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CORRECTED 2023 HLC Survey of Programs and Services for Collaborative Application HUD Funding
1.
I am completing this survey as an individual serving people experiencing homelessness in a professional or volunteer capacity (Anyone affiliated with agency/organization/volunteer group/mutual aid effort):
Yes
No
If Yes, please identify the group your are affiliated with:
2.
Which race/ethnicity best describes you (person completing survey)?
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latino
Native Hawaiian or other Pacific Islander
White or Caucasian
Other (self-identify)
3.
Please indicate the locations where you/ the program you work or volunteer for provides services:
Prineville
Madras
Warm Springs
Sisters
Redmond
Bend
La Pine
Other (please specify):
4.
Me or a member of my team currently attends virtual HLC membership meetings or views meeting recordings at least 4 times a year.
Yes
No
5.
Please select the training(s) you or members of your organization have completed in the last 12 months.
Equal access, equal opportunity & non-discrimination
De-escalation or crisis response
Fair housing
Child abuse prevention
Mandatory reporting of abuse/neglect
Violence Against Women Act (VAWA) training
Suicide prevention
Addressing unique needs of survivors of assault, domestic or dating violence, stalking, sexual assault, or human trafficking
Understanding and enrolling participants in mainstream benefits such as SSDI/SSI, WIC, SNAP, TANF, Oregon Health Plan, unemployment insurance or veterans’ benefits
Street outreach best practices
Case management best practices
Trauma-informed training
Implicit bias training
Other trainings (please specify)
None of the above
6.
My organization maintains and trains to policies and procedures on the following subjects (select all that apply):
Equal access and non-discrimination/anti-discrimination policy
Language and communication access
A transfer or safety policy for victims of domestic violence, assault, stalking, etc.
Mandatory reporting of child abuse/neglect or elder abuse/neglect
HIPPA or other confidentiality training
Reasonable accommodations
Other (please specify)
None of the above
7.
Do you or members of your organization interact with State Domestic Violence and State Sexual Assault providers?
Yes
No
If yes, how do you interact? (please describe)
8.
My organization participates in the following Continuum of Care required program activities:
Enters data about clients into the Homeless Management Information System
Participates in the annual Point In Time Count
Participates in the annual Housing Inventory Count
Participates in Coordinated Entry case management meetings
Has staff trained to administer the housing assessment tool (VI-SPDAT)
Reviews client data to look for trends in service engagement and explores disparities present in service provision (race, language, gender identity, sexual orientation)
Participates regularly in the Shelter Committee
Participates regularly in the Street Outreach Committee
Participates regularly in HMIS/Data Quality Meetings
Participates regularly in Built for Zero activities
Participates in other related Committees (please specify):
None of the above
9.
Does your organization provide culturally specific services? This is defined as services created by and delivered to specific cultural communities or identity groups.
Yes
No
If yes, please describe:
10.
What tools does your organization use to prevent or eliminate disaparities? (please describe)
11.
Does your organization provide population specific services? If yes, please indicate:
No - Services are offered to all who seek them
Yes - Youth (under 24)
Yes - Survivors of intimate partner violence, trafficking, etc.
Yes - LGBTQIA
Yes - BIPOC/historically oppressed
Yes - Medically vulnerable
Yes - Veterans
Other (please specify)
12.
Please indicate the number of people on your staff/team/volunteer group who have lived experience of homelessness?
13.
Please indicate the number of people on your staff/team/volunteer group who have recent lived experience of homelessness defined by HUD as within the last 7 years.
