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HUD Annual Progress Report (HUD -40118)
Miami Dade Horneless Trust pun 74,4, Znp0
f•liami-Dade County Governr„.nl
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ATTACHMENT G-1
Report Options:
Select- !'1=i Unduplicated ri
rovlder Hiarnl-Dade County Government (41)
perating Year Date Far,ge 05/01/2006 to 05/31/?006 (mm/dd/yyyy)
,ga I Ad tilt Age 18 (as defined by foster care law in your state)
-:10 � 100
Or
r
-Select-
�+,i
. •,�r�a�1�;,,.1�(�t�ata'�'"
2. Persons Ser
Served during the
Number of Singles Number of Adults
Number of
Children in
Number of
operating year.
es
Not in Familiin Families
Families
Families
a. Number on the first day of the
0 D
0
operating year.
n
b. Number entering program during the
0 0
) 0
operating year.
III
p
11
c. Number who left the program during
the operating year,
0 � 0
� 0
0
d. Number in the program on the last day
I
of the operating year. (a+b-c=d)
0 I D
0
I p
3. Project Capacity.
Number of Singles Number of Adults
Children i Number of f
Number of
Not in Families in Families
Families
Families
a. Number on last day (from 2d, columns
i
1 and 4)
0
I
0
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
5. Age and gender.
Age (Male
(Female Other/Nbt given
Single Persons (from 2b, column 1)
a. 62 and over I 0
I 0
p
Ib. 51 61 I 0
0
U
c. O1 50 0
0 I
D
d. 18 - OC p
I 0 I
0
Ie. 17 and under I 0
I 0 I
p
lNot given I 0
l 0
D
Persons in Families (from 2b, columns 2 & 3) If. 62 and over n
I 0
D
lg. 51 61 n
I n i
D
-
lh. 31 ;0 l 0
l 0 l
r
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]
I
INot given 0 I D I
6a. Veterans Status.
G
A veteran Is anyone who has ever been on active military duty status.
6b. Chronically Homeless.
e White
How many participants were chronically homeless individuals,
0
7. Ethnicity.
0
a. Hispanic or Latino
0
b. Non -Hispanic or Non -Latino
0
8. Race.
9. Aslan &White
Ila. American Indian or Alaskan Native
7 0
b. Asian
0
c. Black or Afrlcan American
0
Id. Native Hawailan or Other Pacific Islander
f
e White
0
If. American Indian/Alaskan Native & W h)te
I 0
9. Aslan &White
0
h. Black/African Anerican & Whitei�i
0
i. American Indian/Alaskan Native & Black/AfricanI American
j. Other Multi -Racial
0
0
ik. Other/Unknown (all that do not match)
0
9a. Special Needs.
All
I
Ch4onic
a. Mental Illness
b. Alcohol abuse
D
0
0
c. Drug abuse
0
0
d. HIV/AIDS or related diseases
0.
;0
e. Developmental disability
0
0
f. Physical disability
, 0
,
D
o. Domestic violence
0
.0
h. Other (please specify)
9b. Disabled.
0
0
How many of the participants are disabled?
10. Prior Living Situation.
0
Ali
Chronic
a. Non -housing
g (street, park, car, bus station, etc.j
0
0
b. Emergency sheiter
I 0
I 0
c. Transltlonal housing for homeless persons
0
d. Psychlatrlcfacility
0
ance abuse treatment facility
++
i 0
al
0
ison
E
D
SNC violence situation
�
0
i. Living v,,ith relatives/friends
0
j, Rental housing
I
0 I
.
-V,w 3.sen i cept. cc) ni/mi:,.mi /'sc.ri Ud-Ph P 6/ i q;'^i;06
Ilk. Other (please specify)
11, Amount and Source of Monthly Income at Entry and Exit.
—
Amount
A. Monthly Income at Entry
B. Monthly Income at Exit
All
I Chronic I
All
I Chronic
a. 1Jo Income—
0
0
0
0
b- $1.150
I 0
I 0
U
0
c. $151 - $250
0
0
0
0
d. $25 I- $500
0 I
0 I
0 I
0
Ile- $501 -$1000
0 I
0
0
0
f. $1001 - 11500
0 I
0 I
0
0
g. $1501 - $2000
0 �
0
0 I
0
h. $2000 +
0
0 I
0
0
Source
C. Income Sources at Entry
D. Income Sources at Exit
All
Chronic
All
Chronic
a. Supplemental Securlty Income (SSI)
0 I
0
G
0
b- Social Security Disability Insurance (SSRI)
0
0
D
0
c. Social Security
0
0
G
0
d. General Public Assistance
0
0 +
0 +
0
e. Temporary Aid to Needy Families (TANF)
0 I
0
0
0
f. State Children's Health Insurance Program (SCRIP)
0
0
0
0
g. Veterans benefits
0 I
D '
0
0
h. Employment Income
( 0
0
0
0
i. Unemployment Benefits
I 0
0
0 �
0
j. Veteran's Health Care
0
0
0 1
0
k. Medicaid
0
0
0 1
D
I- Food Stamps
0
0
0 I
0
m. Other (please speclfy)
0
D
0
0
n. No finandal resources 0 0
12a. Length of Stay in Program. (Participants who left during operating year)
0
0
All
-Chronic
Ia. Less than 1 month
I 0
D
b. 1 to 2 months
0
I
0
c. 3 - 6 months
0
0
d. 7 months - 12 months
0
0
e. 13 months - 24 months
I 0
0
f. 25 months - 3 years
I 0
0
g. 4 years - 5 years
( 0
0
h. 6 years - 7 years
0
0
i. 8 years - 10 years
0
0
j. over 10 years 0
12b. Length of Stay in Program. (Participants who did not leave during operating year)
0
All
Chronic
a. Less than 1 month
I 0
0
b, i to ? months
0
0
c- 3- C months
I 0
0
d. 7 months - 12 months
0 I
0
e. 13 months - 24 months
0 I
0
f. 25 monihs - 3 years
I 0 I
0
g. 4 years - 5 years
0
0
tlt1p5.scryICO=)?1.0011%Ii710I111 CPl�I;,'S1'�,l'c}OOIi17Li j.�111j0 6/14/200
�h. 5 ),ea , - 7 yeDrs
I 0
0
lo. Public Housing
i ears - .D v'ar
�J over 10 years
0 I G
�)
0 I"
13. Reasons for Leaving.
d. Shelter Plus Care
( 0 I
0
e. I-'OME subsidized house or apartment
All
Chronic
f. Other subsidized house or apartment
Ia. Left for ahousing opportunity bsfore completing program
l�
I C,
0
0
b. Completed program
J 0
0
0
c. Non -pa,; ment of rent/occupancy charge
0
0
,j. Moved in with famlly or friends
d. Non-compllance with project
0 I
0
0
e. Criminal activity / destruction of property / violence
0
0
0
f. Peached maximum time allowed in project
I 0
0
n. Emergency shelter
g. Needs could not be met by project
0ACh,,rClic
o. Other supportive housing
0 I
-4-
h. Disagreement with rules/persons
0
0
0
i. Death
0
0
r. Unknown
j. Other (please speclf ,)
0k.
Unknown/disappeared
014.
Destination.
PERMANENT (a - h)
iTR.ANSITIONAL (i - j)
JINSTITUTION (k - m)
EMERGENCY SHELTER (n)
OTHER (o - q)
UNKfJOWN
1S. Supportive Services.
a Rental house or apartment (no subsidy)
I 0
0
lo. Public Housing
0 1
0
c_ Section 8
0 I"
0
d. Shelter Plus Care
( 0 I
0
e. I-'OME subsidized house or apartment
' 0 I
0
f. Other subsidized house or apartment
I 0 1-0
g. Homeownersh.lo
0
0
h. Moved in with family or friends
0 I
0
i. Transitional housing for homeless persons
' 0 I
0
,j. Moved in with famlly or friends
0
0
k. Psychiatric hospital
0
0
1. Inpatient alcohol/drug treatment facility
0
0
m. Jail/prison
I 0
0
n. Emergency shelter
I 0
0
o. Other supportive housing
0 I
-4-
0
p. Places not meant for human habitation (e.g. street)
0
0
q. Other (please specify)
' 0 +
0
r. Unknown
0 I
0
No supportive services found.
' ServicePoint version 4.01.018 (db build ;:D723)
Licensed to: t•1ianii Dade Homeless Trust
rl 1999-2006 Bowman Systems L.L.C. All Rights Reserved.
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