0000097255 00000 n In the case of recommended actions, you can also consider having a separate strategy on Indigenous youth, for instance, or integrate the focus throughout the goals. Farrow, J.A., Deisher, R.W., Brown, R., Kulig, J.W., and Kipke, M.D. The strategic action plan developed in 2003 has served as the framework for developing and implementing activities across the Department related to chronic homelessness. endstream endobj 205 0 obj <>stream However, in order to prevent homelessness, we first need to understand effective prevention interventions. Introduce and/or reform transitional housing for youth, such as Foyer, to ensure best outcomes. trailer 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. 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. The goal is the overall desired outcome the client wants to achieve. 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. This matrix includes key activities that the agencies are implementing related to homelessness and is organized by the goals and strategies outlined in the strategic action plan. Short-term goals should be measurable, brief, specific, and small, and measurable (Brems, 2008). Also, it helps the clients to measure their progress. 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. Many HHS programs lack the funding to serve individuals with multiple, complex needs. This technical assistance report developed in 2004 is designed to highlight several state initiatives that increase Medicaid access for people who are chronically homeless. As a result of the above process, the following major changes for the 2007 Plan were incorporated: Measuring Work Group Outcomes. Strategy 2.5 Foster coordination across HHS to address the multiple problems of individuals and families experiencing homelessness. Client will be informed and able to make decisions around treatment options . The Ryan White CARE Act,operated by the Health Resources and Services Administration (HRSA), authorizes funding for the bulk of the agencys work on HIV/AIDS. 2013 Los Angeles Department of City Planning Chapter 6 Housing Goals, Objectives, Policies and Programs Houngi s Element 2013-2021. The final strategy identifies collaboration with other Federal departments as a critical component of the Departments homelessness data activities. ASAM Criteria Levels of Care. 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. Think of the short-term goals you set as stepping stones to your larger recovery goal. 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. 0000030093 00000 n 0000073772 00000 n A therapist can help children focus on the positive friendships that they do have and encourage them to build more safe friendships. Temporary Assistance for Needy Families (TANF) is a block grant to states operated by the Administration for Children and Families (ACF). Evaluation of Chronic Homelessness Policy Academies (SAMHSA & HRSA). o Identify and promote the use of effective, evidence-based homelessness prevention interventions, such as discharge,release, or transition planning; intensive case management; access to protection orders, legal assistance and safety planning for victims of abuse; landlord mediation, and family strengthening, along with organizational and cross-organizational level strategies. If taking a look . 1998; 88(9): 1325-1329. Re-program and secure new funding under the Hearth Act to rapidly re-house families and individuals at the time they become homeless. Long-term goals: Management of depressive symptoms including an increase in ability to choose and utilize coping skills. al 1998) estimate that families make up roughly 40 percent of those who become homeless. From its inception to the present time, the Secretarys Work Group has met regularly in order to discuss policy issues related to chronic homelessness, as well as homelessness among families and youth, review progress, and report about key activities occurring in the various operating divisions. "Abode Services - Ending Homelessness by Assisting Low-income, Un-housed People to Secure Stable, Supportive Housing in Alameda County, California." States have the flexibility to spend SSBG funds on a variety of services. Prevention activities are critical to any plan that seeks to end chronic homelessness. A leading concern was for the services funded by HHS to be more accessible to eligible homeless persons residing in HUD-funded housing. The new goal (Goal 4) was established to develop an approach to track Departmental progress in preventing, reducing, and ending homelessness for HHS clientele. 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. , National Alliance to End Homelessness, July . 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. Provide benefits acquisition assistance for sources that include, but are not limited to, SSI, TANF, GA, childcare and transportation. Purpose of Plan. 239 0 obj <>stream Eligible applicants for the Street Outreach Program include any private, nonprofit agency, non-federally recognized Indian Tribes and urban Indian organizations. By January 2015, Abode Services will rehouse 1,000 homeless families and individuals (10-year goal). Operate CalWORKs program and other workforce development projects that improve economic self-sufficiency including pre-vocational workshops and work experience opportunities. HRSA is partnering with SAMHSA/CMHS to co-fund an evaluation of the Chronic Homelessness Policy Academies, a multi-year project that was funded by HHS, HUD, VA, and DOL. The Administration for Children and Families oversees a program to support a Protection & Advocacy (P&A) System in each State, Territory, as well as a Native American Consortium, to protect and advocate for persons with developmental disabilities. 85% of them reported using new parenting strategies to support their child's healthy development. Each goal and objective will need a number or a letter that identi-fies it. As a flexible block grant awarded to states and U.S. Additionally, the Department seeks to further the Presidents New Freedom Initiative to promote participation by all Americans with disabilities, including mental disabilities in their communities. The final development of major significance came in the release of the Administrations budget for fiscal year 2003, where President George W. Bush officially endorsed ending chronic homelessness as a goal of his Administration. Services are available to a parent with custody of a child whose other parent is living outside the home, and services are available automatically for families receiving assistance under the Temporary Assistance for Needy Families (TANF) program. The purpose of this appendix is to demonstrate how the goals and strategies from the original strategic action plan evolved into the new, revised framework. As you work through the data you gathered from your research and consultation process, consider emerging themes that are common throughout the material and examine these against the aforementioned priority areas. Table 2. 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. 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). To end Aboriginal homelessness and other housing issues while understanding cultural competencies and ensuring cultural sensitivities through collaborative community efforts and awareness of cultural identity; maintain safe and culturally appropriate housing allows for not just purchasing, but renting and maintenance as well; Expand and support existing organizations and agencies that provide housing to homeless Aboriginal youth and children; Centralize the intake system to ensure Aboriginal identification is captured and utilized; Establish Aboriginal transition/halfway houses/group homes for Aboriginal youth leaving institutions, like ILS home or Wellington House, when leaving foster care, CYOC, hospitals, etc. Necessity of housing services for purposes of medical care must be certified or documented. Changes in the individual's status and updates can be 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. establish an infrastructure that supports prevention activities, allows flexibility in the use of funds, and fosters the development of systematic relationships between providers and across systems of care). Funds are allocated by formula to 50 states and the District of Columbia, Puerto Rico, Guam, American Samoa, the Virgin Islands, the Northern Marianas, and state and federally-recognized Indian tribes. http://aspe.hhs.gov/hsp/homelessness/strategies03/index.htm. Increase the inventory of permanent and transitional supportive housing. 0000174308 00000 n rvice Plan Goals and Objectives. o Explore the feasibility of collecting data regarding the housing status or program participants of HHS mainstream service programs. Various communities use different terms to highlight the broad priority areas and associated actions. Washington, D.C. 20201 0000066906 00000 n 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. Personal Housing Plans The Homelessness Prevention and Advice Team as part of the prevention and relief The 2007 Plan was circulated throughout the HHS operating and staff division heads prior to being finalized by the Department and made public. Between 2003 and 2007, the Department made significant progress towards the goals identified in the 2003 Plan. 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. 2014. 0000013624 00000 n o Promote the inclusion of homeless assistance programs among the entities conducting eligibility and enrollment functions for mainstream programs. implementing individualized care plans based on the goals that are most important to the individual. Funds are used by states to support a network of local community action agencies, federally and state recognized Indian tribes and tribal organizations, migrant and seasonal farm worker organizations, or private/public community-based organizations to provide a range of services and activities to assist low-income individuals, and families, including the homeless, to alleviate the causes and conditions of poverty. 0 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. Screenings for depression for all new mothers (new this year). 4. 0000009929 00000 n The homelessness-related objectives contained within it are set out below and this is supported by a detailed Action Plan that will be subject to monitoring and review. Territories, SSBG does not collect specific data on amounts expended on homelessness. National Communications System: The National Runaway Switchboard: http://www.acf.hhs.gov/programs/fysb/content/youthdivision/resources/nrsfactsheet.htm. 80% of children, 0 to 5, were regularly screened for development and social emotional concerns. 2004; 83(5): 423-436. 2. This strategic action plan serves as the next iteration of the strategic action plan released in 2003, Ending Chronic Homelessness: Strategies for Action, which outlined the Departments strategy for contributing to the Administration goal of ending chronic homelessness. 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. In general, the strategies under Goal 2 (to empower our state and community partners to improve their response to individuals and families experiencing homelessness) are related to this second phase of the Homeless Policy Academies. * 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. 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). Monitor the Progress. It . JAMA. endstream endobj 194 0 obj <>/Metadata 19 0 R/PieceInfo<>>>/Pages 18 0 R/PageLayout/OneColumn/StructTreeRoot 21 0 R/Type/Catalog/LastModified(D:20091102194407)/PageLabels 16 0 R>> endobj 195 0 obj <>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 196 0 obj <> endobj 197 0 obj <> endobj 198 0 obj <> endobj 199 0 obj <>stream Each updated matrix is distributed to those attending the Secretarys Work Group meetings. It is further assumed that no proposals will be implemented without resolving any inherent budget implications. Ringwalt, C.L., Greene, J.M., Robertson, M; McPheeters. Abode Services - Ending Homelessness by Assisting Low-income, Un-housed People to Secure Stable, Supportive Housing in Alameda County, California. Strategy 3.1 Work with states and territories to effectively implement Homeless Policy Academy Action Plans. The detailed actions associated with your goals break down the priorities into smaller pieces that can be operationalized. Your treatment plan will include three major components: goals, objectives, and interventions. HHS is the United States government's principal agency for protecting the health of all Americans and supporting the delivery of essential human services, especially for those who are least able to help themselves. 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. In FY 2005, Head Start served approximately 20,000 homeless children and their families throughout the country at a cost of $143,705,000. 0000040398 00000 n N.p., n.d. A position paper of the Society for Adolescent Medicine. o Promote the availability of technical assistance and training documents on services and policy issues related to homelessness prevention via internet access, distribution at relevant meetings, and other settings offering instruction on the issue of homelessness, such as SAMHSAs National Registry of Evidence-Based Programs and Practices (NREPP) and other listings of effective program models. Both parties work together to create a shared vision and set attainable goals and objectives. Be strategic and succinct in how these are presented, but provide sufficient rationale as to why the goals within the plan are priorities. 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. Goal: Improve mental health. 30 Assessment: ASAM, 3rd Edition Developing a Treatment Plan "The foundation of any treatment plan is the data gathered in a thorough bio-psychosocial assessment." Perkinson, R.P., & Jongsma, A.E., (1998) Logic models are a useful tool that can help you do this. Programs for Runaway and Homeless Youth (RHY). To date, we have housed 157 homeless households through the Rapid Re-housing Program. Therapist . Problem: Inability to control drinking. Furthermore, agency representatives at the meeting described their experiences providing concrete assistance during Hurricane Katrina. 0000086376 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. Appendix A: Overview of Programs Operated by the U.S. Department of Health and Human Services That May Serve Persons Experiencing Homelessness. Practical Lessons: The 1998 National Symposium on Homelessness Research. Five Policy Academies focused on chronic homelessness, and in response to demand, the remaining four Academies focused on homeless families with children. 1 Healthy People 2030 focuses on the prevention, screening, assessment, and treatment of mental disorders and behavioral conditions. The Guide focuses on implementation of HAB Policy 99-02, as issued in 1999 by the Health Resources and Services Administration, HIV/AIDS Bureau, which administers the CARE Act. This year, we are investing in Social Solutions' Efforts to Outcomes (ETO) performance management software to fine tune our program evaluation. 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. GOAL 4: A City committed to preventing and ending homelessness. 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. Specific one-year goals with outcome indicators are included in the Annual Action Plan. There are two new elements that represent the greatest departure from the 2003 Strategic Action Plan and deserve to be highlighted for their magnitude and breadth. 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. 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 final report will be available in 2009. 21 Apr. 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.). Toll Free Call Center: 1-877-696-6775, Content created by Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health & Human Services, http://www.hrsa.gov/about/strategicplan.htm, http://www.hhs.gov/od/archive_webcasts.html, http://aspe.hhs.gov/hsp/05/discharge-planning/index.htm, http://www.acf.hhs.gov/programs/fysb/content/youthdivision/programs/bcpfactsheet.htm, http://www.acf.hhs.gov/programs/fysb/content/youthdivision/programs/tlpfactsheet.htm, http://www.acf.hhs.gov/programs/fysb/content/youthdivision/programs/sopfactsheet.htm, http://www.nhchc.org/Research/RespiteRpt0306.pdf, http://aspe.hhs.gov/daltcp/Reports/handbook.pdf, http://www.prainc.com/SOAR/training/manual/SteppingStonesMan.pdf, http://www.nhchc.org/Publications/HIVguide52703.pdf, ftp://ftp.hrsa.gov/hab/housingmanualjune.pdf, Grants for the Benefit of Homeless Individuals, Maternal & Child Health Services Block Grant, 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, Substance Abuse and Mental HealthServices Administration. *Supportive housing combines rental assistance and social services and is recognized nationally as an effective solution to ending homelessness. As a flexible block grant to states, states are not required to report data related to homelessness. Since 2007, the number of homeless single adults has decreased by 10%. The final report, which will consist of a collection of 12 research papers, will be available in the summer of 2007. As a leading provider of supportive housing in Alameda County, we have helped to significantly reduce homelessness in the region. 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). Services include case management, primary and mental healthcare, recovery support groups, financial literacy training, benefits acquisition, childcare, and transportation. The priorities focus on fve key areas: 1. xbbc`b``3 @ The project was designed to document and evaluate the effectiveness of time-limited, intensive intervention strategies for providing treatment, housing, support, and family preservation services to homeless mothers with psychiatric and/or substance use disorders who are caring for their dependent children. This includes people who face barriers in accessing services because they have difficulty paying for services, have language or cultural differences, or because there is an insufficient number of health professionals/resources available in their community. This is the date by which you expect the objective will be completed. An example of moving from a general goal in this case to measurable objectives, interventions and completion criteria would be as follows Objective The goal of street outreach is to make connections to stable housing with tailored services and supports . 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. 0000001805 00000 n Eligible recipients of services include persons who are literally homeless, as well as those who are living in transitional housing arrangements. 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. It also did not address how HHS data activities would be coordinated with other federal departments important data activities related to homelessness, such as the creation and utilization of HUDs Homeless Management Information System (HMIS). 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. This chapter delineates all the goals and strategies identified in the 2007 Strategic Action Plan. Health and health needs of homeless and runaway youth. <<2218947EDC32D04EA422C446FEEABC3E>]/Prev 949755/XRefStm 2207>> Strategy 4.1 encourages the Department to inventory homelessness related data that is currently collected in HHS targeted and mainstream programs, including the housing status of participants. 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Amounts expended on homelessness Research homeless and Runaway youth homeless households through the Rapid Re-housing.! Strategy 2.5 Foster coordination across HHS to be more accessible to eligible homeless persons residing in HUD-funded housing n.d.... Lessons: the National Runaway Switchboard: http: //www.acf.hhs.gov/programs/fysb/content/youthdivision/resources/nrsfactsheet.htm ensure best outcomes the! Calworks program and other workforce development projects that improve economic self-sufficiency including pre-vocational workshops and Work opportunities. Department related to chronic homelessness implementing activities across the Department made significant progress towards the goals that most... Framework for developing and implementing activities across the Department made significant progress the. Work with states and territories to effectively implement homeless Policy Academy Action plans by! 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Goals you set as stepping stones to your larger recovery goal terms to highlight the broad priority areas associated! Runaway Switchboard: http: //www.acf.hhs.gov/programs/fysb/content/youthdivision/resources/nrsfactsheet.htm of children, 0 to 5, were regularly for. Multiple problems of individuals and families experiencing homelessness, Un-housed People to Secure,.