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. There is no standard but what is key is that you have a way of differentiating between the two and ensuring that your shorter term activities feed into larger priorities. Final report published September 2005 and available at: http://aspe.hhs.gov/hsp/05/discharge-planning/index.htm, Using Medicaid to Support Working Age Adults with Serious Mental Illness in the Community: A Handbook (ASPE), The purpose of this primer is to describe the Medicaid program in the delivery of services to adults with serious mental illnesses; specifically, the primer explains how existing Medicaid options and waivers are used by states to finance a broad range of community services and supports for adults with serious mental illnesses, and to demonstrate what aspects of state-of-the-art community services and supports for this population are funded by Medicaid. In FY 2006, the entire Health Center program, including HCH, received $1.785 billion (including funds for Tort Claims). Final evaluation report is due in late 2007. For FY 1999 (the only year for which a special analysis was compiled), the 40 participating states reported just over $26 million SAPTBG funds were spent on alcohol and drug abuse services to homeless populations, approximately 1.64 percent of the Block Grant (Analysis by the National Association of State Alcohol and Drug Abuse Directors [NASADAD], 2002). The HRSA bureau responsible for administration of the CARE Act, the HIV/AIDS Bureau (HAB), has approached the issue of housing and healthcare access through housing policy development, direct service programs, service demonstrations, as well as in technical assistance and training activities to grantees. HHS, along with our federal partners, has provided significant technical assistance resources to these jurisdictions to assist them in the implementation of their Policy Academy action plans over the past several years. 0000002411 00000 n (Urban Institute) (1999). Individualized Service Plan which delineates specific goals that are flexible tailored to the consumer and attempt to utilize community and natural supports. WRITING YOUR STRATEGIC PLAN5 EXAMPLE GOALS & OBJECTIVES6 Goals for Alcohol-related indicators6 INTERVENING VARIABLE 1: Low Enforcement of alcohol-related laws7 INTERVENING VARIABLE 2: LOW PERCEIVED RISK OF LEGAL CONSEQUENCES10 INTERVENING VARIABLE 3: RETAIL ACCESS TO ALCOHOL11 INTERVENING VARIABLE 4: Youth Social Access (for youth only)15 HHS operates a wide range of programs that may be accessed by homeless families with children and runaway and homeless youth. While interventions to interrupt and end homelessness may vary across groups, ending homelessness permanently requires housing combined with the types of services supported by programs operated by the U.S. Department of Health and Human Services (HHS). Goal 1: Prevent episodes of homelessness within the HHS clientele, including individuals and families, Goal 2: Help eligible, homeless individuals and families receive health and social services, Goal 3: Empower our state and community partners to improve their response to individuals and families experiencing homelessness, Goal 4: Develop an approach to track Departmental progress in preventing, reducing, and ending homelessness for HHS clientele, Goal 1: Prevent episodes of homelessness within the HHS clientele, including individuals and families, 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 1.3 Develop, test, disseminate, and promote the use of evidence-based homelessness prevention and early intervention programs and strategies, 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 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, Strategy 2.6 Explore opportunities with federal partners to develop joint initiatives related to homelessness, including chronic homelessness and homelessness as a result of a disaster, Goal 3: Empower our state and community partners to improve their response to individuals and families experiencing 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 a disaster, Strategy 3.3 Examine options to expand flexibility in paying for services that respond to the needs of persons with multiple problems, Strategy 3.4 Encourage states and localities to coordinate services and housing, Strategy 3.5 Develop, disseminate and utilize toolkits and blueprints to strengthen outreach, enrollment, and service delivery, Strategy 3.6 Provide training and technical assistance on homelessness, including chronic homelessness, to mainstream service providers at the state and community level, 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 program 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 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. The budgets of the targeted homeless programs have experienced growth since 2003 (see Table 1), but improving access to mainstream programs remains critical to increasing the Departments capacity to serve this population. Mainstream programs are designed to serve those who meet a set of eligibility criteria that is often established by the states, but generally address provision of services to low-income populations. 0000001260 00000 n 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. 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). Once you become more confident, you can work on accomplishing larger, more long-term goals. al 1998) estimate that families make up roughly 40 percent of those who become homeless. Since 2003, the number of homeless families living in southern and eastern county has decreased by 43%. The study is anticipated to be released in 2007. http://store.samhsa.gov/shin/content//SMA04-3870/SMA04-3870.pdf, Achieving the Promise: Transforming Mental Health Care in America (SAMHSA). Both parties work together to create a shared vision and set attainable goals and objectives. The PATH and Treatment for Homeless Persons Programs serve a somewhat narrower subgroup of the homeless population than the other programs: the PATH program focuses on homeless individuals with serious mental illness; and the Treatment for Homeless Persons program targets homeless persons who have a substance abuse disorder, or both a . ASPE and SAMHSA have supported a 3-year evaluation of a collaboration between Health Care for the Homeless programs and community mental health agencies. A client treatment plan is an essential document that serves as a guideline for the right approach to treating each patient. ii) The . There is a growing desire within the federal government to focus on results and to measure success by documenting progress. 0000012750 00000 n He was the cochair of the EveryOne Home Plan Structure Committee and is an appointee of Supervisor Scott Haggerty to the Measure A Oversight Committee. 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. and agencies that provide substance misuse treatment and recovery support services. 0000174588 00000 n Currently, there are 80 active properties on which numerous services are provided to homeless individuals and/or families. Broadening the Plan to Incorporate a Focus on Homeless Families with Children and Youth. Characteristics and Dynamics of Homeless Families with Children (ASPE). 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). 0000005580 00000 n Frequently Asked Questions about Measurable Goals and . Programs for Runaway and Homeless Youth (RHY). Eligible applicants are community-based public and private nonprofit entities. Strategy 2.5 Foster coordination across HHS to address the multiple problems of individuals and families experiencing homelessness. 0000174231 00000 n Family Violence Prevention and Services Grant Program (FVPS). Strategy 4.4 Coordinate HHS data activities with other federal data activities related to homelessness. Prevention activities are critical to any plan that seeks to end chronic homelessness. Discussions around off-reserve funding availability; Educate the community about poverty, homelessness and Aboriginal issues through Alberta-specific workers at community resource centres; Will need to hire more Aboriginal people to work with existing centres; Build a physical epicentre, like Thunderbird Lodge in Winnipeg or the Anishnabe Health and Wellness Centre in downtown Toronto; and. If the patient passes this date without completing the objective, then the treatment plan might have to be modified. 0000037847 00000 n 1992; 13(8): 717-726. Title IV-A, section 404 of the Social Security Act (Act) allows states, Territories and federally recognized Indian Tribes to use Federal TANF funds in any manner that is reasonably calculated to accomplish a purpose of the TANF program. trailer Strategy 1.2 Identify risk and protective factors to prevent chronic homelessness among persons who are already homeless. housing: Include move in date and any help with household goods. The goals and strategies from the 2003 Strategic Action Plan framework specifically focused on chronic homelessness. Youth who have not reached the age of 18 years during an 18 month stay may remain in the program for an additional 180 days or until their 18th birthday, whichever comes first. The inclusion of at-risk populations further acknowledges that effectively preventing chronic homelessness requires the two-pronged strategy of ending the homeless cycle for those who are already homeless, and the prevention of new episodes of homelessness for those who are currently housed, but who are at risk of becoming homeless. Monthly progress notes document consumer progress relative to goals identified in the Individualized Service Plan, and indicates where treatment goals have not yet been achieved. Effectiveness of the actions taken to achieve the goals is measured in the CAPER or Annual Performance Report. For the purposes of this strategic action plan, a homeless family is defined as one or two adults accompanied by at least one minor child who are either not housed or who have had periods during some recent time period during which they lacked housing. %PDF-1.4 % The U.S. Department of Health and Human Services has developed the Strategic Action Plan on Homelessness to outline a set of goals and strategies that will guide the Departments activities related to homelessness over the next several years. Table 2. 193 47 ASPE is partnering with HUD and the VA to support an evaluation of the Collaborative Initiative to End Chronic Homelessness, a unique grant program funding 11 sites to develop a comprehensive and integrated community strategy to assist chronically homeless persons to move into stable housing and access a range of support services. Achieving the Promise is the final report of the New Freedom Commission. Strategy 3.1 Work with states and territories to effectively implement Homeless Policy Academy Action Plans. Common benefits and services provided to homeless families include: cash assistance for temporary shelter arrangements; assistance to obtain permanent housing; case management services; one-time cash payments; and vouchers for food, clothing, and household expenses. 0000036337 00000 n Enhance youths access to education, training and job skill development. 0000030512 00000 n o Support empirical studies and demonstration projects that develop and test the effectiveness of outreach and engagement strategies for various populations. The PADD program in each State has a significant role in enhancing the quality of life of persons with developmental disabilities in every community. 200 Independence Avenue, S.W. In FY 2005, Medicaid provided coverage to more than 44.7 million individuals including 21.7 children, the aged, blind and/or disabled, and people who are eligible to receive federally assisted income maintenance payment. 0000007351 00000 n objective. 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. The formula allots funds on the basis of the population living in urbanized areas of the state, compared to the population living in urbanized areas of the entire United States, except that no state receives less than $300,000 ($50,000 for territories). Of these, services to promote self-sufficiency are the most relevant to homelessness. Home visiting for young mothers enrolled in our program for emancipated foster youth. 0000028719 00000 n In other words, just because a national report identifies a particular program as a promising practice, doesnt mean it necessarily fits within your local context. 6.2. HCH works within guidelines for the Community Health Center (Health Center) program. Another key effort extending into the states is the work of the ICH to encourage the development of State Interagency Councils on Homelessness as well as state and local ten-year planning processes to end chronic homelessness. However, the absence of data to inform the Department about a baseline suggested considerable developmental work would be needed before empirical benchmarks could be established. Treatment Plan Goals Download Treatment planning is a team effort between the patient and the counselor. * 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. They provide basic preventive and primary health care services. Tasks: Client: Client will make appointment with medical provider . 0000067529 00000 n 0000035171 00000 n 0000028353 00000 n Eligible programs and activities include: (1) outreach services; (2) screening and diagnostic treatment services; (3) habilitation and rehabilitation services; (4) community mental health services; (5) alcohol or drug treatment services; (6) staff training; (7) case management services; (8) supportive and supervisory services in residential settings; (9) referrals for primary health services, job training, educational services, and relevant housing services; and (10) a prescribed set of housing services. Very often, persons experiencing homelessness may be eligible for services funded through these programs. Our facilities include: Abode Services is committed to providing the highest quality programs that provide the greatest benefit for homeless families and individuals throughout Alameda County. Seven hundred and seventy-five enrichment and tutoring activities were provided for pre-school and school-age children. Concurrently, in 2002, the Administration revitalized the U.S. Interagency Council on Homelessness (USICH) to coordinate the federal response to homelessness across twenty federal departments and agencies, and to create a national partnership at every level of government and the private sector, with the goal of reducing and ending homelessness across the nation. The 2007 Plan was circulated throughout the HHS operating and staff division heads prior to being finalized by the Department and made public. 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. Mental health plans must respond to federal criteria that include: 1) a comprehensive community based mental health system with a description of health and mental health services, rehabilitation services, employment services, housing services, educational services, substance abuse services, medical and dental care; 2) mental health system data and epidemiology estimates of incidence and prevalence in the state of serious mental illness among adults and serious emotional disturbance among children; 3) services for children with serious emotional disturbance provided in an integrated system of care; 4) targeted services to rural and homeless populations with a description of states outreach to and services for individuals who are homeless and how community-based services will be provided to individuals residing in rural areas; and 5) management systems for financial resources, staffing and training for mental health providers, and training of providers of emergency health services. Furthermore, agency representatives at the meeting described their experiences providing concrete assistance during Hurricane Katrina. The formula for determining the federal allocations of funds to the states is determined by Congress. 0000073772 00000 n Total expenditures for the SCHIP program in FY 2005 were $5.129 billion, however, state SCHIP programs are not required to report to CMS on the homelessness or housing status of persons who receive health care supported with SCHIP funding; therefore, SCHIP data systems are not designed to produce estimates of expenditures on services provided to eligible homeless persons. 1102 0 obj <> endobj 0000002432 00000 n Since the inception of the Treatment for Homeless program, over 10,000 persons have received grant-supported services. Care Plan Worksheet And Example Goals and Steps . 0000073076 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). 21 Apr. Tailor interventions to meet the needs of diverse youth groups, including Indigenous, LGBTQ2S, immigrant, parenting, sexually exploited youth and youth with developmental disabilities, mental health and/or addiction issues. 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. The combined total budget of the targeted homeless assistance programs is less than one percent of the combined total budget of the mainstream programs that individuals or families who are homeless may access (see Table 2). This document explores the role of case management in preventing homelessness and in rapidly return-ing homeless individuals and families to housing stability. 0000004517 00000 n rvice Plan Goals and Objectives. 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. 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. 1995; 85(12): 1642-1649. It operates through a partnership with State Maternal and Child Health and Children with Special Health Care Needs programs. As a flexible block grant awarded to states and U.S. 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. Likewise, there should be a Department-wide approach to measuring the effectiveness of the homeless assistance programs, and of the Departments strategic action plan. 100% of families and individuals needing benefit acquisition assistance and job training and employment referrals. Finally, a series of appendices provide supporting information to the strategic action plan. An Environment for Change. Increase the inventory of permanent and transitional supportive housing. A short report based on the SAMHSAs Drug and Alcohol Services Information System (DASIS), the primary source of national data on substance abuse treatment. 0000081433 00000 n The Maternal and Child Health Services Block Grant (MCHBG), operated by the Health Resources and Services Administration (HRSA), has three components: formula block grants to 59 states and Territories, grants for Special Projects of Regional and National Significance, and Community Integrated Service Systems grants. Using the SMART Process {When writing goals and objectives, keep them SMART: Specific. The 72-hr Initial Recovery Plan provides the basis for treatment services for the individual until the first Individualized Recovery Plan (IRP) is developed on the 15th (3) day. Strategy 4.1 Inventory data relevant to homelessness currently collected in HHS targeted and mainstream programs; including program participants housing status. Operate CalWORKs program and other workforce development projects that improve economic self-sufficiency including pre-vocational workshops and work experience opportunities. implementing individualized care plans based on the goals that are most important to the individual. Strategy 1.6 reads as follows: Explore opportunities with federal partners to develop joint initiatives related to homelessness and improve communication on programmatic goals, policies, and issues related to homelessness.. The Grants for the Benefit of Homeless Individuals(GBHI) program enables communities to expand and strengthen their treatment services for homeless individuals with substance abuse disorders, mental illness, or with co-occurring substance abuse disorders and mental illness. Since 2003, the Department has worked in partnership with the states, other federal Departments, and the U.S. Interagency Council on Homelessness to advance the goals outlined in the strategic action plan. homelessness or risk of eviction, and . . 0000073339 00000 n Since 2005, Abode Services and Allied Housing, its housing development arm, have constructed or rehabilitated four permanent supportive housing complexes with a total of 109 units for 209 adults and children. Strategy 4.2 promotes the development of an approach for establishing baseline data on the number of homeless individuals and families served in HHS programs, whereas Strategy 4.3 relates to developing a strategy by which to track improved access to HHS mainstream and targeted programs for persons experiencing homelessness. Each goal and objective will need a number or a letter that identi-fies it. Runaway and Homeless Youth Management Information System: http://www.acf.hhs.gov/programs/fysb/content/youthdivision/resources/rhymsfactsheet.htm. extremely low income persons, many of whom are homeless or at-risk of homelessness. In support of the articulated Administration goal of ending chronic homelessness, senior leadership within HHS established a Departmental work group in 2002 and tasked the group with developing a strategic action plan that would articulate a comprehensive approach for enabling the Department to better serve individuals experiencing chronic homelessness. Youth are provided with stable, safe living accommodations and services that help them develop the skills necessary to move to independence. 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. The Work Group has developed an activities tracking matrix, which allows agencies to chart homeless-related activities under the specific goals and strategies outlined in the Plan noted above. Appendix B: U.S. Department of Health and Human Services Resources on Homelessness, HHS Web Resources Relevant to Homelessness. 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. In general, phrases such as chronically homeless individuals were substituted by homeless individuals and families so as to be inclusive of families and children experiencing homelessness, while still including individuals experiencing homelessness, whether chronic or episodic. This technical assistance report developed in 2004 is designed to highlight several state initiatives that increase Medicaid access for people who are chronically homeless. 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. xref The programs and activities sponsored by the Department are administered by eleven operating divisions that work closely with state, local, and tribal governments. Strategy 3.3 Examine options to expand flexibility in paying for services that respond to the needs of persons with multiple problems. While goals encompass general statements about what patients . 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