Diversion Strategies for Youth and Young Adults A Client-Centered Empowerment Approach to Reducing Episodes of Homelessness Think Change • Be Change • Lead Change Presenters: MARY ANN HALEY Connecticut Coalition to End Homelessness BRENDA CAVANAUGH Community Mediation, Inc. Think Change • Be Change • Lead Change INTRODUCTION The Connecticut Coalition to End Homeless The Cleveland Mediation Center A Brief History of Diversion Think Change • Be Change • Lead Change Group Exercise • Name, Organization, Role/Title • What do you hope to gain from the training today? • One thing you love about your work Think Change • Be Change • Lead Change Outline of Training Background and Philosophy • Introduction • Housing First • What is Diversion? • Coordinated Entry • Empowerment Putting Diversion into Practice • Four Diversion Steps 1. Setting the Stage 2. Active Listening 3. Strengths Exploration 4. Moving Forward: Outcomes Think Change • Be Change • Lead Change The Connecticut Coalition to End Homelessness The Connecticut Coalition to End Homelessness (CCEH) is a 501(c)3 non-profit organization Founded in 1982. Membership organization that brings together homeless service providers and other community organizations across the state for the common goal of ending homelessness CCEH provides training and technical assistance, data and research, and advocacy and community engagement. Think Change • Be Change • Lead Change End Youth Homelessness by 2020 Unaccompanied Youth aged 13-24, young families with HOH under 25 years old o Drive down the number of youth experiencing housing instability to as close to zero as possible; o Enhance and coordinate systems and interventions to prevent new youth from entering into homelessness; o When a youth does fall into housing instability/homelessness, quickly identify and rapidly provide the assistance necessary for them to achieve housing stability; and o Ensure formerly homeless youth have the tools to remain in stable housing – employment, education, mediated family relationship or other permanent connections, appropriate services, etc. 2017 CT Youth Count! • Estimated 4,396 Homeless and Unstably Housed Youth & Young Adults in Connecticut • 74% between 18 – 24 years old • 26% under 18 years old Point in Time Count 2017 • 29% identify as a member of the LGBTQ community • 23% are pregnant or parenting (of these, 65% female) • 17% indicated they feel unsafe in their living situation • 18% indicated they have been encouraged, pressured or forced to exchange sexual acts for money, drugs, food, a place to stay, clothing, or protection. 24% Decline in individual homelessness since 2007 • 41% indicated they had a chronic health condition, physical disability, severe mental illness, learning disability, or chronic substance abuse issue. 60% drop in chronic homelessness since 2014 3rd Year of Decline in Overall Homelessness A Brief History of Diversion in CT • • • • • Coordinated Entry System New London, CT Success Story Training Development of regional systems Statewide systems and support Think Change • Be Change • Lead Change New London, CT 2015 Think Change • Be Change • Lead Change Conflict Resolution Approach Homelessness is a crisis – as in conflict, persons in crisis are less able to clearly think through problems and advocate for themselves than they are when not in crisis. Think Change • Be Change • Lead Change Anger/Anxiety Mountain AMYGDALA ACTIVATED – Fight, Flight or Freeze ¼ OF A SECOND TRIGGER 20 MINUTES – 2 DAYS CALM & TIRED FIGHT, FLIGHT OR FREEZE Prefrontal Cortex in Teens Prefrontal Cortex does not fully develop until average age of 25. Prefrontal Cortex in Young People Based on the stage of their brain development, adolescents are more likely to: • • • • • act on impulse misread or misinterpret social cues and emotions get into accidents of all kinds get involved in fights engage in dangerous or risky behavior American Academy of Child & Adolescent Psychiatry Conflict Resolution Approach • A strength-based approach helps clients identify and mine strengths, successes and resources they’ve used in the past to help them with this episode of homelessness. • Support and trust that people want to succeed. Help them identify their own strengths and successes in their life that can help them with this crisis. • First listen and validate their experience. Be non-judgmental. • Client-centered. Don’t assume what people need; help them articulate their needs. Think Change • Be Change • Lead Change Self-Determined Follow-through In a 2010 study of Small Claims cases requiring restitution: 90% of defendants who were allowed to play a part in the decision (through mediation) made full or partial payment. 50% of those compelled by the court made full or partial payment. Think Change • Be Change • Lead Change HOUSING FIRST Housing First Philosophy Equation on Homelessness Housing First in Action Think Change • Be Change • Lead Change Housing First Principles Everyone is ready for housing, regardless of the complexity or severity of their needs. Homelessness is foremost a housing problem and should be treated as such Safe housing is a right to which we are all entitled. Contributing factors to a person’s homelessness can be addressed best once they are housed. Think Change • Be Change • Lead Change What Causes Homelessness? _________ + X = Homelessness X = __________ Wealthier areas include many people who face domestic abuse, drug or alcohol addiction and/or mental health issues, but we rarely see people from means in shelter or on the streets. *X as the common factor. The blank as the variable factors Think Change • Be Change • Lead Change National Alliance to End Homelessness: Principles for Homeless Prevention Principle ONE: Crisis resolution Principle TWO: Client choice, respect, and empowerment Principle THREE: Provide the minimum assistance necessary for the shortest time possible Principle FOUR: Maximize community resources Principle FIVE: The right resources to the right people at the right time Think Change • Be Change • Lead Change WHAT IS DIVERSION? What is Diversion? When does Diversion take place? Who do you Divert? Think Change • Be Change • Lead Change Diversion is… Empowering people facing imminent homelessness to identify safe and appropriate housing options & assisting and supporting them to avoiding shelter and returning immediately to housing. Diversion is NOT a barrier to shelter. Think Change • Be Change • Lead Change Permanently back with friends or family Return to their own residence Temporarily diverted as they seek new housing Relocating permanently to safe place out of town Think Change • Be Change • Lead Change Diversion Outcomes Diversion Work •Help people determine if it’s possible for them to stay anywhere else that’s safe, other than a shelter. •Financial assistance is used for food, local and Greyhound bus tickets, grocery and gas station gift cards, or utility assistance that can be used to help people stay with friends or family. Think Change • Be Change • Lead Change Operationalizing Your Definition CT Definition (work in progress) DIVERSION IS… a strategy that prevents homelessness by helping people experiencing a housing crisis and seeking shelter to preserve their current housing situation or make immediate alternative arrangements without having to enter shelter. Think Change • Be Change • Lead Change COORDINATED ENTRY Designing Diversion into Your System Think Change • Be Change • Lead Change Proposed Coordinated Entry Process for Youth Step One: 211 (Brief Risk/Pathway Assessment) Risk: Suicidality, EMPS Pathway: Veteran, DV, RHY, Young Adult Step Two: Initial Support Meeting (Youth Navigator or Designated Youth Specialist) Shelter Diversion Assessment of Needs and/or Vulnerability Begin Connection to Services Step Three: Community Service Linkages (Youth Navigator/Community Providers) Housing Emergency Housing/Shelter Consistent Follow Up Think Change • Be Change • Lead Change EMPOWERMENT Paradoxical Theory of Change Validation Think Change • Be Change • Lead Change Impact of Crisis on Self Worth Experiencing conflict and crisis makes people shut down, and become defensive/closed off. Our job is to help people shift gradually to the right -empowered – side. Empowerment Shifts Weak a Powerful Unsure a Confidant Hopeless a Optimistic Unclear a Organized Frustrated a At Ease Think Change • Be Change • Lead Change How People In Crisis View Others In the midst of crisis people tend to be protective, defensive, and not open to others. As we help them become empowered, they are more able to listen, consider, and negotiate with others. Recognition Shifts Closed a Open Suspicious a Trusting Self Absorbed a Generous Ignoring a Listening Dismissing a Negotiating Think Change • Be Change • Lead Change Four Diversion Steps 1. Setting the Stage 2. Active and Empathetic Listening 3. Strength Exploration 4. Moving forward Think Change • Be Change • Lead Change STEP ONE: SETTING THE STAGE Think Change • Be Change • Lead Change Getting Yourself Ready • • • • • • Time Space Mindfulness Prepared Non-verbal messages conveyed Improving/Learning Think Change • Be Change • Lead Change What You Might Need: Keep it Simple! • • • • Notepad Diversion Guideline Sheet Pen Seating for face-to-face interaction Think Change • Be Change • Lead Change Introductions and Managing Expectations • Describe your role as assisting them to find safe alternatives to shelter • Clarify this is not a barrier to shelter • Describe shelter reality Think Change • Be Change • Lead Change STEP TWO: ACTIVE AND EMPATHETIC LISTENING ROLES Think Change • Be Change • Lead Change Listening Skill Building What helps you prepare, get centered to listen? Physical Preparedness: R - Relaxed O - Open L - Leaning towards the speaker E - Eye Contact S - Squared toward speaker Note Taking Think Change • Be Change • Lead Change Listening Skill Building (cont.) Acknowledge by: • Summarizing • Paraphrasing • Open-ended questions help the speaker illuminate what they are saying. Examples: Can you tell me more about… ? Has this happened before? • Never ask Why! Think Change • Be Change • Lead Change Getting Clearer (partner activity) Pair off with another person. • Each person think for a moment about something that is on your mind – a decision you need to make, a problem, or something you are trying to figure out. • The purpose is to have someone listen to you, not give you advise, but help you feel clearer, gain insight, help you think through or be more confident about your situation. • Take about 5 minutes each telling your story to the other, and then we switch listener/speaker roles. • Listeners: Do not offer opinions or give advice. Think Change • Be Change • Lead Change Recap Step One: Introductions Briefly introduce yourself. • Name, organization, role • Describe the conversation • Hear their experience How can we help them return to housing? Think Change • Be Change • Lead Change Recap Step Two: Active Listening • Body language • Paraphrasing • Empathy Keep this listening step separate from problem-solving. Think Change • Be Change • Lead Change Video CMC Diversion Training Video Think Change • Be Change • Lead Change Questions When Reality Testing • • • • • • How would this look? What is the timeline? Have you done something like this before? What other options have you considered? What resources do you have to carry this out? In case this does not work out as well as you would like, would you like to explore a back-up plan? Think Change • Be Change • Lead Change Reality Testing Decisions • The agreements and decisions need to work for the parties (not for us). • By starting with what has worked previously, we increase the odds of it working again. • If you have a concern – do not ignore it – use that as an opportunity to help our client think through their options and decisions. Think Change • Be Change • Lead Change STEP 3: STRENGTHS EXPLORATION Think Change • Be Change • Lead Change Group Exercise: Using Strength-based Language Glass Half-Full • Form groups of 4-5 people • Come up with other phrasing for each wording • Share Think Change • Be Change • Lead Change Prompts for Identifying Strengths Must be give and take dialogue , not interrogation Explore strengths beyond the individual • What worked well for you? How can you recreate that? What can go right? • Explore what has worked. Let client lead, but follow-up on employment, housing, relationship, support successes. Think Change • Be Change • Lead Change Strengths Exploration What were things like for them when things were going better? Who have they helped? Who are their allies, friends, and family members? Our clients may feel dependent – we can help them remember times of interdependence. Think Change • Be Change • Lead Change Group Exercise Imagine this scenario: • Your client is an unaccompanied youth, age 18, who has been homeless for 2 weeks. • He was working on his GED and works part time at a fast food restaurant that does not pay enough to afford an apartment. • Client moved out of the house due to conflict with mother. • Client loves grandmother and used to help her in the garden. • Mom was taking care of two other younger siblings and was frustrated with the kids lack of help around the house & attitude. • Client’s position is he shouldn’t have to take care of the house, should be free to do what he wants while he’s young – ran away • Mom is frantic to get him back in the house. Think Change • Be Change • Lead Change Group Exercise (cont.) Goal – to uncover strengths, successes, and networks. Each group will focus on a different aspect of this story. Group One Group Two Group Three Think of all the aspects (strengths, skills, successes, networks) that went into finding and maintaining client’s own housing. Think of all the aspects (strengths, skills, successes, networks) that went into finding and maintaining client’s job at restaurant. While being doubled up with Mom, how did client contribute to the household? How was client helped, and how did client help others? Think Change • Be Change • Lead Change Strengths and Resource Exploration Using a client’s previous experience as a way to identify a variety of successes: • knowledge education (was getting GED), • relationships (caring mom) and • networks (knows neighborhood) • work experience (fast-food restaurant) Noticing aspects of their life as a springboard Think Change • Be Change • Lead Change Ideas for Strengths Motivated to change Has a support system –friends, family Has been employed in the past, has done volunteer work Skills/competencies: vocational, relational, transportation savvy, activities of daily living Intelligent, artistic, musical, good at sports, good with their hands, can fix things, funny Awareness, ability to observe and assess situation Think Change • Be Change • Lead Change Ideas for Strengths Advocate for themselves, sought help, able to convey their needs Resourcefulness - Has been able to survive, take care of themselves, medications Spirituality - connected to church, higher power, nature Good physical health Adaptive coping skills, things they were able to handle so far Think Change • Be Change • Lead Change STEP FOUR: MOVING FORWARD - OUTCOMES ROLES Think Change • Be Change • Lead Change Moving Forward: 4 Diversion Outcomes After we have listened, then explored past strengths, what housing options do they want to pursue?: What other needs has the client identified? Think Change • Be Change • Lead Change Permanently back with friends or family Return to their own residence Temporarily diverted as they seek new housing Relocating permanently to safe place out of town Think Change • Be Change • Lead Change Diversion Outcomes Outcome One Permanently back with friends or family When? Under what circumstances? No better option No housing history No income history • How can our client contribute to the household? • How can our client use this time to further education and/or employment opportunities? • Is a doubled up situation safe & appropriate? Think Change • Be Change • Lead Change Outcome Two When? Under what circumstances? Walk-Aways (have lease but cannot pay current or back rent) Non-DV relationship issues (significant other, sibling, friend is in home) Return to their own residence Previous places they have lived are options (i.e. parents, family home) Think Change • Be Change • Lead Change Outcome Three Temporarily diverted as they seek new housing When? Under what circumstances? Wish to live on their own and have done so before Current or past income Think Change • Be Change • Lead Change Outcome Four When? Under what circumstances? • Safe, appropriate host • Support systems – family, friends, employment, education How? Relocating permanently to safe place out of town Confirm with host (30 day minimum) What travel and other logistics do we need to work out? Think Change • Be Change • Lead Change Moving into their own place! Help clients consider: • • • • A walk through before moving in Discussing how and when rent is paid How to discuss repairs with landlord Fallback plans if they have a change in income Think Change • Be Change • Lead Change Troubleshooting What’s the reason for them being stuck? Can we help them address their concerns? Buyers Remorse • Listen • Validate • Empathy What happens if they do not get diverted? Think Change • Be Change • Lead Change Diversion not possible – shelter is needed… • Diversion conversations can be first step to finding a housing permanent solutions – so you have not wasted anytime! • Be clear with client that this is the beginning of finding a housing solution, shelter is not the answer. • Keep the focus on housing, strengths, empowerment Think Change • Be Change • Lead Change SUMMARY Think Change • Be Change • Lead Change Recap • Remember to listen first, understand, validate. Be empathetic. • Leave no stone unturned in helping people think of safe places they can live or stay other than the street or shelter. • Help people think through options – help them clarify their choices and the steps needed to carry out their plan. If a client is difficult: – Remember that homelessness is a crisis and people are usually not at their best when under this stress. – Help them realize strengths and resources they have forgotten. – Visualize sitting next to them, supporting them in how they choose to address the problem. Think Change • Be Change • Lead Change Thank You! Think Change • Be Change • Lead Change
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