The Center for Housing Solutions, Inc. and key partners in Tulsa, Oklahoma will implement a multi-disciplinary, integrated care team to serve vulnerable households experiencing unsheltered homelessness in Tulsa County. The proposed project will provide comprehensive, coordinated and evidenced-based services for individuals, youth, and families with a serious mental illness (SMI), serious emotional disturbance (SED) or co-occurring disorder (COD) who are experiencing homelessness or at imminent risk of homelessness. Engaging the most underserved, hardest-to-reach individuals residing in unsheltered locations and using assertive outreach, this project aims to reduce racial and ethnic disparities and increase equitable outcomes at the program and system levels. Working to make homelessness rare, brief, and non-recurring, this project will provide services to at least 290 individuals over 5 years providing access to needed services and obtain housing. Annually, this project will serve 50 individuals in the first year, then 60 each year after.
Strategies and Intervention are as follows: This program, led by Housing Solutions in coordination with Grand Mental Health, adheres to a Housing First model and partners with Coordinated Entry to house the most vulnerable individuals by reducing barriers and providing housing navigation services. Recovery support services will be offered using a person-centered and strengths-based approach by identifying areas of need as a part of developing the Plan of Care with the program team and the client. Other approaches we will use include Integrated Dual Disorder Treatment, Assertive Outreach, and Motivational Interviewing.
Project Goals and Measurable Objectives: (Goal 1) Reduce length of homelessness for individuals with SMI, SUD, and/or COD through assertive outreach and engaging people in recovery services through a harm reduction and housing first approach using a multi-disciplinary team. Program participants will have the opportunity to engage in recovery services through program enrollment to support obtaining permanent housing and remaining in stable, permanent housing. Objective A. 290 unduplicated persons are enrolled in the program in HMIS over the 5- year operating period as a result of being outreached in unsheltered locations and engaged in recovery services for SMI, SYD, and/or COD. (Plan of Care established). Objective B. 100% of participants have completed an assessment through the local Coordinated Entry System within 1 month of enrollment in Street Outreach services (HMIS report).
(Goal 2) Participants will increase their income by obtaining mainstream benefits from program entry through Street Outreach and SSI/SSDI through SOAR services. Objective A. 50% of enrolled clients will demonstrate an increase in income through Mainstream Benefits (SSI/SSDI) 12 months after program entry. Objective B. 60% of participants demonstrated an increase in total income (earned and non-employment) from program entry to annual assessment. This information will be collected by program staff at program entry and during interim assessments at 6-month intervals.
(Goal 3) Reduce the length of homelessness for individuals with SMI, SUD, and/or COD through assertive outreach and engaging people in recovery services through supportive housing navigation and housing stability education. Objective A. 60% of program participants will be navigated into temporary or permanent housing destinations or exited the program to a Permanent Housing Destination over the 5-year operating period. Note: deaths are excluded from calculations. Objective B. 50% of program participants will be enrolled in SMI/SUD related services and/or peer support recovery services over the 5-year operating period.