Napa City Council
November 15, 2022

LOCAL HOMELESSNESS ACTION PLAN

AND APPLICATION TEMPLATE

HOMELESS HOUSING, ASSISTANCE AND PREVENTION PROGRAM
ROUND 4 (HHAP-4)
Revised October 21, 2022
ATTACHMENT 2

Purpose of this Template
The California Interagency Council on Homelessness (Cal ICH) is providing this Local Homelessness Action Plan and Application Template as optional for use by jurisdictions seeking the disbursement of remaining funding under Round 4 of the Homeless Housing, Assistance and Prevention Program (HHAP-4). This Template is intended to support the development and submission of information required for approval by Cal ICH as required in AB 140 (Health & Safety Code § 50218.6, et seq.), collectively referred to as a Local Homelessness Action Plan.

Th
is Template is also intended to support the streamlined presentation of application information to be agendized at a local governing board meeting and available for public comment as stated in Health and Safety Code Section 50220.8(b)(4). Statute does not require local governing boards to take action on or formally adopt the agendized content, however, local governments may choose to do so.
 P
ART I: LANDSCAPE ANALYSIS OF NEEDS, DEMOGRAPHICS, AND FUNDING This section provides a format for providing the following required information:
(i) A local landscape analysis that assesses the current number of people experiencing homelessness and existing programs and funding which address homelessness. (ii) Identification of the number of individuals and families served, including demographic information and intervention types provided, and demographic subpopulations that are underserved relative to their proportion of individuals experiencing homelessness. (iii) Identification of funds, currently being used, and budgeted to be used, to provide housing and homelessness-related services to persons experiencing homelessness or at imminent risk of homelessness, how this funding serves subpopulations, and types of interventions funded.  PART II: OUTCOME GOALS AND STRATEGIES FOR ACHIEVING THOSE GOALS This section of the Template provides applicants with a format for providing Outcome Goals, and strategies for achieving those goals, across the following performance measures:
 Reducing the number of persons experiencing homelessness.  Reducing the number of persons who become newly homeless each year.  Increasing the number of people exiting homelessness into permanent housing.  Reducing the length of time persons remain homeless.
 Reducing the number of persons who return to homelessness within two years after exiting homelessness to permanent housing.
 Increasing successful placements from street outreach.  Trackable data goals related to the Outcome Goals as they apply to underserved populations and populations disproportionately impacted by homelessness.  PART III: APPLICATION NARRATIVE RESPONSES
This section includes the required narrative responses for the HHAP-4 application. These narrative r
esponses are to provide additional information on regional coordination, capacity building, and eq
uity related efforts in alignment with local action plan goals and strategies.  PART IV: HHAP 4 FUNDING PLAN AND STRATEGIC INTENT NARRATIVE This section provides a format for describing the specific allowable activities to be supported with HHAP-4 funds and for describing the strategic intent for investing HHAP-4 resources into those ac
tivities and the alignment of those investments with other funding investments.

ATTACHMENT 2

APPLICANT INFORMATION
List the eligible applicant(s) submitting this application for HHAP-4 funding below and check the corresponding box to indicate whether the applicant(s) is/are applying individually or jointly.

Eligible Applicant(s) and Individual or Joint Designation This application represents ☒ an individual ☐ a joint application for HHAP-4 funding on behalf of the following eligible applicant jurisdiction(s):

F
unds awarded based on this application will be administered by the following Administrative Entity:

Administrative Entity Information
Administrative Entity: City of Napa
Contact Person: Molly Rattigan
Title: Deputy City Manager
Contact Phone Number: 707-258-7858
Contact Email Address: [email protected]
A
greement to Participate in HDIS and HMIS [50220.8(b)(3)(C)] By submitting this application, we agree to participate in a statewide Homeless Data Integration System, and to enter individuals served by this funding into the local Homeless Management Information System, in accordance with local protocols.

Eligible Applicant Name
Napa City & County CoC
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ATTACHMENT 2

PART I: LANDSCAPE ANALYSIS OF NEEDS, DEMOGRAPHICS, AND FUNDING

A. Landscape Analysis of Needs and Demographics [50220.8(b)(1)(A)] Please use TABLE 1 in the HHAP-4 Data Tables Template to provide key data regarding people experiencing homelessness in your jurisdiction. An example can be seen below.

The information provided in Table 1 should reflect the most current Point In Time Count data available or your most current and accurate way of estimating the number and demographics of people experiencing homelessness on the day that you are preparing the data, which could rely on utilizing: data from the Homeless Data Integration System (HDIS); point-in-time count (PIT) data; Continuum of Care Housing Inventory Count (HIC) data; longitudinal systems analysis (LSA); HUD’s Stella tools; as well as any recently conducted local needs assessments, analyses, or other data sources.

TABLE 1 (EXAMPLE ONLY)
No changes from HHAP-3

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B. Landscape Analysis of People Being Served [50220.8(b)(1)(B)] P
lease use TABLE 2 in the HHAP-4 Data Tables Template to report the number of individuals and families served. The data provided within Table 2 should represent your most current and accurate way of estimating the annual number and demographics of people participating within or being served by the different intervention types, including subpopulations that are underserved relative to their proportion of individuals experiencing homelessness in the jurisdiction. It is important to note that intervention types are not mutually exclusive, and individuals and households may be counted in multiple categories.

G
rantees are encouraged to utilize existing documentation, including but not limited to: data from the Homeless Data Integration System (HDIS); point-in-time count (PIT) data; Continuum of Care Housing Inventory Count (HIC) data; longitudinal systems analysis (LSA); HUD’s Stella tools; as well as data from the CoC’s local HMIS and any recently conducted needs assessments, analyses, or other data sources. An example can be seen below.

Tabl
e 2 uses the following abbreviations:
 PSH – Permanent Supportive Housing
 RRH – Rapid Rehousing
 TH – Transitional Housing
 IH / ES – Interim Housing or Emergency Shelter
 DIV – Diversion Services and Assistance
 HP – Homelessness Prevention Services and Assistance
 O/R – Outreach and Engagement Services
T
ABLE 2 (EXAMPLE ONLY):

No changes from HHAP-3
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C. Landscape Analysis of State, Federal, and Local Funding [50220.8(b)(1)(C)] Please use TABLE 3 in the HHAP-4 Data Tables Template to identify and document all budgeted funds for homelessness-related services and housing opportunities. Please include state, federal and local funds for current and future fiscal years that are dedicated to homeless specific resources (e.g., CoC, ESG, HHAP). Also please include homelessness dedicated vouchers, including Housing Choice Vouchers (HCVs), Emergency Housing Vouchers (EHVs), Family Unification Program (FUP) or HUD-VA Supportive Housing (HUD-VASH) vouchers. For those fund sources supporting voucher-based programs, indicate your best estimate of the dollar value of those vouchers in your community rather than the number of vouchers. Please include resources related to affordable housing financing dedicated to homeless units, including Homekey, NPLH and any other homeless specific capital resources. Please exclude resources related to funds applied for but not awarded, and vouchers, capital awards, and any other resources not specifically dedicated to people experiencing homelessness in your community.

This information should not focus on funding only being expended directly alongside HHAP funding, but should document the full range of funding being used within your jurisdiction’s efforts to prevent and end homelessness while identifying the housing and services programming that is supported with those funds.

The “Total Amount” should include the total funds invested into homelessness interventions from that source of funding in each of the designated fiscal year(s). For the current Fiscal Year only, please also select all intervention types that apply and provide a brief program description, indicating services provided and subpopulations served.

Applicants should add as many rows as necessary to identify and document the full range of funding being used within your jurisdiction’s efforts to prevent and end homelessness. An example can be referenced below.

Table 3: Landscape Analysis of State, Federal, and Local Funding (EXAMPLE ONLY) REVISED since HHAP-3

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PART II: OUTCOME GOALS AND STRATEGIES FOR ACHIEVING THOSE GOALS HHAP-4 applicant jurisdictions are required to establish Outcome Goals for the progress that they will make in preventing and reducing homelessness over the three-year period of July 1, 2022 through June 30, 2025, informed by the findings from the local landscape analysis information completed above and the jurisdiction’s base system performance measures from the 2021 calendar year data in the Homeless Data Integration System.

Please note that these Outcomes Goals are not intended to be related to HHAP-4- funded activities alone, but rather are intended to represent jurisdictional or system-wide goals for making progress on preventing and ending homelessness through the implementation of the full range of federal, state, and local funding sources and through many other kinds of strategies and activities.

HHAP-4 applicant jurisdictions must set goals for each of the following Outcome Goals:
 Reducing the number of persons experiencing homelessness.  Reducing the number of persons who become newly homeless each year.  Increasing the number of people exiting homelessness into permanent housing.  Reducing the length of time persons remain homeless.
 Reducing the number of persons who return to homelessness within two years after exiting homelessness to permanent housing.  Increasing successful placements from street outreach.

Further, applicant jurisdictions are required to establish Homeless Management Information System trackable data goals related to each of the Outcome Goals as they apply to underserved populations and populations disproportionately impacted by homelessness.

Cal ICH will provide applicant jurisdictions with baseline data on each of these measures. Grantees, in partnership with Cal ICH, will develop outcome goals established from the baseline data provided. Information on how these outcomes are being measured will be provided with the baseline data. Cal ICH will also provide grantees with quarterly HDIS data in order to monitor progress on outcome goals.

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A. Outcome Goals [50220.8(b)(2)(A)]
Please use TABLE 4 in the HHAP-4 Data Tables Template to develop outcome goals. An example has been provided below.

Note: For the Goal Statement applicants should only change the information in brackets, do not change any other wording in the goal statement except the information in brackets. Please use the Goal Narrative section to explain key factors that helped determine the Outcome Goals being set, especially if the goals being set are not aligned with the directional intent of the Outcome Goals, e.g., if the goal is to reduce the rate of growth in the number of people who become homeless for the first time rather than the actual number of people who become homeless for the first time.

Table 4: Outcome Goals (EXAMPLE ONLY)
REVISED since HHAP-3

Outcome Goal #2: Reducing the number of persons who become homeless for the first time.

Goal Statement:

By the end of the performance period, HDIS data for the [name of CoC] will show [#] total people become homeless for the first time annually, representing [#] [fewer or more] people and a [%] [reduction or increase] from the baseline.

Goal Narrative:
[explain reasoning for setting this goal, especially if the goals being set are not aligned with the directional intent of the Outcome Goals]
Baseline Data:

Annual Estimate of # of people who
become homeless for the first time
Outcome Goals July 1, 2022 - June 30, 2025
Change in # of People Change as % of
Baseline
Target Annual Estimate of #
of people who become
homeless for the time
2,250 people annually*
*Actual baseline to be provided by Cal
ICH from HDIS: can use local data as
placeholder in the meantime
450 fewer people annually 20% reduction 1800 people annually Describe Your Related Goals for
Underserved Populations and Populations Disproportionately Impacted by Homelessness Describe any underserved and/ or disproportionately impacted population(s) that your community will especially focus on related to this Outcome Goal and how this focus has been informed by data in your landscape assessment:

Describe the trackable data goal(s) related to this
Outcome Goal:

Analysis of local data shows that while Black people represent 10% of the population in our CoC’s geographic area, Black people represent approximately 42% of individuals who become homeless for the first time each year and approximately 44% of families with children who become homeless for the first time each year have a Black head of household.

Reduce the number of Black individuals and families
with children with Black heads of household who
become homeless for the first time annually by 30%,
exceeding our overall 20% reduction in the number
of people who become homeless for the first time
annually.

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B. Strategies for Achieving Outcome Goals
In this section, applicants must describe actionable strategies they will implement to meet the Outcome Goals identified above.

Because individual strategies to address homelessness usually contribute to meeting more than one desired outcome, applicants are asked to identify the strategy and then to indicate all the outcome goals for which the strategy will help drive progress and to indicate if it will help drive progress on goals for underserved populations and populations disproportionately impacted by homelessness.

Please use TABLE 5 in the HHAP-4 Data Tables Template to document the strategies that will be implemented. An example has been provided below.

Applicants are expected to identify and describe local strategies that include but extend beyond the current and planned use of HHAP funding to be inclusive of, but not limited to, strategies for:
 Strategic uses of other sources of funding;
 Increasing investments into, or otherwise scaling up, specific interventions or program types;  Strengthening the quality or performance of housing and/or services programs;  Improving access to supportive services and/or physical health and behavioral health services;  Expanding and strengthening cross-system partnerships and/or collaborative planning;  Improving data quality, data systems, and/or data analyses to better inform decision-making;  Building the capacity of homelessness response system to utilize resources, implement best practices, and/or achieve outcomes;  Strengthening systemic efforts and processes, such as coordinated entry and assessment processes, landlord engagement efforts, housing navigation strategies, and other systemic improvements;  Expanding and strengthening partnerships with people with lived expertise;  Reaching underserved and historically marginalized communities and populations; and  Other equity-focused strategies.

In describing these strategies, applicants are strongly encouraged to use and/or adapt content from:
 Current local strategic plans or actions plans for preventing and ending homelessness;  Prior HHAP applications and reporting;
 Recent applications under HUD’s Continuum of Care program; and/or  Other relevant local policy documents or plans.

ATTACHMENT 2

Table 5: Strategies to Achieve Outcome Goals (EXAMPLE ONLY) REVISED since HHAP-3

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PART III. NARRATIVE RESPONSES
In preparing these narrative responses, applicants are strongly encouraged to use and/or adapt content from: their current local strategic plans or actions plans for preventing and ending homelessness; prior HHAP applications and reporting; their most recent applications under HUD’s Continuum of Care program; and/or other relevant local policy documents or plans.

1. [50220.8(b)(3)(D)] My jurisdiction (e.g., City, County, CoC) collaborated with other overlapping jurisdictions to develop the strategies and goals related to HHAP-4.
☒ Yes ☐No ☐ Other (please explain Click or tap here to enter text. )

2. [50220.8(b)(3)(D)] My jurisdiction (e.g., City, County, CoC) consulted with each of the following entities to determine how HHAP-4 funds would be used:

Public agencies (governmental entities) ☒ Yes ☐ No ☐ Other (please explain) Represented on CoC
Private sector partners (philanthropy,
local businesses, CBOs etc)
☒ Yes ☐ No ☐ Other (please explain)
Represented on CoC
Service providers (direct service
providers, outreach, shelter providers, etc)
☒ Yes ☐ No ☐ Other (please explain)
Represented on CoC
Local governing boards ☒ Yes ☐ No ☐ Other (please explain) Represented on CoC
People with lived experience ☒ Yes ☐ No ☐ Other (please explain) Represented on CoC
Other (please specify)
Click or tap here to enter text.
☐ Yes ☐ No ☒ Other (please explain)
Click or tap here to enter text.

a. Please describe your most notable coordination and collaborative processes with these entities:

All of the above agencies and partners have been directly involved with the HHAP funding allocation process, and have historically been very active in the homeless reponse system re-design. Between 2015-2017 the Napa City and County CoC partnered with national experts (Corporation for Supportive Housing, CSH and National Alliance to End Homelessness, NAEH) on a multi-year process to review and transfer the local homeless crisis response system. This work included the introduction of the “Housing-First” service, creating better access to the system for vulnerable individuals, increasing exits to permanent housing, and implementing and expanding the local Coordinated Entry System (CES) In 2017 Napa County was selected as a Whole Person Care (WPC) Pilot Program, a MediCal waiver program through DHCS meant to serve high-utilizers of health care systems. Napa County Housing & Homeless Services was the lead entity for the WPC Pilot. The local pilot program was designed to serve the portion of County’s population of individuals experiencing homelessness who are the highest utilizers of emergency services to provide social and housing support services as interventions leading to the prevention or reduction of emergency-response services. Specifically, Napa WPC targeted Medi-Cal eligible individuals experiencing or at-risk of experiencing homelessness, prioritizing services for:

Beneficiaries with multiple barriers to securing housing, Beneficiaries that are high utilizers of multiple systems (HUMS); and, Beneficiaries that have complex care needs, including co-occurring disorders, physical disability, serious mental illness, or substance use disorder. Napa WPC chose to implement a program centered ATTACHMENT 2

on “Housing First” client-centered care and data-informed decision-making. The overarching objectives were to improve individual health and quality of life, reduce utilization of emergency resources emergency room and in-patient hospitalization beds. Over the course of its six years, the pilot provided the framework for the intensive coordination across jurisdiction partners to successfully execute the broad system-change efforts envisioned. All of the above agencies and partners were involved with the multi-year system transformation and implementation of the WPC program (in some capacity). Napa City and County CoC continues to see success built upon these initiatives, and strengthening our Coordinated Entry System, to ensure we are serving the most vulnerable in the community.

3. [50220.8(b)(3)(B) and 50220.8(b)(3)(E)] My jurisdiction (e.g., City, County, CoC) is partnering or plans to use HHAP funding to increase partnership with:

People with lived
experience
☒ Yes, formal partnering
☐ CURRENT
☒ PLANNED
☐ HHAP Funds Support
This Partnership
☐ Yes, informal partnering
☐ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ No ☒ Other (please explain)
In November 2022, the
CoC approved the
development of a
formal subcommittee of
persons with lived
experience.

Social services (CalFresh,
Medi-cal, CalWORKs, SSI,
VA Benefits, etc)
☒ Yes, formal partnering
☒ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ Yes, informal partnering
☐ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ No ☒ Other (please explain)
These agencies are
active in the CoC, and
members of the CoC
Board. Partnerships are
ongoing.

Justice entities ☒ Yes, formal partnering
☒ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ Yes, informal partnering
☐ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ No ☐ Other (please explain)
These agencies are
active in the CoC, and
members of the CoC
Board. Partnerships are
ongoing.

Workforce system ☒ Yes, formal partnering
☒ CURRENT
☐ PLANNED
☐ Yes, informal partnering
☐ CURRENT
☐ PLANNED
☐ No ☐ Other (please explain)
These agencies are
active in the CoC, and
ATTACHMENT 2

☐ HHAP Funds Support
This Partnership
☐ HHAP Funds Support
This Partnership
members of the CoC
Board. Partnerships are
ongoing.

Services for older adults ☒ Yes, formal partnering
☒ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ Yes, informal partnering
☐ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ No ☐ Other (please explain)
These agencies are
active in the CoC, and
members of the CoC
Board. Partnerships are
ongoing.

Services for people with
disabilities
☒ Yes, formal partnering
☒ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ Yes, informal partnering
☐ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ No ☐ Other (please explain)
These agencies are
active in the CoC, and
members of the CoC
Board. Partnerships are
ongoing.

Child welfare system ☒ Yes, formal partnering
☒ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ Yes, informal partnering
☐ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ No ☐ Other (please explain)
These agencies are
active in the CoC, and
members of the CoC
Board. Partnerships are
ongoing.

Education system ☒ Yes, formal partnering
☒ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ Yes, informal partnering
☐ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ No ☐ Other (please explain)
These agencies are
active in the CoC, and
members of the CoC
Board. Partnerships are
ongoing.

Local Homeless
Coordinated Entry System
☒ Yes, formal partnering
☒ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ Yes, informal partnering
☐ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ No ☐ Other (please explain)
These agencies are
active in the CoC, and
members of the CoC
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Board. Partnerships are
ongoing.

Other (specify
_________________)
☐ Yes, formal partnering
☐ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ Yes, informal partnering
☐ CURRENT
☐ PLANNED
☐ HHAP Funds Support
This Partnership
☐ No ☐ Other (please explain)
Click or tap here to enter text.

a. Please describe your most notable partnerships with these groups (e.g. MOUs, shared funding, data sharing agreements, service coordination, etc.)
In 2017 Napa County became the Lead Entity for the California Department of Health Care Services (DHCS)’s Whole Person Care (WPC) Pilot Program. The WPC pilot program provided the administrative and delivery infrastructure to implement a new homeless response system fostering deeper connections and partnerships with and among care providers, such as Napa County Mental Health and Drug & Alcohol Programs and CARE network mobile response unit, as well as social service providers including Abode Services, Catholic Charities, Napa County Self-Sufficiency Programs, Family Resource Centers, Bay Area Legal Aid and Fair Housing Agencies, the Housing Authority City of Napa, LGBTQ Connection and VOICES Youth Center, among many other partners. These agencies coordinate via bi-weekly case conferencing to discuss client needs and coordinate care plans. In addition, the City and County rely heavily on these partnerships to design, implement and continuously improve programs to ensure they are meeting the needs of the community. This collaboration amongst City, County and Social Service agencies is critical in ensuring the homeless response system meets the needs of the Napa community .

4. [50220.8(b)(3)(B) and 50220.8(b)(3)(E)] My jurisdiction (e.g., City, County, CoC) is strengthening its partnership, strategies, and resources across:

Managed care plans and resources
(such as the Housing and Homelessness
Incentive Program [HHIP])
☒ Yes ☐
No
☒ Data Sharing Agreement
Established
☐ Other (please explain)
Click or tap here to enter text.

Physical and behavioral health care
systems and resources
☒ Yes ☐
No
☒ Data Sharing Agreement
Established
☐ Other (please explain)
Click or tap here to enter text.

Public health system and resources ☒ Yes ☐
No
☒ Data Sharing Agreement
Established
☐ Other (please explain)
Click or tap here to enter text.

a. Please describe your most notable coordination, planning, and/or sharing of data/information that is occurring within these partnerships.

In 2017 Napa County became the Lead Entity for the California Department of Health Care Services (DHCS)’s Whole Person Care (WPC) Pilot Program.

The WPC pilot program provided the infrastructure to develop a new homeless response system that led to a deeper connections and partnerships with other care providers, such as behavioral health services, such as Napa County Mental Health, as well as social service providers, such as Abode Services, CARE Network and Catholic Charities. Agencies meet on a frequency (bi-weekly) basis to discuss client needs and coordinate care plans. In addition, the City and County rely heavily on these partnerships to design, implement and tweak programs to ensure they are meeting the needs of the community. This collaboration amongst City, County and Social Service agencies is critical in ensuring we have a homeless response system that meets the needs of our community.

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Napa County is now implementing DHCS’ new multi-year Medi-Cal delivery system initiative, California Advancing and Innovating Medi-Cal (Cal-AIM). The key elements of the Cal-AIM initiative are built off the previous WPC programs. Both WPC and CalAIM program implementations have required signification coordination, planning and sharing data/information.

5. [50220.8(b)(3)(F)] Please select what actions your jurisdiction will take to ensure racial/ethnic/gender groups that are overrepresented among residents experiencing homelessness have equitable access to housing and services. Note: These actions should be aligned with the equity-focused Outcome Goals and related strategies described in previous Parts, but should not need to be limited to those strategies.
☒ Disaggregating administrative data for use in decision making processes ☐ Modifying procurement processes
☒ Ensuring those with lived experience have a role in program design, strategy development, and oversight ☒ Developing workgroups and hosting training related to advancing equity ☐ Other, please describe:

a. Please describe the most notable specific actions the jurisdiction will take regarding equity for racial/ethnic/gender groups.

Using HHAP funds for the County of Napa, the Napa City and County CoC plans to establish a specific “Diversity, Equity, Inclusion and Belonging” workgroup. This will be launched by a robust training for all CoC-members regarding DEIB, with technical assistance provided to establish an ongoing committee or workgroup. The technical assistance will help to establish specific goals and group purpose with the explicit intent of ensuring the Napa City and County CoC is equitable when it comes to administering services and access to services. The goal is to have the training completed by March 2023, with technical assistance being provided throughout 2023, as the group is established

6. [50220.8(b)(3)(G)] My jurisdiction (e.g., City, County, CoC) has specific strategies to prevent exits to homelessness from institutional settings in partnership with the following mainstream systems:

Physical and behavioral health
care systems and managed care
plan organizations
☐ Yes, formal
partnering
☒ Yes, informal
partnering
☐ Yes, leveraging
funding
☐ No ☐ Other (please explain)
Click or tap here to enter
text.

Public health system ☐ Yes, formal
partnering
☒ Yes, informal
partnering
☐ Yes, leveraging
funding
☐ No ☐ Other (please explain)
Click or tap here to enter
text.

Criminal legal system and system
for supporting re-entry from
incarceration
☒ Yes, formal
partnering
☐ Yes, informal
partnering
☐ Yes, leveraging
funding
☐ No ☐ Other (please explain)
Click or tap here to enter
text.

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Child welfare system ☐ Yes, formal
partnering
☒ Yes, informal
partnering
☐ Yes, leveraging
funding
☐ No ☐ Other (please explain)
Click or tap here to enter
text.

Affordable housing funders and
providers
☒ Yes, formal
partnering
☐ Yes, informal
partnering
☒ Yes, leveraging
funding
☐ No ☐ Other (please explain)
Click or tap here to enter
text.

Income support programs ☐ Yes, formal
partnering
☒ Yes, informal
partnering
☐ Yes, leveraging
funding
☐ No ☐ Other (please explain)
Click or tap here to enter
text.

Education system ☐ Yes, formal
partnering
☒ Yes, informal
partnering
☐ Yes, leveraging
funding
☐ No ☐ Other (please explain)
Click or tap here to enter
text.

Workforce and employment
systems
☐ Yes, formal
partnering
☒ Yes, informal
partnering
☐ Yes, leveraging
funding
☐ No ☐ Other (please explain)
Click or tap here to enter
text.

Other (please specify) Click or tap
here to enter text.
☐ Yes, formal
partnering
☐ Yes, informal
partnering
☐ Yes, leveraging
funding
☐ No ☐ Other (please explain)
Click or tap here to enter
text.
a) Please describe the most notable specific actions the jurisdiction will take to prevent exits to homelessness from institutional settings.

The goal of Napa’s homeless response system is to increase exits to permanent housing, including ensuring exits to homelessness from institutional settings are prevented. To accomplish this, significant funding from the CoC’s HHAP Allocation and other funding sources was allocated to the robust expansion of Outreach services over the last five years. Expanded Outreach services began on the development of an interdisciplinary team of individuals with clinical experience, lived experience, bilingual members, and licensed social workers. Outreach members engage with individuals who are currently experiencing homelessness and those who are at imminent-risk-of homelessness, with the goal of diverting, or solving their homelessness before they reach the point of system entry. Transitions in system funding and service oversight mean the exiting Outreach services that were under contract through the County of Napa are now under the City of Napa beginning with FY22/23, but the overall approach and structure remains intact but expand.

In addition to the dedicated Outreach team, the County of Napa leverages existing funding sources to provide for dedicated Jail-In-Reach services by contract with the City of Napa Police Department. These services include:

1. Establishing contact with and providing outreach services to homeless individuals and families living on streets, in vehicles, encampments, under bridges/freeways and any other location where individuals experiencing unsheltered homelessness reside/congregate in places not meant for human habitation.

2. Partnering with Napa County staff, Homeless Continuum of Care (CoC) service providers, and other outreach providers to coordinate outreach services, case management, and care coordination.

3. Providing problem-solving support to clients to help them find housing options outside of the homeless system. This includes family reunification and facilitation of housing opportunities with friends and family within the client’s support system.

Another critical component of prevention and diversion are the housing navigation, rental assistance, and tenancy care support Napa County Housing & Homeless Services provides and seeks to expand with this application. Evidenced-based practices show vulnerable households are successful in housing when provided the ATTACHMENT 2

support necessary to achieve and maintain stability. Napa County Housing & Homeless Services application for HHAP3 and HHAP4 funding to support expanded rapid-rehousing rental subsidies, as well as tenancy care case management, ensures households are provided enough to support to attain and maintain their housing and not cycle back through institutional settings or emergency services. Napa City’s HHAP 3 and HHAP 4 application as the Administrative Entity for the Continuum of Care is for funding to support ongoing Street Outreach services and implement and maintain a robust Diversion and Prevention program to connect individuals with housing and other social services and quickly end experiences with homelessness. Both the City and County meet regularly with public health agencies, law enforcement agencies, child welfare programs, education systems and work force development programs to ensure coordination across the homeless response system to interrupt the cycle of homelessness and increase self-sufficiency.

7. [50220.8(b)(3)(H)] Specific and quantifiable systems improvements that the applicant will take to improve the delivery of housing and services to people experiencing homelessness or at risk of homelessness, including, but not limited to, the following:
(I) Capacity building and workforce development for service providers within the jurisdiction, including removing barriers to contracting with culturally specific service providers and building the capacity of providers to administer culturally specific services.

From October 2020 to April 2021, The Napa City and County CoC CA517 participated in the Regional Racial Equity Action Lab (REAL). Participation paired interdisciplinary teams of Public Health providers, CA517 CoC representatives, and individuals with lived experience of homelessness with fellow practitioners from all nine Bay Area counties in training and action planning focused on racial equity in homelessness systems of care. The Napa team conducted a dozen interviews with local individuals to understand their experiences with racial inequity, especially around issues of housing and homelessness. Quantitative and qualitative data revealed a strong desire for the creation of a forum for conversations around race and equity and its impact on the local social service system.

Napa County sought HHAP-3 assistance to support the development and implementation of a Diversity, Equity, Inclusion and Belonging (DEIB) working group, to further the work of the Napa REAL committee. Napa County intends to use their HHAP funds to provide foundational training support and ongoing technical assistance for this critical work. The training will be open to all CA517 CoC members, from case management staff working directly with clients to Program Directors and Managers, with the goal of fostering shared understanding of how racial, ethnic and gender inequities surface and impact the Napa County homeless response system to ensure equitable access to services and supports across the system.

The training will be focused on:
• The connections between current issues and the historical and structural roots of inequities and bias through reflection and learning. • Systems and equity as shared ownership.
• Equitable practices to support increased diversity and inclusion. • Understand the roles of a CoC, and DEIB workgroup in advancing DEIB.

These trainings will take place early 2023, and the DEIB workgroup will be in place by October 2023.

(II) Strengthening the data quality of the recipient’s Homeless Management Information System.

Napa County is the lead agency for the CA517 Continuum of Care, as well as the lead HMIS Administrator and oversees the Coordinated Entry System (CES) program. All CoC funds, including the HHAP funding, currently utilize the Coordinated Entry System for placements. Napa’s coordinated entry process offers the same assessment approach at all access points to ensure fair, equitable, and equal access to services within the community. The CoC uses the VI- SPDAT 2.0 as its assessment tool to determine individuals’ vulnerability and needs, and the F-VI-SPDAT 2.0 is used for families. Napa County CoC recently ATTACHMENT 2

introduced the TAY-VI-SPDAT, that is used specifically for transitional aged youth. Staff at designated access points conduct an intake assessment using the VI- SPDAT/F-VI-SPDAT tool. The answers provided result in a numerical score that determines what system resources are most appropriate for the client. The assessment and score is entered into HMIS in an accurate and timely fashion, according to the HMIS Policies & Procedures and HMIS Governance Charter.

Napa County and City of Napa Housing & Homeless Services staff collaborate with service agencies and outreach staff to provide in-field/mobile outreach to clients throughout the County. The system is operated under a “no wrong door” policy, meaning any agency in the County may request that Outreach staff come to their facility to conduct an intake, meeting the client where they are. All HHAP funding in Napa County works directly with HMIS and the Coordinated Entry System. Part of the investment Napa County made with HHAP-3 funding was to increase the technical assistance and capacity within HMIS, to enhance HMIS administration, improve CES infrastructure and provide access to robust training and analytical support. This increased capacity began in October 2022.

(III) Increasing capacity for pooling and aligning housing and services funding from existing, mainstream, and new funding.

The City of Napa works closely with other agencies, service providers and CA517 CoC members to ensure resources align, to de-duplicate overlaps in services, and to identify gaps in the system. It has been the goal of the homeless response system to ensure resources are used efficiently and prioritized for those with the highest needs. This is a strength within the local system. The City of Napa intends to layer HHAP funding with existing State and Federal funding such as Emergency Solution Grant fund, the Permanent Local Housing Allocation, and American Rescue Act Funds. The City of Napa intends to use HHAP 4 funds to continue Street Outreach and Diversion and Prevention Programs to encourage clients to engage in shelter, housing and other support services while supporting the evidenced-based programs (such as Rapid Rehousing) to ensure housing stability and increase the likelihood of self-sufficiency for households exiting the homeless system into permanent housing. The intent of our HHAP funding is to support increased collaboration with services available and funded through CalAIM to maximize rental assistance, housing placement and tenancy support services.

(IV) Improving homeless point-in-time counts.

The CA517 CoC conducts the Point-In-Time Count (PIT) annually. In 2020, a new technical assistance provider, Applied Survey Research (ASR) was selected, and a comprehensive-count methodology was implemented. This HUD-approved methodology involved complete coverage of the County, coordination, and involvement with individuals with lived experience of homelessness to identify locations likely to have enumeration, as well as an earlier start time.

Additionally, planning efforts included outreach to subpopulations (such as those living in vehicles, families, veterans, youth, and others) to ensure a complete count. Though the full unsheltered and sheltered PIT count is not required annually, the CA517 CoC has historically conducted a PIT every year. The shift in methodology led to better and more realistic PIT count data by every area of the County are counted.

(V) Improving coordinated entry systems to strengthen or streamline processes, to eliminate racial bias, to create a youth- specific coordinated entry system or youth-specific coordinated entry access points, or to improve the coordinated entry assessment tool to ensure that it contemplates the specific needs of youth experiencing homelessness.

Napa County is the lead agency for the CA517 CoC, as well as the lead HMIS Administrator and oversees the Coordinated Entry System (CES) program.

All CoC funds, including the HHAP funding, currently utilize the CES for housing placements. Napa’s CES process offers the same assessment approach at all access points to ensure fair, equitable, and equal access to services within the community. The CA517 CoC uses the VI-SPDAT 2.0 as its assessment tool to ATTACHMENT 2

determine individuals’ vulnerability and needs, and the F-VI-SPDAT 2.0 is used for families. CA517 CoC also recently introduced the TAY-VI-SPDAT, that is used specifically for transitional aged youth. Staff at designated access points conduct an intake assessment using the VI-SPDAT/F-VI-SPDAT tool. The answers provided result in a numerical score that determines what system resources are most appropriate for the client. The assessment and score are entered into HMIS in an accurate and timely fashion, according to the HMIS Policies & Procedures and HMIS Governance Charter.

City of Napa collaborates with service agencies and outreach staff to provide in-field/mobile outreach to clients throughout the County. There is a standing bi- weekly housing meeting led by Napa County, where providers discuss the community queue, provide referrals, discuss service coordination, and ensure communication and collaboration. Five to seven agencies participate, though this number fluctuates depending on what agency may be working with a specific individual. Housing & Homeless Services staff ensure the necessary staff and agencies are aware of and attend the meeting. These meetings have been occurring since the coordinated entry system conception in 2017 and have evolved over time to comply with updated HUD CES standards, COVID-19 protocols, and general community program changes. Housing & Homeless Services encourages new service providers to engage with the CES, especially as CalAIM is implemented.

The CES system is operated under a “no wrong door” policy, allowing any agency in the system to request Outreach staff come to their facility and conduct intakes, meeting the client where they are.

Lastly, all housing projects funded by City and County affordable housing funds in the last five years, including Project Homekey projects, require dedicated CES set-aside units. There are currently two large permanent supportive housing projects set to open in the next two years in Napa County. The first is a Project Homekey site set to open in early-Spring 2022 providing 54 units dedicated to individuals experiencing homelessness, referred through CES. This includes 14 set-aside units for transitional aged youth. The impact this will have on moving vulnerable, highly acute individuals from the streets and our shelter system into permanent housing will be monumental.

8. Response to this question is for informational purposes only – What information, guidance, technical assistance, training, and/or alignment of resources and programs should Cal ICH and other State Agencies prioritize to support jurisdictions in progressing towards their Outcome Goals, Goals for Underserved Populations and Populations Disproportionately Impacted by Homelessness, and/or would otherwise help strengthen local partnerships, coordination, planning, and progress toward preventing and ending homelessness?
Information, Guidance, and Technical Assistance
☐ Facilitation of planning processes and collaborative approaches among cross-agency and community-level partners ☒ Technical assistance related to goal setting (generally) ☒ Technical assistance related to goal setting in underserved/disproportionately impacted populations ☐ Technical assistance related to achieving outcome goals ☐ Technical assistance on implementing performance-based contracting ☒ Trainings on topics of equity
Alignment of Resources and Programs
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In the space below, please describe what Cal ICH and other State Agencies should prioritize related to alignment of resources and programs, strengthening partnerships and collaborations, or any other ways that State can support communities’ progress:

Cal ICH and other agencies should continue to work with local governments and service providers to best understand the “ground level” of service provision and develop programs and funding sources the create true change in communities.

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PART IV. HHAP-4 FUNDING PLANS AND STRATEGIC INTENT

In TABLE 6 of the HHAP-4 Data Tables, applicants will describe the activities they intend to support with HHAP-4 funds by providing a Funding Plan list and in Table 7 will provide Demonstrated Need information when or Interim Housing will be supported with HHAP-4 funds. In each of these tables, applicants will include detailed information about all activities to be funded with their entire HHAP-4 allocation (initial and remainder disbursements combined).

1. [50220.8(b)(3)(A)] Funding Plan Strategic Intent - Enter your responses to this question in Table 6 of the HHAP-4 Data Tables, adding rows as necessary.

For each of the Eligible Use Categories intended to be supported with HHAP-4 resources, please briefly describe:
 The activities to be supported with those resources, including the youth set-aside resources;  How investing HHAP-4 resources into those activities represents a strategic use of HHAP-4 resources and will address needs and gaps within the jurisdiction’s homelessness response system; and  How decisions to invest HHAP-4 resources into those activities was informed by planned uses of other state, local, and/or federal funding sources within the jurisdiction (as documented in the Landscape Analysis within Part I).

NOTE: IF you are funding an Interim Housing activity with HHAP-4 funds (including existing interim housing), you must provide demonstrated need in Table 7.

Table 6: Funding Plan Strategic Intent (EXAMPLE ONLY)
REVISED since HHAP-3

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Table 7: Demonstrated Need (EXAMPLE ONLY)
No changes from HHAP-3

2. [50220.8(b)(3)(A)] Please describe how the planned investments of HHAP-4 resources and implementation of the activities to be supported will:
 Help drive progress toward achievement of the Outcome Goals and Goals for Underserved Populations and Populations Disproportionately Impacted by Homelessness (as identified in Part II above).

The Street Outreach Team includes bilingual and bicultural staff to support the 54% of the population impacted by homelessness that identify as Hispanic/Latino and may speak Spanish as their primary language. As the City of Napa works to implement the Diversion and Prevention Program using HHAP-3 funds, the same considerations will be made to ensure a culturally competent and bilingual staff will be able to support clients. The Street Outreach Team is closely connected to service providers and is able to make personal connections between clients and specialized services including mental health, veteran’s services, services for transitional aged-youth, as well as all general health care and social services.

 Help address racial inequities and other inequities in the jurisdiction’s homelessness response system.

Using HHAP funds allocated to the County of Napa, the Napa City and County CoC plans to establish a specific “Diversity, Equity, Inclusion and Belonging” workgroup. This will be launched by a robust training for all CoC-members regarding DEIB, with technical assistance provided to establish an ongoing committee or workgroup. The technical assistance will help to establish specific goals and group purpose with the explicit intent of ensuring the Napa City and County CoC is equitable when it comes to administering services and access to services. The goal is to have the training completed by March 2023, with technical assistance being provided throughout 2023. Staff from the Outreach Team and Diversion and Prevention Team funded by HHAP 3 and HHAP 4 will participate in these trainings and technical assistance opportunities.

 Be aligned with health and behavioral health care strategies and resources, including resources of local Medi-Cal managed care plans.

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In 2017 Napa County became the Lead Entity for the California Department of Health Care Services (DHCS)’s Whole Person Care (WPC) Pilot Program.

The WPC pilot program provided the infrastructure to develop a new homeless response system that led to a deeper connections and partnerships with other care providers, such as behavioral health services, such as Napa County Mental Health, as well as social service providers, such as Abode Services, CARE Network and Catholic Charities. Agencies meet on a frequency (bi-weekly) basis to discuss client needs and coordinate care plans. In addition, the City and County rely heavily on these partnerships to design, implement and tweak programs to ensure they are meeting the needs of the community. This collaboration amongst City, County and Social Service agencies is critical in ensuring we have a homeless response system that meets the needs of our community.

N
apa County is now implementing, and the City of Napa is now participating, in DHCS’ new multi-year Medi-Cal delivery system initiative, California Advancing and Innovating Medi-Cal (Cal-AIM). The key elements of the Cal-AIM initiative are built off the previous WPC programs. Both WPC and CalAIM program implementations have required signification coordination, planning and sharing data/information.

T
he WPC pilot program provided the administrative and delivery infrastructure to implement a new homeless response system fostering deeper connections and partnerships with and among care providers, such as Napa County Mental Health and Drug & Alcohol Programs and CARE network mobile response unit, as well as social service providers including Abode Services, Catholic Charities, Napa County Self-Sufficiency Programs, Family Resource Centers, Bay Area Legal Aid and Fair Housing Agencies, the Housing Authority City of Napa, Ole Health, LGBTQ Connection and VOICES Youth Center, among many other partners. These agencies coordinate via bi-weekly case conferencing to discuss client needs and coordinate care plans. In addition, the City and County rely heavily on these partnerships to design, implement and continuously improve programs to ensure they are meeting the needs of the community. This collaboration amongst City, County and Social Service agencies is critical in ensuring the homeless response system meets the needs of the Napa community.  Su
pport increased exits to permanent housing among people experiencing homelessness.

The goal of Napa’s homeless response system is to increase exits to permanent housing. To accomplish this, significant funding from the CoC’s HHAP Allocation and other funding sources was allocated to the robust expansion of Outreach services over the last five years. Expanded Outreach services began on the development of an interdisciplinary team of individuals with clinical experience, lived experience, bilingual members, and licensed social workers. Outreach members engage with individuals who are currently experiencing homelessness and those who are at imminent-risk-of homelessness, with the goal of diverting, or solving their homelessness before they reach the point of system entry. Transitions in system funding and service oversight mean the exiting Outreach services that were under contract through the County of Napa are now under the City of Napa beginning with FY22/23, but the overall approach and structure remains intact but expand. Services include:

1. E
stablishing contact with and providing outreach services to homeless individuals and families living on streets, in vehicles, encampments, under bridges/freeways and any other location where individuals experiencing unsheltered homelessness reside/congregate in places not meant for human habi
tation.

2. Partnering with Napa County staff, Homeless Continuum of Care (CoC) service providers, and other outreach providers to coordinate outreach services, case management, and care coordination.

3. Providing problem-solving support to clients to help them find housing options outside of the homeless system. This includes family reunification and
f
acilitation of housing opportunities with friends and family within the client’s support system.

A
nother critical component of prevention and diversion are the housing navigation, rental assistance, and tenancy care support Napa County Housing & Homeless Services provides and seeks to expand with this application. Evidenced-based practices show vulnerable households are successful in housing when provided the support necessary to achieve and maintain stability. Napa County Housing & Homeless Services application for HHAP3 and HHAP4 funding to support expanded rapid-rehousing rental subsidies, as well as tenancy care case management, ensures households are provided enough to support to attain and maintain their housing and not cycle back through institutional settings or emergency services. Napa City’s HHAP 3 and HHAP 4 application as the Administrative Entity for the Continuum of Care is for funding to support ongoing Street Outreach services and implement and maintain a robust Diversion and Prevention program to connect individuals with housing and other social services and quickly end experiences with homelessness. Both the City and County meet regularly with public health ATTACHMENT 2

agencies, law enforcement agencies, child welfare programs, education systems and work force development programs to ensure coordination across the homeless response system to interrupt the cycle of homelessness and increase self-sufficiency.

ATTACHMENT 2