It has been the Departments experience that it does not yet have an established data approach by which to track its success in addressing homelessness. o Develop initiatives which can enable NIH research to be linked to pilot projects and programs within HHS to establish the effectiveness of such projects and programs and expand the evidence-base on what works. 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. 21 Apr. 0000173708 00000 n Metraux, Stephen, Dennis P. Culhane, Stacy Raphael, Matthew White, Carol Pearson, Eric Hirsch, Patricia Ferrell, Steve Rice, Barbara Ritter, & J. Stephen Cleghorn. Strategy 1.6 reads as follows: Explore opportunities with federal partners to develop joint initiatives related to homelessness and improve communication on programmatic goals, policies, and issues related to homelessness.. Introduce and/or reform transitional housing for youth, such as Foyer, to ensure best outcomes. You and your mental health provider will work together to define your long-term objectives from treatment. 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 American Journal of Public Health. HRSA also supported a prospective evaluation to 1) document the differing models of respite care delivery being used, and 2) assess the effect of those respite services on the health of homeless persons. 193 47 al 1998) estimate that families make up roughly 40 percent of those who become homeless. 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. Increase the inventory of permanent and transitional supportive housing. These studies are concentrated primarily in five institutes: the National Institute on Drug Abuse (NIDA), the National Institute on Mental Health (NIMH), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Child Health and Development (NICHD), and the National Institute on Nursing Research (NINR). Each goal and objective will need a number or a letter that identi-fies it. 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. 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. =upDHuk9pRC}F:`gKyQ0=&KX pr #,%1@2K 'd2 ?>31~> Exd>;X\6HOw~ Care Plan Worksheet And Example Goals and Steps . In addition, participating agencies report orally on their key activities at each meeting; meeting minutes are recorded and sent to participants. 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. Childhood risk factors for homelessness among homeless adults. The strategy is available from: . Tips for Conducting an Effective Treatment Plan. Applying cluster analysis to test a typology of homelessness by pattern of shelter utilization: results from the analysis of administrative data. 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). This document explores the role of case management in preventing homelessness and in rapidly return-ing homeless individuals and families to housing stability. Another key effort extending into the states is the work of the ICH to encourage the development of State Interagency Councils on Homelessness as well as state and local ten-year planning processes to end chronic homelessness. 1998; 26(2): 207-232. If your plan has a specific focus on Indigenous homelessness, LGBTQ2S youth, newcomers, etc., you may want to delve in deeper into these issues throughout the plan. %PDF-1.4 % 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. Of these, services to promote self-sufficiency are the most relevant to homelessness. 0000036337 00000 n 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. 0000134097 00000 n 0000028719 00000 n Services are provided without regard for a persons ability to pay. Various communities use different terms to highlight the broad priority areas and associated actions. 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. The purpose of the Basic Center Program is to establish or strengthen locally-controlled, community and faith-based programs that address the immediate needs of runaway and homeless youth and their families. The Community Mental Health Services Block Grant(CMHSBG), operated by the Substance Abuse and Mental Health Services Administration (SAMHSA), is a formula grant to states and territories for providing mental health services to people with serious mental illnesses. 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. The NIH supports a wide range of studies involving homeless populations because of associations between homelessness and many adverse health conditions. o Examine how HHS agencies can synthesize, sponsor, or conduct epidemiological, intervention, and health services research on risk and protective factors for homelessness and identify preventive interventions that could be provided in health care and human services settings that are effective at preventing at-risk persons from entering a pattern of residential and personal instability that may result in homelessness. Chapter two will outline the 2007 Strategic Action Plan in detail, providing examples of activities that might be undertaken in support of the goals and strategies proposed in the Plan. Achieving the Promise is the final report of the New Freedom Commission. Homeless to Housed By January 2015, Abode Services will rehouse 1,000 homeless families and individuals (10-year goal). For the purposes of this strategic action plan, a homeless family is defined as one or two adults accompanied by at least one minor child who are either not housed or who have had periods during some recent time period during which they lacked housing. Both a process evaluation and an outcome evaluation will document the process, assess the effectiveness of the Academies, and identify lessons learned from the Policy Academy activity for the 49 states and territories who attended a chronic homeless Academy. 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 Appropriate Facilities to Support Programs- Abode Services facilities portfolio includes owned and lease properties that allow the agency to most cost effectively provide community-based services. 0000014923 00000 n An increasing number of the people accessing HIV/AIDS services and housing have histories of homelessness, mental illness, and chemical dependency. ; Establish safe, culturally relevant and sensitive discharge plans, so no Aboriginal person is discharged into homelessness or unsafe housing; do not want to discharge anyone into an unsafe (physically, or otherwise) situation; Initiate greater consultation with Aboriginal organizations and agencies in the creation of HMIS (and incorporation of culturally sensitive questions at intake); Talk to and learn from the Aboriginal people who have been previously or are currently homeless or have faced housing issues; It is far too subjective to measure success, instead we should find out from our people what they feel is and is not working, best practices and where improvements can be made; Increase competent Aboriginal workforce and treatment facilities, with cultural, spiritual and emotional perspectives (harm reduction); Ensure all four levels of government are involved in ensuring Aboriginal inclusion; Create an urban Aboriginal cultural support system/centre, with culturally specific wrap around programs; Cannot just be managed on a case-by-case situation should be available for prevention proactive rather than reactive approach; Provide more opportunities for urban Aboriginal people to earn income and receive education; More engagement and involvement with stakeholders, leaders, committee members and First Nation communities. Currently, there are 80 active properties on which numerous services are provided to homeless individuals and/or families. Conducting further research about the pathways into Aboriginal youth homelessness to help ensure services dedicated to Aboriginal young people (at risk of or experiencing homelessness) will be carried out in consideration of structural factors. 0000001260 00000 n 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. Receive the latest updates from the Secretary, Blogs, and News Releases. 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. Report is available at: http://www.nhchc.org/Publications/HIVguide52703.pdf, Core Performance Indicators for Homeless-Serving Programs Administered by the U.S. Department of Health and Human Services (ASPE). 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. The table below shows how each original goal and strategy was either reordered, reframed, renumbered, deleted, and/or unchanged, and which goals and strategies are entirely new to the plan (these actions can be found in the Action column). Increase affordable housing options appropriate for and accessible to youth. If the funding is available, effective service delivery interventions may not be applied when working with this population. 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. Since the inception of the Treatment for Homeless program, over 10,000 persons have received grant-supported services. In FY 2005, Head Start served approximately 20,000 homeless children and their families throughout the country at a cost of $143,705,000. o Develop tools for providers that simplify or streamline the eligibility review process, similar to the Health Resources and Services Administration (HRSA)-funded publication entitled Documenting Disability: Simple Strategies for Medical Providers, which provides a partnership tool for the Social Security Administrations Homeless Outreach Projects and Evaluation (HOPE) program, focused on assisting eligible, chronically homeless individuals in applying for Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) benefits. by Martha Burt, Laudan Y. Aron and Edgar Lee (with Jesse Valente); Washington, DC: The Urban Institute Press; 2001. /ZRqBDi` Among this population, there are several key subgroups, including: The Department of Health and Human Services (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. The goal of street outreach is to make connections to stable housing with tailored services and supports . startxref Block grant funds are used by each state as they determine their needs; therefore, the program does not require states to report on expenditures related to homelessness. Furthermore, agency representatives at the meeting described their experiences providing concrete assistance during Hurricane Katrina. 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. Purpose of Plan. Also indicate whter or not client was able to find an affordable unit to move into. 0000029836 00000 n who have a history of opioid misuse. The activities developed to meet this goal centered on strengthening outreach and engagement activities, improving the eligibility review process, exploring way to maintain program eligibility, and improving the transition of clients from targeted homeless programs to mainstream service providers. 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). Total expenditures for the SCHIP program in FY 2005 were $5.129 billion, however, state SCHIP programs are not required to report to CMS on the homelessness or housing status of persons who receive health care supported with SCHIP funding; therefore, SCHIP data systems are not designed to produce estimates of expenditures on services provided to eligible homeless persons. Between 2003 and 2007, the Department made significant progress towards the goals identified in the 2003 Plan. Specific one-year goals with outcome indicators are included in the Annual Action Plan. Increase employment or benefit income of homeless families and individuals. o Promote the inclusion of homeless assistance programs among the entities conducting eligibility and enrollment functions for mainstream programs. The authorizing legislation does not, however, specify homeless services and current policy does not encourage set-asides for specific populations. 0000067529 00000 n Coordinated access and assessment processes. SAMHSA INTERIM STRATEGIC PLAN. The population who experiences homelessness is a heterogeneous group, and includes single individuals, families with children, and unaccompanied runaway and homeless youth. 0000027650 00000 n <<2218947EDC32D04EA422C446FEEABC3E>]/Prev 949755/XRefStm 2207>> AmericanJournal of Public Health. The treatment plan consists of two key parts: goals and objectives. 0000012821 00000 n 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). 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. 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. The second document that was reviewed was the activities matrix developed by the Secretarys Work Group on Ending Chronic Homelessness. Burt, M., Aron, L.Y., Douglas, T., Valente, J., Lee, E., & Iwen, B. For example, the Plan may impact HHS agencies strategic and performance plans, program activities, training, data collection/performance measurement, and/or budgets. Health and medical goals are highly individual and people's engagement in setting goals has been demonstrated to affect not only their participation in and adherence to treatment, but their health outcomes and quality of life.2 Step 1: Elicit . At this meeting, a literature review compiled for the meeting was used to guide discussion pertaining to: the key players during the hurricane; housing and health issues; the impact on the historically homeless; and data pertaining to and lessons learned from previous disasters. These changes address the following issues: In addition to broadening the plan to address homelessness experienced by families with children, the new plan also incorporates populations who areat-risk of homelessness. The National Learning Meeting, held in October of 2005, was the capstone meeting of the first seven Homeless Policy Academies. In order to measure progress in preventing, reducing, and ending homelessness, the Department needs to have data systems and performance measures at its disposal. The internal audience consists of the HHS operating and staff divisions that have approved the Plan and agreed to implement it as is appropriate to their respective agency/division. Often times, individuals or families who are homeless are eligible for, or can access, services provided through mainstream programs. Chapter three highlights what is new in the plan and the rationale for expanding the existing goals and strategies established in 2003. Preventing Overdose 2. HCH works within guidelines for the Community Health Center (Health Center) program. 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. Between 2001 and 2006, several key events and activities guided the development of the 2007 Plan. 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. > Strategic Action Plan on Homelessness, U.S. Department of Health and Human Services: Strategic Action Plan on Homelessness, U.S. Department of Health and Human Services Michael O. Leavitt, Secretary. 1995; 85(12): 1642-1649. Funds may not be used to: (1) pay for housing (other than residential substance abuse treatment and/or residential mental health programs); (2) carry out syringe exchange programs; and (3) pay for pharmacologies for HIV antiretroviral therapy, STDs, TB and hepatitis B and C services. It is a child-focused program with the overall goal of increasing the school readiness of young children in low-income families. 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. As a result, we will be able to see more precisely what is working, replicate or refine those efforts, and report successes in minutes rather than days or weeks. 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. trailer 0000174113 00000 n This Interim Strategic Plan keeps the promotion, prevention, and treatment continuum at its core; and prioritizes equity, trauma-informed approaches, recovery, and a commitment to data and evidence. As the title of the 2003 Strategic Action Plan indicates (Ending Chronic Homelessness: Strategies for Action) the focus of the Work Group was on chronic homelessness. 0000022661 00000 n 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. HHS Budget Growth- Targeted Homelessness Programs FY 2003-FY2006. 0000017728 00000 n 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. 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. The Mental Health Block Grant provides funds to States to create comprehensive, community-based systems of mental health care. , unless they are measurable on their own as in " List and discuss [issue] weekly Abuse/Neglect Goal: Explore and resolve issues relating to history of abuse/neglect victimization Park, Jung Min, Metraux, Stephen, Brodbar, Gabriel, and Culhane, Dennis P., Child welfare involvement among children in homeless families. * 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. Eligible grant recipients include private nonprofit and public entities. Long-Term Treatment Goals for Depression. Made significant progress towards the goals identified in the Plan and the rationale expanding. 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