This document explores the role of case management in preventing homelessness and in rapidly return-ing homeless individuals and families to housing stability. Screenings for depression for all new mothers (new this year). All members make personal financial contributions on an annual basis to support the work of our organization. o Encourage federal agencies to incorporate language into their program funding guidance that authorizes applicants to use HHS and other federal funds to create and/or support programmatic strategies that formulate an integrated safety net for poor and disabled individuals and families, where appropriate. Develop effective supports for youth aging out of government care. 0000012413 00000 n
States have the flexibility to spend SSBG funds on a variety of services. 0000098355 00000 n
A special meeting of the Secretarys Work Group was held in September 2005 on this topic. High Staff Retention We maintain a work environment that encourages managers and line staff to use their expertiseand creativity to plan, implement and run dynamic programs that consistently reach outcome measures. o Review and synthesize the published and non-published literature to identify risk factors associated with chronic homelessness and protective factors that reduce the risk for chronic homelessness. Monitor the Progress. As a flexible block grant awarded to states and U.S. Eligible applicants for the Street Outreach Program include any private, nonprofit agency, non-federally recognized Indian Tribes and urban Indian organizations. 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. Developing Program Goals and Measurable Objectives Program goals and objectives establish criteria and standards against which you can determine program performance. The Operating Divisions work closely with state, local, and tribal governments, as many HHS-funded services are provided at the local level by state, county or tribal agencies, or through private sector and faith-based grantees. 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. Types of services include transportation to care, translation services, respite care for family caregivers, and health education programs; 3) Population-based Services - Most of these services are preventive services that are available to everyone. Strategy 2.2 Improve the eligibility review process. Title V of the McKinney-Vento Homeless Assistance Act (Title V),authorizes the Secretary of Health and Human Services to make suitable federal properties categorized as excess or surplus available to representatives of persons experiencing homelessness as a permissible use in the protection of public health. The 2003 Strategic Action Plan devoted one strategy (Strategy 2.9) to data and measurement issues, which read as follows: Develop an approach for baseline data, performance measurement, and the measurement of reduced chronic homelessness within HHS. While this is an important strategy, a single strategy alone cannot encompass the many data and measurement issues related to homelessness that have been raised within the Department over the past three years. by Martha Burt, Laudan Y. Aron and Edgar Lee (with Jesse Valente); Washington, DC: The Urban Institute Press; 2001. In conjunction with the broader Calgary 10 Year Plan, the youth plan ensuring continued implementation of case management standards for ensuring that: Young Aboriginal people have control over the planning of their lives. Key Events Shaping Strategic Action Plan Revision. Wilder Researchhas found that 58 percent of homeless Minnesota youth have spent time in out-of-home placements such as foster care, treatment, or juvenile detention. This Advisory Committee developed recommendations of adaptations to clinical practice guidelines for homeless clients with HIV/AIDS. United States Conference of Mayors. In general, researchers have found that heads of homeless families have higher rates of victimization, mental illness, and substance abuse along with weaker social networks, less robust employment histories, and lower incomes than the heads of housed low-income families (Bassuk et al 1996; Bassuk et al 1997; Shinn et al 1998). The internal audience consists of the HHS operating and staff divisions that have approved the Plan and agreed to implement it as is appropriate to their respective agency/division. Bassuk, Ellen L., Buckner, John C., Weinreb, Linda F., Browne, Angle, et al. 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. 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 final report will be available in 2009. National Resource and Training Center on Homelessness and Mental Illness: http://www.cms.hhs.gov/apps/firststep/index.html. Living accommodations may be host family homes, group homes, including maternity group homes, or supervised apartments. Skills training and support services provided include: basic life-skills and interpersonal skill building; educational opportunities (vocational and GED preparation); job placement; career counseling; and mental health, substance abuse, and physical health care services. 0000082155 00000 n
Metraux, Stephen, Dennis P. Culhane, Stacy Raphael, Matthew White, Carol Pearson, Eric Hirsch, Patricia Ferrell, Steve Rice, Barbara Ritter, & J. Stephen Cleghorn. Since 2007, the number of homeless single adults has decreased by 10%. Provide housing retention services including household budgeting and landlord mediation assistance. Abode Services reports its progress to our investors through interim and final grant reports, annual reports, quarterly newsletters and email blasts, and personal phone calls. Washington, D.C. 20201 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). Funds are allocated to the states on the basis of population. 0000000016 00000 n
Adding a New Goal Focusing On Data and Performance Measurement. 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. Strategy 1.3 Develop, test, disseminate, and promote the use of evidence-based homelessness prevention and early intervention programs and strategies. Introduce and/or reform transitional housing for youth, such as Foyer, to ensure best outcomes. Coordinated access and assessment processes. Projects for Assistance in Transition from Homelessness(PATH). The prevalence of homelessness among adolescents in the United States. Home - Office of Supportive Housing - County of Santa Clara We have a policy to contact funders immediately if there is a change in our intended outcomes, if the project is taking longer than expected, or if there has been a change in executive or staff leadership. Native American Tribes, too, can operate culturally appropriate child support programs with Federal funding. TABLE 6.1 Quantified Objectives: January 1, 2014- September 30, 2021 Families seeking government child support services must apply directly through their state/local agency or one of the tribes running the program. The Departments focus on homelessness is consistent with this recommendation. In order to measure progress in preventing, reducing, and ending homelessness, the Department needs to have data systems and performance measures at its disposal. xb```b``[ wAbl,KU400=q`f)v[z},M/qpr7H"lwNje
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o Encourage applicants use of grant funds to support community infrastructure development efforts, including expenses for staff associated with partnership activities, incentive funds, and other funding mechanisms that can support infrastructure development efforts. 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). Recognizing that data on homeless families is not as robust as data available on single adults, this project aims to identify opportunities and strategies to improve data about homeless families upon which future policy and program decisions may be based by investigating the availability of data with which to construct a typology of homeless families. The final report, which will consist of a collection of 12 research papers, will be available in the summer of 2007. 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. Because so many homeless youth have been connected to these institutions, reaching them through these institutions seems logical. After reviewing the range of estimates of the number of homeless youth, Robertson and Toro concluded that youth under the age of 18 may be at higher risk for homelessness than adults (1999). 0000001260 00000 n
o Monitor the development of HUDs Homeless Management Information Systems (HMIS) and seek opportunities to partner with HUD and local Continuums of Care on future research initiatives utilizing HMIS data, while maintaining the confidentiality of personally identifying information about individuals served by domestic violence programs. At-Risk Individuals and Primary Prevention, investigate incidents of abuse and neglect, follow up on reports of such incidents, and investigate if there is probable cause to believe that such incidents have occurred; and, have access to all client records when given permission by the client or the clients representative authorization and have access records without permission when there is probable cause that abuse or neglect is involved. These studies are concentrated primarily in five institutes: the National Institute on Drug Abuse (NIDA), the National Institute on Mental Health (NIMH), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Child Health and Development (NICHD), and the National Institute on Nursing Research (NINR). 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. 0000030541 00000 n
0000030512 00000 n
The study design involved a five-year, cross-site data collection and analysis program involving eight study sites. 2. startxref
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. http://aspe.hhs.gov/hsp/homelessness/strategies03/index.htm. The Administration for Children and Families (ACF) funds 669 public, community and faith-based programs through three grant programs that serve the runaway and homeless youth population. http://aspe.hhs.gov/hsp/homelessness/perf-ind03/report.pdf, Ending Chronic Homelessness: Strategies for Action (HHS). They are leaders in fundraising and advocacy, and serve on one or more of the following Board committees; Fund Development, Administrative, Finance, Marketing and Communications, Nominating, and Audit Committee. 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). Broadening the Plan to Incorporate a Focus on Homeless Families with Children and Youth. The matrix provides Work Group members with a way to measure progress towards achieving these goals and strategies and also provides a simple measure of the level of activity within each key area of focus. 0000003217 00000 n
In addition to many other duties, volunteers prepare and serve 95% of the meals provided at our Sunrise Village shelter. Specifically, the role of intergenerational trauma specific to the effects of colonization must be addressed to ensure adequate cultural connectedness and therefore healing for Aboriginal people. The PADD program protects the legal and human rights of all persons with developmental disabilities. This chapter will summarize how the two major changes have been incorporated into the framework of the strategic action plan, and will provide the rationale for the expansion of the plan in these two new directions. 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. 0000134446 00000 n
improve access to treatments and services; improve coordination across these services; identify strategies to prevent additional episodes of chronic homelessness; and. Provide job training and employment services referrals. 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). 0000035340 00000 n
Therefore, the goals and strategies were edited to include families and youth, where applicable. It is important to note that while these new goals and strategies will broaden the focus of the Departments activities related to ending and reducing homelessness, it is not the intention of the Department to retreat from the initial 2003 commitment to help end chronic homelessness. endstream
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Strong Collaborative Partners- We maintain eight formal partnerships with public agencies and communitybased organizations throughout Alameda County that leverage program resources and keep costs manageable. 200 Independence Avenue, S.W. All States, Territories, and a Native American Consortium (total of 57) are funded under the Protection & Advocacy for Individuals with Developmental Disabilities (PADD) program that requires the governor to designate a system in the State to empower, protect, and advocate on behalf of persons with developmental disabilities. The goals and strategies from the 2003 Strategic Action Plan framework specifically focused on chronic homelessness. Most services supported by MCH block grant funds fall within four areas: 1) Direct Health Care - Basic health care services are provided to individual clients generally on a one-on-one basis between health care professionals and patients in a clinic, office, or emergency room; 2) Enabling Services - These services help targeted populations in need to gain access to the care that is available to them. o Encourage mainstream programs that support outreach and case management to identify individuals and families experiencing homelessness as potentially eligible candidates for these services. Provide social services on site at housing complexes as well as for people living in subsidized apartments at scattered sits. 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. 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. Eligible activities include emergency and transitional housing and related services; substance abuse and mental health programs for homeless individuals; homeless ex-offender aftercare programs and miscellaneous other supportive homeless services. Family Violence Prevention and Services Grant Program (FVPS). 677 Words. Logic models are a useful tool that can help you do this. Characteristics and Dynamics of Homeless Families with Children (ASPE). The authors were comprised of health and social service providers experienced in the care of homeless individuals with HIV/AIDS. Now the question on your mind would be regarding how to write a treatment plan. The revised Plan covers a five-year time frame, from FY 2007-FY 2012. Once you become more confident, you can work on accomplishing larger, more long-term goals. It . The report also explores the extent to which mainstream service-delivery programs supported by HHS, i.e., those not specifically targeted to homelessness, could generate performance measures on the extent to which homeless persons are served and with what effect. Our roadmap for achieving our mission includes clearly defined goals, strategies and outcomes. Develop and implement strategies to identify and provide treatment and recovery support services to "high frequency" utilizers of multiple systems (e.g., health care, child welfare, criminal justice, etc.) Appendix A: Overview of Programs Operated by the U.S. Department of Health and Human Services That May Serve Persons Experiencing Homelessness. Sign up to receive the weekly Homeless Hub newsletter, featuring the most recent Canadian research delivered directly to your inbox. endstream
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Various communities use different terms to highlight the broad priority areas and associated actions. 0000001626 00000 n
Access to Recovery (ATR), operated by the Substance Abuse and Mental Health Services Administration (SAMHSA) and established in 2003, supports a grantee-run voucher program for substance abuse clinical treatment and recovery support services built on the following three principles: consumer choice, outcome oriented, and increased capacity. They provide basic preventive and primary health care services. In 2001, the Secretaries of HHS and HUD met and committed to a collaboration that capitalized on the expertise of HHS in service delivery and the expertise of HUD in housing. Develop the infrastructure and governance necessary to implement the youth plan. 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 . 0000012821 00000 n
. Prevention activities are critical to any plan that seeks to end chronic homelessness. rvice Plan Goals and Objectives. The principals that form the philosophical underpinnings of the Secretarys 500 Day Plan are applicable to persons experiencing homelessness, particularly the first principal which reads care for the truly needy, foster self-reliance. Report available at: http://www.cms.hhs.gov/HomelessnessInitiative/Downloads/ImprovingMedicaidAccess.pdf, The DASIS Report: Characteristics of Homeless Female Admissions to Substance Abuse Treatment: 2002(SAMHSA). Promote relationship-based approaches to supporting youth. Both parties work together to create a shared vision and set attainable goals and objectives. Web. Chapter two will outline the 2007 Strategic Action Plan in detail, providing examples of activities that might be undertaken in support of the goals and strategies proposed in the Plan. Another key event that influenced the Secretarys Work Group was Hurricane Katrina, which occurred in August 2005. Introduce targeted prevention measures to support youth at risk of or experiencing homelessness. Further, build on existing efforts and link with ongoing government or community initiatives where possible. HCH works within guidelines for the Community Health Center (Health Center) program. Homelessness: Programs and the people they serve: Findings of the National Survey of Homeless Assistance Providers and Clients: Technical report prepared for the Interagency Council on Homelessness. HHS 2007 Homelessness Strategic Action Plan. 0000022661 00000 n
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. Data and information sharing, including use of common information system performance management and quality assurance. 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. 193 0 obj
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As a result of the above process, the following major changes for the 2007 Plan were incorporated: Measuring Work Group Outcomes. =upDHuk9pRC}F:`gKyQ0=&KX pr #,%1@2K
'd2 ?>31~> Exd>;X\6HOw~ Ensure youth have access to necessary treatment and recovery supports to address addiction, mental and physical health issues. 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 . Eligible applicants are community-based public and private nonprofit entities. Over the past several years, the ability to demonstrate results towards ending and reducing homelessness in a quantitative fashion has increased, and thus, where the original plan included a recommendation for this work, a more focused effort to develop data and performance measurements will be critical to documenting future success and is a key component to the revised strategic action plan. An Evaluation of the Respite Pilot Initiative (HRSA), In May 2000, HRSA funded ten Health Care for the Homeless grantees, for up to five years, to enhance their medical respite services for homeless persons. > Research It smooths things out for everyone like clients, health providers and the insurance company. Neither HRSA nor states collect financial data on how many of its program dollars support homeless mothers and children, nor does it collect program data that indicates how many homeless mothers and children are served by Title V. Medicaid, operated by the Centers for Medicare and Medicaid Services (CMS), is a jointly funded, federal-state health insurance program for certain low-income and needy people. , can operate culturally appropriate child support programs with Federal funding Focusing data. Adding a new Goal Focusing on data and information sharing, including of... 205 0 obj < > stream a Goal is a general statement of what the patient wishes accomplish! 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