, submits funding applications on behalf of the CoC to HUD and the State of Florida, and has a wide range of critical responsibilities to ensure that the local system is effectively ending homelessness. The State of Florida supports the important work of these Lead Agencies annually through CoC Staffing Grants. Without a CoC Lead Agency, local organizations that serve the homeless, local governments, and other groups would likely be working at cross-purposes, in silos, without shared data, and without a common vision, plan, or agreed upon expected outcomes and standards. HUD requires every CoC to operate a Homeless Management Information System (HMIS) to serve as the local central repository for data on persons experiencing homelessness, and to track program results. HMIS provides not only demographics about homelessness, but also reports on the effectiveness of individual programs, and the extent to which the homeless response system, as a whole, is working to make homelessness rare, brief, and one-time. Therefore, the CoC must designate an “HMIS Lead” which, in most communities, is the same organization as the CoC Lead Agency. The HMIS Lead is responsible for ensuring that the CoC’s HMIS is managed well, has a large quantity of high- quality data, and operates according to HUD requirements. 2019 ANNUAL REPORT 13 11.1.b Packet Pg. 327 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc IN REALITY, THE FACES, AGES, AND LIFE SITUATIONS OF THOSE WHO ARE HOMELESS ARE WIDELY VARIED. HOMELESSNESS INCLUDES FAMILIES WITH CHILDREN, PARENTING YOUTH, YOUNG ADULTS, COUPLES, SINGLE MEN AND WOMEN, AND UNACCOMPANIED YOUTH. 14 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 328 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc WHAT IS HOMELESSNESS? The word “homeless” often brings a particular image to mind. Typically, this image is an unkempt man, apparently living on the streets, and assumed to be struggling with mental health and substance abuse issues. We know that this image represents only a small percentage of people who are homeless. In reality, the faces, ages, and life situations of those who are homeless are widely varied. Homelessness includes families with children, parenting youth, young adults, couples, single men and women, and unaccompanied youth. One type of homelessness is “unsheltered,” which refers to people who live in places not meant for human habitation— on the streets, in cars, wooded areas, or abandoned buildings, for instance. Others are “sheltered” homeless because they are staying in homeless shelters or transitional housing until they find stable permanent housing of their own. Still others that experience an eviction or similar crisis may have natural support networks and can avoid a homeless shelter by staying with family or friends, even though they cannot afford to find their own housing. These households are sometimes referred to as “doubled-up” due to their economic and housing crisis. Some of these home-sharing arrangements are relatively stable; in other cases, people may be “couch-surfing,” moving from one place to another in quick succession. Further, some people who do not have their own permanent housing live in motels and similar places that are overcrowded, ill-equipped, and impermanent. When we speak of people who are “literally” homeless, we are referring to people meeting the HUD definition of homelessness; the phrase includes those who are unsheltered plus those staying in emergency or transitional shelters. People who are at risk of homelessness, doubled-up or couch- surfing, paying to stay in motels, or living in substandard housing are not literally homeless. Due to the many ways “homelessness” presents itself, it is challenging to agree upon a definition of homelessness. Because these two data sets are based on different definitions, measured at different times, and for different populations, the data should not be combined and will not be consistent. Each set of data can be useful in its own way and for specified purposes. For instance, the federal statutes and the Florida statutes have different definitions (see Appendix VIII, page 66), so a household may be considered homeless under the Florida definition but not under some federal definitions. Further, different types of funding address specific categories of homelessness. As an example, when public schools use funding to address homelessness, those resources can be used for families that are doubled-up; many other programs that address family homelessness will serve families that are unsheltered or in temporary shelters, but not those who are doubled-up. In this report, a conservative version of the HEARTH Act definition of homelessness is reflected in the Point in Time (PIT) Count numbers, which are presented in Appendix III beginning on page 46. The broader FDOE definition of homelessness for children is reflected in the tables presented in Appendix VI beginning on page 59. WHY IS IT IMPORTANT TO ADDRESS HOMELESSNESS? The Economics of Addressing Homelessness The primary costs of homelessness to local communities and the State are not the costs of operating emergency shelters and providing meals. Rather, homelessness affects local economies in ways that are much less obvious. Homelessness significantly increases community costs borne by local governments, the State, and taxpayers in terms of emergency response teams, crisis stabilization units, uninsured emergency medical care, and law enforcement involvement. Further, the presence of street homelessness may impact businesses by reducing foot traffic, tourism, downtown redevelopment, and property values. There is also the “opportunity lost” cost associated with the inability of homeless persons to meet their full potential UNDERSTANDING HOMELESSNESS 2019 ANNUAL REPORT 15 11.1.b Packet Pg. 329 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc while trying to survive on our streets. Studies show homeless students have a far worse educational attainment than stably housed peers; impacting both costs to our public-school systems and the outcomes of our students (see chapter entitled “Florida Department of Education—Homeless Education Program” on page 36 for more information about these students). Chronic homelessness, in particular, results in especially high community costs. People who are chronically homeless are those who have experienced long-term homelessness and have a disability. A recent study7 of 107 chronically homeless individuals living in Central Florida estimated the community costs of $31,065 per person per year, for an annual cost for these 107 individuals totaling over $3.3 million. In contrast, providing those same individuals with appropriate housing and services in the form of permanent supportive housing would cost approximately $10,000 per year per person, one third of the cost of managing their homelessness. Funding to address homelessness is scarce and it is incumbent upon the State, local governments, and homeless serving organizations to invest in programs that are both effective and efficient. Historically, communities have invested significant resources in addressing the needs of people who are homeless through emergency shelters, meal programs, clothing and transportation services, and so on; as well as through programs that offer services and transitional housing. While these programs do address needs, they do not tend to help people move out of homelessness rapidly or in a cost-effective manner. This type of investment deals with the population’s symptoms of homelessness, it does not seek to end their homelessness through stable housing. A recent study7 of 107 chronically homeless individuals living in Central Florida estimated the community costs of $31,065 per person per year, for an annual cost for these 107 individuals totaling over $3.3 million. National Studies show permanent supportive housing costs an estimated $10,000 per person per year. These savings could total more than $2.25 million annually. 16 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 330 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc In the past few decades, extensive research on the efficiency and effectiveness of homeless initiatives have taught us a better way to use resources. It is well documented that the best approach for most households is to help them move into rental units as quickly as possible through a combination of limited rental assistance funding as well as providing limited services after the household has moved into their new home. This approach, often referred to as Rapid Re-Housing, is much more effective than emergency shelter or transitional housing. Further, it is also less costly per household compared to other approaches. In one study by the National Alliance to End Homelessness8, Rapid Re-Housing was more effective in helping people move out of homelessness, did so more quickly, and was more efficient than other approaches. The cost of rapidly rehousing a household was 40% of the cost of emergency shelter and 18% of the cost of transitional programs. States and communities that are most effective in reducing homelessness are those that support Rapid Re-Housing for households with less severe needs and Permanent Supportive Housing for those who have more serious disabilities. This approach will be discussed in more detail in the “In Focus: FHFC Permanent Supportive Housing Pilot Projects Update” section of this report on page 32. The Human Side of Homelessness Beyond the significant economic costs of homelessness in our communities, there is a very real human cost as well. The experience of homelessness is traumatic and daily survival is a challenge. People who are homeless are less likely to connect with community health care resources, engage fully in employment and education, and have stable relationships with friends and family. Homelessness exacerbates pre- existing health problems, reduces the speed and likelihood of recovery, and exposes people to more health threats. Children who experience homelessness develop more slowly, have increased trauma and stress, and are less likely to achieve in school9. HOW TO END HOMELESSNESS Because homelessness is a complex social problem, there is no simple list of causes. We can, however, identify contributing factors, prioritize those factors, and consider how to address those issues in ways that reduce homelessness. Understanding homelessness requires consideration of societal factors that intensify or perpetuate homelessness, as well as personal issues that contribute to the risk of a person becoming homeless. The systemic causes of homelessness are, however, often overlooked while personal issues tend to be overemphasized. It is true, for instance, that mental health and substance abuse issues are more prevalent in homeless populations than they are in the general population. However, that fact should not lead one to the conclusion that behavioral health issues cause homelessness. In fact, the overwhelming majority of people struggling with mental health and/or substance abuse issues are not homeless10. Further, the majority of people who become homeless do not have behavioral health issues (see Appendix III, Table 3). As discussed below, inadequate access to health care is a factor that exacerbates homelessness, but mental health issues and substance abuse do not directly cause it. For elected officials, policymakers, and planners, it is especially critical to recognize the societal and systemic issues that contribute to homelessness. To reduce homelessness, state and local governments must address the big picture issues that exacerbate or perpetuate homelessness. Below is a discussion of the three primary factors that contribute to homelessness in Florida: (1) lack of access to housing, (2) need for employment and income opportunities, and (3) inadequate access to health care. Scarcity of Affordable Housing The scarcity of affordable housing is the primary factor causing and perpetuating homelessness in Florida. Most people who become homeless in Florida have extremely low incomes, which makes it difficult to maintain stable rental housing. Multiple studies reflect the critical shortage of housing for households with low income. The 2019 Rental Market Study11 by the University of Florida’s Shimberg Center for Housing Studies reports that there are only 23 affordable rental units available for every 100 extremely low income (ELI) renter households statewide. Due to the lack of affordable housing for these households, they must pay a staggering percentage of their income toward housing costs alone. Among the key findings of the Rental Market Study are the following: ■At the 0-30 percent Area Median Income (AMI) and 30- 40 percent AMI levels, there are more renter households than affordable units. ■For the 60-80 percent and 80-120 percent AMI levels, the number of affordable and available units exceeds the number of renter households. ■Out of the entire housing stock, only 39 percent of rental units rented for $1,000 or less in 2017 and continues to decrease, while rental units renting for more than $1,000 doubled (see Figure 2). 2019 ANNUAL REPORT 17 11.1.b Packet Pg. 331 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc FIGURE 2. Source, Shimberg Center analysis of U.S. Census Bureau, 2000 Census and 2017 American Community Survey. 3,000,000 2,500,000 2,000,000 1,500,000 1,000,000 500,000 $1,000 OR LESS 0 20172000 969,313 1,511,441 1,013,269 793,275 MORE THAN $1,000 UNITS BY GROSS RENT ABOVE/BELOW $1000 The Rental Market Study reports that 70 percent of renter households with income at or below 30 percent AMI are “cost burdened”, meaning they pay more than 40 percent of their income in rent; and roughly 80% of the State’s cost burdened renters fall within the 60 percent AMI or less range. In total, there are 916,306 cost burdened renters throughout Florida whose income is at or below 80 percent AMI. It is important to note that 73 percent of 60 percent AMI or less renter households are employed but earn low wages in the service industry. The detailed chart below (Figure 3) offers a snapshot of how serious Florida’s housing crisis is based on the household income data evaluated by the Shimberg Center. With an overwhelming majority, households who rent throughout Florida appear to hover between the 30-60 percent AMI range, closely followed by the 30 percent AMI or less households. As homeownership is more attainable to households with greater income, the data tells us that the majority of renter households also appear to be income limited. The level of burden varies among counties and across income brackets. The Rental Market Study indicates that Miami- Dade County has the highest percentage of cost-burdened households, at almost 17 percent of all renters out of the State. Large counties hold 61 percent of low-income and cost burdened households. FIGURE 3. Sources, Shimberg Center analysis of U.S. Census Bureau, 2000 Census and 2013-2017 5-Year American Community Survey; University of Florida Bureau of Economic and Business Research, 2017 Population Projection 500,000 450,000 400,000 350,000 300,000 250,000 200,000 150,000 100,000 50,000 0 2019 RENTER HOUSEHOLDS BY INCOME 30% AMI OR LESS 30.01-60% AMI 60.01-80% AMI 80.01-120% AMI OVER 120% AMI According to the 2019 Florida Housing Coalition Home Matters12 report, more than 1.96 million households in Florida are “severely cost burdened.” This represents 15 percent of all households across Florida who are paying more than 50 percent of their income for housing costs. The vast majority are households with very low incomes, including seniors, workers in the service industry, and people with disabilities. A household trying to work its way out of homelessness is seeking rental housing in these tight rental markets—a daunting task even for those who have not experienced homelessness and have higher incomes. Access to affordable housing for people experiencing homelessness is ensured only by increasing the stock of housing for ELI households. This need can be met primarily through housing assisted with subsidies, such as those made available through the appropriation of Affordable Housing Trust Fund monies. Repeated “sweeps” and redirection of Affordable Housing Trust Fund resources has only contributed to this crisis in Florida. The need for affordable housing is particularly acute for ELI households earning 30% or less of the AMI, including those who are disabled and surviving on disability income alone. According to the Rental Market Study, there are no areas in Florida where adequate affordable housing exists for these special populations. Documented in the Rental Market Study, 15 percent of the renter households are either disabled and/or elderly and not employed. 18 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 332 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc IN FOCUS In February 2019, the Mid Florida Coordinated Access Team identified a single 57-year-old woman who was living on the streets for over two years, and began the process navigating her through the Homeless Coordinated Entry System and into stable, permanent housing. During the first year of her homeless episode, her four grandchildren were placed in out-of-home care; and she was unable to gain custody due to her homelessness. In addition to obtaining housing, her goal was to get awarded custody of her grandchildren and provide a home for them. Using Challenge Grant funding in coordination with the local PATH team and other service providers, she received assistance with obtaining her birth certificate, Florida ID, and other required documents in preparation for eligibility screening into a permanent supportive housing program administered by Lake County Housing Services Department. Referrals to behavioral health services and meal sites provided a coordinated and supportive approach to engagement, allowing providers to continue maintaining contact and improving their relationship while focusing on the goal of obtaining housing. LifeStream Behavioral Health’s services played a vital role in coordinating and scheduling transportation to housing and case management appointments. Most importantly, her LifeStream case manager worked as a team with her to locate housing that would accommodate both herself and her grandchildren. The housing authority and case manager coordinated with the landlord to secure the rental unit for this grandmother. Since ending her homeless episode and moving into her own subsidized rental unit, she received a donated car passed through from Mid Florida Homeless Coalition (as seen in photo above), part-time employment, and regular visitations with her grandchildren in their own home. This is one of the many success stories made possible through funding sources such as Challenge Grants and PATH dollars. When CoCs have access to the funding necessary to fulfill the mission of making homelessness rare, brief, and one-time; they have the ability to end homelessness. Mid Florida Homeless Coalition, Executive Director, Barbara Wheeler and Cassie Fountain, PATH Lead Case Manager are pictured with the program participant who received this donated car. Successful CoC Local Projects MID FLORIDA HOMELESS COALITION, INC. - SERVING CITRUS, HERNANDO, LAKE, AND SUMTER COUNTIES 2019 ANNUAL REPORT 19 11.1.b Packet Pg. 333 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc To address this critical need, it is necessary that new affordable housing stock is created. Just as importantly, that stock must include set-asides for ELI households as well as Permanent Supportive Housing for households that require consistent support to maintain their housing. With due recognition of the challenges faced by households that include wage-earners, the difficulty is even more severe for special needs households. A single, disabled individual whose sole source of disability income is Supplemental Security Income (SSI) receives a total of $771 monthly13. Because market-rate affordable housing does not exist for a household living solely on SSI, subsidized affordable housing must be created to meet this need. According to the Rental Market Study, there are an estimated 104,273 households living on a disability-related income source who are cost- burdened. For people surviving on SSI or similar levels of income, the primary sources of independent affordable housing come from deeply subsidized units or housing vouchers. For a person whose only income is SSI, an affordable rent should not exceed $231 per month. The scarcity of deeply subsidized housing units and housing vouchers cannot be overemphasized. For those without significant financial supports from friends or families, individuals living with a serious disability are at the greatest risk of homelessness and, if they become homeless, have the most difficulty exiting homelessness. Need for Employment and Better Income Opportunities Over the past several years, literal homelessness in Florida has declined steadily and, some years, significantly. This reduction is due, in large part, to an improved economy and job growth. This is good news for our state and for those who have been literally homeless. To see continued declines in literal homelessness, it is important to recognize the critical importance of adequate household income and employment. Out of Reach 201814 reports that a household earning minimum wage in Florida needs to work 104 hours per week to afford an average two-bedroom apartment or 84 hours per week for a one-bedroom apartment. Even for those who are working multiple jobs, being able to afford housing in Florida is challenging. Working 40 hours a week, a household would need to earn almost $21 an hour to afford the average two-bedroom apartment. The 2019 Rental Market Study outlines the Top Ten Occupations (see Figure 4) for 0-60 percent of AMI Renters, and all renters throughout Florida. This data tells us that of the most common jobs, none of them pay enough to afford a rental unit in Florida’s current rental market. FIGURE 4. Sources: Shimberg Center analysis of U.S. Census Bureau, 2017 American Community Survey and Florida Department of Economic Opportunity, 2017 Occupational Employment Statistics and Wages Median Hourly Wage 0-60% AMI Renters All Renters Maids and Housekeeping Cleaners $10.33 ■■ Cashiers $9.36 ■■ Waiters and Waitresses $10.15 ■■ Janitors and Building Cleaners $10.69 ■■ Cooks $9.81- $12.53 ■■ Nursing, Psychiatric, and Home Health Aides $10.97- $12.07 ■■ Retail Salespersons $10.53 ■■ Customer Service Representatives $14.34 ■■ Construction Laborers $13.79 ■■ Driver/Sales Workers and Truck Drivers $10.07- $18.39 ■■ Supervisors of Retail Sales Workers $19.21 ■ Managers $45.18 ■ These facts are further emphasized by the United Way’s 2018 Asset Limited Income Constrained Employed (ALICE) Report15, which notes that the struggle is getting even worse for working households. Consistently low wages, along with periods of underemployment or unemployment, mean that tens of thousands of households are one paycheck away from homelessness. The United Way reports that the ALICE “household survival budget” costs have increased in Florida about 20 percent for a family of four from 2010 to 2016, while there was only a 13 percent increase in median earnings during this time period. The increase in the household survival budget is largely attributed to increased health care costs. The most cost burdened areas remain around Miami and West Palm Beach, while the rural areas in the Panhandle have the lowest documented household survival budget among Florida counties. 20 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 334 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Inadequate Access to Physical and Behavioral Health Care The lack of access to health care affects homelessness in several ways. First, a health emergency and related uninsured health costs can cause a person to become homeless. Not only does a health problem often result in the loss of employment and income but medical debt can quickly exhaust all financial resources16. Without support systems and safety nets, a household can become homeless because of a health issue. Second, uninsured physical health costs for those who are chronically homeless in Florida communities deplete community resources. Because people who are homeless are less likely to access primary health care and address health concerns early, health issues often escalate. Uninsured emergency room visits and inpatient stays skyrocket. Third, like physical health costs, treatment for mental health and substance abuse issues among those who are homeless is often limited to crisis response and emergency services. Ultimately, people who are uninsured and homeless cycle in and out of crisis and health systems, resulting in high community costs but few, if any, improvements in health or preventative care. Without support systems and safety nets, a household can become homeless because of a health issue. 2019 ANNUAL REPORT 21 11.1.b Packet Pg. 335 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc PEOPLE OFTEN FALL BETWEEN THE CRACKS OF OTHER SYSTEMS AND END UP BECOMING THE SOLE RESPONSIBILITY OF THE COCS. CROSS-SECTOR PLANNING ENSURES THESE PEOPLE ARE BEING ADDRESSED BY THE RIGHT AGENCY AND NOT BEING PASSED OFF FROM ONE AGENCY TO THE NEXT. 22 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 336 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc FEDERAL LANDSCAPE To understand how we are addressing homelessness in Florida, it’s important to understand the larger federal landscape we work under. The state of Florida Interagency Council on Homelessness mirrors the Federal Council known as the “United States Interagency Council on Homelessness (USICH).” USICH is responsible for the federal strategic plan to prevent and end homelessness across the nation. In 2018, USICH released Home, Together: The Federal Strategic Plan for Preventing and Ending Homelessness17. Home, Together outlines a comprehensive response to ending homelessness, mapping out four primary goals with underlying objectives. One of the most important concepts outlined in this strategic plan, is to expand the supply of housing that is attainable to vulnerable populations who are at-risk of or currently experiencing homelessness. This solutions-oriented plan addresses working together with a collaborative, systemic approach to ending homelessness. It encourages development of a robust coordinated and comprehensive response system that reaches beyond one system to incorporate responsiveness of multiple sectors. People often fall between the cracks of other systems and end up becoming the sole responsibility of the CoCs. Cross-sector planning ensures these people are being addressed by the right agency and not being passed off from one agency to the next. The plan encourages communities to measure success by the entire system’s overall ability to decrease homelessness, rather than individual service provider successes. It is no longer about how one agency is performing, but how we as a community, as a state, are responding to and addressing homelessness. Home, Together: The Federal Strategic Plan for Preventing and Ending Homelessness Goals The Office on Homelessness has adopted this federal strategic plan to be implemented throughout the State of Florida in each CoC. We detail the main goals of the plan below. Goal 1: Ensure homelessness is a rare experience Decreasing homelessness requires a collaborative, multi- system approach that increases capacity by sharing a common vision and developing policies and priorities that are aligned from local to state and federal levels. Defragmenting systems and developing a common mission is essential to preventing homelessness. Employing nationally recognized best practices includes data-driven decision making, incorporating peer support services, braiding a variety of public resources, and development of collaborative and solution-driven goals. Goal 2: Ensure homelessness is a brief experience Quickly identifying and engaging people experiencing homelessness should result in immediate access to housing- focused, low-barrier emergency shelter or other temporary accommodations that addresses basic survival needs until they can move into permanent housing. Homeless systems should have a coordinated entry process that requires standardized assessment and prioritization processes, offering a streamlined course to housing and services to ensure that the most vulnerable persons with high-service needs are prioritized for Permanent Supportive Housing; while households with lower acuity are housed swiftly using the Rapid Re-housing intervention. Using HMIS to maintain an active list is essential to ensure homelessness is addressed through coordinated and comprehensive set of strategies, providing a targeted approach to a variety of populations. The person in crisis should dictate their housing stabilization plan, identifying short and long-term goals for successfully BUILDING SYSTEMS TO MAKE HOMELESSNESS RARE, BRIEF, AND ONE-TIME 2019 ANNUAL REPORT 23 11.1.b Packet Pg. 337 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc obtaining and retaining housing. Housing-focused services should be the core component at every intervention offered in the homeless system. However, to effectively prevent and end homelessness, expanding housing resources that are accessible to these vulnerable populations is essential. Goal 3: Ensure homelessness is a one-time experience Implementing a coordinated approach to obtaining housing opportunities for people experiencing homelessness should improve the ability to move from homelessness to housing by removing obstacles and housing readiness requirements. When addressing underlying factors that caused a person’s homeless episode, in addition to the trauma from experiencing homelessness, it is important to strategically employ best practices and link housing participants to valuable community services based on their needs and desire. To prevent future episodes of homelessness, coordinating tailored services and initiating appropriate community-based referrals offer housing participants additional resources and opportunities to achieve long-term housing stability. Multi- system collaboration and access to a full array of resources is necessary to making homelessness a one-time experience. Goal 4: Sustain an end to homelessness Routinely monitoring progress to determine effectiveness of newly developed strategies helps communities to make data- informed decisions for strategic planning and future planning of community needs. It is valuable to develop continuous quality improvement procedures to ensure sustainability and to quickly and effectively respond to needs. HUD Funding Awards Each year the Department of Housing and Urban Development (HUD) puts out a Notice of Funding Availability (NOFA) that each CoC responds to. HUD scores each application based on how the CoC is meeting certain objectives and provides award amounts for five categories:  permanent housing, transitional housing, supportive services only, HMIS, and, in some cases, homelessness prevention. The 2018 Continuum of Care Competition for Homeless Assistance brought more than $85 million of federal funds to the state. Of the 26 CoCs that participated, Florida’s total federal award to assist CoCs increased by $1.15 million dollars. HUD Funding Awards can be found in Appendix II, Table 1. These federal funds help communities invest in a range of housing interventions including outreach, prevention, coordinated entry, shelter, transitional housing, rapid re-housing, and permanent supportive housing aimed at addressing homelessness for priority populations defined as Veterans, chronically homeless persons with disabilities, families with children, unaccompanied youth, survivors of domestic violence, and all other individuals who are experiencing homelessness. The funds also help CoCs complete the work to create a plan to prevent and end homelessness in their communities. While the federal funding is a critical source to CoCs, it is not enough to complete the work. State, local, and private sources of funding are just as important in order to have a robust response to homelessness. Family Unification Program (FUP) In 2018, HUD awarded six of Florida’s Public Housing Authorities (PHAs) $3.2 million to administer 374 Family Unification Program (FUP) vouchers. FUP is a housing subsidy, administered under the Housing Choice Voucher program (also known as Section 8), that targets two separate populations, both involved with the child welfare system. HUD defines these FUP-eligible populations as18 either families for whom the lack of adequate housing is a primary factor in the imminent placement of the family’s child or children in out-of-home care, or the delay in the discharge of the child or children to the family from out-of-home care. The second targeted population that FUP serves are eligible youths who are between 18 to 24 years of age and who have left foster care, or will leave foster care within 90 days, and are homeless or are at risk of becoming homeless at age 16 or older. The 2019 Rental Market Study19 documented that there are 2,574 transition age youth exiting the foster care system who are in need of affordable housing. Although FUP vouchers are administered through PHAs, not through CoCs, the program offers an opportunity to develop a collaborative partnership between the two systems which will encourage leveraging external resources to most effectively and efficiently address homelessness within the child welfare system. Targeting the most vulnerable households with overlap between both systems helps prevent imminent out-of-home placement and expedite the return of children who are in out-of-home placement. FUP Family subsidies are administered as a Housing Choice Voucher, which is a permanent subsidy. The FUP Youth population can participate in the program for up-to 18 months. Non-Elderly Disabled (NED) Vouchers HUD released the Notice of Funding Availability for Non- Elderly Disabled (NED) Vouchers in 2018. In Florida, a total of $5,654,856 was awarded, which equates to funding for 674 households.20 24 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 338 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc IN FOCUS Integrating Systems to Help End Homelessness DCF MANAGING ENTITY HOUSING COORDINATION INITIATIVE In 2016, the Florida Department of Children and Families developed a Housing Coordination initiative to improve efforts between the Department of Children and Families Substance Abuse and Mental Health (SAMH) Managing Entities (ME) and Homeless Continuums of Care. This was a step in the right direction, and in alignment with the federal guidance to unify complex and siloed systems, a strategy endorsed in USICH’s Federal Strategic Plan to Prevent and End Homelessness. However, we still have work to do and continuing our advancement will require support from all levels of government throughout Florida. CoCs and MEs have several overlapping activities and a significant intersection of persons served. The first project to note is the Projects for Assistance in Transition (PATH) grant. These dollars, passed through the ME from DCF, support homeless outreach and community-based services for the most vulnerable homeless persons in our communities. PATH grantees have been receiving the funding for years, with notable success in strengthening the link between behavioral health providers and CoCs. This stronger connection has resulted in increased access to housing for persons experiencing homelessness with behavioral health disorders. As a second example, the SSI/SSDI Outreach, Access, and Recovery (SOAR) initiative is implemented by Managing Entities in each DCF region. SOAR is a model used when the person applying for disability benefits through the Social Security Administration is homeless and has a history of mental health issues, allowing entitled beneficiaries access to needed income and benefits. These examples are just a few of the shared responsibilities that exist when serving people involved in the SAMH system who are also experiencing homelessness. When Managing Entities and CoCs identify specific individuals for targeted services, it allows for improved outcomes and the ability to serve more people with limited resources. Too frequently, CoCs are the final stop when people exit other systems with nowhere to go. It is more effective to prevent entry into the homeless system; and this requires a deliberate and collaborative approach that incorporates multiple systems in advance of a crisis. Working strategically and in partnership for a common goal provides better outcomes and improved quality of life for the people receiving services in both public systems. 2019 ANNUAL REPORT 25 11.1.b Packet Pg. 339 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc The NED program, also known as HUD’s Section 811 Mainstream Housing Choice Voucher Program, can provide housing subsidies to non-elderly persons with disabilities who are transitioning out of institutional or other separated settings; at serious risk of institutionalization; homeless; or at risk of becoming homeless. NED vouchers offer the opportunity for non-elderly persons with a disability in permanent supportive housing to move up and open that spot for another person. Many CoCs are using the vouchers for this type of a “move-up” strategy. Strategic partnerships between the CoCs and PHAs expand the housing options people experiencing homelessness desperately need. The application was rated based on a variety of factors, including the Housing Authority’s partner agency capacity and ability to leverage resources. Similar to the DCF’s Housing Coordination Initiative, HUD’s guidance improved coordination between PHAs and health and human service agencies like CoCs and Managing Entities. Coordination was an essential part of the application, planning, and scoring process. STATE LANDSCAPE What the Data Tells Us About Homelessness in Florida A common source of data about literal homelessness is the annual Point in Time (PIT) count required by HUD. HUD requires each Homeless CoC to conduct an annual count of homeless persons (as defined by HUD) on a single night during the last 10 days of January. In Florida, the CoC Lead Agencies coordinate these efforts, which are known as the PIT Counts. The objective of the PIT Count is to produce an unduplicated count, or relatively reliable estimate, of the number of homeless individuals in the community on a single night. HUD provides specific guidance to ensure that PIT Counts are reasonably comprehensive and that they provide a count of homeless individuals without duplication errors so that the same person is not counted more than once. In addition to producing a count of people who are homeless, PIT Counts also collect demographic data and additional information about the person’s experience with homelessness. This allows CoCs and other agencies to examine trends for subpopulations, such as families with children and veterans. Many communities extract counts of people in shelters and similar programs from the local CoC’s HMIS. People who are homeless but not sheltered are also identified using methods such as personal interviews at campsites and day centers. Understanding PIT Counts Conducting a PIT Count is challenging. It requires many volunteers and a great deal of coordination, mapping, and data entry. While PIT Counts provide valuable information, it is understood that they are likely undercounts of homelessness due to the inherent difficulty of locating every homeless person in a community. Additionally, even with the CoCs’ great efforts, the results from year to year can be influenced by various factors, some of which are outside the control of the CoCs. For example, in January 2019 the hurricane season affected PIT Counts in some communities because households that were temporarily sheltered by FEMA in motels were homeless according to the HUD definition and therefore included in PIT Counts. The CoC, Doorways of Northwest Florida, reported an increase of 28 percent of those identified as homeless in the PIT count, which is an increase of 107 people. This is most likely attributed to those who became homeless by the destruction of Hurricane Michael. The PIT Count provides a “one-day snapshot” of the persons experiencing homelessness on a given night and should not be interpreted as a measure of the number of people who experience homelessness over the course of a year. In the following sections, we describe homelessness based on PIT data. First, overall homelessness is summarized. Then, separate sections address homelessness among veterans, chronically homeless households, and families with children. The detailed PIT Count data on CoCs, including specific subpopulations, homeless characteristics, and more are provided in Appendix III, Tables 1-7 starting on page 46. As depicted in Figure 5 on page 28, the PIT data shows homelessness in Florida has been steadily decreasing over the past five years. This trend is likely the result of economic improvement and job growth, increasing investments to improve homeless response systems, and increased adoption of best practices, especially Rapid Re-Housing. The dramatic reduction in homelessness in Florida is even more striking based on a ten-year timeframe, over which time homelessness decreased 48.5 percent; calculating a decrease of 26,968 total people, which is down from 55,559 in 2009 to 28,591 in 2019. Statewide total homelessness declined by 3.79 percent from 2018 to 2019. However, the decrease is not uniform across the state, as shown in Appendix III Table 1. Of the 27 CoCs, 17 reported decreases in homelessness from 2018 to 2019, and 10 reported increases. It should be noted that, although CoCs are required to follow specific HUD standards for the PIT Counts, the methodology and coverage may vary from year to year in some geographic areas due to changing resources. 26 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 340 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc IN FOCUS Impact of Natural Disasters on CoC Crisis Response Systems When people become displaced due to natural disasters, they do not automatically fall into HUD’s Category 1 Homeless Definition of literal homelessness. In response to the crisis, people may be referred to the CoCs, requiring disaster survivors to then navigate the system beginning with the required Coordinated Entry System. However, their displacement should be addressed through the established disaster recovery services commonly led by County Emergency Operations, County Human Services, or FEMA; not the homeless response system. CoCs, without receiving additional resources to address those displaced, become the automatic catchment to field anyone who self- reports as homeless. It is of the highest importance that disaster response resources outside of the homeless system are dedicated to households who are displaced, leaving the limited funds for people who were experiencing literal homelessness prior to the disaster. Federal, state, and local dollars can assist households to complete disaster-related repairs and return to living in their home and can also fund relocation efforts into new rental properties. These activities are essential to preventing these households from entering the homeless system and must be planned for and addressed outside of the homeless crisis response system. A natural disaster has an impact on every aspect of the community and ensuring that survivors are provided with clear and accurate information to address their displacement is essential to their recovery. 2019 ANNUAL REPORT 27 11.1.b Packet Pg. 341 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 2019 PIT Count Overview Total Homeless Over the past few years, there has been a targeted strategic implementation of evidence-based practices and increased coordination spearheaded by the CoC Lead Agencies, the impact of which is apparent in the overall decrease of homelessness throughout Florida. This five-year snapshot represents a statewide decrease. Since 2015, people identified as homeless from the PIT count has decreased by 7,309 people; or a roughly 20 percent decrease throughout the last five PIT Counts. FIGURE 5. Total homelessness in Florida, as measured by Point in Time Counts, 2015-2019 40,000 35,000 30,000 25,000 20,000 15,000 10,000 5,000 0 TOTAL HOMELESS 2019 PIT COUNT 2015 2016 2017INDIVIDUALS 2018 2019 35,900 33,502 32,109 29,717 28,591 Veteran Homelessness Homelessness among veterans has decreased just short of 40 percent since 2015. Improved coordination between CoCs and the VA, in addition to the implementation of the by- name list, is creating a more effective process to coordinate care and housing for Florida’s veterans. In one year alone, the data shows a decrease of 131 veterans, totaling a 5 percent reduction since 2018. Over a five-year span, the number of veterans experiencing homelessness was reduced by 1,542 veterans, or a 39 percent decrease of veterans who otherwise would be living on our Florida streets. IN FOCUS Marching Forward to Achieving Functional Zero Governor DeSantis’ Forward March initiative spearheads an effort for the State of Florida to set a national standard for services and support provided to the 1.5 million veterans who reside in Florida21. In alignment with the federal strategic plan to prevent and end homelessness, Governor DeSantis is combining efforts, creating a collaboration between multiple government agencies, service organizations, private partners, and local service providers to guarantee veteran’s access to the highest quality of services. Achieving Functional Zero, a concept in the homeless arena wherein all possible veterans who are homeless become housed, has been achieved in many communities in Florida including: Flagler County, Volusia/Daytona Beach, Fort Myers/Lee County, Punta Gorda/Charlotte County, and Miami- Dade County22. In position with Gov. DeSantis’ Forward March Initiative, The Homes for Our Brave Supportive Services for Veteran Families (SSVF) Program, administered through Jacksonville’s Changing Homelessness CoC, is addressing veteran homelessness in Duval, Clay, and Nassau Counties. Accessing this program through a coordinated and centralized process, veterans and their families are provided services that help obtain and retain their housing; moving from homelessness and into permanent, stable housing. In total, the Changing Homelessness Homes for Our Brave SSVF program has served more than 415 veteran families.23 28 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 342 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc FIGURE 6. Veteran homelessness in Florida, as measured by Point in Time Counts, 2015-2019 VETERANS1,000 2,000 3,000 4,000 5,000 0 VETERAN HOMELESSNESS 2015 2016 2017 2018 2019 3,926 2,888 2,789 2,515 2,384 Chronic Homelessness While there is an increase in the number of people identified as chronically homeless, this can be attributed to the improved engagement strategies employed by homeless outreach service providers, and the implementation of Coordinated Entry. The ability to identify individuals who otherwise did not participate in the PIT count and were service resistant tells us that more people are being engaged; and therefore counted. The chronically homeless population is a small percentage of the total number of people experiencing homelessness; representing about 20% of the total homeless population counted in Florida. Over the last year, Florida documented an increase of 568 people who meet the chronically homeless criteria, telling us that the most difficult people to engage are now being represented. However, since 2015, Florida has experienced a 12 percent reduction, or decrease of 771 people, in chronic homelessness. First and foremost, people who are experiencing chronic homelessness are generally the most vulnerable population with the most severe service needs. It can take years to engage someone who falls into this subcategory, let alone get them off of the street and into housing. FIGURE 7. Chronic homelessness in Florida, as measured by Point in Time Counts, 2015-2019 CHRONIC HOMELESS PERSONS1,000 2,000 3,000 4,000 6,000 7,000 5,000 CHRONIC HOMELESSNESS 2015 2016 2017 2018 2019 6,540 6,079 5,120 5,203 5,771 0 Families with Children Homelessness among families with children continues to decline. Over the last five years, there has been a 27 percent decrease of homelessness in this subcategory; a total reduction of 816 households. With further implementation of Rapid Re-Housing programs and use of best practices, families with children are able to obtain housing and receive the supports necessary to become self-sufficient in their own rental unit; ending their homeless episode. FIGURE 8. Literally homeless families in Florida, as measured by Point in Time Counts, 2015-2019 500 1,000 1,500 2,000 3,000 3,500 2,500 LITERALLY HOMELESS FAMILIES 2015 2016 2017HOUSEHOLDS 2018 2019 3,053 3,031 2,831 2,436 2,236 0 2019 ANNUAL REPORT 29 11.1.b Packet Pg. 343 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc IN FOCUS Florida’s Critical Support for Continuums of Care The State of Florida Office on Homelessness supports the Continuum of Care lead agencies in several ways. The Office on Homelessness assists with two primary funding streams – Challenge Grants and Staffing Grants. Additionally, it administers pass- through funding for homelessness prevention activities and Emergency Solutions Grant (ESG) programs. The Challenge Grants have been an important source of flexible funding for CoCs across the state. The grant was funded from 2001 to 2011 through the Local Government Housing Trust Fund (LGHTF) but was eliminated in 2012 due to the sweeps of the bulk of Affordable Housing Trust Fund revenues. In 2014, the Legislature recognized the critical need for Challenge Grants and once more began to appropriate funding for this vital component of our communities’ CoCs. For the 2018-2019 fiscal year, DCF was provided budget authority for the Challenge Grants, but no proviso language appeared in the budget to allow the transfer of source funding from the LGHTF, resulting in fewer resources to address homelessness this past year. The push continues to ensure a recurring source of funding for the Challenge Grants. Challenge Grants are a pivotal source of flexible funding allowing for permanent housing programs, homelessness prevention, outreach, coordinated entry, and other critical supports and services in the CoCs. This legislative session the Challenge Grant was funded as recurring out of the general revenue. The Council strongly recommends that the Challenge Grants continue to be funded annually to support the CoCs. 30 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 344 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Total Number of Persons in Families Experiencing Homelessness Aligning with the documented reduction of families with children who are experiencing homelessness, the total number of individuals in these households is also decreasing. Within just one year, Florida has experienced a decrease of 1,013 individuals in these households. This calculates to a 12 percent decrease since the 2018 PIT count, and a 24 percent reduction since 2015. FIGURE 9. Persons in literally homeless families in Florida, as measured by Point in Time Counts, 2015-2019 2,000 4,000 6,000 10,000 8,000 PERSONS IN LITERALLY HOMELESS FAMILIES 2015 2016 2017PERSONS 2018 2019 9,575 9,358 9,363 8,300 7,287 0 DCF Unified Funding Contract In a thoughtful and strategic approach to funding homeless services through DCF, the Unified Homelessness RFA & Contract was developed. Until 2016, solicitations were released annually, providing a short window to execute the contract and spend-down the dollars awarded. Until recently, the contracts for each funding stream were applied for and awarded individually, creating a burdensome process for already stretched CoCs. In 2017, CoCs were able to roll their previously separately awarded contracts into one single contract. Florida Coalition for the Homeless’ contract analysis that was conducted in 2018 provided feedback that initiated the idea to better align contracts than in previous years. As of January 2019, the newly released RFA offered CoCs a nine-week submission deadline, as opposed to historically providing a shorter turn-around time, with three RFAs back-to-back. The new contract cycle allows the CoCs to plan accordingly and have three full years to spend the dollars. This consolidated RFA approach now incorporates reporting requirements that, until now, were not included. The lack of clear reporting expectations resulted in inconsistent reporting across homeless contracts and CoCs. It is expected that the unified approach will improve data submission due to the requirement of monthly status reports. FIGURE 10. Department of Children and Families, Office on Homelessness. CHALLENGE GRANT FUNDING 39%RAPID REHOUSING 2% BENEFITS EMPLOYMENT 8% EMERGENCY SHELTER VOUCHERS 7% ADMINISTRATION 24%STREET OUTREACH/CASE MANAGEMENT 13%HMIS COORDINATEDENTRY 7%OTHER CHALLENGE GRANT FUNDING 39%RAPID REHOUSING 2% BENEFITS EMPLOYMENT 8% EMERGENCY SHELTER VOUCHERS 7% ADMINISTRATION 24%STREET OUTREACH/CASE MANAGEMENT 13%HMIS COORDINATEDENTRY 7%OTHER 2019 ANNUAL REPORT 31 11.1.b Packet Pg. 345 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc FHFC Permanent Supportive Housing Pilot Projects Update Florida Housing Finance Corporation’s statewide pilot projects aimed at housing the most vulnerable and chronically homeless, high utilizers of multi-system services have proven successful since their inception. In alignment with recognized best practices, these three housing projects incorporate Coordinated Entry for homeless households to access the affordable units through the LINK Unit program paired with supportive and tailored services based on the individual’s needs. Consistent throughout these pilot projects is a shift to community-based preventative services, generating a decrease in deep-end crisis services that are costly to the community. IN FOCUS Now on a three-year cycle, the next Unified Homelessness RFA & Contract solicitation will take place in 2022. This consolidation of competitive funding is easier for both CoCs and DCF to manage and allows for data-driven decision making during future funding cycles. Over $12.3 million in homeless-specific dollars in ESG, Challenge Grant, and TANF funding were released to CoCs throughout Florida on July 01, 2019, successfully beginning the 2019-2020 fiscal year (available in Appendix II). Florida Housing Finance Corporation Affordable Housing Workgroup As a continuation from the 2017 Affordable Housing Workgroup, a Low Barrier Entry Workgroup convened five meetings in 2018 to develop recommendations aimed at lowering barriers for extremely low-income (ELI) households, increasing their ability to secure rental housing financed by Florida Housing Finance Corporation (FHFC). These proposed recommendations24 were submitted to FHFC for consideration in future funding cycles. 32 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 346 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc These recommendations will help Floridians who may qualify to participate in FHFC’s funded developments. Within FHFC developments are set-aside LINK Units that target special populations within specific income levels. LINK units are filled by designated referral agencies referring potential tenants to these properties. Often times, applicants who meet the income or special population definition may also bring poor credit or a criminal background. To ensure that these LINK rental units are set aside for the “hard to house” population, it is essential to develop a “no side door” philosophy, work in coordination with the CoC, and access the LINK Units through the Coordinated Entry process to ensure that these units become occupied by the populations they were intended to serve. In addition to these recommendations, the Low Barrier Entry Workgroup endorsed developing a second workgroup with an emphasis on standardizing tenant selection criteria for applicants with a criminal history. The categories addressed in the Low Barrier Entry Workgroup’s final recommendations include tenant selection criteria, tenant application packet and fees, security deposits, income requirements, credit record, criminal and eviction history, and application ineligibility. Coalition Lift in Miami-Dade County Carrfour Supportive Housing’s Coalition Lift program is a demonstration project comprised of 34 newly renovated rental units for ELI residents that pairs housing with on-site supportive services. Coalition Lift is primarily funded by FHFC as part of a statewide initiative aiming to increase the stock of permanent supportive housing and generate data that documents the effectiveness of supportive housing for chronically homeless adults who are high utilizers of services. The initial review of Coalition Lift’s year one interim findings is based on data from 34 participants, separated into three pilot groups, to demonstrate significant cost savings when comparing the costs one-year post-housing to one year prior to their admission into the program. The study showed a 65% reduction in Medicaid costs in addition to resulting in an almost 73% reduction in costs to the hospital system; program participants had zero emergency room visits once housed due to linkage to primary health care. While participants reduced their use of crisis and emergency services provided at hospitals, they transitioned to outpatient, community-based mental health and substance abuse services to address their needs. Pinellas V in Pinellas County Pinellas V is the successor of a different program, Pinellas Hope, that made its start in December 2007 as a temporary emergency shelter for over 250 homeless men and women, located in Clearwater on 20 acres provided by Bishop Robert N. Lynch and the Diocese of St. Petersburg. In 2017, through the Florida Housing Pilot Project funding, a 45-unit development was added and fully leased in June 2017. Catholic Charities, Diocese of St. Petersburg employs two intensive case managers to coordinate support services A formerly homeless individual who refused to go into shelter because of his dogs is now stably housed at Carrfour Supportive Housing. 2019 ANNUAL REPORT 33 11.1.b Packet Pg. 347 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc $244 INCREASE IN MONTHLY INCOME 72% DECREASE IN JAIL COSTS 9.9% DECREASE IN SUBSTANCE USE OR DEPENDENCE 57.6% 43% REDUCTION IN ER SERVICES59% REDUCTION IN INPATIENT SERVICES 30.9% REDUCTION IN SUICIDALITY DECREASE IN HOSPITAL COSTS FIGURE 11. Source, Jacksonville Business Journal, “Permanent Housing For Homeless Saves Jacksonville Taxpayers Money,” presented by Ability Housing. for the Permanent Supportive Housing tenants. Catholic Charities also continues to work closely with the Homeless Leadership Board and Homeless Street Outreach Teams in Pinellas County to coordinate the identification, assessment, and housing of the CoC’s high-cost/high-needs chronically homeless individuals. Village on Wiley in Duval County Village on Wiley in Duval County is approaching its fourth year of operations after opening in the fall of 2015. Of the 68 individuals evaluated25, Ability Housing reports positive outcomes detailed below (in Figure 11). All applicants are working with their pilot-approved cost/ benefits studies’ research teams. Florida Housing’s Board makes funds available every year to support the cost of each pilot site’s cost/benefits study. Meanwhile, DCF and the Agency for Health Care Administration have been very helpful to Florida Housing and the pilot sites in addressing operations or research issues. Local data from the last three years is demonstrating an improved quality of life, including health outcomes and reduced costs to the healthcare and criminal justice systems. The interim findings show a total costs savings of $2,458,992 across publicly funded systems and crisis services utilized by participants. 34 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 348 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 2019 ANNUAL REPORT 35 11.1.b Packet Pg. 349 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc SCHOOLS IDENTIFY HOMELESS CHILDREN AND YOUTH THROUGHOUT THE YEAR, AS OPPOSED TO THE SINGLE NIGHT OF THE POINT IN TIME COUNT. BOTH ARE VALID MEASUREMENT PROCEDURES BUT OFFER CHALLENGES TO DATA COMPARISON. 36 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 350 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc HOMELESS EDUCATION PROGRAM IN FLORIDA, FLORIDA DEPARTMENT OF EDUCATION SYSTEMS DEFINING HOMELESSNESS IN SCHOOL SYSTEMS The McKinney-Vento Act definition of homelessness (Subtitle VII-B) more broadly accounts for the traumatic impact of loss of housing on children and youth and the impact of that trauma on their education and development. This definition includes those children and youth in families that are unsheltered or staying in public shelters or transitional housing, as well as those who have had to move in with relatives or friends or to a motel or hotel or a camp site or travel trailer park or a FEMA trailer, because they have nowhere else to go. Schools identify homeless children and youth throughout the year, as opposed to the single night of the Point in Time Count. Both are valid measurement procedures but offer challenges to data comparison. It is important to note that the living situation designations of school districts are recorded only at the time that a school determines that the student meets MVA eligibility criteria. These living situations tend to be fluid. Over the course a school year, many families live in various situations. Anecdotal evidence from school district homeless liaisons suggests that when families experience extended periods of homelessness, it is common for them to live with others for a while, then move into a motel, then into a public shelter or transitional living situation. Some families even end up living in unsheltered situations. MCKINNEY-VENTO ACT, SUBTITLE VII-B, SECTION 725(2) The term `homeless children and youths’ is defined as: Individuals who lack a fixed, regular, and adequate nighttime residence and includes children and youths who - ■Are sharing the housing of other persons due to loss of housing, economic hardship, or a similar reason ■Are living in motels, hotels, trailer parks, or camping grounds due to the lack of alternative adequate accommodations ■Are living in emergency or transitional shelters; or are abandoned in hospitals ■Have 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 ■Are living in cars, parks, public spaces, abandoned buildings, substandard housing, bus or train stations, or similar settings; and ■Are migratory children (as such term is defined in section 1309 of the Elementary and Secondary Education Act of 1965) who qualify as homeless for the purposes of this subtitle because the children are living in circumstances described in clauses (i) through (iii). 2019 ANNUAL REPORT 37 11.1.b Packet Pg. 351 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc The variations in definition and methodology for counting result in a data set that is, at times, confusing. However, when considered in a broader context, and with other data sets, they provide opportunities for a dynamic understanding of the barriers to stable housing and suggest solutions for removing those barriers. In the education arena, homelessness is defined in a broader way, because research shows that loss of housing detrimentally impacts student academic success. Children and youth whose families lose their housing and move in with family or friends (“doubled up”) are considered homeless under the McKinney-Vento Homeless Assistance Act. Additionally, unlike a community’s point in time count, school districts collect student data throughout the school year. The importance of this difference is highlighted in Tables 1 and 2 in Appendix VI provided by the Florida Department of Education (FDOE). According to the Florida Department of Education data (Figure 12), 76.8% of the 95,860 homeless students identified by Florida’s schools in 2017-2018 are doubled up with family or friends. Since this population does not fit into the classification of literal homelessness, most students identified as homeless by the Department of Education are ineligible to receive assistance through the CoC’s crisis response system, but the impact on their academic performance remains. The next largest percentage of homeless students are those living in motels, which account for 11.6%, followed closely by the 8.6% of homeless students living in shelters. The difference in metrics and definitions makes an almost 8-fold difference in describing family homelessness. Figure 13 below illustrates the identification of the total number of homeless students in Florida over the last five school years as reported by the FDOE. The data collected from the Florida Department of Education documenting the 2017-2018 school year shows a state-wide increase of 19,649 students experiencing homelessness, a nearly 26 percent increase from the previous school year. Nearly all of this increase was due to the impact of Hurricanes Irma and Maria in the fall of 2017. FIGURE 12. Florida Department of Education, Homeless Student Count 2017-2018 School Year LIVING SITUATION IDENTIFIED BY SCHOOL DISTRICTS 2017-2018 3.1%OTHER 11.6%MOTELS 8.6%SHELTERS 76.8%SHARED HOUSING 43% REDUCTION IN ER SERVICES59% REDUCTION IN INPATIENT SERVICES 38 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 352 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc FIGURE 13. Florida Department of Education, Homeless Student Count 2013-2019 NUMBER OF HOMELESS STUDENTS20,000 40,000 60,000 80,000 100,000 0 FLORIDA DEPARTMENT OF EDUCATION HOMELESS STUDENT COUNT 2013-18 2015 2016 2017 2018 2019 71,446 73,229 72,957 76,211 95,860 Families lose housing most frequently due to eviction, foreclosure, or other economic hardship, though in 2017- 2018, the impact of hurricanes accounted for most of the increase in student homelessness. They can also lose housing because of a natural or man-made disaster or domestic violence. In any case, the family loses a legal hold on their space. They are residing in a place by the grace and mercy of friends or relatives or by their last dollars, in a shelter, or on the streets. It doesn’t matter to the children. Their world just turned upside down. In most cases, their school is the only space that looks familiar and “belongs” to them. Even if children have a roof over their heads, the space is not theirs and they are homeless. These circumstances can have a long-lasting detrimental impact on the social-emotional development and educational progress of children. Once housing is lost, especially if lost for economic reasons such as loss of employment, it usually takes a long time for the family to gather the financial resources necessary to regain access to their own housing. Families in this situation can become mobile and have difficulty staying together. HURRICANE IMPACTS Until the 2017-2018 school year, Florida’s school districts identified a steadily increasing number of homeless children and youth. Through the 2016-2017 school year, this increase is due in part to an increase in child and youth homelessness, but also to improved school district identification practices. In 2017-2018 and 2018-2019 school years, sharp increases reflected the impact of hurricanes Irma, Maria, and Michael. In the 2017-2018 school year, almost 20,000 students were impacted and rendered homeless by either Hurricane Irma or Hurricane Maria, resulting in a total of 95,860 Pre-K to grade 12 students identified as homeless – a 26% increase statewide. Many families in Monroe, and other south Florida counties, were rendered homeless, while others in Puerto Rico, and other Caribbean territories found refuge in Florida, at least temporarily. Florida’s school districts responded quickly to receive, place and educate their own and evacuating homeless children and youth. Final data is not currently available for the impact of Hurricane Michael. Preliminary data from Bay District Schools indicate that the impact of Michael was devastating to the school district. In the three years previous to Michael, Bay identified an average of 1,537 homeless students. On October 5, 2018, the last day of school before Hurricane Michael’s landfall, Bay District Schools had identified 748 homeless children and youth. Even given that the district’s web site reported an enrollment reduction of 3,679 students following Hurricane Michael, Bay’s designated homeless liaison reported that, as of April 15, 2019, a total of 5,562 homeless students have been identified, of those are 4,687 due to the hurricane. Michael’s impact was similar in Gulf, Liberty, Calhoun, Gadsden and Jackson counties. The Department of Education is providing additional federal Education of Homeless Education and Youth funds to all of the school districts in the path of Hurricane Michael. Funds will be used to remove barriers to regular school attendance and support for the academic progress of homeless students. 2019 ANNUAL REPORT 39 11.1.b Packet Pg. 353 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc For children and youth who lose their housing, the experience is traumatic. Loss of housing requires most of a child’s attention and emotional energy to understand what is happening to them and their family. Family routines are different, their neighborhood relationships, the foundation of childhood security, are gone and the third primary source of emotional security and relationships, their school, is threatened. While some are more resilient than others, children do not have the life experience or maturity to effectively process this event. The result is doubly detrimental because this age is the time of their lives for setting a foundation of knowledge and skills for life. The academic performance of children and youth who also change schools due to loss of housing tends to drop sharply. The Education of Homeless Children and Youth The McKinney-Vento Homeless Assistance Act (MVA), the driving policy for homeless education, is incorporated into the Federal education code as Title IX, Part A of Every Student Succeeds Act (ESSA)26. The basic tenants of the MVA are that homeless children and youth: ■Have equal access to the same free, appropriate public education, including a public preschool education, as other children and youths; ■Have barriers to identification of homeless children and youth, their attendance and participation in school, and their academic achievement identified and removed; ■Are assured that they will not be separated from the mainstream school environment; and ■Have access to the educational and related services that they need to enable them to meet the same challenging State academic standards to which all students are held. The Florida Department of Education’s (FDOE’s) Strategic Plan27 assures the academic progress of all students, including those experiencing homelessness. It is within the context of this vision that Florida’s schools and school districts work to identify and support homeless children and youth. FDOE’s Homeless Education Program works with school districts to assure that homeless children and youth in Florida are consistently identified, enrolled quickly in eligible schools and programs that are in their best interest, and are fully participating and achieving in available education programs. All school districts emphasize the achievement of three outcomes in their program: 1. Identification of all homeless children and youth in their community, 2. Identification and removal of barriers to regular school attendance and full participation in school programs and activities, and, 3. Continuing academic progress of students experiencing homelessness. While all public school districts are required to comply with the McKinney-Vento Act, congress provides no direct funding. The bulk of funding comes from a set-aside of Title I, Part A (TIPA) funds at the local level. These set-asides range from less than one percent of the total TIPA allocation to five percent. Congress does provide funds to expand and enhance local school district efforts through a competitive procurement process. Forty-seven school districts were awarded these funds for three-year projects ending June 30, 2018-2021. Awards range from $25,000 to $125,000, depending on the number of homeless children and youth identified by the school district. School districts performing at a high level in identifying homeless children and youth received a five percent performance recognition. School districts in the path of Hurricane Michael were provided an opportunity for additional funds, from this source, in the 2019-2020 school year. The McKinney-Vento Act requires each school district to designate a Homeless Education Liaison to coordinate its implementation. Florida’s Homeless Liaisons are greatly resourceful in their ability to garner tangible support within the school district and from their communities. These liaisons are responsible for the following: 1. Referrals of homeless students and their families to available housing, health, mental health, and substance abuse services 2. Assistance to unaccompanied youth to complete the types of tasks that parents would typically do 3. Assistance in obtaining documentation for school enrollment, including medical records 4. Verifying unaccompanied homeless high school graduates’ independent status so they can qualify for college financial aid Partnerships can be formidable as they are assuring that as many students as possible are identified and have the material, supplies, school uniforms, shoes, and other clothing, hygiene products, and academic support to be successful in their education. Partnerships, as well as funds, are an essential resource for a successful homeless education program. School district Homeless Liaisons develop relationships with organizational partners with specific purposes to identify homeless children and youth, remove barriers that prevent regular school attendance, and support academic achievement. 40 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 354 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc The challenges facing school districts in achieving educational outcomes for their homeless children and youth commonly include: ■Housing stability, availability, and affordability; ■Employment for parents and guardians; ■Access to basic needs such as clothing and food, and materials and equipment needed for participation in athletics and afterschool activities; ■Resources to cover the excess cost of transportation for homeless students who remain in the schools they were attending when they became homeless (school of origin); ■Capacity to assure that school staff and community partners are trained to identify families, children, and youth experiencing homelessness; ■Social work and case management capacity to identify and address issues that threaten regular school attendance; ■Capacity to recruit, train, and manage mentors; ■Postsecondary education (technical college, college, university) preparation and guidance for unaccompanied homeless youth; ■Lack of clarity of the statutory definition and parameters of homelessness for the purpose of the state tuition and fee exemption for public postsecondary education (s.1009.25(1)(f), F.S.) In a recent study, the Shimberg Center for Housing Studies and Miami Homes for All released Homelessness and Education in Florida: Impacts on Children and Youth28. Some of the report’s key findings include the following: ■Homeless students were absent for an average of 15 days, compared to 11 days for housed/free-reduced lunch students and 8 days for housed/full price lunch students. ■Passing rates for Florida’s English language arts, math, and science tests were much lower for homeless students than for housed students. ■16 percent of homeless students were suspended from school at least once. The gaps between homeless and housed students would be larger without the array of services that schools provide, including enrollment assistance. To ensure equal access to all students, the Federal McKinney- Vento Homeless Assistance Act guarantees that children and youth who are experiencing homelessness can obtain parallel educational opportunities to all other students. Under McKinney-Vento, students can also participate in any school programs and receive any school services for which they qualify in addition to their rights listed below29. 1. Continue to attend the school they last attended before they lost their housing (school of origin), if that is the parent/guardian’s choice and is in the child’s best interest, or the school which is zoned for their temporary residence; 2. Enroll and attend classes immediately while the school arranges for the transfer of school and immunization records and other required enrollment documents; 3. If necessary, enroll and attend classes in the school selected by the parent/guardian (school of origin or zoned school), while the school and the parent/guardian seek to resolve a dispute over which school is in the best interest of the child - NOTE: This does not mean any school in the district, only the school of origin or zoned school; 4. Receive transportation to the school of origin (if a parent/ guardian requests such transportation). 2019 ANNUAL REPORT 41 11.1.b Packet Pg. 355 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc IN FOCUS The One Family, One Year, One Home Tenant Based Rental Assistance Program was developed in 2016 when Florida Housing Finance Corporation allocated funding for a Small Counties Demonstration Project aimed at providing housing to schoolchildren and their families who were experiencing homelessness. Facilitating this effort, Opening Doors of Northwest Florida – the CoC Lead Agency - engaged FHFC, the Santa Rosa School District, and Milton County Housing Authority. By braiding funding sources to support rental assistance and services, this program has successfully housed 22 families; of those totaling 62 students from Pre-K to 12th grade. Eligibility is based on two components: first, the student must be enrolled in the Santa Rosa School District and second, the student must be eligible for McKinney-Vento Services. Participating families must apply and be willing to participate in a case management program and engage in services that support the child’s school successes. This data resulting from this program tells us that with housing stability comes higher educational achievement, improved school attendance, stable employment, and economic mobility. 100% of the students who participated in this program successfully moved to the following grade level the next school year. In addition to quantifiable outcomes, this program has improved the quality of life for so many families that just cannot be captured in datasets. Among the many success stories from participating families is one special story about a single mom whose family was separated, due to housing instability, at the time of program admission. Due to the support, both financial and service- related, offered by this program, both children are now living in the home and the mom has moved to full-time employment. This program not only helped her obtain and afford a permanent apartment and a stable address; but allowed for the children’s reunification into a permanent living situation. Santa Rosa School District 42 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 356 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc APPENDIX I: 2018 Update: Policy Recommendations 1. Appropriate 100 percent of Affordable Housing Trust Fund monies for affordable housing. Governor Scott’s final budget for Fiscal Year 2018-2019 redirected $182 million that was earmarked for affordable housing to the General Fund. With an already existing affordable housing deficit, the deduction of dollars from the Affordable Housing Trust Fund only inflamed the shortage of affordable housing options for all Floridians. 2. Continue strengthening the capacity of Homeless Continuums of Care by continuing appropriations for CoC Lead Agency Staffing Grants and reestablishing funding for Challenge Grants. Although DCF was provided budget authority for the Challenge Grants for fiscal year 2018-2019, no proviso language appeared in the budget to allow the transfer of source funding from the LGHTF. Therefore, homeless CoCs throughout the state managed to address homelessness in their local communities with $5 million fewer resources to end homelessness in the 2018-2019 fiscal year. 3. Embrace best practices and incentivize the use of best practices at the local level. With already tight and exhausted budgets, plus a reduction in state funding to address homelessness in local communities, CoCs continued to improve their homeless response systems by employing best practices when serving Floridians experiencing homelessness. However, it is difficult to incentivize best practices when you do not have funding for activities like training and professional development; which then prohibits the development of a robust homeless response system. CoCs are continuing to find creative ways to achieve their mission of making homelessness rare, brief, and one-time despite the financial obstacles. 4. Appropriate funding to match, dollar-for-dollar, the Title IX resources to the Department of Education to fund services that assist homeless school children with priority to supplement transportation. Funding to match Title IX resources to ensure homeless school children have transportation available to access to continuing education at their school of origin did not get appropriated during this legislative session. The Council will continue advocating for funding and resources that will benefit children experiencing homelessness within our school system. 5. Revise Florida Statutes 420.621-626. No revisions to the Florida Statutes 420.621-626 occurred during the legislative session. The Council believes this is an important recommendation and will continue advocating for these revisions to this State Statute in future legislative sessions. 2019 ANNUAL REPORT 43 11.1.b Packet Pg. 357 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc APPENDIX II: CoC Funding Appendix II, Table 1: CoC Funding Table from Federal and State Sources CoC #CoC Total Funding Award HUD CoC State Total State Challenge State HUD- ESG State Staffing State TANF-HP FL-500 Manatee Sarasota CoC $571,234.83 -$571,234.83 $110,591.98 $317,500.00 $107,142.85 $36,000.00 FL-501 Hillsborough CoC $6,769,376.31 $6,347,400.00 $421,976.31 $82,333.46 $232,500.00 $107,142.85 - FL-502 Pinellas CoC $4,769,872.42 $4,129,427.00 $640,445.42 $143,385.82 $330,416.75 $107,142.85 $59,500.00 FL-503 Polk CoC $2,394,735.83 $1,974,655.00 $420,080.83 $110,591.98 $174,939.00 $107,142.85 $27,407.00 FL-504 Flagler Volusia CoC $2,006,968.67 $1,420,440.00 $586,528.67 $143,385.82 $285,000.00 $107,142.85 $51,000.00 FL-505 Okaloosa Walton CoC $1,307,222.12 $676,587.00 $630,635.12 $143,385.82 $350,106.45 $107,142.85 $30,000.00 FL-506 Franklin Gadsden Jefferson Leon Liberty Madison Taylor Wakulla CoC $1,902,618.22 $1,451,760.00 $450,858.22 $143,385.82 $170,329.55 $107,142.85 $30,000.00 FL-507 Orange Osceola Seminole CoC $8,606,914.67 $8,069,046.00 $537,868.67 $143,385.82 $257,240.00 $107,142.85 $30,100.00 FL-508 Alachua Bradford Gilchrist Levy Putnam CoC $1,283,705.57 $703,177.00 $580,528.57 $143,385.82 $299,999.90 $107,142.85 $30,000.00 FL-509 Indian River Martin St. Lucie CoC $2,388,095.15 $1,710,063.00 $678,032.15 $180,366.10 $390,523.20 $107,142.85 - FL-510 Clay Duval Nassau CoC $5,215,671.61 $4,659,124.00 $556,547.61 $179,904.76 $227,500.00 $107,142.85 $42,000.00 FL-511 Escambia Santa Rosa CoC $1,477,519.20 $815,404.00 $662,115.20 $180,366.10 $332,606.25 $107,142.85 $42,000.00 FL-512 St. Johns CoC $597,783.31 $133,307.00 $464,476.31 $82,333.46 $245,000.00 $107,142.85 $30,000.00 FL-513 Brevard CoC $1,225,364.31 $742,388.00 $482,976.31 $82,333.46 $257,500.00 $107,142.85 $36,000.00 FL-514 Marion CoC $835,863.83 $292,129.00 $543,734.83 $110,591.98 $290,000.00 $107,142.85 $36,000.00 FL-515 Bay Calhoun Gulf Holmes Jackson Washington CoC $573,914.83 $53,680.00 $520,234.83 $110,591.98 $272,500.00 $107,142.85 $30,000.00 FL-517 Desoto Glades Hardee Hendry Highlands Okeechobee CoC $732,137.58 $184,256.00 $547,881.58 $110,591.98 $330,146.75 $107,142.85 - 44 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 358 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc CoC #CoC Total Funding Award HUD CoC State Total State Challenge State HUD- ESG State Staffing State TANF-HP FL-518 Columbia Hamilton Lafayette Suwanee CoC $926,447.67 $360,919.00 $565,528.67 $143,385.82 $272,500.00 $107,142.85 $42,500.00 FL-519 Pasco CoC $1,443,578.83 $911,344.00 $532,234.83 $110,591.98 $272,500.00 $107,142.85 $42,000.00 FL-520 Citrus Hernando Lake Sumter CoC $1,020,040.12 $428,405.00 $591,635.12 $143,385.82 $305,106.45 $107,142.85 $36,000.00 FL-600 Miami Dade CoC $32,023,730.83 $31,480,996.00 $542,734.83 $110,591.98 $290,000.00 $107,142.85 $35,000.00 FL-601 Broward CoC $10,741,344.67 $10,201,816.00 $539,528.67 $143,385.82 $257,500.00 $107,142.85 $31,500.00 FL-602 Charlotte CoC $873,818.95 $258,810.00 $615,008.95 $180,366.10 $285,000.00 $107,142.85 $42,500.00 FL-603 Lee CoC $2,169,057.31 $1,835,851.00 $333,476.31 $82,333.46 $108,000.00 $107,142.85 $36,000.00 FL-604 Monroe CoC $1,204,944.15 $491,912.00 $713,032.15 $180,366.10 $390,523.20 $107,142.85 $35,000.00 FL-605 Palm Beach CoC $6,054,741.83 $5,795,007.00 $259,734.83 $110,591.98 -$107,142.85 $42,000.00 FL-606 Collier CoC $487,210.31 $297,734.00 $189,476.31 $82,333.46 -$107,142.85 - TOTALS $99,603,913.13 $85,425,367.00 $14,178,546.13 $3,488,244.68 $6,944,937.50 $2,892,856.95 $852,507.00 State HUD-ESG = Federal Emergency Solutions Grant (ESG) funding allocated to the State of Florida by the Department of Housing and Urban Development, to be used for homeless-related housing interventions, outreach, shelters, and more. State TANF-HP = Federal Temporary Assistance to Needy Families (TANF) funding that is allocated to the State of Florida, which is utilized for Homelessness Prevention (HP) services. State Staffing = Funding appropriated by the State of Florida legislature to build capacity in local homeless Continuums of Care (CoCs). State Challenge = Funding appropriated by the State of Florida legislature, and allocated from the Local and State Government Housing Trust Fund, to provide a variety of homelessness-related services and housing. HUD-CoC = Federal Continuum of Care funding granted to local homeless Continuums of Care (CoCs) on a competitive basis to coordinate programs, provide housing interventions, and collect and manage data related to homelessness. Note: State funding reflects FY2018-2019 levels. HUD-CoC funding reflects HUD-CoC awards for the 2018 competition, some of which may not be contracted until 2019-2020. 2019 ANNUAL REPORT 45 11.1.b Packet Pg. 359 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc APPENDIX III: Point-In-Time Count Data Appendix III, Table 1: Total Homeless, 2015-2019 CoC #Continuum of Care (CoC) Geographic Area 2015 2016 2017 2018 2019 FL-500 Manatee, Sarasota Counties CoC 1,198 1,468 1,447 1,192 1,135 FL-501 Hillsborough County CoC 1,931 1,817 1,549 1,795 1,650 FL-502 Pinellas County CoC 3,387 2,777 2,831 2,612 2,415 FL-503 Polk County CoC 464 635 512 552 563 FL-504 Flagler, Volusia Counties CoC 1,325 1,005 753 683 875 FL-505 Okaloosa, Walton Counties CoC 683 629 401 495 399 FL-506 Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla Counties CoC 863 869 1,072 909 966 FL-507 Orange, Osceola, Seminole Counties CoC 2,112 1,613 2,074 2,053 2,010 FL-508 Alachua, Bradford, Gilchrist, Levy, Putnam Counties CoC 870 844 819 756 804 FL-509 Indian River, Martin, St. Lucie Counties CoC 2,412 2,382 1,732 1,542 1,499 FL-510 Clay, Duval, Nassau Counties CoC 1,853 1,959 1,869 1,794 1,654 FL-511 Escambia, Santa Rosa Counties CoC 1,014 798 758 632 518 FL-512 St. Johns County CoC 1,161 1,064 445 342 356 FL-513 Brevard County CoC 1,072 827 845 734 815 FL-514 Marion County CoC 787 823 725 571 475 FL-515 Bay, Calhoun, Gulf, Holmes, Jackson, Washington Counties CoC 317 310 336 381 488 FL-517 Desoto, Glades, Hardee, Hendry, Highlands, Okeechobee Counties CoC 1,218 1,071 609 453 403 FL-518 Columbia, Hamilton, Lafayette, Suwanee Counties CoC 1,115 1,145 502 493 538 FL-519 Pasco County CoC 1,019 1,055 2,512 1,356 894 FL-520 Citrus, Hernando, Lake, Sumter Counties CoC 731 595 635 711 677 FL-600 Miami-Dade County CoC 4,152 4,235 3,721 3,516 3,472 FL-601 Broward County CoC 2,615 2,302 2,450 2,318 2,803 FL-602 Charlotte County CoC 562 388 222 164 156 FL-603 Lee County CoC 614 439 431 728 630 FL-604 Monroe County CoC 615 575 631 973 501 FL-605 Palm Beach County CoC 1,421 1,332 1,607 1,309 1,397 FL-606 Collier County CoC 389 545 621 653 498 TOTALS 35,900 33,502 32,109 29,717 28,591 46 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 360 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Appendix III, Table 2: Sheltered and Unsheltered, 2019 CoC #CoC Name Sheltered Unsheltered % Unsheltered Total FL-500 Suncoast Partnership to End Homelessness 735 400 35%1,135 FL-501 Tampa Hillsborough Homeless Initiative 978 672 41%1,650 FL-502 Pinellas County Homeless Leadership Board 1,581 834 35%2,415 FL-503 Homeless Coalition of Polk County 449 114 20%563 FL-504 Volusia/Flagler County Coalition for the Homeless 368 507 58%875 FL-505 Homelessness & Housing Alliance 165 234 59%399 FL-506 Big Bend Continuum of Care 875 91 9%966 FL-507 Homeless Services Network of Central FL 1,674 336 17%2,010 FL-508 United Way of North Central FL 302 502 62%804 FL-509 Treasure Coast Homeless Services Council 154 1,345 90%1,499 FL-510 Changing Homelessness 1,146 508 31%1,654 FL-511 Opening Doors of NWFL 341 177 34%518 FL-512 Flagler Hospital - St Augustine 156 200 56%356 FL-513 Brevard Homeless Coalition 418 397 49%815 FL-514 Marion County Homeless Council 296 179 38%475 FL-515 Doorways of NWFL 133 355 73%488 FL-517 Heartland Coalition for the Homeless 53 350 87%403 FL-518 United Way of Suwannee Valley 113 425 79%538 FL-519 Coalition for the Homeless of Pasco County 206 688 77%894 FL-520 Mid FL Homeless Coalition 346 331 49%677 FL-600 Miami-Dade County Homeless Trust 2,464 1,008 29%3,472 FL-601 Broward County Homeless Initiative Partnership 1,453 1,350 48%2,803 FL-602 Gulf Coast Partnership 89 67 43%156 FL-603 Lee County Human & Veteran Services 468 162 26%630 FL-604 Monroe County Homeless Services CoC 292 209 42%501 FL-605 Palm Beach County Division of Human Services 457 940 67%1,397 FL-606 Hunger & Homeless Coalition of Collier County 399 99 20%498 TOTALS 16,111 12,480 44%28,591 2019 ANNUAL REPORT 47 11.1.b Packet Pg. 361 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Appendix III, Table 3: Homeless Population Characteristics, 2018-2019 The 27 local Continuum of Care planning agencies have reported the following information on the makeup of the homeless population in Florida. They captured this information from direct interviews or from agency data on persons experiencing homelessness served as entered into the HMIS. The current 2019 data is compared to reported 2018 data. Reported characteristics are based the individuals own self-report and may not have been verified. Gender Gender 2018 Number 2018 Percentage 2019 Number 2019 Percentage Female 12,109 38.1%10,055 35.2% Male 18,309 61.6%18,449 65.5% Transgender 67 0.2%67 .2% Gender Nonconforming 34 0.1%20 .01% TOTAL 29,717 100%28,591 100% Age Age Range 2018 Number 2018 Percentage 2019 Number 2019 Percentage Under 18 5,532 18.6%4,838 16.9% 18-24 1,981 6.7%1,628 5.7% Over 24 22,204 74.7%22,125 77.4% TOTAL 29,717 100%28,591 100% Ethnicity Ethnicity 2018 Number 2018 Percentage 2019 Number 2019 Percentage Hispanic/Latino 4,098 13.8%3,755 13.1% Non-Hispanic/ Non-Latino 25,619 86.2%24,836 86.9% TOTAL 29,717 100%28,591 100% Race Population Category 2018 Number 2018 Percentage 2019 Number 2019 Percentage American Indian or Alaska Native 242 0.8%233 0.8% Asian 110 0.4%109 0.4% Black or African American 11,663 39.2%11,677 40.8% Multiple Races 980 3.3%771 2.7% Native Hawaiian or Pacific Islander 93 0.3%93 0.3% White 16,629 56.0%15,708 54.9% TOTAL 29,717 100%28,591 100% 48 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 362 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Household Composition Household Type 2018 Number 2018 Percentage 2019 Number 2019 Percentage People in households with at least one adult and one child 8,300 27.9%7,287 25.5% People in households without children 20,973 70.6%21,048 73.6% People in households with only children 444 1.5%256 0.9% TOTAL 29,717 100%28,591 100% Military Veterans Served/Active Duty 2018 Number 2018 Percentage 2019 Number 2019 Percentage Yes 2,515 8.5%2,384 8.3% No 27,202 91.5%26,207 91.7% TOTAL 29,717 100%28,591 100% Other Characteristics Condition 2018 Number 2018 Percentage 2019 Number 2019 Percentage Substance Use Disorder 4,202 14.1%3,948 13.8% Severely Mentally Ill 4,804 16.2%4,947 17.3% HIV/AIDS 377 1.3%505 1.8% SURVIVORS OF DOMESTIC VIOLENCE 1,682 5.6%2,029 7.1% 2019 ANNUAL REPORT 49 11.1.b Packet Pg. 363 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc CoC #Continuum of Care (CoC) Geographic Area 2015 2016 2017 2018 2019 FL-500 Manatee, Sarasota Counties CoC 219 311 285 250 246 FL-501 Hillsborough County CoC 315 254 235 262 264 FL-502 Pinellas County CoC 633 607 690 434 722 FL-503 Polk County CoC 100 88 77 84 80 FL-504 Flagler, Volusia Counties CoC 301 210 85 90 89 FL-505 Okaloosa, Walton Counties CoC 305 306 92 119 269 FL-506 Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla Counties CoC 134 81 112 151 152 FL-507 Orange, Osceola, Seminole Counties CoC 212 106 182 272 478 FL-508 Alachua, Bradford, Gilchrist, Levy, Putnam Counties CoC 395 265 284 272 261 FL-509 Indian River, Martin, St. Lucie Counties CoC 131 77 134 64 51 FL-510 Clay, Duval, Nassau Counties CoC 353 337 286 327 301 FL-511 Escambia, Santa Rosa Counties CoC 219 216 132 78 52 FL-512 St. Johns County CoC 121 35 42 65 14 FL-513 Brevard County CoC 159 193 153 116 206 FL-514 Marion County CoC 66 201 137 173 181 FL-515 Bay, Calhoun, Gulf, Holmes, Jackson, Washington Counties CoC 25 30 38 98 34 FL-517 Desoto, Glades, Hardee, Hendry, Highlands, Okeechobee Counties CoC 227 335 283 259 235 FL-518 Columbia, Hamilton, Lafayette, Suwanee Counties CoC 209 279 34 38 41 FL-519 Pasco County CoC 433 404 418 495 265 FL-520 Citrus, Hernando, Lake, Sumter Counties CoC 38 23 40 36 68 FL-600 Miami-Dade County CoC 526 472 294 384 378 FL-601 Broward County CoC 444 430 581 641 914 FL-602 Charlotte County CoC 156 76 29 45 48 FL-603 Lee County CoC 180 90 65 132 110 FL-604 Monroe County CoC 148 125 83 62 36 FL-605 Palm Beach County CoC 452 455 252 164 215 FL-606 Collier County CoC 39 73 77 119 61 TOTALS 6,540 6,079 5,120 5,230 5,771 Appendix III, Table 4: Chronic Homelessness, 2015-2019 50 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 364 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc CoC #Continuum of Care (CoC) Geographic Area 2015 2016 2017 2018 2019 FL-500 Manatee, Sarasota Counties CoC 152 161 149 108 111 FL-501 Hillsborough County CoC 313 181 172 171 149 FL-502 Pinellas County CoC 589 380 329 281 316 FL-503 Polk County CoC 44 42 35 26 38 FL-504 Flagler, Volusia Counties CoC 110 36 52 44 61 FL-505 Okaloosa, Walton Counties CoC 117 37 27 30 21 FL-506 Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla Counties CoC 113 117 110 108 91 FL-507 Orange, Osceola, Seminole Counties CoC 320 231 218 181 177 FL-508 Alachua, Bradford, Gilchrist, Levy, Putnam Counties CoC 217 123 126 114 126 FL-509 Indian River, Martin, St. Lucie Counties CoC 68 50 72 61 50 FL-510 Clay, Duval, Nassau Counties CoC 184 130 125 121 118 FL-511 Escambia, Santa Rosa Counties CoC 167 112 117 103 64 FL-512 St. Johns County CoC 24 36 40 30 25 FL-513 Brevard County CoC 193 160 187 169 182 FL-514 Marion County CoC 95 108 72 69 81 FL-515 Bay, Calhoun, Gulf, Holmes, Jackson, Washington Counties CoC 40 39 34 34 54 FL-517 Desoto, Glades, Hardee, Hendry, Highlands, Okeechobee Counties CoC 0 12 16 18 1 FL-518 Columbia, Hamilton, Lafayette, Suwanee Counties CoC 139 140 43 41 29 FL-519 Pasco County CoC 114 100 215 186 92 FL-520 Citrus, Hernando, Lake, Sumter Counties CoC 62 49 57 45 57 FL-600 Miami-Dade County CoC 236 157 167 120 169 FL-601 Broward County CoC 247 210 197 189 219 FL-602 Charlotte County CoC 65 65 55 40 43 FL-603 Lee County CoC 62 19 13 18 25 FL-604 Monroe County CoC 93 87 87 67 50 FL-605 Palm Beach County CoC 157 115 65 130 30 FL-606 Collier County CoC 5 5 9 11 5 TOTALS 3,926 2,902 2,789 2,515 2,384 Appendix III, Table 5: Homelessness Among Veterans, 2015-2019 2019 ANNUAL REPORT 51 11.1.b Packet Pg. 365 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc CoC #Continuum of Care (CoC) Geographic Area 2015 2016 2017 2018 2019 FL-500 Manatee, Sarasota Counties CoC 220 249 245 238 160 FL-501 Hillsborough County CoC 568 533 479 602 456 FL-502 Pinellas County CoC 484 394 365 359 381 FL-503 Polk County CoC 116 218 170 198 189 FL-504 Flagler, Volusia Counties CoC 395 256 198 199 301 FL-505 Okaloosa, Walton Counties CoC 117 108 154 147 80 FL-506 Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla Counties CoC 238 234 262 269 215 FL-507 Orange, Osceola, Seminole Counties CoC 720 576 732 713 745 FL-508 Alachua, Bradford, Gilchrist, Levy, Putnam Counties CoC 82 248 120 113 129 FL-509 Indian River, Martin, St. Lucie Counties CoC 1,113 1,457 982 688 745 FL-510 Clay, Duval, Nassau Counties CoC 499 493 425 384 289 FL-511 Escambia, Santa Rosa Counties CoC 140 183 139 165 45 FL-512 St. Johns County CoC 264 283 150 123 120 FL-513 Brevard County CoC 456 322 262 213 211 FL-514 Marion County CoC 168 173 126 129 110 FL-515 Bay, Calhoun, Gulf, Holmes, Jackson, Washington Counties CoC 45 44 51 68 34 FL-517 Desoto, Glades, Hardee, Hendry, Highlands, Okeechobee Counties CoC 598 470 232 161 161 FL-518 Columbia, Hamilton, Lafayette, Suwanee Counties CoC 239 260 130 106 84 FL-519 Pasco County CoC 227 262 1,696 552 209 FL-520 Citrus, Hernando, Lake, Sumter Counties CoC 245 181 191 285 178 FL-600 Miami-Dade County CoC 1,432 1,053 1,175 1,091 1,160 FL-601 Broward County CoC 516 458 413 462 462 FL-602 Charlotte County CoC 249 165 57 34 25 FL-603 Lee County CoC 94 129 114 305 334 FL-604 Monroe County CoC 53 78 50 249 32 FL-605 Palm Beach County CoC 201 324 326 345 264 FL-606 Collier County CoC 96 207 119 102 168 TOTAL 9,575 9,358 9,363 8,300 7,287 Appendix III, Table 6: Family Homelessness: Total Persons in Families with Children, 2015-2019 52 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 366 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc County 2015 2016 2017 2018 2019 County 2015 2016 2017 2018 2019 Alachua 636 777 702 641 714 Lee 638 439 431 728 630 Baker N/C N/C N/C N/C N/C Leon 808 768 1,022 903 951 Bay 308 310 316 372 470 Levy 13 14 38 26 27 Bradford 0 N/C 6 33 4 Liberty 2 1 N/C N/C N/C Brevard 1,178 827 845 734 815 Madison 1 8 N/C N/C N/C Broward 2,624 2,302 2,450 2,318 2,803 Manatee 308 497 570 545 541 Calhoun 6 N/C 4 0 2 Marion 787 823 725 571 475 Charlotte 548 388 222 164 156 Martin 504 610 498 311 305 Citrus 180 224 175 169 262 Miami-Dade 4,152 4,235 3,721 3,516 3,472 Clay 147 76 84 62 74 Monroe 615 575 631 973 501 Collier 389 545 621 653 498 Nassau 140 99 142 92 86 Columbia 538 596 292 485 316 Okaloosa 592 464 302 322 372 DeSoto 333 270 178 104 104 Okeechobee 158 128 73 50 48 Dixie N/C N/C N/C N/C N/C Orange 1,396 1,228 1,522 1,539 1,544 Duval 1,566 1,784 1,643 1,640 1,494 Osceola 372 175 239 226 214 Escambia 884 745 693 598 504 Palm Beach 1,421 1,332 1,607 1,309 1,397 Flagler 105 104 75 62 130 Pasco 1,045 1,055 2,512 1,356 894 Franklin 23 4 N/C N/C N/C Pinellas 3,387 2,777 2,831 2,612 2,415 Gadsden 9 42 25 6 2 Polk 464 635 512 552 563 Gilchrist 0 N/C 1 0 0 Putnam 26 53 72 56 59 Glades 96 85 44 36 34 St. Johns 1,161 1,064 445 342 356 Gulf 0 N/C N/C 2 4 St. Lucie 1,096 1,016 642 784 708 Hamilton 114 114 44 N/C 45 Santa Rosa 130 53 65 34 13 Hardee 124 96 81 82 70 Sarasota 943 971 877 647 594 Hendry 138 107 61 45 45 Seminole 344 210 313 288 252 Hernando 218 143 189 182 151 Sumter 68 30 29 48 10 Highlands 483 385 172 136 102 Suwannee 350 367 142 8 150 Hillsborough 1,817 1,549 1,795 1,650 Taylor N/C 28 N/C N/C 9 Holmes 0 N/C 2 3 0 Union N/C N/C N/C N/C N/C Indian River 812 756 592 447 486 Volusia 1,222 901 678 621 745 Jackson 3 N/C 14 2 5 Wakulla N/C 10 25 0 4 Jefferson 4 8 N/C N/C N/C Walton 91 165 99 173 27 Lafayette 68 68 24 N/C 27 Washington 0 N/C N/C 2 7 Lake 265 198 242 312 254 TOTALS 35,964 33,502 32,109 29,717 28,590 Appendix III, Table 7: Point in Time Counts by County, 2015-2019 1,931 2019 ANNUAL REPORT 53 11.1.b Packet Pg. 367 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc APPENDIX IV: CoC Geographic Areas and Lead Agencies 54 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 368 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc APPENDIX V: Designated CoC Lead Agency Contact Information CoC #Contact Continuum of Care Counties Served FL-500 Tara Booker P – 941-955-8987 F – 941-209-5595 tara@suncoastpartnership.org www.suncoastpartnership.org Suncoast Partnership to End Homelessness 1750 17th Street, Bldg. C-1 Sarasota, FL 34234 Manatee, Sarasota FL-501 Antoinette Hayes-Triplett P – 813-223-6115 F – 813-223-6178 tripletta@thhi.org www.thhi.org Tampa Hillsborough Homeless Initiative 601 East Kennedy Boulevard 24th Floor Tampa, FL 33602 Hillsborough FL-502 Susan Myers P – 727-582-7916 F – 727-528-5764 smyers@pinellasHLB.org www.pinellasHLB.org Pinellas County Homeless Leadership Board 647 1st Avenue, North St. Petersburg, FL 33701 Pinellas FL-503 Laura Lee Gwinn P – 863-687-8386 F – 863-802-1436 lgwinn@polkhomeless.org www.polkhomeless.org Homeless Coalition of Polk County 328 W Highland Drive Lakeland, FL 33813 Polk FL-504 Jeff White P – 386-279-0029 F – 386-279-0028 jwhite@vfcch.org www.vfcch.org Volusia/Flagler County Coalition for the Homeless Mailing Address: P.O. Box 309 Daytona Beach, FL 32115-0390 Physical Address: 324 North Street Daytona Beach, FL 32114 Volusia, Flagler FL-505 Sarah Yelverton P – 850-362-7429 sarah@hhalliance.org www.hhalliance.org Homelessness and Housing Alliance P.O. Box 115 Ft. Walton Beach, FL 32549 Okaloosa, Walton 2019 ANNUAL REPORT 55 11.1.b Packet Pg. 369 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc CoC #Contact Continuum of Care Counties Served FL-506 Amanda Wander P – 850-792-5015 F – 850-488-1616 awander@bigbendcoc.org www.bigbendcoc.org Apalachee Regional Planning Council 2507 Callaway Road, Suite 200 Tallahassee, FL 32303 Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla FL-507 Martha Are P – 407-893-0133 F – 407-893-5299 martha.are@hsncfl.org www.hsncfl.org Homeless Services Network of Central Florida 4065 L.B. McLeod Road Unit 4065-D Orlando, FL 32811 Orange, Osceola, Seminole FL-508 Mona Gil de Gibaja P – 352-331-2800 mgildegibaja@unitedwayncfl.org www.unitedwayncfl.org United Way of North Central Florida 6031 NW 1st Place Gainesville, FL 32607 Alachua, Bradford, Gilchrist, Levy, Putnam FL-509 Louise Hubbard P – 772-567-7790 F – 772-567-5991 irhsclh@aol.com www.tchelpspot.org Treasure Coast Homeless Services Council 2525 St. Lucie Avenue Vero Beach, FL  32960 Indian River, Martin, St. Lucie FL-510 Dawn Gilman P – 904-354-1100 F – 866-371-8637 dgilman@changinghomelessness.org www.changinghomelessness.org Changing Homelessness 660 Park Street Jacksonville, FL 32204 Clay, Duval, Nassau FL-511 John Johnson P – 850-439-3009, ext. 106 F – 850-436-4656 johnj@openingdoorsnwfl.org www.openingdoorsNWFL.org Opening Doors Northwest Florida Mailing Address: P.O. Box 17222 Pensacola, FL 32522 Physical Address: 3702 N. Pace Boulevard Pensacola, FL 32505 Escambia, Santa Rosa FL-512 John Eaton P – 904-819-4425 John.eaton@flaglerhospital.org Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 St. Johns 56 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 370 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc CoC #Contact Continuum of Care Counties Served FL-513 Miriam Moore P – 321-652-2737 miriam@brevardhomelesscoalition.org www.brevardhomelesscoalition.org Brevard Homeless Coalition c/o Space Coast Health Foundation 6905 N Wickham Road, Suite 301 Melbourne, FL 32940 Brevard FL-514 Angela Juaristic P – 352-732-1380 F – 352-622-2975 angela@mchcfl.org www.mchcfl.org Marion County Homeless Council 108 N. Magnolia Avenue, Suite 202 Ocala, FL 34475 Marion FL-515 Yvonne Petrasovits P – 850-481-5446 director@doorwaysnwfl.org www.doorwaysnwfl.org Doorways of NWFL P.O. Box 549 Panama City, FL 32402-0549 Bay, Calhoun, Gulf, Holmes, Jackson, Washington FL-517 Brenda Gray P – 863-453-8901 or 863/657-2637 F – 863-453-8903 Brenda.gray@heartlandhomeless.com www.heartlandhomeless.com Heartland Coalition for the Homeless Mailing Address: P.O. Box 1023 Avon Park, FL 33826-1023 Physical Address: 752 U.S. Highway 27 North Avon Park, FL 33825 DeSoto, Glades, Hardee, Hendry, Highlands, Okeechobee FL-518 Jennifer Anchors P – 386-752-5604 F – 386-752-0105 Jen@unitedwaysuwanneevalley.org www.unitedwsv.org United Way of Suwannee Valley 871 SW State Road 47 Lake City, FL 32025-0433 Columbia, Hamilton, Lafayette, Suwannee FL-519 Don Anderson P – 727-842-8605 F – 727-842-8538 don@pascohomelesscoalition.org www.pascohomelesscoalition.org Coalition for the Homeless of Pasco County 5652 Pine Street New Port Richey, FL 34655 Pasco FL-520 Barbara Wheeler P – 352-860-2308 F – 352-600-3374 mfhc01@gmail.com www.midfloridahomeless.org Mid Florida Homeless Coalition 104 E Dampier Street Inverness, FL 34450 Citrus, Hernando, Lake, Sumter 2019 ANNUAL REPORT 57 11.1.b Packet Pg. 371 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc CoC #Contact Continuum of Care Counties Served FL-600 Victoria Mallette P – 305-375-1491 F – 305-375-2722 vmallette@miamidade.gov www.homelesstrust.org Miami-Dade County Homeless Trust 111 NW 1st Street, Suite 27-310 Miami, FL 33128 Miami-Dade FL-601 Rebecca Mcguire P – 954-357-5686 F – 954-357-5521 RMcguire@broward.org www.broward.org/homeless Broward County Homeless Initiative Partnership 115 S. Andrews Avenue., Room A-370 Ft. Lauderdale, FL 33301 Broward FL-602 Angela Hogan P – 941-626-0220 F – 941-347-8154 ahogan@gulfcoastpartnership.org www.gulfcoastpartnership.org Gulf Coast Partnership 408 Tamiami Trail, Unit 121 Punta Gorda, FL 33950 Charlotte FL-603 Jeannie Sutton P – 239-533-7958 F – 239-533-7955 jsutton@leegov.com www.leehomeless.org Lee County Human & Veteran Services 2440 Thompson Street Fort Myers, FL 33901 Lee FL-604 Mark Lenkner P – 305-440-2315 mark.lenkner@monroehomelesscoc.org www.monroehomelesscoc.org Monroe County Homeless Services CoC P.O. Box 2410 Key West, FL 33045 Monroe FL-605 Sonya McNair P – 561- 355-4772 F – 561-355-4801 smcnair@pbcgov.org www.homelesscoalitionpbc.org Palm Beach County Division of Human Services 810 Datura Street, Suite 350 West Palm Beach, FL 33401 Palm Beach FL-606 Christine Welton P – 239-263-9363 F – 239-263-6058 executivedirector@collierhomelesscoalition.org www.collierhomelesscoalition.org Hunger & Homeless Coalition of Collier County Mailing Address: P.O. Box 9202 Naples, FL 34101 Physical Address: 3510 Kraft Road, Suite 200 Naples, FL 34105 Collier 58 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 372 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc APPENDIX VI: Homeless Students in Public Schools Appendix VI, Table 1: FDOE Reported Homeless Students, 2017-2018 District Number District Name Living Situation at the Time the Student Was Identified as Homeless Total Homeless Total Non- Homeless Unaccompanied Youth Shelters Sharing Housing Other Motels 01 Alachua 113 797 33 78 1,021 30,335 68 02 Baker <11 87 <11 <11 97 5,299 <11 03 Bay 50 1,243 61 169 1,523 28,741 135 04 Bradford 0 134 <11 15 155 3,571 <11 05 Brevard 206 2,065 110 382 2,763 76,267 227 06 Broward 449 3,637 241 576 4,903 284,248 335 07 Calhoun 0 72 <11 0 73 2,416 <11 08 Charlotte 28 321 13 73 435 16,923 57 09 Citrus 79 520 38 32 669 16,945 58 10 Clay 42 602 19 65 728 39,816 93 11 Collier 137 1,085 50 95 1,367 48,326 341 12 Columbia 79 498 25 69 671 10,441 31 13 Miami-Dade 1,864 6,453 241 399 8,957 366,359 349 14 Desoto <11 122 <11 0 134 5,298 <11 15 Dixie 0 75 <11 <11 80 2,306 <11 16 Duval 436 4,848 43 490 5,817 139,251 675 17 Escambia 166 1,591 13 139 1,909 41,400 94 18 Flagler 21 448 23 37 529 13,783 41 19 Franklin <11 262 19 <11 290 1,212 37 20 Gadsden <11 268 <11 <11 287 5,809 <11 21 Gilchrist 0 <11 <11 <11 13 2,947 <11 22 Glades <11 32 <11 0 39 1,938 <11 23 Gulf 0 13 0 <11 16 2,145 <11 24 Hamilton <11 312 <11 20 335 1,485 <11 25 Hardee <11 120 15 <11 147 5,626 <11 26 Hendry 130 1,054 22 25 1,231 7,216 50 2019 ANNUAL REPORT 59 11.1.b Packet Pg. 373 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc District Number District Name Living Situation at the Time the Student Was Identified as Homeless Total Homeless Total Non- Homeless Unaccompanied Youth Shelters Sharing Housing Other Motels 27 Hernando 34 516 29 76 653 23,911 93 28 Highlands 44 550 23 34 651 12,953 <11 29 Hillsborough 424 3,705 111 619 4,865 235,961 340 30 Holmes 0 70 0 <11 71 3,587 <11 31 Indian River 74 265 12 65 416 18,751 6 32 Jackson 0 131 14 13 158 7,035 22 33 Jefferson 0 35 <11 0 38 880 <11 34 Lafayette <11 90 104 0 198 1,120 <11 35 Lake 103 1,959 42 165 2,269 45,398 115 36 Lee 239 1,360 75 397 2,071 100,527 54 37 Leon 178 516 20 76 790 35,995 127 38 Levy 22 183 <11 <11 210 5,961 <11 39 Liberty 0 25 <11 0 29 1,656 <11 40 Madison 0 79 89 <11 169 2,857 <11 41 Manatee 133 1,348 45 153 1,679 50,671 195 42 Marion 166 2,104 46 333 2,649 46,356 551 43 Martin 106 330 17 29 482 20,160 69 44 Monroe 90 367 81 158 696 8,783 33 45 Nassau 29 433 50 31 543 12,137 126 46 Okaloosa 107 279 16 47 449 34,959 52 47 Okeechobee <11 508 <11 <11 520 6,768 12 48 Orange 314 7,247 130 2,001 9,692 211,757 421 48D Ucp Charter <11 12 0 <11 17 890 0 49 Osceola 98 3,878 97 1,139 5,212 70,623 57 50 Palm Beach 389 3,427 236 355 4,407 199,624 310 50D Southtech <11 <11 0 0 11 1,662 0 51 Pasco 247 1,680 88 217 2,232 77,893 356 52 Pinellas 616 2,959 98 560 4,233 107,514 518 53 Polk 246 3,493 164 723 4,626 104,818 434 53D Lake Wales <11 194 50 22 273 4,141 34 54 Putnam 64 483 39 48 634 11,488 149 60 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 374 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc District Number District Name Living Situation at the Time the Student Was Identified as Homeless Total Homeless Total Non- Homeless Unaccompanied Youth Shelters Sharing Housing Other Motels 55 St. Johns 104 639 34 95 872 42,810 216 56 St. Lucie 72 1,274 44 195 1,585 42,125 135 57 Santa Rosa 24 932 31 47 1,034 28,736 89 58 Sarasota 152 590 14 76 832 45,554 98 59 Seminole 83 1,806 32 347 2,268 71,655 137 60 Sumter <11 118 <11 21 148 9,407 <11 61 Suwannee 16 242 <11 21 285 6,657 28 62 Taylor <11 98 18 <11 124 2,981 15 63 Union <11 94 <11 0 98 2,483 <11 64 Volusia 166 2,207 60 285 2,718 67,383 295 65 Wakulla 0 78 <11 <11 83 5,470 <11 66 Walton <11 319 16 <11 346 10,170 24 67 Washington <11 186 <11 <11 197 3,671 15 68 Deaf/Blind 0 16 <11 0 17 591 0 71 FL Virtual <11 49 <11 31 89 8,070 <11 72 FSU Lab Sch <11 21 <11 <11 24 2,558 <11 73 FSU Lab Sch <11 <11 0 0 <11 2,448 0 74 FAMU Lab Sch <11 <11 0 0 <11 608 0 75 UF Lab Sch 0 0 0 0 0 1,202 0 STATE TOTAL 8,202 73,584 2,966 11,108 95,860 2,981,518 7,844 % OF TOTAL 8.6%76.8%3.1%11.6%% OF TOTAL STUDENTS WHO ARE HOMELESS: 3.1%8.2% LEGEND Shelters Living in emergency or transitional shelters Sharing Sharing the housing of other persons due to loss of housing, economic hardship or a similar reason; “doubled-up” Unsheltered Living in cars, parks, campgrounds, public spaces, abandoned buildings, substandard housing, bus or train stations Motels Living in hotels or motels AFC Awaiting foster care placement (this category was dropped from the Federal definition of homelessness on 12/15/2016) UHY Homeless AND NOT in the physical custody of a parent or legal guardian, i.e., an Unaccompanied Homeless (Child or) Youth 2019 ANNUAL REPORT 61 11.1.b Packet Pg. 375 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc District 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 Alachua 809 683 785 840 1,021 Baker 112 93 41 11 97 Bay 1,184 1,437 1,506 1,583 1,523 Bradford 194 254 212 180 155 Brevard 1,690 1,845 1,973 2,262 2,763 Broward 2,323 2,270 2,262 2,742 4,903 Calhoun 60 76 99 71 73 Charlotte 519 508 436 458 435 Citrus 312 341 600 592 669 Clay 1,110 1,102 840 557 728 Collier 849 779 808 900 1,367 Columbia 549 588 553 504 671 Miami-Dade 3,252 4,031 6,103 8,046 8,957 Desoto 402 368 329 263 134 Dixie 28 62 44 67 80 Duval 2,111 2,163 2,256 3,348 5,817 Escambia 2,054 1,938 1,869 1,618 1,909 Flagler 522 616 509 550 529 Franklin 279 225 268 286 290 Gadsden 699 529 519 307 287 Gilchrist 14 <11 <11 <11 13 Glades 24 61 63 49 39 Gulf 20 15 16 <11 16 Hamilton 234 251 335 364 335 Hardee 125 200 192 160 147 Hendry 450 309 424 545 1,231 Hernando 443 585 522 612 653 Highlands 461 461 461 492 651 Hillsborough 3,233 3,813 3,316 3,210 4,859 Holmes 102 104 94 76 71 Appendix VI, Table 2: FDOE Reported Homeless Students, 2013-2018 62 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 376 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc District 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 Indian River 434 360 311 302 416 Jackson 113 143 140 124 158 Jefferson <11 <11 <11 <11 38 Lafayette 207 208 199 166 198 Lake 3,229 2,416 2,433 2,395 2,269 Lee 1,313 1,256 1,293 1,499 2,071 Leon 702 797 866 866 790 Levy 157 216 190 227 210 Liberty 52 50 47 25 29 Madison 534 244 150 159 169 Manatee 1,854 1,864 1,581 1,907 1,679 Marion 2,373 2,685 2,494 2,426 2,649 Martin 157 179 265 477 482 Monroe 382 456 387 360 696 Nassau 428 484 445 566 543 Okaloosa 533 487 849 686 449 Okeechobee 573 468 375 487 520 Orange 6,736 6,800 6,853 6,130 9,692 Ucp Charter <11 17 Osceola 4,941 4,675 3,562 3,341 5,212 Palm Beach 2,991 3,750 3,759 4,311 4,407 Southtech 12 11 Pasco 2,071 2,190 2,092 1,976 2,232 Pinellas 3,038 3,764 3,509 4,019 4,233 Polk 3,767 3,389 3,856 3,331 4,626 Lake Wales 246 258 705 236 273 Putnam 808 674 275 701 634 St. Johns 803 809 816 886 872 St. Lucie 543 650 718 742 1,585 Santa Rosa 1,776 1,696 1,312 1,101 1,034 Appendix VI, Table 2: FDOE Reported Homeless Students, 2013-2018 2019 ANNUAL REPORT 63 11.1.b Packet Pg. 377 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc District 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 Sarasota 924 884 867 794 832 Seminole 2,034 1,992 1,898 1,539 2,268 Sumter 174 153 144 144 148 Suwannee 298 354 355 469 285 Taylor 123 94 127 126 124 Union 130 121 116 68 98 Volusia 2,261 2,322 2,171 2,318 2,718 Wakulla 56 40 54 61 83 Walton 313 294 241 218 346 Washington 138 190 200 199 197 Deaf/Blind 12 20 16 18 17 FLVirtual 34 61 98 60 89 FAU Lab Sch <11 <11 <11 <11 24 FSU Lab Sch <11 <11 0 <11 <11 FAMU Lab Sch 11 <11 <11 19 <11 UF Lab Sch 0 0 0 0 0 STATE TOTAL 71,446 73,229 72,957 76,211 95,860 64 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 378 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Agency Represented By Agency for Health Care Administration Molly McKinstry CareerSource Florida, Inc.Warren Davis Department of Children and Families Ute Gazioch Department of Corrections Cassandra Moore Department of Economic Opportunity Isabelle Potts Department of Education Skip Forsyth Department of Health Patricia Boswell Department of Veterans’ Affairs Alene Tarter Florida Association of Counties Claudia Tuck Florida Coalition for the Homeless, Inc.Daniel Ramos Florida Housing Finance Corporation Bill Aldinger Florida League of Cities Rick Butler Florida Supportive Housing Coalition Shannon Nazworth Ex-Officio Appointees Represented By Children’s Home Society Pensacola Lindsey Cannon US Department of Veteran Affairs Nikki Barfield Governor’s Appointees Andrae Bailey Steve Smith APPENDIX VII: Council on Homelessness Members 2019 ANNUAL REPORT 65 11.1.b Packet Pg. 379 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Federal Definition of Homeless (24 CFR 578.3) Homeless means: (1) An individual or family who lacks a fixed, regular, and adequate nighttime residence, meaning: (i) 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; (ii) An individual or family living in a supervised publicly or privately operated shelter designated to provide temporary living arrangements (including congregate shelters, transitional housing, and hotels and motels paid for by charitable organizations or by federal, State, or local government programs for low-income individuals); or (iii) An individual who is exiting an institution where he or she resided for 90 days or less and who resided in an emergency shelter or place not meant for human habitation immediately before entering that institution; (1) An individual or family who will imminently lose their primary nighttime residence, provided that: (i) The primary nighttime residence will be lost within 14 days of the date of application for homeless assistance; (ii) No subsequent residence has been identified; and (iii) The individual or family lacks the resources or support networks, e.g. family, friends, faith-based or other social networks, needed to obtain other permanent housing; (1) Unaccompanied youth under 25 years of age, or families with children and youth, who do not otherwise qualify as homeless under this definition, but who: (i) Are defined as homeless under section 387 of the Runaway and Homeless Youth Act (42 U.S.C. 5732a), section 637 of the Head Start Act (42 U.S.C. 9832), section 41403 of the Violence Against Women Act of 1994 (42 U.S.C. 14043e-2), section 330(h) of the Public Health Service Act (42 U.S.C. 254b(h)), section 3 of the Food and Nutrition Act of 2008 (7 U.S.C. 2012), section 17(b) of the Child Nutrition Act of 1966 (42 U.S.C. 1786(b)), or section 725 of the McKinney-Vento Homeless Assistance Act (42 U.S.C. 11434a); (ii) Have not had a lease, ownership interest, or occupancy agreement in permanent housing at any time during the 60 days immediately preceding the date of application for homeless assistance; (iii) Have experienced persistent instability as measured by two moves or more during the 60-day period immediately preceding the date of applying for homeless assistance; and 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 APPENDIX VIII: Definitions of Homeless 66 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 380 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc (including neglect); the presence of a child or youth with a disability; or two or more barriers to employment, which include the lack of a high school degree or General Education Development (GED), illiteracy, low English proficiency, a history of incarceration or detention for criminal activity, and a history of unstable employment; or (1) Any individual or family who: (i) Is fleeing, or is attempting to flee, domestic violence, dating violence, sexual assault, stalking, or other dangerous or life-threatening conditions that relate to violence against the individual or a family member, including a child, that has either taken place within the individual’s or family’s primary nighttime residence or has made the individual or family afraid to return to their primary nighttime residence; (ii) Has no other residence; and (iii) Lacks the resources or support networks, e.g. family, friends, and faith-based or other social networks, to obtain other permanent housing. State of Florida Definition of Homeless (F.S. 420.621(5)) “Homeless,” applied to an individual, or “individual experiencing homelessness” means an individual who lacks a fixed, regular, and adequate nighttime residence and includes an individual who: a) Is sharing the housing of other persons due to loss of housing, economic hardship, or a similar reason; b) Is living in a motel, hotel, travel trailer park, or camping ground due to a lack of alternative adequate accommodations; c) Is living in an emergency or transitional shelter; d) Has 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; e) Is living in a car, park, public space, abandoned building, bus or train station, or similar setting; or f) Is a migratory individual who qualifies as homeless because he or she is living in circumstances described in paragraphs (a)-(e). The terms do not refer to an individual imprisoned pursuant to state or federal law or to individuals or families who are sharing housing due to cultural preferences, voluntary arrangements, or traditional networks of support. The terms include an individual who has been released from jail, prison, the juvenile justice system, the child welfare system, a mental health and developmental disability facility, a residential addiction treatment program, or a hospital, for whom no subsequent residence has been identified, and who lacks the resources and support network to obtain housing. 2019 ANNUAL REPORT 67 11.1.b Packet Pg. 381 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Affordable Housing – In general, housing for which the tenants are paying no more than 30% of their income for housing costs, including utilities. Affordable housing may either be subsidized housing or unsubsidized market housing. A special type of affordable housing for people with disabilities who need services along with affordable housing is “Permanent Supportive Housing.” Area Median Income (AMI) – The household in a certain region that is in the exact middle in terms of income compared to other households will set the AMI for their region (the household size is a factor taken into account; there are different AMIs for households of different sizes in the same region). This number is calculated every year by HUD. HUD focuses on a region, rather than a single city, because families and individuals are likely to look outside of cities to surrounding areas when searching for a place to live. Chronically Homeless – In general, a household that has been continually homeless for over a year, or one that has had at least four episodes of homelessness in the past three years, where the combined lengths of homelessness of those episodes is at least one year, and in which the individual has a disabling condition. Continuum of Care (CoC) – A local geographic area designated by HUD and served by a local planning body, which is responsible for organizing and delivering housing and services to meet the needs of people who are homeless as they move to stable housing and maximum self-sufficiency. The terms “CoC Governing Body” or “CoC Board” have the same meanings. In some contexts, the term “continuum of care” is also sometimes used to refer to the system of programs addressing homelessness. The geographic areas for the Florida CoCs are provided in Appendix VI. CoC Lead Agency – The local organization or entity that implements the work and policies directed by the CoC. In Florida, there are 27 CoC Lead Agencies, serving 64 of 67 Florida counties. The CoC Lead Agency typically serves as the “Collaborative Applicant,” which submits annual funding requests for HUD CoC Program funding on behalf of the CoC. The contacts for the CoC Lead Agencies are provided in Appendix VII. Coordinated Entry System – A standardized community- wide process to perform outreach and identify homeless households, enter their information into HMIS, use common tools to assess their needs, and prioritize access to housing interventions and services to end their homelessness. Sometimes referred to as a “triage system” or “coordinated intake and assessment.” Council on Homelessness – The Council on Homelessness was created in 2001 to develop policies and recommendations to reduce homelessness in Florida. The Council’s mission is to develop and coordinate policy to reduce the prevalence and duration of homelessness, and work toward ending homelessness in Florida. Diversion – A strategy that prevents homelessness for people seeking shelter by helping them stay housed where they currently are or by identifying immediate alternate housing arrangements and, if necessary, connecting them with services and financial assistance to help them return to permanent housing. This strategy is used in order to keep individuals from entering the homelessness system in their county. Effectively End Homelessness – Effectively ending homelessness means that the community has a comprehensive response in place to ensure that homelessness is prevented whenever possible, or if it cannot be prevented, it is a rare, brief, and non-recurring phenomenon. Specifically, the community will have the capacity to: (1) quickly identify and engage people at risk of or already experiencing homelessness; (2) intervene to prevent the loss of housing and divert people from entering the homelessness services system; and (3) when homelessness does occur, provide immediate access to shelter and crisis services, without barriers to entry, while permanent stable housing and appropriate supports are being secured, and quickly connect people to housing assistance and services—tailored to their unique needs and strengths—to help them achieve and maintain stable housing. (Source: USICH) Emergency Shelter – A facility operated to provide temporary shelter for people who are homeless. HUD’s guidance is that the lengths of stay in emergency shelter prior to moving into permanent housing should not exceed 30 days. Emergency Solutions Grant (ESG) – HUD funding that flows through state and certain local governments for street outreach, emergency shelters, rapid re-housing, homelessness prevention, and certain HMIS costs. Extremely Low-Income (ELI) – Household income that is 30 percent or less of the AMI of the community. APPENDIX IX: Glossary 68 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 382 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Florida Housing Finance Corporation – Florida Housing was created by the Florida Legislature more than 25 years ago to help Floridians obtain safe, decent, affordable housing that might otherwise be unavailable to them. The corporation provides funds for the development of housing. The Homeless Emergency and Rapid Transition to Housing (HEARTH) Act – Federal legislation that, in 2009, amended and reauthorized the McKinney-Vento Homeless Assistance Act. The HEARTH/McKinney Vento Act provides federal funding for homeless programs, including the HUD ESG funds and the HUD CoC Grant funding. Homeless – There are varied definitions of homelessness. Generally, “homeless” means lacking a fixed, regular, and adequate nighttime residence and living in temporary accommodations (e.g., shelter) or in places not meant for human habitation. Households fleeing domestic violence and similar threatening conditions are also considered homeless. For purposes of certain programs and funding, families with minor children who are doubled-up with family or friends for economic reasons may also be considered homeless, as are households at imminent risk of homelessness. See Appendix IX. Homeless Management Information System (HMIS) – A web-based software solution and database tool designed to capture and analyze client-level information including the characteristics, service needs, and use of services by persons experiencing homelessness. HMIS is an important component of an effective Coordinated Entry System, CoC planning efforts, and performance evaluation based on program outcomes. Homelessness Prevention – Short-term financial assistance, sometimes with support services, for households at imminent risk of homelessness and who have no other resources to prevent homelessness. For many programs, the household must also be extremely low income, with income at or less than 30% AMI, to receive such assistance. Housing or Permanent Housing – Any housing arrangement in which the person/tenant can live indefinitely, as long as the rent is paid and lease terms are followed. Temporary living arrangements and programs – such as emergency shelters, transitional programs, and rehabilitation programs – do not meet the definition of housing. Housing First Approach – An approach to ending homelessness that centers on providing people experiencing homelessness with housing as quickly as possible and, once the person is housed, then providing services to help the person remain stably housed. This approach is consistent with what most people experiencing homelessness need and want. Housing first is recognized as an evidence-based best practice, is cost effective, and results in better outcomes as compared to other approaches. The Florida Legislature encourages CoCs to adopt the housing first approach to reduce homelessness. Housing Trust Funds – Florida’s Sadowski Act Trust Fund receives funding from dedicated revenue from real estate doc stamps. In Florida, the Housing Trust Funds are used for affordable housing when appropriated for that use by the State Legislature. Housing Trust Funds may also be funded by general revenue and government bonds. The Department of Housing and Urban Development (HUD) – HUD provides funding to states and local communities to address homelessness. In addition, this department supports fair housing, community development, and affordable housing, among other issues. HUD CoC Funding – Funding administered by HUD through local CoC Collaborative Applicant (i.e., CoC Lead Agency) entities. Eligible uses for new projects include permanent supportive housing, rapid re-housing, coordinated entry, HMIS, and CoC planning. Office on Homelessness – Created in 2001, the Office on Homelessness was established as a central point of contact within state government on matters related to homelessness. The Office coordinates the services of the various state agencies and programs to serve individuals or families who are homeless or are facing homelessness. Office staff work with the Council on Homelessness to develop state policy. The Office also manages targeted state grants to support the implementation of local homeless service CoC plans. The Office is responsible for coordinating resources and programs across all levels of government, and with private providers that serve people experiencing homelessness. Outreach – A necessary homeless system component that involves interacting with unsheltered people who are homeless in whatever location they naturally stay (e.g., in campsites, on the streets), building trust, and offering access to appropriate housing interventions. 2019 ANNUAL REPORT 69 11.1.b Packet Pg. 383 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc Permanent Supportive Housing (PSH) – Safe and affordable housing for people with disabling conditions, legal tenancy housing rights, and access to individualized support services. PSH that is funded through HUD CoC funding should prioritize people who are chronically homeless with the longest terms of homelessness and the highest level of vulnerability/acuity in terms of health issues and service needs. Point in Time (PIT) Count – HUD requires CoCs to count the number of people experiencing homelessness in their geographic area through the Point in Time (PIT) Count on a given day. Conducted by most CoCs during the last ten days in January, the PIT Count includes people served in shelter programs every year, with every other year also including people who are un-sheltered. Data collected during the PIT Counts is critical to effective planning and performance management toward the goal of ending homelessness for each community and for the nation as a whole. A one-night snapshot of homelessness in a specific geographic area, the PIT Count data are presented in Appendix II. Rapid Re-Housing (RRH) – A housing intervention designed to move a household into perma-nent housing (e.g., a rental unit) as quickly as possible, ideally within 30 days of identification. Rapid Re-Housing typically provides (1) help identifying appropriate housing; (2) financial assistance (deposits and short-term or medium-term rental assistance for 1-24 months), and (3) support services as long as needed and desired, up to a certain limit. Services or Support Services – A wide range of services designed to address issues negatively affecting a person’s quality of life, stability, and/or health. Examples include behavioral health counseling or treatment for mental health and/or substance abuse issues, assistance increasing income through employment or disability assistance, financial education, assistance with practical needs such as transportation or housekeeping, and connections to other critical resources such as primary health care. Sheltered/Unsheltered Homelessness – People who are in temporary shelters, including emergency shelter and transitional shelters, are considered “sheltered.” People who are living outdoors or in places not meant for human habitation are considered “unsheltered.” Transitional Program – A temporary shelter program that allows for moderate stays (3-24 months) and provides support services. Based on research on the efficacy and costs of this model, this type of program should be a very limited component of the housing crisis response system, due to the relative costliness of the programs in the absence of outcomes that exceed rapid re-housing outcomes. Transitional housing should be used only for specific subpopulations such as transition-age youth, where research has shown it is more effective than other interventions. United States Interagency Council on Homelessness (USICH) – A federal Council that co-ordinates the federal response to homelessness, working in partnership with Cabinet Secretaries and senior leaders from nineteen federal member agencies. 70 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 384 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 1. 2019 Rental Market Study. Shimberg Center for Housing Studies, University of Florida. Available at https:// www.floridahousing.org/docs/default-source/press/ newsroom/publications/rental-housing/2019-rental- market-study.pdf?Status=Temp&sfvrsn=eadc107b_2 2. National Low Income Housing Coalition, Gap Report 2018. Available at https://reports.nlihc.org/sites/ default/files/gap/Gap-Report_2018.pdf 3. Sadowski Coalition, Economic Impact. Available at https://www.sadowskicoalition.org/facts/ 4. Sadowski Coalition, Economic Impact. Available at https://www.sadowskicoalition.org/facts/ 5. The Homeless Emergency Assistance and Rapid Transition to Housing (HEARTH) Act of 2009 is the primary federal law governing federal programs related to homelessness. The HEARTH Act amended and reauthorized the McKinney-Vento Homeless Assistance Act, the initial overarching federal homelessness legislation. The provisions of the HEARTH Act provisions are reflected in 24 CFR 578 and other federal statutes. See https://www.ecfr.gov/cgi-bin/text-idx?S ID=3df665d3a56051e56eb5ad7700137087&mc=true &node=pt24.3.578&rgn=div5 6. The terms “CoC Lead Agency” and “Collaborative Applicant” are often used interchangeably in Florida. The Collaborative Applicant is the CoC-designated organization, sometimes called the CoC Lead Agency, that submits funding proposals to HUD on behalf of the CoC. A Collaborative Applicant may be either a local government or a local non-profit organization. Further, in most communities the Lead Agency also assumes the responsibilities of the local “Homeless Coalition” described in State Statute, but in some communities these responsibilities are divided between different entities. See F.S. 420.623 and 420.624. Available at http://leg.state.fl.us/statutes/index.cfm?App_ mode=Display_Statute&Search_String=&URL=0400- 0499/0420/0420PARTVIContentsIndex.html 7. Shinn, Gregory A. “The Cost of Long-Term Homelessness in Central Florida.” Central Florida Commission on Homelessness. 2014. Available at https://shnny.org/uploads/Florida-Homelessness- Report-2014.pdf 8. National Alliance to End Homelessness. “Rapid ReHousing: A History and Core Components.” 2014. Available at https://endhomelessness.org/resource/ rapid-re-housing-a-history-and-core-components/ 9. National Health Care for the Homeless, Supplemental Guidance for Children and Adolescence Experiencing Homelessness. Available at https://www.nhchc.org/ wp-content/uploads/2018/07/2018-supplemental- anticipatory-guidance.pdf 10. It is estimated that there are 784,558 adults with serious mental illnesses in Florida. (Source: Florida Department of Children and Families. “Substance Abuse and Mental Health Services Plan 2014-2016.” 2013. Available at https://www.myflfamilies.com/service-programs/ samh/publications/docs/2014-2016%20SAMH%20 Services%20Plan.pdf 11. 2019 Rental Market Study. Shimberg Center for Housing Studies, University of Florida. Available at https:// www.floridahousing.org/docs/default-source/press/ newsroom/publications/rental-housing/2019-rental- market-study.pdf?Status=Temp&sfvrsn=eadc107b_2 12. Florida Housing Coalition. “Home Matters.” 2019. Available at http://www.flhousing.org/wp-content/ uploads/2019/03/Home-Matters-Report-2019-WEB. pdf 13. Social Security Administration. Fact Sheet: 2019 Social Security Changes, Cost of Living Adjustment (COLA). Available at https://www.ssa.gov/news/press/ factsheets/colafacts2019.pdf 14. National Low Income Housing Coalition. Out of Reach 2018. Available at https://reports.nlihc.org/oor/florida 15. The United Way. Asset Limited Income Constrained, Employed (ALICE) Report 2018. Available at http:// www.uwof.org/sites/uwof.org/files/2018%20FL%20 ALICE%20REPORT%20AND%20CO%20PAGES.pdf 16. In 2007, 62% of personal bankruptcies were caused by medical debt. See study cited in National Health Care for the Homeless Council. “Homelessness & Health: What’s the Connection?” 2011. Available at https://www. nhchc.org/wp-content/uploads/2011/09/Hln_health_ factsheet_Jan10.pdf APPENDIX X: References 2019 ANNUAL REPORT 71 11.1.b Packet Pg. 385 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc 17. United States Interagency Council on Homelessness Home, Together: Federal Strategic Plan to Prevent and End Homelessness. Available at https://www. usich.gov/resources/uploads/asset_library/Home- Together-Federal-Strategic-Plan-to-Prevent-and-End- Homelessness.pdf 18. HUD.gov, Fact Sheet: Housing Choice Voucher Program, Family Unification Program. Available at https://www.hud.gov/sites/documents/FUP_FACT_ SHEET.PDF 19. 2019 Rental Market Study. Shimberg Center for Housing Studies, University of Florida. Available at https:// www.floridahousing.org/docs/default-source/press/ newsroom/publications/rental-housing/2019-rental- market-study.pdf?Status=Temp&sfvrsn=eadc107b_2 20. HUD.gov, “HUD Awards $99 Million to Provide Affordable Housing to People with Disabilities.” Available at https://www.hud.gov/press/press_ releases_media_advisories/HUD_No_18_094 21. www.flgov.com, Governor Ron DeSantis Announces Forward March Initiative with the Florida Department of Veterans’ Affairs. Available at https://www.flgov. com/2019/03/29/governor-ron-desantis-announces- forward-march-initiative-with-the-florida-department- of-veterans-affairs/ 22. United States Interagency Council on Homelessness, Communities that have Veteran Ended Homelessness. Available at https://www.usich.gov/communities- that-have-ended-homelessness 23. Changing Homelessness, Homes for Our Brave SSVF Program. Available at http://changinghomelessness. org/homesforourbrave/ 24. Florida Housing Finance Corporation, Low Barrier Entry Workgroup: Proposed Standards and Processes that Lower Barriers to Rental Housing Entry. Available at http://www.floridahousing.org/docs/default-source/ programs/developers-multifamily-programs/2018- 2019-rfa-comments/proposed-standards-and- processes-that-lower-barriers-to-rental-housing-entry. pdf?sfvrsn=2892317b_2 25. Jacksonville Business Journal. Report: Permanent Housing for Homeless Saves Jacksonville Taxpayers Money. Available at https://www.bizjournals.com/ jacksonville/news/2018/11/30/report-permanent- housing-for-homeless-saves.html 26. Reauthorization of the Elementary and Secondary Education Act of 1965. Available at https://www. gpo.gov/fdsys/pkg/BILLS-114s1177enr/pdf/BILLS- 114s1177enr.pdf 27. Florida Department of Education, Strategic Plan. Available at http://www.fldoe.org/policy/state-board- of-edu/strategic-plan.stml 28. Shimberg Center for Housing Studies, University of Florida and Miami Homes for All. “Homelessness and Education in Florida: Impacts on Children and Youth.” Available at http://www.shimberg.ufl.edu/ publications/homeless_education_fla171010_RGB.pdf 29. Florida Department of Education, Title IX: Homeless Education Program (HEP) http://www.fldoe.org/ policy/federal-edu-programs/title-x-homeless-edu- program-hep.stml 72 COUNCIL ON HOMELESSNESS 11.1.b Packet Pg. 386 Attachment: [Linked] Agenda and Back-up Material Packet - August 27, 2019 (11023 : Collier County Mental Illness and Addiction Ad Hoc