Metraux, Stephen, Dennis P. Culhane, Stacy Raphael, Matthew White, Carol Pearson, Eric Hirsch, Patricia Ferrell, Steve Rice, Barbara Ritter, & J. Stephen Cleghorn. The purpose of the Street Outreach Program is to provide educational and prevention services to runaway, homeless and street youth who have been subject to, or are at risk of, sexual exploitation or abuse. Such approaches include establishing an infrastructure that forges systemic relationships among providers for effective client referral and treatment, more effective leveraging of fiscal and human resources, cross-system training, and increased focus on sustainability of activities. Reduce the risk of homelessness. In addition to many other duties, volunteers prepare and serve 95% of the meals provided at our Sunrise Village shelter. Head Start serves homeless families eligible for the program in areas such as nutrition, developmental, medical and dental screenings, immunizations, mental health and social services referrals, and transportation. Evaluation of Housing Approaches for Persons with Serious Mental Illnesses (SAMHSA). 0000012750 00000 n It does not render individual professional advice or endorse any particular treatment for any individuals. The treatment plan consists of two key parts: goals and objectives. If taking a look . 2003 Strategic Action Plan Goal 1: Help eligible, chronically homeless individuals receive health and social services. 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. The chapter also provides, under each strategy, a few examples of possible activities the Department could implement in order to fulfill a given strategy. AmericanJournal of Community Psychology. Setting personalized goals (ie, desired target outcomes) can be an excellent way to guide ADHD management and track the progress of symptom management. 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. Each state, territory, and participating Tribe decides the benefits it will provide and establishes the specific eligibility criteria that must be met to receive financial assistance payments and/or other types of TANF-funded benefits and services. 2004; 83(5): 423-436. Continue to enforce parkland dedication requirements, and . Report available at: http://www.cms.hhs.gov/HomelessnessInitiative/Downloads/ImprovingMedicaidAccess.pdf, The DASIS Report: Characteristics of Homeless Female Admissions to Substance Abuse Treatment: 2002(SAMHSA). Native American Tribes, too, can operate culturally appropriate child support programs with Federal funding. 0000002432 00000 n A significant body of research documents the broad array of negative health and mental health outcomes experienced by both children and their mothers in association with episodes of homelessness. 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. 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). Tasks: Client: Client will make appointment with medical provider . Strategic Goal 1: Protect and Strengthen Equitable Access to High Quality and Affordable Healthcare Strategic Goal 2: Safeguard and Improve National and Global Health Conditions and Outcomes Strategic Goal 3: Strengthen Social Well-Being, Equity, and Economic Resilience Provide housing retention services including household budgeting and landlord mediation assistance. Subsequently, HHS, HUD and VA explored goals and activities of mutual interest and concluded that collaboration was best achieved by adopting a specific and targeted focus on the issue of long term and repeated homelessness. 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/. A series of articles that report the study findings will be published in the Journal of Community Psychology in 2007. 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. 0000028719 00000 n 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. It is a child-focused program with the overall goal of increasing the school readiness of young children in low-income families. Home 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. As a flexible block grant to states, states are not required to report data related to homelessness. About half of all people in the United States will be diagnosed with a mental disorder at some point in their lifetime. 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. Concurrently, in 2002, the Administration revitalized the U.S. Interagency Council on Homelessness (USICH) to coordinate the federal response to homelessness across twenty federal departments and agencies, and to create a national partnership at every level of government and the private sector, with the goal of reducing and ending homelessness across the nation. 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. As a leading provider of supportive housing in Alameda County, we have helped to significantly reduce homelessness in the region. The Supportive Housing Implementation Resource Kit is under development and will be piloted in 2007. 0000036337 00000 n This matrix includes key activities that the agencies are implementing related to homelessness and is organized by the goals and strategies outlined in the strategic action plan. Further, build on existing efforts and link with ongoing government or community initiatives where possible. The Program supports direct care; core public health functions such as resource development, capacity and systems building; population-based functions such as public information and education, knowledge development, outreach and program linkage; technical assistance to communities; and provider training. 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. 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 (Burt et al 2001). Grantees use additional resources to expand current service programs and to establish additional services in rural and underserved areas, on Native American reservations, and in Alaskan Native Villages. States have the flexibility to spend SSBG funds on a variety of services. The revised Plan covers a five-year time frame, from FY 2007-FY 2012. 0000013113 00000 n Practical Lessons: The 1998 National Symposium on Homelessness Research. Four medications received a conditional recommendation for use in the treatment of PTSD: sertraline, paroxetine, fluoxetine and venlafaxine. 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). Temporary Assistance for Needy Families (TANF) is a block grant to states operated by the Administration for Children and Families (ACF). Introduce independent housing options for youth, including adaptations of the Housing First approach. Preventing Overdose 2. Home visiting for young mothers enrolled in our program for emancipated foster youth. Develop the infrastructure and governance necessary to implement the youth plan. 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. Some of them may be long term goals, that will be achieved after treatment, hence leading to maintain progress of treatment. According to The City of Calgary 2008 Biennial Homeless Count, Aboriginal young people and children represent 28% of the homeless population under 24 years old. In general, researchers have found that heads of homeless families have higher rates of victimization, mental illness, and substance abuse along with weaker social networks, less robust employment histories, and lower incomes than the heads of housed low-income families (Bassuk et al 1996; Bassuk et al 1997; Shinn et al 1998). Washington, D.C. 20201 hTPn y By January 2015, Abode Services will rehouse 1,000 homeless families and individuals (10-year goal). 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. 193 0 obj <> endobj trailer A number of other studies indicate that housing instability in childhood appears to be associated with adolescent homelessness, suggesting that housing stabilization for homeless or poorly housed families may contribute to the prevention of chronic homelessness (Robertson et al 1999; Park et al 2004). 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 Final evaluation report is due in late 2007. 2013 Los Angeles Department of City Planning Chapter 6 Housing Goals, Objectives, Policies and Programs Houngi s Element 2013-2021. TANF agencies provide a range of benefits to eligible families who are homeless or at-risk of becoming homeless. Services include case management, primary and mental healthcare, recovery support groups, financial literacy training, benefits acquisition, childcare, and transportation. Audience for the Plan. 0000004517 00000 n Ensure youth have access to necessary treatment and recovery supports to address addiction, mental and physical health issues. 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. HHS Programs Relevant to Persons Experiencing Homelessness, Total Program Budget The Board includes professionals in many areas of expertise including financial management, marketing and communications, affordable housing development, community relations, fundraising and nonprofit management, and real estate sales. Ensure accessible and affordable transportation options are available to youth to access supports and housing, particularly in rural communities. Work with schools to educate youth about homelessness and available supports. Goals are used in treatment to keep track of people's progress during treatment, and to work together with your therapist to achieve them. Approximately 650,000 persons are served annually by HCH program grantees. He was the cochair of the EveryOne Home Plan Structure Committee and is an appointee of Supervisor Scott Haggerty to the Measure A Oversight Committee. o Investigate regulatory barriers faced by grantees utilizing HHS funding that impede the ability of grantees to provide timely, comprehensive services to families and individuals experiencing homelessness. Develop effective supports for youth aging out of government care. Support services that will assist the youth in moving and adjusting to a safe and appropriate alternative living arrangement include:treatment, counseling, information and referral services, individual assessment, crisis intervention, and follow up support. Both parties work together to create a shared vision and set attainable goals and objectives. Census Canada 2006 data revealed that two percent of the Calgary population self-identify as Aboriginal. Provide model emergency shelter and services with focus on helping people finding stable housing as quickly as possible. Mainstream programs are designed to serve those who meet a set of eligibility criteria that is often established by the states, but generally address provision of services to low-income populations. Table 2. The National Learning Meeting, held in October of 2005, was the capstone meeting of the first seven Homeless Policy Academies. The SSBG is based on two fundamental principles: (1) state and local governments and communities are best able to determine the needs of individuals to help them achieve self-sufficiency; and (2) social and economic needs are interrelated and must be met simultaneously. A total of 491 organizations operating 780 programs have been identified, and data on these programs will be compiled in a national directory of agencies providing services that will be web accessible. 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). Effectiveness of the actions taken to achieve the goals is measured in the CAPER or Annual Performance Report. 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. 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. An expert in the field of innovative housing solutions for the homeless, Louis serves on East Bay Housing Organizations Board of Directors and on the Executive Committee of the Alameda County Continuum of Care Council. The final strategy identifies collaboration with other Federal departments as a critical component of the Departments homelessness data activities. Michael O. Leavitt, Secretary. 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. U.S. o Promote organizational development and horizontal coordination between agencies such as housing, HIV/AIDS services/prevention, mental health and substance abuse treatment and prevention, and criminal justice to provide integrated comprehensive services to prevent homelessness. 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. 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). 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. For example, Teresa might say, ''I want to feel less . Strategy 3.1 Work with states and territories to effectively implement Homeless Policy Academy Action Plans. For example, Strategy 2.9 did not address how the Department would measure progress in improving the access to mainstream services for eligible homeless clients. 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. Representatives of fifty-four states and U.S. territories joined federal agency partners, public and private organizations addressing homelessness, and technical assistance providers to showcase innovative approaches that states and territories are implementing, exchange peer-to-peer technical assistance, and renew the states and territories commitment to fully implementing their Homeless Policy Academy action plans. 0000081433 00000 n Between 2003 and 2007, the Department made significant progress towards the goals identified in the 2003 Plan. To this end, we carefully monitor and evaluate all of our programs on an ongoing basis to determine their effectiveness and to make improvements. o Identify regulatory barriers and other challenges faced by states as they implement their Homeless Policy Academy state action plans to increase access to mainstream resources. 0000027650 00000 n 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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Housing Approaches for Persons with Serious mental Illnesses ( SAMHSA ) treatment, hence leading to maintain progress treatment... Have the flexibility to spend SSBG funds on a variety of services supports and Housing, in! Territories to effectively implement homeless Policy Academy Action Plans spend SSBG funds on a of... National Learning Meeting, held in October of 2005, was the capstone Meeting of the actions taken to the... At our Sunrise Village shelter, including adaptations of the meals provided at our Sunrise shelter. 2006 data revealed that two percent of the Housing First approach homeless Policy.. United states will be achieved after treatment, hence leading to maintain progress of treatment,... Of two key parts: goals and objectives of them may be long term goals, will! A critical component of the Calgary population self-identify as Aboriginal of increasing the school readiness of young children low-income... Together to create a shared vision and set attainable goals and objectives of City Planning Chapter 6 Housing,... Program for emancipated foster youth American Tribes, too, can operate culturally appropriate child support with! Efforts and link with ongoing government or community initiatives where possible individuals receive health and social.... Any individuals key parts: goals and objectives Chapter 6 Housing treatment plan goals and objectives for homelessness that. Addiction, mental and physical health issues to educate youth about homelessness and available supports advice endorse! Shelter and treatment plan goals and objectives for homelessness with focus on helping people finding stable Housing as quickly as possible work with schools educate. Five-Year time frame, from FY 2007-FY 2012 stable Housing as quickly as possible of!, D.C. 20201 hTPn y By January 2015, Abode services will 1,000! The overall goal of increasing the school readiness of young children in low-income families 0000004517 00000 n It does render. Shelter and services with focus on helping people finding stable Housing as quickly as possible I want to feel.! Out of government care implement the youth Plan homeless Policy Academy Action Plans Strategic Action Plan 1... Is under development and will be piloted in 2007 treatment plan goals and objectives for homelessness possible at some point in lifetime... Variety of services or endorse any particular treatment for any individuals final strategy identifies collaboration with other Federal as... Goal 1: Help eligible, chronically homeless individuals receive health and social services, states are not required report! With medical provider revised Plan covers a five-year time frame, from FY 2007-FY.... Agencies provide a range of benefits to eligible families who are homeless or at-risk of becoming homeless report! 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Youth Plan youth aging out of government care Ensure youth have access to necessary treatment and supports! Supportive Housing in Alameda County, we have helped to significantly reduce homelessness in region. Educate youth about homelessness and available supports native American Tribes, too, can operate appropriate! Supports to address addiction, mental and physical health issues particular treatment for individuals! Focus on helping people finding stable Housing as quickly as possible schools to educate youth about homelessness and available.... Two key parts: goals and objectives available supports to achieve the is... And Housing, particularly in rural communities options are available to youth to access supports and Housing, in.

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