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5.6 Home-Based Case Management (Morley)


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Homeless service providers increasingly serve families in their own homes. This workshop will examine strategies to keep such families engaged in voluntary services and maximize their connection to community-based services. Providers offering home-based case management services for survivors of domestic violence will also be featured.

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5.6 Home-Based Case Management (Morley)

  1. 1. National Conference on Ending Homelessness<br />Home-Based Case Management<br />July 13, 2010<br />
  2. 2. Our experience in Calgary, Canada<br />Safety planning for clients and staff<br />Empowerment approach to case management<br />Voluntary nature of service<br />Creating community connections<br />Questions and comments<br />
  3. 3. Discovery House <br />30 year history of providing integrated residential and community services to women with children fleeing domestic violence<br />Operate a 19 unit second stage shelter as well as a housing first program<br />Located in Calgary, Canada (pop. 1.1 million)<br />
  4. 4. Housing First<br />Community Housing Program began as a one year pilot project in February 2009<br />Housing crisis in Calgary, women headed families leaving domestic violence hardest to house and keep housed – multi barriered<br />Collaboration funded by the Calgary Homeless Foundation and a part of our TYP<br />Critical intersection between agencies serving homeless and agencies serving domestic violence<br />
  5. 5. Community Housing Program<br />4 case managers, 3 mental health specialists, a team leader and a program manager<br />In our first 9 months of operation we housed 75 women and their 209 children safely in our community<br />Our program does not replace domestic violence shelters but offers an option which did not exist prior<br />
  6. 6. Safety: First and Last<br />Starts with thorough assessment and collaboration – consultation with client, emergency shelter staff, police, child welfare<br />Complete our own assessment that includes Dr. Jacquelyn Campbell’s Danger Assessment<br />Approach to safety is multifaceted and continuous. After assessment:<br /><ul><li>safety planning education and information
  7. 7. the plan
  8. 8. children’s safety plan
  9. 9. emotional safety plan
  10. 10. substance use safety plan</li></li></ul><li>Safety: First and Last<br />Walk through of property first step<br />Safety plan is her document, copy in file<br />Leverage all legal and community resources (formal court orders, shelters, police services such as 911 flagging, security systems)<br />Family choice to involve neighbours, landlord, school<br />Re-house for safety if needed<br />
  11. 11. Sample Safety Plan<br />Interactive<br />Practical<br />Relevant<br />Revisited often<br />
  12. 12. Sample Child’s Safety Plan<br />Developmentally congruent<br />Mom takes lead<br />“Emergency plan”<br />
  13. 13. Safety Planning for Staff<br />Onus increasingly on employers to ensure safety of our staff<br /><ul><li>Clear written policies and procedures
  14. 14. Safety issues discussed regularly in group and individual supervision by supervisors
  15. 15. Training for staff, including emergency contacts
  16. 16. Out of office schedules to two supervisors
  17. 17. Cell phones</li></ul>If (ex)partner present<br /><ul><li>Assess/discuss situation with client, supervisor
  18. 18. Work in pairs (case manager and mental health specialist)
  19. 19. Phone contact, community contact and visits away from home – park, quiet coffee shop, library</li></li></ul><li>Voluntary Services<br />Case managers’ challenge: how to make themselves relevant in their client’s lives, build relationship<br />Work with clients before they are housed<br />Thoughtful and individualized assessment and service plans<br />Case managers who can listen on client’s terms, and agencies who support case managers to listen<br />Mindful of impact of trauma on survivors and adapt program accordingly<br />
  20. 20. Empowerment<br />With our thoughts, we make the world ~ Buddha<br />What?<br /><ul><li>Sense of personal agency
  21. 21. In the fibre of your program, individually and collectively</li></li></ul><li>Empowering Families<br />How?<br /><ul><li>By starting (and remaining!) where your client is
  22. 22. By constructing together meaningful, client-centered family action plans that are revisited often
  23. 23. By encouraging and supporting; not helping</li></li></ul><li>Creating CommunityConnections (that last!)<br />Primary focus of our work: empower clients to gather resources for their lives. We help them sort through and try on options.<br />Check out resources and agencies on a regular basis<br />No blind referrals<br />Human connection is the currency<br />Every interaction a coachable moment <br />Transition planning begins ~ 60 days before graduation <br /><ul><li>Thoughtful
  24. 24. Useful
  25. 25. Relevant</li></li></ul><li>Contact:<br />Heather Morley, MA<br />Program Manager<br />Community Housing Program<br />Discovery House<br />403-204-6825<br /><br />