CAMBRIDGE STEP HOME TEAM PILOT DESCRIPTION AND OPERATING POLICES AND PROCEDURES DRAFT November 29, 2016 Acknowledgements This Guide was developed by the Cambridge STEP Home Team Pilot Administration Group based in part on London Cares materials, with training and consultation support provided by Iain DeJong of OrgCode Consulting , and input from the Cambridge STEP Home Team over 2016. We extend our thanks and appreciation to Jan Richardson in London and Iain Dejong for all of their support. Should you have any questions about this document or would like to request the document in an alternate format please contact: Regional Municipality of Waterloo Housing Services 20 Weber Street East, 4th Floor, Kitchener, ON N2H 1C3 Tel.: (519) 575-4400 ext. 4679 Fax: (519) 575-4026 TTY: (519) 575-4608 Docs #2109834 DOCS 2109834 2 TABLE OF CONTENTS 1 Background 4 2 Overview 5 3 Principles And Practices 7 4 Team Lead, Agency, Administration Group and Region Roles 9 5 Staff Roles 12 6 Meetings 14 7 Policies and Procedures 15 8 Pilot Resources 16 9 Marketing Services To Landlords 17 Appendix A: Participant Handbook 18 Appendix B: Service Agreement 19 APPENDIX C: Worker Safety Policies and Protocols for in-home and community-based service 20 Appendix D: Flex fund policies and procedures 25 Appendix E: Landlord Letter – charity/non-profits 28 Appendix F: Landlord Letter – medium to large landlords 29 Appendix G: Discharge Letters 30 Appendix H: Cambridge STEP Home Pilot Draft Evaluation Plan 31 DOCS 2109834 3 1. Background STEP Home (Supports to End Persistent Homelessness) programs have been operating across Waterloo Region since 2008. STEP Home provides supports as outlined in a number of documents including: STEP Home Program Description (2012), Waterloo Region Housing Based Support Guide, and PATHS Process Guide: Priority Access to Supportive Housing. In December 2015, Regional Council approved additional resources for STEP Home in Cambridge over 2016-2018 as a best practice pilot following changes in Cambridge as a result of the CHPI Supportive Housing Program Request for Proposal (RFP) process. The four existing STEP Home delivery agencies in Cambridge (Argus Residence for Young People, Cambridge Self-Help Food Bank, Cambridge Shelter Corporation, and Lutherwood Housing Services) were invited to submit a joint proposal for the Cambridge STEP Home Team Pilot to operate from April 2016 – March 2018. The proposal was received and approved which combined the previous and new resources of STEP Home in Cambridge to create the Cambridge STEP Home Team Pilot. Cambridge STEP Home Team start-up activities took place over April – June 2016, with the team beginning regular meetings in July 2016 and final hires for the team completed in August 2016. DOCS 2109834 4 2. Overview The Cambridge STEP Home Team will seek to develop and pilot a team-based, Housing First, housing support coordination approach to service delivery for existing participants and new participants selected from the PATHS priority list as outlined in the PATHS Process Guide. Structure: Agreements are held with each of the four Cambridge STEP Home agencies for April 2016March 2018 as outlined below: Agency Argus Residence for Young People Cambridge Self-Help Food Bank Cambridge Shelter Corporation Lutherwood Positions 2 FTE Youth-Specific Intensive Housing-Based Support Workers 1.5 FTE Housing Focused Street Outreach Workers 1 FTE Intensive Housing-Based Support Worker 3 FTE Intensive Housing-Based Support Workers 1 FTE Peer Support Worker 1 FTE Team Lead 1FTE Team Coordinator 2 FTE Housing Liaison Workers (including support for HAWS administration in Cambridge) 2 FTE Intensive Housing-Based Support Workers The Team is co-located at the Tiger Lofts building (35 Water St. S). The Team is supported by an Administration Group comprised of the Region, managers/supervisors from each agency and the Team Lead and Team Coordinator. The Pilot Team will incorporate best and promising practices in Housing First and housing support coordination. Pilot Team learnings will be shared and discussed with the larger STEP Home Collaborative. This pilot will help inform the future review of STEP Home programs across Waterloo Region over 2017/18. Learning Goals of the Pilot: Refer to the Evaluation Plan in Appendix H for a list of process questions and outcome questions and the timeline and approach for the pilot evaluation. Expected Outcomes of the Pilot: • • • Clean up existing participant lists and continue to serve those that remain (total 36 of which ten were still unhoused and on PATHS as assigned/connected). House 50 people off the PATHS list over the two year pilot April 2016-March 2018 (includes the ten that were predicted to be been housed through the previous program (five each year for two years) plus forty with the four additional intensive workers. 100% of the housing used in the pilot will meet the new STEP Home Minimum Requirements PreScreen Unit Checklist. DOCS 2109834 5 • • • • • A minimum of 90% participants in the program retain their housing for 6 months or longer (calculated based on those housed by October 1, 2017). A minimum of 85% retain their housing for a year or longer (calculated based on those housed by March 1, 2017. If being re-housed and find new housing within one month of leaving current housing may not considered a return to homelessness – see below 1. At end of pilot, current and past participants (within the timeframe of the pilot) rate 85% overall satisfaction with the program. At the end of the pilot, participating landlords rate 75% overall satisfaction with the program. At the end of the pilot, key community service providers rate 90% overall satisfaction with the program. o Work towards achieving a functional end to homelessness for people experiencing high acuity and chronic homelessness in the following order: Chronic High/High, All other High/High, Chronic Low/High, and All other Low/High Benchmarks for consideration: 1 If the person ends up back on the street or in shelter, this would be considered a return to homelessness. If temporary arrangements are made for the person (e.g., stay with someone else, motel, respite etc.) and move into new housing within a month would not be considered a return to homelessness – check this definition with PAG. DOCS 2109834 6 3. Principles and Practices The following are the principles and practices of the Team and Administration Group as confirmed through quarterly strategy meetings. Principles and Practices of the Team • • • • • • • • 2 Serve people from PATHS as per the PATHS Process Guide - will not serve people outside of participants assigned through team (with exception of the .5 general street outreach). Team uses a consistent approach (e.g., as outlined in the Housing Support Coordination Guide, PATHS Process Guide, Cambridge STEP home Team Pilot Description and Operating Policies and Procedures, and others as determined by the team) so participants receive both consistent and individualized service. Use a progressive engagement approach with a focus on “walking with” rather than “doing for” Apply Housing First principles 2: o Immediate access to housing with no readiness conditions o Consumer choice and self-determination o Recovery orientation o Individualized and person-driven supports o Social community Integration Use co-located space unless meeting someone specifically at another location (including morning check-in - happens at co-located space before home agency and any “spare” time is spent with the team rather than home agency) Problem-solving regarding participant issues are done with the team rather than with home agency. Be friendly and supportive to participants served through the team where someone else is lead/back-up but check-in with the lead/back-up before offering any support to the participant. Follow team documentation processes and standards. Wording specifically from Rain City Housing BC – www.raincityhousing.org DOCS 2109834 7 The team further developed the following set of values to guide their work together: • Respectful language • Transparency • Guiding a process • The ability to break the cycle of homelessness • The ability to recover from homelessness • Individualized support • Respecting others’ experience • The dignity and worth of each individual • Harm reduction • Accepting people • Working with people where they are at • Accommodating • Not being punitive • Supportive relationships • Inclusivity, anti-oppression, anti-racism • Housing first • A person’s past does not dictate their future Principles and Practices of the Administration Group: • • • • • Supports the team principles and practices (as identified above). Supports decisions of the Team Lead and where there are any questions or concerns, brings directly to Team Lead, and if not resolved brings to Team Lead’s Supervisor, and if not resolved brings to Administration Group. Team members will not be expected to provide “home agency” coverage. If someone is not able to attend an Administration Group meeting, they will support any decisions of the group in their absence. Agree to number three along the following scale for consensus decision making. 1 I don’t Buy it DOCS 2109834 2 I can live with it but, I have several reservations 3 I can live with it but, have 1-2 reservations 4 I can live with it the way it is. 5 I love it! 8 4. Team Lead, Agency, Administration Group and Region Roles The STEP Home Cambridge Team Pilot adopts a shared leadership and stewardship model based on strong practices of collaboration and integration. The funded agencies agree that primary governance and accountability will be achieved through a combination of the Team Lead, Team Coordinator, Agency, the Cambridge STEP Home Pilot Administration Group (agency managers/supervisors), and the Region. These roles as they are currently understood are described below. These roles may be further refined and developed throughout the pilot. The Team Lead is Responsible for: • • • • • • • Leading the Cambridge STEP Home Team Pilot Leading any staff strategic meetings, daily team meetings (1/2 hour), monthly team administration meetings, and weekly case review meetings (60 second updates on each person) Directly supervising Lutherwood staff including the Team Coordinator, Housing Liaison Workers and Intensive Support Workers Other team staffing issues: o Coordinating staff vacations (for approval by host agency) o Receiving notice of sick days (along with host agency) Data and Reporting o Review team data for accuracy and any trends o Preparation and submission of data to funder Community Contact o Brokering and advocacy including building connections across systems and organizations, creating memorandums of understanding, conflict resolution and working with Region as funder o Serve as the prime contact for conflict resolution with community supports o Facilitate the meetings of the Cambridge STEP Home Pilot Administration Group o Working with the other Cambridge STEP Home Pilot funded agencies regarding matrix reporting relationship of Team members Support Coordination o Assign participants through PATHS Process to team members in consultation with the Team o The Team Lead won’t carry their own participant assignments but may become involved with any participant in conjunction with the direct support worker as well as organize/participate in any wrap-around meetings where they deem it appropriate to do so. o Managing the Team flex fund o Approve exits/transitions from the program DOCS 2109834 9 The Team Coordinator (reporting to the Team Lead) is responsible for: • • • • • • Backing up the Team Lead Facilitating morning meeting with team lead (approx. ½ hour) Work assignments along with the Team Lead Administering the Team flex fund Coaching and support of the Intensive Support Workers o Cambridge STEP Home Team pilot orientation for all team members o Morning team meetings (the Monday meeting will include other partner agencies) o Monthly one-on-one meetings with team members that review plans for each person and support approach, accuracy of notes/crisis plans/SPDAT etc., and provides coaching o Ensure elements of Housing Based Support Guide are completed including exit planning o Support the organization of and/or participate in any wrap-around support meetings o Field shadowing once every two months or as needed (1/2 day to full day with each team member - with participant prior approval/consent) to determine appropriate training and coaching opportunities o Participate in any case conference that they choose to attend. o Determine if all due diligence has been completed prior to a Participant exiting from the program. o Adherence to STEP Home Team Pilot policy and procedures o Ensure fidelity of practice o Promote and support a learning culture Reviewing and making recommendation for exits/transitions to the Team Lead DOCS 2109834 10 The Funded Agencies are Responsible For: • • • • • • • • Receipt and management of the funding associated with the positions they are hosting; Participating on the Cambridge STEP Home Pilot Administration Group; Supporting the development of a partner agency Memorandum of Understanding (MOU) for the Pilot Hiring and supervising staff, ensuring adherence to any legislated employment requirements, supporting career pathway, approval of training and time off, and addressing any performance issues brought forward by the Team Lead (with support of the Team Lead as appropriate) Observing approved human resource policies and procedures specific to the operation of the team in conjunction with the Cambridge STEP Home Team Pilot Administrative Group Providing oversight and supervision to the work practices of members of the team with the Team Lead, Cambridge STEP Home Pilot Administrative Group and the Region; Approving staff vacations in consultation with the Team Lead Receiving/approving notice of sick days (Team lead would receive notice) The Cambridge STEP Home Pilot Administration Group: • • • • Help guide the pilot Work with the Team Lead to support matrix reporting of team members Establishing compatible human resource policies and procedures specific to the Cambridge STEP Home Pilot Team In the event that agency policies and procedures are in conflict with the Cambridge STEP Home Team Pilot, it is the responsibility of the Administration Group – with other agency staff as appropriate – to reach a successful conclusion and to document the resolution. The Region: • • • • • Agreements and receive reports Facilitating the Cambridge STEP Home Pilot Administration Group Manage the training budget and work with Team Lead to arrange Team Training Update Housing Support Coordination Guide based on learnings from the pilot Facilitate the development of the evaluation plan and support evaluation DOCS 2109834 11 5. Staff Roles Housing Focussed Street Outreach • • • • • • Support Phase 1 activities: - Search for people experiencing homelessness (10% of time) - Continuing to engage with people experiencing homelessness that have initially said “no” to support at this time (20-30% of time) - Supporting those who are interested in support with document readiness (60-70% of time) Introduction when meeting someone should include: - Who you are - Who you work for - What you offer… “We want to help you get housed. We do that by working with you to figure out your needs and wants and matching that to the support offered. Supports including helping you to find, set-up and keep your housing with regular in-home support visits. Is that something you might be interested in?” Facilitate initial meeting with Housing Liaison and Intensive Housing-Based Support Worker Support Phase 2 activities: - Find and bring the person to housing viewings (meeting the Housing Liaison and/or Intensive Housing-Based Support Worker there – don’t need to stay) - Ensure person is prepared for the viewing – shower etc. Facilitate the warm transfer meeting Participates in training and use of Motivational Interviewing and Assertive Engagement from a Person Centred approach. Housing Liaison • • • • • • Identifies rental units (4-8 per month): - Corporate (property managers, large landlords) - Hidden Housing Market (smaller landlords and outreaching to low-income tenants) - Social Housing (+ urgent status) - Social Housing - Appeals to Charitable Organizations (once a year outreach/appeal) Screen to ensure meets minimum standards Schedules viewings Manages HAWS in Cambridge Landlord contact for any issues Landlord Engagement Program – once a year meeting and recognition DOCS 2109834 12 Intensive Housing-Based Support • • • • • • Attends the warm transfer meeting and takes the lead with the participant from there Housing viewings with participant (supports the participant to attend viewings and works through process - feedback, refinement, application, acceptance) Lease up process with participant (securing first and last months rent and setting up rentdirect, supporting the person to show up for signing the lease, securing tenant insurance and supporting utility hook-up) Secures furniture and household goods with participant prior to move-in Supports move-in Provides support as outlined in the Housing Based Support Guide using the Housing Based Support Framework p 5-9. Peer • • • • • A para-professional role providing light supports integrated with the work of Intensive Housing-Based Support Help with move-ins Home skills coaching Accompaniment to appointments Support social awareness – introduction to social environments and community inclusion DOCS 2109834 13 6. Meetings Meetings that the team will be involved with are outlined below: • Morning Meeting - Daily - Will start Monday, July 4 at 9am (take 5 min-30 min max) - Meetings will take every weekday morning at 9am at Tiger Lofts with exception of Thursdays which will take place at Cambridge Shelter in upstairs board room (Mike will book for 9:00-9:30am) – this is to accommodate the health clinic at that time - Meetings will be in person (to begin with) and are not to be missed unless 3rd party scheduling (e.g. specialist apt.) • Support Coordination Meeting - Weekly - Will start Wednesday, June 22 from 9am-Noon - Meetings will take place every Wednesday thereafter from 9am-Noon at Tiger Lofts - Will start incorporating PATHS list assignments in August • Administration Meeting – Monthly - Next meeting July 29th from 9am-Noon - Thereafter will continue on the last Friday of every month • Supervision Meetings- Monthly - Each worker with Team Lead and/or Team Coordinator - To be set up individually and last 45 min-1 hour • Strategy Meetings - Quarterly - Region to organize and chair - Day long meetings for the Team and Administration Group to check in on how the program is doing, what’s next, system barriers, etc. - Next one will be the training date with Iain DeJong on Friday, September 23rd - Region will look to schedule another meeting either in November or January • Agency Meetings - Team members will attend agency meetings from time to time – The anticipated meetings, based on Agency, are: Argus – Trainings as needed – no formalized team meetings. Cambridge Self-Help Food Bank – One Tuesday a month from 9-12 Cambridge Shelter Corp. – Currently, every three months there is a lunch and learn. (This may be updated and changed.) Lutherwood – Quarterly Housing Services Meeting, Monthly Leadership Meeting, Annual All Staff Meeting • Community Meetings - Team members (as identified by the team lead) will attend community meetings from time to time – see chart below PATHS Coordinating Group – Monthly DSWAG – Quarterly and rotate between K-W and Cambridge Connectivity Table – Weekly (Team Lead or Team Coordinator) DOCS 2109834 14 7. Policies and Procedures a) Safety Policies and Procedures Team policies and procedures related to safety (e.g., risk assessment, safety planning, time reporting, vehicle safety, guidelines for in-home visits, in the event of an emergency, incident reporting) are included in Appendix C. b) Flex Funds Flex Fund policies and procedures are included in Appendix D. c) Work Hours While staff has slightly different contractual work hours with their agencies, it is generally understood that works hours are flexible and team and participant-centred. Also, that staff are entitled to and should schedule breaks to ensure health and balance. Advance approval for lieu as per each agency’s policy with general expectation to take any lieu within the week it has occurred. d) Vacation Pre-approved vacation will be honoured with the start up of the pilot (e.g., summer 2016). Any further vacation should be coordinated through the Team Lead and then submitted for approval to the appropriate agency as per agency process. Staff are entitled to, and should take, their vacation in the year it is earned wherever possible to ensure health and balance. Vacation carryover is as per agency policy. The following tables outline stat and agency vacation days: 2017 Vacation Days - 2017 Argus CSHFB nd January 2 – New years X X th February 20 - Family Day X X April 14 - Good Friday X X th April 17 - Easter Monday No No nd May 22 – Victoria Day X X rd July 3 - Canada Day X X th August 7 – Civic Holiday No X th September – 4 Labour Day X X th October 9 - Thanksgiving X X th November 11 - Remembrance No No December 25th – Christmas X X th December 26 – Boxing Day X X DOCS 2109834 Cambridge Shelter X X X TBD X X X X X No TBD TBD Lutherwood X X X X X X X X X Floater X X 15 8. Pilot Resources The following resources are available to the STEP Home Team Pilot: a) Housing Assistance With Support (HAWS) – currently a total of 30 with 23 for adults and 7 for youth (one of which could be used for a family in Cambridge if needed – one family HAWS across the Region). Historical breakdown: o April 2015-August 2016 = 6 HAWS in Cambridge (of 40 across Region) o September 2016 = 4 HAWS added (from uptake savings of 40) o October 2016 = 20 additional HAWS added in Cambridge (15 for adults and five for youth) (of new 60 across Region) o HAWS effective to March 31, 2024 For further information on HAWS, see PATHS Process Guide. b) Flex Funds – for more information see Appendix C. Includes support for home set-up to complement Home Set-Up funding in K-W. c) Showers can be utilized at the Bridges when participants are preparing for housing viewings. To access this service, outreach contacts Bridges drop-in staff and arranges a time for the participant to shower. Showers are often available immediately, and if needed, Bridges staff can help with obtaining clean clothes. d) Food Hampers - if participants have exhausted their regular 8 food hampers that year, contact Dianne at Cambridge Self-Help Food Bank and she will consider additional hampers as needed. e) Voluntary Trustee – contact the Bridges if someone in STEP Home requires and is interested in participating in the voluntary trustee program to support housing stability. DOCS 2109834 16 9. Marketing Services To Landlords The following script is being used by the team to market services to landlords for finding available units. • We introduce our service as a business opportunity for us to fill vacant units. • Explain we are a program with tenant follow up support attached to support a positive tenancy • The lease will be in the tenant name • We will pay the deposit up front to hold the unit • We will ensure rent is paid each month • We can provide the landlord with the name of person to call should there be any tenancy related issues. • We have a tenant pool of people waiting for available housing and can fill the unit quickly Any further conversation can happen with Housing Liaison workers as listed in the letters included: Appendix E: Landlord Letter – Charity/Non-Profits Appendix F: Landlord Letter – Medium to Large Landlords DOCS 2109834 17 Appendix A: Participant Handbook A Participant Handbook about Cambridge STEP Home Team Pilot (see Docs# 2219611) DOCS 2109834 18 Appendix B: Service Agreement SECTION A - TERMS OF SERVICE EXPLAINED Due to the nature of this service, you have been provided with the following information in a written document called, ‘A participant Handbook about Cambridge STEP Home Team Pilot’ a) b) c) d) e) f) g) h) i) Records & Files (retention and destruction) Confidentiality of Personal Health Information Consent (‘informed’ consent) Limits of Confidentiality (‘duty to report’) Your Rights The Risk and Benefits of Participation Your Involvement and Participation Accommodations for Diversity Handling Challenges & Dissatisfaction Your Cambridge STEP Home Worker has given you the opportunity to seek clarification regarding these terms. You are welcome to ask further questions related to these terms or the overall provision of service at any point during your session. I/we have received the Cambridge STEP Home Team Participant Handbook and understand the terms of service which meet with my approval Signature of participant: DOCS 2109834 YES 19 APPENDIX C: Worker Safety Policies and Protocols for in-home and community-based service Since a significant amount of the work in the Cambridge STEP Home pilot is home based or in the community, it is important to be aware of staff safety issues unique to this work and utilize strategies to avoid potentially dangerous situations. A. ASSESSMENT OF RISK FACTORS • • Reference the Housing Based Support Guide Prior to home based or community meetings with participants, staff complete the Short Risk Assessment and Mitigation Plan for Support Workers Form When first assigned a participant, it is important to get as much information as possible prior to meeting with the participant or going to the participant’s home. In reviewing the participant file and assessment information, it is important to consider risk and safety issues. If areas of concern are highlighted it is recommended that the worker check in with the Team Lead or Program Coordinator. If there is a history of violence and aggression, review the information looking particularly for: • nature of the violence (sexual or physical) • with what gender did the violent acts occur • frequency of violent acts occurring • type of violent acts • level of police involvement • restraining orders • when did the last violent incident occur • any references to the use of weapons or fire setting. If there is information revealed that suggests safety concerns it is recommended that further questions are asked regarding safety risks. It is important to note that participants who have lived in violent situations can minimize the impact and descriptions of violence as a result. Remember your instincts are important, so pay attention to any uncomfortable feelings. Once the Risk Assessment for Support Workers Form has been completed all potential areas of risk that have been identified are reviewed with the Worker and Team Lead/Team Coordinator for safety and mitigation planning. This document is kept in the Participant Binder and HIFIS (when available) with a copy provided to staff to share with their supervisor at their home agency. DOCS 2109834 20 B. SAFETY PLANNING Once safety and risk factors have been determined, a Worker Safety Plan should be developed in consultation with your Team Lead or Program Coordinator at the earliest opportunity and prior to beginning in home/community work with participants so that future programming needs and preventative action can be initiated. Workers are expected to be aware of and concerned about personal safety at all times and review any safety concerns with the Team Lead or Program Coordinator. All safety concerns and strategies will be flagged and documented in participant binders and in HIFIS C. SELF ASSESSMENT AND AWARENESS It is important to reflect on how tuned in you are to your own feelings or thoughts. Are you aware of your own personal vulnerabilities and limitations? What is your own stress level and confidence level at the time? What are your triggers, such as racial comments, gender comments, etc. and are you prepared to deal with this if it should occur? Plan for what might occur in a proactive manner and you’re better able to deal with it. Remind yourself of your communication strategies and de-escalation skills. D. TIME REPORTING • • • • • • • The Team Lead or Program Coordinator maintains a record of each worker’s vehicle and license number, type and colour of car. The Team Lead or Program Coordinator maintain a record of each worker’s cell phone number (work related), home phone number and emergency contact number. Workers are responsible for reporting their whereabouts and keeping their schedule up to date at all times when out in the community. This includes evening appointments. Time schedules are kept in the central office. Schedules must include appointment time and participant name, and any other significant information needed to locate a worker should that be necessary. Workers are expected to call in any major changes to the schedule. The Team Lead or Team Coordinator are to monitor that workers have arrived back at expected times. Other team-mates can also be consulted who can check the sign out book located in the central office. Beyond regular business hours workers can establish a check-in system with friends or family members, who can contact the Team Lead or Team Coordinator if a worker does not return home at expected times. In the event a worker does not return to work or home at the expected time, the Team Lead or Team Coordinator will initiate an emergency response such as calling police or going out to assist, depending on the situation. Keeping schedules current is of the utmost importance DOCS 2109834 21 E. VEHICAL SAFETY Because client visits involve travel, it is important to be aware of personal vehicle safety. • Maintain your vehicle in good working order. • Carry safety equipment in your car i.e. jumper cables, first aid kit, flashlight, call police sign • Cellular phones are mandatory as a personal safety device • CAA or other automobile road services are recommended • Avoid underground parking that is not well lit and secure • If possible, back into a parking space and not where it could be potentially blocked • Park in the direction of an accessible exit • Always lock the car • Avoid parking in a dark area; choose a well lit space. • Prior to the first visit, drive past the neighborhood looking for “safe spots”. i.e., coffee shops, 24-hour convenience stores, restaurants, phone booths, etc. F. BE AWARE OF AND KEEP NOTE OF • • • • • Known crime areas, including what type of crime Parking areas safe and unsafe Unlit walkways and inadequate lighting Abandoned buildings Alleyways G. GUIDELINES AND PRECAUTIONS FOR IN-HOME APPOINTMENTS • • • • • • • • Park vehicle in well-lit areas; avoid areas where car can be blocked in Wear comfortable clothing that is not too restrictive or could be perceived as provocative Listen before knocking Identify yourself and do not enter until invited Ask if anyone else is in the home If a participant comes to the door under too under the influence of a substance (drugs or alcohol) to work with you acknowledge that this is not the best time for a meeting. Let the participant know that you will contact them to arrange another time and leave When you sit, be aware of what is behind you; avoid sitting in doorways and corners, and if possible, sit near the closest exit Keep your keys and personal items on you at all times. If a participant should engage in excessive sexual or threating comments or behaviors, label the behavior and indicate that if it continues you will leave. This can be done in a sensitive manner. If it is not safe at the time to label the behaviour – acknowledge this is not the best time to meet and leave. DOCS 2109834 22 H. IN THE EVENT OF AN EMERGENCY CONSIDER THE FOLLOWING • • Leave immediately and call 911 for assistance from a safe place At no time should a worker attempt to intervene physically between a participant and another person. I. IF UNABLE TO LEAVE • • • • • • • • • • • • If you are restricted from leaving, advise the participant that you are expected back at the office, or you have another appointment, or you are meeting your supervisor or another worker close by - remain calm and utilize de-escalation skills. If unable to leave and have access to your phone, call 911 citing address first. Program emergency numbers into your cell phone for speed dial. Use assertive communication and repeat that you need to leave now for everyone’s safety, ensuring you are listening to and validating the participants concerns and feelings. Do not lose your temper or composure: appear confident, repeat that you need space right now to be helpful, and it is best for you to leave. Go to a safe place and call 911 Contact F&CS if child protection is an issue Obtain medical help if necessary, once again 911 Call the Team Lead or Team Coordinator to consult if uncertain whether to call police, etc. If it can wait until next day, be sure to notify the Team Lead or Team Coordinator as soon as possible Debrief with the Team Lead or Team Coordinator at earliest opportunity after resolution of immediate crisis. Complete appropriate documentation: i.e. incident report, worker’s compensation, clinical notes – the Team Lead or Team Coordinator will advise based on situation. In any situation where a worker’s safety is at risk, the priority is to first get to safety. You cannot help the participant if you are at risk. J. WORKER SAFETY TOOL KIT • • • • Know the address – keep it written with you Carry a Cell Phone and keep it on at all times Carry staff photo identification Emergency car kit DOCS 2109834 23 K. INCIDENT REPORTING PROCEDURES • • • • When a reportable incident occurs the following actions must be taken; Notify the Team Lead or Team Coordinator immediately after the incident. Complete the Incident Report form and submit it to your Team Lead or Team Coordinator. The form will be signed off by the Team Lead or Team Coordinator and distributed to appropriate personnel. The Team Lead or Team Coordinator will determine if a Serious Occurrence Report (SOR) is required. He/she is responsible for writing that report. If you have questions as to whether or not an incident is reportable call the Team Lead or Team Coordinator immediately. L. PROCEDURES FOR STAFF VECHICLES • • • • • • Staff may occasionally need to provide transportation to participants for purposes of support to access community services or appointments where other transportation supports are not available from clients own resources. All staff working in the Cambridge STEP Home Team Pilot are required to maintain a minimum personal liability coverage annually of $2,000,000. Proof of this coverage must be maintained on file with the staff persons home agency. This can be in the form of a letter from the insurance company or a copy of the insurance policy. To transport anyone under 12 years old, staff must obtain a signed consent from a legal guardian of the youth/child. Consent for transportation of anyone over the age of 12 must be obtained directly from the individual. For crisis situations requiring transportation to hospital staff are required to use 911 Staff are required to have a clause in their insurance agreements indicating that they are covered to transport participants. M. SEATING ARRANGEMENTS • • Infants or children must be placed in the appropriate car seat or booster seat according to regulations of Transport Canada. Staff are to ensure the proper use of car seats, booster seats or seat belts. N. ACTING OUT BEHAVIOUR • • In the event of a participant exhibiting unsafe behaviors prior to transportation, staff are encouraged to use deescalating techniques. Should that not be successful alternate transportation or rescheduling of transportation must be arranged. In the event of a participant exhibiting unsafe behaviors during transportation, staff are encouraged to use deescalating techniques, pull over the vehicle as soon as it is safe to do so and arrange alternate transportation or reschedule the visit. DOCS 2109834 24 Appendix D: Flex fund policies and procedures Background Flex funds within STEP Home programs are an identified allocation of funding within a program’s budget to provide an immediate and flexible source of funding to support STEP Home participants on a path towards housing stability. Flex funds were found to be an important leveraging tool (with both participants and services) and through an analysis of their use, can point to areas for programs and system improvements. Further information regarding flex funds and examples of previous flex funded expenditures is contained in the STEP Home Flex Fund Report (2008-2010). One of the recommendations from the STEP Home Flex Fund Report (2008-2010) was to establish basic written criteria for the use of flex funds within STEP Home programs. General Criteria 1. To directly support the unique needs of people approaching or experiencing persistent homelessness who are participants or potential participants (relationship building) within STEP Home on their path towards housing stability. 2. Key to the impact of flex funds is that it is accessed in the context of an intensive, supportive relationship. A primary worker (generally a STEP Home worker) is in place to monitor the request and implementation. 3. Flex funds may be used for the following purposes: a. To fill gaps where resources are unavailable or exhausted (e.g., personal resources have been exhausted, program does not exist, program exists but identifies it is unable to meet the needs) b. To provide non-standard flexible alternatives (e.g., service or resource can’t be provided quickly enough, person has a conflict with a provider or another program participant, person experiences stigma and doesn’t want to access the service) c. To provide tools for engagement 4. Flex funds may be used towards the following outcomes: a. Meet basic needs and engage (within initial engagement) (e.g., emergency motel, attendant/respite care, meals, coffee meetings, clothing, harm reduction, etc.) b. Support people in the early stages of change (e.g., meeting the person where they are at, non-conventional housing support, etc.) c. Secure adequate housing (e.g., rental arrears, first and last month’s rent, assessments) d. Set-up housing (e.g., utility deposits/arrears, furniture, housewares, etc.) e. Maintain housing (e.g., rent top-up, rent arrears, rent repairs, peer support, cleaning support, groceries, etc.) f. Support community inclusion (e.g., transportation, recreation etc.) DOCS 2109834 25 5. Other options for securing the service or resource are not available or it can be explained how they were not appropriate at the given time in each individual situation. 6. Funding is short term and not an ongoing service/program. 7. All flex fund expenditures are included on quarterly flex fund report to the Region (for Region funded programs) (HPS funded programs must provide receipts). 8. Flex funds are not intended to be used for worker program expenses (e.g., transportation, training, phone etc.) or other expenses outside of directly supporting a person with which you are working. Cambridge STEP Home Team Procedure 1. Flex Funds are available and accessible to staff in the pilot through cash, check or vouchers. 2. Requests can be made in person or in writing to Team Lead, Team Coordinator or Housing Liaison Workers. 3. If the request meets the general criteria outlined above the request will be granted. 4. Other requests outside general criteria noted above will be discussed and a team decision can be made. 5. There is a locked petty cash box with cash as well as grocery cards, bus tickets and furniture vouchers kept on site for quick and easy access. 6. Once the approval is granted, the staff can exercise several options: a) Receive cash from petty cash box through an IOU and return receipt or cash to petty cash box of equal amount. a) Pay out of Pocket and bring receipt for re-imbursement via cash or check payout (2-3 week payout time). b) Have the item or service invoiced to Lutherwood attention: Edwina Toope- Team Lead, for pay out i.e.: cleaning services. c) Receive a store voucher such as grocery card or furniture/start up voucher. d) Request an advance check for pay out. e) Access funds from home agency and invoice Lutherwood for pay out. f) Receipts must be provided for all funds spent. g) Petty Cash will be reconciled regularly to ensure adequate immediate funds are available as needed (Timeline and amounts TBD and may vary as we progress through the pilot). h) Requests can be made at any time during work hours. i) Procedures can be changed based on feedback and other identified needs as the pilot progresses. DOCS 2109834 26 Cambridge STEP Home Team Flexible Fund Report Report Period (please list): Item Amount Category(s)* *Categories may include one or more of the following ways in which flex funds were used: 1. meet basic needs – seek to engage 2. support people in early stages of change 3. secure adequate housing 4. set-up housing 5. maintain housing 6. support community inclusion Please submit reports to Tristan Wilkin at the Region of Waterloo, Community Services by email to: [email protected] or by fax to 519-883-2234. DOCS 2109834 27 Appendix E: Landlord Letter – Charity/Non-Profits Cambridge STEP Home service providers have an exciting new initiative to end chronic and persistent homelessness in the Cambridge community. The program supports people living on a low income to locate permanent housing in Waterloo Region and offers tenants the supports needed to retain their housing and thrive in our community. We are looking for safe, affordable housing owned by reputable and trustworthy landlords in Kitchener, Waterloo and Cambridge. We are seeking landlords who believe everyone deserves a home. How it works: • We refer STEP Home participants to be considered as an applicant for your vacancy. • Program participants are those who have expressed a commitment to housing and support. • Landlords interview the applicant and determine if they will be a tenant. • Last Month’s Rent Deposit is paid up front. • Monthly rent assistance is available in some situations. WE are seeking apartments at or below the following rent amounts: • Bachelor apartment - $ 704.00 (including utilities) • 1 bedroom apartment - $ 850.00 (including utilities) STEP Home strives towards providing: • A single point of contact for landlord • Prompt responses to concerns • Landlord, tenant and neighbour mediation • Support to both landlord and tenant to ensure a successful placement For information or to sign up for our landlord tenant match service, please contact: Julie Hornick-Martyk Housing Liaison Worker 519-222-1559 [email protected] DOCS 2109834 Dana Christiaen Housing Liaison Worker 226-989-2657 [email protected] 28 Appendix F: Landlord Letter – Medium to Large Landlords June 28, 2016 Dear Landlord, We are looking to secure available or upcoming bachelor and 1 bedroom rental units for an existing tenant pool currently in need of housing. Tenants are served through a collaborative of organizations throughout Cambridge for ongoing support services once they are housed. Individual tenants have a range of income supports such as Ontario Works and Disability Support programs and some have either temporary or long term rent subsidies. The rental subsidies are portable and follow the person, which presents as strategic advantages if you hold multiple properties, as well as for the tenants. We would like to take advantage of any vacancies you may have, or any underperforming parts of your portfolio, specifically apartments with a high turnover rate, to help maximize the return on your real estate investment. We can pay the last month’s rent deposit up front to secure the units and continue to ensure the full amount of rent is paid to you each month. We are interested in talking with you more about your business needs and how we can align your needs with our program needs. We are available to discuss this at your convenience and can be contacted as noted below. Thank you. Julie Hornick-Martyk Housing Liaison Worker Lutherwood Housing Services 35 Dickson Street Cambridge, Ontario N1R 7A6 Cell: 519-222-1559 Fax: 519-569-7154 DOCS 2109834 Dana Christiaen Housing Liaison Worker Lutherwood Housing Services 35 Dickson Street Cambridge, Ontario N1R 7A6 Cell: 226-989-2657 Fax: 519-569-7154 29 Appendix G: Discharge Letters DOCS 2109834 30 Appendix H: Cambridge STEP Home Pilot Draft Evaluation Plan Key Questions We Are Trying To Answer: Process Questions: 1. 2. 3. 4. 5. 6. 7. 8. What is the right number and composition of staff on the team? What is the right number of participants? What training is most beneficial? What is and is not working about the collaborative team model and matrix reporting? What key principles and practices used by the Administration Group are working well? Which are not working well? What key principles and practices used by the team are working well? Which are not working well? What key resources were most helpful? What resources are missing? What partnerships are beneficial? What partnerships are missing? How can we strengthen partnerships? How do other community services providers connect with the team? Do they understand the role of the team? What is their experience/satisfaction with the team? 9. What is working well and not working well in engaging and retaining landlords? 10. How many re-housings were there? What were the reasons? How can we strengthen our prevention of unnecessary rehousings? 11. How many may have been preventable? 12. What is the role of housing-focused street outreach compared to general street outreach and how should they work together? What are the pros and cons of having the two outreach roles served by the same staff? 13. What kinds of supported housing are needed in Cambridge that cannot be met by the Team’s approach? Outcome Questions: 1. How satisfied are the participants with the service? Landlords? Key community services? 2. How many participants are getting housed? How quickly? How many are retaining stable housing for 3 months, 6 months, one year? Are there acuity changes? 3. When does team anticipate reaching “functional zero” for those on PATHS with high acuity? DOCS 2109834 31 Evaluation Process: As outlined below - to be implemented in early 2017 and repeated for end of pilot Survey Timeline: • Draft surveys over December/Jan • Feedback on draft surveys over Jan • Collect information through surveys Feb • Compile information from surveys March Who Talk To? How? Administration Group • Individual Agency Meetings Members • Written Survey (anonymous) • Debrief at Administration Group Team Members • Monthly Reports • Written Survey (anonymous) • Individual meetings – upon request • Debrief at Monthly Team Meeting Participants* • SPDAT • Program Satisfaction Survey - individual interview (those willing to participate $10 Tim’s Card) • Quality of Life Survey from HSC Guide Other Service Providers Participants’ support circle (formal/informal) Landlords** General • • • • • • Stakeholder Meeting followed by option to complete survey Random sample of participants Spot-check – random couple for each worker Survey through Housing Liaison Workers Dashboards Discuss evaluation at Quarterly Pilot Meeting Final Pilot Report – draft in progress on-going Docs#2276596 • • • • • • • • • • When? Jan Feb March/April Monthly Feb Jan-March March/April 1,3,6,9,12 months Feb/March • At 6 months • • March • Worker and data compiled through Region Marie/Region • Over MarchDec Feb-March On-going April/May Jan-Mar 2018 • Edwina/Crystal • • • • Housing Liaison Workers Region Meeting Facilitator Region • • • • • • • • • • • • Responsible? Marie/Region Marie/Region Marie/Region Team and analyzed by Region Region Team Member and Region Marie/Region and Team Worker Worker, other team members, student or peer researcher *Consider three unique groups for feedback (grandfathered-housed, grandfathered un-housed, new) *Consider two unique groups (new landlords, grandfathered landlords) DOCS 2109834 32
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