Grant and Per Diem Operational Call Chelsea WatsonDeputy Director, GPD

March 12, 2019 at 2pm Eastern/11am Pacific

Jeff Quarles, MRC, LICDC National Director, GPD

Visuals: http://va-eerc-ees.adobeconnect.com/gpdbh/ Audio: 1-800-767-1750 Code: 17663

VETERANS HEALTH ADMINISTRATION

• Announcements• Office of Business Oversight• Panel Presentation on Clinical Treatment Model

2

Agenda

VETERANS HEALTH ADMINISTRATION

Announcements: GPD New Staff Introductions

3

Janine Griggs, LICSWClinical Program Specialist

Adrienne Nash Meléndez, Clinical Program Specialist

Elizabeth Whittington, Program Analyst

VETERANS HEALTH ADMINISTRATION

Announcements: Option Year Information

• Option Year Information • Fiscal Year 2018 and 2019 awards• GPD National Program Office will be reaching out to all Per Diem

Only awards in April with directions for response through GPD GIFTS online grants management system

• Responses will be due back to GPD National Program Office by May 31, 2019.

4

VETERANS HEALTH ADMINISTRATION

Announcements: Case Management NOFA Update

• NOFA update• Case management NOFA anticipated to be published in Federal

Register in March• When NOFA published, technical assistance information will be

on GPD website www.va.gov/homeless/gpd.asp• Includes information on upcoming Technical assistance

webinars tentatively March 21 (overview) and April 11(Q&A)• Please monitor GPD website for information.

5

VETERANS HEALTH ADMINISTRATION

Office of Business Oversight (OBO)• Second and Third Quarter Office of Business Oversight Site Visits

• Volunteers of America Florida, Inc., St. Petersburg, FL – March 19-21, 2019• Impact Services Corporation, Philadelphia, PA – April 2-4, 2019• Gateway Foundation, Inc., Harvey, LA – April 16-18, 2019• Featherfist Development Corporation, Chicago, IL – April 30 -May 2, 2019• Help Las Vegas Housing Corporation II, Las Vegas, NV – May 14-16, 2019• Harbor Homes, Inc., Nashua, NH – May 21-13, 2019

• Indirect Rate Agreements

• Federal Financial Reports (SF-425) • Were due 12/31/2018, please submit to: GPD425@va.gov• 100% review as of 9/30/2018

• Training Item of the Month 200 CFR Subpart D—Post Federal Award Requirements - STANDARDS FOR FINANCIAL AND PROGRAM MANAGEMENT §200.303 Internal controls, states: The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award.

6

VETERANS HEALTH ADMINISTRATION

Introductions: GPD’s Clinical Treatment Model Panel

7

Crystal ArcareseHomeless Programs Supervisor

Wilkes-Barre VAMCWilkes-Barre, PA

Ryan PollockProgram Director

Catholic Social Services, Diocese of Scranton

Scranton, PA

Arlene HackbarthClinical Director

The Baltimore StationBaltimore, MD

Paulette DayPsychologist

Catholic Social Services, Diocese of Scranton

Scranton, PA

CATHOLIC SOCIAL SERVICESCLINICAL TREATMENT

LOCATION

• Catholic Social Services, St. Francis Commons is located in Scranton, PA.

• It is connected to the Wilkes-Barre VAMC (VISN 4), which Services 19 counties in Northeast Pennsylvania.

• Service area is mixed between suburban and rural

THE BALTIMORE STATIONCLINICAL TREATMENT

LOCATION

• The Baltimore Station is located in downtown Baltimore, MD.

• It is connected to VA Maryland Healthcare System (VISN 5).

• The service area of the VAMC is mixed including urban, suburban, and rural.

VETERANS HEALTH ADMINISTRATION

Clinical Treatment (CT) Question 1

What specific challenges have you faced with the CT model and how did you resolve these challenges?

12

CATHOLIC SOCIAL SERVICES: BARRIERS

• What specific challenges have you faced with the CT model and how did you resolve these challenges?

• Co-Located Models of Care

• Large Service Area

• Physical Location

The Baltimore Station

14

Challenges :

Collaboration with the deployment of resources:

Receiving large sums of benefits retroactively

Premature HUD VASH vouchers

Ensuring adequate outreach to referral sources

VETERANS HEALTH ADMINISTRATION

Clinical Treatment (CT) Question 2

How do you ensure that at the time of admission Veterans have a substance abuse or mental health

diagnosis and a desire to engage in CT?

15

CATHOLIC SOCIAL SERVICES: CLINICAL SERVICES

• How do you ensure that at the time of admission Veterans have a substance abuse or mental health diagnosis and a desire to engage in CT?

• Assessment

• Concise/Attainable Goals

• Engagement

• On Site Services

• Off Site Referrals

VETERANS HEALTH ADMINISTRATION

Clinical Treatment (CT) Question 3

What best practices have you identified for the CT model?

17

CATHOLIC SOCIAL SERVICES: STRENGTHS

• What best practices have you identified for the CT model?

• Private Rooms

• Physical Location

• Staff

• Veterans Treatment Court Support.

VETERAN LOUNGE AND LAUNDRY

VETERAN DINING AND KITCHEN

The Baltimore Station

What best practices have you identified for the CT model?

Trauma informed care

Client centered treatment

Routine screening for alcohol and substance use with intervention for positive results

Clients receive written treatment plans clearly prescribing treatment services,

Mental Health staff use Cognitive Behavioral Therapy in their sessions

21

VETERANS HEALTH ADMINISTRATION

Clinical Treatment (CT) Question 4

How have you ensured that Veterans are engaged and do not negatively exited from CT?

22

CATHOLIC SOCIAL SERVICES:TIPS FOR SUCCESS

• How have you ensured that Veterans are engaged and do not negatively exited from CT?

• Follow up

• Clear Program Expectations

• Timely Discharge Planning

Give Every Veteran Every Opportunity for Success

CATHOLIC SOCIAL SERVICES: OUTCOMES FY 2018

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

Exits to PH Negative Exits Employed at Exit

GPD CT Performance Measures

National St Francis

OUTCOMES FY 2019

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

Exits to Permanent Housing Negative Exits Employed at Exit

GPD Performance Measures

National St Francis

How have you ensured that Veterans are engaged and do not negatively exited from CT?

Heavy emphasis on forming trusting relationships with the men

Individualized programming

We have the veterans meet with housing programs within the first 30 days of admission

Baltimore station: Outcomes FY 2018

64.08%

21.46%

55.56%

68.57%

13.33%

80.00%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

Exits to PH Negative Exits Employed at Exit

GPD CT PERFORMANCE MEASURESNational Baltimore Station

Baltimore station: Outcomes Fy 2019

66.16%

19.06%

56.57%

83.33%

0%

100.00%

0.00%

20.00%

40.00%

60.00%

80.00%

100.00%

120.00%

Exits to Permanent Housing Negative Exits Employed at Exit

GPD PERFORMANCE MEASURESNational Baltimore Station

VETERANS HEALTH ADMINISTRATION

Reminders

• New per diem rate information on the and request forms on the GPD provider website https://www.va.gov/HOMELESS/GPD_ProviderWebsite.asp

• Technical assistance questions gpdgrants@va.gov

29