Homeless families often fall within these guidelines. o Encourage states and communities to experiment with various approaches to creating a coordinated, comprehensive approach to addressing homelessness prevention (e.g. o Disseminate the findings and results of HHS data collection efforts with Federal partners and collaborate on efforts to improve data quality on homelessness. Title V of the McKinney-Vento Homeless Assistance Act (Title V),authorizes the Secretary of Health and Human Services to make suitable federal properties categorized as excess or surplus available to representatives of persons experiencing homelessness as a permissible use in the protection of public health. Practical Lessons: The 1998 National Symposium on Homelessness Research. The revised Plan covers a five-year time frame, from FY 2007-FY 2012. 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. 38. Once you become more confident, you can work on accomplishing larger, more long-term goals. Strategy 3.1 Work with states and territories to effectively implement Homeless Policy Academy Action Plans. As a result of the above process, the following major changes for the 2007 Plan were incorporated: Measuring Work Group Outcomes. incorporating the goals and objectives of the treatment plan. Therefore, an entirely new goal that contains four separate strategies and focuses exclusively on homelessness data issues and how they relate to tracking Departmental success in addressing the problem of homelessness for the HHS clientele was added to the 2007 Plan. Currently, there are 80 active properties on which numerous services are provided to homeless individuals and/or families. The Substance Abuse Prevention and Treatment Block Grant (SAPTBG), operated by the Substance Abuse and Mental Health Services Administration (SAMHSA), is a formula block grant to states to provide substance abuse treatment and prevention services to individuals in need. 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). Open Document. 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). In 2010, 105 CalWorks participants have been placed into work experiences. 0000134369 00000 n Be strategic and succinct in how these are presented, but provide sufficient rationale as to why the goals within the plan are priorities. The study evaluated a cross-site evaluation on six sites using a common data collection protocol and site-specific evaluations, with the goal of developing a supportive housing tool kit. In addition, child support programs can help homeless noncustodial parents, through outreach, address any outstanding child support issues (perhaps helping them with the order modification process) and connecting them with organizations that can help them with basic skills, such as how to seek and maintain employment, and understand issues surrounding court and child support agency processes. This new strategy was added to the Plan to emphasize the importance of preventing first-time homelessness for at-risk populations (i.e. TREATMENT PLAN GOALS & OBJECTIVES 1 TREATMENT PLAN GOALS OBJECTIVES Note Always make objectives measurable, e.g., 3 out of 5 times 100%, learn 3 skills, etc. A common database was developed to collect client-level data from each of the pilot projects. "Abode Services - Ending Homelessness by Assisting Low-income, Un-housed People to Secure Stable, Supportive Housing in Alameda County, California." American Journal of Public Health; 1998; 88(11): 1651-1657. 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. itemize accountability and evaluation processes. Some of them may be long term goals, that will be achieved after treatment, hence leading to maintain progress of treatment. Departments of Housing and Urban Development and Health and Human Services. This is the date by which you expect the objective will be completed. 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. startxref Approximately 650,000 persons are served annually by HCH program grantees. HHS 2007 Homelessness Strategic Action Plan. The final report, which will consist of a collection of 12 research papers, will be available in the summer of 2007. A therapist can help children focus on the positive friendships that they do have and encourage them to build more safe friendships. 0000044163 00000 n The chapters that follow provide further elaboration on various aspects of the 2007 Plan. Funds are used by states to support a network of local community action agencies, federally and state recognized Indian tribes and tribal organizations, migrant and seasonal farm worker organizations, or private/public community-based organizations to provide a range of services and activities to assist low-income individuals, and families, including the homeless, to alleviate the causes and conditions of poverty. Goals and Objectives 1) Define Treatment Planning 2) Understanding of Correlation Between Assessment and Treatment Planning 3) Overview of Treatment Planning Process . During consultations for the plans development, the Aboriginal Standing Committee on Housing and Homelessness provided the backbone supports leading the work (Calgary Homeless Foundation). ASPE and SAMHSA have supported a 3-year evaluation of a collaboration between Health Care for the Homeless programs and community mental health agencies. Family Violence Prevention and Services Grant Program (FVPS). 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. * 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. In the Goal/Strategy column each crossed-off section indicates language from the original plan that was either reframed or deleted altogether. Finally, one of the original charges to the Work Group was to itemize accountability and evaluation processes. This called for establishing monitoring and evaluation benchmarks pertaining to chronic homelessness. It's generally treatment plan depression goals objectives chat therapy, a brand-new method of discovering how to assume, behave, as well as technique life in a positive method by recognizing and also assessing automated thoughts that can cause adverse behavior/outcomes. 2001; 116: 344-352. Each activity listed in the matrix includes information about the activity, its timeframe, and its outcome or expected outcome. %%EOF It smooths things out for everyone like clients, health providers and the insurance company. CMHSBG funds are used to carry out the plan, evaluate programs and services carried out under the plan, and for planning, administration and educational activities that relate to providing services under the plan. o Develop and distribute a primer that will help explain what medical, behavioral health, and support services that would benefit individuals who are homeless can be reimbursed by Medicaid. Additionally, utilization of the mainstream programs not only represents a significant funding stream, but also greatly expands the capacity of the Department to provide the necessary services to persons experiencing homelessness. 100% of families and individuals needing benefit acquisition assistance and job training and employment referrals. The Secretarys Work Group will continue to meet regularly. 0000005843 00000 n endstream endobj 200 0 obj <> endobj 201 0 obj <> endobj 202 0 obj <> endobj 203 0 obj <> endobj 204 0 obj <>stream SAMHSA sponsored a project to identify models of housing for adults with serious mental illnesses and co-occurring substance abuse disorders that may reduce homelessness and institutionalization and promote community living. Final report was published in March 2006 and is available at: http://www.nhchc.org/Research/RespiteRpt0306.pdf, The DASIS Report: Homeless Admissions to Substance Abuse Treatment: 2004(SAMHSA), A short report based on the SAMHSAs Drug and Alcohol Services Information System (DASIS), the primary source of national data on substance abuse treatment. 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. AmericanJournal of Public Health. 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) Other youth who may be at-risk of homelessness include youth who are aging out of foster care or exiting the juvenile justice system (Farrow et al 1992). The inclusion of at-risk populations further acknowledges that effectively preventing chronic homelessness requires the two-pronged strategy of ending the homeless cycle for those who are already homeless, and the prevention of new episodes of homelessness for those who are currently housed, but who are at risk of becoming homeless. The matrix provides Work Group members with a way to measure progress towards achieving these goals and strategies and also provides a simple measure of the level of activity within each key area of focus. Second, the Department has added a new goal that focuses exclusively on issues of data and measurement; specifically, the Departments ability to document progress in preventing, reducing, and ending homelessness for the HHS clientele. 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. 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. 2004; 83(5): 423-436. 0000002064 00000 n 0000017728 00000 n http://aspe.hhs.gov/hsp/homelessness/strategies03/index.htm. HHS work in the area of homelessness fits well with the Departments mission and priorities. <<2218947EDC32D04EA422C446FEEABC3E>]/Prev 949755/XRefStm 2207>> In early 2002, the Secretarys Work Group on Ending Chronic Homelessness was charged with designing a plan to: The strategic action plan developed by the Work Group, entitled Ending Chronic Homelessness: Strategies for Action , was released in 2003. As a result, our overall staff retention is high with management retention greater than five years. Types of housing assistance provided through the CARE Act: -- Housing referral services defined as assessment, search, placement, and advocacy services; -- Short-term or emergency housing defined as necessary to gain or maintain access to medical care; -- Housing services that include some type of medical or supportive service including, but not limited to residential substance treatment or mental health services, residential foster care, and assisted living residential services (does not include facilities classified as an institute of mental diseases under Medicaid); -- Housing services that do not provide direct medical or supportive services but are essential for an individual or family to gain or maintain access and compliance with HIV-related medical care and treatment. Evaluation will examine both client and system-level outcomes, with data collection concluding in March 2007. HHS Budget Growth- Mainstream Programs FY 2003-FY 2006, Key Research and Programmatic Activities Between 2003 - 2006. As a case plan goal and objective example, case managers who work with the homeless may have a primary objective of finding housing for clients. Transition into . 0000003102 00000 n States must agree to make available nonfederal contributions equal to not less than $1 (in cash or in kind) for each $3 of Federal funds provided in such grant. A position paper of the Society for Adolescent Medicine. 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. o Work with HHS program agencies to ensure that the Departments disaster planning efforts address the special needs of the elderly, individuals with disabilities, and other vulnerable populations affected by disasters. Strategy 4.1 Inventory data relevant to homelessness currently collected in HHS targeted and mainstream programs; including program participants housing status. homelessness or risk of eviction, and . Projects for Assistance in Transition from Homelessness(PATH). Page 1 of 3 SAMPLE Rapid ReHousing . Health Centers provide health care services as described in statute and regulation. The final strategy identifies collaboration with other Federal departments as a critical component of the Departments homelessness data activities. 677 Words. 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. 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 objectives for this goal can include, "Identify five outlets that offer free or discounted food by August 15," "Sign up 50 volunteers to cook and serve food by August 10," "Contact three homeless shelters to start outreach programs by August 1" and "Secure four facilities near where the homeless gather for cooking and serving meals by July . Territories, SSBG does not collect specific data on amounts expended on homelessness. 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. Increase employment or benefit income of homeless families and individuals. The treatment plan consists of two key parts: goals and objectives. Develop and advance a policy and funding agenda to end youth homelessness. Remember that determining the treatment plan that fits best for any given patient is a long process of trial and error, one that can involve extensive medical history screening and other processes. > Homelessness Territory has attended a Homeless Policy Academy. 1 Healthy People 2030 focuses on the prevention, screening, assessment, and treatment of mental disorders and behavioral conditions. 0000044092 00000 n You can use the Goal Setting Worksheet and the Weekly Motivator to start planning out your goals. A new 64-unit permanent supportive housing complex currently under construction is our largest housing development to date and will house up to 140 adults and children when it is completed in May 2011. For example, the Health Resources and Services Administration (HRSA) strategic plan for fiscal years 2005-2010 (http://www.hrsa.gov/about/strategicplan.htm) discusses how the agency measures its progress by monitoring a variety of performance measures that are linked to the goals and objectives set out in the strategic plan. Learn more. Persons experiencing homelessness can benefit from the types of services supported by the programs offered by the U.S. Department of Health and Human Services (HHS). The U.S. Conference of Mayors Hunger and Homelessness Survey of 23 cities (2006), report that requests for shelter from homeless families increased by 5% over the previous year, with 59% of the 23 cities reporting an increase. After detox, you will have a period of counseling. > 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 However, specific eligibility requirements to receive SCHIP benefits, as well as the type and scope of services provided, are determined by each state. It provides a basic but comprehensive picture of the numbers and characteristics of the two types of homeless assistance programs. Section 645 of the 1998 Head Start Act establishes income eligibility for participation in Head Start programs by reference to the official poverty line, adjusted annually in accordance with changes in the Consumer Price Index. Funds are allocated by formula to 50 states and the District of Columbia, Puerto Rico, Guam, American Samoa, the Virgin Islands, the Northern Marianas, and state and federally-recognized Indian tribes. 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). From its inception to the present time, the Secretarys Work Group has met regularly in order to discuss policy issues related to chronic homelessness, as well as homelessness among families and youth, review progress, and report about key activities occurring in the various operating divisions. Treatment Plan Having long-term goals and a series of short-term goals to reach the long-term goals is critical. Strategy 3.3 Examine options to expand flexibility in paying for services that respond to the needs of persons with multiple problems. 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. 0000022661 00000 n In addition, participating agencies report orally on their key activities at each meeting; meeting minutes are recorded and sent to participants. By reviewing the activities matrix, the Department can identify where opportunities to move forward exist. 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. Home visiting for young mothers enrolled in our program for emancipated foster youth. This new focus on data and measurement issues may also assist HHS homelessness programs with future Program Assessment Rating Tool (PART) reviews. Appendix A: Overview of Programs Operated by the U.S. Department of Health and Human Services That May Serve Persons Experiencing Homelessness. Coordinate diverse funding sources to maximize impact on youth homelessness. Here are some journal articles with practical guidelines and research on integrative, psychological assessment and intervention with people seeking treatment in this population: Dadlani, M.B., Overtree, C., & Perry-Jenkins, M. (2012). 0000014923 00000 n al 1998) estimate that families make up roughly 40 percent of those who become homeless. 0000004377 00000 n By January 2015, Abode Services will provide 200 units of permanent supportive housing* for homeless families and individuals (10-year goal). As such, the delivery of treatment and services to persons experiencing homelessness is included in the activities of the Department, both in five programs specifically targeted to homeless individuals and in fourteen non-targeted, or mainstream, service delivery programs. This year, we are investing in Social Solutions' Efforts to Outcomes (ETO) performance management software to fine tune our program evaluation. As the plan approached its third anniversary, the Work Group collectively reviewed the Departments progress towards achieving the goals outlined in the plan, and has concluded that significant progress has been made towards certain goals and strategies, where other goals and strategies needed additional focus. o Support state grantees to seek appropriate HHS funds to support the implementation of their Policy Academy action plans to address homelessness. Develop and construct permanent supporting housing complexes. Introduce measures to enhance service integration within and between youth-serving, homeless-serving and key public systems, including child protection, domestic violence, education, correction and health to implement the plan. 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. However, barriers to accessing mainstream programs often hinder the engagement of some persons experiencing homelessness (such as a lack of a permanent, fixed address), and a lack of knowledge about engaging persons experiencing homelessness commonly exists within the broader mainstream service provider community. Additionally, the new Goal 4 (which will be discussed in more detail below) also takes a broader approach and applies to the whole of the HHS clientele, including individuals and families. 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. 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. endstream endobj 238 0 obj <>/Size 193/Type/XRef>>stream An Environment for Change. <<657B2EFBF6C0094B9BFB4AD0FEE23BD3>]>> Toll Free Call Center: 1-877-696-6775, Content created by Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health & Human Services, http://www.hrsa.gov/about/strategicplan.htm, http://www.hhs.gov/od/archive_webcasts.html, http://aspe.hhs.gov/hsp/05/discharge-planning/index.htm, http://www.acf.hhs.gov/programs/fysb/content/youthdivision/programs/bcpfactsheet.htm, http://www.acf.hhs.gov/programs/fysb/content/youthdivision/programs/tlpfactsheet.htm, http://www.acf.hhs.gov/programs/fysb/content/youthdivision/programs/sopfactsheet.htm, http://www.nhchc.org/Research/RespiteRpt0306.pdf, http://aspe.hhs.gov/daltcp/Reports/handbook.pdf, http://www.prainc.com/SOAR/training/manual/SteppingStonesMan.pdf, http://www.nhchc.org/Publications/HIVguide52703.pdf, ftp://ftp.hrsa.gov/hab/housingmanualjune.pdf, Grants for the Benefit of Homeless Individuals, Maternal & Child Health Services Block Grant, Strategy 2.6 Explore opportunities with federal partners to develop joint initiatives related to homelessness, including chronic homelessness and homelessness as a result of a disaster, Substance Abuse and Mental HealthServices Administration. 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. 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. 0000001489 00000 n 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. 0000116542 00000 n Polish the document until treatment plans are reading for launching soon. 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. The National Learning Meeting, held in October of 2005, was the capstone meeting of the first seven Homeless Policy Academies. 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). 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. progress) when existing goals/objectives are met and if the client's condition changes (at a minimum, annually). Home - Office of Supportive Housing - County of Santa Clara Metraux, Stephen, Dennis P. Culhane, Stacy Raphael, Matthew White, Carol Pearson, Eric Hirsch, Patricia Ferrell, Steve Rice, Barbara Ritter, & J. Stephen Cleghorn. SMART TREATMENT PLANNING Diagnosis: Depressive Disorder (and Bipolar depressed) Goal: Resolution of depressive symptoms Objectives: Patient will contract for safety with staff at least once per shift Patient will identify two coping skills related to (specific stressor) Patient will report at least six hours of restful sleep each night Captured information about youth is used effectively in research and initiatives, including homeless counts and HMIS/HIFIS. Maintain housing: Homeless Youth: Research, Intervention, and Policy. 0000174588 00000 n To end Aboriginal homelessness and other housing issues while understanding cultural competencies and ensuring cultural sensitivities through collaborative community efforts and awareness of cultural identity; maintain safe and culturally appropriate housing allows for not just purchasing, but renting and maintenance as well; Expand and support existing organizations and agencies that provide housing to homeless Aboriginal youth and children; Centralize the intake system to ensure Aboriginal identification is captured and utilized; Establish Aboriginal transition/halfway houses/group homes for Aboriginal youth leaving institutions, like ILS home or Wellington House, when leaving foster care, CYOC, hospitals, etc. Strategy 2.5 Foster coordination across HHS to address the multiple problems of individuals and families experiencing homelessness. Recognizing that data on homeless families is not as robust as data available on single adults, this project aims to identify opportunities and strategies to improve data about homeless families upon which future policy and program decisions may be based by investigating the availability of data with which to construct a typology of homeless families. This reassessment should happen at least weekly. 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. 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