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* 1. Agency name:

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* 2. Name of RRH program/project:

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* 3. Name and title of person completing the assessment:

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* 4. Program type:

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* 5. If other, please specify:

Please answer the following questions about your RRH program. This survey was designed to help MDHI get a better sense of how RRH programs are currently being administered throughout our CoC, and how MDHI can assist providers in aligning RRH programs with the CoC’s RRH Written Standards. This is NOT a comprehensive assessment of all RRH program requirements.

Unless otherwise instructed, please indicate how often each scenario occurs using the following scale:
                Never
                Sometimes
                About half the time
                Most of the time
                Always
Intake Procedures

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* 6. 100% of referrals for the RRH program are accepted from the OneHome (coordinated entry) System?

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* 7. Having no income bars someone from being accepted into the RRH program?

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* 8. Having criminal history (including felonies) bars someone from being accepted into the RRH program?

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* 9. Intake procedures include an assessment of the participant’s housing/tenancy barriers?

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* 10. Incoming participants and their case managers develop a “Housing Stability Case Management Plan“ together?

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* 11. Participants receive copies of termination policies and grievance procedures at intake?

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* 12. Participants enter the RRH program from a literally homeless situation (shelter or place not meant for human habitation)?

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* 13. Intake procedures include an evaluation of the participant’s income, expenses, and/or monthly budget?

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* 14. RRH program staff explain the requirements for initial evaluation (certification) and reevaluation (recertification) to participants at intake?

Housing Identification

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* 15. Participants are encouraged to search for the most affordable housing option available?

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* 16. RRH program offers services for housing identification and navigation to participants?

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* 17. The participant’s preferences are taken into consideration when locating a suitable housing option?

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* 18. RRH program staff actively recruit landlords to work with the RRH participant?

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* 19. Participants sign a lease with the landlord and it is the same lease signed by all other tenants in the facility?

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* 20. The participant’s prospective housing unit is inspected as required by the grant (CoC, ESG, etc.) prior to move-in?

Determining "Length of Time" and "Type of Assistance"

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* 21. Intake workers evaluate the participant’s strengths, preferences, and needs before determining the amount and type of assistance the participant will receive?

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* 22. Rental subsidies and other assistance are determined on a month-to-month basis?

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* 23. Please describe how your RRH program staff determine the amount of rental assistance a participant will receive:

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* 24. Choose one of the following to indicate the average length of time that the RRH program’s participants receive assistance:

Case Management Services

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* 25. Case management services are offered but participation in services is voluntary?

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* 26. Case managers meet with the participant monthly to determine his or her continued eligibility for assistance?

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* 27. Case management meetings take place in the participant’s home?

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* 28. Participant case management plans include connecting the participant to mainstream benefits and community resources (SSI/SSDI, food stamps, food banks, TANF)?

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* 29. RRH program staff are trained in Housing First, Trauma Informed Care, and Harm Reduction principles?

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* 30. RRH program staff are trained in evidence-based practices and RRH program requirements prior to providing RRH services?

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* 31. RRH program offers employment/vocational services to all participants?

Exit/Termination

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* 32. RRH program staff provide follow-up services as needed to exited households?

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* 33. Participants are given the option to formally appeal if program staff decide to terminate assistance?

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* 34. If a participant is evicted from housing, program staff work to re-house that person as quickly as possible?

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* 35. Upon program exit, program provides information to the landlord and participant about how they can contact the program again if needed and what kinds of follow-up assistance may be available when financial assistance ends?

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* 36. RRH program staff check in with participants after assistance ends to make sure they remain in permanent housing?

Program Evaluation

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* 37. RRH program staff regularly evaluate the program’s HMIS Annual Performance Report or other type of program data?

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* 38. RRH program has HMIS data quality of 95% or higher?

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* 39. RRH program managers and staff set goals for metrics such as “average cost per household” and track that information?

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* 40. For program participants, the average time between intake and lease-up is 60 days or less?

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* 41. Participants take over the rent for their “assisted unit” when assistance comes to an end?

Other Short-Answer Questions

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* 42. Other than the VI-SPDAT, what assessment tool(s) does your program use for RRH participants (e.g., barriers to housing, self-sufficiency matrix, SPDAT, other internal assessments)?

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* 43. What is the average caseload size?

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* 44. What support can MDHI help provide for the staff of your RRH program?

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* 45. Any other comments or things you would like MDHI to know related to RRH?

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