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). Additional appendices provide a list of commonly used acronyms (Appendix C), a membership list of the Secretarys Work Group, including the staff list of the Strategic Action Plan Subcommittee (Appendix D), and finally, a crosswalk of the goals and strategies included in the 2003 and 2007 Plans (Appendix E). 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. ASPE and SAMHSA have supported a 3-year evaluation of a collaboration between Health Care for the Homeless programs and community mental health agencies. 0000005843 00000 n Successful applicants described an integratedand comprehensive community strategy to use funding sources, including mainstream service resources, to move chronically homeless individuals from the streets and emergency shelters into stable housing. xref 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. The child support program in each state can be a helpful resource to families consisting of single custodial parents with children, since a reason for the homelessness may be non-payment of child support. The intent of this new plan is to refine the goals and strategies of the 2003 Plan to reflect the changing set of challenges and priorities four years after the development of the first plan. This includes people who face barriers in accessing services because they have difficulty paying for services, have language or cultural differences, or because there is an insufficient number of health professionals/resources available in their community. Use a Housing First Framework for youth and a range of effective program models to support the prevention, reduction and ending of youth homelessness. Treatment Plan Having long-term goals and a series of short-term goals to reach the long-term goals is critical. ii) The . > Research As a result of the above process, the following major changes for the 2007 Plan were incorporated: Measuring Work Group Outcomes. progress) when existing goals/objectives are met and if the client's condition changes (at a minimum, annually). HHS work in the area of homelessness fits well with the Departments mission and priorities. The Work Group believes that devoting an entire goal and set of objectives to data and performance measures related to homelessness will aid in the process of measuring the success of the strategic action plan. 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. Most services supported by MCH block grant funds fall within four areas: 1) Direct Health Care - Basic health care services are provided to individual clients generally on a one-on-one basis between health care professionals and patients in a clinic, office, or emergency room; 2) Enabling Services - These services help targeted populations in need to gain access to the care that is available to them. The findings presented through this project will serve to guide federal and state policymaking, to assist local practitioners in incorporating successful strategies into their programs, and to assist researchers to identify areas meriting future research. startxref 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. Strong Collaborative Partners- We maintain eight formal partnerships with public agencies and communitybased organizations throughout Alameda County that leverage program resources and keep costs manageable. Reviewing key research and programmatic activities accomplished under each of the three original goals of the strategic action plan provide an opportunity to measure the progress of the Department in a quantitative manner and provide context for the revisions that are ultimately laid forth in the 2007 Strategic Action Plan. Examples of Goals and Objectives 0000081688 00000 n 0000134339 00000 n Homelessness: Programs and the people they serve: Findings of the National Survey of Homeless Assistance Providers and Clients: Technical report prepared for the Interagency Council on Homelessness. As a result, our overall staff retention is high with management retention greater than five years. 0000174044 00000 n 21 Apr. The Administration for Children and Families oversees a program to support a Protection & Advocacy (P&A) System in each State, Territory, as well as a Native American Consortium, to protect and advocate for persons with developmental disabilities. 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. Strategy 4.2 Develop an approach for establishing baseline data on the number of homeless individuals and families served in HHS programs. The HRSA bureau responsible for administration of the CARE Act, the HIV/AIDS Bureau (HAB), has approached the issue of housing and healthcare access through housing policy development, direct service programs, service demonstrations, as well as in technical assistance and training activities to grantees. Ensure that we meet the special developmental, social, emotional and educational needs of the children and youth in our shelter and supportive housing programs. One hundred and eighty-five children and 133 parents benefited from the program. 866-847-3590; . 80% of children, 0 to 5, were regularly screened for development and social emotional concerns. To this end, a new strategy in the Plan specifically refers to working with state, local and tribal organizations around policies pertaining to homelessness, including addressing homelessness as a result of disasters, the needs of homeless persons before/during/and after a disaster, and ways to assist the new population of temporarily homeless persons due to a disaster. 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. Purpose of Plan. 0000066650 00000 n 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. 0000017728 00000 n This project will examine the range of programs currently offering services to the population and determining the extent to which these programs adhere to best practices approaches. The priorities focus on fve key areas: 1. 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. 0000035936 00000 n 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. Achieving the Promise is the final report of the New Freedom Commission. 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. Also indicate whter or not client was able to find an affordable unit to move into. As a flexible block grant awarded to states and U.S. Medications . Services are available to a parent with custody of a child whose other parent is living outside the home, and services are available automatically for families receiving assistance under the Temporary Assistance for Needy Families (TANF) program. It is a child-focused program with the overall goal of increasing the school readiness of young children in low-income families. The widespread development of high-end, market rate housing in the area over the past decade has . Visit our Research Matters blog for weekly posts from the homelessness sector here. Public Health Reports. However, specific eligibility requirements to receive SCHIP benefits, as well as the type and scope of services provided, are determined by each state. The Characteristics and Needs of Sheltered Homeless and Low-Income Housed Mothers. Strategy 3.3 Examine options to expand flexibility in paying for services that respond to the needs of persons with multiple problems. 1998; 88(9): 1325-1329. 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. 0000027650 00000 n 1992; 13(8): 717-726. 0000040398 00000 n HHS 2007 Homelessness Strategic Action Plan. 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. 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. The NIH supports a wide range of studies involving homeless populations because of associations between homelessness and many adverse health conditions. The Administration for Children and Families (ACF) funds 669 public, community and faith-based programs through three grant programs that serve the runaway and homeless youth population. 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. Temporary Assistance for Needy Families (TANF). Ensure youth have access to necessary treatment and recovery supports to address addiction, mental and physical health issues. The targeted programs are much smaller in scope, but are designed specifically for individuals or families who are experiencing homelessness. Washington, D.C. 20201 According to the 1996 National Survey of Homeless Assistance Providers and Clients, 34 percent of all persons using homeless services were members of a homeless family (Burt et al 1999), though more recent studies (Shinn, et. Promising Strategies to End Youth Homelessness (ACF). In 2001, the Secretaries of HHS and HUD met and committed to a collaboration that capitalized on the expertise of HHS in service delivery and the expertise of HUD in housing. 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. 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. 0000013336 00000 n 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. 0000073076 00000 n Because so many homeless youth have been connected to these institutions, reaching them through these institutions seems logical. 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. Use research and knowledge mobilization to support ending youth homelessness. This manual was designed to assist case managers and other professionals in obtaining critical services for their clients. A client treatment plan is an essential document that serves as a guideline for the right approach to treating each patient. Strategy 2.5 Foster coordination across HHS to address the multiple problems of individuals and families experiencing homelessness. 0000082155 00000 n Screenings for depression for all new mothers (new this year). Mental health plans must respond to federal criteria that include: 1) a comprehensive community based mental health system with a description of health and mental health services, rehabilitation services, employment services, housing services, educational services, substance abuse services, medical and dental care; 2) mental health system data and epidemiology estimates of incidence and prevalence in the state of serious mental illness among adults and serious emotional disturbance among children; 3) services for children with serious emotional disturbance provided in an integrated system of care; 4) targeted services to rural and homeless populations with a description of states outreach to and services for individuals who are homeless and how community-based services will be provided to individuals residing in rural areas; and 5) management systems for financial resources, staffing and training for mental health providers, and training of providers of emergency health services. Several studies have compared housed and non-housed low-income families in an effort to document what characteristics or contextual factors influence a low-income familys probability of experiencing homelessness. Connection to mainstream resources including services for further assessment and treatment. The purpose of the Family Violence Prevention and Services program, operated by the Administration for Children and Families, is to fund grants to state agencies, territories and Indian Tribes for the provision of shelter to victims of family violence and their dependents, and for related services, such as emergency transportation and child care. 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. Transition into . Five Policy Academies focused on chronic homelessness, and in response to demand, the remaining four Academies focused on homeless families with children. The primary purpose for the development of the 2007 Strategic Action Plan is to refine the goals and strategies outlined in the 2003 Strategic Action Plan in order to reflect the progress that has been made, and has not been made, in the four years since the development of the initial HHS strategic action plan on homelessness. This subcommittee, working in close partnership with the entire Work Group, utilized an iterative process to review recent accomplishments and to develop recommendations for the goals and strategies to be the framework of the 2007 Plan. This new strategy was added to the Plan to emphasize the importance of preventing first-time homelessness for at-risk populations (i.e. 4. The goal of street outreach is to make connections to stable housing with tailored services and supports . Prevention activities are critical to any plan that seeks to end chronic homelessness. 193 0 obj <> endobj The matrix can then be used as an analytical tool to examine the Departments progress related to the activities by goal or strategy, as well as by agency. 0000008163 00000 n Table 3. The funds are intended to improve access to community-based health care delivery systems for adults with serious mental illnesses and children with serious emotional disturbances. Evaluation will examine both client and system-level outcomes, with data collection concluding in March 2007. 0 GOAL 4: A City committed to preventing and ending homelessness. 0000066906 00000 n Childhood risk factors for homelessness among homeless adults. Developing a Treatment Plan "The foundation of any treatment plan is the data gathered in a thorough bio-psychosocial assessment." Perkinson, R.P., & Jongsma, A.E., (1998) The program also supports technical assistance and training for local domestic violence programs and disseminates research and information through five resource centers. 0000005252 00000 n At-Risk Individuals and Primary Prevention, investigate incidents of abuse and neglect, follow up on reports of such incidents, and investigate if there is probable cause to believe that such incidents have occurred; and, have access to all client records when given permission by the client or the clients representative authorization and have access records without permission when there is probable cause that abuse or neglect is involved. As such, it is critical that HHS works with states and community partners to empower them and provide the appropriate tools by which to improve their response to people experiencing chronic homelessness. In the 2003 Strategic Action Plan the Work Group outlined sixteen strategies to reduce chronic homelessness, one of which was to improve the transition of clients from homeless-specific programs to mainstream service providers. A cornerstone activity under this strategy has been the development and implementation of nine Homeless Policy 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. 0000134303 00000 n "Abode Services - Ending Homelessness by Assisting Low-income, Un-housed People to Secure Stable, Supportive Housing in Alameda County, California." Develop and construct permanent supporting housing complexes. 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. To this end, we carefully monitor and evaluate all of our programs on an ongoing basis to determine their effectiveness and to make improvements. Treatment for Individuals - SAMHSA - Substance Abuse and Mental Health . While interventions to interrupt and end homelessness may vary across groups, ending homelessness permanently requires housing combined with the types of services supported by programs operated by the U.S. Department of Health and Human Services (HHS). Appropriately Structured and Experienced Management Team- Our eightmember Management Team consists of highlyskilled professionals, each an expert in their field. 0000022661 00000 n The pocket guide was adopted in August 2006, and is available at: ftp://ftp.hrsa.gov/hab/adaptpractice.pdf, Evaluability Assessment of Discharge Planning to Prevent Homelessness (ASPE), Purpose of this study was to conduct an evaluability assessment of discharge planning in institutional and custodial settings, with a specific focus on whether discharge planning is a strategy that can prevent homelessness. These programs are located in five of the organizational components of HHS and their role in serving persons experiencing homelessness are detailed in this Appendix. Title IV-A, section 404 of the Social Security Act (Act) allows states, Territories and federally recognized Indian Tribes to use Federal TANF funds in any manner that is reasonably calculated to accomplish a purpose of the TANF program. 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. This study examines data from NSHAPC to determine more thoroughly the role that faith-based programs play in the larger context of homeless assistance. Appendix B: U.S. Department of Health and Human Services Resources on Homelessness, HHS Web Resources Relevant to Homelessness. This new goal related to data and measurement includes strategies that seek to identify what types of data are needed to measure progress in addressing homelessness, as well as methods by which to obtain this data. 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. Page 1 of 3 SAMPLE Rapid ReHousing . Data and information sharing, including use of common information system performance management and quality assurance. Now the question on your mind would be regarding how to write a treatment plan. Captured information about youth is used effectively in research and initiatives, including homeless counts and HMIS/HIFIS. The intent of this revision is not to usurp or replace the original strategic action plan, but rather to refine the goals and strategies to reflect the changing set of challenges and priorities three years after the development of the first plan. HHS Programs That Serve Individuals, Youth, and Families Experiencing Homelessness. 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.. 0 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 . Between 2001 and 2006, several key events and activities guided the development of the 2007 Plan. Many HHS programs lack the funding to serve individuals with multiple, complex needs. 0000044163 00000 n 0000174231 00000 n 6.2. > Programs 0000001805 00000 n States have the flexibility to spend SSBG funds on a variety of services. Revise and enhance the role of youth-specific and adult shelters and transitional housing in ending youth homelessness. Homeless to Housed By January 2015, Abode Services will rehouse 1,000 homeless families and individuals (10-year goal). 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. Problem: Inability to control drinking. 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. 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. Strategy 3.4 Encourage states and localities to coordinate services and housing. Enhance youths access to education, training and job skill development. Provide social services on site at housing complexes as well as for people living in subsidized apartments at scattered sits. > Social Services Grants ended in 2005, and a draft evaluation report is currently under development and expected in 2007. Our roadmap for achieving our mission includes clearly defined goals, strategies and outcomes. 38. In addition to many other duties, volunteers prepare and serve 95% of the meals provided at our Sunrise Village shelter. 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. 0000028719 00000 n In support of the articulated Administration goal of ending chronic homelessness, senior leadership within HHS established a Departmental work group in 2002 and tasked the group with developing a strategic action plan that would articulate a comprehensive approach for enabling the Department to better serve individuals experiencing chronic homelessness. An Evaluation of the Respite Pilot Initiative (HRSA), In May 2000, HRSA funded ten Health Care for the Homeless grantees, for up to five years, to enhance their medical respite services for homeless persons. Runaway and homeless youth, defined in the Runaway and Homeless Youth Act as individuals who are not more than 21 years of agefor whom it is not possible to live in a safe environment with a relative and who have no other safe alternative living arrangement, may have different needs than homeless youth who are still connected to their families due to runaway and homeless youths lack of adult supervision during a homeless episode. differently, making new goals, integrating new members. 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. 0000086376 00000 n During addiction detox programs, you are medically supervised as you step down from your addiction. 239 0 obj <>stream ATR is a competitive grant program, and selected ATR Grantees have designed their approach and targeted efforts to areas of greatest need, areas with a high degree of readiness, and to specific populations, including adolescents. 0000086168 00000 n There are a number of challenges in developing this kind of baseline data, particularly due to the fact that homelessness is a dynamic state; a person may be homeless today but housed tomorrow, thus causing fluidity in the number of program participants experiencing homelessness at any given point in time. The plan calls for engaging key stakeholders in a collaborative community-response model, with critical attention given to meet the needs of diverse communities including Aboriginal people, youth with disabilities, newcomers and LGBTQ2S youth. One hundred and forty services referrals were provided. For the last three years, however, the Work Group has actively tracked the efforts of numerous components of HHS to improve access to treatment and services for all eligible groups, including chronically homeless individuals, homeless families with children, and homeless youth. Strategy 3.3 Examine options to expand flexibility in paying for services that respond to the needs persons. Collection concluding in March 2007 the priorities focus on fve key areas: 1 in the area over the decade... Area over the past decade has is the final report of the new Freedom Commission counts and HMIS/HIFIS and mental! 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