Homeless and Special Needs Populations

Table 1A

Homeless and Special Needs Populations

Continuum of Care: Housing Gap Analysis Chart

Current Inventory

Under Development

Unmet Need/ Gap

Individuals

Example	Emergency Shelter	100	40	26
	Emergency Shelter
Beds	Transitional Housing
	Permanent Supportive Housing
	Total

Persons in Families With Children

	Emergency Shelter
Beds	Transitional Housing
	Permanent Supportive Housing
	Total

Continuum of Care: Homeless Population and Subpopulations Chart

Part 1: Homeless Population	Sheltered		Unsheltered	Total
	Emergency	Transitional
Number of Families with Children (Family Households):
1. Number of Persons in Families with Children
2. Number of Single Individuals and Persons in Households without children
(Add Lines Numbered 1 & 2 Total Persons)
Part 2: Homeless Subpopulations	Sheltered		Unsheltered	Total
a. Chronically Homeless
b. Seriously Mentally Ill
c. Chronic Substance Abuse
d. Veterans
e. Persons with HIV/AIDS
f. Victims of Domestic Violence
g. Unaccompanied Youth (Under 18)

Optional Continuum of Care Homeless Housing Activity Chart:

Optional Continuum of Care Homeless Housing Activity Chart Instructions

Column Name

Provider Name: Self-explanatory.

Facility Name: Self-explanatory.

HMIS: Enter one of the following three codes for each project concerning its participation in the Continuum of Care’s HMIS.

C=Currently entering client data into the HMIS; P-Month/year (P-4/04) = Planned month/year that the program will begin entering client data into the HMIS; and N=the program currently does not plan to participate in the HMIS.

Geo Code: Indicate the Geographic Area Code (Geo Code) for the project. Where there is only one geographic code for the Continuum, check the box and indicate that code in the first project only. If the project is located in multiple jurisdictions, select the jurisdiction where the majority of the provider’s inventory is located.

Target Population A: Select the code that best represents your project: SM= only Single Males (18 years and older); SF= only Single Females (18 years and older); SMF= only Single Males and Females (18 years and older with no children); FC= only Families with Children; YM= only unaccompanied Young Males (under 18 years); YF= only unaccompanied Young Females (under 18 years); YMF= only unaccompanied Young Males and Females (under 18 years); M= mixed populations. Only one code should be used per facility. If more than one group is served use the M=mixed populations code

Target Population B: Indicate whether the project serves these additional characteristics: DV= only Domestic Violence victims; VET= only Veterans, and AIDS= only persons with HIV/AIDS.

2010 Year-Round Units/Beds:

Family Units: Enter the number of units that the project set-aside for serving families.

Family Beds: Enter the number of beds that are contained in family units.

Individual Beds: Enter the number of beds serving individuals.

2010 All Beds (Emergency Shelters Only)

Emergency shelters are usually structures with year-round beds, but there are structures with seasonal beds that are made available to homeless persons during particularly high-demand seasons of the year, usually wintertime. In addition, projects may have overflow capacity that includes cots or mats in addition to permanent bed capacity that is not ordinarily available but can be marshaled when demand is especially great, for example, on the coldest nights of the year. Vouchers are to be identified under overflow beds. The total number of year-round, seasonal and overflow beds would provide a point-in-time snapshot of the housing inventory for homeless people at its highest point in the year.

Year-Round Beds: The number of family beds in (column “Family Beds”) plus the number of beds for individuals (column “Individual Beds”).

Seasonal Beds: The number of beds made available to individuals and families on a seasonal basis.

Overflow Beds: The number of beds, mats or spaces or vouchers that are made available on a very temporary basis.

Current Inventory: List all facilities and voucher programs that are currently operating.

Under Development: List all the projects that are fully funded but are not yet serving homeless people.

Optional Continuum of Care Homeless Service Activity Chart:

Using the format below, describe the fundamental service components of your Continuum of Care system currently in place, and any additional services being planned.

Fundamental Components in Continuum of Care System -- Service Activity Chart

Component: Prevention

Services in place: Please arrange by category (e.g., rental/mortgage assistance), being sure to identify the service provider.

Services planned:

How persons access/receive assistance:

Component: Outreach

Outreach in place: (1) Please describe the outreach activities for homeless persons who are living on the streets in your Continuum of Care area and how they are connected to services and housing.

(2) Describe the outreach activities that occur for other homeless persons.

Outreach planned: Describe any planned outreach activities for (1) persons living on the streets; and (2) for other homeless persons.

Component: Supportive Services

Services in place: Please describe how each of the following services are provided in your community (as applicable): case management, life skills, alcohol and drug abuse treatment, mental health treatment, AIDS-related treatment, education, employment assistance, child care, transportation, and other.

Services planned:

How homeless persons access/receive assistance:

Table 1B SPECIAL NEEDS SUBPOPULATIONS	Priority Need Level High, Medium, Low, No Such Need	Unmet Need	Dollars to Address Unmet Need	Multi-Year Goals	Annual Goals
Elderly
Frail Elderly
Severe Mental Illness
Developmentally Disabled
Physically Disabled
Persons w/ Alcohol/Other Drug Addictions
Persons w/HIV/AIDS
Victims of Domestic Violence
Other
TOTAL

Table 1C Summary of Specific Objectives

Grantee Name:

Decent Housing with Purpose of New or Improved Availability/Accessibility (DH-1)
Specific Objective		Source of Funds	Year		Performance Indicators	Expected Number	Actual Number	Percent Completed
DH1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Decent Housing with Purpose of New or Improved Affordability (DH-2)
DH2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Decent Housing with Purpose of New or Improved Sustainability (DH-3)
DH3.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Suitable Living Environment with Purpose of New or Improved Suitable Living Environment (SL-1)
SL1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Suitable Living Environment with Purpose of New or Improved Affordability (SL-2)
SL2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Suitable Living Environment with Purpose of New or Improved Sustainability (SL-3)
SL3.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%

Table 1C Summary of Specific Objectives

Grantee Name:

Economic Opportunity with Purpose of New or Improved Availability/Accessibility (EO-1)
Specific Objective		Source of Funds	Year		Performance Indicators	Expected Number	Actual Number	Percent Completed
EO1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Economic Opportunity with Purpose of New or Improved Affordability (EO-2)
EO2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Economic Opportunity with Purpose of New or Improved Sustainability (EO-3)
EO3.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Neighborhood Revitalization (NR-1)
NR1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Other (O-1)
O 1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Other (O-2)
O 2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%

Table 2A

Priority Housing Needs/Investment Plan Table

PRIORITY HOUSING NEEDS (households)		Priority		Unmet Need
		0-30%
	Small Related	31-50%
		51-80%
		0-30%
	Large Related	31-50%
		51-80%
Renter		0-30%
	Elderly	31-50%
		51-80%
		0-30%
	All Other	31-50%
		51-80%
		0-30%
	Small Related	31-50%
Owner		51-80%
		0-30%
	Large Related	31-50%
Owner		51-80%
		0-30%
	Elderly	31-50%
		51-80%
		0-30%
	All Other	31-50%
		51-80%
Non-Homeless Special Needs	Elderly	0-80%
	Frail Elderly	0-80%
	Severe Mental Illness	0-80%
	Physical Disability	0-80%
	Developmental Disability	0-80%
	Alcohol/Drug Abuse	0-80%
	HIV/AIDS	0-80%
	Victims of Domestic Violence	0-80%

Table 2A

Priority Housing Needs/Investment Plan Goals

Priority Need	5-Yr. Goal Plan/Act	Yr. 1 Goal Plan/Act	Yr. 2 Goal Plan/Act	Yr. 3 Goal Plan/Act	Yr. 4 Goal Plan/Act	Yr. 5 Goal Plan/Act
Renters
0 - 30 of MFI
31 - 50% of MFI
51 - 80% of MFI
Owners
0 - 30 of MFI
31 - 50 of MFI
51 - 80% of MFI
Homeless*
Individuals
Families
Non-Homeless Special Needs
Elderly
Frail Elderly
Severe Mental Illness
Physical Disability
Developmental Disability
Alcohol/Drug Abuse
HIV/AIDS
Victims of Domestic Violence
Total
Total Section 215
212 Renter
215 Owner

* Homeless individuals and families assisted with transitional and permanent housing

Table 2A

Priority Housing Activities

Priority Need	5-Yr. Goal Plan/Act	Yr. 1 Goal Plan/Act	Yr. 2 Goal Plan/Act	Yr. 3 Goal Plan/Act	Yr. 4 Goal Plan/Act	Yr. 5 Goal Plan/Act
CDBG
Acquisition of existing rental units
Production of new rental units
Rehabilitation of existing rental units
Rental assistance
Acquisition of existing owner units
Production of new owner units
Rehabilitation of existing owner units
Homeownership assistance
HOME
Acquisition of existing rental units
Production of new rental units
Rehabilitation of existing rental units
Rental assistance
Acquisition of existing owner units
Production of new owner units
Rehabilitation of existing owner units
Homeownership assistance
HOPWA
Rental assistance
Short term rent/mortgage utility payments
Facility based housing development
Facility based housing operations
Supportive services
Other

Table 2B Priority Community Development Needs	Priority Need Level	Unmet Priority Need	Dollars To Address Need	5 Yr Goal Plan/Act	Annual Goal Plan/Act	Percent Goal Completed
Acquisition of Real Property
Disposition
Clearance and Demolition
Clearance of Contaminated Sites
Code Enforcement
Public Facility (General)
Senior Centers
Handicapped Centers
Homeless Facilities
Youth Centers
Neighborhood Facilities
Child Care Centers
Health Facilities
Mental Health Facilities
Parks and/or Recreation Facilities
Parking Facilities
Tree Planting
Fire Stations/Equipment
Abused/Neglected Children Facilities
Asbestos Removal
Non-Residential Historic Preservation
Other Public Facility Needs
Infrastructure (General)
Water/Sewer Improvements
Street Improvements
Sidewalks
Solid Waste Disposal Improvements
Flood Drainage Improvements
Other Infrastructure
Public Services (General)
Senior Services
Handicapped Services
Legal Services
Youth Services
Child Care Services
Transportation Services
Substance Abuse Services
Employment/Training Services
Health Services
Lead Hazard Screening
Crime Awareness
Fair Housing Activities
Tenant Landlord Counseling
Other Services
Economic Development (General)
C/I Land Acquisition/Disposition
C/I Infrastructure Development
C/I Building Acq/Const/Rehab
Other C/I
ED Assistance to For-Profit
ED Technical Assistance
Micro-enterprise Assistance
Other

Table 2C Summary of Specific Objectives

Grantee Name:

Decent Housing with Purpose of New or Improved Availability/Accessibility (DH-1)
Specific Objective		Source of Funds	Year		Performance Indicators	Expected Number	Actual Number	Percent Completed
DH1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Decent Housing with Purpose of New or Improved Affordability (DH-2)
DH2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Decent Housing with Purpose of New or Improved Sustainability (DH-3)
DH3.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Suitable Living Environment with Purpose of New or Improved Availability/Accessibility (SL-1)
SL1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Suitable Living Environment with Purpose of New or Improved Affordability (SL-2)
SL2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Suitable Living Environment with Purpose of New or Improved Sustainability (SL-3)
SL3.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%

Grantee Name:

Economic Opportunity with Purpose of New or Improved Availability/Accessibility (EO-1)
Specific Objective		Source of Funds	Year		Performance Indicators	Expected Number	Actual Number	Percent Completed
EO1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Economic Opportunity with Purpose of New or Improved Affordability (EO-2)
EO2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Economic Opportunity with Purpose of New or Improved Sustainability (EO-3)
EO3.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Neighborhood Revitalization (NR-1)
NR1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Other (O-1)
O 1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Other (O-2)
O 2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%

Table 3A Summary of Specific Annual Objectives

Grantee Name:

Decent Housing with Purpose of New or Improved Availability/Accessibility (DH-1)
Specific Annual Objective		Source of Funds	Year		Performance Indicators	Expected Number	Actual Number	Percent Completed
DH1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Decent Housing with Purpose of New or Improved Affordability (DH-2)
DH2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Decent Housing with Purpose of New or Improved Sustainability (DH-3)
DH3.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Suitable Living Environment with Purpose of New or Improved Availability/Accessibility (SL-1)
SL1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Suitable Living Environment with Purpose of New or Improved Affordability (SL-2)
SL2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Suitable Living Environment with Purpose of New or Improved Sustainability (SL-3)
SL3.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%

Table 3A Summary of Specific Annual Objectives

Grantee Name:

Economic Opportunity with Purpose of New or Improved Availability/Accessibility (EO-1)
Specific Annual Objective		Source of Funds	Year		Performance Indicators	Expected Number	Actual Number	Percent Completed
EO1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Economic Opportunity with Purpose of New or Improved Affordability (EO-2)
EO2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Economic Opportunity with Purpose of New or Improved Sustainability (EO-3)
EO3.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Neighborhood Revitalization (NR-1)
NR1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Other (O-1)
O 1.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%
Other (O-2)
O 2.1			2010 2011 2012 2013 2014					% % % % %
			MULTI-YEAR GOAL					%

Table 3B Annual Housing Completion Goals
Grantee Name: Program Year:	Expected Annual Number of Units To Be Completed	Actual Annual Number of Units Completed	Resources used during the period
			CDBG	HOME	ESG	HOPWA
BENEFICIARY GOALS (Sec. 215 Only)
Homeless households
Non-homeless households
Special needs households
Total Sec. 215 Beneficiaries*
RENTAL GOALS (Sec. 215 Only)
Acquisition of existing units
Production of new units
Rehabilitation of existing units
Rental Assistance
Total Sec. 215 Affordable Rental
HOME OWNER GOALS (Sec. 215 Only)
Acquisition of existing units
Production of new units
Rehabilitation of existing units
Homebuyer Assistance
Total Sec. 215 Affordable Owner
COMBINED RENTAL AND OWNER GOALS (Sec. 215 Only)
Acquisition of existing units
Production of new units
Rehabilitation of existing units
Rental Assistance
Homebuyer Assistance
Combined Total Sec. 215 Goals*
OVERALL HOUSING GOALS (Sec. 215 + Other Affordable Housing)
Annual Rental Housing Goal
Annual Owner Housing Goal
Total Overall Housing Goal

Table 4

Priority Public Housing Needs

Local Jurisdiction

Public Housing Need Category	PHA Priority Need Level High, Medium, Low, No Such Need	Estimated Dollars To Address
Restoration and Revitalization
Capital Improvements
Modernization
Rehabilitation
Other (Specify)
Management and Operations
Improved Living Environment
Neighborhood Revitalization (non-capital)
Capital Improvements
Safety/Crime Prevention/Drug Elimination
Other (Specify)
Economic Opportunity
Resident Services/ Family Self Sufficiency
Other (Specify)
Total