HEALTHY HOMES PROJECT A Collaboration between the Behavioral Health Services Division, NM Human Services Department; the Life Link; Totah Behavioral Health Authority , PMS;the Center for Rural and Community Behavioral Health, University of New Mexico and the Navajo Nations Department of Behavioral Health This presentation is based on work supported by grant #1H79 SM060122-01 from the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration. The contents are solely the responsibility of the authors and do not necessarily represent the official views of SAMHSA.
Healthy Homes Project Background Information: • Funded by the SAMHSA for 5 years as of 10/01/2010 • Awarded to the NM Behavioral Health Services Division Subcontracts: • Services: Totah and the Life Link for Behavioral Health Services and the Evidence Based Practice Permanent Supportive Housing • Evaluation: The Center for Rural and Community Behavioral Health, University of New Mexico
Healthy Homes Project Purpose: • To expand and enhance the capacity of Farmington and Santa Fe to provide supportive housing to adults with serious mental illness and co-occurring substance use disorders who are homeless or at risk of homelessness.
Healthy Homes Project Project Goals • Improve access to supportive housing for adults with serious mental illness; • Develop an innovative role for Certified Peer Support Specialists with supportive housing expertise; and a role for CPS Site Evaluators • Expand coordination between housing agencies and behavioral health agencies; • Ensure outreach to traditionally underserved communities such as Native Americans, rural New Mexicans and veterans; and, • Support the development of a sustainable supportive housing approach in the State.
Healthy Homes Project Permanent Supportive Housing • Affordable to the tenant (i.e. < 30% of income towards rent) • Housing choice and control over one’s environment is essential • Services are based on consumer choice • Housing is flexible and individualized – not defined by a program • Emphasis on integration into community, personal control and tenant autonomy
Healthy Homes Project TOTAH Behavioral Health Authority • Founded in 2001 to address problems associated with chronic alcoholism and substance abuse in Farmington and San Juan County • Collaboration between 3 governmental agencies: Navajo Nation, San Juan County, City of Farmington • Six partnering agencies: San Juan Regional Medical Center, Farmington Intertribal Indian Organization, Four Winds Recovery, Presbyterian Medical Services, Navajo Nation Area Indian Health Service, and State of New Mexico • Each entity is a member of the Governing Board
Healthy Homes Project TOTAH Behavioral Health Authority • Totah serves approximately 175 relatives monthly • Approximately 75% are male with the majority between the ages of 20 – 40 • Approximately 90% identify alcohol as the primary substance, however an increasing number of individuals are presenting with methamphetamine addictions • Many of the clients are homeless or at risk of becoming homeless
Healthy Homes Project TOTAH Behavioral Health Authority • Services are provided Monday through Friday with various weekend and evening activities • Assertive outreach to shelters, detoxification facilities, drop in centers, and to camps • Drop In atmosphere • Referrals come from the legal community and other providers in the community • Comprehensive Community Support Services, Individual Intervention, Intensive Outpatient, and group meetings are offered at Totah • A vital component of Totah is traditional healing services which are based on Navajo teaching and culture
Healthy Homes Project Purpose of the HH Evaluation • To systematically collect data needed to determine the immediate or direct effects/impact of the program on clients/relatives • Level of Functioning (Increased?) • Severity of Symptoms (Decreased?) • Substance Use (Decreased?) • Stability in Housing (Increased?) • Education and Employment (Increased?) • Crime and Criminal Justice (Decreased?) • Social Connectness (Increased?)
Healthy Homes Project Other Evaluation Questions • Is access to permanent supportive housing and other services improved as a result of the services provided through the HH Project? • How many people are reached through the program? (age, ethnicity, gender) • Are program participants satisfied with the services they are receiving? • What strategies are used to maintain fidelity to the evidence-based practice across providers over time?
Healthy Homes Project The Evaluation Process • Baseline – completed within seven days of enrollment into the HH Services Program • REQUIRED ON EVERYONE – 100% • Reassessment– completed every six months while in the HH Services Program • REQUIRED ON 80% - GOAL IS 100% • Clinical Discharge
Healthy Homes Project Evaluation Measures • National Outcome Measures Survey (NOMs) • Functioning (psychological distress, substance use) • Stability in Housing • Education and Employment • Criminal Justice Status • Social Connectedness • Mental Health Recovery • Quality of Life
Healthy Homes Project Lessons Learned from First Fiscal Year • Importance of collaboration between partners • Importance of certified peer support workers as case managers and site evaluators • Importance of training in the evidence based practice permanent supportive housing, trauma informed care and historical trauma • Importance of culturally appropriate measures • Importance of culturally appropriate services
First Year Project Impact • Improve access to supportive housing and services for adults with serious mental illness – enrolled 36 consumers • Develop an innovative role for Certified Peer Support Specialists with supportive housing expertise; and a role for CPS Site Evaluators -- developed first supportive housing CE module and created a workforce career track for CPSWs • Expand coordination between housing agencies and behavioral health agencies -- placed 10 consumers in housing • Ensure outreach to traditionally underserved communities such as Native Americans, rural New Mexicans and veterans -- made 406 program contacts • Support the development of a sustainable supportive housing approach in the State -- completed a cultural adaptation for Native American practices of the PSH EBP tool kit