Working Together to End Homelessness - San Mateo County

Working Together to End Homelessness

2022 Our Year of

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Welcome

Davina HurtBelmont Councilmember, President of Samaritan House Board and Convening Facilitator

• Welcome and opening remarks • Thanking our homeless services providers• An introduction to homelessness in San Mateo County• Panel 1: The impacts of homelessness on health, mental

health and education• Stretch break• Overview of homeless services in San Mateo County • Panel 2: An introduction to services: meeting people where

they are• What’s next?

Agenda

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smcendinghomelessness.org

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Opening RemarksBoard President Don HorsleyCounty Executive Mike Callagy

https://vimeo.com/699574281

Thanking the people who serve our homeless residents

Bob NisbetCity Manager, Half Moon BayRev. Dr. G. Penny NixonSenior Minister of the Congregational Church of San Mateo, United Church of Christ

Thanking Our Homeless Service Providers

Mike StancilIrene AlvarengaJon IiyamaMarya Ouro-GbeleouMichelle SilvaJanet BronsonJames BohmGaby PlancarteRichard Lawton

Kelvin VegaSarah AliCody LocklearGiselle DomondonMike GotuacoPete Quibell

Thank you for serving our homeless residents!

Bianca CortezJuliana RomeroMatthew HernandezGriselda Erazo DuranCesar ValentinMagaly CeballosAlma EsmanjaudRita IllescasElida Sobalvarro-Ramirez

Cesar Vasquez ChavezJane ChandlerCarol EggersWesley “Chip” Rich Christina HoepkeMargaret HitchcockMatthew Hernandez



Rita ManceraCorina Rodriguez-PerezLaura RodriguezAlondra ZavalaElizabeth FloresArlae AlstonEvelia RamirezAlejandra OrtegaBridgitte DeaconOmar OrtegaCandido GijonSarah KremerHannah Whizin

Alissa ClynneLizeth Andrea HernandezDanna GonzalezMonica ResendizEsmeralda ParedesDinorah GudinoMaricela LopezOphelie VicoMaricela ZavalaCandido GijonYolanda MoralesIrma Rodriguez



Kaitlin ChangAlma ValenciaKeith SuguitanElizabeth OjedaTanzila Sharin


Aubrey MerrimanBrian GreenbergJacob StoneJoanne PriceGagan SandhuCraig BillmanRuben AyalaErica QuintanillaEvelyn ReyesJohn Smith Donna MillerRobert MoltzenJoaquin MaganaRui “AJ” Rodrigues Kelly McGrathChris Peters

Nick ColucciLanel Dominique Karen Rangel Barry SnowdenDanny VanisiDorriss BanksDaniella LarsonTina PalafoxErnestina OpokuMarc PollardSam StockwellDale WaltonGreg DayMelissa ArceoJeffrey DeversCynthya Peters

Nyiesha KennedySandra LuqueMiguel ChavezLuz ChavarinNora DanieDoris InterianoTammy WallaceKimberly Coleman Sophia ConlonMario GomezAnastasia GrandyChi LeOlivia LomuTheresa Bassett-McConnell


Nancy Salcedo Anamile Santiago Stephanie Settle Anna KelleherMcKenna MoganAndres CarlinLeah ChangIyesha GeorgeWilliam HaddockMyra HalloranPatti LipfinEloisa LopezLuan NguyenShanell RixAndrew SerranoTory Shanklin Rebecca Hernandez Adriana Najera

Lucio RuizRuba AlsweidanBrandi AndinoJen BreseeJulie CrumpDiego LemaSaira MedinaMichelle MyersTurrell PriceAndrew WueboldCory CaldwellSteve CareyCharlie HamiltonPatty Hutchinson Joshua LopezNoor AhmedAlan ArmentaJocelyne Arriaga

Ivanna Barrios Marika BuchholzChristine CollacoJay Contreras Mitchell Ferreira Barbara FloresDaniel FoleyDe Anna GarciaJesse GarciaKassandra GarciaJennifer GoinsWilliam GomezMarisela Gonzalez Sarah Gonzalez Juan HernandezVictoria Silva Valerie Lomeli Laura Lundbom


Marlen Mendieta Stephen MoonYasmin MoraCarolina MoscosoDaisy NavarroDenise PradoLynette ReynosoBrook SavilleRoxanne Stone Francisco Valencia James VoEric DavisLee Clark Morgan AmituanaiFranco AvilaBenjamin CarrascoNichole Clark

Tina CortesDolores Del Camren Mary Elliot Adriana EmbrizAlexandra FabbianiVanessa Garcia Johnathan HillSamantha Infante Harrison LeeVivian LoAnissa Martinez Chelsea MauvaisCarlos Miranda Lucas Montoya Javier MunozMarissa Patterson Julio Perez

Allison RivasNamrata SapkotaMelisia Shanklin Amber Washington Miranda Wright Vivian AlejoLisa BrighinaAllison CospinJocelyn GarciaMayra HerreraJamie KerbyJena KhalilShirin LevinDesheane NewmanSam O’NeilRoberta PortzlineAudrey Schafer


Kyle WojnarAlex AwuyTasha FiferMindy LeShally NguyenJose Rios ChavezRuth Guzman JonesAnneliese Gretsch Martinez Bernadine PosadaEve Stoller Isabella Karabed


Paul Bains Alicia GarciaAngela FinleyBrylka DuvuCarnell SimonCheryl BainsClyde VirgesDamien WilliamsDavid CodeDenise AdgerJeffrey AustinJoshua GonzalezKaren SpicerLaurie ToddMarche SimonMiguel Navarro

Nakia DavisNancy PetersonPedro CedilloRachelle StanleySheila AdamsAlex LawsonAlexis BusbeeAnita BlountAntonio FernandezBernard GoldenBrian RiveraCarl HolmquistCharles MatthewsCristian AlcarazDanielle HooverDavid Chatman

Denisse PeraltaEdgar DiazEduardo TrujilloEric TraylorGabriela ArceGuadalupe LaraHarold SimpsonImani SmothersJaime AnguloJasmine WilliamsJohn SampsonJohn GuzmanJonathan ChiangJose RiveraJoseph Siquig


Joshua FlowersJustin FloresLeah RussellLuis-Miguel GonsalesMarcella BeckumMarcus LovelaceMaria BeverlyMario FuentesMaurice BrownMichael RiasMike MurilloMonica NelsonNikki BradfordPaul AsplundPaul WoodsPaul Irving

Quizzie VickersRC MatthewsRenee VaughnRonald WebsterRuben MartinezSamantha SomersSergio JasoSisilia LutuiTamiera WoodTatianna ImandtTodd ThomasVeejen LalVincent WebbWalter LimaWilber GuerraAdam Clarke

Angel WolfCarl WolfgrammChristina GibsonClyde LamontCrystal CaldwellJohn FarrisJon GrandeJoyce GenevroKarna JonesMarquita PeteMichael RiosNatasha LewisRobbie Nero-YoungShashina Lovelace


Jeremiah WilliamsSofia RoblesTheresa CossmanTatiana WellsMaribel Tapia TellezJennifer RileyKeith LightKeith Garner Jr. Kharon WestonElizabeth Ramirez

Hector SabogalRogelio Salinas Jr.Jennifer PiccolottiSaoirse MaddenCynthia HurtadoNakema GrangerMartha Erika Segura Michelle WalkerShanae BullockFrank Mems

Raquel TorresRoddrica Joseph Nicolas DaeKeshia HarrisAlexander Mayoral Gutierrez


Bart CharlowLaura BentLa Trice TaylorAmanda LoJerome OlimpiadaJeff MillensonJolie BouNing ZhengJeffrey CarbonelCynthia Cobos-AlvaradoEliseo ChavezVictoria Ping-LeongLucero ReyesKaz Valtchev

Brian ChanRobyn FischerChris BaldoLynette RobinsonAngela HallYuliana JaureguJulio CamposLuis AlarconMauricio RomeroRhonda KaufmanCarly BertolozziAna PagueJohanna WongJenny Saba

Jason WongJessica MitchellConnie GershaneckEmily Lin Carol MeyerRuby KahoCassandra BatlleEsmeralda BarraganAlma EsmenjaudLeslie MilikiniGema Corrales-Ruiz Maureen Okugbe



Dorriss Banks Briana BarnesErika CardenasShelby HallLee HowardPatty HutchinsonJoshua LopezMua NiumalelegaEstefania ParedesAnthony PhamAnjenette Rodriguez

Joran SeastrunkKevin SimsDaniel SmithChuck StubblefieldSal VazquezEric BrownSal EstradaBridgette Jones Cesia LopezDanielle Matthews Juan Carlos Mercado

Catalina O'MeanyJuan RicoTina SatarakaKevin SimsMaria TrujilloTelia WellsGerald WinstonTaylor FontenotJorge Mendoza

Samaritan HouseShelter Workers

Anita ReesMarina HernandezJoyce CabreraRose DavisDulce AdonisFilipina Eaglin


Judith GuerreroCaitlen VreeburgVioleta AlmaguerSonia BarbaEstrella HuertaClaudio Godines GarciaLorena GalindoAlondra Juares-OrozcoLiz Camarena WestJoan Jama



Teri ChinMiguel AndradeAna AvendanoSylvia DorseyLucy BarajasMaribel SilvaGabriela RosalesHector CarlosHector Avila

Prinsess FutrellGlaiza Canares


Michelle MayesAdrian EsquedaJael AlarconGiselle LateurDaryl TigmanEmilie Shepard


Melissa PlatteGeorgia PetersonMaria AboytesMayra Vanessa AguileraMaria AlvarezDestiny ArroyoVelma AtkinsonTiffany BaileyKathryn BarrientosAndrea CarraraRobert CasillasSara Maria Cebrian Sanchez

Dustin ChuKimberly CottonKevin CrouchChristian CuevasDoraly EspinozaRowena FabroMarinna FirestonePatrick FlahertyMichelle FountainSara FurrerJasmin GallardoKristen GallegosGeorge Griffith

Michael HorganShannon HugonRobert HutchinsonUwa Igwe-KaluGregorio JimenezSheetal KaurJaycie KessellBonnie KomroLea Jo LeAdrian LoarcaHarleen MangatJazmine Manning



Eru MathewosMargine Mejia-RuizMelissa MoralesKatheryn NavarroMaritza PeraltaSusan PlatteKate PoissonSera Quintana

Luis David Reyes-PulidoMaria Ruiz MejiaMadeline SmithRenee TelefoniKai ThorntonBrian UgaldeRenee WaashConstance Walian

Giselle WilliamsVanessa WilliamsLorenzo YanezShane Young

An Introduction to Homelessness in San Mateo County

Ken ColeHuman Services Agency Director

Homeless Point in Time Counts

699 703 708 616 611

1,162 1,299

775 637

901

1,861 2,002

1,483 1,253

1,512

-

500

1,000

1,500

2,000

2,500

2011 2013 2015 2017 2019

# pe

ople

Sheltered Unsheltered

Homeless Point in Time Count: Unsheltered Count

466 353 331 127 157

324 323

136

95 66

126 231

157

197 184

246 392

151

218 494

1,162 1,299

775 637

901

-

200

400

600

800

1,000

1,200

1,400

2011 2013 2015 2017 2019

# pe

ople

Year

Streets Tents Cars RVs

Homeless System Overview

2,380 Homeless

Residents Moved Into Permanent

Housing

2,356 Homeless Residents Requested Access

to Shelter or Housing

4,676Residents Served by Homeless Services or

Housing Programs

Clients Served by Homeless Services Programs

1,276

1,959

1,048

1,682

-

500

1,000

1,500

2,000

2,500

Outreach Shelter Rapid Re-housingSubsidy Program

Housing Voucherwith Supportive

Services

# cl

ient

s

Homeless Outreach Clients

293 299 368

719

929

443 500 552

950

1276

0

200

400

600

800

1000

1200

1400

2017 2018 2019 2020 2021Newly Enrolled Total Served

Homeless Outreach Clients

Transgender3 (0.2%)

Non-binary3 (0.2%)

Female403 (32%)

Male 867 (68%)

Total clients: 1,276

Homeless Outreach ClientsBy Age, Compared to County Poverty Level

5% 4%

16%19% 20%

26%

11%

21%

13% 14%11% 11% 12%

17%

0%

5%

10%

15%

20%

25%

30%

0 to 17 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 or Above

Street Outreach Clients San Mateo County, income below poverty level

Homeless Outreach ClientsBy Race, Compared to General Population

3% 3% 3% 4%

19%

67%

18%

1%

29%

1% 2%

48%

0%

10%

20%

30%

40%

50%

60%

70%

Multi-Racial Native Hawaiianor PacificIslander

Asian or AsianAmerican

American Indian,Alaska Native, or

Indigenous

Black, AfricanAmerican, or

African

White

Street Outreach Clients County Population

Human Services Agency Center on Homelessness:https://www.smcgov.org/hsa/center-homelessness

HUD Continuum of Care Data:https://files.hudexchange.info/reports/published/CoC_Dash_CoC_CA-512-2019_CA_2019.pdf

Department of Housing Policy and Data:https://www.smcgov.org/housing/policy-data

Links to Other Homeless Data

https://www.smcgov.org/hsa/center-homelessness

https://files.hudexchange.info/reports/published/CoC_Dash_CoC_CA-512-2019_CA_2019.pdf

https://www.smcgov.org/housing/policy-data

https://vimeo.com/696828620/9871dc436b

Melissa Platte, ModeratorExecutive Director, Mental Health Association of San Mateo County

Dr. Frank TrinhSupervising Physician, San Mateo County Health Department

Dr. Kapil ChopraStreet Psychiatrist & Behavioral Health Director for Health Care for Homeless Residents and Farmworkers, San Mateo County Health

Nancy Magee Superintendent, San Mateo County Office of Education

The Impact of Homelessness on Health, Mental Health and Education

Homelessness and Health

Frank D Trinh, MDSupervising Physician, San Mateo County Public Health Policy and Planning (PHPP)Medical Director, San Mateo County PHPP Mobile Clinics/Street and Field Medicine

Program

April 22, 2022

Homelessness and Life Expectancy

• Homeless persons 3-4x more likely to die prematurely vs housed persons

• Homeless Average Life Expectancy: 43-54 years vs U.S. Life Expectancy 76.6 years in 2021

From NHCHC Fact Sheet; Jun 2011 and NHCHC Homeless Mortality Data Toolkit; Jan 2021

Homelessness: Fundamental Issues and Impact on Health

• Unstable housing

• Limited access to nutritious food and water

• Higher risk for abuse

• Behavioral and mental health problemsHealth Care for the Homeless Clinicians’ Network 2010


• Physical/Cognitive impairments

• Developmental discrepancies

• Higher risk for communicable disease

• Serious and complex medical conditions

Health Care for the Homeless Clinicians’ Network 2010


• Discontinuous/inaccessible health care

• Lack of health insurance/resources

• Cultural/linguistic barriers

• Limited education/literacy



• Lack of transportation

• Lack of social supports

• Chronic stress

• Criminalization of homelessness


Cost of Homelessness: Santa Clara County

• Medical, mental health, drug and alcohol, judicial data for 104,206 individuals experiencing homelessness in Santa Clara County from 2007-2012– 13% Persistently homeless

• Total cost to community: $520 million/year

53%

13%

34%

Distribution of Cost

HealthcareSocial ServicesJustice System

From Economic Roundtable, 2015

Cost of Homelessness: Santa Clara County

• Homeless costs heavily skewed towards frequent users– Average annual cost per person:

• All county residents experiencing homelessness (2012): $5,148• Individuals with costs in top 5% (2012): > $100,000

– Top 5% accounted for 47% of all costs to community

• 2,800 Persistently homeless residents: $83,000

From Economic Roundtable, 2015

Homelessness

Kapil Chopra, MDPsychiatrist, Interface and Street Medicine ProgramBehavioral Health Director, Health care for homeless and farmworkers health HCH/FHSan Mateo County Health Department

April 22, 202251

Homelessness

• Lack of housing is traumatizing and significantly shortens an individual’s life expectancy.

• People experiencing homelessness are at a greater risk of infectious diseases and chronic illness, poor mental health, and substance use issues.

• Most researchers agree that the connection between homelessness and mental illness is a complicated, two-way relationship.

52

Homelessness and mental health

• Mental illness, in addition to adverse childhood experiences and substance use, are risk factors for homelessness.

• Homelessness in turn has been associated with inferior mental health outcomes.

• Depression, PTSD, schizophrenia, anxiety disorders and substance use disorders are among the most common types of mental health issues in the homeless population.

53

Homelessness and mental health• Everyone’s reasons for homelessness are unique. Yet if there’s any one

common denominator, it’s the experience of trauma.

• And trauma can be layered on top of trauma, on top of trauma- individual who is experiencing complex trauma.

54

Homelessness and mental health

• Understanding trauma and understanding the behaviors that are a normal reaction to trauma is important.

• Important to provide trauma informed care:

Seeing people through the lens of not “what’s wrong with you,” but “what happened to you?”

55

Impact of Homelessness on mental health

• Fundamental basic human needs i.e., access to food, water, and shelter often take priority over seeking psychiatric care which is often not addressed until a crisis occurs.

• May continue to experience various forms of physical, sexual, and emotional trauma.

• Homeless individuals may have experienced traumatic brain injuries, and cognitive impairment

56

Impact of Homelessness on mental health• Homeless individual often lack access to health care treatment.

• More likely to use hospitals/ER which is not only more expensive but results in fragmented care.

• Addressing medical care needs may take priority over psychiatric care.

• Lack of dependable Transportation

• Lack of dependable Communication

57

Homelessness to Recovery• Recovery

• Major dimensions that support a life in recovery include: Health Home Purpose Community

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment

58

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESSubstance Abuse and Mental Health Services Administration

Center for Substance Abuse Treatment

59

Students Experiencing Homelessness

Nancy MageeSan Mateo County Superintendent of Schools

Examples of Homeless Settings for Students

• Shared housing due to economic hardship• Motels or hotels• Public or private spaces not designed for

sleeping• Trailer parks or campgrounds• Cars, parks, and abandoned buildings• Shelters• Emergency or transitional shelters

Barriers to Learning

Lack of access to services Getting basic needs met

Immunizations Language translation

Transportation Enrollment challenges

System Barriers

• Lack of accurate identification of students who are eligible for support under McKinney-Vento

• Lack of support connecting parents to essential services

• Lack of outreach to unaccompanied youth• Lack of Before and After School care

School Challenge: Underreporting

• Definitions are confusing and misunderstood• Schools are understaffed to match the needs• If students are not identified, services are not provided

Solution: Identification must be improved

Academic Protections

• Immediate enrollment regardless of records• Preschoolers may receive priority enrollment• Remaining in “School of Origin” – the school last

attended when permanently housed• Must be provided transportation to and from school

of origin• Have equal access to instructional programs• Protected from sigma or segregation

McKinney-Vento School Funding and Partnerships

Funding:• Purchasing backpacks filled with hygiene and school

supplies• Provide transportation for students • Fund afterschool and other extracurricular programs

Funds to Partners:• Preschools and Head Start programs to support families• Lifemoves to support academic tutoring and other after

school• Support Samaritan House to support food insecurity needs

www.smcoe.org

“Unfortunately, it isn’t always easy to see the evidence of harm that instability and toxic stress associated with homelessness inflict on children, because it isn’t always easy to see homeless children at all.”

Carie BiresPolicy Manager

Ounce of Prevention

http://www.smcoe.org/

Melissa Platte, ModeratorExecutive Director, Mental Health Association of San Mateo County

Dr. Frank TrinhSupervising Physician, San Mateo County Health Department

Dr. Kapil ChopraStreet Psychiatrist & Behavioral Health Director for Health Care for Homeless Residents and Farmworkers, San Mateo County Health

Nancy Magee Superintendent, San Mateo County Office of Education

Thank you!

A Video Overview of Homeless Services in San Mateo County

Ken ColeHuman Services Agency Director

https://vimeo.com/694324055/d1ecce15c3

Jessica Silverberg, ModeratorManager, San Mateo County Center on Homelessness

La Trice TaylorAssoc. Director, Programs & Services at Samaritan House

Jerome OlimpiadaCoordinated Housing Entry System Manager, Samaritan House

Isa KarabedSenior Director of Regional Outreach Initiatives, LifeMoves

An Introduction to Homeless Services: Meeting People Where They Are

Homeless Prevention

Rapid Rehousing

Shelter

Services Coordination,Funding, and Data

Outreach to Unsheltered Individuals Safe Parking Programs

Coordinated Entryand Diversion

Permanent Supportive Housing

Homeless Services Overview

Interim SolutionsEntry Points

Permanent Solutions System Planning

Samaritan House

Working Together To End Homelessness

Friday, April 22, 2022

The names by which you know our Samaritan House Programs

Safe Harbor Shelter

Client Services & Financial

Empowerment

Food ServicesFree Medical

& Dental Clinics

Kids Closet & Holiday Program Worker Resource

Center

CES Program

Client Services Evaluate Needs

Register for food supports, such as Grocery Pantry, Dining Room, Mobile Meals, etc.

Assess and refer to other SH Programs, such as CES, Kids Closet, medical & dental care, etc.

Information and referral to partner agencies

Assess and determine eligibility for financial assistance, such as late rent, deposits, mortgage, utilities, car repairs, etc.

Case Management ServicesScreening Questions:

o Resident of San Mateo County?o City of Residence?o What is your critical need?

Application Check List: o Demographic Information: Household members, address, ages, ethnicity, language, monthly income, veteran

status, etc.o Proof of Identification for each member of the household (i.e. picture ID, birth certificate, Social Security, etc.) o Employment Verification for past 30 days (i.e. recent paycheck stubs) o Other Income Verification (i.e. letters or statements from CalWorks, Child Support, Social Security,

Unemployment, Employment offer letter) o Bank Statements for the last month o Rental/Lease Agreement or Mortgage Statemento Verification of critical need:

• Eviction notice, notice of delinquent rent, 3 day pay or quit or statements from other members of shared situation.

• Utility bills for the past month and/or shut off notice • Car repair estimate (: must also include auto registration, auto insurance and driver’s license of owner For Covid-related cases: Documents include EDD, medical paperwork, letter from employer, letter from

Housingiskey.com, etc.o Any additional documentation deemed necessary to demonstrate the client’s situation or

need for assistance.

Core Service AgenciesCoastside HopeService Area: El Granada, Half Moon Bay, Montara, Moss Beach

Puente de la Costa SurService Area: La Honda, Loma Mar, Pescadero, San Gregorio

Samaritan HouseService Area: Belmont, Burlingame, Foster City, Hillsborough, Millbrae, San Carlos, San Mateo

Samaritan House SouthService Area: East Palo Alto, Menlo Park

YMCA Community Resource CenterService Area: Brisbane, San Bruno, South San Francisco

Daly City Community Service CenterService Area: Broadmoor, Colma, Daly City

Fair Oaks Community CenterService Area: Atherton, North Fair Oaks, Redwood City, Portola Valley, Redwood Shores, Woodside

Pacifica Resource CenterService Area: Pacifica

Isa KarabedDirector of Regional Outreach, LifeMoves

Jessica Silverberg, ModeratorManager, San Mateo County Center on Homelessness

La Trice TaylorAssociate Director, Programs & Services at Samaritan House

Jerome OlimpiadaCoordinated Housing Entry System Manager, Samaritan House

Isa KarabedSenior Director of Regional Outreach Initiatives, LifeMoves

Thank you!

What’s Next?

Davina HurtBelmont Councilmember, President of Samaritan House Board and Convening Facilitator

Who else needs to participate in this conversation?

Please post suggestions in chat

Upcoming EventsMay 20: From the Street to Interim HousingJune 3: Moving into a Permanent HomeSummer 2022: Volunteer opportunities and tours Fall 2022: In-person convening focusing on working together

Check the website: smcendinghomelessness.org for information, updates, and access to event registration

What’s Next?

Upcoming Events:Registration Now

Open!May 20, 2022 10:00am

From the Street to Interim Housing

June 3, 2022 10:00amMoving into a Permanent

Home

More info and registration smcendinghomelessness.org

Thank you for joining us today!

Working Together to End Homelessness - San Mateo County

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