1 Strategies for Serving the Chronically Homeless …
Post on 12-Jan-2016
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Strategies for Serving the Chronically Homeless
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Citrus Health Network
Federally Qualified Health CenterPharmacyMedical Home
Case ManagementPsychiatric Model
Out-Patient ServicesCrisis UnitSTAR
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Origin & Expansion of Housing Model
Citrus began the first HUD funded “low demand” residence in Miami Dade County in 1992 targeting chronically mentally ill homelessSafe Haven & Drop-In CenterShelter Plus CareSpecialized OutreachJail DiversionHousing FirstCase Rate
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Low Demand Housing
In 1992, Citrus opened a transitional housing program which served psychiatrically disabled homeless persons with co-occurring chemical dependencies.
Designed to engage single, adults who refuse mainstream homeless programs, we had few rules
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Safe Haven
Single bedroom design intended to engage homeless persons suffering from severe mental illnesses.
Designed to engage single, adults who refuse mainstream homeless programs, we had few rules
85% successful out-placements
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Safe Haven
Outreach
Drop-In Center
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S+C
•Approximately 300 Independent living units
intended for formerly homeless, disabled
adults and families
•Miami-Dade Housing Agency: Rent subsidy
only
•Match requirement
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Coordinated Outreach
Philadelphia Model
Chronic Homeless focus
Census 180 from 400, annually 400-600 (40% success rate)
SOAR
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Relationship Based Care Philosophy
Relationship Based Care uses the empathy, respect and connectedness that are inherent in healthy relationships to engage individuals in therapeutic activities and empower them to take responsibility for their lives
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Relationship Based CareEngagement Phase
May require multiple contacts & outreach in their environment
Motivational Interviewing a MET technique (Role play with the staff)
Encouraging Voluntary acceptance of servicesPersonal freedom & choice
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Jail Diversion
Miami-Dade County initiative geared at diverting mentally ill individuals away from incarceration and into community-based treatment programs.
Scattered Site, Transitional Housing
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Jail Diversion
Outcomes published in Psychiatric Services,
June 2009 ed.
151 individuals served by Citrus over three
years, compared to control group
Citrus clients had statistically significant
reduction in criminal recidivism
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Housing First
Pathways to Housing visit
Designed to engage chronic homeless adults who refuse existing, mainstream housing resources
ACT staffing model
97% retention rate
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Case Rate
Menu of housing choices
Clients can move between models
Payment structure is designed to reward performance
Food and Beverage Tax
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