The following is a list of frequently asked questions (FAQ) about

The Multnomah Services and Screening Tool (MSST): A Redesign of Coordinated Access in Multnomah County

See this page for more information about the MSST and the redesign of Coordinated Access.

Find FAQs in: Chinese | Russian | Somali | Spanish | Vietnamese

Frequently Asked Questions

What is changing? 

Before the redesign, Multnomah County’s Coordinated Access System used the VI-SPDAT (Vulnerability Index Service Prioritization Decision Assistance Tool) to determine how certain housing resources are prioritized by the Coordinated Access System. The CA redesign replaces the VI-SPDAT with a new coordinated access process that includes the Multnomah Services and Screening Tool (MSST), This new tool  accounts for people’s housing needs and preferences and available system resources. In addition to going through the screening questions, people are also provided with Housing Problem Solving.. We are also revisiting some of our policies and procedures based on feedback from our advisory groups, as well as feedback from the community over the years. 

Why did we go through this process?

Unhoused community members and homeless services providers have given feedback over the years that the VI-SPDAT assessment tool is not trauma-informed or culturally responsive. We wanted to create a new tool and process that prioritizes households better than the previous process, and allows the system to be flexible as local resources and initiatives change. The redesign has been guided by people with lived experience of homelessness and homeless service providers.

How is this new process different from the VI-SPDAT?

The new MSST tool is shorter and more trauma informed, and it asks questions that align with local priorities. In addition, the new process promotes equity in access to available housing resources. The new assessment tool and process were designed and customized for the local community in Multnomah County based on key stakeholder input and feedback. This includes people with lived experience of homelessness, local service providers, and research on those with the highest barriers to housing, and local data. 

Are any new housing resources being added to Coordinated Access?

At this time, no new housing resources are being added to Coordinated Access.

How was the community engaged in this process?

The Joint Office has taken feedback over several years from providers that have worked in Coordinated Access locally. The Joint Office also engaged its Oversight Committee, composed of homeless services providers in Multnomah County, and the Housing Connections Collaborative, an advisory body of people with lived experience of homelessness.

Who is eligible for the new assessment process?

The eligibility requirements are slightly different for different populations.

For adults unaccompanied by minors (all household members are 18+), they must be experiencing literal homelessness (in shelter, a place not meant for human habitation such as an RV without running water or electricity, etc.). OR
Adults imminently at risk of losing their primary nighttime residence within 14 days; when no subsequent residence has been identified; and the individual lacks the resources or support networks needed to obtain other permanent housing.

For families with minors, they must either be experiencing literal homelessness (in shelter, a place not meant for human habitation such as an RV without running water or electricity, etc.) or be “doubled-up” or “couch-surfing”— meaning they are housed with families and friends but are not on the lease.

Any individual or family who Is fleeing, or is attempting to flee, domestic violence; has no other residence; and lacks the resources or support network to obtain other permanent housing

Is the new tool going to predict what types of services and housing people should get?

The new tool is not meant to predict the types of services and housing someone should get. Instead, the tool is meant to prioritize households with the greatest housing barriers for limited services. That prioritization is based on our community’s agreed-upon local priorities, including households overrepresented among people experiencing homelessness and underserved in homeless services. For households in the priority pool, the Housing Preferences & Matching Questionnaire will determine which available housing resource will best meet their needs.

What will happen to people who have already been assessed with the VI-SPDAT?

Some people who have already been assessed with the VI-SPDAT will continue to be prioritized for housing. People scoring below a certain threshold will be reassessed with the new tool. We are developing a score threshold to guide those decisions. We will inform family and adult system providers who is in the new housing priority pool and they will begin outreach to those households at the end of October.

Will people who are getting services, such as recovery treatment or rapid rehousing, lose points and not be prioritized? 

No. The goal of the new CA process is to identify households with the greatest barriers to housing. People will not be deprioritized for already engaging in services.

Will everyone get housing problem solving resources?

Our goal is to offer housing problem solving resources to all households, knowing that not everyone can be prioritized for the Coordinated Access priority pool. As we are building our efforts around problem solving resources, we anticipate being able to provide advice and resource assessment, but not financial assistance, to everyone in need.

How does this redesign overlap with the County’s Homeless Response Action Plan (HRAP)?

The Joint Office of Homeless Services is in close contact with the County Chair’s office and the planning groups to make sure that the Coordinated Access redesign fits within the Homelessness Response Action Plan and is helping to reach the goals of the plan.

If I am unhoused, how will I access services?

  • Households with children younger than 18: Call 211.
    Adults unaccompanied by children: Call 844-765-9384. You can also complete an online pre-screening by filling out this form.
  • Adults unaccompanied by children who would like a culturally specific assessment for Black, Indigenous, and other People of Color (BIPOC) households: Call the BIPOC CHAT line at 503-280-2600 x 654 or email housingreferrals@ulpdx.org.
  • Veterans: Call the Veteran Services hotline at 855-425-5544.
  • Domestic Violence Survivors: Call to Safety 503-235-5333 or, for Spanish, Project UNICA 503-232-4448
  • Unaccompanied Youth (Under age 25): Contact Janus Youth through their Access Center at 635 SW Alder St. in Portland or by calling 503-432-3986

What happens after an assessment is complete?

Some people will be notified within 2-3 weeks if they have been placed in the priority pool for housing. Households will be offered housing problem solving resources even if they are not placed in the priority pool. This may include financial support, but such support is limited.

I am housed, but I cannot pay my rent and am worried I will lose my housing. What should I do?

The County offers limited resources for homelessness prevention, but these funds do not go through the Joint Office of Homeless Services or Coordinated Access. Calling 211 and connecting with a homeless services provider directly is the best way to access these funds.

If I go through a Coordinated Access assessment this summer/fall, will I be assessed using the new tool, the VI-SPDAT, or both?

Until we launch the new process in October, households will continue to be assessed with the VI-SPDAT. VI-SPDAT assessments can be completed until the launch of the new tool on October 28.

After this date, we will no longer use the VI-SPDAT assessment and only MSST assessments can be completed. Households with completed VI-SPDATs above a certain threshold will be placed in the new housing priority pool. All households under that threshold will need to complete a MSST if they still need system resources.

If you have not been contacted by a provider by late-November, you likely scored under the threshold and will need to complete a MSST. Families with minors should reach out to 211. Adults without minors should reach out to their original assessor or call the CHAT hotline (844-765-9384)/BIPOC CHAT Line (for BIPOC community members wanting culturally specific assessments): 503-280-2600 x 654.