Housing Resources – PATH (Projects for Assistance in Transition from Homelessness)

The PATH program is designed to support the outreach, engagement and delivery of services to eligible persons who are homeless and have serious mental illnesses and/or co-occurring substance use disorder with a particular emphasis on:

  1. persons most in need of services and/or engagement by an Outreach Worker;
  2. services which are not supported by mainstream mental health programs.

The primary target population for PATH funded services in Maine will consist of outreach and engagement services to literally homeless persons, youth and adult, who are the hardest to reach and most difficult to engage with yet unknown severity of mental illness and/or co-occurring substance use disorders.

Enrollment into PATH funded services begins with the creation of an electronic record.  Persons who meet the PATH homeless definition and who have a mental illness and/or co-occurring substance use disorder may be considered to be eligible for PATH enrollment.

On this page:

Path Providers




Contact Numbers


Counties/areas Covered

Community Health and Counseling

42 Cedar St. Bangor, ME 04401

Meredith Smith



Aroostook, Hancock, Penobscot, Piscataquis, Washington

Crisis and Counseling Centers 10 Caldwell Rd Augusta, Maine 04330 Heather Washburn 207-626-3448 EXT-1124 hwashburn@crisisandcounseling.org


Kennebec Behavioral Health

67 Eustis Parkway
Waterville, ME 04901

Brandy Farrington



Kennebec, Knox, Lincoln, Sagadahoc Somerset, Waldo

Opportunity Alliance

50 Lydia Lane
South Portland, Maine 04106

MaryBeth Twomey



Cumberland, York

Tri- County Mental Health

1155 Lisbon St Lewiston, ME 04240

Jesica Michaud



Androscoggin, Franklin, Oxford


Outreach and Engagement:

The process of bringing literally homeless individuals into treatment and services who are not currently enrolled in such services.  Effective outreach strategies should be aimed at engaging persons into the needed array of services.  These strategies include:  identification of individuals in need, screening, development of rapport, offering support while assisting with immediate and basic needs and, most importantly, referral to and follow-up of those appropriate resources.

Outreach does not occur behind a desk or in an office.  The only PATH supported activity that may take place behind a desk or in an office is mandatory data entry into HMIS and reporting to the State and Federal government as requested.  This restriction does not prohibit meeting privately with an existing or potential PATH enrolled consumer in a private setting

PATH providers will demonstrate how they will provide outreach and engagement services to homeless persons with mental illness and/or co-occurring substance use disorders.  This shall specifically include non-standard hours and days of operation and on-call status of the PATH funded outreach and engagement worker(s).

PATH Eligibility:

The following guidelines are recommended for determining if an individual should be identified as ‘PATH Eligible.’  The individual experiencing homelessness must also be experiencing a Serious Mental Illness or co-occurring Serious Mental Illness and Substance Use Disorder.

Serious Mental Illness: determined through eligibility for services under Section 17/97 or youth through eligibility for services who meet criteria for Severe Emotional Disturbance as defined in the MaineCare benefits manual.

Literal Homelessness:

PATH providers are to continue to provide outreach to all individuals who are experiencing literal homelessness with the intent of identifying and engaging those they believe are PATH eligible.  PATH outreach services prior to PATH Enrollment should continue without the expectation or burden of the identification of PATH eligibility.  The primary focus of the PATH program in Maine is the literal homeless population. 

Literally Homeless persons are those individuals who are:

  • Sleeping in place not meant for human habitation, such as cars, parks, sidewalks, abandoned buildings or the street;
  • Sleeping in an emergency shelter;
  • Staying in a hospital or other institution, if the person was sleeping in an emergency shelter or other place not meant for human habitation immediately prior to entry into the hospital or institution;
  • Graduating from, or timing out of, a transitional housing program for homeless persons;
  • Victims of domestic violence

Once an individual is determined to meet the homeless criteria AND the serious mental illness or co-occurring substance use disorder criteria, as defined by the MaineCare Benefits Manual under Section 17 or meet criteria for Severe Emotional Disturbance (youth), they are determined to be PATH eligible.

PATH Enrollment:

An individual may be enrolled in PATH when the PATH eligibility criteria are met and the HMIS record contains enough universal data elements and other PATH data elements to identify the individual and document some of his/her needs.

PATH Enrollment implies that there is intent to provide services for an individual beyond those provided in outreach AND there is mutual intent for such services to begin.  The following standards should be met to consider an individual PATH Enrolled:

  1. The individual has been determined to be ‘PATH Eligible’
  2. The individual and the PATH outreach worker have reached a point in the engagement process where there is mutual agreement and consent for other services to begin.
  3. The PATH outreach worker has created an individual file and record in HMIS for this individual which includes at minimum:
    1. Basic demographic and some Universal Data elements in HMIS
    2. Documentation by the Outreach worker of the rationale of the determination for PATH eligibility
    3. Documentation by the Outreach worker of the individual’s consent for services
    4. Documentation by the Outreach worker of the services provided. 

MainStream Resources:

The principal MainStream resources promoted by Maine’s PATH program are appropriate application to and acceptance of:  MaineCare (Medicaid) reimbursable services, particularly those under Section 17/65 and/or Severe Emotional Disturbance of the MaineCare Benefits Manual; Complete and appropriate applications to SSI/SSDI including Appointment of Representative (SSA-1696) and necessary follow-up to ensure eligible persons are in receipt of: Housing resources such as Section 8, BRAP, Shelter Plus Care, Project Based Housing, VASH, HUD 202/811s, Section 8 Mod-Rehab Housing, Low-Income Housing Tax Credits, and SRO’s; Income resources such as SSI/SSDI, VA Benefits, General Assistance, TANF, Food Stamps, and employment services; and Medical resources such as outpatient primary care, dental, vision, and access to Health Care for the Homeless and/or  Federally Qualified Health Centers.

Homeless Management Information System (HMIS):  An electronic data system which tracks and documents homelessness across the United States and in Maine.  Maine’s PATH program mandates utilization of this system for all persons who receive both outreach/engagement services as well as PATH Enrolled services.  Failure or refusal to adequately utilize Maine’s HMIS will result in a contractual default which may include termination of contract.  Adequate utilization shall be defined as updating, adding, editing or modifying PATH consumers within HMIS on a regular and consistent basis no more than one business day after contact with a PATH consumer.

The electronic data management of Maine’s PATH program will be a shared system.  Other PATH providers will have access to basic demographic information and Universal Data Elements of all PATH clients.  DHHS will have access to all information, both clinical and demographic, on all PATH enrollees.

Currently, the Maine State Housing Authority is the authorized HMIS Administrator in Maine.  To promote coordination of benefits, services and necessary monitoring of PATH requirements, appropriate interagency agreements will be in place and client releases of information will be obtained so that HMIS data may be appropriately shared among PATH agencies.  This data may also be shared with other providers using HMIS given appropriate agreements and the client’s permission.

To facilitate utilization of Maine’s HMIS in FY 2012:

  • All PATH grantees must enter into an HMIS/PATH Agency Participation Agreement.  
  • All PATH grantees must have access to a dedicated laptop computer, preferably with high speed wireless (3G) internet connection or readily available wireless/wired connection to a secure network(s) with internet access..
  • All PATH grantee outreach and engagement staff must also be equipped with a unique assigned email and cell phone which they can access regularly and be available to respond during standard and non-standard hours. 

Serious Mental Illness:  determined through eligibility for services under Section 17/97 or youth through eligibility for services who meet criteria for Severe Emotional Disturbance as defined in the MaineCare benefits manual.

General Information

Opportunity for comments, questions or concerns