[PPT] - FY20 Street Outreach Services Network Pre-Application Conference PowerPoint Presentation

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DC Department of Human Services Family Services Administration

FY20 Street Outreach Services Network Pre-Application Conference August 13, 2019

William Kuennen, FSA Program Manager Jim Crawford, FSA Grants Management Specialist

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Agenda

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Street Outreach Landscape
Request For Applications

Overview Background Street Outreach Model

Application Package
Selection Criteria
Application Deadline & Submission
Q & A

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Street Outreach Landscape – FY20 Focus

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Increased District-wide resources in FY20 to support systematic street

utreach services in the District
New DHS and DBH solicitations represent a coordinated effort

to serve vulnerable persons

 Unsheltered individuals,  Individuals with behavioral health needs,  Individuals with opioid use disorders, etc.

Enhanced coordination (between DHS, DBH, CFSA, outreach

providers, non-profit organizations, other stakeholders)

 Ensures individuals are appropriately referred/linked to services, and  Creates a platform for consultation with partners to make continual service delivery enhancements

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RFA Overview

Name: Street Outreach Services Network Purpose: Identify applicants to provide Street Outreach services for unsheltered individuals focused primarily

n fostering housing stability and ultimately increasing

their health, safety and quality of life. Funding: Up to $3,000,000 for up to three awards Award period: Nov. 1, 2019 to Oct. 31, 2020 – Up to four additional option years, pending funding availability

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2019 Point in Time Count

The District had 3,578 homeless individuals

44% are chronically homeless
31% have severe mental illness
22% suffer from chronic substance abuse
21% have a chronic health problem
16% have a physical disability
17% (608 individuals) are unsheltered

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Homeward DC - Strategy 1

Develop a more effective crisis response system including a coordinated community-wide

utreach network to cover assigned geography,

that will act as an entry point to the Continuum

f Care, especially for unsheltered individuals

who are disconnected from services

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Street Outreach Model

Focus
Target population
Geographic clusters
Outreach services
Hours of operation
Street Outreach network coordination
Performance Standards
Evaluation

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Focus

Increasing housing stability and ultimately improving the health, safety and quality of life of unsheltered individuals

Engage clients with the appropriate level of outreach

based on individual needs

Make connections to housing systems, homeless

services, public benefits, physical/behavioral healthcare, harm reduction, and other mainstream resources

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Target Population

Unsheltered individuals residing on the street or in locations not fit for human habitation

These individuals may:

be disconnected from services and resources, be at high risk for health and safety concerns, be chronically homeless, and/or need additional help navigating the CoC

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Geographic Clusters

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Outreach Services

Light-touch Outreach services: wellness

checks, weather emergency outreach, information sharing, etc.

Intensive Outreach services: links to housing,

benefits, harm reduction, healthcare, etc.

Acute Response services: rapid action to

emerging place-based threats (overdose

utbreaks, building fires, etc.)

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Hours of Operation

Street Outreach services must be available through 11:00 p.m.
n weekdays, and during holidays that fall on weekdays
Grantee(s) are also expected to complete at least one eight

hour shift each weekend

During hypothermia season and in case of DHS designated

emergency threats, Grantee(s) are expected to be able to mobilize at least 50% of their staff to provide after-hours

utreach

NOTE: DHS is seeking applications that address early hours (staring 5am) and late hours (through 11pm) outreach needs.

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Street Outreach Network Coordination

Coordinating with DHS, other DHS Street

Outreach providers, the central coordinating entity, additional District outreach teams, and network partners / stakeholders

Participating in Street Outreach meetings,

DHS/DBH meetings, CAHP meetings, ICH meetings

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Performance Standards/Outcomes

Outcome/Purpose Deliverable/Instrument Methodology Performance Standard(s) Improved efficiency and coordination for Street Outreach providers Comprehensive Monthly Street Outreach Report Migrate to the technology platform specified by DHS in coordinating street

utreach presence and

services deployment Adopt, utilize and shift client referral process to the technology platform specified by DHS within 30 days of making the resource available to Grantee(s) District-wide coordinated street outreach efforts Monthly Street Outreach Network Meetings Actively participate in DHS led Street Outreach Network Meetings Have designated representative attend all meetings Comprehensive, timely and accurate map of street

utreach needs in the

District Street Outreach Needs Map Identify and scope out the outreach needs in the designated geographic cl usters (on weekdays and weekends, during daytime hours and at night) Street Outreach Needs Map developed within 2 months of Grant

Award. The map needs to be

updated on a quarterly basis throughout the duration of the Grant Agreement. 14

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Performance Standards/Outcomes cont'd

15 Outcome/Purpose Deliverable/ Instrument Methodology Performance Standard(s) Expanded/extended street

utreach services after

hours, during hypothermia season and emergency threats Weekly Outreach Coverage Plan Develop a weekly coverage plan listing after-hours staff available to provide emergency outreach services (clinical staff should be on call) 24/7 street coverage availability Hypothermia Season and Emergency Threats Coverage Plan Develop a coverage plan for hypothermia season and emergency threats and share with DHS and the designated central coordinating entity Ability to mobilize 50% of

utreach staff within 3 hours of

activating the Cold Weather or Emergency Threat Alerts Centralized, coordinated street outreach referral process Referral Triage and Dispatch Protocol Coordinate, develop and implement Street Outreach Network wide a triage and dispatch protocol for

utreach referrals

All Grantee(s) follow a unified triage and dispatch street

utreach referral protocol

To ensure all Street Outreach staff are conducting intakes, screenings, and assessments (using the VI- SPDAT) and CAHP Systems HMIS & CAHP data DHS will randomly and routinely select a sample of records and case notes for participants receiving case management services from Street Outreach Network Grantee(s) % of clients w/completed VI- SPDAT % of clients on the current By Name List (CAHP)

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Performance Standards/Outcomes cont'd

16 Outcome/Purpose Deliverable/ Instrument Methodology Performance Standard(s) To ensure case management is meaningful for all participants who request or express willingness to engage in case management HMIS Data DHS will randomly and routinely select a sample of records and case notes for participants receiving case management services from the Street Outreach Network Grantee(s) Service Plans identify specific service needs (housing, benefits, employment , health needs etc.) HMIS records reflect correspondence between referrals, service needs and goals To ensure case management is producing positive outcomes for all participants who request or express willingness to engage in case management Quarterly Performance Report Grantee(s) will submit a Quarterly Performance Report to DHS at least quarterly outlining services provided and the outcomes seen by those engaged in services. At least 50% of participants have

btained a higher level of self-

sufficiency since first case management engagement (see RFA for details)

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High Level Case Management Standards

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30:1 maximum case management ratio
Client service plan documented in HMIS w/in 7

days of engagement, and updated every 90 days

r more frequently (as needed)
Progress notes updated in HMIS w/in 48 hours
f interaction
Circumstances for removing a client from the

caseload include: appropriate housing, refusal

f service, 30 days of inactivity

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Reporting

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Outreach needs map
Weekly outreach coverage plan
Monthly street outreach report
Quarterly performance report
Hypo/emergency outreach coverage plan

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Staffing Model

Outreach team shall include at least the following positions:

Program Manager: Oversee all Street Outreach

program activities

Lead Street Outreach Network Coordinator: Act as a

liaison with the lead coordinators designated by other Grantee(s) and the central coordinating entity to ensure timely information sharing, efficient case coordination, representation at coordinating forums (e.g. CAHP, ICH, DHS meetings, etc.), and thoughtful approaches to developing the Network. Grantees may assign these responsibilities to one position

r split them out into two roles.

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Staffing Model Con’t.

In addition, outreach team shall include the following positions:

Case Management staff
Peer Outreach staff
Licensed clinical staff (LCSW, LPC, Psychologist, etc.

potentially filling the role of clinical supervisor)

Harm Reduction/Addiction Specialist

Finally, Grantee(s) should consider adding the following roles to the outreach team(s): Bi-lingual staff; Youth specialist staff; LGBTQ specialist staff, etc.

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Start-Up/Readiness Timeline

Grantee selection anticipated September 13
New outreach grants begin November 1

Current outreach grants end October 31 Hypothermia season begins November 1

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Security Clearances

The following background check clearances must be submitted to DHS before staff may begin providing services (to be renewed every two years):

Federal and local criminal background checks issued by

MPD and FBI in all jurisdictions in which the individual lived for the prior five years

Signed medical clearance report with negative

tuberculosis results

Drug test with negative results covering: marijuana,

cocaine, opiates – opium and codeine derivatives, amphetamines and methamphetamines; phencyclidine – PCP; synthetic drugs, and alcohol

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Application Package

Applicant Profile (Attachment A)
Table of Contents
Application Summary (not to exceed 3 pages)

that highlights the major aspects of the

bjectives discussed in depth in other sections

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Project Narrative

Not to exceed 12 pages
Specific, measurable program objectives
Specific services to be provided
Detailed work plans for activities
Impact of Street Outreach due to your
rganization’s involvement
History/experience with unsheltered individuals

in the geographic cluster you’re applying to cover

Including your organization and your leadership/staff

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Program Budget & Narrative

Proposed salaries and wages for project staff
Proposed benefits comparable to those paid to

the other staff (show fringe rate)

Proposed supplies and materials
Rental or leasing of space for Street Outreach

Rents must not exceed prevailing rates Include utilities, telephone, maintenance services directly related to project activities Include insurances, subscriptions and postage

Indirect: Show calculation and indirect rate

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Application Package Attachments

Attachments B: Certifications
Attachment C: Assurances
Attachment E: Work Plan
Attachment F: Staffing Plan
Attachment G: Budget
Attachment I: Collaboration Commitment Form
Attachment J: Confidentiality Statement

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Application Package Appendices

Resumes, position descriptions, organizational

chart, Articles of Incorporation, Bylaws, list of current Board of Directors, MOUs

Most recent annual audit
IRS Letter of Non-Profit Status, Form 990, DC

Business License, Certificate of Good Standing, Certificate of Occupancy, Fire Inspection, etc.

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Application Format

8½ by 11-inch paper
Margins must be no less than 1 inch
12-point font (Times New Roman

recommended) with 1.5 line spacing

Pages double sided and numbered
Review panel will not review applications that

do not conform to these requirements

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Scoring Criteria Overview

Criterion A: Executive Summary (Total 2 Points)
Criterion B: Information about the Organization

(Total 8 Points)

Criterion C: Services, Scale, and Location (Total 30

Points)

Criterion D: Service Delivery Model (Total 40

Points)

Criterion E: Detailed Planned Expenditures:

Financial Management and Proposed Budget (Total 20 Points)

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Executive Summary (2 Points)

2 points: Briefly describe the Applicant
rganization and its proposed

methodology for implementing the Program

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Information about the Organization (8 Points)

2 Points: Mission and Vision
2 Points: Organizational Capability and

Relevant Experience

2 Points: Staff Qualifications
2 Points: Performance Orientation

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Services, Scale, and Location (30 Points)

15 Points: Services - the approach to

meeting the requirements outlined in the Scope of Work

5 Points: Scale - the Applicant’s intent and

ability to serve unsheltered individuals in their geographic cluster

10 Points: Geographic Coverage - how

Applicants plan to service one or more geographic clusters

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Service Model (40 Points)

15 Points: Street Outreach Network – Applicant’s

plan to participate in the Street Outreach Network in a comprehensive and coordinated manner

15 Points: Case Management Services – Applicant’s

plan to map the scope of the outreach services needs and to ensure appropriate service coverage in their geographic cluster

5 Points: Support Services Integration - Applicant’s

ability to coordinate access to meaningful resources and services to increase health, safety, and quality of life

5 Points: CoC Coordination - Applicant’s ability to

leverage strategic partnerships w/in the CoC

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Detailed Planned Expenditures (20 Points)

8 Points: Financial Management –

including internal accounting procedures, and fiscal controls

12 Points: Proposed Budget & Cost

Effectiveness - A cost effective proposed budget and narrative description of the use of grant funds

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Application Deadline

To be considered for funding, Applications

must be received no later than 4:00 p.m. on Wednesday, September 4, 2019

Supplements, deletions or changes to the

application will not be accepted after submission

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Application Submission

Requirements for paper submission

One stamped original and four copies in a sealed envelope or package Two copies of the Applicant Profile must be affixed to the outside of each envelope or package

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Application Submission Con’t.

Location

The District of Columbia Department of Human Services Family Services Administration Attn: Jim Crawford 64 New York Ave. NE, 6th Fl. Washington, DC 20002

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Contact Information

Jim Crawford, Grants Management Specialist

Primary contact Desk: 202.671.4357 jim.crawford@dc.gov

William Kuennen, Program Manager

Secondary contact Desk: 202.671.4465 Cell: 202.809.3590 william.kuennen@dc.gov

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SLIDE 39 One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health

Dis istric ict of f Co Colum lumbia ia Department of f Be Behavio ioral l Healt lth (D (DBH BH)

RFA Number: RM0 DCOR 071219 RFA Title: District of Columbia Opioid Response (DCOR) Grant Opportunities, Part 2

SLIDE 40 One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health

Competition #4

Outreach and Care Management for Individuals with an OUD who are Experiencing Homelessness (OUD Street Outreach) Application Deadline: Friday, August 30, 2019, 4:00 P.M. ET

SLIDE 41 One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health 41 Key Areas DHS -- Street Outreach Network RFA DBH—SOR Outreach RFA Focus Grantees are expected to provide services for unsheltered individuals. Street outreach services should be focused primarily on increasing housing stability (connection to homeless system and housing solutions), ultimately improving the health, safety and quality of life of unsheltered individuals. Grantees should focus on individuals in the District who have OUD and are experiencing

homelessness. Grantees should connect these

individuals to MAT and recovery support services Target audience Individuals residing on the street or in locations not fit for human habitation (“unsheltered individuals”). These individuals may be disconnected from services and resources, may be at high risk for health and safety concerns, may be chronically homeless, and may need additional help navigating the CoC. Grantees must identify at least one additional special population (returning citizens, individuals who identify as LGBTQ, and/or immigrant populations) with OUD residing within the District, to target for outreach

services. Applicants must describe the specific

geographic cluster census tracts that they plan to serve.

SLIDE 42 One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health 42 Key Areas DHS -- Street Outreach Network RFA DBH—SOR Outreach RFA Geographic coverage DHS has identified three (3) geographic clusters defined at Census Tract level DBH has identified three (3) geographic clusters defined at Census Tract level Grantees areas of specialized expertise Relevant street outreach experience working with unsheltered individuals, primarily in facilitating connections to housing systems, homeless services, public benefits, and other mainstream resources. Must have: At least two (2) years of experience working with individuals experiencing homelessness in the District. At least two (2) years of experience working with the Homeless Management Information System (HMIS) in the District.

SLIDE 43 One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health 43 Key Areas DHS -- Street Outreach Network RFA DBH—SOR Outreach RFA

Sources of

referrals

Direct outreach work in the designated geographic

cluster assigned to each Grantee; and

Phone calls and/or other electronic referral methods for
utreach services dispatched by the central coordinating

entity responsible for the street outreach network synchronization, or other entities identified by DHS. Grantees will choose hotspots (for homeless individuals with OUD) to conduct outreach among the proposed geographical clusters census. Coordination/ Teaming with other Outreach providers Partner with existing District providers who offer housing solutions and homeless services (e.g. Day Service centers, low barrier shelters, diversion services, etc.). Coordinate closely with other governmental entities such as the DC Department of Behavioral Health (DBH), the DC Child and Family Services Agency (CFSA), the DC Department of Health (DC Health), etc. as well as non-profit organizations to ensure that individuals in crisis are appropriately referred and linked to the appropriate entity. A collaborative relationship with DBH Community Response Team (CRT) and the Department of Human Services (DHS)

utreach teams and a commitment to participating in

periodic coordination meetings with these outreach teams. System of record HMIS HMIS

SLIDE 44 One Agency. One Mission. One Voice. District of Columbia Department of Behavioral Health

Contact In Information

Orlando Barker, PhD Project Coordinator, DC Opioid Response Email: Orlando.Barker@dc.gov Phone: 202-727-1595 Arielle Brock, MSA Prevention Specialist, DC Opioid Response Email: Arielle.Brock@dc.gov Phone: 202-671- 3175

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FY20 Street Outreach Services Network Pre-Application Conference - - PowerPoint PPT Presentation

Q&A