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MH Home > Housing & Support Services Work Group > Minutes December 04, 2006

Office of Adult Mental Health Services - Housing & Support Services Work Group

Notes: Monday 12/4/2006  Housing Workgroup

In Microsoft Word*    In Adobe PDF*

General Discussion Topics:

I. Meeting focus on adding/dropping services from 1x/week to 24/7 within a recovery based model:

  1. Section 97
    1. Adding PNMI beds currently requires prior negotiation w/state program and fiscal officers
    2. Driven by medical necessity
  2. Section 17
    1. Services currently limited to 16hrs of support per day. Additional support requires either grant funds or inclusion into a higher level of care which currently may or may not necessitate a move.
    2. Driven by medical necessity
  3. Brief discussion of other models of housing and services
    1. Adult Foster Care and VT model funded via HCBS Waiver
    2. Housing First
  4. Discussion of the need for a Housing/Service Coordinator position or MH Superintendent
    1. Duties would consist of being on-call or on site for support as needed--someone to talk to.
    2. Not necessarily a clinically based/driven position or service
    3. Consider existing Service Coordinator models that exist in HUD 202 programs

II. Discussion of necessity to specifically identify terms as we discuss housing and service types—need to create glossary or taxonomy to include:

  1. Housing Options (not an inclusive list)
    1. Transitional
    2. Permanent
    3. Group Home
    4. Boarding Home
    5. Congregate Living
    6. Apartment
  2. Current Ser vice Options (not an inclusive list)
    1. Section 97
    2. Section 17
    3. Grant/State Funds

Addendum: Discussion on future of Adult Mental Health housing & service types

III. 1601 Residential Tx Facility—define based on intensity of services not physical plant configuration.

  1. Include a category of specialized services such as: TBI, Criminal Justice, Co-Occurring, Co-morbidity, Trauma Informed, Aging…
  2. Include another category for a generic service delivery environment—not specialized
    1. Currently funded via PNMI
    2. Services linked ‘fixed’ with housing.
    3. Housing configuration may include: typically group or congregate living arrangements, however may include other options such as independent apartments
    4. Intensive level of credentialed staff, ie. Psychiatric nurse, co-occurring medical, psychiatry service available.
    5. Highly supported capacity (up to 24/7) for comprehensive support and services both on and off site.
    6. Provision of food and medical necessity (current PNMI requirements).

IV. 1602 Community Residential

  1.  
    1. Currently funded via PNMI
    2. Services not linked to facility
    3. Housing configuration may include: group living arrangements, congregate living, independent apartments
    4. Permanent housing options that are not necessarily dependent upon physical plant (can include independent apartment and/or congregate living)
    5. Staffing focusing on linkages to services
    6. Fluctuating services that allow for services to ebb and flow from a few hours a week to include 24/7 staffing

V. 1603 Supported Housing—define minimal staffing and supports

  1.  
    1.  
      1. All services come from community
      2. Independent apartment living
      3. Section 17 or other eligibility criteria for determining disability needs to be in place and defined

Next meeting: Monday 12/11/2006, 1:30—3:30, Marquardt Building Conf. Rm. 3B

Topics:
review of minutes
refine definitions

*For a free viewer or to request a hard copy
Ronalh Welch, Director

Ronald Welch, Director

 

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