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 al 1998) estimate that families make up roughly 40 percent of those who become homeless. Section 401 of the Act sets forth the following four TANF purposes: (1) provide assistance to needy families so that children may be cared for in their own homes or in the homes of relatives; (2) end the dependence of needy parents on government benefits by promoting job preparation, work, and marriage; (3) prevent and reduce the incidence of out-of-wedlock pregnancies and establish annual numerical goals for preventing and reducing the incidence of these pregnancies; and (4) encourage the formation and maintenance of two-parent families. 0000086168 00000 n Maternal and Child Health Services Block Grant (MCHBG). 0000174308 00000 n 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). In considering the direction of the 2007 Strategic Action Plan, two documents in particular were reviewed carefully: the final report of the National Learning Meeting and the activities matrix of the Secretarys Work Group. All States, Territories, and a Native American Consortium (total of 57) are funded under the Protection & Advocacy for Individuals with Developmental Disabilities (PADD) program that requires the governor to designate a system in the State to empower, protect, and advocate on behalf of persons with developmental disabilities. It is assumed throughout this document that no strategies, or activities, will be implemented without seeking and attaining all relevant legislative and/or regulatory changes needed to ensure that all programs within HHS continue to operate within their given authority and mission. 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. 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. Territories, CSBG does not collect specific data on amounts expended on homelessness. Here are some governmental guidelines to frame questions and formulate an action plan. As a flexible block grant to states, states are not required to report data related to homelessness. 0000014923 00000 n According to the latest available data, state-funded community based agencies used FY 2003 allocations to provide PATH eligible services to 86,000 enrolled persons. Families seeking government child support services must apply directly through their state/local agency or one of the tribes running the program. Predictors of Homelessness Among Families in New York City: From Shelter Request to Housing Stability. HHS Programs That Serve Individuals, Youth, and Families Experiencing Homelessness. 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. 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. The chapter also provides, under each strategy, a few examples of possible activities the Department could implement in order to fulfill a given strategy. Visit our Research Matters blog for weekly posts from the homelessness sector here. Homeless prevention activities should be reported under the decent housing objective, since the goal of most prevention activities is to help individuals or families preserve their housing and/or make it more affordable while the individual or family is experiencing a temporary crisis. The objective of goal one was to expand the capacity of HHS programs to assist persons experiencing chronic homelessness. o Encourage mainstream programs that support outreach and case management to identify individuals and families experiencing homelessness as potentially eligible candidates for these services. Family Violence Prevention and Services Grant Program (FVPS). 0000036486 00000 n The State Childrens Health Insurance Program, operated by the Centers for Medicare and Medicaid Services (CMS), is a partnership between the Federal and State Governments that provides health coverage to uninsured children whose families earn too much to qualify for Medicaid, but too little to afford private coverage. In FY 2005, Medicaid provided coverage to more than 44.7 million individuals including 21.7 children, the aged, blind and/or disabled, and people who are eligible to receive federally assisted income maintenance payment. 2003 Strategic Action Plan Goal 1: Help eligible, chronically homeless individuals receive health and social services. The goals outlined within the strategic action plan provided a course of action for the Department to follow in order to improve access to needed health and social services for individuals experiencing chronic homelessness, empower states to improve their response to individuals experiencing chronic homelessness, and to prevent future episodes of homelessness within HHS clientele. As 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. 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). However, in order to maintain chronic homelessness as a priority, the Work Group highlights chronic homelessness in a few different strategies in the new framework. 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. Activities include: evaluation, monitoring, planning, policy development, quality assurance, training and research. Health and health needs of homeless and runaway youth. The new goal (Goal 4) was established to develop an approach to track Departmental progress in preventing, reducing, and ending homelessness for HHS clientele. 0000029120 00000 n Fees are discounted or adjusted based upon the patients income and family size from current Federal Poverty Guidelines. Washington DC. This report highlights efforts of many States to use Federal Block Grant funds for mental health and substance abuse services to provide more effective care for people who are homeless. 0000066650 00000 n There is no standard but what is key is that you have a way of differentiating between the two and ensuring that your shorter term activities feed into larger priorities. Introduce independent housing options for youth, including adaptations of the Housing First approach. Receive the latest updates from the Secretary, Blogs, and News Releases. Programs and activities include: (1) substance abuse treatment; (2) mental health services; (3) immediate entry to treatment; (4) wrap-around services; (5) outreach services; (6) screening and diagnostic treatment services; (7) staff training; (8) case management services; (9) supportive and supervisory services in outpatient and residential settings; and (10) referrals for primary health services, job training, educational services, and relevant housing services. 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. Evaluation of the Collaborative Initiative to Help End Chronic Homelessness (ASPE). Report is available at http://oas.samhsa.gov/2k6/homeless/homeless.pdf, Adapting Your Practice: Treatment and Recommendations for Homeless Patients with HIV/AIDS Pocket Guidebook (HRSA), This condensed pocket guidebook on adapting clinical guidelines for homeless clients with HIV/AIDS was a project of the HIV/AIDS Bureau Homelessness and Housing Workgroup in revising the original manual, Adapting Your Practice: Treatment and Recommendations for Homeless Patients with HIV/AIDS (2003), developed by the Health Care for the Homeless (HCH) Clinicians Network. 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