On Target

Continue to support and strengthen outreach, engagement, and case management

Homeless Plan 2022
Description

The Homeless Outreach and Medical Engagement (HOME) team officially launched on June 26th, 2019. This innovative team provides outreach and engagement, intensive case management and medical services to 80 highly vulnerable homeless residents per year. The team will utilize the Coordinated Entry System to identify participants and identify and extend case management and supportive services to individuals who, for a variety of reasons, are not currently engaged in services.

Progress Update

Q3 updates: 

  • Launched Enhanced Care Management (ECM) team to improve connectivity to Nevada County Behavioral Health (NCBH) treatment. Team is fully staffed and active. 
  • Worked with Hospitality House to establish workflows and roles and responsibilities between existing Hospitality House staff and newly formed Nevada County Behavioral Health ECM staff. 
  • Recently launched a grant funded program that added 2 peers to the Nevada County Behavioral Health (NCBH) system of care to enhance case management capacity.he peer specialist role on the ECM team was redefined to have a renewed focus on outreach to individuals experiencing homelessness. 
  • Conducted Justice and Mental Health Collaboration meetings to improve screening and referral processes and continued to incorporate therapists and case managers into Probation, the Public Defender's Office, the jail, and in Hospitality House to expand embedded outreach and engagement. 
  • Critical Time Intervention (CTI) training is scheduled for ECM HOME Team in October. CTI is being used as the case management framework by the newly developed NCBH ECM Team. 
Next Steps

Priorities for next quarter: 

  • Explore automated ways to source and track referrals from jail to treatment partners based on universal screening tools.
Collaborators
KG
 		Kimberlee Green (Child Support)
PK
 		Priya Kannall (HHSA)
BP
 		Brendan Phillips (HHSA)
Measures
  • On Target
    HOME Team
    Homeless Plan 2022
  • On Target
    Built for Zero and Functional Zero
    Homeless Plan 2022
Milestones
  • On Target
    Strengthen case management practices by training HOME team members and relevant CoC stakeholders in Critical Time Intervention (CTI) and continue to use Housing Resource Team (HRT) meetings to facilitate weekly use of CTI navigation strategies to expedite linkage to services.
    Homeless Plan 2022  |  1/1/21 - 12/31/22
  • Caution
    Connect the justice system to HMIS, Coordinated Entry and the HRT meetings.
    Homeless Plan 2022  |  1/1/22 - 5/30/24
  • On Target
    Implement Nevada County Behavioral Health CalAIM Enhanced Care Management (ECM) team to serve individuals experiencing homelessness with mental illness and/or substance use disorder.
    Homeless Plan 2022  |  1/1/22 - 6/30/24
  • On Target
    Increase use of peers within the system of care to improve quality and quantity of care and case management capacity
    Homeless Plan 2022  |  1/1/22 - 6/30/24
  • On Target
    Strengthen the outreach system in partnership and collaboration with expanded outreach capacity at Hospitality House and Sierra Roots.
    Homeless Plan 2022  |  1/1/22 - 5/30/24
Objectives
  • Not Defined
    Homelessness
    Board of Supervisors 2021
  • On Target
    Homelessness
    Board of Supervisors 2022
  • On Target
    Provide Outreach and Supportive Services
    Homeless Plan 2022
Owner
PB
 		Phebe Bell (Behavioral Health)