The Marin Homeless Outreach Team (HOT) is a collaborative effort of local public and non-profit entities designed to bridge the system gaps and assist those in greatest need to access permanent housing.

Many people with long histories of homelessness struggle with complex, multi-layered issues that interfere with their ability to gain and maintain stable housing. These factors often cause individuals to fall through the cracks between existing programs and remain on the streets instead. HOT’s goal is not only to house those high needs persons, but also to mend the system cracks so that more people can permanently end their homelessness.

Even when programs do exist, people with many barriers often struggle to navigate our community services safety net programs on their own. HOT case managers navigate these systems for each HOT client, ensuring that each person receives customized care and a direct route to permanent housing whenever possible.

HOT is administered by the St. Vincent de Paul Society of Marin and funded by Health & Human Services.

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How it Works

HOT has two parts: case management and case conferencing.

With HOT case management, case managers focus on a small number of people experiencing chronic homelessness who refuse or are unable to engage with the greater system of care. The case managers provide personalized, intensive services designed to engage clients and create an action plan to connect them to permanent housing.

Depending on a person’s needs and goals, an action plan may include access to behavioral health treatment, reengagement with family, wraparound case management or other assistance, all with the goal of placing that person as quickly as possible in permanent housing appropriate for their needs.

HOT case conferencing is a biweekly meeting of HOT partners to address systems barriers preventing HOT clients from accessing permanent housing. Examples could include getting an accurate diagnosis for a client with both mental health and substance use problems, getting a client who needs skilled nursing into an appropriate facility, or collaborating with the jail to create a customized discharge plan.