CCSI Homeless Partnership Program - The CCSI Homeless Partnership Program is a community collaboration that brings together key organizations with the intent of improving access to, and retention in, services to support persons with Serious Mental Illness (SMI) or Co-Occurring Disorders (SMI/Substance Use Disorders) who are homeless or at imminent risk of homelessness to be successful in recovery and in maintain stable housing. The project goals are to: • Increase the capacity of the behavioral health and homeless systems to identify and engage persons with SMI and/or COD who are homeless and not engaged in service • Identify sustainable permanent housing options for individuals enrolled in the Project • Provide evidence-based, integrated mental health and substance use interventions for COD treatment and case management services for enrolled individuals • Provide linkages to recovery support services The geographic area to be served is Monroe County, New York. The Project brings together organizations who provide services within and/or oversee the Mental Health, Substance Use Disorder, Medicaid, Homeless, and Housing systems in the community, along with community-based and peer-run recovery support services. It puts in place an infrastructure to support the integration of services from the various service delivery systems in providing integrated care, recovery support, and housing for the population of focus (adults 18+ with SMI or COD who are experiencing homelessness or at imminent risk of homelessness). This will be accomplished through establishing processes for easy access and incorporating a focus on evidence-based approaches throughout outreach, engagement, care management, treatment, and housing. Primary interventions to be used include Critical Time Intervention, Peer Support/Recovery Coaches, Housing First, and Integrated Treatment for COD. These interventions will be supported with training and coaching of Project staff and community partner agencies in areas such as Motivational Interviewing, Health Equity, Trauma-Informed care, Housing First, and the CTI approach. The project is designed to set procedures and practices in place that can easily be expanded over the duration of the grant to support growth in the use of evidence-based strategies for engagement, care management, and treatment to meet the needs of the population of focus and foster stability in permanent housing. The Project will serve 75 individuals per year (45 in Year 1), for a total of 345 persons over the five-year duration of the grant. It is expected that the population to be served will mirror that of the homeless and/or behavioral health population in Monroe County, with a significant proportion of this population being non-white.
