Transcript Service Costs & Case Mgt.

County Adult Assistance Programs
Housing and Homeless Services
Gregory Kats
CAAP Outreach Manager
San Francisco Human Services Agency
CAAP Program Overview
County Adult Assistance Programs (CAAP)
CAAP is an umbrella program offering financial support and services for very low-income San
Francisco residents with no dependent children. CAAP consists of four individual programs:
General Assistance (GA)
GA is a basic, safety-net benefit program for very low income adults.
Personal Assisted Employment Services (PAES)
PAES provides a cash stipend and services to clients who are interested in pursuing
employment. This program provides clients with employment assistance and training.
Supplemental Security Income Pending (SSIP)
SSIP is for clients with disabilities that have lasted or are likely to last 12 or more consecutive
months. This program is designed to assist clients through the SSI eligibility process and get
them enrolled in SSI.
Cash Assistance Linked to Medi-Cal (CALM)
CALM is for clients that receive Medi-Cal benefits because they are either aged or disabled, but
do not currently qualify for SSI.
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Prior to Care Not Cash (CNC)
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County Adult Assistance Programs had 2600
homeless clients as of April 1, 2004
Clients were provided with substantial monetary
benefits (value of homeless grants was either $332
for GA or $410 for PAES or SSIP)
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No funding available for affordable housing, so
homeless clients were caught in the “shelter shuffle"
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Minimal support services available to homeless clients
and available services were scattered
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Post Care Not Cash
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Proposition N (the Care Not Cash Initiative) was passed by
voters in November 2002
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Due to legal challenges, implemented in May 2004
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The cash portion of the homeless grant is now $59 for GA and
$65 for either PAES or SSIP
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The bulk of the grant now goes to housing and services
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County Adult Assistance Programs currently has 418 homeless
clients (stats as of July 2009)
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Annual Homeless Client Data
1800
1600
1638
1400
1200
1000
800
600
400
444
394
385
392
418
200
0
July
2004
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July
2005
July
2006
July
2007
July
2008
July
2009
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Care Not Cash Core Principles
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People are better served in shelter/housing than on
the streets
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Services should be tailored to meet individuals’ needs
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Length of time in shelters should be minimized
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Affordable housing options should be expanded
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What Care Not Cash Funds
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The “Human Services Care Fund” (which utilizes savings from the reduced CAAP
homeless cash grants) totals approximately $14 million annually
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1321 units of permanent, supportive housing
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2662 clients housed through CNC as of June 2009
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On-site case management
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A roving team of clinicians to address physical and mental health issues on-site
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On-site substance abuse services
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A shelter bed and 2 meals per day for CAAP clients who have not yet received
CNC housing
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On-Site Support Services
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Substance Abuse Services
Mental Health (licensed clinician)
Primary Medical Care
Dental Treatment
Podiatry Care
Vision Care
Health Screening
Employment Services
Social Activities
Support Groups
Money Mgmt/ Rep Payee
Eviction Prevention
Legal Services
Transportation Assistance
Phone calls-local
Phone calls-long-distance
Voicemail
Individual Postal Mailbox
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Food Distribution (not meals)
Meals
Community Kitchen Access
Laundry Facilities
Hygiene Assistance or Supplies
Assistance Finding Other Housing
SSI - Initial Application
SSI - Follow-Up and Advocacy
CAAP Assistance
Veterans Benefits
Health Insurance Linkages
Food Stamps
In-Home Supportive Services
Case Mgt.
Mediation
Meditation/Stress Reduction
Computer Training
Fitness Classes
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Current Status of CNC Housing
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No more CNC funding for new housing
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Current funding fully allocated to existing housing
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New CNC clients continue to be housed
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Five to six unit-per-week turn-over
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CNC clients transition from CAAP to SSI and employment
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Higher income = self sufficiency and independent housing
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Client Exemptions
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Exemptions granted by on-site CAAP clinicians
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Clients with mental health issues
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Don’t have to stay in shelter
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Grants not reduced
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Counseling available
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EBT
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CAAP transitioned to using EBT cards in 2008
Prior to EBT clients cashed their grant checks at
check cashing outlets
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Associated cost was a hardship for client
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Much more convenient for clients and no user costs
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Monthly Homeless Appointments
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Clients meet with workers on a monthly basis
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Confirm ongoing eligibility
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Adjust benefit amount
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Make new shelter reservations
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Extend existing shelter reservations
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Check for available housing opportunities
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Specialized Homeless Services
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Roving Shelter Case Management
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SSI Advocacy
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Modified Payment Program
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Employment Services
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Homeless Outreach Team
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