hTP=o [uZu^Pv"52hFwgKyQ0=&KX \qr #,%1@2K nN%{~g (G/:W9lAV%j o Develop targeted interventions preventing chronic homelessness specifically for use in HHS programs that are serving currently homeless persons, such as PATH, Treatment for Homeless grantees, and Health Care for the Homeless programs. For many people, the first part of treatment involves detox. Goals: *I make this section objective. 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/. Services provided include primary health care, substance abuse, mental health, and oral health services; extensive outreach and engagement; extensive case management services; and assistance with accessing public benefits, housing, job training, etc. 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. Homeless Youth: Research, Intervention, and Policy. The fourth chapter provides an overview of progress made by the Department towards achieving the goals outlined in the 2003 Plan. Current research indicates that homeless families are more similar to poor housed families than to single homeless individuals (Burt, et al 1999; Bassuk et al 1996). In order to improve the accessibility and take advantage of the funding and capacity available within the mainstream programs, the Department has engaged in a range of strategies to increase access to mainstream resources for persons experiencing homelessness. 0000002951 00000 n Street outreach programs must have access to local emergency shelter space that is an appropriate placement for young people and that can be made available for youth willing to come in off the streets. objective. Services are provided without regard for a persons ability to pay. 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 N.p., n.d. (1998). Provide technical assistance to agencies in preparation of applications for program funding. In FY 2004, the most recent data available, states reported spending $111 million on self-sufficiency services, including education/training, employment services, family planning services, independent/transitional living for adults, pregnancy and parenting, and substance abuse services. The admissions who were homeless comprised 13% of all admissions for which living arrangements were recorded; an increase from 10% TEDS admissions reported to be homeless in 2000. While these studies each examine the experiences of homeless families in only one city, and therefore are not nationally representative, the studies report similar results. 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. who have a history of opioid misuse. Outcome objectives Louis received the California Wellness Foundation Sabbatical Program's Leadership Award in 2006. The final report from this project will be available in the Spring of 2007. Tasks such as assessment and planning are described, providing the case manager specific information about case management within the HPRP program. 0000035340 00000 n As a flexible block grant awarded to states and U.S. 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. A Way Home: Youth Homelessness Community Planning Toolkit, Roadmap for Preventing Youth Homelessness, Cost Effectiveness of Ending Homelessness, Strategies to Strengthen Homeless Service Integration, Wrap-around Delivery and Other Team-based Models, Considerations for Regionalized Approaches, Considerations for Engagement with Indigenous People, Developing Targets and Performance Indicators, Appendix A: Ontarios Housing and Homelessness System, Undertaking homelessness as a topic in your classroom, Supporting communities to prevent and end homelessness, Homelessness Learning Hub: Practical, relevant, trusted professional development. Much of the data we collect is recorded and tracked using Alameda County's Homeless Information Management System (HMIS), an integrated countywide database that tracks homeless housing and service outcomes in the region. The chapters that follow provide further elaboration on various aspects of the 2007 Plan. The authorizing legislation does not, however, specify homeless services and current policy does not encourage set-asides for specific populations. This document was developed in 2003 by the HHS Secretarys Work Group on Ending Chronic Homelessness to outline a series of goal and strategies that would align the Departments effort towards the goal of ending chronic homelessness. 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; According to our CY 2004 CARE Act Data Report (CADR), of the 2,467 providers responding to the question whether they delivered services to special target populations, 1,184 providers indicated that they provided services to persons experiencing homelessness. 0000028353 00000 n The final strategy identifies collaboration with other Federal departments as a critical component of the Departments homelessness data activities. 1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs (ASPE) As of October 2006, there were 91 active GBHI grants. Since 2003, the Department has worked in partnership with the states, other federal Departments, and the U.S. Interagency Council on Homelessness to advance the goals outlined in the strategic action plan. 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. Short-Term Prevention or Rapid Re-HousingPlan. 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). In the Goal/Strategy column each crossed-off section indicates language from the original plan that was either reframed or deleted altogether. While goals encompass general statements about what patients . 0000013113 00000 n 0000098355 00000 n Findings from the research literature show that families are a significant subgroup that warrants specific attention and interventions that may differ from those that are successful in serving homeless individuals. These changes address the following issues: In addition to broadening the plan to address homelessness experienced by families with children, the new plan also incorporates populations who areat-risk of homelessness. The purpose of this appendix is to demonstrate how the goals and strategies from the original strategic action plan evolved into the new, revised framework. In general, the strategies under Goal 2 (to empower our state and community partners to improve their response to individuals and families experiencing homelessness) are related to this second phase of the Homeless Policy Academies. This strategic action plan serves as the next iteration of the strategic action plan released in 2003, Ending Chronic Homelessness: Strategies for Action, which outlined the Departments strategy for contributing to the Administration goal of ending chronic homelessness. 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). Medications . 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 Community Mental Health Services Block Grant(CMHSBG), operated by the Substance Abuse and Mental Health Services Administration (SAMHSA), is a formula grant to states and territories for providing mental health services to people with serious mental illnesses. The SSBG allows states flexibility in their use of funds for a range of services, depending on state and local priorities. In the case of recommended actions, you can also consider having a separate strategy on Indigenous youth, for instance, or integrate the focus throughout the goals. Temporary Assistance for Needy Families (TANF). Collective vision and guiding principles. 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. The program works to establish and build relationships between street youth and program outreach staff in order to help youth leave the streets. Logic models are a useful tool that can help you do this. Case managers face a wide range of objectives and rely on various methods to measure their effectiveness. The Social Services Block Grant (SSBG) operated by the Administration for Children and Families (ACF) assists states in delivering social services directed toward the needs of children and adults. For at-risk families, common benefits include counseling, housing referrals, assistance for past due utility bills, and assistance for arrearages in rent or mortgage payments. HHS Budget Growth- Targeted Homelessness Programs FY 2003-FY2006. By January 2015, Abode Services will provide 200 units of permanent. 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. As a flexible block grant awarded to states and U.S. Funds are allocated to the states on the basis of population. o Continue to maintain jointly-funded collaborations to support state and community partners to implement their homeless Policy Academy action plans (e.g., SOAR Training Initiative, jointly funded HRSA Policy Academy contract, jointly funded SAMHSA Policy Academy Technical Assistance contract, jointly funded ACF Homeless Families Policy Academies). 0000035936 00000 n 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. 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. 0000086376 00000 n 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. Not more than 20 percent of the payment may be expended for housing services. Continue to enforce parkland dedication requirements, and . Five Policy Academies focused on chronic homelessness, and in response to demand, the remaining four Academies focused on homeless families with children. improve access to treatments and services; improve coordination across these services; identify strategies to prevent additional episodes of chronic homelessness; and. <<2218947EDC32D04EA422C446FEEABC3E>]/Prev 949755/XRefStm 2207>> 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. 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). 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. The Secretarys Work Group will continue to meet regularly. al 1998) estimate that families make up roughly 40 percent of those who become homeless. While permanent housing is the ultimate goal, intermediate objectives may be necessary. Additionally, homeless heads of household tend to be younger and tend to have younger children than their housed counterparts (Shinn et al 1998; Webb et all 2003). 0000067458 00000 n 0000073339 00000 n Captured information about youth is used effectively in research and initiatives, including homeless counts and HMIS/HIFIS. 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. He holds a Masters of Social Work from California State University, Sacramento and a Masters in Theology from Seattle University. 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 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. TABLE 6.1 Quantified Objectives: January 1, 2014- September 30, 2021 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. 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. 0000029233 00000 n 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. Long-term goals: Management of depressive symptoms including an increase in ability to choose and utilize coping skills. 1992; 13(8): 717-726. The purpose of the Health Care for the Homeless (HCH) program operated by the Health Resources and Services Administration (HRSA) is to provide primary health care, substance abuse treatment, emergency care with referrals to hospitals for in-patient care services and/or other needed services, and outreach services to assist difficult-to-reach homeless persons in accessing care, and provide assistance in establishing eligibility for entitlement programs and housing. Strategy 4.2 Develop an approach for establishing baseline data on the number of homeless individuals and families served in HHS programs. Revise and enhance the role of youth-specific and adult shelters and transitional housing in ending youth homelessness. This new strategy was added to the Plan to emphasize the importance of preventing first-time homelessness for at-risk populations (i.e. It is a child-focused program with the overall goal of increasing the school readiness of young children in low-income families. 0 0000000016 00000 n HHS Programs That Serve Individuals, Youth, and Families Experiencing Homelessness. A special meeting of the Secretarys Work Group was held in September 2005 on this topic. 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. 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