Homeward Summer 2016 Point-in-Time/Housing Inventory Count Form
Please complete this form by Friday, July 22, 2016, at 12:00 p.m. Please complete one form per program.
If you have any questions, please contact Margot Ackermann at (804)343-2045 x11 or mackermann@homewardva.org

Definitions:
Chronically Homeless Individual - An unaccompanied homeless adult individual (persons 18 years or older) with a disabling condition (see definition below) who has either been continuously homeless for a year or more OR has had at least four (4) separate occasions of homelessness in the past three (3) years with a total duration of one year. To be considered chronically homeless, persons must have been sleeping in a place not meant for human habitation (e.g., living on the streets) and/or in an emergency shelter/Safe Haven during that time. Note that the disability is expected to be of a “long continuing or indefinite duration.” Persons under the age of 18 are not counted as chronically homeless. For purposes of the PIT, persons living in transitional housing at the time of the PIT count should not be included in this subpopulation category.

Chronically Homeless Family – A household with at least one adult member (persons 18 or older) who has a disabling condition and who has either been continuously homeless for a year or more OR has had at least four (4) separate occasions of homelessness in the past three (3) years with a total duration of one year. To be considered chronically homeless, persons must have been sleeping in a place not meant for human habitation (e.g., living on the streets) and/or in an emergency shelter/Safe Haven during that time. For purposes of the PIT, persons living in transitional housing at the time of the PIT count should not be included in this subpopulation category.

Veteran – This subpopulation category of the PIT includes persons who have served on active duty in the Armed Forces of the United States. This does not include inactive military reserves or the National Guard unless the person was called up to active duty.

Severely Mentally Ill (SMI) – This subpopulation category of the PIT includes persons with mental health problems that are expected to be of long-continued and indefinite duration and substantially impairs the person’s ability to live independently.

Chronic Substance Abuse – This category on the PIT includes persons with a substance abuse problem (alcohol abuse, drug abuse, or both) that is expected to be of long-continued and indefinite duration and substantially impairs the person’s ability to live independently.

Persons with HIV/AIDS – This subpopulation category of the PIT includes persons who have been diagnosed with AIDS and/or have tested positive for HIV.

Victims of Domestic Violence – This subpopulation category of the PIT includes persons who have been victims of domestic violence at any point in the past.

Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service