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[ Indiana | Kansas | Massachusetts | Montana | New
Jersey | Pennsylvania | Rhode
Island | South Dakota | Texas | Utah ]
INDIANA SWOT ANALYSIS
Strengths
- Interagency task force on homelessness
- Existing HMIS & statewide
under development
- Indianapolis blueprint
- Knowledgeable people working on the issue
- FSSA & other state
agencies committed to issue
- Good local level examples can be replicated
- Dept of Ed efforts
- Examples of coordinated efforts among service
providers in state
- CHIP, ICHHI
- Support from exec branch
- Tripled number of Federally qualified health
centers
- Grassroots planning efforts
- Relatively low housing costs & existing
housing stock that can be used
- Feasibility of achieving goal of ending
chronic homelessness
- Statewide coverage in MH system, implementation
of evidence-based practices
- Flexible funding for shelter, transitional & perm
housing
- Long standing continuums
- Willingness to address issue
- Focus on front & back end
- 10 PATH outreach teams (soon to be
11)
Weaknesses
- Multiple applications
- Lack of coordinated info system
- Lack of overall coordinated effort
- Demand exceeds capacity
- Redirected resources
- Lack of money
- Lack of housing for very low income people/wait lists
(section 8)
- Cultural issues/language barriers
- Limits of categorical funding
- Prejudice/stigma about MI, SA, homelessness
- End of a political cycle
- No concerted effort to bring in new funds
- Lack of understanding
of problem & solutions/need for public awareness & education
- Long waits for housing, benefits, etc.
- Lack of transportation, outreach
- Lack of supports
- Turf issues
- Rural challenges
- Hidden homelessness/ denial of issue in rural areas,
self-reliance
- Resources not targeted to population
- Difficult to get data, especially
in rural areas
- No coordinated decision making mechanism to fill gaps
(‘funding
council’)
Opportunities
- Consumer/advocacy groups from mainstream (MH)
- Funders collaborative
examples/models of system wide collaboration
- Coordination of info
systems
- Enhance strategic plan
- Time of economic change
- Overcrowding in prisons, opportunity for
diversion
- Indianapolis Blueprint
- Timing/state & local political cycle
- State & local partnerships
to promote work across systems/Continuums of Care
- Housing Trust Fund
- Research from ICHHI
- Coordinated grassroots efforts
- Past models for case management that
worked
- Enhancing local linkages
- Expand on use of ACT model, dual diagnosis
treatment
- Coordination with local private & state universities
- Support
local efforts being implemented
- HMIS compatibility statewide
- Faith-based community (DOC, Faith Works);
capacity building & training
- Private sector collaboration
Threats
- Changing politics
- Budget
- Turf issues (internal & external)
- Staff time/resources
- Preconceived biases, why change?
- Commitment of key stakeholders
- Changing of key staff
- Understanding why chronic vs. other homelessness
- Past experiences
with doing this before
- Competing issues
- No accountability mechanism for implementation/
success of plan
- Breakdown of communication among agencies
- Differing philosophies,
need to understand & respect

KANSAS SWOT ANALYSIS
Strengths
- Increased awareness of problem
- Existing statewide network/task
force
- Single state agency for most entitlement/benefit programs
- Strong
commitment from housing & mental health on homeless issues
- Governor
interested in population
- Excellent state & local staff committed
to issue
- Excellent HUD staff
- Involvement of faith community
- Homeless Veterans Stand- Down
- Sharing information, technology/resources
- Smaller, less dense population
than other states
- Existing state & local collaborations
- Relatively low-cost housing
- Politicians open to discussion
- KDFA
- Statewide homeless summit every year
- Good model programs (MAP, re-entry
program)
- Relatively small number of homeless people
- Post-ACCESS funds in
3 sites from legislature
Weaknesses
- Lack of adequate funding
- Lack of statistics/data on homelessness
- Breakdown in support systems
(family, government)
- HIPAA
- Rural, urban & frontier areas of state
- Inadequate communication
- Lack of political will in legislature
- Stigma
- Turf issues
- Funders prescribed structures limit access
- Lack of information sharing
between federal agencies
- Fragmented service delivery
- NIMBYism
- Lack of benefits for singles
- Inadequate low-income housing
- Most homelessness hidden (doubled
up)
- Language barriers
- Overcrowded, substandard housing
- Federal minimum wage
- Lack of job training & employment opportunities
Opportunities
- Statewide homeless coalition now a 501c3
- Possible funding from grants/foundations
- KDFA
- Starting statewide Continuum of Care
- Networking opportunities
- Private sector partnerships & resources
- For profit spin-offs from non profits
- Best practices
- Untapped existing resources
- Rural outreach/regional summits
- Educate advocates in rural areas on accessing mainstream resources
(Medicaid)
- National focus on homelessness
- Training/educational opportunities
- Entitlement community database/existing HMIS in some communities
- Possibility of National Housing Trust Fund, other national
initiatives
- Technology available to access resources (United
Way of the Plains)
- TBRA, Section 8, Shelter Plus Care
- Working Healthy/Ticket to Work
- Homeless Veterans Stand- Down
Threats
- More budget cuts on the horizon
- Turnover of staff at local & state level during next 10 years
- Stagnant thinking
- Increase in homelessness due to recession
- Conservative state – politicians & general public
- Inability to identify problem/have open discussion of issues
- “Feeder” systems/discharge policies contribute to problem
- Increased cost of providing services
- War, disease, unemployment…
- Turf issues, particularly in rural areas
- Systems insufficient, lack of options
- Closing state hospitals (MH/DD)
MASSACHUSETTS SWOT ANALYSIS
Strengths
- Existing networks working on issue
- Strong, well-informed advocates
- Legacy of public investment by state on homelessness
- Strong commitment to health & human services
- Network of providers that knows chronic population
- Executive order to establish commission
- Past task forces on the issue
- Statewide programs/resources to build off of
- Coordinated C of C system
- Faith-based involvement
- Involvement of foundations
- Successful track record of Federal grants
- Service & housing models
- Strong academic community for evaluation, collaboration
- Public attitude
- Long-term, good working relationships
- Data expertise in public health
- Health Care for the Homeless electronic record
- City of Boston prioritizing of homeless people for housing resources
- EOHHS discharge planning policy
- Network of experienced non-profit housing developers
Weaknesses
- Lack of connection to education, employment & training resources
- Housing costs
- Impact of budget cuts
- Lack of collected, tracked & shared data
- Lack of clear oversight/ accountability
- Lack of public understanding of issue & system
- Lack of public & private $ for continuum of SA treatment
- Lack of investment by private sector health system for MH
- Lack of resources to prevent homelessness for those coming from
treatment, corrections, etc.
- NIMBYism
- Lack of understanding of opiate treatment programs
- Immigration issues
- Transportation issues
- Site acquisition difficulties
- Lack of SROs & rental units
- Gaps in understanding/identifying subpopulations & targeting
resources
- Lack of joint/interagency programming, procurements
- No common procurement standards
- All VA programs dry/sober facilities which excludes many
- Improper application of Cori/criminal history poses unnecessary
challenges for chronic population
- Network of providers serving chronic population does not link
clients to housing services
- Need to improve knowledge among health & human service providers
about housing system/resources & vice versa
- Emergency room diversion makes access to crisis/stabilization
and other services difficult
Opportunities
- Prioritizing of homeless people for housing resources (production
set asides, focus on 30% AMI)
- Governor’s executive commission
- US ICH Director & ICH regional coordinator from MA
- Downsizing of state resources forces examination of current practices/efficiencies
- Bringing housing first & other models to state
- Reactivation of ICH, Federal initiatives
- Involvement of private foundations
- Sympathetic media outlets on homelessness
- Opportunity to use new models to serve MI population (ACT teams)
- Faith & community-based involvement
- Mayor Menino’s leadership on US Conference of Mayors
- VA resources
- Consumer involvement/opportunity to expand voice
- EOHHS approach to interagency technology systems (MIS)
Threats
- Continued budget crisis/cuts (MH, housing, Federal, SA)
- Loss of Mass Health Basic
- Continued threats to loss of methadone services
- Section 8 crisis
- Public attitude/compassion fatigue

MONTANA SWOT ANALYSIS
Strengths
- Population is small; facilitates communication and coordination
- Everybody knows everyone
- Commitment is deep
- Legislators are easier to access than in most states
- Senior senators have national influence
- Finite number of access points for services (fewer “doors”)
- Missoula model: At-risk housing coalition
- Strong sense of community across the state
- Numerous community continuums
- Montana Continuum of Care Coalition
- Supportive and generous public
- Fairly good population profile information
- VA hospital that has actively reached out to homeless vets
- PATH program
- Inventory of shelter and housing is very complete
- Recovery homes for single adults
- Two ACT teams
- Involvement of universities (internships, class research projects,
advisory roles, etc.)
- Fannie Mae involvement, especially in disability and native American
housing
- Electronic benefits transferring
- Participating in the Policy Academy – getting started…
- Some strong foundation support in certain communities (e.g., St.
Vincent’s
in Billings)
- Very active and aggressive in pursuing federal and other funding
- State-wide housing coordinating team (in development)
Weaknesses
- Lack of funding and other resources (e.g., staffing, housing, etc.)
in a large, diverse state
- Need for training for front-line staff about engaging and retaining
people who are chronically homeless
- Education of agencies and programs
- Public perceptions about homelessness
- Unknown size and scale of the homeless population
- Fragmentation of services and funding sources
- Turf battles (state and local)
- Nature of chronic homelessness – pride, invisible, itinerant
- Nature of service delivery system – lacks flexibility, takes
a long time to act, place-bound, “business as usual”
- Not just homeless, have multiple problems and issues, unique to
each person
- Lack of affordable housing stock and housing subsidies
- Shortage of intensive case management (includes supportive services
necessary to keep people in housing)
- Lack of transportation
- Limited access to professional services (e.g., health care, dental,
etc.)
- Low wages; lack of jobs
- Aging out of foster care systems
- No resources for prevention of homelessness
- Lack of housing options for teen moms
- Methamphetamine
- Absence of local government commitment in most communities
- Uneven development of services across the state leading to concentration
of homelessness in specific areas – throws off the natural support
networks of communities
- Lack of state discharge planning
- Ability of service providers/systems to understand the reality
or perceptions of people who are chronically homeless
- Denial of SSI applications is higher than the national average
- Access to ACT teams for those who need them
- Little foundation support
- Inconsistent business community support
- Barriers to housing such as high security deposits
- Lack of targeted funding for housing on the services side
- Everybody THINKS they know everybody
Opportunities
- Numerous community continuums that all coordinate in one application
- Policy Academy
- State-wide housing coordinating team (in development)
- Collect statewide information from mainstream programs about housing
status
- Mandate for HUD’s HMIS (Homeless Management Information System)
- Coordinate with DPHH about how to best gather data on housing
status, needs and wants for people with disabilities
- Opportunities to coordinate and mobilize state resources
- Build awareness across the state based on the survey and the strategic
plan that we are developing
- Bring new resources to bear – not just state, but local, foundation,
business, etc.
- Chafee funds for transitioning youth – possibly underutilized
- Ten months from now is when we need to be ready for the next legislative
session
- Track changes related to homelessness and housing status that
result from budget reductions
- Establishing ACT teams in more communities
and using Medicaid and Medicare to partially or fully fund these services
- Grant-writing task force and website that would give access state-wide
to information relevant to grant writing
- Using GIS to map need/utilization of services
- Co-occurring Task Force (training opportunities and grant possibilities)
- Annual hunger and homelessness conference – October 2003 is
next one
- State Veteran’s Office has new funds for stand downs & other
activities
- Mobile Veterans Affairs office will be available for outreach
to veterans
- Montana Home Choice – has 3-year federal (CMS) grant related
to housing for people with disabilities
- Take greater advantage of the media to build awareness and public
support
- Annual state-wide survey of people who are homeless
- Building on the President’s initiative to address chronic
homelessness
- Develop a needs statement for focusing our efforts and
influencing
public opinion
- Montana/Wyoming Tribal Council
- SSI outreach training (Yvonne Perret or Michelle Thibiteau) and
demonstration program (see fact sheet at www.NLCHP.org)
- National interest in the uninsured
- Access to corrections and justice departments and court system
- CSAT has technical assistance – opportunities for training
- Mental health annual conference
- Contracts with mental health centers and substance abuse treatment
facilities
- PATH – look at how funds are being utilized; focus on best
or promising practices
- Regionalized management of MH system is being implemented and
may be an opportunity to focus some efforts related to homelessness
- Models for non-threatening approaches to engaging people
- Federal FQHC certification gives access to increased funds and
other opportunities – work with primary care and behavioral health
care
- Northwest Area Foundation -- $10 million initiative
- Montana Coalition of Churches
- Montana Faith Health Cooperative
- Regional HHS director interested in Montana’s faith-based & tribal
initiatives
- School districts homeless education liaisons (thru Office of Public
Instruction)
- Encouraging change from the grass roots level – esp. related
to sharing information across state agencies
Threats
- Need to be sure that this issue fits within legislative budget
- Reductions in cash assistance to families may strain existing
homeless service programs
- Difficulties sharing information across state agencies, esp. access
to housing information
- Lack of direction from the federal level encouraging sharing of
information
- Budget concerns: local, county, and state levels
- Change in administrations – state and federal
- Aging out of administrators – experience and brain-drain
- Competition for funds
- Staffing issues: layoffs, training, wages
- More unfunded mandates
- Changes in national housing policy – esp. efforts to block
grant Sec. 8
- Becoming dependent on federal funds – dollars end and need
remains
- Sustaining interest and focus among members of this team
- Economy of the state and the nation
- Natural resistance to change within ourselves and our agencies

NEW JERSEY SWOT ANAYLSIS
Strengths
- Monarch Housing – assists providers to apply for mainstream
- NJ CSH, Supportive Housing Association, growing supportive housing
industry
- Interdepartmental relationships to develop housing
- Existing resources, knowledge
- Talent & commitment of stakeholders
- Capacity of consumers
- Strong homeless provider network
- Movement toward consolidated assistance programs within mainstream
- Have SA funding
- Initiatives to get people into benefit programs
- Best practices
- Expertise
- Sharing agreements
- Sense of urgency
- Strong collaborative approaches
- Strong houses or worship
- Non-profit provider network
Weaknesses
- Lack of matching service dollars
- Disjointed systems
- Lack of shared knowledge
- Poor transportation system
- Fear of population, labeling, stigma
- High cost of housing
- Too much planning, not enough action
- Not enough focus on chronic
- Inadequate treatment for mental health & substance abuse issues
- Bias & racism, NIMBY
- Shelters & motels & institutions seen as homes
- Higher funding priority given to shelter & transitional housing
- Lack of land
- Access to information about mainstream services/resources
- Workforce readiness system – doesn’t serve homeless
- Continuum of Care process weak
- Onerous regulatory restrictions
- Overburdened service delivery systems
- Not including homelessness & supportive housing in community
redevelopment initiatives
- Underfunded programs
- Demand for housing outweighs supply
- Contradictory political support
- No one “owns” the issue, no single point of accountability
- Medical model mental health treatment programs
- Lack of legal assistance
- Legal services not integrated into planning
- Lack of living wage employment
- Strong home rule
- Lack of engagement of private sector
- Lack of incentives for developing permanent supportive housing
Opportunities
- Current commitment from government & private sector
- Smart growth
- Community development planning - attention to employee housing & transportation
- Collaboration
- Marketing
- Statewide database (HMIS)
- Training
- Institutionalize coordinating body
- Gaps easily identified
- Regulatory changes that don’t require legislation
- Change conversation, assets based, marketing
- Push toward mixed income communities, inclusion of homeless
- Combining current existing resources to leverage new ones
- Continue to expand knowledge & capacity of providers
- Development of new income streams/private – public partnerships
- Prepare foundation/plan to address chronic homelessness – help
leverage new resources
- Possibly reallocate resources
- Impact of legislative policy, engage legislature
- Strong housing market
- Universities – untapped resource?
Threats
- Politics
- Budget cuts
- Economy
- Increased demand
- Lack of homeless voters
- Smart growth
- Mixed income housing
- Lack of alternatives to hotels/motels
- Lack of leadership
- Fear
- Possible litigation
- Philosophical clashes (harm reduction, housing first)
- Bias & racism
- Competing priorities
- Federal spending trends
- Federal policy (Section 8)
- Turf issues - agency & community competition
- Home rule
- Lack of political/public will
- Brain drain/burnout
- Fragmented funding at Federal & state levels
- Acceptance of homelessness

PENNSYLVANIA SWOT ANALYSIS
Strengths
- Steering Committee
- Commitment and development of the regional homeless advisory boards
- Strong, comprehensive, year-round planning process for C0C balance
of state
- Local housing option teams – about 20 counties involved thus
far
- Local public housing authorities involved in collaboration with
mental health and other service agencies
- “Hammering Out Housing Solutions”
- Increased participation on Steering Committee of criminal justice,
veterans, children and youth, DCED Regional Directors, and Dept. of
Labor and Industry
- More collaboration with local homeless assistance providers
- Medical Assistance Program for Workers with Disabilities
- COMPASS – allows people to apply for some mainstream services
on-line (includes screening)
- HMIS activities is broader than just balance of state; will provide
better data
- Have understanding of rural outreach issues and models
- Have some of the best research in the country on urban areas and
programs
- DPW upgrade and integration of client-level information systems
- Sophisticated provider network – both formal and informal
- Expect to have at least one project within each of the four C0Cs
that targets chronic homelessness
- Youth in transition programs that may be able to serve as models
for both urban and rural areas
- Five pilot programs for co-occurring mental health and substance
abuse disorders
- Mental health court and hospital diversion pilot programs
- Clearinghouse, website, technical assistance and newsletter through
OMHSAS
- Pilot project for forensic discharge planning
- Forensic Interagency Task Force
- Diversity – blend of rural, suburban and urban
- County-based service system provides opportunities for local involvement
and collaboration
- Dedicated professionals and volunteers at both the state and local
levels
- Community Action Programs
Weaknesses
- Lack of political will
- Lack of coordination and communication among state departments
- Singling out the homeless population from among all those in need
- Employment and Training has not been involved until AFTER
people are in housing
- Lack of involvement from PA Housing Finance Agency and local Housing
Authorities
- Large, rural areas with inadequate transportation
- Misperception about rural homelessness
- Lack of demographic profile regarding chronic homelessness
- Lack of organizational capacity to develop and implement programs
- NIMBYism and denial of existence
- Lack of targeted financial resources
- Homelessness is the last priority
- Inconsistent community collaboration
- Lack of resources for matching fund requirements
- Mismatch between what the population needs and the way that programs
are targeted
- Regulations on eligibility are barriers to serving this population
- There is little assistance for people who have difficulty accessing
available services
- Language and cultural issues/barriers
- Virtually no outreach to chronically homeless persons in rural
areas
- Definitions of homelessness – state, federal
- Billing for case management is complicated and restrictive
- Lack of integrated case management
- Inadequate supply of safe, decent and affordable housing and subsidies
especially for people with less than 30% of median
- Fair market rents are inadequate to support actual costs of
housing
- Lack of prevention and education
- For children exiting foster care there is a lack of transitional
services and permanent housing
- Lack of quality dual diagnosis treatment at the provider
level
- Lack of opportunities to bring providers together for
cross-training
- Lack of political power of people who are homeless
- State-wide homeless
advocacy groups seem to have lost momentum
- Lack of participation by homeless or formerly homeless
people
- No centralized housing point of focus
Opportunities
- Opportunity to collaborate with other departments around training
(e.g. Mental Health training grant)
- Partnering Homeless Assistance Program county contacts with mental
health housing specialists during quarterly meetings
- Partnering with Community Action Programs (esp. Work Centers initiative)
- Family Savings Accounts
- Link with Family Centers
- Integration of DPW information systems
- Build on model of Community Collaboratives
- Policy Academy
- Timing of the new administration
- Stakeholder Planning Team (appointed by the Secretary of DPW)
- National Conference on Fairweather Lodges is being held in PA
in 2005
- Exploring foundation support
- A lot of faith-based providers; getting more involved in the formal
provider network; opportunities for partnerships
- Additional housing and community development funds available this
year (state and CDBG)
- PHFA has reserves that they make available for specific projects – good
gap funding possibility
- Integrated case management is becoming more of a reality
- Focus on performance indicators and performance-based contracting
- New leadership at state level that is focused on cross-system
integration
- New federal funding targeted to chronic homelessness
- Continuum of care
- Funding cuts create new opportunities to do things differently
- Educate HUD about the problems in rural areas
- Working with housing authorities to get a preference for people
who are homeless
- Utilization rates of public housing is on the decline;
opportunity to approach them to help place people
who will have services
available
- Ask HUD for more local discretion to meet local
needs, e.g., to move underutilized vouchers to
family reunification
program
- Work with police (communication, collaboration,
cross-training)
- Collaborate with business sector
Threats
- Drastic funding cuts
- Political dynamics around the Section 8 program
- HUD tying utilization rates to accessing mainstream Section 8
vouchers
- Process for getting Section 8 is not friendly to this population
and should be reviewed
- Poor economic conditions
- Potential increases in homelessness, people in jail, etc. due
to drastic cuts
- Increased waiting lists for services
- Recruitment and retention of direct service staff who are underpaid
- Competition for workforce with other long-term care providers
- Reduced capacity to match federal funding and increased requirements
to have match
- People not being willing to collaborate due to restricted funding
options
- Getting buy-in from decision-makers in state departments
- Reduced workforce and increased responsibilities at the state
and local levels
- Competing priorities
- Not enough opportunity to plan given the reactive, crisis mode
we’re
in now
- Shift to chronic homelessness threatens ability to address larger
issue of homelessness, particularly in rural areas
- May end up with many more families in long-term homelessness
- Low utilization rates of Sec. 8 vouchers, low Fair Market Rates

RHODE ISLAND SWOT ANALYSIS
Strengths
- Small state
- Treatment system for SMI provides most of key service system components
- Neighborhood Opportunities Program
- Housing Resources Commission
- ACCESS program
- Use of Section 811 program
- CSH’s presence
- Rhode Island Housing
- Statewide HMIS being implemented
- Media gives positive attention to issue
- Longstanding network/system of providers
- PATH Programs
- LIHTC targeted to non-profits
- Some political will to address the issue
- Behavioral healthcare system moving toward integrated treatment
for co-occurring disorders
- Sen. Jack Reed
- Going Home/re-entry initiative
- Family Life Center for ex-offenders
- Veteran’s action program
- New interest by philanthropy in RI
- Strong community development organizations
- Prevent ‘one-way tickets’
Weaknesses
- Siting difficulties for new housing
- Lead paint removal laws
- Small size poses challenges/less resources
- Established/tight network of providers
- No formal system/point of accountability for homeless issues
- Discharges from DOC, DCYF, MHRH & hospitals into homelessness
- Lack of adequate discharge planning & training among shelter
staff
- Limited resources for treatment of non- SPMI/non-CSP
- Lack of SA treatment slots for uninsured
- State budget crisis
- No halfway houses for transitioning offenders
- Lack of permanent supportive housing
- Private not for profits provide most of homeless services
- Intense competition between non profits for limited resources
- PHA regulations
- New leadership in executive & legislative branches
- “Rhode Island way of doing things” – informal,
old network
- Lack of performance/outcome measures in system
- 60% drop out rate in Providence school system; high adult literacy
rate
- Lack of job training & adequate employment opportunities
- 1,200 people per year are homeless without income (GPA cut)
- DOC and hospitals not at HRC table
Opportunities
- Size of state – pilot programs
- Successful at getting waivers
- Excellent networking opportunities
- First statewide HMIS
- New state & city gov’t
- Gov’t taking critical look at itself
- Policy Academy process
- State agencies interested in expanding supportive housing
- Colleges/Universities – untapped resource
- Interest at Federal level on integrating behavioral health & primary
health care, corrections, housing
- Real interest on part of State Council of Churches and United
Way of RI
- Faith-based community w/track record of providing housing
- RItecare for access to health care services
- Cost-benefit analysis
- Housing Resources Commission (HRC)
Threats
- Economy
- Conservative national agenda/lack of federal resources
- Escalating numbers of homeless people (23% increase last year)
- Budget choices at state level
- Lack of substance abuse treatment facilities
- Turf issues
- Lack of prevention resources
- Local opposition to building affordable housing
- Resistance to change
- Lack of quality education
- $ stuck in institutional boxes
- Lack of belief in prevention
- Lack of understanding how to implement prevention systems
- Impact on emergency shelter system
- Ability to attract & retain qualified staff
- Difficult population to serve

SOUTH DAKOTA SWOT ANALYSIS
Strengths
- Community health centers
- Small population of state – means solutions are possible
- Weather limits numbers
- Economy – jobs are available, unemployment rates are below
national average
- Mental health and alcohol and other drug infrastructures
- Some collaboration between agencies
- 2 active coalitions (Sioux Falls and Rapid City) – working
toward community awareness; moving kids out of shelter system quickly
(Sioux
Falls)
- “Can do” attitude
- PATH grant
- Halfway house for mental health and alcohol and other drug (AOD)
problems simultaneously
- 2 programs for pregnant women and their children, primarily for
AOD
- Program for pregnant teenagers and their children, primarily for
AOD
- County poor relief programs (need to enforce the law)
- System of detox services across the state
- Shelters already in existence
- RX access; patient medication programs; indigent drug programs
- Project-based and tenant-based assistance; 2 tenant-based rental
assistance programs targeted toward homeless
- Medicaid, TANF, SCHIP
- Good outcome data and prevalence and needs assessments (AOD)
- Food stamp programs, 11 meal programs, 47 food pantries, statewide
food bank
- Charities and faith-based organizations
- Targeted tax credits created move-ups and opened up housing
- Private developers/owners working with service providers
- Bus pass program in Sioux Falls
- Yankton – 20-unit permanent housing project (financed under
CoC)
- Dept. of Human Services has AOD, mental health, developmental
disabilities
- One stop centers with multiple services co-located in 5-6 major
cities
Weaknesses
- Getting a firm number of how many are actually homeless (and subpopulations – mental
illness, substance abuse, specific ages, etc.)
- Lack of training among service providers
- Lack of education & awareness among service agencies about what’s
available & how to link people to services
- Lack of education and awareness among general public about homelessness
- Lack of evidence-based programs
- Cultural challenges
- Geographic distances
- Lack of affordable, permanent housing (in some parts of the state)
- Lack of emergency shelter beds and transitional and supportive
housing
- Lack funding
- Competing interests/priorities and lack of ability to get people
to the table
- Lack of choices and opportunities for consumer success
- Addressing multiple issues
- Lack of outreach
- Stigma
- Public pressure to “clean up” and get people off the
street
- Belief that offering services will mean people will come from
other places
- Burned bridges
- NIMBYism
- Lack of statewide HMIS
- Lack of case management in most areas
- Lack of medical coverage (except for community health centers)
- Services are scattered around
- Disincentive to identify homeless because of costs to system
Opportunities
- HUD Continuum of Care funding (need better representation at community
level)
- HUD/HHS/VA collaborative funding opportunities
- Other funding sources for housing that aren’t directed toward
homeless that could be utilized – HOME, housing tax credits
Using evidence-based models to address the population
- Funding options for down payments/deposits
- Looking into successful
case management models for adaptation (e.g., pregnant women’s
programs, developmentally disabled programs in SD)
- Educating mainstream service providers about resources (e.g.,
panel that travels to conferences, cross-training between targeted
and mainstream
providers)
- Linking up with tribal healers
- Cultural diversity training
- Helplines – Veterans, domestic abuse existing – something
for consumers?
- Department of Education resource book not funded anymore – need
to find $$ and a home for it – web page
- Department of corrections $$ for discharge planning; re-entry
grants
- AOD programs in corrections run by DHS
- Collaboration with Veterans Administration, Indian Health Service,
Tribes
- Local United Ways – look at targeting homelessness and housing
- Habitat for Humanity
- Community Reinvestment Act (CRA)
- Collaboration and funding from city, county, state governments
- Possibility of support from the governor’s office
- Strong faith-based connections to services in rural areas
- Outreach within rural and Native American communities by health
and behavioral health providers
- Change of Indian Health Services to Community Health Centers,
including integration of primary health care and behavioral
health
- New State Administration
Threats
- Tax cuts and war
- Economy overall
- Local and neighborhood resistance (NIMBY)
- Gentrification – removal of substandard or marginal housing
- Political climate (locally) – understanding the issues; blaming
the homeless for their condition
- What are you willing to give up in terms of resources to focus
on “new” issue/group?
- Thinking outside the box; taking risk of trying something new
- Failure
- Raise expectation that we’re always going to do this, so hard
to demonstrate or try something
- Allocating sufficient time to the Policy Academy
- Potential turf issues; other stakeholders feeling left out
- State – Tribal relations in relation to homeless
- Lack of human resources – people to do the work

TEXAS SWOT ANALYSIS
Strengths
- Willingness of faith-based organizations to get involved
- Desire to collaborate is strong
- Texas Homeless Network
- 29 local homeless coalitions
- Texas Interagency Council for the Homeless
- Understanding of evidence-based practices at the state agency
level (e.g., ACT, supported housing, integrated treatment of co-occurring
disorders)
- Nationally recognized experts on team
- Desire to make things happen
- Experience with doing more with less
- Creative risk-takers; willing to be leaders
- Willingness to follow through with our plan
- Active philanthropic support
- Success in securing grant funds
- Numerous collaborative initiatives among state agencies
- Vista volunteers
- Cross-training initiative
Weaknesses
- Lack of funding
- Elimination of state agencies
- Lack of political will
- Lack of understanding of the magnitude of the problem (among state
and local elected officials, general public)
- Stigma and discrimination
- “Hunker down” mentality – not willing to change
anything
- Lack of system-wide collaboration
- Fragmented service system
- Reluctance by some agencies to include faith-based organizations
- Reluctance by the mainstream systems to embrace evidenced-based
practices
- Lack of focus on prevention
Opportunities
- “Finding the Way Home” to be distributed to legislators
- Funding cuts are an opportunity to push the mainstream systems
to adopt evidence-based practices (e.g., public mental health, Department
of Human
Services)
- Funding cuts offer opportunities to look at creative solutions
(e.g., fatherhood initiative)
- Engage and collaborate with the faith-based community, volunteers,
and philanthropic community
- Use Interagency Council’s advisory group mechanism to add
and diversify key stakeholders
- Designation of TDHCA as lead agency on homelessness
- Texas Interagency Council is an advisory committee to the TDHCA
board
- Increased federal funding targeted to homelessness (PATH, Chronic
Homelessness initiative)
- Inclusion of faith-based organizations in grant-making initiatives
- Being able to demonstrate cost recovery or efficiency (“Lives
in the Shadow”)
- Development of HMIS in local areas
- Public awareness campaign
- President’s new budget has several new initiatives for systems
change and collaboration (e.g., New Freedom Initiative, Medicaid)
- Local collaborations around access to the “front door” and
across systems
Threats
- Reduced funding
- What if agencies merge or disappear
- Interruption of momentum
- Loss of leadership
- Changing priorities
- Stigma and discrimination
- Taking a “thin layer of sand” and scattering it even
further
- State’s economic condition (e.g., deterioration of housing
stock)
- National focus isn’t on these issues (e.g., war)
- Ineffective or poorly managed services

UTAH SWOT ANALYSIS
Strengths
- Homeless Trust Fund -- State tax form check off box for donations
for homeless services
- State Homeless Coordinating Committee
- Strong network of providers who work well together
- PATH grant funding
- Mental Health and Substance Abuse Block Grants
- Real Choice grants through DHS as model
- Legislature – some good support there
- Momentum – have been working on demonstrating outcomes for
several years with Rensselearville Institute
- Buy-in from key stakeholders
- Utah Issues research work defining the literature and an overall
model
- Balance of state Continuum of Care means that the entire state
is now covered
- Staff person funded to provide technical assistance and training
from Utah Issues
- Existing legislation provides for County training on developing
plans for affordable housing
- Long-range planning committee in Salt Lake City (e.g., shifted
approach to tax credits for affordable housing)
- Lt. Governor
- Targeted case management under Medicaid since 1991
- Mental health services in the state includes treatment-based housing
and outreach components
- Access to private funding (e.g., Eccles Foundation)
- Involvement of faith-based organizations (LDS welfare system)
- General public is very giving and generous – both funds and
volunteers
- Four Street Medical Clinic – federal Health Care for the Homeless
program
- Department of Workforce Services new leadership is more accessible
and integrated
- Division of Substance Abuse and Mental Health is now integrated
- Div. of Substance Abuse and Mental Health has specifically targeted
housing and services for people who are homeless
- Good leadership at the state level
- Department of Community and Economic Development is knowledgeable
about homelessness issues and actively involved – “they
actually get it”
- Association of Governments as model for working with rural areas
- State is good about keeping the rural areas “in the picture”
- Good language availability among volunteers and returning missionaries;
DCED offices address this specifically
Weaknesses
- Need to identify and provide resources for the champion of this
plan
- Not a common definition of homelessness (or chronic homelessness)
-- Once people become serviced, they are no longer considered homeless
and
eligible for targeted services
- Not having a comprehensive system now – pieces developed,
but not complete
- State and other funding (including federal) is inadequate and
at times ineffectively allocated
- Lack of effective service delivery models for serving the population
- Sluggish economy
- Increased demand for emergency shelter
- Lack of flexibility to address needs that fall through the cracks
- Many of the people who are chronically homeless are not covered
under state agency services
- Access to Social Security benefits (delusional, mobility, documentation,
etc.)
- Capacity issues within the homeless services network – limits
ability to change and grow
- Attitudes and stigma toward homelessness
- Utah -- Our prophets are home grown
- Not telling our story well enough to get people to invest scarce
resources; must give them results; need to hire the right “storyteller”
- Need to be better advocates; tell our story better
- Legislators’ focus on tax cuts and reluctance to raise new
taxes
- Private funding sources are down lately as well
- Need legislative champions
- Compromised and multiple data collection systems – makes it
difficult to measure and show outcomes
- Lack of safe and affordable housing
- Poverty
- Limits to primary care and dental care
- Geography – rural nature of the majority of state
- Cultural incompetency and lack of awareness that may affect access
- Need and lack of information about homelessness among State’s
Native American population
Opportunities
- Cost-benefit analysis
- Legislative champions
- HUD Homeless Management Information System
- Model advocacy team of State Olene Walker Housing Trust Fund
- Tell our story better through better collaborative data collection
- Re-examine targeted case management definition of population eligible
and qualified providers
- Department of Workforce Service and food stamps
- Size of population is manageable and concentrated within a relatively
small, urban area
- Rural issues are on the agenda – get 20% of Homeless Trust
Fund
- Tapping into good will in the state through education
- Campaign for Homeless Trust Fund to increase contributions
- Receptivity of Utah State government to increase funds
- Policy Academy
- Upcoming federal and private grants (SAMHSA, HUD/HHS/VA, Social
Security Administration Outreach Demo)
- Give homeless providers the capacity to provide mental health
and substance abuse services
- Co-location of services – bring the services to people rather
than making them go to each separate service
- Connecting those who want to give to others with people in need
- Election in 1.5 years
- Salt Lake City Council is taking on affordable housing as a key
issue this year
- Working with the criminal justice system
- State-wide training program for case managers to achieve some
consistency in knowledge and service
- Possibility of developing studio apartments in downtown
SLC
- Doing more with vouchers; vacancy rates are pretty good
- Possibility of doing more set-asides for people who are
homeless through the Housing Trust Fund
Threats
- Legislative cutbacks
- Lack of education of legislators
- Not being able to find or get commitment from champions
- Territorial tendencies of individual providers
- Distractions can fracture our focus and splinter efforts
- Complacency
- Ignorance
- Stigma
- Gentrification
- Economy
- Gap between creation of affordable housing and the number of people
living at 150% and below the federal poverty level
- Making sure that the plan is targeting the most affected population
- Needs of the jail and prison populations
- Unfunded mandates
- Number of detox beds is outstripped by demand (both drug and alcohol)
- Lack of support services – e.g., HUD’s new emphasis
on housing over services
- Lack of incentives for developing new housing units
- Paternalism; enabling people to remain dependent; pigeon-holing
people
- Expiring privately owned, HUD subsidized housing -- possibly
becoming market rent

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