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HOPWA Housing Plans

HOPWA Housing Plans

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HOPWA Housing Plans

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  1. HOPWA Housing Plans

  2. What is a Comprehensive Housing Plan? • It is a tool for case managers and clients to outline and manage housing and supportive services needs and goals to achieve housing stability.

  3. What is the purpose of the Comprehensive Housing Plan? • To help HOPWA clients achieve housing stability without long-term dependence on HOPWA assistance and improve clients’ access to medical care and supportive services associated with HIV/AIDS.

  4. Is a Comprehensive Housing Plan required for all HOPWA clients? • Yes. All clients receiving HOPWA TRBA, STRMU, Permanent Housing Placement and Supportive Services must have a Comprehensive Housing Plan at enrollment.

  5. What should case managers put in the Comprehensive Housing Plan? • Issues that led to housing instability and dates assessed • For STRMU, the emergency situation that led to the request for assistance and evidence of that emergency • Action steps to be taken to address housing issues and the dates these were completed • Referrals offered to client and document referrals utilized by client

  6. Key Components of Housing Plan • Determine housing needs • Identify eligibility for other housing assistance • Supportive services needs to maintain housing stability • Eligibility for mainstream assistance • Client sets goals for housing and independence.

  7. Plan Development • Developed jointly by client/case manager • Client develops own goals and commits to accomplishing them • CM confers with other providers • Plan is updated on regular basis or when client’s condition/needs change

  8. How Plan Assists HOPWA STRMU • Creates a framework for addressing “conditions” that gave rise to short-term need • Establishes time frame to achieve stability within 21 week assistance period • Allows time to plan for and arrange longer term housing, if needed • Can avoid repeated 21 week cycles of assistance

  9. How Plan Assists HOPWA TBRA • Assure that supportive service needs are met • Identify any resources, skill deficits or service needs that could lead to lack of housing stability • Mainstream rental assistance opportunities for long-term support • Develop strategies to avoid perpetual dependence on HOPWA rental assistance

  10. Goal Setting/Housing Planning • Housing Preferences • Unit Size • Location • Tenure (lease/own)

  11. Housing Stability Related Goals Income • Earned income goals • Benefits sought Education/Skills goals • Degree related • Job Training

  12. Supportive Service Required • Access to primary health care • Behavioral health needs • Mental Health • Substance Abuse • Child Care/Support Needs

  13. Goal Setting • Client establishes goals for : • Housing to be obtained • Income/Employment • Independent living skills • Mental health/substance abuse treatment • Family connections

  14. Plan for Achieving Goals • Key Elements • Time Frame • Specific outcome to achieve • Support needed to achieve goal • Tasks to be accomplished by client and case manager

  15. Role of the Case Manager • Identify assistance needed to accomplish plan • Skills deficits • Budgeting support • Negotiation health care of behavioral health • Encourage clients to develop future oriented goals

  16. Evaluation and Plan Updating • Purpose • Identify changes in circumstances that could impact plan • Health status • Family composition • Income/employment • Behavioral health needs • Amended plan also includes time frames and client/CM responsibilities

  17. Intervals for Updating Plan • If receiving time limited HOPWA services such as STRMU, whenever client applies for assistance • Otherwise, for clients receiving TBRA, plan should be updated when you talk to client.

  18. Stages in Developing Housing Services Plan • Engagement • Assessment • Goal Setting and Housing Planning • Evaluation and Plan Updating

  19. Engagement • Establishing clear communications • Active listening • Non-judgmental • Meeting client where they are • Capitalize on interest in housing : provide information, encourage client to make the choice • Will require multiple encounters to develop working relationship • Change the client’s role from passive to active

  20. Assessment - 1 • Housing Needs • Currently homeless • Cannot afford current housing • Inappropriate or sub-standard housing • Not accessible or presenting other health related problems

  21. Assessment - 2 • Issues that could impact ability to be housed • Criminal justice background • Prior offenses • Currently on parole/probation • Credit problems • Poor credit history • Bankruptcy

  22. Assessment – 3 • Other issues related to housing instability • Co-Occurring disorders • Mental health issues • Connection to care/services • Able to manage care • Able to manage symptoms

  23. Assessment - 4 • Other issues (continued) • Substance use/abuse • Use history • Awareness of relapse patterns • Treatment history • Interest in treatment/sobriety

  24. Assessment - 5 • Other issues • Illness/disabilities • HIV confidentiality • Special housing needs related to disability • Equipment/furnishings • Live-in personal care attendant • Location requirements related to accessing health care/services

  25. Assessment - 6 • Family or Social Network • Positive contributions • Counter loneliness • Financial support • Other assistance • Negative contributions • Drug use • Violence • Anti-social behavior

  26. Assessment - 7 • Daily living skills and resources for housing stability • Self care • Transportation • Maintaining an apartment • Financial literacy • Managing nutrition

  27. Assessment – 8 • Income and access to benefits • Source of income • Receiving any benefits • Eligible for any mainstream programs • Expect to receive benefits in the future

  28. Assessment – 9 • Family and social supports • Connections to family • Other significant people

  29. Assessment – 10 • Employment • Work history • Currently employed? • Skills/education for potential employment • Prior job training experience

  30. Goal Setting and Housing Planning • Use the assessment items to set goals • Include assessment items and goals in housing plan

  31. If a client does not comply with the Comprehensive Housing Plan? • Case managers should make a good faith effort to achieve client’s compliance and all efforts should be documented in the CHP. • The agency should have a termination policy and procedures that establish concrete requirements and procedure if a client is non-compliant with the CHP. • Termination of clients must comply with Section 14 of the HOPWA Manual and must be implemented in a uniform manner.

  32. Evaluation and Plan Updating • Review housing plan and client’s progress • Review clients’ CHP at each contact with the client, assessing the current housing situation and update the CHP accordingly • Document all activities and efforts