Question And Rule Dictionaries

RuleSet Name	Description
	Rule Name	Related Question	Rule Description
2-1-1
PATH
	18+	What is your current age?	Ages 18+ Answer >= 18
	NotStablyHoused	What is the person's current homeless status? Stably housed / not at risk of homelessness (NotAtRisk) Unstably housed (Unstable) Imminent risk of homelessness (Imminent) Chronically homeless (Chronic) Experienceing Homelessness (HUD cat 1 & 4 only) (ExperiencingHUD14)	Must not be stably housed Answer != "NotAtRisk"
	SMI	Does the person have a severe mental illness? No (No) Yes (Yes)	Severe Mental Illness Answer == "Yes"
Peer Pathfinder
	18+	What is your current age?	Ages 18+ Answer >= 18
	NotStablyHoused	What is the person's current homeless status? Stably housed / not at risk of homelessness (NotAtRisk) Unstably housed (Unstable) Imminent risk of homelessness (Imminent) Chronically homeless (Chronic) Experienceing Homelessness (HUD cat 1 & 4 only) (ExperiencingHUD14)	Must not be stably housed Answer != "NotAtRisk"
	OpioidSUD	Does the person you are working with have any of the following substance use disorders? Stimulants (Stimulants) Opioids (Opioids) Other (Other)	Must have an opioid substance use disorder Answer.Contains("Opioids")
Forensic PATH
	HCAReferral	Is the person listed on the HCA referral list for Forensic Outreach Services? No (No) Yes (Yes)	Listed on HCA Referral list for Forensic Outreach Answer == "Yes"
HOST
	NotStablyHoused	What is the person's current homeless status? Stably housed / not at risk of homelessness (NotAtRisk) Unstably housed (Unstable) Imminent risk of homelessness (Imminent) Chronically homeless (Chronic) Experienceing Homelessness (HUD cat 1 & 4 only) (ExperiencingHUD14)	Must not be stably housed Answer != "NotAtRisk"
	SUD	Does the person you are working with have any of the following substance use disorders? Stimulants (Stimulants) Opioids (Opioids) Other (Other)	Must have a substance use disorder Answer != null
	BehavioralDeteriorationRisk	Does the person have a behavioral health diagnosis that is at risk of deterioration without intervention? No (No) Yes (Yes)	Behavioral Health diagnosis that is at risk of deteriorating without intervention Answer == "Yes"
HARPS
	18+	What is your current age?	Ages 18+ Answer >= 18
	NotStablyHoused	What is the person's current homeless status? Stably housed / not at risk of homelessness (NotAtRisk) Unstably housed (Unstable) Imminent risk of homelessness (Imminent) Chronically homeless (Chronic) Experienceing Homelessness (HUD cat 1 & 4 only) (ExperiencingHUD14)	Must not be stably housed Answer != "NotAtRisk"
	OpioidSUD	Does the person you are working with have any of the following substance use disorders? Stimulants (Stimulants) Opioids (Opioids) Other (Other)	Must have an opioid substance use disorder Answer.Contains("Opioids")
	FrequentEDVisits	Has the person you are working with had frequent Emergency Department visits? No (No) Yes (Yes)	Must have had frequent Emergency Department visits Answer == "Yes"
	ExitingBehavioralHealth	Is the individual currently exiting an inpatient setting for a behavioral health issue? No (No) Yes (Yes)	Must be exiting inpatient behavioral health service Answer == "Yes"
Forensic HARPS
	18+	What is your current age?	Ages 18+ Answer >= 18
	NotStablyHoused	What is the person's current homeless status? Stably housed / not at risk of homelessness (NotAtRisk) Unstably housed (Unstable) Imminent risk of homelessness (Imminent) Chronically homeless (Chronic) Experienceing Homelessness (HUD cat 1 & 4 only) (ExperiencingHUD14)	Must not be stably housed Answer != "NotAtRisk"
	OrderedOutpatient	Has the person been ordered to outpatient competency restoration? No (No) Yes (Yes)	Ordered to outpatient competency restoration Answer == "Yes"
	HCAReferral	Is the person listed on the HCA referral list for Forensic Outreach Services? No (No) Yes (Yes)	Listed on HCA Referral list for Forensic Outreach Answer == "Yes"
	ReferredByForensicNavigators	Was the person referred by Forensic Navigators? No (No) Yes (Yes)	Referred by Forensic Navigators Answer == "Yes"
	TruebloodClassmember	Does the person qualify as a Trueblood classmember? No (No) Yes (Yes)	Qualifies as a Trueblood classmember Answer == "Yes"
FCS - Housing
	MedicaidEligible	What is the person's Medicaid status? Has Medicaid (Has) Doesn't have Medicaid, but is eligible (NoButEligible) Doesn't have Medicaid, and is not eligible (Ineligible)	Must be eligible for Medicaid Answer != "Ineligible"
	18+	What is your current age?	Ages 18+ Answer >= 18
	HasFCSHousingHealthNeeds	Select any of the following health-based needs the person has: Mental health need where there is need for improvement, stabilization or prevention of deterioration of functioning resulting from the presence of a mental illness (MentalHealth) Need for outpatient substance use disorder (SUD) treatment (SUD) Need for assistance with three or more activities of daily living (ADL) (3+ADL) Need for hands-on assistance with one or more ADL (HandsOnADL) Complex physical health need, which is a long continuing or indefinite physical condition requiring improvement, stabilization or prevention of deterioration of functioning (ComplexPhysical) Objective evidence of physical impairments, and because of this, the individual needs assistance with basic work-related activities (ObjPhysicalImpair) None of these apply (None)	Has one or more FCS Housing health-based needs Answer.Contains("MentalHealth") \|\| Answer.Contains("SUD") \|\| Answer.Contains("3+ADL") \|\| Answer.Contains("HandsOnADL") \|\| Answer.Contains("ComplexPhysical")
	HasFCSHousingRiskFactors	Select any of the following risk factors the person has: Homeless for at least 12 months -or- Homeless on at least four separate occasions in the last three years (combined to equal at least 12 months) (Homeless12+Months) Two or more contacts in the past 12 months or 90 or more consecutive days within an institutional setting (2+Contacts_90DaysInst) Two or more adult residential care stays within the past 12 months (2+RCStays) Frequent turnover of in-home caregivers (FrequentIHCGTurnover) Predictive Risk Intelligence System (PRISM) score of 1.5 or above (PRISM1.5+) Unable to be gainfully employed for at least 90 consecutive days due to a mental or physical impairment (NoEmpl90+Days) SUD with repeated inpatient treatment episodes (SUD) Diagnosed mental health and/or SUD that is at risk of deteriorating without intervention (MentalHealthOrSUDRiskOfDeteriorating) An inability to obtain or maintain employment resulting from age, physical disability or traumatic brain injury (NoEmplAgeDisabTBI) None of these apply (None)	Has one or more FCS Housing risk factors Answer.Contains("Homeless12+Months") \|\| Answer.Contains("2+Contacts_90DaysInst") \|\| Answer.Contains("2+RCStays") \|\| Answer.Contains("FrequentIHCGTurnover") \|\| Answer.Contains("PRISM1.5+")
FCS - Employment
	MedicaidEligible	What is the person's Medicaid status? Has Medicaid (Has) Doesn't have Medicaid, but is eligible (NoButEligible) Doesn't have Medicaid, and is not eligible (Ineligible)	Must be eligible for Medicaid Answer != "Ineligible"
	16+	What is your current age?	Ages 16+ Answer >= 16
	HasFCSEmplHealthNeeds	Select any of the following health-based needs the person has: Mental health need where there is need for improvement, stabilization or prevention of deterioration of functioning resulting from the presence of a mental illness (MentalHealth) Need for outpatient substance use disorder (SUD) treatment (SUD) Need for assistance with three or more activities of daily living (ADL) (3+ADL) Need for hands-on assistance with one or more ADL (HandsOnADL) Complex physical health need, which is a long continuing or indefinite physical condition requiring improvement, stabilization or prevention of deterioration of functioning (ComplexPhysical) Objective evidence of physical impairments, and because of this, the individual needs assistance with basic work-related activities (ObjPhysicalImpair) None of these apply (None)	Has one or more FCS Employment health-based needs Answer != "None"
	HasFCSEmplRiskFactors	Select any of the following risk factors the person has: Homeless for at least 12 months -or- Homeless on at least four separate occasions in the last three years (combined to equal at least 12 months) (Homeless12+Months) Two or more contacts in the past 12 months or 90 or more consecutive days within an institutional setting (2+Contacts_90DaysInst) Two or more adult residential care stays within the past 12 months (2+RCStays) Frequent turnover of in-home caregivers (FrequentIHCGTurnover) Predictive Risk Intelligence System (PRISM) score of 1.5 or above (PRISM1.5+) Unable to be gainfully employed for at least 90 consecutive days due to a mental or physical impairment (NoEmpl90+Days) SUD with repeated inpatient treatment episodes (SUD) Diagnosed mental health and/or SUD that is at risk of deteriorating without intervention (MentalHealthOrSUDRiskOfDeteriorating) An inability to obtain or maintain employment resulting from age, physical disability or traumatic brain injury (NoEmplAgeDisabTBI) None of these apply (None)	Has one or more FCS Employment risk factors Answer.Contains("NoEmpl90+Days") \|\| Answer.Contains("SUD") \|\| Answer.Contains("MentalHealthOrSUDRiskOfDeteriorating") \|\| Answer.Contains("NoEmplAgeDisabTBI")
Oxford Housing
	18+	What is your current age?	Ages 18+ Answer >= 18
	SUD	Does the person you are working with have any of the following substance use disorders? Stimulants (Stimulants) Opioids (Opioids) Other (Other)	Must have a substance use disorder Answer != null
Recovery Residences
	18+	What is your current age?	Ages 18+ Answer >= 18
	SUD	Does the person you are working with have any of the following substance use disorders? Stimulants (Stimulants) Opioids (Opioids) Other (Other)	Must have a substance use disorder Answer != null
CJTA
	18+	What is your current age?	Ages 18+ Answer >= 18
	SUD	Does the person you are working with have any of the following substance use disorders? Stimulants (Stimulants) Opioids (Opioids) Other (Other)	Must have a substance use disorder Answer != null
	CurrentCriminalCharges	Does the person currently have criminal charges filed against them? No (No) Yes (Yes)	Current Criminal Charges Answer == "Yes"
Community Behavioral Health Rental Assistance (CBRA)
	Income50%AMI	What is the household income, as a percent of AMI?	Income at or below 50% AMI Answer <= 50
	BehavioralDisability	Does the person have a Behavioral Health Condition? No (No) Yes (Yes)	Has a Behavioral Health Condition Answer == "Yes"
	LTSEligible	Is the person eligible for Long-Term Supportive Services? No (No) Yes (Yes)	Eligible for Long-Term Supportive Services Answer == "Yes"
	NeedsLTS	Does the person have a demonstrated need for a Long-Term Subsidy? No (No) Yes (Yes)	Needs Long-Term Subsidy Answer == "Yes"
Housing and Essential Needs (HEN)
	ExperiencingChronicOrImminent	What is the person's current homeless status? Stably housed / not at risk of homelessness (NotAtRisk) Unstably housed (Unstable) Imminent risk of homelessness (Imminent) Chronically homeless (Chronic) Experienceing Homelessness (HUD cat 1 & 4 only) (ExperiencingHUD14)	Must be Experiencing, Chronically, or At Risk Answer == "ExperiencingHUD14" \|\| Answer == "Chronic" \|\| Answer == "Imminent"
	Income30%AMI	What is the household income, as a percent of AMI?	Income at or below 30% AMI Answer <= 30
	HENReferral	Does the person have a HEN referral from DSHS? No (No) Yes (Yes)	Has a HEN Referral Answer == "Yes"
Consolidated Homeless Grant (CHG) - Rapid Re-Housing
	ExperiencingChronicOrImminent	What is the person's current homeless status? Stably housed / not at risk of homelessness (NotAtRisk) Unstably housed (Unstable) Imminent risk of homelessness (Imminent) Chronically homeless (Chronic) Experienceing Homelessness (HUD cat 1 & 4 only) (ExperiencingHUD14)	Must be Experiencing, Chronically, or At Risk Answer == "ExperiencingHUD14" \|\| Answer == "Chronic" \|\| Answer == "Imminent"
	Income30%AMI	What is the household income, as a percent of AMI?	Income at or below 30% AMI Answer <= 30
Tenant Based Rental Assistance (TBRA)
	ExperiencingChronicOrImminent	What is the person's current homeless status? Stably housed / not at risk of homelessness (NotAtRisk) Unstably housed (Unstable) Imminent risk of homelessness (Imminent) Chronically homeless (Chronic) Experienceing Homelessness (HUD cat 1 & 4 only) (ExperiencingHUD14)	Must be Experiencing, Chronically, or At Risk Answer == "ExperiencingHUD14" \|\| Answer == "Chronic" \|\| Answer == "Imminent"
	Income30%AMI	What is the household income, as a percent of AMI?	Income at or below 30% AMI Answer <= 30
Permanent Supportive Housing for Chronically Homeless Families (PSH-CHF)
	ExperiencingChronicOrImminent	What is the person's current homeless status? Stably housed / not at risk of homelessness (NotAtRisk) Unstably housed (Unstable) Imminent risk of homelessness (Imminent) Chronically homeless (Chronic) Experienceing Homelessness (HUD cat 1 & 4 only) (ExperiencingHUD14)	Must be Experiencing, Chronically, or At Risk Answer == "ExperiencingHUD14" \|\| Answer == "Chronic" \|\| Answer == "Imminent"
	Income50%AMI	What is the household income, as a percent of AMI?	Income at or below 50% AMI Answer <= 50
	DisabilityHOH	Does the Head of Household have a disability? No (No) Yes (Yes)	Head-of-Household Has A Disability Answer == "Yes"
	DependentInHH	Does the person have a dependent living in the household? No (No) Yes (Yes)	Has a Dependent in the Household Answer == "Yes"
Treasury Rental Assistance Program (T-RAP)
	Income80%AMI	What is the household income, as a percent of AMI?	Income at or below 80% AMI Answer <= 80
	FinancialHardshipCovid19	Does the person have a financial hardship due to the COVID-19 outbreak that threatens the household's ability to pay rental costs? No (No) Yes (Yes)	Experiencing financial hardship due to COVID-19 Answer == "Yes"
	UnemployedLast90Days	Have one or more individuals in the household been unemployed for 90 days prior to this evaluation? No (No) Yes (Yes)	One or more individuals in household have been unemployed for the last 90 days Answer == "Yes"
	Imminent	What is the person's current homeless status? Stably housed / not at risk of homelessness (NotAtRisk) Unstably housed (Unstable) Imminent risk of homelessness (Imminent) Chronically homeless (Chronic) Experienceing Homelessness (HUD cat 1 & 4 only) (ExperiencingHUD14)	Must be at risk of homelessness Answer == "Imminent"
Emergency Rental Assistance Program (ERAP)
	HomelessPast5Years	Have you been homeless in the past 5 years (including couch surfing / doubling up)? No (No) Yes (Yes)	Must have been homeless in the past 5 years Answer = "Yes"
	Income80%AMI	What is the household income, as a percent of AMI?	Income at or below 80% AMI Answer <= 80
	AtRiskCovidCDC	Is the person at severe risk from Covid-19, per CDC guidelines? No (No) Yes (Yes)	At Risk From COVID-19 Per CDC Guidelines Answer == "Yes"
	PastDueRentMarch2020	Does the person have any missed rent not paid since March 2020, and are still occupying the residence? No (No) Yes (Yes)	Missed / Past-Due Rent since March 2020 for residence still occupied Answer == "Yes"
	HousingDisruptedDiscrimination	Has the person's housing been disrupted due to to their race, ethnicity, gender identity, sexual orientation, or religion? No (No) Yes (Yes)	Housing disrupted due to discrimination Answer == "Yes"
	EvictionPast7Years	Has the person been evicted within the past 7 years? No (No) Yes (Yes)	Eviction within the past 7 years Answer == "Yes"

Title	Help Text	Type & Choices	Related Rules
(no category)
Current Age	If the person is uncomfortable being specific, you can use 'threshold' ages such as 18 or 21, to qualify for programs that require a minimum age.	Number	18+ Ages 18+ Answer >= 18 16+ Ages 16+ Answer >= 16
Homeless in the Past 5 Years		SingleChoice No Yes	HomelessPast5Years Must have been homeless in the past 5 years Answer = "Yes"

FCS Health-Based Needs		MultipleChoice Mental health need where there is need for improvement, stabilization or prevention of deterioration of functioning resulting from the presence of a mental illness Need for outpatient substance use disorder (SUD) treatment Need for assistance with three or more activities of daily living (ADL) Need for hands-on assistance with one or more ADL Complex physical health need, which is a long continuing or indefinite physical condition requiring improvement, stabilization or prevention of deterioration of functioning Objective evidence of physical impairments, and because of this, the individual needs assistance with basic work-related activities None of these apply	HasFCSHousingHealthNeeds Has one or more FCS Housing health-based needs Answer.Contains("MentalHealth") \|\| Answer.Contains("SUD") \|\| Answer.Contains("3+ADL") \|\| Answer.Contains("HandsOnADL") \|\| Answer.Contains("ComplexPhysical") HasFCSEmplHealthNeeds Has one or more FCS Employment health-based needs Answer != "None"
FCS Risk Factors		MultipleChoice Homeless for at least 12 months -or- Homeless on at least four separate occasions in the last three years (combined to equal at least 12 months) Two or more contacts in the past 12 months or 90 or more consecutive days within an institutional setting Two or more adult residential care stays within the past 12 months Frequent turnover of in-home caregivers Predictive Risk Intelligence System (PRISM) score of 1.5 or above Unable to be gainfully employed for at least 90 consecutive days due to a mental or physical impairment SUD with repeated inpatient treatment episodes Diagnosed mental health and/or SUD that is at risk of deteriorating without intervention An inability to obtain or maintain employment resulting from age, physical disability or traumatic brain injury None of these apply	HasFCSHousingRiskFactors Has one or more FCS Housing risk factors Answer.Contains("Homeless12+Months") \|\| Answer.Contains("2+Contacts_90DaysInst") \|\| Answer.Contains("2+RCStays") \|\| Answer.Contains("FrequentIHCGTurnover") \|\| Answer.Contains("PRISM1.5+") HasFCSEmplRiskFactors Has one or more FCS Employment risk factors Answer.Contains("NoEmpl90+Days") \|\| Answer.Contains("SUD") \|\| Answer.Contains("MentalHealthOrSUDRiskOfDeteriorating") \|\| Answer.Contains("NoEmplAgeDisabTBI")
Addiction
Substance Use Disorder		MultipleChoice Stimulants Opioids Other	SUD Must have a substance use disorder Answer != null OpioidSUD Must have an opioid substance use disorder Answer.Contains("Opioids")
Demographics
Dependent in HH		SingleChoice No Yes	DependentInHH Has a Dependent in the Household Answer == "Yes"
Demonstrated Need
Long-Term Subsidy	Have a need for long-term housing support with no other payment alternative or network they can rely on to meet the housing need.	SingleChoice No Yes	NeedsLTS Needs Long-Term Subsidy Answer == "Yes"
Financial Hardship due to COVID-19		SingleChoice No Yes	FinancialHardshipCovid19 Experiencing financial hardship due to COVID-19 Answer == "Yes"
Unemployed in the Last 90 Days		SingleChoice No Yes	UnemployedLast90Days One or more individuals in household have been unemployed for the last 90 days Answer == "Yes"
Missed Rent Since March 2020		SingleChoice No Yes	PastDueRentMarch2020 Missed / Past-Due Rent since March 2020 for residence still occupied Answer == "Yes"
Housing Disrupted Due To Discrimination		SingleChoice No Yes	HousingDisruptedDiscrimination Housing disrupted due to discrimination Answer == "Yes"
Eviction In Last 7 Years		SingleChoice No Yes	EvictionPast7Years Eviction within the past 7 years Answer == "Yes"
Disabilities
Behavioral Health Condition	A Behavioral Health Condition is a mental health condition or substance use disorder that impairs an individual’s capacity to address normal activities of daily living, and is expected to be of long duration.	SingleChoice No Yes	BehavioralDisability Has a Behavioral Health Condition Answer == "Yes"
HoH Disability	Disabilities are expected to be long-continuing or indefinite in duration and sustainability impedes the household member’s ability to live independently. Disability includes: a physical, developmental, mental, or emotional impairment, including impairment caused by alcohol or drug abuse, post-traumatic stress disorder, or brain injury. A person will also be considered to have a disability if they have Acquired Immune Deficiency Syndrome (AIDS) or any conditions arising from the etiologic agent for 86 Acquired Immune Deficiency Syndrome, including infection with the Human Immunodeficiency Virus (HIV).	SingleChoice No Yes	DisabilityHOH Head-of-Household Has A Disability Answer == "Yes"
Covid-19 Severe Risk		SingleChoice No Yes	AtRiskCovidCDC At Risk From COVID-19 Per CDC Guidelines Answer == "Yes"
Documentation
ID / SSID		SingleChoice No Yes	NeedsIDorSSID Needs an ID / SSIDcard Answer == "No"
Financial
Listed on HCA Referral		SingleChoice No Yes	HCAReferral Listed on HCA Referral list for Forensic Outreach Answer == "Yes"
Referred By Forensic Navigators		SingleChoice No Yes	ReferredByForensicNavigators Referred by Forensic Navigators Answer == "Yes"
Qualifies as a Trueblood classmember		SingleChoice No Yes	TruebloodClassmember Qualifies as a Trueblood classmember Answer == "Yes"
Housing
Homeless Status		SingleChoice Stably housed / not at risk of homelessness Unstably housed Imminent risk of homelessness Chronically homeless Experienceing Homelessness (HUD cat 1 & 4 only)	NotStablyHoused Must not be stably housed Answer != "NotAtRisk" ChronicOrAtImminentRisk Must be chronically homeless or at imminnet risk of homelessness Answer == "Chronic" \|\| Answer == "Imminent" ExperiencingChronicOrImminent Must be Experiencing, Chronically, or At Risk Answer == "ExperiencingHUD14" \|\| Answer == "Chronic" \|\| Answer == "Imminent" ExperiencingChronic Must be Chronically homeless Answer == "Chronic" UnstableOrAtRisk Must be unstably housed or at risk of homelessness Answer == "Imminent" \|\| Answer == "Unstable" Imminent Must be at risk of homelessness Answer == "Imminent"
Prev Living Situation Safe		SingleChoice Yes No, It was a domestic violence situation No, It was unhealthy for their recovery (for SUD)	IsDVVictim Victim of DV Answer == "NoDV" PrevSituationUnsuitable Living situation unsuitable for SUD Answer == "NoSUD"
Prev Living Situation Available If Back Rent Paid		SingleChoice Yes Yes, but they may need support No N/A	PrevSafeIfBackRentPaid Previous living situation safe if back rent paid Answer == "Yes" CanReturnIfPaid Can return if back rent paid Answer == "Yes" CanReturnWithSupport Can return if back rent paid, with support Answer == "YesWithSupport"
Living With Fam / Friends Suitable For Recovery		SingleChoice Yes, but doesn't need any assistance Yes - The individual needs rent assistance No	FamFriendsSafeWithAssistance Living with friends/family safe, needs assistance Answer == "YesWithAssistance"
Prefer To Live Alone		MultipleChoice Yes Yes, but needs help with rent Yes, but needs help with supported employment services through FCS Yes, but needs supportive services to obtain housing No	LiveAloneWithAssistance Prefers to live alone, but needs rent assistance Answer.Contains("YesWithRentAssistance") && Answer.Contains("YesWithHousingSupport") LiveAloneWithSupport Can live alone with support Answer.Contains("YesWithHousingSupport") CanLiveAloneWithSupport Prefers to live alone, but needs assistance Answer.Contains("YesWithRentAssistance") \|\| Answer.Contains("YesWithEmploymentServices") LiveAloneWithSupportHousingEmpl Can live alone with support Answer.Contains("YesWithRentAssistance") \|\| Answer.Contains("YesWithEmploymentServices")
Previous Living Situation	The location may impact services/resources the person is eligible for.	SingleChoice Shelter Transitional Housing Anywhere outside (e.g. street, vehicle, abandoned building, etc.) With family/relatives/friends A home or apartment that the individual owns or rents Hospital, residential treatment facility/inpatient facility/substance use treatment facility Incarcerated or under the custody of the Department of Correction	PrevLivingSit Previous living situation was homeless Answer == "ES" \|\| Answer == "Outside"
Planned Living Situation		SingleChoice Shelter Transitional Housing Anywhere outside (e.g. street, vehicle, abandoned building, etc.) With family/relatives/friends A home or apartment that the individual owns or rents	PlannedLivingSit Planned living situation is homeless Answer == "ES" \|\| Answer == "Outside"
Income
Income as percentage of AMI	E.g., if income is 30% of AMI, enter '30'	Number	Income30%AMI Income at or below 30% AMI Answer <= 30 Income50%AMI Income at or below 50% AMI Answer <= 50 Income80%AMI Income at or below 80% AMI Answer <= 80
Legal
Current Criminal Charges		SingleChoice No Yes	CurrentCriminalCharges Current Criminal Charges Answer == "Yes"
Medical
Medicaid Status		SingleChoice Has Medicaid Doesn't have Medicaid, but is eligible Doesn't have Medicaid, and is not eligible	NotOnMedicaid Must not be on Medicaid Answer != "Has" MedicaidEligible Must be eligible for Medicaid Answer != "Ineligible"
High In-Home Care Provider Turnover		SingleChoice No Yes	HighTurnoverIHCP High turnover of in-home care providers Answer == "Yes"
Frequent ED Visits		SingleChoice No Yes	FrequentEDVisits Must have had frequent Emergency Department visits Answer == "Yes"
Ordered To Outpatient Competency		SingleChoice No Yes	OrderedOutpatient Ordered to outpatient competency restoration Answer == "Yes"
PRISM Score of 1.5+		SingleChoice No Yes	Prism1.5+ Prism score of 1.5+ Answer == "Yes"
Unable To Retain Employment		SingleChoice No Yes	UnableToRetainEmployment Unable to retain employment Answer == "Yes"
Multiple Inpatient Treatment Episodes		SingleChoice No Yes	MultipleInpatientEpisodes Must have had multiple inpatient episodes Answer == "Yes"
Behavioral Health At Risk Without Intervention		SingleChoice No Yes	BehavioralDeteriorationRisk Behavioral Health diagnosis that is at risk of deteriorating without intervention Answer == "Yes"
Severe Mental Illness		SingleChoice No Yes	SMI Severe Mental Illness Answer == "Yes"
Inpatient Status		SingleChoice No Yes	IsInpatientNeedingHousing Is currently an inpatient needing housing Answer == "Yes"
Need Support For Independent Living		SingleChoice Yes No	IndepWithSupport Can live independently with support Answer == "Yes"
Exiting Inpatient Status		MultipleChoice No Yes	ExitingBehavioralHealth Must be exiting inpatient behavioral health service Answer == "Yes"
Military
Veteran Status		SingleChoice No Yes Yes, but they need assistance to apply for benefits	MilService Served in the military Answer.StartsWith("Yes")
Services
Eligible for LTS	Currently include: Foundational Community Supports; Housing and Recovery through Peer Services; Forensic HARPS; Health Care Authority SUD only support services; DSHS Aging and Long Term Supports Programs; Other programs approved on a case-by-case basis.	SingleChoice No Yes	LTSEligible Eligible for Long-Term Supportive Services Answer == "Yes"
HEN Referral		SingleChoice No Yes	HENReferral Has a HEN Referral Answer == "Yes"
Prev / Current Resources	An individual’s resources may be suspended or terminated while in an institutional setting. This information is intended to assist the D/C planner but not intended as an eligibility determination tool.	MultipleChoice Supplemental Security Income (SSI) Social securtiy Disability Income (SSDI) Temporary Assistance for Needy Families (TANF) - Individual must have children in the household to access TANF HEN - Short term incapacity plus unstably housed ABD - Incapacity but is in the SSI/SSDI application Wages - Person is employed but at risk of losing job Veteran’s benefits Extended Foster Care benefits Food Assistance No resources, or need to be reconnected	HasOrHadSSIorSSDI Had or has SSI or SSDI services Answer.Contains("SSI") NoResources Person has or had no resources Answer == "None"
Has Medicaid		SingleChoice No Yes	DoesntHaveMedicaid Doesn't have Medicaid Answer == "No"

Title	Help Text	Type	Answer Choices
(no category)
Current Age	If the person is uncomfortable being specific, you can use 'threshold' ages such as 18 or 21, to qualify for programs that require a minimum age.	Number
Homeless in the Past 5 Years		SingleChoice	No Yes

FCS Health-Based Needs		MultipleChoice	Mental health need where there is need for improvement, stabilization or prevention of deterioration of functioning resulting from the presence of a mental illness Need for outpatient substance use disorder (SUD) treatment Need for assistance with three or more activities of daily living (ADL) Need for hands-on assistance with one or more ADL Complex physical health need, which is a long continuing or indefinite physical condition requiring improvement, stabilization or prevention of deterioration of functioning Objective evidence of physical impairments, and because of this, the individual needs assistance with basic work-related activities None of these apply
FCS Risk Factors		MultipleChoice	Homeless for at least 12 months -or- Homeless on at least four separate occasions in the last three years (combined to equal at least 12 months) Two or more contacts in the past 12 months or 90 or more consecutive days within an institutional setting Two or more adult residential care stays within the past 12 months Frequent turnover of in-home caregivers Predictive Risk Intelligence System (PRISM) score of 1.5 or above Unable to be gainfully employed for at least 90 consecutive days due to a mental or physical impairment SUD with repeated inpatient treatment episodes Diagnosed mental health and/or SUD that is at risk of deteriorating without intervention An inability to obtain or maintain employment resulting from age, physical disability or traumatic brain injury None of these apply
Addiction
Substance Use Disorder		MultipleChoice	Stimulants Opioids Other
Demographics
Dependent in HH		SingleChoice	No Yes
Demonstrated Need
Long-Term Subsidy	Have a need for long-term housing support with no other payment alternative or network they can rely on to meet the housing need.	SingleChoice	No Yes
Financial Hardship due to COVID-19		SingleChoice	No Yes
Unemployed in the Last 90 Days		SingleChoice	No Yes
Missed Rent Since March 2020		SingleChoice	No Yes
Housing Disrupted Due To Discrimination		SingleChoice	No Yes
Eviction In Last 7 Years		SingleChoice	No Yes
Disabilities
Behavioral Health Condition	A Behavioral Health Condition is a mental health condition or substance use disorder that impairs an individual’s capacity to address normal activities of daily living, and is expected to be of long duration.	SingleChoice	No Yes
HoH Disability	Disabilities are expected to be long-continuing or indefinite in duration and sustainability impedes the household member’s ability to live independently. Disability includes: a physical, developmental, mental, or emotional impairment, including impairment caused by alcohol or drug abuse, post-traumatic stress disorder, or brain injury. A person will also be considered to have a disability if they have Acquired Immune Deficiency Syndrome (AIDS) or any conditions arising from the etiologic agent for 86 Acquired Immune Deficiency Syndrome, including infection with the Human Immunodeficiency Virus (HIV).	SingleChoice	No Yes
Covid-19 Severe Risk		SingleChoice	No Yes
Documentation
ID / SSID		SingleChoice	No Yes
Financial
Listed on HCA Referral		SingleChoice	No Yes
Referred By Forensic Navigators		SingleChoice	No Yes
Qualifies as a Trueblood classmember		SingleChoice	No Yes
Housing
Homeless Status		SingleChoice	Stably housed / not at risk of homelessness Unstably housed Imminent risk of homelessness Chronically homeless Experienceing Homelessness (HUD cat 1 & 4 only)
Prev Living Situation Safe		SingleChoice	Yes No, It was a domestic violence situation No, It was unhealthy for their recovery (for SUD)
Prev Living Situation Available If Back Rent Paid		SingleChoice	Yes Yes, but they may need support No N/A
Living With Fam / Friends Suitable For Recovery		SingleChoice	Yes, but doesn't need any assistance Yes - The individual needs rent assistance No
Prefer To Live Alone		MultipleChoice	Yes Yes, but needs help with rent Yes, but needs help with supported employment services through FCS Yes, but needs supportive services to obtain housing No
Previous Living Situation	The location may impact services/resources the person is eligible for.	SingleChoice	Shelter Transitional Housing Anywhere outside (e.g. street, vehicle, abandoned building, etc.) With family/relatives/friends A home or apartment that the individual owns or rents Hospital, residential treatment facility/inpatient facility/substance use treatment facility Incarcerated or under the custody of the Department of Correction
Planned Living Situation		SingleChoice	Shelter Transitional Housing Anywhere outside (e.g. street, vehicle, abandoned building, etc.) With family/relatives/friends A home or apartment that the individual owns or rents
Income
Income as percentage of AMI	E.g., if income is 30% of AMI, enter '30'	Number
Legal
Current Criminal Charges		SingleChoice	No Yes
Medical
Medicaid Status		SingleChoice	Has Medicaid Doesn't have Medicaid, but is eligible Doesn't have Medicaid, and is not eligible
High In-Home Care Provider Turnover		SingleChoice	No Yes
Frequent ED Visits		SingleChoice	No Yes
Ordered To Outpatient Competency		SingleChoice	No Yes
PRISM Score of 1.5+		SingleChoice	No Yes
Unable To Retain Employment		SingleChoice	No Yes
Multiple Inpatient Treatment Episodes		SingleChoice	No Yes
Behavioral Health At Risk Without Intervention		SingleChoice	No Yes
Severe Mental Illness		SingleChoice	No Yes
Inpatient Status		SingleChoice	No Yes
Need Support For Independent Living		SingleChoice	Yes No
Exiting Inpatient Status		MultipleChoice	No Yes
Military
Veteran Status		SingleChoice	No Yes Yes, but they need assistance to apply for benefits
Services
Eligible for LTS	Currently include: Foundational Community Supports; Housing and Recovery through Peer Services; Forensic HARPS; Health Care Authority SUD only support services; DSHS Aging and Long Term Supports Programs; Other programs approved on a case-by-case basis.	SingleChoice	No Yes
HEN Referral		SingleChoice	No Yes
Prev / Current Resources	An individual’s resources may be suspended or terminated while in an institutional setting. This information is intended to assist the D/C planner but not intended as an eligibility determination tool.	MultipleChoice	Supplemental Security Income (SSI) Social securtiy Disability Income (SSDI) Temporary Assistance for Needy Families (TANF) - Individual must have children in the household to access TANF HEN - Short term incapacity plus unstably housed ABD - Incapacity but is in the SSI/SSDI application Wages - Person is employed but at risk of losing job Veteran’s benefits Extended Foster Care benefits Food Assistance No resources, or need to be reconnected
Has Medicaid		SingleChoice	No Yes

Name	Description	Related Question	Rule
NotOnMedicaid	Must not be on Medicaid	What is the person's Medicaid status?	Answer != "Has"
MedicaidEligible	Must be eligible for Medicaid	What is the person's Medicaid status?	Answer != "Ineligible"
18+	Ages 18+	What is your current age?	Answer >= 18
16+	Ages 16+	What is your current age?	Answer >= 16
NotStablyHoused	Must not be stably housed	What is the person's current homeless status?	Answer != "NotAtRisk"
ChronicOrAtImminentRisk	Must be chronically homeless or at imminnet risk of homelessness	What is the person's current homeless status?	Answer == "Chronic" \|\| Answer == "Imminent"
ExperiencingChronicOrImminent	Must be Experiencing, Chronically, or At Risk	What is the person's current homeless status?	Answer == "ExperiencingHUD14" \|\| Answer == "Chronic" \|\| Answer == "Imminent"
ExperiencingChronic	Must be Chronically homeless	What is the person's current homeless status?	Answer == "Chronic"
UnstableOrAtRisk	Must be unstably housed or at risk of homelessness	What is the person's current homeless status?	Answer == "Imminent" \|\| Answer == "Unstable"
HighTurnoverIHCP	High turnover of in-home care providers	Has the individual had high in-home care provider turnover?	Answer == "Yes"
SUD	Must have a substance use disorder	Does the person you are working with have any of the following substance use disorders?	Answer != null
OpioidSUD	Must have an opioid substance use disorder	Does the person you are working with have any of the following substance use disorders?	Answer.Contains("Opioids")
FrequentEDVisits	Must have had frequent Emergency Department visits	Has the person you are working with had frequent Emergency Department visits?	Answer == "Yes"
OrderedOutpatient	Ordered to outpatient competency restoration	Has the person been ordered to outpatient competency restoration?	Answer == "Yes"
HCAReferral	Listed on HCA Referral list for Forensic Outreach	Is the person listed on the HCA referral list for Forensic Outreach Services?	Answer == "Yes"
ReferredByForensicNavigators	Referred by Forensic Navigators	Was the person referred by Forensic Navigators?	Answer == "Yes"
TruebloodClassmember	Qualifies as a Trueblood classmember	Does the person qualify as a Trueblood classmember?	Answer == "Yes"
Prism1.5+	Prism score of 1.5+	Does the person have a PRISM score of 1.5 or higher?	Answer == "Yes"
UnableToRetainEmployment	Unable to retain employment	Is the person unable to retain employment?	Answer == "Yes"
MultipleInpatientEpisodes	Must have had multiple inpatient episodes	Has the person you are working with had multiple inpatient treatment episodes?	Answer == "Yes"
BehavioralDeteriorationRisk	Behavioral Health diagnosis that is at risk of deteriorating without intervention	Does the person have a behavioral health diagnosis that is at risk of deterioration without intervention?	Answer == "Yes"
SMI	Severe Mental Illness	Does the person have a severe mental illness?	Answer == "Yes"
CurrentCriminalCharges	Current Criminal Charges	Does the person currently have criminal charges filed against them?	Answer == "Yes"
HomelessPast5Years	Must have been homeless in the past 5 years	Have you been homeless in the past 5 years (including couch surfing / doubling up)?	Answer = "Yes"
Income30%AMI	Income at or below 30% AMI	What is the household income, as a percent of AMI?	Answer <= 30
Income50%AMI	Income at or below 50% AMI	What is the household income, as a percent of AMI?	Answer <= 50
Income80%AMI	Income at or below 80% AMI	What is the household income, as a percent of AMI?	Answer <= 80
BehavioralDisability	Has a Behavioral Health Condition	Does the person have a Behavioral Health Condition?	Answer == "Yes"
DisabilityHOH	Head-of-Household Has A Disability	Does the Head of Household have a disability?	Answer == "Yes"
AtRiskCovidCDC	At Risk From COVID-19 Per CDC Guidelines	Is the person at severe risk from Covid-19, per CDC guidelines?	Answer == "Yes"
LTSEligible	Eligible for Long-Term Supportive Services	Is the person eligible for Long-Term Supportive Services?	Answer == "Yes"
HENReferral	Has a HEN Referral	Does the person have a HEN referral from DSHS?	Answer == "Yes"
DependentInHH	Has a Dependent in the Household	Does the person have a dependent living in the household?	Answer == "Yes"
NeedsLTS	Needs Long-Term Subsidy	Does the person have a demonstrated need for a Long-Term Subsidy?	Answer == "Yes"
FinancialHardshipCovid19	Experiencing financial hardship due to COVID-19	Does the person have a financial hardship due to the COVID-19 outbreak that threatens the household's ability to pay rental costs?	Answer == "Yes"
UnemployedLast90Days	One or more individuals in household have been unemployed for the last 90 days	Have one or more individuals in the household been unemployed for 90 days prior to this evaluation?	Answer == "Yes"
PastDueRentMarch2020	Missed / Past-Due Rent since March 2020 for residence still occupied	Does the person have any missed rent not paid since March 2020, and are still occupying the residence?	Answer == "Yes"
HousingDisruptedDiscrimination	Housing disrupted due to discrimination	Has the person's housing been disrupted due to to their race, ethnicity, gender identity, sexual orientation, or religion?	Answer == "Yes"
EvictionPast7Years	Eviction within the past 7 years	Has the person been evicted within the past 7 years?	Answer == "Yes"
NeedsIDorSSID	Needs an ID / SSIDcard	Does the person you are working with have an ID or Social Security card?	Answer == "No"
HasOrHadSSIorSSDI	Had or has SSI or SSDI services	What kind of resources does the person have/had in place?	Answer.Contains("SSI")
NoResources	Person has or had no resources	What kind of resources does the person have/had in place?	Answer == "None"
DoesntHaveMedicaid	Doesn't have Medicaid	Does the person you are working with have Medicaid?	Answer == "No"
IsInpatientNeedingHousing	Is currently an inpatient needing housing	Is the individual currently in an inpatient setting such as a community psychiatric hospital, evaluation and treatment facility, substance use treatment facility and in need of housing resources upon discharge?	Answer == "Yes"
PrevLivingSit	Previous living situation was homeless	Prior to admission, where has the individual lived the most in the previous 12 months?	Answer == "ES" \|\| Answer == "Outside"
PlannedLivingSit	Planned living situation is homeless	Where does the individual plan to stay after leaving the current setting?	Answer == "ES" \|\| Answer == "Outside"
IsDVVictim	Victim of DV	Does the individual feel safe in returning to previous location?	Answer == "NoDV"
PrevSituationUnsuitable	Living situation unsuitable for SUD	Does the individual feel safe in returning to previous location?	Answer == "NoSUD"
PrevSafeIfBackRentPaid	Previous living situation safe if back rent paid	If the previous living situation was healthy/safe but they owe back-rent, could the individual return to previous housing if arrears were paid?	Answer == "Yes"
CanReturnIfPaid	Can return if back rent paid	If the previous living situation was healthy/safe but they owe back-rent, could the individual return to previous housing if arrears were paid?	Answer == "Yes"
CanReturnWithSupport	Can return if back rent paid, with support	If the previous living situation was healthy/safe but they owe back-rent, could the individual return to previous housing if arrears were paid?	Answer == "YesWithSupport"
FamFriendsSafeWithAssistance	Living with friends/family safe, needs assistance	Is living with family members/friends a safe/healthy option that supports recovery?	Answer == "YesWithAssistance"
MilService	Served in the military	Did they serve in the military?	Answer.StartsWith("Yes")
LiveAloneWithAssistance	Prefers to live alone, but needs rent assistance	Does the person want to live on their own?	Answer.Contains("YesWithRentAssistance") && Answer.Contains("YesWithHousingSupport")
LiveAloneWithSupport	Can live alone with support	Does the person want to live on their own?	Answer.Contains("YesWithHousingSupport")
CanLiveAloneWithSupport	Prefers to live alone, but needs assistance	Does the person want to live on their own?	Answer.Contains("YesWithRentAssistance") \|\| Answer.Contains("YesWithEmploymentServices")
LiveAloneWithSupportHousingEmpl	Can live alone with support	Does the person want to live on their own?	Answer.Contains("YesWithRentAssistance") \|\| Answer.Contains("YesWithEmploymentServices")
IndepWithSupport	Can live independently with support	Does the person need support to accomplish activities of adult daily living (bathing, cooking, showering etc.) to live independently?	Answer == "Yes"
ExitingBehavioralHealth	Must be exiting inpatient behavioral health service	Is the individual currently exiting an inpatient setting for a behavioral health issue?	Answer == "Yes"
Imminent	Must be at risk of homelessness	What is the person's current homeless status?	Answer == "Imminent"
HasFCSHousingHealthNeeds	Has one or more FCS Housing health-based needs	Select any of the following health-based needs the person has:	Answer.Contains("MentalHealth") \|\| Answer.Contains("SUD") \|\| Answer.Contains("3+ADL") \|\| Answer.Contains("HandsOnADL") \|\| Answer.Contains("ComplexPhysical")
HasFCSEmplHealthNeeds	Has one or more FCS Employment health-based needs	Select any of the following health-based needs the person has:	Answer != "None"
HasFCSHousingRiskFactors	Has one or more FCS Housing risk factors	Select any of the following risk factors the person has:	Answer.Contains("Homeless12+Months") \|\| Answer.Contains("2+Contacts_90DaysInst") \|\| Answer.Contains("2+RCStays") \|\| Answer.Contains("FrequentIHCGTurnover") \|\| Answer.Contains("PRISM1.5+")
HasFCSEmplRiskFactors	Has one or more FCS Employment risk factors	Select any of the following risk factors the person has:	Answer.Contains("NoEmpl90+Days") \|\| Answer.Contains("SUD") \|\| Answer.Contains("MentalHealthOrSUDRiskOfDeteriorating") \|\| Answer.Contains("NoEmplAgeDisabTBI")