1253 Cluster Permanent Supportive Housing (PSH)

Helping Families. Supporting Communities. Empowering Individuals.

Scope of Service

There exist a significant number of Williams Class Members who have not been afforded opportunities to move from Institutions of Mental Disease/Nursing Facilities (IMD/NF) to the community, into Permanent Supportive Housing (PSH), because their transition needs are assessed to have greater risks should they move into scatter site rental apartments. These Class Members may have complex medical conditions that require a more aggressive amount of monitoring or medication administration than is currently available with Assertive Community Treatment resources or may have functional limitations or skill deficits that periodically require other levels of assistance. Whatever the individual issues are, community agencies have categorized this population as "unable to serve" (within existing resources) and have suggested that implementing a Cluster Housing model would be one means to move more challenging Class Members to their own apartments.

The Cluster Housing model will provide resource support to Class Members living in their own apartments. These apartments are "clustered" in close proximity. Ideally, the units (in compliance with the 25% limit) will be located in one building or neighboring buildings. The resource support (staff) are available to respond to requests should it be initiated by the Class Member. Support staff must have an office in the building and provide the needed support either in the Class Member's apartment or staff office. The level of support could range from a reassuring conversation to reduce anxiety to assisting a Class Member who has discomfort in cooking with meal preparation to providing assurance that a minor cut will not necessitate a call to 911 for an emergency room visit. The premise of this model is to have onsite staff that can intervene if necessary, and for Class Members to have reassurances that they can reach out and garner support, thus elevating or minimizing a crisis situation.

Deliverables

The provider agency will do the following:

  1. Hire and maintain a full complement of Rehabilitation Services Associate (RSA) level staff to provide 365 days, 24 hours per day resource supports to the Cluster Housing office.
  2. Provide orientation to staff on the Williams Consent Decree, the agency's business practices as it relates to work productivity in Cluster Housing and operational protocol.
  3. Provide annual training on the expectations of transition; how to help facilitate community resettlement; wellness self-management and principles and practices of recovery; billable vs. non-billable activities and documentation.
  4. Provide ongoing non-clinical support to Class Members who have tenancy in the building where the Cluster Housing is located.
  5. Assist Class Members with daily activities and skill enhancements, as requested.
  6. Assist Class Members to actualize principles of recovery, empowerment and self-sufficiency.
  7. Assist Class Members engaged with issues on housing tenancy support in being a good neighbor
  8. Provide ongoing supervision and monitoring of RSA's productivity.
  9. Maintain a weekly calendar of special activities to support housing stability of Class Members.
  10. Assures ongoing staff development.

Reporting Requirements:

  1. Financial Report in accordance with Exhibit C.
  2. Performance Report in accordance with Exhibit E.

Payment

Payment will be issued monthly and reconciled on the basis of reported allowable expenses per the Grant Funds Recovery Act [30ILCS 705/7 and 8].

The Provider shall report quarterly allowable grant expenses on the appropriate DMH reporting template to the DMH program contact no later than November 1, February 1, May 1, and August 1, and reported expenses should be consistent with the submitted annual grant budget. If any budget variances are noted, the DMH program contact may request that the provider submit a revised grant budget before subsequent monthly payments will be made. DMH program contacts and reporting templates can be found in the Provider section of the DHS website.

Performance Measures

The Provider shall report quarterly performance on the appropriate DMH reporting template to the DMH program contact no later than November 1, February 1, May 1, and August 1. DMH program contacts and reporting templates can be found in the Provider section of the DHS website.

The following are included in the reporting template:

  1. Number of Rehabilitation Services Associate (RSA) currently employed.
  2. Number of staff receiving an initial orientation on the Consent Decree and expectations.
  3. Number of staff annually trained in the expectations of transition, that include Wellness and Recovery Action Plan (WRAP) and community resettlement; wellness self-management and principles and practices of recovery; billable vs. non-billable activities and documentation.
  4. Number of unduplicated Class Members who receive a non-billable support or activity associated with housing tenancy
  5. Number of unduplicated Class Members engaged in daily activities or skill enhancements to promote recovery and self-sufficiency.
  6. Number of Class Members engaged around problems or issues with housing tenancy.
  7. Number of unduplicated Class Members who had a reportable incident which require assistance from support staff will be documented.
  8. Number of supervisory sessions provided to support staff

Performance Standards

  1. 100% of RSA staff positions will be full at all times.
  2. 100% of staff hired will receive an initial orientation on the Williams Consent Decree and expectations.
  3. 100% of staff will be annually trained in expectations association with transition activities as work productivity related to Class Members in Cluster Housing units.
  4. 100% of Class Members will received at least one non-billable support or activity associated with housing tenancy.
  5. 100% of Class Members will be engaged with daily activities to promote recovery, as requested.
  6. 100% of reportable incidents with Class Members will be documented
  7. 100% of RSAs will have ongoing documented supervision