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HomeMy WebLinkAboutAttachment DHUD Annual Progress Report (HUD-40118) Report Options: Provider Operating Year Date Range Legal Adult Age Miami Dade Homeless Trust Jun 14, 2006 ATTACH MEmNT0DG0vernmt,1 Reports -Select- Unduplicated r Miami-Dade County Government (,.".1) 05/01/2006 18 to 105/31/2006 (mm/dd/YYYY) (as defined by foster care law in your state) IMMO Or -Select- Lo00ff . 2. Persons Served during the operating year. Number of Singles Not in Families Number of Adults in Families Number of Children in Families Number of Families a. Number on the first day of the operating year. 0 0 0 0 b. Number entering program during the operating year. 0 0 0 0 c. Number who left the program during . the operating year. 0 0 0 0 d. Number in the program on the last day of the operating year. (a+b-c=d) 0 0 0 0 3. Project Capacity. Number of Singles Not in Families Number of Adults in Families Number of Children in Families _ Number of Families a. Number on last day (from 2d, columns 1 and 4) 0 • 0 4. Non -homeless persons. (Sec. 8 SRO projects only) How many Income-ellgible 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 0 0 0 b. 51 -61 0 0 0 c. 31 - 50 0 0 0 d. 18-30 0 0 0 e. 17 and under 0 0 0 Not given 0 0 0 Persons in Families (from 2b, columns 2 & 3) f. 62 and over 0 0 0 - g.51-61 0 0 0 . h. 31 -50 0 0 0 hops://\\\vvJ.servicept.convniian /scr p:s svpreporuiuc7.php 6/14/2006 J �.l \ ll, :,l 'J l ri - 11 V L 't J t i V A\C}JU1 l Ji.1S-30 0 0 I 0 j. 1- 17 0 0 I 0 ,k.6.12 0 0 0 (. 1 0 0 0 m. Under I 0 0 0 Not given 0 0 I 0 6a. Veterans Status. A veteran is anyone who has ever been on active military duty status. 0 6b. Chronically Homeless. How many participants were chronically homeless individuals? 0 7. Ethnicity. a. Hisoanlc or Latino 0 b. Non -Hispanic or Non -Latino 0 8. Race. a. American Indian or ,Alaskan Native 0 b. Asian 0 c. Black or African American 0 d. Native Hawaiian or Other Pacific Islander 0 e. White — 0 f. American Indian/Alaskan Native & White 0 • g. Asian & White 0 h. Black/African American & White 0 i. American Indian/Alaskan Native & Black/African American 0 j. Other Multi -Racial 0 k. Other/Unknown (all that do not match) 0 9a. Special Needs. All Chronic a. Mental illness 0 :0 b. Alcohol abuse 0 0 c. Drug abuse 0 0 d. HIV/AIDS or related diseases 0 0 e. Developmental disability 0 0 f. Physical disability 0 0 g. Domestic violence 0 0 h: Other (please specify) 0 0 9b. Disabled. How many of the participants are disabled? 0 10. Prior Living Situation. All Chronic a. Non -housing (street, park, car, bus station, etc.) 0 0 b. Emergency shelter 0 0 c. Transitional housing for homeless persons 0 d. Psychiatric facility 0 e. Substance abuse treatment facility 0 f. Hospital 0 g. Jail/prison 0 h. Domestic violence situation 0 i. Living with relatives/friends 0 j. Rental housing 0 nic/cvnr-P.nn i-tililf7.nht) 11 6/14/2006 1 -T k. Other (please specify) 11. Amount and Source of Monthly Income at Entry and Exit. Amount A. Monthly Income at Entry B. Monthly Incorne at Exit A11 Chronic All Chronic a. No Income 0 0 0 0 b. $1-ISO 0 0 0 0 c.$151-$250 0 0 0 0 d. $251 - $500 0 0 0 e. $501 - $1000 0 0 0 0 0 f. $1001 - $1500 0 0 0 0 g. $1501 - $2000 0 0 0 0 h. $2000 + Source 0 0 C. Income Sources at Entry 0 0 D. Income Sources at Exit All Chronic All Chronic a. Supplemental Security Income (SSI 0 0 0 0 b. Social Security Disability Insurance (SSDI) 0 0 0 0 c. Social Security 0 0 0 0 d. General Public Assistance 0 0 0 0 e: Temporary Aid to Needy Families (TANF) 0: 0 0 0 f. State Chlldren's Health Insurance Program (SCHIP) 0 0 0 0 g. Veterans benefits 0 0 0 0 h. Employment Income 0 0 0 0 i. Unemployment Benefits 0 0 0 0 j. Veteran's Health Care 0 0 0 0 k. Medicaid 0 0 0 0 1. Food Stamps 0 0 0 0 m. Other (please specify) 0 0 0 0 n. No financial resources 0 0 0 0 12a. Length of Stay in Program. (Participants who left during operating year) All •Chronic a. LesS than 1 month 0 0 . . 2 months0 0 months0 0 d. 7 months - 12 months 0 0 months. 0 0 months0 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 0 12b. Length of Stay 'in Program. (Participants who did not leave during operating year) All Chronic a. Less than 1 month 0 0 b. 1 to 2 months 0 0 c.3-6months 0 0 d. 7 months - 12 months 0 0 e. 13 months - 24 months 0 0 i If. 25 months - 3 years 0 0 g. 4 years - 5 years 0 0 https://w\.3V3.service.pt.iami/scripts/svpreperthud.p'7. hp 6/14/2006 h. 6 years - 7 years 0 0 i. 8 years - 10 years 0 0 j. over 10 years 0 13. Reasons for Leaving. All Chronic a. Left fora housing opportunity before completing program 0 0 b. Completed program 0 0 c. Non-payment of rent/occupancy charge d. Non-compliance with project e. Criminal activity / destruction of property / violence 0 0 0 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 0 0 i. Death 0 0 j. Other (please specify) 0 0 k. Unknown/disappeared 0 14. Destination. All Chronic. PERMANENT (a - h) a. Rental house or apartment (no subsidy) 0 0 b. Public Housing 0 0 c. Section 8 0 0 d. Shelter Plus Care 0 0 e. HOME subsidized house or apartment 0 0 f. Other subsidized house or apartment 0 0 g. Homeownership 0 0 h. Moved in with family or friends 0 0 TRANSITIONAL (i - j) i. Transitional housing for homeless persons 0 0 j. Moved in with family or friends 0 0 INSTITUTION (k - m) k. Psychiatric hospital 0 0 I. Inpatient alcohol/drug treatment facility 0 . 0 • m. Jail/prison 0 0 EMERGENCY SHELTER (n) n. Emergency shelter 0 0 OTHER (o - q) o. Other supportive housing , 0 0 p. Places not meant for human habitation (e.g. street) 0 0 q. Other (please specify) 0 0 UNKNOWN r. Unknown 0 0. 15. Supportive Services. No supportive services found. ServicePoint version 4.01.018 (db build #0723) Licensed to: Miami Dade Homeless Trust © 1999-2006 Bowman Systems L.L.C. All Rights Reserved. CPT only ec)2004 American Medical A.sSOCiaiion. Alt Rights Reserved. 051'1 and DSM-Iv-TR are reoister=d trademarks of the American Psychiatric Association, and are used v'lth permission herein. ICD-9-CM ci19941National Center for Health Statistic_ Health Groanization). Alt Rights Reserved,. Taxonomy icji9S3-2003 Inior,-,ation and Referral Federation of Le; Angeles County, inc. All Ri nts Reserved. hops://www3.se:vicept.coinimianli/scripts/svpreporthud.pihp 6/14/2006