Piloting a Comprehensive Crisis Response to Ensure Post-COVID-19 Housing for Homeless Older Adults in Los Angeles County Project Roomkey Project Roomkey (PRK) is a collaborative effort by the State, County, and the Los Angeles Homeless Services Authority (LAHSA) to secure hotel and motel rooms for individuals 65+ and/or who have certain underlying health conditions. As of April 30, 2020, there were 1,498 persons enrolled in PRK, including 297 A persons (or 20%) who were age 65+ at the time of enrollment 2 Demographics of Project RoomKey Participants By Vulnerability Score Grouping, by Age Group, and among Clients with any Assessment Scores in HMIS since April 2019 60% 50% 40% 30% 20% 10% 47.9% 49.4% 29.0% 19.5% 4.3% 0% 18-54, n=241 55-59, n=94 Group 1: Score 0-3 Group 3: Score 8 to 11 41.7% 35.8% 33.6% 29.8% 18.1% 2.1% 46.6% 19.8% 19.9% 2.6% 0% 60-64, n=116 65+, n=151 Group 2: Score 4 to 7 Group 4: Score 12 to 17 3 Supportive Services for Project RoomKey Participants Engagement with LAHSA Over a One-Year Lookback Period Among Project Roomkey Clients, by Age Group Project Roomkey Clients Using DHS and/or DMH Services During a Two-Year Lookback Period 4 Self Reported Disabilities within Project Roomkey, by Age Group 18-54, n=312 55-59, n=137 60-64, n=148 65+, n=161 Overall, n=758 61.5% 81.0% 81.8% Physical 91.3% 75.3% 76.6% 87.6% 91.9% 88.8% 84.2% Chronic Health 88.1% 75.9% Mental Health 58.8% 50.3% 72.2% 40.1% 28.5% 23.6% 21.1% 29.4% Any SUD 0% 20% 40% 60% 80% 100% Note: Self-reported disabilities were only available in HMIS for a subset of Project Roomkey participants. 5 Exit Plan for Project Roomkey Participants LAHSA, the County, and partners from the non-profit and philanthropy sectors are working together to develop a comprehensive plan for those who receive assistance under PRK. Participants are being assessed to determine which housing interventions are most appropriate to ensure that no PRK participant returns to the street. LAHSA’s Housing Central Command (HCC) is working with system partners to develop a temporary prioritization protocol in response to the pandemic. Existing Housing Options New Housing Options 1. Permanent Supportive Housing (PSH) Scattered Sites/Project-Based Turnover Units 1. Permanent Supportive Housing (New Pipeline) 2. Rapid Rehousing 2. Interim Housing (New Pipeline) 3. Residential Care Facilities for the Elderly (RCFEs) 3. Shallow Subsidies 4. Family Reunification 5. Interim Housing 6. Recuperative Care 7. Sober Living 6