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PART '5: Worksheet -`Determining Housil ng'Stability Outcomes (optional) 1. This chart is designed to assess program results based on the information reported in Part 4 and to help Grantees determine overall nroeram nerformance. Completion of this worksheet is optional. PermanentV Stable Housing Temporary Housing Unstable Life Event Housing Subsidy (# of households (2) Arrangements (9) Assistance remaining in program (1+7+8) plus 3+4+5+6) Tenant-Based Rental Assistance (TBRA) Permanent Facility- based Housing Assistance/Units Transitional/Short- Term Facility-based Housing Assistance/Units Total Permanent HOPWA Housing Subsidy Assistance Reduced Risk of Stable/Permanent Temporarily Stable, with Reduced Risk of Unstable Life Events Homelessness: Housing Homelessness Arrangements Short-Term Assistance Short-Term Rent, Mortgage, and Utility Assistance (STRMU Total HOPWA Housing Subsidy Assistance Background on HOPWA Housing Stability Codes Stable Permanent Housing/Ongoing Participation 3 = Private Housing in the private rental or home ownership market (without known subsidy, including permanent placement with families or other self-sufficient arrangements) with reasonable expectation that additional support is not needed. 4 = Other HOPWA-funded housing subsidy assistance (not STRMU), e.g. TBRA or Facility-Based Assistance. 5 = Other subsidized house or apartment (non-HOPWA sources, e.g., Section 8, HOME, public housing). 6 = Institutional setting with greater support and continued residence expected (e.g., residential or long-term care facility). Temporary Housing 2 = Temporary housing - moved in with family/friends or other short-term arrangement, such as Ryan White subsidy, transitional housing for homeless, or temporary placement in institution (e.g., hospital, psychiatric hospital or other psychiatric facility, substance abuse treatment facility or detox center). Unstable Arrangements 1 = Emergency shelter or no housing destination such as places not meant for habitation (e.g., a vehicle, an abandoned building, bus/train/subway station, or anywhere outside). 7 = Jail /prison. 8 = Disconnected or disappeared from project support, unknown destination or no assessments of housing needs were undertaken. Life Event 9 = Death, i.e., remained in housing until death. This characteristic is not factored into the housing stability equation. Tenant-based Rental Assistance: Stable Housing is the sum of the number of households that (i) remain in the housing and (ii) those that left the assistance as reported under: 3, 4, 5, and 6. Temporary Housing is the number of households that accessed assistance, and left their current housing for a non-permanent housing arrangement, as reported under item: 2. Unstable Situations is the sum of numbers reported under items: 1, 7, and 8. Permanent Facility-Based Housing Assistance: Stable Housing is the sum of the number of households that (i) remain in the housing and (ii) those that left the assistance as shown as items: 3, 4, 5, and 6. Temporary Housing is the number of households Previous editions are obsolete Page 17 form 111ID-40110-D (Expiration Date: 10/3I/2014) 25D-32