*U.S. Department of Health and Human Services*

*U.S. Department of Housing and Urban Development*

*U.S. Department of Veterans Affairs*

*U.S. Department of Labor*

**Improving Access to Mainstream Services for People Experiencing
Chronic Homelessness**

*Hilton Miami Airport and Towers*

*Miami, Florida*

## December 9-11, 2003

**Agenda**

**Objectives:**

-   To assist State and local policymakers to develop an Action Plan
    intended to improve access to mainstream health and human services
    and employment opportunities that are coordinated with housing for
    persons who are "chronically" homeless;

-   To create and/or reinforce relationships among the Governor's
    office, State Legislators, key program administrators, and
    stakeholders from the public and private sectors;

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-   To provide an environment conducive to the process of strategic
    decision-making; and

-   To assist State and local policymakers in identifying issues or
    areas of concern that may result in a formal request for technical
    assistance.

**[Monday, December 8, 2003]{.underline}**

4:00 p.m. - **Registration \[Prefunction Area - Lobby\]**

7:00 p.m.

**[Tuesday, December 9, 2003]{.underline}**

7:30 a.m. **Registration and Continental Breakfast \[Prefunction Area -
Lobby\]**

8:30 a.m. **Welcome \[Ballroom I and II - Lobby\]**

**Review of Federal Collaboration on Chronic Homelessness**

-   Patricia Carlile, Deputy Assistant Secretary for Special Needs, U.S.
    Department of Housing and Urban Development (HUD)

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-   Don Winstead, Deputy Assistant Secretary for Human Services Policy,
    Office of the Assistant Secretary for Planning and Evaluation, U.S.
    Department of Health and Human Services (HHS)

-   Peter Dougherty, Director, Office of Homeless Veterans Programs,
    U.S. Department of Veterans Affairs (VA)

-   Charles Ciccolella, Deputy Assistant Secretary for Veterans
    Employment and Training Services, U.S. Department of Labor (DOL)

-   Cheri Nolan, Deputy Assistant Attorney General, Office of Justice
    Programs, U.S. Department of Justice (DOJ)

-   Philip Mangano, Executive Director, U.S. Interagency Council on
    Homelessness (ICH)

-   Lawrence Bartlett, Director, Health Systems Research, Inc. (HSR),
    Moderator

> **Introductions of State Team Members, Faculty, and Resource Persons
> and Brief Presentations by Each Team**

10:00 a.m. **State Team Session One: Setting the Stage, and Revisiting
the Vision Statement and the Reality Assessment**

-   **Set the Stage**

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-   Objectives and format

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-   Defining "mainstream services"

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-   Roles and responsibilities

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-   **Revisit Vision Statement** (if necessary, revise based on draft
    developed by State Team prior to Policy Academy)

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-   Statement of purpose

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-   Picture of Team's ideal future (independent of current reality)

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-   Reference point for all future decisions

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-   **Revisit Reality Assessment** (if necessary, revise based on draft
    developed by State Team prior to Policy Academy)

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-   Inventory/review of: current programs/activities, key challenges,
    previous policy actions, current political environment

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-   SWOT Analysis (strengths, weaknesses, opportunities, threats)

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-   Provide context

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-   Identify resources

12:15 p.m. **Working Lunch/Plenary Session One: \[Ballroom I and II -
Lobby\]**

> **Focus on Collaboration**
>
> **Involving Consumers: Why and How**

-   Presenters: Meredith Deming, Consumer, Tampa, Florida

> Lee Carroll, Executive Director, Health Care for the Homeless of
> Milwaukee

-   Moderator: Deborah Dennis, Vice President for Technical Assistance

Policy Research Associates, Inc.

> **Developing and Implementing a Plan to Increase Access to Mainstream
> Services**

-   Presenter: Tracy D'Alanno, Homeless and Special Housing Programs,
    Continuum of Care Coordinator, Supportive Housing and Homeless
    Programs

Department of Human Services, Denver, Colorado

1:45 p.m. **Concurrent** **Breakout Sessions: Strategies for Increasing
Access to Mainstream Services**

-   **Collaboration in Action: A Federal Perspective \[Ballroom I and
    II - Lobby\]**

    Presenters: Patricia Carlile, Deputy Assistant Secretary for Special
    Needs,

> U.S. Department of Housing and Urban Development (HUD)
>
> Don Winstead, Deputy Assistant Secretary for Human Services Policy,
> Office of the Assistant Secretary for Planning and Evaluation, U.S.
> Department of Health and Human Services (HHS)

Peter Dougherty, Director, Office of Homeless Veterans Programs, U.S.
Department of Veterans Affairs (VA)

Charles Ciccolella, Deputy Assistant Secretary for Veterans Employment
and Training Services, U.S. Department of Labor (DOL)

Cheri Nolan, Deputy Assistant Attorney General, Office of

Justice Programs, U.S. Department of Justice (DOJ)

Philip Mangano, Executive Director, U.S. Interagency Council on
Homelessness (ICH)

> Moderator: Lawrence Bartlett, Director, Health Systems Research, Inc.
> (HSR)

-   **Discharge Planning: Getting Mainstream Systems** **\[Big Pine Key
    -- 2^nd^ Floor\]**

    **to the Table**

    Presenters: Mary Ellen Hombs, Deputy Director

    Interagency Council on Homelessness

    Mark Trotz, Director of Housing and Urban Health

    San Francisco Department of Public Health

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-   **Employment Programs \[Conch Key -- 2^nd^ Floor\]**

    Presenters: Brian Kennedy, Deputy National Director, Office of Job
    Corps

    U.S. Department of Labor

    Randy Cooper, Office of Disability Employment Policy

    U.S. Department of Labor

-   **Expediting Eligibility Determinations \[Pigeon Key -- 2^nd^
    Floor\]**

> Presenters: Yvonne Perret, Executive Director
>
> Advocacy and Training Center

Jeremy Rosen, Staff Attorney

National Law Center on Homelessness and Poverty

-   **Medicaid Services \[Grassy Key -- 2^nd^ Floor\]**

> Presenters: Patricia Post, Policy Analyst and Communications Manager

National Healthcare for the Homeless Council

-   **T**he **Use of Block Grants and Competitive Funding Mechanisms to
    Increase Access to Mainstream Services \[Boca Chica Key -- 2^nd^
    Floor\]**

    Presenter: Joan Disare, Coordinator of Housing and Homeless Services

    New York State Office of Alcoholism and Substance Abuse Services

    Marsha Werner, Administration for Children and Families

Betsey Cooke, President and CEO of Health Choice Network

> Mikiko D. Stebbing, Public Health Advisor, Division of State and
> Community
>
> Systems Development

-   **Using the Continuum of Care to Further** **\[Cove Ballroom --
    2^nd^ Floor\]**

    **Chronic Homelessness and Permanent Housing Initiatives**

    Presenters: John L. Perry, Director, Office of Community Planning
    and Development

    U.S. Department of Housing and Urban Development

3:00 p.m. **Break**

3:15 p.m. **State Team Session Two: Report Out, Identifying Resource
Needs, and Setting Priorities/Goals**

-   **Report Out from Breakout Sessions**

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-   **Identify Resource Needs**

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-   Review biographies of resource persons

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-   Identify four or five to attend one of the State Team sessions

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-   **Priority/Goal Setting - Identify:**

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-   Gaps between the Team's vision statement and the current reality

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-   Areas to focus energy and limited resources

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-   Basis for planning, policymaking, and setting performance standards

    5:30 p.m. **Reception \[By Poolside\]**

    6:30 p.m. **Dinner (on your own)**

**[Wednesday, December 10, 2003]{.underline}**

7:00 a.m. **Continental Breakfast \[Ballroom I and II - Lobby\]**

8:00 a.m. **Overview of the Day**

8:15 a.m. **Plenary Session Two: Addressing Chronic Homelessness**

> **The Dynamics of Homelessness, and the Impact of Supportive Housing
> on Services Use and Costs**

-   Presenter: Carol Wilkins, Director, Intergovernmental Policy

> Corporation for Supportive Housing

**What Works: Prevention Strategies**

-   Presenter: Deborah Dennis, Vice President for Technical Assistance

> Policy Research Associates, Inc.
>
> **What Works: Housing Strategies**

-   Presenter: Ann O'Hara, Associate Director

> Technical Assistance Collaborative
>
> **What Works: System Change Strategies**

-   Presenter: David Wertheimer, Principal

> Kelly Point Partners

9:45 a.m. **State Team Session Three: Completing Priority Setting and
Developing Strategies**

-   **Complete Priority Setting**

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-   Gaps between the Team's vision statement and the current reality

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-   Areas to focus energy and limited resources

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-   Basis for planning, policymaking, and setting performance standards

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-   **Develop Realistic Strategies/Tactical Plans**

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-   Broad-ranging tactics requiring statewide or cross-agency efforts

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-   Usually involves the combination of several courses of action

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-   Should be directly related to Team's goals and priorities

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-   Includes identifying technical assistance needs

12:15 p.m. **Lunch (on your own)**

1:15 p.m. **State Team Session Four: Completing Strategies and
Identifying Action Steps**

-   **Complete Strategies/Tactical Plans**

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-   Broad-ranging tactics requiring statewide or cross-agency efforts

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-   Usually involves the combination of several courses of action

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-   Should be directly related to Team's goals and priorities

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-   Includes identifying technical assistance needs

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-   **Identify Action Steps**

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-   Specific activities to be undertaken based on strategies

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-   Required action from specific individual or entities

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-   Considerations:

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-   Who is responsible for coordinating each action?

-   Who is responsible for completing each action?

-   What resources are required?

-   What is the timeline?

-   Who will be affected?

5:30 p.m. **Adjourn**

**Assignment:** Each State Team should prepare to share with the other
Teams their action planning to-date -- including their written vision
statement, reality assessment, and goals/priorities at tomorrow
morning's plenary session. Each Team should also identify what they
anticipate their technical assistance needs to be. Results should be
recorded on newsprint and posted in the main conference area.

## 

## **[Thursday, December 11, 2003]{.underline}**

7:00 a.m. **Continental Breakfast \[Ballroom I and II - Lobby\]**

8:00 a.m. **Overview of the Day**

8:15 a.m. **Exchange of Ideas Among State Team Members and Faculty**

9:00 a.m. **State Team Session Five: Completing Action Steps**

-   **Complete Action Steps**

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-   Specific activities to be undertaken based on strategies

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-   Required action from specific individuals or entities

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-   Considerations

12:00 p.m. **Lunch (on your own)**

1:00 p.m. **State Team Session Six: Identifying Technical Assistance
(TA) Needs and Next Steps**

-   **TA Needs -- Identify:**

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-   The nature of issue(s) or the problem(s) for which TA is needed

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-   The type(s) of assistance required

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-   Anticipated long- or short-term goals of the TA

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-   **Next Steps -- Identify:**

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-   Follow-up activities for Policy Academy

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-   Next Team meeting date

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-   Timeline and process for revision and submission of action plan

2:15 p.m. **State Team Report-Outs with Faculty Feedback \[Ballroom I
and II - Lobby\]**

**(5 min each)**

-   **Teams Outline:**

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-   Key priorities and action steps included in their Action Plans

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-   Technical assistance needs

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-   Follow-up and next steps

3:15 p.m. **Wrap-up and Review of Next Steps**

3:30 p.m. **Adjourn**

### Improving Access to Mainstream Services for People

### Experiencing Chronic Homelessness

Sponsored by:

### U.S. Department of Health and Human Services

Administration for Children and Families

The Centers for Medicare and Medicaid Services

(formerly the Health Care Financing Administration)

Health Resources and Services Administration

Office of the Assistant Secretary for Planning and Evaluation

Substance Abuse and Mental Health Services Administration

### U.S. Department of Housing and Urban Development

Office of Community Planning and Development

Office of Special Needs Assistance Programs

**U.S. Department of Veterans Affairs**

Homeless Veterans Programs, Office of Public and Intergovernmental
Affairs

Health Care for Homeless Veterans, Veterans Health Administration

**U.S. Department of Labor**

Employment and Training Administration

Veterans Employment and Training Service

Office of Disability and Employment Policy

Center for Faith-Based and Community Initiatives

In partnership with:

U.S. Interagency Council on Homelessness

American Public Human Services Association

Association of State and Territorial Health Officials

National Association of Alcohol and Substance Abuse Directors

National Association of County and City Health Program Directors

National Association of State Mental Health Program Directors

National Conference of State Legislatures

National Governors' Association

National Head Start Association

U.S. Conference of Mayors

###