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• I SMI � � I e•!I1 II
Home Cllenrpoint F;esourcePoint
HUD Annua! Progress Report (HUD -4011S)
Report Options:
Miami Dade Homeless Trust Jun 14, 2006
ATTACH MENTOD"ovLr,nr,nent !
ShelterPolnt St:anPoint IPE;D _S r.dmin.f
I
i
Select- !' Unduplicated
provider Miarri-Dade County Government (VI)
)perating Year Date Range 05/01/2006 to 05/31/2006 (mm/dd/yyyy)
egal Adult Age T (as defined by foster care /a Iv in your state)
Or
-Select- �L'Ti
2. Persons Served during the
Number of Singles Number of Adults
Number of
Children in
be
::1F]amifies:o'
operating year.
Not in Families in Families
Families
a. Numberon the first day of the
O 0
+
I 0
operating year.
(III
0
b. Number entering program during the
I
operating year,
0 O
I 0
0
c. Number who left the program during
the operating year.
O
I 0
0
d. Number in the program on the last day
of the operating year. (a+b-c=d)
O I p
0
D
Project Capacity.
Number o; Singles Number of Adults
Number of
Children in
Number of
t3.
Not in Families in Families
Families
Families
. Numberon last day (from 2d, columnsand
4)
4. Non -homeless persons. (Sec. 8 SRO projects only)
How many income -eligible non -homeless persons were housed by the SRO program during
the operating
year?
0
S. Age and gender.
(Age (Male Female
(Other/Nbt given
Single Persons (from 2b, column 1)
a. 62 and over 0
0
1 0
Ib. S1 - bl 0
I U
0
c. _31 -SO I 0
I 0
I 0
d. 13-30 0
0
0
e. 17 and under I 0
, 0
I 0
Not given I 0
0
0
Persons in Families (from 2b, colum ns 2 & 3) If. 6? and o: -=r I 0
I 0
01
la. S1 01 0
I 0
0
S0
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J;'t'7 C Yullli .� L1:Cr�:j0i'I
All Chronic
a. Non -housing (street, park, car, bus station, etc.)
0
6b. Chronically Homeless.
I). 17
d. Psychiatric facility
D
any participants were chronically homeless individuals?
Ik. 5 13 I
C
D
6
nicity.
panic or Latino
0
Not given
16a. Veterans Status.
A veteran is anyone t,:,ho has ever been or active military duty status.
All Chronic
a. Non -housing (street, park, car, bus station, etc.)
0
6b. Chronically Homeless.
0 0
0
d. Psychiatric facility
0
any participants were chronically homeless individuals?
6
nicity.
panic or Latino
0
-Hispanic or Non -Latino
Race.
0
rican Indian or Alaskan Native
n
ENat),ve
I 0
0
k or African American
0
ve Hawaiian or Other Pacific Islander
0
e
0
Of- American Indian/Alaskan Native & tNhite
J19. Asian & White
II
I 0
0
h. Black/African American & White
0
i. American Indian/Alaskan Native & Black/African American
D
j. Other Multi -Facial
0
k. Other/Unknown (all that do not match)
9a. Special Needs.
0
All
Chronic
a. Mental illness
0
:0
b. Alcohol abuse
0
�0
c. Drug abuse
I 0
0
d. HIV/AIDS or related diseases
1 0
0
e. Developmental disability
IF. Physical disability
0
0
0
0
Domestic violence
+ 0
D
�h.Other (please specify)
9b. Disabled.
0
0
How many of the participants are disabled?
in Prinr i im— ci+ rorinn
0
f. Hospital � D
g. Jail; prison 0
h. Dom is violenc= s tua;ior. I co
i. Living i,ith relatives/friends I 0
j. Fental housing I 0
I,+a.,...! l..... ..-. I—_. "- r. ..'hl,il nhi
All Chronic
a. Non -housing (street, park, car, bus station, etc.)
0 I 0
b. Emergency shelter
c. Transitional housing For homeless persons
0 0
0
d. Psychiatric facility
0
e. Substance abuse treatment faciilty I D
f. Hospital � D
g. Jail; prison 0
h. Dom is violenc= s tua;ior. I co
i. Living i,ith relatives/friends I 0
j. Fental housing I 0
I,+a.,...! l..... ..-. I—_. "- r. ..'hl,il nhi
+k. Other (p!_ase specify)
11. Amount and Source of Monthly Income at Entry and Exit.
Amount , A. Monthly Income at Entry
0
I 8, Monthly Income at Exit
All Chronic
I All
( Chronic
a. No Income
I 0 I 0
I 0
I 0
b. $1-1S0
C. $1S1 52S0
d. 6251 $500
e. $501 - $1000
I 0 U
0 D
U I 0
I 0 0 1
G
U
0
0
D
0
0
0
f. $1001 $1500
0 0 I
0
' 0
9.$1501 $20o0
0 0
0
0
h. $2000 +
0 0 +
0
0
Source
C. Income Sources at Entry
D. Income
Sources at Exit
All Chronic
All
Chronic
a. Supplemental Security Income (SSI)
b. Social Security Disability Insurance (SSDI)
C. Social Security
0 0 +
0 0 i
0 I 0
0
0
0
0
0
D
d. General Public Assistance
0 0
0
0
e. Temporary Aid to Needy Families (TANF)
0 0
0
0
f. State Children's Health Insurance Program (SCHIP)
0 0
0
0
g. Veterans benefits
0 0
0
D
h. Employment income
I 0 0
0 I
0
i. Unemployment Benefits
0 ! 0 I
D ,
D
j. Veteran's Health Care
! 0 0
0 I
D
k. Medicaid
! 0 I 0
D
0
I. Food Stamps
m. Other (please speciry)
0 0
0 1 0
0 ,
0
D
0
n. No financial resources
0 0
0 ,
C
12a. Length of Stay in Program. (Participants who left during operating year)
a. Less than 1 month
All
0
I
Chronic
0
b. 1 to.2 months
I 0
,
0
c. 3- 6 months
0
I
0
d. 7 months - 12 months
0
0
__. 13 months - 24 months
0
0
f. 25 months - 3 years
0 I
0
g. 4 years - 5 years
0 I
0
h. 6 years - 7 years
I 0
0
i. E years - 10 years
0 I
0
j. over 10 years
I 0
0
(12b. Length of Stay in Program. (Pa rticipants who did not leave during operating year)
All I
Chronic
a. Less than 1 month
0 I
0
b. 1 to 2 months
I 0 f
0
c. 3- 6 months
I D I
0
d. 7 months - I_ months
0 ,
D
-2. 13 months - 24 months
0
G
T. 25 months - 3 years
I 0 I
0
c. 4 years - 5 y: -a rs
I 0
0
hiLtDS:l�t�Z1�'v'i.Cr'tltr.rntrnm/mirn�iic rin1C1.S\niCDO)"L�]UC�.1J�1D (/I,'/200b
h. o ,=a , „marc
0 I
0
Id_ Shelter Plus Care
e. HOME subsidized house or apartment
0 I
0
0
0
f. Other subsidized house or apartment
I 0 I
0
13. Rersons for Leaving.
0
0
h. Moved in with family or friends
All
Eal
Chronic
z. Left fora housing opportunity before completing proa_rar:,
d
0'
b. Cornpieted prooram
�!
0
c. IJon-payment of rent/occupancy charge
0
0
d. tion -compliance with project
0
0
e. Criminal activity / destruction of property / violence
0
0
f. Reached maximum time allowed in project
0
0
g. Needs could not'be met by project
0
0
h. Disagreement with rules/persons
Ji. Death 0 0
j. Other (please specify) 0 ( 0
k. Unknown/disappeared 0 0
14. Destination.
f All I Chronic
PERMANENT (a - h) a. Rental house or apartment (no subsidy) , 0 0
b. Public Housing , 0 0
c. Section 8
0
0
Id_ Shelter Plus Care
e. HOME subsidized house or apartment
0 I
0
0
0
f. Other subsidized house or apartment
I 0 I
0
g. Homeownership
0
0
h. Moved in with family or friends
, 0
0
TRANSITIONAL (i -J) !i. Transitional housing for homeless persons
{j. Moved in with family or friends
0 I
0
0
D
INSTITUTION (k - rn) k_ Psychiatric hospital
0 f
D
11
I. inpatient alcohol/drug treatment facility
�m. )ail/prison
EMERGENCY SHELTER (n)
n. Emergency shelter
OTHER (o - q)
o. Other supportive housing
p. Places not meant for human habitation (e.g. street)
iol
Other (please specify)
UNKNOWN
15. Supportive Services.
r. Unknown
No supportive services found.
ServicePoint version 4.01.018 (db build #0723)
Licensed to; Miami Dade Homeless Trust
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