National Resource and Training Center on Homelessness and Mental Illness: http://www.cms.hhs.gov/apps/firststep/index.html. Obtain . 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. 0000013624 00000 n DUBUQUE COUNTY SMART PLAN Housing Goals and Objectives 10.3. Eligible applicants are states and their political subdivisions and instrumentalities, and tax-supported and nonprofit institutions, which provide a broad array of services to the homeless. 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. http://store.samhsa.gov/shin/content//SMA04-3870/SMA04-3870.pdf, Achieving the Promise: Transforming Mental Health Care in America (SAMHSA). al 1998) estimate that families make up roughly 40 percent of those who become homeless. 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. Maternal and Child Health Services Block Grant (MCHBG). 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. Health Center reporting does not support an estimate of expenditures on homelessness outside of the HCH program. Childhood risk factors for homelessness among homeless adults. Offer comprehensive children's services that include: As a twenty-one year old agency with a history of innovation, Abode Services has developed an outstanding pool of human, financial and material resources that enables us to accomplish our goals and objectives. Maintain housing: It is assumed throughout this document that no strategies, or activities, will be implemented without seeking and attaining all relevant legislative and/or regulatory changes needed to ensure that all programs within HHS continue to operate within their given authority and mission. trailer Provide housing retention services including household budgeting and landlord mediation assistance. How to . o Explore the feasibility of collecting data regarding the housing status or program participants of HHS mainstream service programs. 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. 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. Promote relationship-based approaches to supporting youth. 0000098237 00000 n In 2002, the President announced the creation of the New Freedom Commission on Mental Health and charged the Commission to study the mental health service delivery system, and to make recommendations that would enable adults with serious mental illnesses and children with serious emotional disturbance to live, work, learn, and participate fully in their communities. 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. Appendix E: Comparison of Goals and Strategies: 2003 Strategic Action Plan and 2007 Strategic Action Plan. Ensure single youth and youth in families have access to available social housing and rent subsidy supports as well as income assistance to maintain housing stability. Major Plan Revisions. Use research and knowledge mobilization to support ending youth homelessness. 50 parents attended ten-week parenting support groups. A: This is an achievable and reasonable goal for anyone looking to advance in their career. This perspective can be seen within different HHS operating divisions strategic plans. Goal 4: To ensure families at risk of losing housing have early access to services and supports that will help them maintain safe, affordable housing18 Goal 5: To ensure adults with cognitive impairments have access to safe, affordable housing and 0000073772 00000 n 0000066906 00000 n 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. endstream endobj 238 0 obj <>/Size 193/Type/XRef>>stream The 72-hr Initial Recovery Plan provides the basis for treatment services for the individual until the first Individualized Recovery Plan (IRP) is developed on the 15th (3) day. Problem: Depression. A complex application system, confusion over eligibility criteria, and lack of a fixed address can all create seemingly insurmountable hurdles. 1995; 85(12): 1642-1649. 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. 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. 2003 Strategic Action Plan Goal 1: Help eligible, chronically homeless individuals receive health and social services. Additionally, homeless heads of household tend to be younger and tend to have younger children than their housed counterparts (Shinn et al 1998; Webb et all 2003). 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. Tailor interventions to meet the needs of diverse youth groups, including Indigenous, LGBTQ2S, immigrant, parenting, sexually exploited youth and youth with developmental disabilities, mental health and/or addiction issues. Strategy 4.2 promotes the development of an approach for establishing baseline data on the number of homeless individuals and families served in HHS programs, whereas Strategy 4.3 relates to developing a strategy by which to track improved access to HHS mainstream and targeted programs for persons experiencing homelessness. A short report based on the SAMHSAs Drug and Alcohol Services Information System (DASIS), the primary source of national data on substance abuse treatment. 2. 0000003988 00000 n 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. This plan details the patient's diagnosis and outlines the action plan for the treatment. The National Learning Meeting, held in October of 2005, was the capstone meeting of the first seven Homeless Policy Academies. 0000067458 00000 n 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. Web. Further, build on existing efforts and link with ongoing government or community initiatives where possible. Each objective will need a completion date. Provide job training and employment services referrals. In addition, this chapter will briefly discuss the other changes made to the strategic action plan that, while not as prominent in the goals-and-strategies framework as the two major changes mentioned above, are significant and warrant highlighting. Four medications received a conditional recommendation for use in the treatment of PTSD: sertraline, paroxetine, fluoxetine and venlafaxine. 85% of them reported using new parenting strategies to support their child's healthy development. Examples of treatment include withdrawal management (detox), residential and outpatient treatment, counselling and substitution therapies (e.g. Youth are provided with stable, safe living accommodations and services that help them develop the skills necessary to move to independence. Because the resources available for the mainstream programs are so much greater than the resources available for the targeted homeless programs, HHS has actively pursued an approach of increasing access to mainstream services for persons experiencing homelessness. Where feasible and appropriate in HHS programs, identify ways to mitigate the long-term impact of homelessness as a result of disasters. 0000000016 00000 n M: You can track how many seminars you attend each month and which additional skills you learn. Each updated matrix is distributed to those attending the Secretarys Work Group meetings. Chapter three highlights what is new in the plan and the rationale for expanding the existing goals and strategies established in 2003. o Disseminate the findings and results of HHS data collection efforts with Federal partners and collaborate on efforts to improve data quality on homelessness. 0000003102 00000 n 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. Activities include: evaluation, monitoring, planning, policy development, quality assurance, training and research. It does not render individual professional advice or endorse any particular treatment for any individuals. 0000174044 00000 n This Plan allows the Secretary to highlight the accomplishments that have been achieved over the past several years, as well as to chart a course for future activities for the Department that builds on the current efforts. The data in this report is from the Treatment Episode Data Set (TEDS) 2002 Supplemental Data Set on living arrangements of people admitted for substance abuse treatment. 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. 0000036035 00000 n The chapters that follow provide further elaboration on various aspects of the 2007 Plan. Continue to enforce parkland dedication requirements, and . Health Centers serve homeless individuals as appropriate, therefore, Centers located in communities that do not have HCH programs may serve persons who are homeless. However, further exploration is warranted to improve the Departments ability to develop measures related to increasing access to mainstream resources for persons experiencing homelessness. 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. incorporating the goals and objectives of the treatment plan. Prevention activities are critical to any plan that seeks to end chronic homelessness. 0000097505 00000 n Some of them may be long term goals, that will be achieved after treatment, hence leading to maintain progress of treatment. 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 2007 Plan was circulated throughout the HHS operating and staff division heads prior to being finalized by the Department and made public. 0000030541 00000 n Provide model emergency shelter and services with focus on helping people finding stable housing as quickly as possible. 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. The study design involved a five-year, cross-site data collection and analysis program involving eight study sites. 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. A list of departmental homelessness web resources and research reports relevant to homelessness are included as Appendix B. Of these, services to promote self-sufficiency are the most relevant to homelessness. A leading concern was for the services funded by HHS to be more accessible to eligible homeless persons residing in HUD-funded housing. http://aspe.hhs.gov/hsp/homelessness/NSHAPC02/index.htm, Housing is Health Care: A Guide to Implementing the HIV/AIDS Bureau (HAB) Ryan White CARE Act Housing Policy(HRSA), The main purpose of the Guidebook is to provide guidance on funding of housing-related costs under the CARE Act. 0000049614 00000 n The study has an explicit focus on comparing homeless assistance programs administered by faith-based versus secular non-profit service agencies. Sound Fiscal Policies- Abode Services is a double bottom line agency with decision making based firstly in our mission of ending homelessness and, secondly, on the sound business practices necessary to remain financially responsible. Develop a targeted landlord recruitment strategy to enhance youths access to private rental units. Develop the infrastructure and governance necessary to implement the youth plan. 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. 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. Finally, disasters are considered as an issue relevant to homelessness, given the devastation caused by Hurricanes Katrina and Rita, and the consequences to those who lost their homes and those who already were homeless before the catastrophe. Achieving the Promise is the final report of the New Freedom Commission. Effectiveness of the actions taken to achieve the goals is measured in the CAPER or Annual Performance Report. Connection to mainstream resources including services for further assessment and treatment. 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. These should be action oriented and reflect both best practices and community-identified needs. o Utilize national meetings of HHS grantees to highlight promising practices and other information to help states implement their action plans through workshops, discussion sessions and transfer peer-to-peer learning to mainstream providers. Increase affordable housing options appropriate for and accessible to youth. Specifically, Strategy 3.1 in the new plan highlights the importance of identifying risk and protective factors to prevent episodes of homelessness for at-risk populations. Enhance youths access to education, training and job skill development. The second document that was reviewed was the activities matrix developed by the Secretarys Work Group on Ending Chronic Homelessness. While chronic homelessness has remained a priority, the Department has also engaged in other homelessness related activities that affect families with children and youth, who make up a substantial portion of the HHS clientele. Louis received the California Wellness Foundation Sabbatical Program's Leadership Award in 2006. 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. 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. N.p., n.d. HHS funding totaled $30 million for the three-year period. Healthcare for the Homeless Information Resource Center: http://www.psc.gov/administrative/federalprop/titlev.html, Recent HHS Publications Relevant to Homelessness, National Symposium on Homelessness Research (ASPE & HUD). State Protection and Advocacy Agencies (P&As). %PDF-1.4 % For example, Teresa might say, ''I want to feel less . Homeless Youth: Research, Intervention, and Policy. 0000035171 00000 n Strategy 4.4 Coordinate HHS data activities with other federal data activities related to homelessness. 0000004244 00000 n 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). 193 47 The primer was published in 2005 and is available at: http://aspe.hhs.gov/daltcp/Reports/handbook.pdf, Stepping Stones to Recovery: A Case Managers Manual for Assisting Adults Who Are Homeless, with Social Security Disability and Supplemental Security Income Applications(SAMHSA), Individuals who are homeless and have mental illnesses often face overwhelming challenges in obtaining disability benefits through the Social Security Administration (SSA). 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. Strategy 3.1 Work with states and territories to effectively implement Homeless Policy Academy Action Plans. The study will identify and assess a wide range of practices that show promise or carry evidence of effectiveness in helping young people find appropriate living situations, including those youth who have suffered from systemic failures, such as when child welfare and juvenile justice programs have been incapable of providing effective transitions to adult independence for youth in their care. 0000133979 00000 n 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. 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. Treatment Plan Goals Download Treatment planning is a team effort between the patient and the counselor. 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). Programs and activities include: (1) substance abuse treatment; (2) mental health services; (3) immediate entry to treatment; (4) wrap-around services; (5) outreach services; (6) screening and diagnostic treatment services; (7) staff training; (8) case management services; (9) supportive and supervisory services in outpatient and residential settings; and (10) referrals for primary health services, job training, educational services, and relevant housing services. 1159 0 obj <>stream o Generate an inventory of all data elements utilized by various agencies in order to establish similarities and differences within each respective system. Since 2005, Abode Services and Allied Housing, its housing development arm, have constructed or rehabilitated four permanent supportive housing complexes with a total of 109 units for 209 adults and children. 0000004655 00000 n Here are some governmental guidelines to frame questions and formulate an action plan. Section 645 of the 1998 Head Start Act establishes income eligibility for participation in Head Start programs by reference to the official poverty line, adjusted annually in accordance with changes in the Consumer Price Index. Eligible grant recipients include private nonprofit and public entities. 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. 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