How to incorporate screening to your basic I & R program

Screening & OutcomesScreening & Outcomes

Objective

Demonstrate how screening positions I & R as the “gateway” to Continuums of Care.

Aren’t we doing this already?

The difference is reach of service & tighter connection of services to client needs.

ADRCs

Veterans and Military

Housing

Where to begin

Information Gathering

Revenue Generating

Information Gathering

Identify target population Validate agency role in the continuum Position for future funding In-reach to learn about the current caller

needs Helps with overall assessment process for

better referrals

Examples: Veterans Health Insurance and utilization

Revenue Generating

Leverage current and upcoming

programs Logical connections

Capitalize on data collection capabilities regarding target

populations Build on relationships with community partners to avoid

duplication of servicesExamples

CETF-bridging the digital divide SNAP (food stamps) Developmental Screening HPRP-housing

Developing Key Partnerships

Identify Potential Funding StreamsWhen you are developing screening you want to be sure it is in

SUPPORT

of the service network needs.

Develop MOUs Take time to develop a trusting relationship (understand each

others organizations) Plan on some pro bono work but establish boundaries Be clear about roles and responsibilities Use the MOU in day to day business-it’s a living document

How to develop a screening

Groups to consult or engage with Collaboratives and advisory committees Subject matter experts Other I & R providers

Steps Develop basic screening questions internally-establish

target population is already using I & R service Take data to the partners to share and learn Review and/or gather resources for your database Learn about the culture of the target population Avoid duplication of services Test screening

Screening/Reporting Type

Screening Purpose

Developmental Delay

Screen for children that may be at high risk for developmental delay or autism. Offer a screening to callers with an expressed concern and a random sampling of children 0-5.

Veterans and Military

Screen all non-crisis callers for military background to provide referrals to local services especially designed and funded for veterans that they may not be aware of.

HPRP (Homeless prevention and rapid re-housing)

Screen callers who recently became homeless or were in danger of becoming homeless for eligibility for HPRP programs.

CETF (California Emerging Technology Fund)

Screen callers for Internet access and training needs. Connected with low cost services to help bridge the digital divide.

CalFresh Outreach to callers for nutritional assistance and to provide information and referral regarding eligibility and enrollment.

Examples of Screening Conducted by 211 LA

to Various Target Populations

Examples of Screening Conducted by 211 LA

to Various Target Populations

Break for Part 2

Implementation Steps

Technology needs and requirements Training Data collection Outcomes reporting Utilization of data

Technology needs and requirements

How will you collect the data? Integration with I & R software is idealOther tools will work (Survey Monkey, etc.)

Individualized fields Quality requirements Development of protocol Measurable goals

Sample sizeWho to screenTime frame

Training staff

Introduction to concept Understanding the “WHY” Training styles

Incorporation of practice and role play Utilize subject matter experts Teach to the protocol without becoming

prescriptive Revisit the training with regularity (tips of

the day, coaching, huddles, & refresher training)

Why training is so important…

Outcomes reporting

Show impact Tell a story with your data Show the partners how to use the data Utilize data for future funding Success stories to emphasize impact

Sample Reports in your packets!

211 Impact data

211 Impact data reporting examples: HPRP – 19,113 screening with 16,630 targeted referrals Bridging the digital divide – 2,096 screens with 96,694

referrals Homeless family vouchering – 1,169 screens with 1,479

referrals in 2011 CalFresh education and outreach – 55,585 screens with

5,818 referrals in 2011 Developmental delay screening (0-5) – 2,845 screens with

2,759 referrals Veterans screening – 7% of 211 callers are Veterans or

former military Caller needs (geographic, quantitative, and topical) Disaster response and recovery GIS mapping of available resource and/or services provided

Health screening data

Screened over 80,000 callers over a 2 month period 23% of callers to 211 do not currently have health

insurance 32% of children under 18 years of age are also not

insured 11% of callers identify as having Type 1 or 2

diabetes 24% have received services from an emergency

room in the past year (1/2 more than once)

*211 LA County callers need assistance accessing preventative health care and utilizing health insurance

*Families represent 43% of total shelter calls received and 40% of total food calls.**Other multiple includes households with multiple members such as a family with adultchildren, and agency calling for a client, etc.***Daytime encompasses calls received Monday‐Friday from 9:00am to 2:59pm. After‐hour calls areMonday‐Friday from 3:00pm to 8:59am and all day Saturday and Sunday.

**** All Emergency Shelter and Food requests are included under the DPSS call count reported in the monthly invoice.

Data can lead to programs…

Maribel Marin Laura MejiaExecutive Director Program Managermmarin@211la.org lmejia@211la.org

Amy LatzerChief Operating Officeralatzer@211la.org