We must ensure that the funding can be used for case management.
Case management is proven to assist individuals and families stay in thier home longer. In order to keep people housed, we must support them with skilled paid staff.
21 comments
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6823k
commented
As a graduate student myself, I have been doing research on the HUD-VASH program. Other homeless programs have modeled themselves after this program because it has proven to be very effective. And, yes, these vouchers are costly and staff is limited. So, if the concern is over funding, then why hasn't the idea of prioritization been implemented?
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New England commented
Trying to navigate affordable housing is difficult to say the least. Case management is essential to assisting consumers in navigating the labyrinth of housing resources available. This case management should be strategic, focused, and short lived. people needing long term assistance to navigate their lives should be referred to mental health providers or other more appropriate providers for long-term care.
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downingsherri
commented
Case management is incrediibly important for a relatively small segment of the population of persons who are homeless. While it is critical to ensure that this option is available to those who really need it, it is also critically important to offer a wide range of services that runs the gamut from intensive case management to shallow subsidies. We also need to remain cognizant of the fact that people's needs change over time. Once in housing and stabilized, the need for high-end services often tapers off. We need to be nimble enough to recognize and respond to current need. The goal, always, must be to move people from homelessness to housing, and to keep them there.
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Laura Hansen
commented
I suspect many of those keen on adding more case management are providers. I'm pretty sure our clients would vote for access to shelter for everyone. In our community we don't have enough emergency shelter for even the cream of the crop, much less our chronic homeless people, I think that is a greater priority.
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phenomina
commented
i agree with phyllis. These case management and supportive services outfits are way overrepresented on this board. Many of their ilk have hoodwinked the feds into overfunding their programs while underfunding the actual creation of adequate numbers of safe decent private housing units. Also the numbers of vouchers should be increased, and allowing homeless/ at risk family members to move in with existing voucher holders should be allowed across the board. These actual housing provisions should take far more precedence in funding, than the "supportive services" baloney. it's only baloney because the organizations taking the funding are diverting it from the actual need and true purpose, of simply getting people housed. #1- is always safety, and you can't be safe without a housing unit. Homelessness is inherently unsafe for a variety of reasons. So get them all housed first, then talk about other sidelines. Indeed, just link people with existing services.
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Phyllis Ryan Jackson commented
Has anyone ever heard a homeless person/family ask for case management? Homeless people ask for help with housing; services should be connected at their new address. If services are needed, there are substantial mainstream and community agences whose mandates cover those service needs. Those same agencies need housing partners which might be a much better name for the help homeless folk need.
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Kellen
commented
I strongly disagree. In my humble opinion, case management is part of the problem. I work with case managers and social workers all the time and they often act to infantilize clients and enable dysfunctional behaviors. For instance, clients do not pay their electric bill for 9 months and present the case manager with a $950 cut off notice. Does the case manager work with them to find a way to pay it off? Help them negotiate a payment plan with the electric company? No. They pull out their list or resources and find someone to pay it off for them. What does this teach people? Not to pay their bill. Someone else will do it for them. And someone else always does. They come back in 9 months with another overdue bill and the case manager either helps them again or complains that they are irresponsible. I see this constantly and consistently.
Nor can case management address the really serious problems among the homeless population; domestic violence, substance abuse, nomadic behaviors, mental illness, arrested development and dysfunctional familial patterns. Homeless individuals often come from homeless or very nomadic and dysfunctional families. The pattern is intergenerational. Case management does not address this.
What is needed is counseling to identify dysfunctional behaivors and to empower people to address their own problems instead of running to a case manager to fix it for them.
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Linda M. Flores-Tober
commented
I wholeheartedly agree. I see HUD restricting the % of funds that can be used for case management. They don't seem to understand that rental assistance, emergency shelter, food etc are all tools in the toolbox of the case manager to first stabilize and then resolve the situation of the homeless or near homeless household. What good is placing a family in a hotel if you don't have the case manager working to get them out and into stable permanent housing? Or why give rental assistance and not provide the case management services that will prevent this from happening again.
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mstepansky
commented
Veronica makes a great point. Even if SSA payments are stopped while someone is inpatient, the process should be much simpler/quicker for re-activating those benefits when someone is ready for discharge. Alternatively, or in addition, perhaps SSA could allow several months of payments to be provided before they're stopped so the individual has a "cushion" to access for 1st/last months rent, paying back-rent owed, etc. upon discharge.
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mstepansky
commented
Totally agree - case management is essential. But what funding are we talking about?
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Veronica
commented
I have never been homeless because of section 8. From when I was working to now when disabled at 61, I have rejoiced at having Housing. Some of my disabled friends have been homeless because, while they were in the hospital for longer than 30 days, their Social Security Disability payments ended. They were unable to pay rent and thus lost housing. Social Security should not end when hospitalized long term. Prevention is more workable than the alternative. I believe management of the persons affairs is important but first comes the income stability. In-Home supports are much more desirable than nursing home placements.
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Laura Kadwell
commented
All services -- including case management -- should be at the level people need. They should be funded with mainstream resources (e.g. Medicaid), primarily because they are the glue that makes other services work. .
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Kay White
commented
one-on-one, long-term support with volunteer individuals is a good alternative to costly case management. It would allow those who can to provide for those who cannot and both could benefit. Allowing community social support to function more efficiently with adequate housing for point-of-contact would be the logical starting point.
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phenomina
commented
case management and other supportive services should be funded through a different department, not housing.
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phenomina
commented
a small amount of case management is needed, certainly not the huge amounts of dollars being siphoned away from actual housing as we speak! organizations are all over this board, trying to get their funding , for THEM , it has very little to do with the main clients needs.
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Wendy
commented
I like voluntary case management - where the value of the services is tied to the value of the relationship, and it is completely driven by the client. Voluntary services may be the most efficient way to address housing stability.
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Andrea Tromley Skrlac
commented
Although getting people into housing as quickly as possible is vital, long-term housing stability can only be assured through the availability of personalized case management services.
