COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
COSIG CONFERENCE BROCHURE.pdf - Drexel University College ... COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
esponsibility shared with consumers and one that requires coordination and negotiation of mutual roles of mental health authorities, public assistance and housing authorities, and the private sector. Provision of Services Necessary supports, including case management, on-site crisis interventions, and rehabilitation services, should be available at appropriate levels and for as long as needed by persons with psychiatric disabilities regardless of their choices of living arrangements. Services should be flexible, individualized and promote respect and dignity. Advocacy, community education and resource development should be continuous. Need – to provide an array of housing opportunities to individuals with mental illness in their own communities, through application of flexible and creative housing strategies. Many Counties have developed local housing options over the past 10 years which are designed to meet local needs, using local resources. Those housing options have included working closely with housing authorities to obtain public housing units and section 8 program vouchers; and there are other models of supported housing that have worked well in parts of the state. In many Counties part of the MH County allocation goes to fund supported housing models that involve rent subsidies, in which the provider agency rents an apartment and sub-lets to eligible MH consumers; or the rent subsidy directly supports consumers in lease based landlord tenant rental options. Staff can be available on-site in a flexible delivery model, where staff interactions with tenants can vary both in intensity and frequency, based on need. The supported living model still requires state money, through County MH allocations to partially support the housing costs of the consumer; and some of the same problems occur when the consumer is ready for a more independent living situation, but still requires a housing rental subsidy. The successful development of good local housing options can translate into a practice or process that has the overt support of the state and which is portable to other counties. What is needed is a new statewide focus on effectively utilizing available resources, with an eye towards creating flexible service delivery models offering consumers a choice through a coordinated continuum of local housing options, which in the long run will move the state more into the business of offering treatment and less into the business of funding housing. • Ideally, a new focus would promote the concept that persons leaving state hospitals and persons in the community with SMI who are in need of should have secure housing of their own, which is affordable, decent, and permanent; a place that can be called home. Agencies that are funded to provide housing and rent support to low income individuals should be utilized to the fullest extent possible to meet the housing needs of MH consumers. 5
• A new construct recognizes housing as a necessity which should not be available based on whether persons are compliant with treatment and medication plans; but that the housing is still their own, unaffected by treatment expectations. The inherent risks involved with consumer housing choice are consistent with current practices and philosophy of the recovery model. • Some consumers may continue to need residential support services that require staff to be present at various times in their homes during certain periods of the day, to insure that recovery continues, and that the skills necessary to function independently in the community are developed or rediscovered. New service delivery systems should be developed for support staff to go to the consumer at his or her residence, rather than forcing the consumer to reside in the treatment or rehab site of the support staff. • Some CRRS and LTSR’s should be revitalized and used as originally intended, for short term intensive community re-habilitation, after which the consumer moves into permanent housing of his choice in the community. • Most of the rest of the CRRS should be phased out via a strategic planning process; the housing component should be separated, and the money spent on the CRRS should be used to develop treatment and rehabilitative services that are recovery oriented evidence based practices and which support consumer choice housing. The CRRS and LTSR’s must become options in a local continuum, rather than the primary or only choice for housing consumers. What advantages would this change in focus have? • It gives the consumer the choice of where to live; with whom to live, (if anyone); and how independent to be. Housing options could include renting an apartment; renting a room; sharing the rent on an apartment; owning a home, buying a home with friends; living with friends or relatives, living in a room and board facility; or in domiciliary care. • Housing authority programs funded by HUD are designed to meet the needs of persons with low income, and offer housing options which include living in public housing units; in private rental units available to the general public, aided by a section 8 housing rental subsidy; and in subsidized supported living arrangements. It is probable that the housing costs associated with residential treatment services could be funded by local housing authorities for a portion of the consumers served by the OMHSAS, who need housing in the community and can qualify for housing support under HUD guidelines. • If supportive services are not bundled with housing, new and creative community support models can be created. Staffing of the current residential components of traditional CRRS can be converted to mobile psych rehab or mobile medication support, or to mobile housing support services, provided in the consumer’s home 6
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• A new construct recognizes housing as a necessity which should not be available<br />
based on whether persons are compliant with treatment and medication plans; but<br />
that the housing is still their own, unaffected by treatment expectations. The<br />
inherent risks involved with consumer housing choice are consistent with current<br />
practices and philosophy of the recovery model.<br />
• Some consumers may continue to need residential support services that require<br />
staff to be present at various times in their homes during certain periods of the<br />
day, to insure that recovery continues, and that the skills necessary to function<br />
independently in the community are developed or rediscovered. New service<br />
delivery systems should be developed for support staff to go to the consumer<br />
at his or her residence, rather than forcing the consumer to reside in the<br />
treatment or rehab site of the support staff.<br />
• Some CRRS and LTSR’s should be revitalized and used as originally intended,<br />
for short term intensive community re-habilitation, after which the consumer<br />
moves into permanent housing of his choice in the community.<br />
• Most of the rest of the CRRS should be phased out via a strategic planning<br />
process; the housing component should be separated, and the money spent<br />
on the CRRS should be used to develop treatment and rehabilitative services<br />
that are recovery oriented evidence based practices and which support<br />
consumer choice housing. The CRRS and LTSR’s must become options in a<br />
local continuum, rather than the primary or only choice for housing consumers.<br />
What advantages would this change in focus have?<br />
• It gives the consumer the choice of where to live; with whom to live, (if anyone);<br />
and how independent to be. Housing options could include renting an apartment;<br />
renting a room; sharing the rent on an apartment; owning a home, buying a home<br />
with friends; living with friends or relatives, living in a room and board facility;<br />
or in domiciliary care.<br />
• Housing authority programs funded by HUD are designed to meet the needs of<br />
persons with low income, and offer housing options which include living in<br />
public housing units; in private rental units available to the general public, aided<br />
by a section 8 housing rental subsidy; and in subsidized supported living<br />
arrangements. It is probable that the housing costs associated with residential<br />
treatment services could be funded by local housing authorities for a portion of<br />
the consumers served by the OMHSAS, who need housing in the community and<br />
can qualify for housing support under HUD guidelines.<br />
• If supportive services are not bundled with housing, new and creative community<br />
support models can be created. Staffing of the current residential components of<br />
traditional CRRS can be converted to mobile psych rehab or mobile medication<br />
support, or to mobile housing support services, provided in the consumer’s home<br />
6