The State Childrens Health Insurance Program, operated by the Centers for Medicare and Medicaid Services (CMS), is a partnership between the Federal and State Governments that provides health coverage to uninsured children whose families earn too much to qualify for Medicaid, but too little to afford private coverage. All members make personal financial contributions on an annual basis to support the work of our organization. hTPn y The Department is the largest grant-making agency in the federal government, and the Medicare program alone is the nation's largest health insurer (http://www.hhs.gov/about/whatwedo.html). 0000009929 00000 n Wilder Researchhas found that 58 percent of homeless Minnesota youth have spent time in out-of-home placements such as foster care, treatment, or juvenile detention. Strategy 1.3 Develop, test, disseminate, and promote the use of evidence-based homelessness prevention and early intervention programs and strategies. HHS Programs That Serve Individuals, Youth, and Families Experiencing Homelessness. Basic Centers seek to reunite young people with their families when possible, or to locate appropriate alternative placements. As part of the Councils strategy to create intergovernmental partnerships to end homelessness, Governors of 53 states and territories have taken steps to create a state-level ICH, while over 280 Mayors and County Executives have initiated a ten-year planning process. Washington, D.C. 20201 The Departments focus on homelessness is consistent with this recommendation. The National Learning Meeting, held in October of 2005, was the capstone meeting of the first seven Homeless Policy Academies. 0000133979 00000 n Goal: Create a community-wide resources guide to inform homeless youth and providers of resources available to youth and LGBTQ+ individuals. 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. 0000007351 00000 n Provide social services on site at housing complexes as well as for people living in subsidized apartments at scattered sits. 2. HHS operates a range of programs that may serve individuals and families experiencing 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. Evidence of the growing number of homeless families supports the expanded scope of the Departments strategic action plan to include homeless families with children. Abode Services reports its progress to our investors through interim and final grant reports, annual reports, quarterly newsletters and email blasts, and personal phone calls. 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. Appendix A: Overview of Programs Operated by the U.S. Department of Health and Human Services That May Serve Persons Experiencing Homelessness. For example, the language in Goals 1 and 2 used the terms chronically homeless and chronic homelessness, and the same two terms were also used throughout the different strategies under all three goals. !N*G gWu&vTPlR4e^U Wf%by. Strategy 2.2 Improve the eligibility review process. Maintain housing: Broad Community Volunteer Support- More than 800 people from over 100 businesses, churches, and community groups volunteer at our organization annually. Treatment Plan Goals Download Treatment planning is a team effort between the patient and the counselor. 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. 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. Goal: Improve mental health. Step 4.2 Write specific, measurable objectives for each intervention activity. It is a child-focused program with the overall goal of increasing the school readiness of young children in low-income families. 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. Ending homelessness requires housing combined with the types of services supported by HHS programs. Health centers serve all residents in their catchment area, regardless of ability to pay. Provide re-housing and support services for homeless households as part of the Alameda County Homeless Prevention Rapid Re-housing Program. Strategy 2.3 Explore ways to maintain program eligibility. o Continue interagency collaborations between HHS program agencies to develop tools that are designed for use by both homeless service providers as well as individuals who are homeless. Contents Strategic Action Plan Framework Each year, approximately one percent of the U.S. population, some 2-3 million individuals, experiences a night of homelessness that puts them in contact with a homeless assistance provider, and at least 800,000 people are homeless in the United States on any given night. 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. 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. A common database was developed to collect client-level data from each of the pilot projects. An increasing number of the people accessing HIV/AIDS services and housing have histories of homelessness, mental illness, and chemical dependency. HHS Programs Relevant to Persons Experiencing Homelessness, Total Program Budget 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. 1. 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. Strong Financial Partnerships- We maintain and grow a group of diverse funding partners that includes city, county, state and federal agencies, private and community foundations, corporations, individuals, local businesses, churches and service clubs. o Support state efforts to expand Policy Academy Action Plans to address the needs of HHS clientele including homeless families and individuals at risk of homelessness, particularly youth and victims of abuse. Outcome objectives Territories, CSBG does not collect specific data on amounts expended on homelessness. Head Start and Early Head Start are comprehensive child development programs operated by the Administration for Children and Families (ACF) that serve children from birth to age five, pregnant women, and their families. To date, every state (including the District of Columbia) and U.S. They are leaders in fundraising and advocacy, and serve on one or more of the following Board committees; Fund Development, Administrative, Finance, Marketing and Communications, Nominating, and Audit Committee. The PADD program provides information and referral services and exercises legal, administrative and other remedies to resolve problems for individuals and groups of clients with developmental disabilities. Treatment Plan for Homeless Veterans. 0000011161 00000 n Learn how to write treatment plans. Provide job training and employment services referrals. Successful completion of these tasks positivel y impacts _____ _____ _____ all family members; DT can help the family avoid typical impasses and successfully complete its tasks. 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. This adaptation of clinical practice guidelines for homeless patients was developed by the Health Care for the Homeless Clinicians Network with support from the HIV/AIDS Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services. This worksheet (ARIES Master Data Collection Form) can be used to remind Medical Case Managers of the . 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. About half of all people in the United States will be diagnosed with a mental disorder at some point in their lifetime. Very often, persons experiencing homelessness may be eligible for services funded through these programs. 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. Strategy 1.2 Identify risk and protective factors to prevent chronic homelessness among persons who are already homeless. Evaluation of Housing Approaches for Persons with Serious Mental Illnesses (SAMHSA). One of the goals in the report of the Presidents New Freedom Commission on Mental Health, Achieving the Promise: Transforming Mental Health Care in America outlines the need for stable housing as a requirement for enabling individuals and families with mental illness to fully participate in their treatment and their communities. 0000065429 00000 n C0gbn m~`IQBB:Bw12V0D0. trailer 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. 0000000016 00000 n Elements of Performance require treatment plans that include the following: zClearlyyp defined problems and needs statements zMeasurable goals and objectives zThe frequency of care, treatment, and . This report explores the feasibility of developing a core set of performance measures across four HHS programs that focus on service delivery to homeless persons. Lessons learned from this disaster have led the Department to carefully consider how HHS should prepare for and respond to homelessness and human service needs in future disasters, and how the structure of the Work Group might be used as a tool for future natural disasters. The table below, adapted from the Calgary Plan to End Youth Homelessness Refresh Strategy Overview (2016), provides examples of the types of goals often found in youth plans. 4. He holds a Masters of Social Work from California State University, Sacramento and a Masters in Theology from Seattle University. 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. The goals outlined within the strategic action plan provided a course of action for the Department to follow in order to improve access to needed health and social services for individuals experiencing chronic homelessness, empower states to improve their response to individuals experiencing chronic homelessness, and to prevent future episodes of homelessness within HHS clientele. 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. 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. "Abode Services - Ending Homelessness by Assisting Low-income, Un-housed People to Secure Stable, Supportive Housing in Alameda County, California." 0000005502 00000 n 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. Tasks such as assessment and planning are described, providing the case manager specific information about case management within the HPRP program. 0000008163 00000 n 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. 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. In conjunction with the broader Calgary 10 Year Plan, the youth plan ensuring continued implementation of case management standards for ensuring that: Young Aboriginal people have control over the planning of their lives. Strategy 4.1 Inventory data relevant to homelessness currently collected in HHS targeted and mainstream programs; including program participants housing status. 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. In order to accurately capture the clientele served by all homelessness-relevant HHS programs, the Work Group decided that the plan would have to be broader in scope. Between 2003 and 2007, the Department made significant progress towards the goals identified in the 2003 Plan. Other issues related to the causes and consequences of family homelessness, such as a familys interaction with the child welfare or foster care systems, may be important as the dynamics of children and their parent(s) while they move through the shelter system may not be the same (Park et al 2004). 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. 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. 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 . Another key event that influenced the Secretarys Work Group was Hurricane Katrina, which occurred in August 2005. Many HHS-funded services are provided at the local level by state, county or tribal agencies, or through private sector and community and faith-based grantees. Provide benefits acquisition assistance for sources that include, but are not limited to, SSI, TANF, GA, childcare and transportation. o Monitor the development of HUDs Homeless Management Information Systems (HMIS) and seek opportunities to partner with HUD and local Continuums of Care on future research initiatives utilizing HMIS data, while maintaining the confidentiality of personally identifying information about individuals served by domestic violence programs. 866-847-3590; . However, the key policy question, Has HHS been successful at improving access to mainstream service programs? cannot yet be answered because no baseline data are available. 0000013113 00000 n Although goals and objectives have similar purposes for patient recovery, they do have slight differences. This lack of baseline information about the number of homeless individuals and families served in HHS mainstream programs makes it difficult, if not impossible, for HHS to document improvements in access. Audience for the Plan. WRITING YOUR STRATEGIC PLAN5 EXAMPLE GOALS & OBJECTIVES6 Goals for Alcohol-related indicators6 INTERVENING VARIABLE 1: Low Enforcement of alcohol-related laws7 INTERVENING VARIABLE 2: LOW PERCEIVED RISK OF LEGAL CONSEQUENCES10 INTERVENING VARIABLE 3: RETAIL ACCESS TO ALCOHOL11 INTERVENING VARIABLE 4: Youth Social Access (for youth only)15 The 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. The CHI is important because it operationalizes many of the key goals and strategies outlined in both the original and revised strategic action plans; for example, use of interagency partnerships on both local and federal levels, increasing the effectiveness of integrated systems of care, and the use of mainstream resources. The ADHD goal-setting process goes beyond the simple desire of "improving symptoms" and establishes observable, measurable objectives that are meaningful for the individual. 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. extremely low income persons, many of whom are homeless or at-risk of homelessness. GOAL 4: A City committed to preventing and ending homelessness. PRIORITIES AND GUIDING PRINCIPLES . Sign up to receive the weekly Homeless Hub newsletter, featuring the most recent Canadian research delivered directly to your inbox. The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. Examine options for reducing identified regulatory barriers. 0000134200 00000 n Monitor and evaluate homeless and other special needs populations in order to document needs and design assistance programs. Ensure that we meet the special developmental, social, emotional and educational needs of the children and youth in our shelter and supportive housing programs. A cornerstone effort of the increased focus on chronic homelessness was the development of the Collaborative Initiative to Help End Chronic Homelessness, also known as the Chronic Homelessness Initiative (CHI), an innovative demonstration project coordinated by the ICH and jointly funded by HUD, HHS (SAMHSA and HRSA) and the VA. Recognizing that homelessness is an issue that cuts across various agencies in the federal government, this unique effort across the Department offered permanent housing and supportive service funding through a consolidated application process. American Journal for Public Health. http://www.mentalhealthcommission.gov/reports/FinalReport/toc.html, Adapting Your Practice: Treatment and Recommendations for Homeless Patients with HIV/AIDS (HRSA), A clinical guidebook written by clinicians with extensive experience caring for individuals who are homeless and who routinely adapt their medical practice to foster better outcomes for these patients. who have a history of opioid misuse. Eligible applicants for the Street Outreach Program include any private, nonprofit agency, non-federally recognized Indian Tribes and urban Indian organizations. Other types of assistance provided to youth and their families may include individual, group, and family counseling; recreation programs; and aftercare services for youth once they leave the shelter. . Approximately 1600 women and their families received services under this program. By 2015, significantly reduce the average length of time a family or person spends homeless from months, even years, to weeks and days. U.S. Department of Health and Human Services Homelessness Website: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration Homelessness Website: U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services Homelessness Website: http://www.cms.hhs.gov/HomelessnessInitiative/. 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. A treatment plan for PTSD can optimize treatment, centering the patient to help them achieve their goals. individualized service planning and goal setting, counseling and support, coordination of services, and assistance with accessing mainstream services and other . It is also assumed that, to the extent the strategies seek to impose any requirements on applicants as conditions of given awards, before doing so, programs will confirm that their authorizing authority and program/administrative regulations permit such imposition of conditions. (1998). Each year over 250 people donate food, household goods and other items for an added value of approximately $165,000. The population who experiences homelessness is a heterogeneous group, and includes single individuals, families with children, and unaccompanied runaway and homeless youth. A leading concern was for the services funded by HHS to be more accessible to eligible homeless persons residing in HUD-funded housing. Services include case management, primary and mental healthcare, recovery support groups, financial literacy training, benefits acquisition, childcare, and transportation. Homeless Youth: Research, Intervention, and Policy. In FY 2006, the entire Health Center program, including HCH, received $1.785 billion (including funds for Tort Claims). 30 Assessment: ASAM, 3rd Edition Goal 3:Work to prevent new episodes of homelessness within the HHS clientele, Goal 1: Prevent episodes of homelessness within the HHS clientele, including individuals and families, Strategy 3.1Identify risk and protective factors to prevent future episodes of chronic homelessness, 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 3.2 Promote the use of effective, evidence-based homelessness prevention interventions, Strategy 1.3 Develop, test, disseminate, and promote the use of evidence-based homelessness prevention interventions, Goal 1:Help eligible, chronically homeless individuals receive health and social services, 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 1.4Improve the transition of clients from homeless-specific programs to mainstream service providers, 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, Goal 2:Empower our state and community partners to improve their response to people experiencing chronic homelessness, Goal 3: Empower our state and community partners to improve their response to individuals and families experiencing homelessness, Strategy 2.1Use state Policy Academies to help states develop specific action plans to respond to chronic 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 disasters, Strategy 2.2 Permit flexibility in paying for services that respond to the needs of persons with multiple problems, Strategy 3.3 Examine options to expand flexibility in paying for services that respond to the needs of persons with multiple problems, Strategy 2.3Reward coordination across HHS assistance programs to address the multiple problems of chronically homeless people, Strategy 2.4Provide incentives for states and localities to coordinate services and housing, Strategy 3.4 Encourage states and localities to coordinate services and housing, Strategy 3.5 Develop, disseminate and use toolkits and blueprints to strengthen outreach, enrollment, and service delivery, Strategy 2.6Provide training and technical assistance on chronic homelessness to mainstream service providers, Strategy 3.6 Provide training and technical assistance on homelessness, including chronic homelessness, to mainstream service providers at the state and community level, Strategy 2.7Establish a formal program of training on chronic homelessness, Strategy 2.8Address chronic homelessness in the formulation of future HHS budgets or in priorities for using a portion of expanded resources, (basis for new Goal 4 and Strategies 4.1 - 4.4), Strategy 2.9Develop an approach for baseline data, performance measurement, and the measurement of reduced chronic homelessness within HHS, Strategy 2.10Establish an ongoing oversight body within HHS to direct and monitor the plan, 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 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 by which to track improved access to HHS mainstream and targeted programs for persons experiencing homelessness, including individuals experiencing chronic homelessness, Strategy 4.4 Coordinate HHS data activities with other federal data activities related to homelessness. 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