City of Sacramento
City Council - 2PM Report
915 I Street Sacramento, CA 95814
www.cityofsacramento.org
File ID: 2024-01635 9/17/2024 Discussion Item 4.
City County Partnership Agreement to Address Homeless Crisis Update [Oral Report] File ID: 2024-01635
Location: Citywide
Recommendation: Receive and file.
Contact: Howard Chan, City Manager, (916) 808-7488, [email protected], Office of the City Manager
Presenter: Mario Lara, Assistant City Manager, (916) 808-8526, [email protected], Office of the City Manager; Brian Pedro, Director, (916) 808-7816, [email protected], Department of Community Response.
Attachments:
1-Description/Analysis
2-Six Month Report
Description/Analysis
Issue Detail: The crisis of unsheltered homelessness is one that impacts our entire community, both those experiencing homelessness and the broader community of housed residents, businesses, and neighborhoods. Over the past several years, the City and County have made significant investments to increase the availability of shelter, services and permanent housing for people and families experiencing homelessness.
On Dec 6, 2022, the City and County entered into a legally binding partnership agreement memorializing the respective roles of each agency to address the homelessness crisis. This oral report provides an update on efforts in accordance with the partnership agreement.
Policy Considerations: The City County Partnership Agreement furthers local coordination in response to homelessness, enhances existing sheltering and navigation efforts, is in alignment with the Local Homeless Action Plan, and fulfills key requirements of the Emergency Shelter and Enforcement Act of 2022.
Economic Impacts: Not applicable.
File ID: 2024-01635 9/17/2024 Discussion Item 4.
Environmental Considerations: This report is not a project pursuant to the California Environmental Quality Act (CEQA). This report is an informational item only to provide a status update on the City County Partnership Agreement. No action is being taken in connection with this status update. As there is no potential for this oral report to result in a direct physical change in the environment or a reasonably foreseeable indirect physical change, this report does not qualify as a “project” under CEQA. (See CEQA Guidelines 15378(a).)
Sustainability: Not applicable.
Commission/Committee Action: None.
Rationale for Recommendation: This status update is in accordance with the Council approved City County Partnership Agreement.
Financial Considerations: Not applicable.
Local Business Enterprise (LBE): Not applicable.
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Six Month Report: January 1 – June 30, 2024
Homeless Services
Partnership Agreement
City of Sacramento &
Sacramento County
2 Overview
The purpose of this report is to provide regular six-month updates on the City-County partnership agreement as well as provide data related to the success and challenges regarding the response to homelessness within the City of Sacramento (“City”). The information reflected below is current to the reporting period of January 1, 2024, through June 30, 2024.
ENCAMPMENT OUTREACH AND STAFFING
The City of Sacramento Department of Community Response (DCR) is the lead agency in identifying and assessing encampment locations and deploying resources. Teams are deployed in a multidisciplinary approach to specific geographic zones within the City of Sacramento. The partner agencies currently operating within the agreement are DCR and its contracted Hope Cooperative staff, Sacramento County Department of Health Services Division of Behavioral Health Services (BHS) Homeless Engagement and Assistance Team (HEART), and Community Health Works (CoHeWo). Each of the five identified geographic zones is assigned staff from all partner agencies, to provide a comprehensive approach to connecting unhoused community members to resources and ensuring public health and safety. The staffing is as follows:
The City of Sacramento also dispatches Incident Management Team (IMT) resources to provide outreach and services while also ensuring compliance with Sacramento City Codes and California State Laws. IMT units are primarily comprised of staff from Sacramento Police Department’s IMPACT team, DCR field staff, Sacramento City Park Rangers, and Sacramento City Code Enforcement officers. DCR staff assigned to IMT units focus on referrals to the City’s rapid placement sites, the Outreach and Engagement Center (OEC) and Roseville Road Campus (RRC).
• 26 Encampment WorkersDCR/Hope
• 12 HEART WorkersBHS
• 15 CalAIM Funded StaffCoHeWo
• 14 OfficersSac PD IMPACT
• 3 Code Enforcement OfficersCode
• 2 City Park Rangers Park Rangers
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outage/103-6fe10459-2f32-416b-a47d-6227e781bcf
STAT ISTICS
During the reporting period, partnership staff responded to 6,339 unique addresses and provided 43,904 services to 2,235 unduplicated individuals. These services can be captured multiple ways in the system, including as single events or periods of time. In this report, services are counted once per event and once per day in a service period
Outreach Services
Type of Service Provided Total Number
General Case Management 25,697
Clothing and Hygiene Care 3,287
Community Resource Referrals 1,982
Transportation 1,854
Behavioral Health Services 1,020
Food Services 2,336
Care Coordination 1,906
Vital Documents 1,669
Coordinated Access System Referrals 1,382
Housing Search/Placement 1,080
All Other Services 1,691
Deployment
Each geographic zone, as seen in the
map, is assigned staff from all
participating Partnership Agencies. Staff
communicate within their zone to ensure
encampment residents are linked to the
appropriate service/agency to best serve
his/her/their needs. Additionally, staff can
communicate potential compliance action
to help prevent loss of client connection.
4 PARTNERSHIP AGREEMENTS
The current Partnership Agreement requires the City and County to meet specific metrics.
Each category in the agreement is rated with a red, yellow, or green color to determine its progress. Red indicates the section has not been met, yellow indicates in progress, and green notes the requirement has been satisfied. The categories assessed are broken out into four categories, each with subcategories which must be satisfied to meet the overall requirements.
The categories are; Outreach, Services, Shelter and Housing, and Training and Information.
Outreach
10 Encampment teams within the City limits
25 City encampment workers
10 County mental health workers
County MH workers will deploy 67% of work within the City 15 CalAIM workers to provide ECM/CS services
County staff will conduct Behavioral Health Assessments/Enrollments City Will determine the deployment sites for engagement teams Encampment team will engage 20 large encampments a month Navigate/arrange PEH back to their jurisdiction when appropriate
Services:
County shall provide 4 Core Centers within City limits
County shall support a sobering center within City limits City & County will refer to care coordination programs to include Outpatient Treatment, Full Service Partnerships, and CalAIM ECM and CS If County FSP program is full, capacity will be added
County to meet State standard for access to SUPT services When appropriate County will refer to involuntary behavioral health programs
5 Shelter and Housing:
Within 12 months of agreement County shall open minimum 200 shelter beds within the County limits
Within 36 months of agreement County shall open additional emergency shelter site with a minimum of 200 beds
City provide shovel ready site within the City limits the County shall open and operate a minimum 200 bed shelter
City and County shall fully integrate all emergency shelter beds into CAS to the extent possible
City and County shall finalize an affordable housing plan County agree to seek additional funding to directly fund or reimburse County
Training and Information:
County shall provide Mental Health First Aide training to City County Shall provide Public Health education to shelter operators County advise City staff on process for accessing County programs City & County shall track and share information and data County shall provide City staff with 5150 training
At the close of this six-month reporting period, the City of Sacramento and Sacramento County continue to meet all requirements of the Partnership Agreement. The historic agreement, agreed to on December 6, 2022, has led to a surge in resources being deployed within the City of Sacramento and been a catalyst in the 41% reduction of homelessness in the Sacramento area as shown in the 2024 Point-In-Time Count.
6 BEHAVIORAL HEALTH SERVICES FOR THE UNHOUSED
OVERVIEW
Serving Sacramento County’s unhoused residents
remains an ongoing, primary priority for the entire
continuum of the service delivery system, including
adult Community Outreach Recovery Empowerment
(CORE), youth Flexible Integrated Treatment (FIT),
and Substance Use outpatient programs; Full Service
Partnership Programs; and crisis programs, such as
the Mental Health Urgent Care Clinic, Crisis Receiving
for Behavioral Health, Crisis Residential Programs,
Crisis Navigation Program, Community Support Team,
Community Wellness & Response Team, and Crisis
Respites.
DESCRIPTION
Culminating in Summer, 2023, BHS completed the
redesign of the entire County outpatient system to be
more responsive to the needs of the entire community,
including a heightened focus on the needs of the
unhoused. For Substance Use, the Medi-Cal
Organized Delivery System was implemented in
Summer, 2019. For youth, the FIT programs were
implemented in 2019, and for adults, the CORE
programs were implemented in Summer, 2023.
Most substantively, the CORE programs expanded to
11 locations geographically spread out across
Sacramento County. Each site includes a walk-in, peer-
operated Community Wellness Center providing
resources, such as showers, laundry, food, substance
use resources, groups, and many other services
designed for each locations surrounding community.
The Homeless Encampment and Response Team
(HEART), staffed with clinicians and peers, conducts
outreach and engagement with unhoused residents
with the goal of linking individuals with the most
appropriate behavioral health services.
IMPACT
➢ Outreach and Engagement
➢ Linkage to services
➢ Crisis stabilization, promoting
recovery, and optimizing
community functioning
➢ Decrease criminalization of mental
health and homelessness
➢ Access to flexible housing funds
➢ Eligibility for Mental Health
Services Act Permanent
Supportive Housing units.
BUILT UNITS
Sacramento County Behavioral
Health Services (BHS) has invested
Mental Health Services Act (MHSA)
funding administered by the
Sacramento Housing and
Redevelopment Agency to address
homelessness for MHSA-eligible
clients.
As of June 2024, 401 apartment units
across16 developments are
dedicated to MHSA tenants. An
additional 85 units will be added as
vacancies occur.
There are 175 new units in the
pipeline across 7 properties planned
in 2024 – 2026. This will grow the
BHS MHSA Housing Portfolio for
Permanent Supportive Housing to
661 dedicated apartments at 23
developments.
7 OUTCOMES
- Within this six month period, 757 unhoused residents were referred to behavioral health service providers.
- 609 (80.4%) of these individuals were successfully admitted and linked in services. - The HEART team conducted 2,549 outreach and engagement attempts resulting in:
o 346 unduplicated individuals engaged
o 300 individuals agreed to be screened
o 303 individuals were referred to outpatient programs* o 118 individuals linked and served within outpatient programs *some clients were referred without a screening
DATA NOTES
Based on feedback from stakeholders and a desire for additional data points, new data elements are now being collected beginning in January, 2024. These data points are not available prior to January, but will be available going forward. For example, data are now being collected regarding individuals unhoused status upon admission to outpatient programs. In the future, data will be available regarding which individuals have been housed.
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