HomeMy WebLinkAboutExhibit 4ADVANCED CARE
STANDARDS OF CARE APPLYING TO ADVANCED CARE PROVIDERS
I. CORE F[TNCIIONS OF ADVANCED CARE PROVIDERS:
• The Mission and Purpose of the advanced, care level of the Continuum of Care is two -fold: (1) to
provide access to supported housing for those homeless individuals and families with spacial needs (i.e.
permanent disability, the frail or elderly) and (2) to assist those homeless individuals and families
capable of maintaining independent living with minimal initial support to secure housing in the
affordable housing snarled. Advanced care may be accessed by homeless individuals and families from
any stage of the Continuum of Care, provided that the individual or family meets the eligibility criteria of
the particular Advanced Care Provider.
• Core Functions:
Advanced care providers shall provide the following core func:ions to their clients:
• Mousing For those homeless individuals and families in need of permanent supported
housing, the provision of housing appropriate to the needs of the homeless individual or
family (e.g. assisted community living facilities, single room occupancy, boarding or
nursing home or group home) with supportive services nrtrss-,Ty to maintain residential
and personal stability (e.g. subsidized rent, case management services, nursing care,
mental health care management).
For those homeless individuals or families seeking housing in the affordable housing
market, assistance shall include, but is not limited to, assisting the client in locating
suitable housing, assistance with housing applications and lease negotiation, application
fees, first and last month's rent, short-term rental subsidies. furniture stipends, utility
deposits, back payments, emergency payments, start-up household supplies and
furnishings, start-up food and grocery supplies. and clothing, when necessary or
applicable. Such assistance shall also include follow-up case management services for at
least ninety (90) days following the date of housing placement_ •
Case Management Set -vices shall include Comprehensive Assessment occurrent
social, health (including mental health and substance use/abuse), and
employment/education conditions and Development of Individualize¢ Continuum a(
Care Platt describing a client's needs for supportive services and establishing a
serviceireferral plan. if an assessment and/or care plan was not performed or developed,
as the case may be, while in the care of another provider as well as Lin kag LBeferrat to
external supportive services including, but not limited to, benefit programs, care and/or
support services related to physical or mental health, including substance abuse,
education/vocational opportunities, job counseling, training .and placement, child care
and transportation necessary to maintain permanent housing.
IL GENERAL STANDARDS - PROGRAM ENVIRONMENT
A. CLIENTS
• Homeless individuals and families shall be offered maximum arrnSibiliry to currently available
advanced care level resources, subject to eligibility criteria established by the advanced care provider.
• Homeless individuals and families served by advanced care providers shall be accorded
dignity and respect_ A grievance procedure providing for fair notice and hearing shall be made
known and available to clients by winch to seek redress in the event that a client has a grievance
regarding the services of the advanced care provider, in the event that a client believes that he or
she has been unfairly accused of a program rule infraction, or in the event of a decision by the
advanced care provide: to refuse or terminate services to the client.
• • Advanced care providers shall demonstrate scnsitivtry to clients' primary laneuagc and cultural
background.
• Clients have both privileges and responsibilities relating to the provision of service by the
advanced care provider which shall be set forth in a Client Agreement that each client must sign
upon acceptance of the client into the advanced care program. Clients shall have a right to full
disclosure of all financial responsibilities and/or obligations to landlords, service providers and
others involved in the provision of permanent housing to the client.
B. SAFE EN IRON;IiEN"T:
• When possible. all advanced care providers shall establish and enforce program rules governing abuse
of alcohol, illegal use of controlled substances. and violent and/or inappropriate behavior.
C. ADVANCED CARE PROVIDER STAFF:
• Advanced care provider administrators shall ensure that the provider's staff his the qualifications,
licensing, proper training and supervision n rr sorry and appropriate to the job function(s) with which
staff members are entrusted.
D. NON-DISCRIMINATION IN THE PROVISION OF HOUSLNG AND SERVICES:
• There shall be no discrimination on the basis of race, color, gender. sexual orientation, disability,
religion, or national origin in the provision of services to clients by advanced care providers. No
religious practice or affiliation requirement shall be imposed upon clients or prospective clients.
E. COORDINATION, COOPERATION AND INTEGRATION:
III. HOUSING AND SERVICES:
SOUSING PLACEMENT OPTIONS:
• Housing Placement Options: Housing placement options offered to the client shall be consistent
with the client's Individualized Continuum of Care Plan and the client's housing preferences, subject to
current availability and eligibility criteria established by the Advanced Care Provider. Housing options
shall offer the least restrictive environment to the client as may be appropriate to address the needs of the
client_
B. :ADVANCED CARE PROVIDER-0PERATED HOUSLYG:
• Advanced Care -Operated Housing and/or Residential Facilities in General: Advanced care
provider -operated housing and/or residential facilities shall maintain safe. clean and sanitary conditions
and shall provide clients the opporruniry to safekeep papers, documents and valuables. Advanced care
provider -operated housing and/or residential facilities shall comply with all applicable local and state
ordinances, laws or regulations governing housing conditions and/or residential facilities, including
Housing Quaiity Standards established by the federal Department of Housing and Urban Development,
and shall secure necessary licensing as may be required under such local or state law. Advanced Care
Providers shall also compiv with all local and state ordinances. laws or regulations governing provision
of substance abuse or mental health treatment and care, it applicable to the Advanced Care Provider's
housing and/or services program.
C. STANDARDS GOVERNING AFFORDABLE MARKET HOUSING
PLACEMENTS:
• Advanced Care Provider Inspection and Approval of Housing: Advanced care providers assisting
clients in locating and securing affordable market housing shall insure that such housing meets the
comparable market rent guidelines and housing quality standards established by local, state and/or
federal ordinance. law and regulation, as may be applicable.
D. STANDARDS GOVERNING TERMINATION OF SERVICES AND HOUSING:
• Termination of Program Services: Violations of advanced care program rules may be grounds for
terminating the provision of program services to a client, including, but not limited to, rent subsidies.
• Lease Arrangements: Landlord -based lease agreements, and breaches thereof, shall be governed by
locai•and state ordinances, laws or regulations governing tenancy.
E. CASE MANAGEMENT SERVICES:
• Case Management Services: Clients shall be offered client -directed case management services to
ensure that clients maintain residenual, financial and personal stability after advanced care housing
placement Clients provided assistance in locating and securing affordable market housing, shall be
provided case management services for a minimum of ninety days foIlawing the dace of the housing
placement C"i_4r management shall commence with a comprehensive or revised assessment as the case
may be, of the client's current social, health (including mental health and substance user abuse) and
education/employment conditions and needs.
• Areas of Case Management Intervention should include but are not limited to: service planning;
assistance in obtaining food and clothing and transportation; referrals for mental health services,
substance abuse treatment- and medical services; assistance in maintaining and/or obtaining benefits; and
provision and/or referrals to self-sufficiency related programs and services such as adult education,
vocational training, job counseling, =amine and permanent placement services. child care and legal
services and transportunon.
• Intervention co Prevent Homelessness: In the event that a client is at risk of losing advanced care
housing and is in need of an advanced care placement mare appropriate for their needs, additional
advanced care supportive services. or primary care services within the Continuum to prevent a return to
homelessness, case manacernent shall make every effort to ensure that such housing and/or services are
made available to the client.
F. MISCELLANEOUS STANDARDS:
• Clothing: Advanced care providers shali assist ciients to obtaining appropriate clothing (including
appropriate dress for work) if neecied. Appropriate clothing in the instance of underwear and socks shall
mean new or previousiv unused items. Donated clothing must be washed/sanitized prior to distribution
to clients.
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VII. CLIENT CONFIDENTIALITY AND SHARING OF INFORMATION:
• Client Expectation ofPrivacy: Advanced care providers shall comply with all federal and state laws
ana regulations governing the confidentiality of information regarding AIDS/HIV status ana medical.
•
substance abuse or mental health history, referral or treatment_ Clients may expect a reasonable degree
of privacy with regard to inforrnauon not otherwise protected from disclosure by fcacrai or state laws
and regulations that is shared with the advanced care provider staff members.
• Personal Mail and Telephone Calls: Advanced care provides -operated residential facilities shall
respect the privacy of a client's personal mail and telephone calls.
• Exceptions to Client Confidentiality: Client information may be subject to disclosure as provided by
law including investigation by law enforcement, probation officers, and HRS protective services related
to minors or the elderly, subject to any limitations on disclosure set forth in state or federal law,
including those laws protecting the coruidentiality of information regarding AIDS/HiV status and
medical, substance abuse or mental health history, referral or treatment.
• Sharing of Client Information: Sharing of client information with other providers to whom the client
may be referred is necessary to ensure effective provision of services, continuity in care, and efficient
use of -Continuum resources. The necessity of sharing information with other providers shall be
explained to the client_ Client information shall only be shared upon the client's written consent.
Attachment A-1
City of Miami
Homeless Assistance Program
Scope Of Services
The PROVIDER agrees to provide emergency hotel/motel placements of homeless
families with children for a period of up to seven (7) days in area hotels/motels as
stipulated in Article One of this Agreement.
Families may be provided food vouchers on an as needed basis of up to $20.00 per
diem while residing in hotels/motels. Families with more than four (4) members may be
provided an additional $5.00 per person per day.
Reimbursements will only be made for properly documented hotel/motel placements
and disbursement of food vouchers as stipulated in Article One of this Agreement.
All reimbursements must be submitted to the County by the 15th day of each month
following the month of service as stipulated in Article One of this Agreement.
All reimbursement requests must be approved by the County prior to disbursement of
funds.
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