Health Centers also provide services that help ensure access to the primary care such as case management, outreach, transportation and interpretive services. American Journal for Public Health. Strategy 4.1 Inventory data relevant to homelessness currently collected in HHS targeted and mainstream programs; including program participants housing status. Grants ended in 2005, and a draft evaluation report is currently under development and expected in 2007. An example of moving from a general goal in this case to measurable objectives, interventions and completion criteria would be as follows Objective Although goals and objectives have similar purposes for patient recovery, they do have slight differences. A typology could foster a better understanding of these families characteristics, service needs, interactions with human services systems, and the dynamics of their use of emergency shelter and other services and assistance. The following is a list of HHS programs (both targeted and mainstream) that provide services to homeless families: Expanding the scope of the strategic action plan to encompass family and youth homelessness will formalize the Departments already ongoing efforts to assist homeless families with children and youth, as well as tie the work of the Departments agencies closely to the Secretarys goals and objectives for the Department as a whole. FY 2006 (millions), Grants for the Benefit of Homeless Individuals (Treatment for Homeless), Projects for Assistance in Transition from Homelessness (PATH), Community Mental Health Services Block Grant, Family Violence Prevention and Services Grant Program, Maternal and Child Health Services Block Grant, State Childrens Health Insurance Program, Substance Abuse Prevention and Treatment Block Grant. Homeless veterans Homeless veterans seem to be a defenseless population by definition, as they are a subgroup in the population that is likely to have health problems or worse health challenges because of exposure to risks unlike the rest of the population. o Continue interagency collaborations between HHS program agencies to develop tools that are designed for use by both homeless service providers as well as individuals who are homeless. Additionally, the new Goal 4 (which will be discussed in more detail below) also takes a broader approach and applies to the whole of the HHS clientele, including individuals and families. The matrix can then be used as an analytical tool to examine the Departments progress related to the activities by goal or strategy, as well as by agency. Services include case management, primary and mental healthcare, recovery support groups, financial literacy training, benefits acquisition, childcare, and transportation. 0000134303 00000 n http://oas.samhsa.gov/BG_documentation_070809_final_psg.pdf, Blueprint for Change: Ending Chronic Homelessness for Persons with Serious Mental Illnesses and/or Co-Occurring Substance Use Disorders (SAMHSA), This report was developed to disseminate state-of-the-art information about ending homelessness for people who have mental or addictive disorders. With the new software, we will be able to get realtime data about our service delivery efforts and relate them directly to our intended targets, milestones and outcomes. Specific one-year goals with outcome indicators are included in the Annual Action Plan. http://aspe.hhs.gov/hsp/homelessness/NSHAPC02/index.htm, Housing is Health Care: A Guide to Implementing the HIV/AIDS Bureau (HAB) Ryan White CARE Act Housing Policy(HRSA), The main purpose of the Guidebook is to provide guidance on funding of housing-related costs under the CARE Act. Findings from the research literature show that families are a significant subgroup that warrants specific attention and interventions that may differ from those that are successful in serving homeless individuals. 866-847-3590; . Each year, approximately one percent of the U.S. population, some 2-3 million individuals, experiences a night of homelessness that puts them in contact with a homeless assistance provider, and at least 800,000 people are homeless in the United States on any given night. Grants for the Benefit of Homeless Individuals (GBHI), Treatment for Individuals Experiencing Homelessness (TIEH), and Cooperative Agreements to Benefit Homeless Individuals(CABHI), HRSA's Healthcare for the Homeless (HCH), ACF's . housing: Include move in date and any help with household goods. The State Childrens Health Insurance Program, operated by the Centers for Medicare and Medicaid Services (CMS), is a partnership between the Federal and State Governments that provides health coverage to uninsured children whose families earn too much to qualify for Medicaid, but too little to afford private coverage. 2013 Los Angeles Department of City Planning Chapter 6 Housing Goals, Objectives, Policies and Programs Houngi s Element 2013-2021. Additional appendices provide a list of commonly used acronyms (Appendix C), a membership list of the Secretarys Work Group, including the staff list of the Strategic Action Plan Subcommittee (Appendix D), and finally, a crosswalk of the goals and strategies included in the 2003 and 2007 Plans (Appendix E). We have employed a fulltime HUD Compliance Coordinator dedicated to HMIS since October 2009. Figure 1. Working with stakeholders to re-program Winter Relief Shelter and HOPE Homeless Outreach Project to provide house opportunities through the provision of housing subsidies and social services. A treatment plan will include the patient or client's personal information, the diagnosis (or diagnoses, as is often the case with mental illness), a general outline of the treatment prescribed, and space to measure outcomes as the client progresses through treatment. Provide job training and employment services referrals. Care Plan Worksheet And Example Goals and Steps . In order to develop the 2007 Plan, a Strategic Action Plan Subcommittee was formed, consisting of representatives from the various agencies participating in the Secretarys Work Group. When the Secretary established the Secretarys Work Group on Ending Chronic Homelessness in 2002, the Work Group was to report recommendations for a Department-wide approach that would contribute to the Administrations goal of ending chronic homelessness and improve the Departments ability to assist persons experiencing chronic homelessness. He holds a Masters of Social Work from California State University, Sacramento and a Masters in Theology from Seattle University. 0000036035 00000 n Current research indicates that homeless families are more similar to poor housed families than to single homeless individuals (Burt, et al 1999; Bassuk et al 1996). o Utilize national meetings of HHS grantees to highlight promising practices and other information to help states implement their action plans through workshops, discussion sessions and transfer peer-to-peer learning to mainstream providers. Goal 3:Work to prevent new episodes of homelessness within the HHS clientele, Goal 1: Prevent episodes of homelessness within the HHS clientele, including individuals and families, Strategy 3.1Identify risk and protective factors to prevent future episodes of chronic homelessness, Strategy 1.1 Identify risk and protective factors to prevent episodes of homelessness for at-risk populations, Strategy 1.2 Identify risk and protective factors to prevent chronic homelessness among persons who are already homeless, Strategy 3.2 Promote the use of effective, evidence-based homelessness prevention interventions, Strategy 1.3 Develop, test, disseminate, and promote the use of evidence-based homelessness prevention interventions, Goal 1:Help eligible, chronically homeless individuals receive health and social services, Goal 2: Help eligible, homeless individuals and families receive health and social services, Strategy 2.1 Strengthen outreach and engagement activities, Strategy 2.2 Improve the eligibility review process, Strategy 2.3 Explore ways to maintain program eligibility, Strategy 1.4Improve the transition of clients from homeless-specific programs to mainstream service providers, Strategy 2.4 Examine the operation of HHS programs, particularly mainstream programs that serve both homeless and non-homeless persons, to improve the provision of services to persons experiencing homelessness, Strategy 2.5 Foster coordination across HHS to address the multiple problems of individuals and families experiencing homelessness, Goal 2:Empower our state and community partners to improve their response to people experiencing chronic homelessness, Goal 3: Empower our state and community partners to improve their response to individuals and families experiencing homelessness, Strategy 2.1Use state Policy Academies to help states develop specific action plans to respond to chronic homelessness, Strategy 3.1 Work with states and territories to effectively implement Homeless Policy Academy Action Plans, Strategy 3.2 Work with governors, county officials, mayors, and tribal organizations to maintain a policy focus on homelessness, including homelessness as a result of disasters, Strategy 2.2 Permit flexibility in paying for services that respond to the needs of persons with multiple problems, Strategy 3.3 Examine options to expand flexibility in paying for services that respond to the needs of persons with multiple problems, Strategy 2.3Reward coordination across HHS assistance programs to address the multiple problems of chronically homeless people, Strategy 2.4Provide incentives for states and localities to coordinate services and housing, Strategy 3.4 Encourage states and localities to coordinate services and housing, Strategy 3.5 Develop, disseminate and use toolkits and blueprints to strengthen outreach, enrollment, and service delivery, Strategy 2.6Provide training and technical assistance on chronic homelessness to mainstream service providers, Strategy 3.6 Provide training and technical assistance on homelessness, including chronic homelessness, to mainstream service providers at the state and community level, Strategy 2.7Establish a formal program of training on chronic homelessness, Strategy 2.8Address chronic homelessness in the formulation of future HHS budgets or in priorities for using a portion of expanded resources, (basis for new Goal 4 and Strategies 4.1 - 4.4), Strategy 2.9Develop an approach for baseline data, performance measurement, and the measurement of reduced chronic homelessness within HHS, Strategy 2.10Establish an ongoing oversight body within HHS to direct and monitor the plan, Goal 4: Develop an approach to track Departmental progress in preventing, reducing, and ending homelessness for HHS clientele, Strategy 4.1 Inventory data relevant to homelessness currently collected in HHS targeted and mainstream programs; including participants housing status, Strategy 4.2 Develop an approach for establishing baseline data on the number of homeless individuals and families served in HHS programs, Strategy 4.3 Explore a strategy by which to track improved access to HHS mainstream and targeted programs for persons experiencing homelessness, including individuals experiencing chronic homelessness, Strategy 4.4 Coordinate HHS data activities with other federal data activities related to homelessness. U.S. Department of Health and Human Services Homelessness Website: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration Homelessness Website: U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services Homelessness Website: http://www.cms.hhs.gov/HomelessnessInitiative/. Strategy 4.2 Develop an approach for establishing baseline data on the number of homeless individuals and families served in HHS programs. HHS operates a range of programs that may serve individuals and families experiencing homelessness. Runaway and homeless youth served by FYSB are served in emergency situations and cases where returning home is not an option. Evaluation of the Health Care for the Homeless/Community Mental Health Center Collaboration Project (ASPE & SAMHSA). Note: Table reports funding only for targeted homeless programs and does not include funding for research (NIH, OASPE, SAMHSA, HRSA, ACF); *Includes $4 million in one-time CMHS funds to support competitively-awarded supplements for chronic homelessness; ** The Title V/Surplus Property program involves the transfer of surplus federal property from HHS to a homeless assistance provider, and the program does not have a line item budget. In FY 2005, Head Start served approximately 20,000 homeless children and their families throughout the country at a cost of $143,705,000. . For at-risk families, common benefits include counseling, housing referrals, assistance for past due utility bills, and assistance for arrearages in rent or mortgage payments. 3 Pages. 0000003102 00000 n For most people, the ultimate long-term goal of treatment is to overcome depression symptoms and achieve a state of remission (an end to serious, noticeable symptoms). 0000005843 00000 n "Abode Services - Ending Homelessness by Assisting Low-income, Un-housed People to Secure Stable, Supportive Housing in Alameda County, California." As the title of the 2003 Strategic Action Plan indicates (Ending Chronic Homelessness: Strategies for Action) the focus of the Work Group was on chronic homelessness. 0000012884 00000 n Increase affordable housing options appropriate for and accessible to youth. Receive the latest updates from the Secretary, Blogs, and News Releases. The goals, strategies, and examples of activities are as follows: Goal 1: Prevent episodes of homelessness within thehhs clientele, including individuals and families, Strategy 1.1 Identify risk and protective factors to prevent episodes of homelessness for at-risk populations. As a case plan goal and objective example, case managers who work with the homeless may have a primary objective of finding housing for clients. %PDF-1.4 % 0000081433 00000 n Report is available at http://oas.samhsa.gov/2k6/homeless/homeless.pdf, Adapting Your Practice: Treatment and Recommendations for Homeless Patients with HIV/AIDS Pocket Guidebook (HRSA), This condensed pocket guidebook on adapting clinical guidelines for homeless clients with HIV/AIDS was a project of the HIV/AIDS Bureau Homelessness and Housing Workgroup in revising the original manual, Adapting Your Practice: Treatment and Recommendations for Homeless Patients with HIV/AIDS (2003), developed by the Health Care for the Homeless (HCH) Clinicians Network. Furthermore, the Department has been pursuing a strategy over the past several years of increasing access to mainstream resources for eligible homeless individuals and families. Changes in the individual's status and updates can be Offer comprehensive children's services that include: As a twenty-one year old agency with a history of innovation, Abode Services has developed an outstanding pool of human, financial and material resources that enables us to accomplish our goals and objectives. o Develop initiatives which can enable NIH research to be linked to pilot projects and programs within HHS to establish the effectiveness of such projects and programs and expand the evidence-base on what works. Provide housing retention services including household budgeting and landlord mediation assistance. xref Kuhn R, Culhane DP. hTPn y hTPn Health and health needs of homeless and runaway youth. A: This is an achievable and reasonable goal for anyone looking to advance in their career. Sample Housing Stabilization Action Plan for Rapid ReHousing Revised 10.14.09 Resource: Rapid ReHousing: Creating Programs that Work, National Alliance to End Homelessness, July, 2009. {Clearer goal z As a strategy for reducing retention rates, ELLs will The plan calls for engaging key stakeholders in a collaborative community-response model, with critical attention given to meet the needs of diverse communities including Aboriginal people, youth with disabilities, newcomers and LGBTQ2S youth. This worksheet (ARIES Master Data Collection Form) can be used to remind Medical Case Managers of the . Strategy 3.2 Work with governors, county officials, mayors, and tribal organizations to maintain a policy focus on homelessness, including homelessness as a result of a disaster. Services provided include primary health care, substance abuse, mental health, and oral health services; extensive outreach and engagement; extensive case management services; and assistance with accessing public benefits, housing, job training, etc. Strategy 3.4 Encourage states and localities to coordinate services and housing. Abode Services - Ending Homelessness by Assisting Low-income, Un-housed People to Secure Stable, Supportive Housing in Alameda County, California. 0000029233 00000 n When a participant is safe, the Housing Stabilization Plan will focus on homelessness prevention or rapid re-housing goals, the core of the SSVF program. Rather, the expanded scope will reflect the work related to addressing homelessness for families and children, as well as youth, which is already ongoing and critical to the mission of the Department of Health and Human Services, in addition to the Departmental priority to end chronic homelessness. 0000012413 00000 n The primary purpose for the development of the 2007 Strategic Action Plan is to refine the goals and strategies outlined in the 2003 Strategic Action Plan in order to reflect the progress that has been made, and has not been made, in the four years since the development of the initial HHS strategic action plan on homelessness. Territories have no matching requirements. In addition to many other duties, volunteers prepare and serve 95% of the meals provided at our Sunrise Village shelter. In FY 2004, the most recent data available, states reported spending $111 million on self-sufficiency services, including education/training, employment services, family planning services, independent/transitional living for adults, pregnancy and parenting, and substance abuse services. %%EOF o Explore state practices related to policies designed to suspend, rather than terminate, Medicaid eligibility for individuals who are institutionalized so that the eligibility process does not need to be initiated over again upon release. Individualized Service Plan which delineates specific goals that are flexible tailored to the consumer and attempt to utilize community and natural supports. Likewise, there should be a Department-wide approach to measuring the effectiveness of the homeless assistance programs, and of the Departments strategic action plan. 0000009929 00000 n o Inventory mainstream HHS programs, identifying barriers to access for persons experiencing homelessness, and propose strategies to reduce and eliminate these barriers to services. Goal: Develop skills to manage stress in a healthy way. The Secretarys Work Group on Ending Chronic Homelessness. Therapist . Additionally, utilization of the mainstream programs not only represents a significant funding stream, but also greatly expands the capacity of the Department to provide the necessary services to persons experiencing homelessness. 1102 58 By January 2015, Abode Services will provide 200 units of permanent. A special meeting of the Secretarys Work Group was held in September 2005 on this topic. Many studies have documented a large number of single homeless individuals, primarily women, who are parents but are no longer residing with their children (Burt et al 1999). These results will enable the HCH Program to determine the efficacy of respite services and in what configuration they are most appropriate. Finally, disasters are considered as an issue relevant to homelessness, given the devastation caused by Hurricanes Katrina and Rita, and the consequences to those who lost their homes and those who already were homeless before the catastrophe. You and your mental health provider will work together to define your long-term objectives from treatment. The recommendations of the states and territories were captured in the final report of the meeting and were considered carefully when developing the revised goals and strategies of the 2007 Plan. 0000017366 00000 n The Supportive Housing Implementation Resource Kit is under development and will be piloted in 2007. Washington, D.C. 20201 The Blueprint offers practical advice for how to plan, organize, and sustain a comprehensive, integrated system of care designed to end homelessness. However, further exploration is warranted to improve the Departments ability to develop measures related to increasing access to mainstream resources for persons experiencing homelessness. Between 2003 and 2007, the Department made significant progress towards the goals identified in the 2003 Plan. This PolicyAcademyfollow-up includes providing technical assistance to the states and territories around effective implementation of their Action Plans and sustaining their momentum in addressing homelessness in their respective states and territories. Other types of assistance provided to youth and their families may include individual, group, and family counseling; recreation programs; and aftercare services for youth once they leave the shelter. o Inventory and compile the data currently collected within the Department relevant to homelessness; domains may include: OPDIV, title of data source; population included; method of data collection; web link to the data source (or directly to data that are publicly available), and strengths and limitations, among others. Health centers serve all residents in their catchment area, regardless of ability to pay. =upDHuk9pRC}F:`gKyQ0=&KX pr #,%1@2K 'd2 ?>31~> Exd>;X\6HOw~ Successful applicants described an integratedand comprehensive community strategy to use funding sources, including mainstream service resources, to move chronically homeless individuals from the streets and emergency shelters into stable housing. There is a growing desire within the federal government to focus on results and to measure success by documenting progress. The priorities focus on fve key areas: 1. o Encourage states and communities to establish approaches, such as partnerships, to create a coordinated, comprehensive system of services to address homelessness, including chronic homelessness. For example, Teresa might say, ''I want to feel less . The general premise of the strategic action plan posits that homelessness is a complex social problem, and ending chronic homelessness requires housing combined with the types of services supported by the programs funded and operated by HHS. 0000134369 00000 n Reviewing key research and programmatic activities accomplished under each of the three original goals of the strategic action plan provide an opportunity to measure the progress of the Department in a quantitative manner and provide context for the revisions that are ultimately laid forth in the 2007 Strategic Action Plan. In October 2003, 11 grantees received funding for three years, FY 2003-2005. The data in this report is from the Treatment Episode Data Set (TEDS) 2002 Supplemental Data Set on living arrangements of people admitted for substance abuse treatment. 12 grantees were selected with the goal of increasing the availability of mental health and primary care services for homeless persons with serious mental illnesses and explore new approaches to the provision of comprehensive integrated treatment to these consumers. To this end, a new strategy in the Plan specifically refers to working with state, local and tribal organizations around policies pertaining to homelessness, including addressing homelessness as a result of disasters, the needs of homeless persons before/during/and after a disaster, and ways to assist the new population of temporarily homeless persons due to a disaster. 0000002574 00000 n Strategy 3.1 Work with states and territories to effectively implement Homeless Policy Academy Action Plans. The objectives for this goal can include, "Identify five outlets that offer free or discounted food by August 15," "Sign up 50 volunteers to cook and serve food by August 10," "Contact three homeless shelters to start outreach programs by August 1" and "Secure four facilities near where the homeless gather for cooking and serving meals by July . Eligible applicants are states and their political subdivisions and instrumentalities, and tax-supported and nonprofit institutions, which provide a broad array of services to the homeless. Broad Community Volunteer Support- More than 800 people from over 100 businesses, churches, and community groups volunteer at our organization annually. You can use the Goal Setting Worksheet and the Weekly Motivator to start planning out your goals. 0000134339 00000 n Obtain . Persons experiencing homelessness can benefit from the types of services supported by the programs offered by the U.S. Department of Health and Human Services (HHS). Captured information about youth is used effectively in research and initiatives, including homeless counts and HMIS/HIFIS. Objective: Attend regular 12-step meetings or support groups such as Alcoholics Anonymous. The objectives under each goal further speak to the nuances of housing . AmericanJournal of Public Health. Introduce strategic education and awareness campaigns to support plan implementation. Each year over 250 people donate food, household goods and other items for an added value of approximately $165,000. 0000002064 00000 n The delivery of treatment and services to persons experiencing homelessness are included in the activities of the Department, both in five programs specifically targeted to homeless individuals and in twelve non-targeted, or mainstream, service delivery programs (see Table 1 below). Section 645 of the 1998 Head Start Act establishes income eligibility for participation in Head Start programs by reference to the official poverty line, adjusted annually in accordance with changes in the Consumer Price Index. , unless they are measurable on their own as in " List and discuss [issue] weekly Abuse/Neglect Goal: Explore and resolve issues relating to history of abuse/neglect victimization The report was published in 2005 and is available at: http://www.prainc.com/SOAR/training/manual/SteppingStonesMan.pdf, Improving Medicaid Access for People Experiencing Chronic Homelessness: State Examples(CMS). If the funding is available, effective service delivery interventions may not be applied when working with this population. o Explore the feasibility of collecting data regarding the housing status or program participants of HHS mainstream service programs. 0000065429 00000 n This chapter delineates all the goals and strategies identified in the 2007 Strategic Action Plan. > Strategic Action Plan on Homelessness, U.S. Department of Health and Human Services: Strategic Action Plan on Homelessness, U.S. Department of Health and Human Services Strategy 2.3 Explore ways to maintain program eligibility. We adhere to generally accepted accounting standards in budget development, monitoring and reporting, and have an outstanding record of compliance with financial and contractual requirements. Research projects funded via an NIH grant are traditionally published in scientific journals. Federal collaboration was included in Goal 4 as a specific strategy for data activities, but a separate strategy was added to Goal 1 in order to encourage federal partnership across all Departmental activities related to homelessness. The mission of the child support enforcement program is to assure that assistance in obtaining support (both financial and medical) is available to children through locating parents, establishing paternity and support obligations, and enforcing those obligations. Many HHS programs lack the funding to serve individuals with multiple, complex needs. The strategy is available from: . Tips for Conducting an Effective Treatment Plan. Much of the data we collect is recorded and tracked using Alameda County's Homeless Information Management System (HMIS), an integrated countywide database that tracks homeless housing and service outcomes in the region. By January 2015, Abode Services will rehouse 1,000 homeless families and individuals (10-year goal). Native American Tribes, too, can operate culturally appropriate child support programs with Federal funding. States design a services delivery plan that addresses the unique needs of the state's populations. 0000016166 00000 n Setting personalized goals (ie, desired target outcomes) can be an excellent way to guide ADHD management and track the progress of symptom management. This new strategy was added to the Plan to emphasize the importance of preventing first-time homelessness for at-risk populations (i.e. According to SAMHSA's Treatment Episode Data Set (TEDS), more than 175,300 admissions to substance abuse treatment in 2004 were homeless at time of admission. Another key event that influenced the Secretarys Work Group was Hurricane Katrina, which occurred in August 2005. Options appropriate for and accessible to youth the objectives under each goal further speak to the consumer and attempt utilize... This topic that influenced the Secretarys Work Group was held in September on! 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