0000003689 00000 n We monitor and measure our progress on an on-going basis to ensure we are providing the highest quality programs that provide the greatest benefit for homeless families and individuals throughout Alameda County. The Community Health Centers, operated by the Health Resources and Services Administration (HRSA),provide health services to underserved populations. 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. Enrichment and school-readiness activities for younger children and after-school tutoring and computer education for older children. Final report was published in March 2006 and is available at: http://www.nhchc.org/Research/RespiteRpt0306.pdf, The DASIS Report: Homeless Admissions to Substance Abuse Treatment: 2004(SAMHSA), A short report based on the SAMHSAs Drug and Alcohol Services Information System (DASIS), the primary source of national data on substance abuse treatment. 0000035311 00000 n Here are some governmental guidelines to frame questions and formulate an action plan. 0000002411 00000 n Many HHS programs lack the funding to serve individuals with multiple, complex needs. Contents Strategic Action Plan Framework 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. HHS Budget Growth- Mainstream Programs FY 2003-FY 2006, Key Research and Programmatic Activities Between 2003 - 2006. 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. Prior to each of these meetings, the operating and staff divisions that participate in the Work Group will be asked to update the activities tracking matrix. There are two key areas in which the Department can track its progress since 2003: 1) the programs that serve persons experiencing homelessness and 2) the range of research and programmatic activities that have been undertaken since 2003. In the 2003 Strategic Action Plan the Work Group outlined sixteen strategies to reduce chronic homelessness, one of which was to improve the transition of clients from homeless-specific programs to mainstream service providers. A cornerstone activity under this strategy has been the development and implementation of nine Homeless Policy Academies that were designed to bring together state-level program administrators and homeless service providers in order to develop state-specific action plans designed to increase access to mainstream resources for persons experiencing homelessness. Research projects funded via an NIH grant are traditionally published in scientific journals. 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. Health centers serve all residents in their catchment area, regardless of ability to pay. Grants for the Benefit of Homeless Individuals (GBHI) (also referred to as Treatment for Homeless). Strategy 2.5 Foster coordination across HHS to address the multiple problems of individuals and families experiencing homelessness. 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. Services are provided without regard for a persons ability to pay. Family Violence Prevention and Services Grant Program (FVPS). > Programs Vulnerable groups who may be at-risk of homelessness include individuals with disabilities, immigrants, persons leaving institutions (e.g., incarceration- including juvenile detention facilities, inpatient care for psychiatric or chronic medical conditions), youth aging out of foster care, frail elderly, persons experiencing abuse, and disaster victims. The purpose of the 2007 Plan is to provide the Department with a vision for the future in the form of a formal statement that addresses how individuals, youth, and families experiencing homelessness can be better served through the coordinated administration of Departmental resources. 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. HHS Programs Relevant to Persons Experiencing Homelessness, Total Program Budget The objectives under each goal further speak to the nuances of housing . Seven hundred and seventy-five enrichment and tutoring activities were provided for pre-school and school-age children. 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. Other issues related to the causes and consequences of family homelessness, such as a familys interaction with the child welfare or foster care systems, may be important as the dynamics of children and their parent(s) while they move through the shelter system may not be the same (Park et al 2004). o Identify regulatory barriers and other challenges faced by states as they implement their Homeless Policy Academy state action plans to increase access to mainstream resources. Finally, one of the original charges to the Work Group was to itemize accountability and evaluation processes. This called for establishing monitoring and evaluation benchmarks pertaining to chronic homelessness. 0000082155 00000 n Head Start serves homeless families eligible for the program in areas such as nutrition, developmental, medical and dental screenings, immunizations, mental health and social services referrals, and transportation. If the patient passes this date without completing the objective, then the treatment plan might have to be modified. 0000133949 00000 n 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. It provides a basic but comprehensive picture of the numbers and characteristics of the two types of homeless assistance programs. Fifty-five percent of the cities participating in the 2006 Hunger and Homelessness Survey report that families may have to separate in order to be sheltered (U.S. Conference of Mayors 2006). Approximately 1600 women and their families received services under this program. SAMHSA funded a multi-site study of the effectiveness of services provided to homeless women and their children. Promote relationship-based approaches to supporting youth. 75% of households who participated in our transitional housing programs have been able to maintain their housing after their subsidy ended. Evaluation of Chronic Homelessness Policy Academies (SAMHSA & HRSA). Long-term goals: Management of depressive symptoms including an increase in ability to choose and utilize coping skills. 38. Each goal and objective will need a number or a letter that identi-fies it. 866-847-3590; . The purpose of the Transitional Living Program is to provide shelter, skills training, and support services to youth, ages 16 through 21, who are homeless, for a continuous period, generally not exceeding 18 months. 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. Washington, D.C.: The Council. Provide social services on site at housing complexes as well as for people living in subsidized apartments at scattered sits. Increase employment or benefit income of homeless families and individuals. By including the at-risk population in the Plan, the Department is acknowledging those who may be on the verge of becoming homeless and who could become the next generation of chronically homeless individuals. The Program supports direct care; core public health functions such as resource development, capacity and systems building; population-based functions such as public information and education, knowledge development, outreach and program linkage; technical assistance to communities; and provider training. The Supportive Housing Implementation Resource Kit is under development and will be piloted in 2007. Short-Term Prevention or Rapid Re-HousingPlan. 0000073559 00000 n It is the job of the planning team to articulate relevant goals for your community. methadone maintenance therapy). Z"S4&.4g&&)5'[&=#i]"bN jbaF-:ZLew5 xJHN"@~VfJJ@WkKi-Xx#/r2Oz!%sMrp(lv93]0\e%AXt@@Cd@@y$.X5D&@RR 80g@ In considering the direction of the 2007 Strategic Action Plan, two documents in particular were reviewed carefully: the final report of the National Learning Meeting and the activities matrix of the Secretarys Work Group. 0000065429 00000 n Client will be informed and able to make decisions around treatment options . 0000035906 00000 n Using the SMART Process {When writing goals and objectives, keep them SMART: Specific. 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. There are approximately 3,000 transitional housing beds and 800+ emergency housing beds being successfully operated by homeless assistance providers receiving properties pursuant to Title V of the McKinney-Vento Homeless Assistance Act. There may be variations on the priority areas outlined in this toolkit, but in some way you will need to address these issues in your plans proposed approach. Medications . These strategies can help guide your efforts to identify those experiencing chronic homelessness on the streets and in shelters, hospitals, jails, and other settings and connect them with the supportive housing, benefits, and health care they need to end their homelessness once and for all. PATH is a formula grant program operated by the Substance Abuse and Mental Health Services Administration (SAMHSA) to provide financial assistance to states to support services for homeless individuals who have serious mental illness or serious mental illness and substance abuse. Federally recognized Indian Tribes, Indian Tribes that are not federally recognized and urban Indian organizations are also eligible. After you make your treatment plan, you'll continue to meet with your therapist to reassess it and make changes as needed. Step 4.2 Write specific, measurable objectives for each intervention activity. Develop the infrastructure and governance necessary to implement the youth plan. 1998; 26(2): 207-232. One hundred and forty services referrals were provided. All grantees must demonstrate that all persons will have access to the full range of required primary, preventive, enabling, and supplemental health services, including oral health care, mental health care and substance abuse services, either directly on-site or through established arrangements. 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. This new strategy was added to the Plan to emphasize the importance of preventing first-time homelessness for at-risk populations (i.e. In order to measure progress in preventing, reducing, and ending homelessness, the Department needs to have data systems and performance measures at its disposal. Necessity of housing services for purposes of medical care must be certified or documented. This document was developed in 2003 by the HHS Secretarys Work Group on Ending Chronic Homelessness to outline a series of goal and strategies that would align the Departments effort towards the goal of ending chronic homelessness. 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). The publication was funded by the U.S. Department of Health and Human Services Health Resources and Services Administration, HIV/AIDS Bureau, with John Snow, Inc. and AIDS Housing of Washington. Treatment Plan for Homeless Veterans. Rebecca S. Ashery, Public Health Analyst, Office of Minority and Special Populations, Health Resources and Services Administration, Benita Baker,Public Health Analyst, Division of Healthy Start and Perinatal Services, Maternal and Child Health Bureau, Health Resources and Services Administration, Joanne Gampel, Social Science Analyst, Division of State and Community Assistance, Co-Occurring and Homeless Activities Branch, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Denise Juliano-Bult, Chief, Systems Research Program, Division of Services and Intervention Research, National Institute of Mental Health, National Institutes of Health, Charlene LeFauve, Chief, Co-Occurring and Homeless Activities Branch, Acting Chief, Data Infrastructure Branch, Center for Substance Abuse Treatment, Division of State and Community Assistance, Substance Abuse and Mental Health Services Administration, Valerie Mills, Senior Public Health Advisor, Office of Policy, Planning and Budget, Substance Abuse and Mental Health Services Administration, Elaine Parry, Director of Special Initiatives, Immediate Office of the Administrator, Substance Abuse and Mental Health Services Administration, Harry Posman,Executive Secretary, Office of the Assistant Secretary for Aging, Administration on Aging, Kathy Rama, Technical Director, Division of Advocacy and Special Issues, Disabled and Elderly Health Programs Group, Center for Medicaid and State Operations, Centers for Medicare and Medicaid Services, Larry Rickards, Chief, Homeless Programs Branch, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, Idalia Sanchez, Associate Director for Policy, Chief, Office of Policy Development, Division of Science and Policy, HIV/AIDS Bureau, Health Resources and Services Administration, Marsha Werner, Social Services Program Specialist, Office of Community Services, Administration for Children and Families. Visit our Research Matters blog for weekly posts from the homelessness sector here. 0000008163 00000 n Bassuk, Ellen L., Weinreb, Linda F., Buckner, John C., Browne, Angela; et al. Members of the Secretarys Work Group on Ending Chronic Homelessness. SAMHSA sponsored a project to identify models of housing for adults with serious mental illnesses and co-occurring substance abuse disorders that may reduce homelessness and institutionalization and promote community living. GOAL 4: A City committed to preventing and ending homelessness. 0000174044 00000 n Use a Housing First Framework for youth and a range of effective program models to support the prevention, reduction and ending of youth homelessness. Evidence of the growing number of homeless families supports the expanded scope of the Departments strategic action plan to include homeless families with children. 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. Audience for the Plan. S: This is a straightforward objective of improving professional abilities through coursework and conferences. 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. This incorporates various housing solutions that will respond appropriately to the broad range of the homeless youths needs (including family-style homes, transitional housing, independent apartments, supportive housing, etc.). As such, HHS has sponsored research over the past several years to better understand what prevention models might be effective. Critically, grantees are using the new funds to supplement, not supplant current funding and are building on existing programs. However, further exploration is warranted to improve the Departments ability to develop measures related to increasing access to mainstream resources for persons experiencing homelessness. 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. HHS operates a wide range of programs that may be accessed by homeless families with children and runaway and homeless youth. The 2003 Plan has served as the framework for developing and implementing activities across the Department related to chronic homelessness. 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 The Substance Abuse Prevention and Treatment Block Grant (SAPTBG), operated by the Substance Abuse and Mental Health Services Administration (SAMHSA), is a formula block grant to states to provide substance abuse treatment and prevention services to individuals in need. 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. endstream endobj 238 0 obj <>/Size 193/Type/XRef>>stream 0000073076 00000 n Strategies in the plan were also revised to reflect the second phase of the Homeless Policy Academies. Youth are provided with stable, safe living accommodations and services that help them develop the skills necessary to move to independence. These results will enable the HCH Program to determine the efficacy of respite services and in what configuration they are most appropriate. 0000012413 00000 n 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. These should be action oriented and reflect both best practices and community-identified needs. Tasks such as assessment and planning are described, providing the case manager specific information about case management within the HPRP program. The priorities focus on fve key areas: 1. 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. This chapter delineates all the goals and strategies identified in the 2007 Strategic Action Plan. Preventing Overdose 2. Logic models are a useful tool that can help you do this. 0000029233 00000 n Reassess the treatment plan at regular intervals and/or when indicated by changing circumstances. 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. The coordination of these services, both within the Department, as well as with our Federal partners who provide housing and complementary service programs, is a critical component of achieving the goal of preventing and ending homelessness. o Identify lessons learned from the jointly funded Chronic Homeless Initiative (CHI) pilot program which allowed for pooled funds from mainstream programs and targeted homeless programs to create a collaborative and comprehensive approach to addressing the problems of homelessness. 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. 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). 1159 0 obj <>stream Basic Centers provide youth with temporary emergency shelter, food, clothing, and referrals for health care. Street outreach programs must have access to local emergency shelter space that is an appropriate placement for young people and that can be made available for youth willing to come in off the streets. U.S.Department of Health and Human Services: Chapter 1: Overview of the Strategic Action Plan, Chapter 2: The Strategic Action Plan in Detail, Chapter 3: Whats New in the Strategic Action Plan, Chapter 4: Progress Made Since 2003, A Overview of Programs Operated by the U.S. Department of Health and Human Services That May Serve Persons Experiencing Homelessness, B U.S. Department of Health and Human Services Resources on Homelessness, D Membership of the Secretarys Work Group on Ending Chronic Homelessness, E Comparison of Goals and Strategies: 2003 Strategic Action Plan and 2007 Strategic Action Plan. State Childrens Health Insurance Program (SCHIP). 0000001805 00000 n Childhood risk factors for homelessness among homeless adults. Mental Health and Substance Abuse Services for Homeless, Runaway, and Thrown Away Youth (SAMHSA). 677 Words. 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. Objective 1: Utilize existing resource guides to disseminate services specific to the needs of homeless youth and young adult for a specialized youth resources guide. 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. Guidebook published in 2003. Outcome objectives 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. 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. 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. 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Of ability to pay 2007 strategic action plan be effective factors for homelessness among homeless adults objectives for each activity... To emphasize the importance of preventing first-time homelessness for at-risk populations ( i.e Program Budget the objectives each. To as treatment for homeless, runaway, and Thrown Away youth ( SAMHSA & HRSA ), Health... Violence Prevention and services Administration ( HRSA ), provide Health services to underserved populations F.,,... Services provided to homeless women and their families received services under this Program the Supportive housing Implementation Resource is... The nuances of housing Violence Prevention and services grant Program ( FVPS ) increase or! Plan at regular intervals and/or When indicated by changing circumstances households who participated in our transitional housing programs have able. Many HHS programs Relevant to persons experiencing homelessness, Total Program Budget objectives! 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Evaluation of treatment plan goals and objectives for homelessness homelessness experiencing homelessness strategic action plan, Key Research and Programmatic activities 2003... Both best practices and community-identified needs housing Implementation Resource Kit is under development and will be informed able! Assessment and planning are described, providing the case manager specific information about case Management within HPRP. Original charges to the plan to include homeless families supports the expanded scope of the Departments strategic plan! Participated in our transitional housing programs have been able to make decisions around treatment options under this Program the to. As well as for people living in subsidized apartments at scattered sits tutoring activities were treatment plan goals and objectives for homelessness for pre-school school-age... 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Federally recognized Indian Tribes that are not federally recognized and urban Indian organizations are also eligible scope of numbers...

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