On Target

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

Homeless Plan 2023

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

Q4-22

Q4 updates:

  • Critical Time Intervention (CTI) training completed for ECM HOME Team in October. CTI is being used as the case management framework by the newly developed NCBH ECM Team. For 2023 Q1 we anticipate 121 clients with care management plans.
  • The position of Forensic Liaison has been filled and is fully operational providing clients leaving incarceration with resources and housing support upon re-entry into the community. The team continues to conduct Justice and Mental Health Collaboration meetings, including the support of the Enhanced Case Management team to support vulnerable individuals who are justice involved.

  • ECM Team has enrolled 105 participants since implementation in the last quarter. We have 5 staff members hired for the team including a clinical consultant, peer support staff member, and lead care managers.
  • Nevada County Behavioral Health (NCBH) has hired 2 peers and they are working in the system of care to enhance case management capacity.
  • Worked with Hospitality House to establish workflows and roles and responsibilities between existing Hospitality House staff and newly formed Nevada County Behavioral Health Enhanced Care Management staff. We have standing meetings between behavioral health ECM team, hospitality house, and law enforcement .

Next Steps

Q4-22
  • Explore automated ways to source and track referrals from jail to treatment partners based on universal screening tools.
  • Stand up a Post Hosing Support Team to provide more comprehensive post housing supports for longer periods of time to keep people from returning to homeless
  • Authentically Engage people experiencing homelessness in the process of developing operations and service needs at the new resource center to ensure that the people who use the the space and services are involved in an advisory capacity.

Collaborators

KG
Kimberlee Green (Child Support)
PK
Priya Kannall (HHSA)
BP
Brendan Phillips (HHSA)