Harmony House TIEH Initiative - The Harmony House TIEH Initiative provides comprehensive, coordinated, evidenced-based services for individuals, children, youth & families with a SMI/SED, or COD who are or are at imminent risk of experiencing homelessness. The focus population is poor, lacks education & suffers from high rates of trauma, poor mental health, substance use, infectious disease, homelessness & stigma. The project will serve 250 people (50/year). Project goals (interventions/ strategies) include: (1) Expand access to and delivery of coordinated comprehensive mental health services to improve housing stability by building a continuum of care for the focus population by (A) Initiating a Project Director to build an integrated continuum of care for the unhoused; (B) Completing a community needs assessment; (C) Expanding the continuum of care in response to the community needs assessment; (D) Partnering with the WV Behavioral Health Training Center to enhance continuum workforce development; (E) Partnering with the continuum of care re: stigma/outreach/engagement in response to the community needs assessment; (F) Identifying community agencies/stakeholders who ally with disparity group communities to develop culturally competent outreach/services; (G) Hiring 2 Therapists to serve the focus population; (H) Hiring an Evaluator to monitor disparity group outcomes to ensure equal access/service/outcomes/retention & (I) Hiring a Psychiatric Nurse Practitioner. (2) Increase community capacity to engage & connect the focus population with behavioral health services to improve behavioral health outcomes by (A) Hiring a Community Engagement Specialist to partner with street outreach/community efforts to engage clients care; (B) Expanding Medical Director time to engage the focus population in behavioral health & COD services; (C) Implementing a universal mental health screening process for all individuals with agency intakes; (D) Partnering with local psychiatric hospitals for intakes; (E) Referring ineligible people to partners & following-up to ensure access; (F) Providing mobile clinic outreach days; (G) Coordinating with crisis systems to obtain referrals; (H) Initiating provision of therapy & psych services in the field; (I) Having 50% of treatment compliant clients report a reduction in substance use at 6-months; and (J) Clients having statistically significant improvements in NOMs mental health outcomes at 6-months. (3) Collaborate with area housing providers to ID sustainable permanent housing for the focus population by (A) Partnering with the CHWCoC to identify additional supportive housing partners; (B) Assisting clients with identifying supportive housing; (C) Liaising with local landlords & The Public Housing Authority to address property damage/advocate for clients; (D) Carrying out behavior support plans to assist with stable housing based on ACT principles & (E) Having clients exhibit a statistically significant increase in days housed at 6-months. (4) Increase case management, care coordination & recovery support service capacity to support focus population stability across services and improve housing transitions by (A) Hiring 2 Navigators to help clients navigate the continuum of care; (B) Assisting all clients with SDOH action plans; (C) Providing recovery support services; (D) Serving 50 clients/year; (E) Holding emotion life skills/ emotion regulation classes & (F) Reducing client HIV/AIDS risk factors. (5) Sustain the continuum of care for the unhoused beyond grant funding by (A) Establishing a Steering Committee to create a sustainability plan; (B) Ensuring clients are enrolled in applicable social services; (C) Working with the MU College of Health Professions Behavioral Health Center (MUSW) to initiate practicums & internships to sustain service provision; (D) Considering formalizing an ACT Team to enable billing for client services; and (E) Ensuring CLAS Standard adherence.
