SUPER.CONNECT.Housing.For.Health - Innovative Support for Homeless Individuals in Los Angeles
Super.Connect is a problem-solving team in Los Angeles County that assists homeless individuals and families in accessing health and housing services efficiently. Comprised of county experts, the team cuts through bureaucracy to provide real-time decisions and solutions. Super.Connect does not mandate hospitalizations, expedite housing placements, or replace existing services. Targeted at individuals with chronic health conditions and those who have struggled to stabilize due to homelessness, the team aims to facilitate systemic improvements for service providers. The structure includes a diverse group of professionals from different county departments overseeing various aspects of the program.
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SUPER CONNECT Housing For Health 238 E. 6th Street, Los Angeles, CA 90014 Los Angeles County Probation Department Los Angeles County Probation Department
Overview Due to the size and complexity of the Los Angeles County care service networks, understanding the range of services available and coordinating timely access to services can be extremely challenging for case managers, discharge planners, and other service providers. Super Connect is a high level problem solving team that supports the existing array of governmental and community based partners to help homeless individuals and families regain health and housing stability.
WHAT IS SUPER CONNECT? A team of county departmental experts who are able to cut through the bureaucracy and make real time decisions about appropriate and available service and housing solutions. A County team of clinicians and/or administrators with a deep knowledge of the services available in their respective departments and who have the authority to approve services and housing resources. A County team that will be documenting system-wide barriers and/or gaps who will develop recommendations for systemic improvements so that homeless service providers can do their job more efficiently. An appeal type service for extraordinarily complex homeless situations or for cases that have not been resolvable through the normal channels.
WHAT SUPER CONNECT DOES NOT DO Mandate involuntary hospitalizations or conservatorships. Expedite permanent supportive housing placement. Take the place of existing services or tasks that are the responsibility of departmental and/or community based service providers. Provide direct service.
Target Population Individuals, youth, or families who have a chronic condition related to health, mental health, and/or substance abuse that has resulted in multiple hospitalizations, institutionalizations, and/or incarcerations. Individuals who have cycled through different county service systems with little or no progress towards stabilization. Individuals who have rapidly deteriorated as a result of their homelessness.
Super Connect Structure Super Connect Director Libby Boyce DMH DPH TBD Probation Roberta Holts DHS DPSS DCFS Ngoc Mai Karla Bennett Graciela Flores Veronica Zaragoza DPSS DMH Probation Administrative Supervision Jose Ramirez DCFS DHS Administrative Supervision Michelle Merrit-Hill Administrative Supervision TBD Administrative Supervision Julie Rivas- Castaneda Administrative Supervision Gail Winston Administrative Supervision Libby Boyce
Assess Assist Stabilize Match to available resource(s) Secure on-going service provider(s) Facilitate linkages Review referrals Identify symptoms/issues Assess individuals existing network/connections Determine past interventions Identify possible interventions Case Conference with SC team Connect to interim/bridge housing Connect to higher level of care Connect/reconnect to medical home Connect/reconnect to mental health services Connect/reconnect to substance abuse treatment services Secure benefits, IDs, and other essentials for permanent housing Secure stabilization plan
Super Connect Referral/Operational Flow Life of a Case 9/13/2024 Referrals Via FAX, Phone or Email New cases discussed in daily morning case conferences The team assigns a lead team member based on client primary needs County Depts Super Connect Team reviews referral form and assigns a ticket number Yes CBO Partners Lead team member develops and implements an intervention in collaboration with team Is Client intervention plan and/or status update provided to referrer Super Connect Appropriate Referral? Street- Based Outreach Elected Offices Super Connect notify referrer of more appropriate plan - ENDS No Yes Case No Resolved? Super Connect Team reworks intervention plan until resolved Referrer notified & case closed
Outcomes to Date 4 out of the 6 departments are co-located in one office: DMH, DHS, DPSS, and Probation. Assessed 200 cases direct referrals and the 5% List. 37% are housed in either permanent supportive housing or residential care. 36% are either in jail, not reachable, or deceased. 27% cases present with barriers that include: Working with a provider towards appropriate services and housing Declining needed service or placement Interested in permanent housing only Gravely disabled in need of a conservatorship and are either in the process or still needing appropriate intervention
Client Status Client Status Defined 11 11% 1 1. Client is in stable permanent housing* 11% 2. Client is in appropriate level of residential care** 3. Client is linked to direct service provider but still homeless *** 4. Client is interested in permanent housing only and longer engagement is needed 5. Service/placement needed is at capacity 6. Client declining needed service/placement 7. No higher level of care provider yet willing to accept client 1 10 15% 2 3 4 2 26% 5 6 7 9 10% 8 8. Client is gravely disabled needs conservatorship 9 9. Client is in jail 10. Client is not reachable 11. Deceased 8 10 7 3% 1% 11 6 3 5 8% 12% 4 (blank) 1% 2% Footnotes * Permanent Supportive Housing or Board and Care ** IMD, SNF, Residential Substance Abuse *** ICMS, FSP, DMH CLINIC, ETC
Questions? Main Line (323) 274-3240 hfhsuperconnect@dhs.lacounty.gov Karla Bennett, LCSW-DMH (323)274-3242 Graciela Flores, RN III-DHS (323)274-3241 Veronica Zaragoza-DPSS (323)274-3242 Roberta Holts, M.Ed-Probation Dept. (323)333-5785
