0000011161 00000 n It provides a basic but comprehensive picture of the numbers and characteristics of the two types of homeless assistance programs. Goals are used in treatment to keep track of people's progress during treatment, and to work together with your therapist to achieve them. o Explore state practices related to policies designed to suspend, rather than terminate, Medicaid eligibility for individuals who are institutionalized so that the eligibility process does not need to be initiated over again upon release. A Status Report on Hunger and Homelessness in Americas Cities: A 23-City Survey, December 2006, available on-line at: http://www.mayors.org/uscm/hungersurvey/2006/report06.pdf. To date, we have housed 157 homeless households through the Rapid Re-housing Program. 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. Setting personalized goals (ie, desired target outcomes) can be an excellent way to guide ADHD management and track the progress of symptom management. An Environment for Change. y&U|ibGxV&JDp=CU9bevyG m& Develop effective supports for youth aging out of government care. Census Canada 2006 data revealed that two percent of the Calgary population self-identify as Aboriginal. First, HHS partnered with HUD, VA, ICH, the U.S. Department of Labor (DOL), and the U.S. Department of Education (ED) to fund nine HomelessPolicy 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. 0000027650 00000 n Receive the latest updates from the Secretary, Blogs, and News Releases. 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. HHS funding totaled $30 million for the three-year period. 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 . Support youths meaningful engagement in plan development and implementation. In order to improve the accessibility and take advantage of the funding and capacity available within the mainstream programs, the Department has engaged in a range of strategies to increase access to mainstream resources for persons experiencing homelessness. 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. Territories, CSBG does not collect specific data on amounts expended on homelessness. The Family and Youth Services Bureau within ACF, in consultation with the USICH, is conducting a study of "promising strategies to end youth homelessness" which responds to statutory requirements. Prevalence of episodic homelessness among adult childbearing women in Philadelphia, PA. American Journal of Public Health. Long-term goals: Management of depressive symptoms including an increase in ability to choose and utilize coping skills. ASAM Criteria Levels of Care. HHS Programs Relevant to Persons Experiencing Homelessness, Total Program Budget o Jointly develop policy or program guidance to assure consistency with other Departments policies and statutory and programmatic definitions, and/or consider joint issuance of key policy or programmatic guidance, especially where such issuance has the potential of having a significant impact on another Departments clients and/or grantees. Long-Term Treatment Goals for Depression. 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. Client will be informed and able to make decisions around treatment options . In most settings of clinical practice it is critical to be able to demonstrate treatment planning skills that are SMART (specific, measurable, achievable, realistic, and time specific. 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. Provide re-housing and support services for homeless households as part of the Alameda County Homeless Prevention Rapid Re-housing Program. Young Aboriginal people are receiving services with contextual considerations, including pathways into homelessness for Aboriginal people. 2003 Strategic Action PlanGoal 2: Empower our state and community partners to improve their response to people experiencing 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. 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. 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. We adhere to generally accepted accounting standards in budget development, monitoring and reporting, and have an outstanding record of compliance with financial and contractual requirements. 0000073076 00000 n 0000002951 00000 n The new goal (Goal 4) was established to develop an approach to track Departmental progress in preventing, reducing, and ending homelessness for HHS clientele. > Homelessness incorporating the goals and objectives of the treatment plan. A Way Home: Youth Homelessness Community Planning Toolkit, Roadmap for Preventing Youth Homelessness, Cost Effectiveness of Ending Homelessness, Strategies to Strengthen Homeless Service Integration, Wrap-around Delivery and Other Team-based Models, Considerations for Regionalized Approaches, Considerations for Engagement with Indigenous People, Developing Targets and Performance Indicators, Appendix A: Ontarios Housing and Homelessness System, Undertaking homelessness as a topic in your classroom, Supporting communities to prevent and end homelessness, Homelessness Learning Hub: Practical, relevant, trusted professional development. HHS identifies 18 targeted and non-targeted programs as relevant to serving eligible homeless persons. Sample Housing Stabilization Action Plan for Rapid ReHousing Revised 10.14.09 Resource: Rapid ReHousing: Creating Programs that Work, National Alliance to End Homelessness, July, 2009. 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 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. U.S. Goals: *I make this section objective. The amount of funding for the PADD program in an individual State is based on a formula that takes into account the population, the extent of need for services for persons with developmental disabilities, and the financial need of the State. The objectives under each goal further speak to the nuances of housing . Section 401 of the Act sets forth the following four TANF purposes: (1) provide assistance to needy families so that children may be cared for in their own homes or in the homes of relatives; (2) end the dependence of needy parents on government benefits by promoting job preparation, work, and marriage; (3) prevent and reduce the incidence of out-of-wedlock pregnancies and establish annual numerical goals for preventing and reducing the incidence of these pregnancies; and (4) encourage the formation and maintenance of two-parent families. Homeless families often fall within these guidelines. 100% of families and individuals needing benefit acquisition assistance and job training and employment referrals. HHS 2007 Homelessness Strategic Action Plan. To this end, a new strategy in the Plan specifically refers to working with state, local and tribal organizations around policies pertaining to homelessness, including addressing homelessness as a result of disasters, the needs of homeless persons before/during/and after a disaster, and ways to assist the new population of temporarily homeless persons due to a disaster. The priorities focus on fve key areas: 1. 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. Services are provided without regard for a persons ability to pay. 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. 0000029484 00000 n 0000012821 00000 n Other youth who may be at-risk of homelessness include youth who are aging out of foster care or exiting the juvenile justice system (Farrow et al 1992). 6.2. 0000049614 00000 n 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. Increase the inventory of permanent and transitional supportive housing. 0000028719 00000 n At the federal level, most mainstream programs are not required to collect data related to the number of homeless clients served. 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. Goal: Improve mental health. http://store.samhsa.gov/shin/content//SMA04-3870/SMA04-3870.pdf, Achieving the Promise: Transforming Mental Health Care in America (SAMHSA). The funds are intended to improve access to community-based health care delivery systems for adults with serious mental illnesses and children with serious emotional disturbances. 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. SAMHSA INTERIM STRATEGIC PLAN. 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. Since 2007, the number of homeless single adults has decreased by 10%. Koegel, Paul, Elan Melamid, and M. Audrey Burnam. Five Policy Academies focused on chronic homelessness, and in response to demand, the remaining four Academies focused on homeless families with children. A complex application system, confusion over eligibility criteria, and lack of a fixed address can all create seemingly insurmountable hurdles. The formula grant is intended to provide maximum flexibility to states in determining allocations of the block grant to all populations within the states, dependent on state needs and priorities, including vulnerable and underserved populations such as the homeless and those at risk of homelessness. 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. Be strategic and succinct in how these are presented, but provide sufficient rationale as to why the goals within the plan are priorities. SMART TREATMENT PLANNING Diagnosis: Depressive Disorder (and Bipolar depressed) Goal: Resolution of depressive symptoms Objectives: Patient will contract for safety with staff at least once per shift Patient will identify two coping skills related to (specific stressor) Patient will report at least six hours of restful sleep each night 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 . Short-term goals should be measurable, brief, specific, and small, and measurable (Brems, 2008). 0000116542 00000 n Learn how to write treatment plans. Families seeking government child support services must apply directly through their state/local agency or one of the tribes running the program. 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; The Mental Health Block Grant provides funds to States to create comprehensive, community-based systems of mental health care. HHS administers more grant dollars than all other federal agencies combined and handles more than one billion insurance claims per year. Members of the Secretarys Work Group on Ending Chronic Homelessness. American Journal of Public Health. Provide permanent and transitional housing subsidies at scattered sites through 15 housing programs. 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). Webb, David A., Culhane, Jennifer, Metraux, Stephen, Robbins, Jessica, and Culhane, Dennis. As such, it is critical that HHS works with states and community partners to empower them and provide the appropriate tools by which to improve their response to people experiencing chronic homelessness. http://aspe.hhs.gov/hsp/homelessness/strategies03/index.htm. extremely low income persons, many of whom are homeless or at-risk of homelessness. 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 child support program in each state can be a helpful resource to families consisting of single custodial parents with children, since a reason for the homelessness may be non-payment of child support. By 2015, significantly reduce the average length of time a family or person spends homeless from months, even years, to weeks and days. The desired purpose of this pocket handbook is to be utilized as a quick and essential resource tool for clinicians, peer workers, and social service providers in hopes that they will routinely adapt their services and foster better outcomes for homeless clients. o Identify and develop workforce development strategies and program incentives that foster the adoption and implementation of evidence-based homelessness prevention programs and practices. Coordinate diverse funding sources to maximize impact on youth homelessness. Often times, individuals or families who are homeless are eligible for, or can access, services provided through mainstream programs. The Community Health Centers, operated by the Health Resources and Services Administration (HRSA),provide health services to underserved populations. 1. Provide job training and employment services referrals. 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. Runaway and homeless youth served by FYSB are served in emergency situations and cases where returning home is not an option. Maintain housing: 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. 0000133949 00000 n 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. There is a growing desire within the federal government to focus on results and to measure success by documenting progress. 2. This reassessment should happen at least weekly. Remember that determining the treatment plan that fits best for any given patient is a long process of trial and error, one that can involve extensive medical history screening and other processes. Eligible applicants are community-based public and private nonprofit entities. 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). Visit our Research Matters blog for weekly posts from the homelessness sector here. ADD- Administration on Developmental Disabilities, ACF Administration for Children and Families, AHIC American Health Information Community, ASL Office of the Assistant Secretary for Legislation, ASPE Office of the Assistant Secretary for Planning and Evaluation, ASRT Office of the Assistant Secretary for Resources and Technology, CARE (as in Ryan White CARE Act) Comprehensive AIDS Resources Emergency, CCHIT Certification Commission for Healthcare Information Technology, CFBCI Center for Faith-Based and Community Initiatives, CHI Chronic Homelessness Initiative (also referred to as the Collaborative Initiative to Help End Chronic Homelessness), CMHSBG Community Mental Health Services Block Grant, CMS Centers for Medicare and Medicaid Services, GBHI Grants for the Benefit of Homeless Individuals (also referred to as Treatment for Homeless), HHS U.S. Department of Health and Human Services, HISPC Health Information Security and Privacy Collaboration, HITSP Health Information Technology Standards Panel, HIV/AIDS Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome, HMIS Homeless Management Information Systems, HOPE Homeless Outreach Projects and Evaluation, HRSA Health Resources and Services Administration, HUD U.S. Department of Housing and Urban Development, ICH U.S. Interagency Council on Homelessness, IGA Office of Intergovernmental Affairs, MCHBG Maternal and Child Health Block Grant, MCHS Maternal and Child Health Services, NIAAA National Institute on Alcohol Abuse and Alcoholism, NIMH National Institute of Mental Health, NREPP National Registry of Evidence-Based Programs and Practices, NSHAPC - National Survey of Homeless Assistance Providers and Clients, PADD- Protection & Advocacy for Individuals with Developmental Disabilities, PATH Projects for Assistance in Transition from Homelessness, RHY Programs for Runaway and Homeless Youth, SAMHSA Substance Abuse and Mental Health Services Administration, SAPTBG Substance Abuse Prevention and Treatment Block Grant, SCHIP State Childrens Health Insurance Program, SOAR SSI and SSDI Outreach, Access and Recovery, SSA U.S. Social Security Administration, SSDI Social Security Disability Insurance, TANF Temporary Assistance for Needy Families, Appendix D: Membership of the Secretarys Work Group, Principal Deputy/ Assistant Secretary for Planning and Evaluation, Office of the Secretary, Richard Campanelli, Counselor for Human Service Policy, Cynthia Kenny, Policy Coordinator, Office of the Executive Secretary, Josephine Robinson, Director, Office of Community Services, Marsha Werner, Social Services Program Specialist, Office of Community Services, Edwin Walker, Deputy Assistant Secretary for Policy & Programs, Harry Posman, Executive Secretary, Office of the Assistant Secretary for Aging, Center for Faith-Based and Community Initiatives, Centers for Medicare and Medicaid Services, Maria Cora Chua Tracy, Disabled and Elderly Health Programs Group, Center for Medicaid and State Operations, Health Resources and Services Administration, Lyman Van Nostrand, Director, Office of Planning and Evaluation, Lynnette Araki, Program Analyst, Office of Planning and Evaluation, Denise Juliano-Bult, Chief, Systems Research Program, Division of Services and Integration Research, National Institute of Mental health, Substance Abuse and Mental Health Services Administration, Elaine Parry, Director of Special Initiatives, Immediate Office of the Administrator, Charlene Le Fauve, Chief, Co-Occurring and Homeless Activities Branch; Acting Chief, Data Infrastructure Branch, Center for Substance Abuse Treatment, Larry Rickards,Chief, Homeless Programs Branch, Center for Mental Health Services, Office of the Assistant Secretary for Resources and Technology, Kathleen Heuer, Deputy Assistant Secretary for Performance and Planning and Acting Chief Information Officer, Richard Thurman, Deputy Assistant Secretary for Budget, Office of the Assistant Secretary for Legislation, Barbara Pisaro Clark, Deputy Director, Office of Human Services Legislation, Office of the Assistant Secretary for Planning and Evaluation, Barbara Broman, Deputy to the Deputy Assistant Secretary, Human Services Policy, Diana Merelman, Office of General Counsel, James Mason, Senior Advisor to the Director, Intergovernmental Affairs, Heather Ransom, Director, Division of Property Management, Peggy Halpern, Policy Analyst, Office of Human Services Policy, Office of the Assistant Secretary for Planning and Evaluation, Anne Fletcher, Social Science Analyst, Office of Human Services Policy, Office of the Assistant Secretary for Planning and Evaluation, Flavio Menasc, Presidential Management Fellow, Office of Human Services Policy, Office of the Assistant Secretary for Planning and Evaluation, Members of the Strategic Action Plan Subcommittee, Lynnette Araki, Program Analyst, Office of Planning and Evaluation, Health Resources and Services Administration, Capt. 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