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Housing & Support Services Work Group

(Microsoft Word*) ( In PDF*) (*free viewer)

Notes: Monday 12/11/2006 Housing Workgroup

Attending:

Sheldon Wheeler, Donna Kelley, Ed Blanchard, Artha Freebury, Charlie Zeph, Steve Hoad

General Discussion Topics:

Focus on clarifying distinctions between current categories of housing and services: major edits include re-naming these categories to better reflect the current practice and future expectations—a recovery focused system of care and treatment where services can ebb and flow based on client need—without necessarily needing to move the client.

Caveats: we will need to ensure these terms and associated definitions are in compliance with CMS guidelines.

Discussion also included adding a 4th category, however we did not ultimately do this—see edits below. Donna Kelley will forward group letter to DHHS re. another related workgroup discussion on PNMIs.

Need to modify existing rules to allow for PNMI clustering of apartments as a stand-alone program or enhance existing Section 17 rules for same. This will be a future discussion topic.

Discussion of the October 13, 2006 Consent Decree Plan—specifically the references to leaving only residential treatment as a structured transitional treatment service, funded under PNMI. Don Chamberlain will need to weigh in on this.

Some of the terms which need to be defined/re-defined at a future date:

• Intensive:
• Community:
• Facility:
• Treatment:
• Rehabilitation:
• Recovery:
• Care:
• Support:
• Service:
• Group Home:
• Nursing Home:
• Boarding Home:
• Apartment:
  

I. 1601 Intensive Residential Services—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, not necessarily unit or facility specific
   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).
      

II. 1602 Community Residential Services

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
   

III. 1603 Supported Housing—define minimal staffing and supports

1. All services are able to come from the community
2. Independent apartment living
3. Section 17 or other eligibility criteria (SSI/SSDI) for determining disability needs to be in place and defined
4. Provision of a Resident Services Coordinator (not MaineCare driven)
5. Services with capacity to be available up to 24/7 on a time limited basis:
   1. Section 17
      1. ACT
      2. ICI
   2. Section 65
      1. In-home Crisis

 

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