Diversion: Making it Work

This blog is part of the “You asked for it” series. In December, on the OrgCode FaceBook page I asked people want blogs they wanted to see. These blogs are a direct response to the most popular suggestions. This one goes out to Zach Brown. He asked for a blog about “the whole biz on diversion” because it is “sorely lacking out there in the informosphere.”

 

Some people think diversion is about rejecting service to people. Seriously. I have seen it happen. Other people think diversion is about finding short-term fixes like a motel room instead of having people come into shelter. I am not kidding.

Diversion is a service. It is not the absence or denial of service. It is the art and science of finding safe and appropriate alternatives to shelter use. It is about empowering the front end of the system to try and resolve problems through natural supports and progressive engagement of “lighter touch” solutions before providing a more intensive response through the shelter system or any other homeless service.

Diversion is highly effective when there is coordinated entry into shelter services because there is greater structure and control, and less variation in how it is applied. When diversion is used in a decentralized approach to shelter entry, there is a risk of “service shopping” emerging where someone that is seeking service does not get the immediate answer they want of shelter entry they go to another shelter (and another and another and another in larger cities) until they get admitted.

Let me give you an example of a place where diversion is kicking butt: Phoenix. There is a centralized intake for families known as the Family Housing Hub. Here is what they wrote in mid-December:

 

Great news! Since launching the Family Housing Hub in mid-August, our staff has formally diverted 100 families from emergency shelter. Rather than add them to community waiting list for services, our highly skilled staff spent at least an hour with each of these families to help them problem-solve and identify safe, affordable housing options to prevent them from entering the homeless system. We are having great success at providing information and tools so families are able to end their own homelessness. And it’s working! Only 2 of the 100 families have returned to the Family Housing Hub and entered the homeless service system.

 

How did they do it? And how are others like them doing it? They are treating diversion as a service, investing in training to learn how to do it properly (in this case from yours truly), and applying these nine steps, outlined generally here (and more in depth in training):

 

STEP ONE:

Explanation of the diversion conversation. You want to use a scripted conversation that outlines how you wish to avoid entry into shelter whenever there is a safe and appropriate alternative.

STEP TWO:

You want them to articulate why – exactly – they are seeking shelter today. As part of the same step you want to know what they have already tried or thought about trying but haven’t attempted yet.

STEP THREE:

You want to understand where they stayed last night, how long they have stayed there, and whether or not they can return there safely for at least another three days while trying to figure out next steps. If where they were staying is unsafe or they cannot return, you can skip to Step Six.

STEP FOUR:

Following on the previous step, you want them to name the MAIN reason they had to leave the place they stayed the night before. Then, as a follow up, you want to know if there are any other reasons they cannot stay there. (Sometimes what they saw as the main reason and what the more pressing reason really is from your perspective may be different and illuminating.)

STEP FIVE:

You then want to find out if their time there could be extended if the person knew that permanent solutions and referrals were being made, connecting them to other community resources. If they still say they have no way to extend, you want to ask what it would take to extend it.

STEP SIX:

If they cannot return to where they stayed the night before or if it was unsafe, you then want to explore other potential people they could stay with that may be safe and appropriate to connect with.

STEP SEVEN:

After determining there is no alternative for them to put into action, and before admitting to shelter, there are a series of exploratory questions to better understand why they are having difficulties finding permanent housing. This sometimes reveals nuggets of information that can inform an appropriate referral that can solve their housing instability.

STEP EIGHT:

This step explores what resources they may have at their disposal or through family members that would allow for an alternative to shelter and/or could help inform their pathway to permanent housing.

STEP NINE:

This step is the parting words for shelter access. It goes like this:

  • If admitted to shelter there is still an expectation that you will be attempting to secure permanent housing for you and your family. What is your plan at this point for securing housing if you are admitted to shelter?

We want people to know, even upon shelter entry, that shelter is not the answer. Permanent housing is the answer. Even if they do not have a plan, we want them to stay focused on housing and getting out of shelter from the first day they are in shelter.

Iain De Jong

About Iain De Jong

11 Responses to “Diversion: Making it Work”

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  1. Linda Kaufman says:

    Iain — another great piece of this amazing work.

    Zach — thanks for asking this.

    • Zach Brown says:

      Hey, my pleasure! I needed it. I would also recommend OrgCode’s Diversion 101 video that takes this into more detail (I had asked for the blog topic before completing my due diligence and looking for this) Video is here: http://vimeo.com/69965862. And, it’s been so helpful that we’re considering a “Diversion Intake” of sorts in HMIS, and then training behind it (philosophy and HMIS) that will make this process easier for clients and providers.

  2. Dawn Gilman says:

    Very timely! We carved out some State of FL funds to start this in Jacksonville. It will be interesting to see who we find from now through June 30th.

  3. Jen Padgett says:

    great post!
    I love that it’s put in perspective of a service so that everyone understands it is a service – and I particularly love how engaged the client becomes in working on the solution with the service provider.

    I’d love to get access to data that correlates the success of diversion and a long term solution to permanent housing.

    How is Phoenix tracking success? What are the metrics and reporting mechanisms used?

    Thanks!
    Jen

  4. Thank you for this thoughtful questionnaire. We are asking some of these questions but not all. I especially find question # 9 helpful as it requires the person seeking shelter to think beyond the shelter experience..it requires thinking in terms of a permanent solution.

  5. Dear Iain,
    Thank-you for this very helpful article. Several of our local family service providers have been exploring expanding our coordinated intake system to incorporate diversion. We find the questionnaire helpful and can divert people from our shelters but have a couple questions about the implications of diversion for other services.
    1) Homeless families can access child care services that are otherwise not available. This enables parents to secure employment and income for permanent housing. If families are diverted, can we still classify them as homeless to qualify for child care?
    2) While families can be diverted for short periods, they still need a long term permanent housing solution. Similar to the child care question, can we consider diverted families homeless to access housing resources for homeless families such as RRH, permanent supportive housing or Housing Authority preferences?
    Thanks again for your advice.
    Patrice

  6. Sophia Checa says:

    I highly recommend Ed Boyte of the Cleveland Mediation Center (http://clevelandmediation.org/) as a diversion trainer. He has a lot of experience in conflict resolution and has been involved in providing mediation at Cleveland’s shelters since 2009. We contracted with him this fall/winter to do trainings in 7 Texas Balance of State Communities. He did a phenomenal job. We heard nothing but fabulous things about Ed and the training.

  7. David Parker says:

    This is a good post. I have never quite understood why the concept of diversion is so confusing. Maybe it was coming from a medical model, where you divert people from the ED for instance – however, you actively refer them to primary care (there needs to be a stronger word than refer, as I mean shoot down the barriers facing them in obtaining care – provide transportation, schedule appointments, attend their first appointment with them to introduce providers, provide medical translation services, etc).

    I mean, homeless prevention is homeless diversion, right? You don’t just tell someone on the cusp of homelessness to ‘suck it up’, because you know that doesn’t solve a thing.

    We do need more of this information. However, I also believe we need more validated measures to be able to provide data and a compelling case.

  8. Good day. I was wondering if I could reprint your diversion piece in our newsletter this week. I would of course give you credit for creating the piece. Thanks so much for your consideration.

  9. Ben Grady says:

    Iain,

    I watched the video that Zach linked to and think that it is great. Would it be possible to get a copy of the video that doesn’t have background music? I would love to share it with colleagues but the music is rather distracting and sometimes makes it difficult to hear what you are saying.

    Thanks!

    Ben

  10. Miranda Morgan says:

    Great job Phoenix!