Transcript New Opportunities for SOAR in South Dakota

Using SOAR with Transition Age Youth Webinar
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Using SOAR with
Transition Age Youth
P R E S E N T E D BY:
S A M H S A S O A R T E C H N I C A L A S S I S TA N C E C E N T E R
P O L I C Y R E S E A R C H A S S O C I AT E S , I N C .
U N D E R C O N T R A C T TO :
S U B S TA N C E A B U S E A N D M E N TA L H E A LT H S E R V I C E S A D M I N I S T R AT I O N
U . S . D E PA R T M E N T O F H E A LT H A N D H U M A N S E R V I C E S
Welcome!
KRISTIN LUPFER, LMSW, PROJECT DIRECTOR
SAMHSA’S SOAR TECHNICAL ASSISTANCE CENTER
Webinar Instructions
Muting
Recording availability
Downloading documents
Evaluation
Question instructions
Agenda
Transition Age Youth: An Overview
 Abigail Lemon, MA, Project Associate, Policy Research Associates
SOAR Provider Presentations
 Kris Kuntz, MA, Program and Research Analyst & SOAR Local Lead, St. Vincent DePaul Village,
Diego, CA
 Raven Smith, Homeless Youth Program Director & SOAR Local Lead, Posada, Pueblo, CO
 Laura Kolb, J.D., Staff Attorney, Homeless Advocacy Project (HAP), Philadelphia, PA
Questions & Answers, SOAR Technical Assistance Center
San
Poll Question #1
Does your agency currently have a protocol or any distinguishable
procedure for providing SOAR services to individuals who are
categorized as Transition Age Youth (16-24 years old)?
A. Yes
B. No
C. No, but would like to start
D. Unsure
Ending Youth Homelessness:
Using SOAR to Increase Access to
Disability Benefits for Transition Age Youth
ABIGAIL LEMON, MA, PROJECT ASSOCIATE
SAMHSA SOAR TECHNICAL ASSISTANCE CENTER
POLICY RESEARCH ASSOCIATES, INC.
Transition Age Youth
Defined as age 16 – 25
Homeless or at risk of homelessness, transitioning out of foster care
Unique service challenges
Common factors that contribute to youth homelessness:
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Mental Illness
Substance use
Trauma
Lack of education
Unemployment
Unstable home life
Transitions out of foster care or juvenile detention without family or community supports
Statistics
 January 2014 Point – In – Time count estimated, 45,205 unaccompanied children and
youth experiencing homelessness nationwide;
 86%, between 18 and 24
 14% under age 18
 55% male, 40% female, 5% identified as transgender
 33 – 40% identify as LGBTQ
 Over 25%, history of foster care, group home or juvenile detention residency
 One of the most difficult populations to depict accurately in terms of homelessness
statistics and often times underestimated
SOAR & Transition Age Youth
 Engagement
 The ‘look’ of youth experiencing homelessness
 Trauma Informed Care
 Cultural Competency
 Documenting youth disability
Records
Functional ability
SSA Programs
 Social Security Disability Benefits for Youth
SSI for disabled children
SSI for children who transition to adults
Benefits for Disabled Adult Children
Age 18 Redetermination
‘Aging Out’ Youth
Employment Incentives for Youth
Contact Information
Abigail Lemon
SOAR Technical Assistance Center
Policy Research Associates, Inc.
345 Delaware Ave
Delmar, NY 12054
Phone: (518) 439-7415, EXT: 5226
Email: [email protected]
Documentation Strategies for
Commonly Found Impairments
KRIS KUNTZ, MA, ST. VINCENT DEPAUL VILLAGE, SAN DIEGO, CA
SOAR Transition Age Youth Webinar
Documentation for young adults
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SSA Blue Book
Medical sources
Working with doctors
Non medical sources
School programs
Work History
Issue Brief
Medical Sources
• Must have a medically determinable illness: this can be from
when they were a child or an adult
• Must be documented by an MD or PhD
• Will accept evidence from other medical sources such as
nurses, physician’s assistants, licensed social workers, OT
and PT, etc…
• Clinics, hospitals, schools, jail/juvenile justice, etc…
Medical Sources
• Must have a medically determinable illness: this can be from
when they were a child or an adult
• Must be documented by an MD or PhD
• Will accept evidence from other medical sources such as
nurses, physician’s assistants, licensed social workers, OT
and PT, etc…
• Clinics, hospitals, schools, jail/juvenile justice, etc…
Working with doctors
• Example from a note from our doctor in our clinic for a 24
year old individual in one of our frequent user programs:
“however, given pt's [patient] severe depression and history of
prior abuse, it is EXTREMELY difficult to get pt into see
physicians. Pt is very reluctant to come in to be seen in our clinic,
and it usually requires his case manager going to his apartment
several times prior to the appointment in order to get patient into
clinic for a routine medical appointment, so getting him into a
specialty appointment will likely take considerable effort and time.
Non Medical Sources
Family
Teachers
Friends
Neighbors
Church
After school programs
such as sports, Boys and
Girls Clubs, etc…
School Programs
• Special education
• Individualized Education Program (IEP’s) including the IEP
transition plan
• College or post secondary programs
Common Medical Conditions and
Related Listings
•Schizophrenia, paranoid and other •Fetal Alcohol Syndrome (10.01)
psychiatric disorders (12.03)
•Traumatic Brain Injury (11.18)
•Bipolar Disorder (12.04)
• Post-Traumatic Stress Disorder
•Major Depression (12.04)
(12.06)
•Attention Deficit Hyperactivity
Disorder(ADHD) (Equal 12.00)
•Intellectual Disabilities (12.05)
• Organic Mental Disorders
Syndrome (12.02)
•Chronic Asthma(3.03)
•Epilepsy (11.03)
Listing 12.03 Schizophrenic, paranoid and other
psychotic disorders- How to Meet?
A and B are satisfied, or when the requirements in C are
satisfied.
A criteria: Medical documented persistence, either continuous or
intermittent, of one or more of the following:
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1. Delusions or hallucinations; or
2. Catatonic or other grossly disorganized behavior; or
3. Incoherence, loosening of associations, illogical thinking, or
poverty of content of speech if associated with one of the following:
a. Blunt affect or, B. Flat affect, or C. Inappropriate affect.
OR
• 4. Emotional withdrawal and or isolation
12.03 Schizophrenic, paranoid and other
psychotic disorders
• AND
• B. Criteria. Resulting in at least two of the following:
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OR
1. Marked restriction of activities of daily living; or
2. Marked difficulties in maintaining social functioning; or
3. Marked difficulties in maintaining concentration, persistence, or
pace; or
4. Repeated episodes of decompensation, each of extended duration;
12.03 Schizophrenic, paranoid and other
psychotic disorders
C Criteria. Medically documented history of a chronic schizophrenic,
paranoid, or other psychotic disorder of at least 2 years duration that
has caused more than a minimal limitation of ability to do basic work
activities, with symptoms or signs currently attenuated by medication
or psychosocial support, and one of the following:
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1. Repeated episodes of decompensation, each of extended duration;
2. A residual disease process that has resulted in such marginal adjustment
that even minimal increase in mental demands or change or change in the
environment would be predicted to cause the individual to decompensate;
or
3. Current history of one or more years inability to function outside a
highly supportive living arrangement, with an indication for a continued
need for such arrangement
Work History
Be very specific: What
were their duties? Did
they supervise others?
How did they interact
with co-workers or their
supervisor? What
happened?
Community
Based
Instruction
Vocational
Training
Past jobs
How much support did they need? Did they
need extra instruction? Were they in a very
structured and supportive environment?
On the Job
Training
Work
History
Volunteer
Contact Information
Kris Kuntz
St. Vincent de Paul Village
1501 Imperial Avenue
San Diego, CA 92101
Phone: 619.233.8500 ext. 1033
Email: [email protected]
Engagement Strategies
Raven Smith, Homeless Youth Program Director & SOAR Local Lead, Posada
Pueblo, CO
POSADA
“bringing Pueblo Home”
Obstacles to Successful Navigation
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Hunger/Dehydration
Lack of transportation
Embarrassment around hygiene
Lack of focus and ability to keep track of time
and appointments
Anxiety around filling out forms
Anxiety around examiners
Anxiety around being labeled and then losing
their freedom
Fear of previous treatment facilities
Worry about being stigmatized by peers
Engagement Strategies
Create TRUST through:
Low barrier resource access
◦ Food! Hygiene! Bus passes!
Safe environment with restricted age limit
◦ No competition (restrict predatory opportunities) with
older homeless population
Agency resource mapping – personal referrals
◦ ID help, SSA, SNAP, Shelters, Food pantries, Legal services
Mentoring – Physically walking them through processes
◦ Forms for acquiring ID’s (even trips to DMV)
◦ SSA and/or Prescriber appointments
Trauma Sensitivity: Patience and Forbearance!
Agency Resource Sheet
TYPE
CHILDREN
CHILDREN
DISABILITY
DISABILITY
DISABILITY
DISABILITY
DIASTER
DIASTER
DIASTER
EMPLOYMENT
EMPLOYMENT
FOOD
FOOD
GENERAL
GENERAL
GENERAL
GOVT
GOVT
GOVT
GOVT
HIV/AIDS
HOMELESS
HOUSING
LEGAL
MEDICAL
MEDICAL
MENTAL
AGENCY
Bright Beginnings/Chatholic Charities
Caring Pregnacy Center
Hope for Children
Center for Disabilities
Colorado Blue Sky
Colorado Blue Sky Housing
American Red Cross
Salvation Army
ARC OF PUEBLO
Pueblo Work Force
Vocational Rehabilitation
Soup Kitchen
Salvation Army
Cooperative Care Center
Luv in Action
Salvation Army
Department of Social Services
Department of Revenue
Pueblo City/County Health Department
Social Security Administration
Southern Colorado AIDS Project
POSADA
Pueblo Housing Authority
Colorado Legal Services
Pueblo Community Health Center Grand
Pueblo Community Health Center
Spanish Peaks Mental Health Center
ADDRESS
PHONE #
429 West 10th Street, Suite 101544-4233
500 Colorado Avenue
544-9312
801 West 4th Street
545-6821
1304 Berkley
546-1271
115 West 2nd Street
546-0572
2003 Northmoore Terrance
542-6701
4104 Outlook Blvd
561-2614
520 West 13th Street
543-3656
1115 South Praire Avenue
564-9419
212 West 3rd Street
562-3745
720 North Main, Ste 320
544-1406
7th Street and Greenwood Street
545-6540
520 West 13h
543-3656
326 West 8th Street
543-7484
1044 East Abriendo
542-0549
520 West 13th Street
543-3656
805 Desert Flower Blvd
253-7800
827 West 4th Street
543-5164
101 West 9th Street
583-4300
3769 Parker Blvd
1-888-737-1761
PO Box 11451 (01)
924-8925
225 Colorado Ave
545-8776
1414 North Santa Fe
544-6230
1000 West 6th Street
545-6708
1008 North Grand Avenue
584-3964
300 colorado Avenue
543-8711
1304 Chinook Lane
545-2746
SERVICE PROVIDED
Formula, dialers,etc…
Clothing, diapers, formula
Family Assistance
Assist Disabled Individuals
Developmentally Disabled
Disabled Housing
Disaster Assistance
Emergency Furniture
After Disaster clothing
Employment
Retraining, Education, etc…
Breakfast 9:00 Lunch 11:15
Dinner and food boxes
Food and clothing
clothing and furniture
Clothing
TANF, Food stamps, Adult, Etc
Drivers License/Colorado ID
WIC, PIPS,Medical, etc…
YOU WILL NEED
ID, Social Security card
ID, Social Security card
ID, Social Security card
ID, Social Security card
ID, Social Security card
Agency Referral
HOURS
Call first
M-F 9 to 5
Call first
Call first
M-Th 8-5
24/7 Phone Access
M-W 10 to 3
Call first
M-F
ID, Social Security card
M-F
M-Sat
ID, Proof of income, Address Daily
ID, Social Security card
M-F 9 to 12
ID, Social Security card
Call first
ID, Social Security card
M-W 10 to 3
ID, Birth Certificates, SS Card M-F 8-5
Birth Certificate, SS card
M-F 8to 5
ID, Social Security card
M-F 8 to 5
HIV/AIDS Outreach & Education
Homeless Services
Housing
ID, SS Card, Birth Certificates
Free Legal Services
Call for Information
Medical Care
Must be homeless
Primary Health Care
Sign up in advance
Mental Health Care
Colorado ID
Call first
M-F 8 to 4
T-W 8 to 11:30
M-T & Th-F 8:30 -11:30
Call first
Call for Appointment
Contact Information
Raven Smith
Posada
225 Colorado Ave.
Pueblo, CO 81004
PHONE: (719) 545-8776 ext. 15
Email: [email protected]
Poll Question #2
Which actions by the SOAR provider promote trust when working with
transition age youth?
A. Offer tangible items, such as; food, bus passes, hygiene products, cell
phones.
B. Provide a safe environment which separates youth from older individuals.
C. Make personal referrals and accompany youth the appointments.
D. Know your community resources!
E. All of the above.
Referral Model for
Transition Age Youth
LAURA KOLB, J.D., STAFF AT TORNEY
HOMELESS ADVOCACY PROJECT (HAP), PHILADELPHIA, PA
Homeless Advoc..What, what?
Legal Aid Agency
Civil Matters
Volunteer-Based
Outreach Model
And then there was
SOAR…
HAP SOAR Projects
DHS SOAR Project
Targeted the following transition age youth situations:
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Philly youth adjudicated delinquent
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Returning from out-of-home placements
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3-6 months prior to discharge
DHS SOAR Project
Medical determination can be
made prior to youth discharge
from care.
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Collaboration
Philadelphia
Department of
Human Services
(DHS)
Getting the Word Out
HAP has
SOAR!
A Simple Plan
Referral-Based Model
Identification/Referral
of SOAR-Appropriate
Youth
SOAR INTAKE
WIN!
GATHER
EVIDENCE
What really happened...
First Contract Term (12/2009 – 6/2010):
4 DHS SOAR referrals made
4 SSI applications filed
30 days average processing time
SOAR Project Expansion
Included Dependent Youth
Increased Capacity
Publicized Program
Groundwork Payoff
Increased Referral Sources
Referral Sources
DHS/JPOs
OP Mental Health Providers/Child
RTF Advocates
Case Managers/IDS
Life Share
CUAs
SIL
Philly AIC
Family Members
Shelters
Self-referrals
Disability benefits don’t have to mean a dead end street, but
rather a means to survival for youth with disabilities
experiencing homelessness.
Closing
Thoughts
There is no
wrong door!
Outreach never ends
Every Contact Counts!
Be flexible
With youth
With colleagues
Contact Information
Laura Kolb
Staff Attorney
Homeless Advocacy Project (HAP)
1429 Walnut St., 15th Floor
Philadelphia, PA 19102
Phone: (215)-523-9597
Email: [email protected]
Questions and Answers
Facilitated By:
SAMHSA SOAR Technical Assistance Center
Policy Research Associates, Inc.
Please type your question into the Q&A panel located underneath
the participant tab.
For More Information on SOAR
Visit our website: http://soarworks.prainc.com
SAMHSA SOAR TA Center
345 Delaware Avenue
Delmar, New York 12054
(518) 439 – 7415
[email protected]
www.facebook.com/soarworks
@SOARWorks