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Voluntary Case Management Strategies NAEH Family Homelessness Conference February 10, 2011 Anna Melbin, NNEDV & Andrea White, Housing Innovations

3.7 Voluntary Case Management Strategies

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Presented by Andrea White of Housing Innovations and Anne Melbin of NNEDV.Interest in voluntary models of case management is growing with the increased use of rapid re-housing and permanent supportive housing models. Speakers in this workshop will discuss engagement strategies and the organizational shift needed to serve families through a voluntary approach. Panelists will focus on services for young mothers and survivors of domestic violence.

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Page 1: 3.7 Voluntary Case Management Strategies

Voluntary Case Management Strategies

NAEH Family Homelessness ConferenceFebruary 10, 2011

Anna Melbin, NNEDV&

Andrea White, Housing Innovations

Page 2: 3.7 Voluntary Case Management Strategies

Purpose of Our Work Social justice

People are the experts in their own lives

Our motivation, purpose

Our program’s purpose, mission, goal

Beliefs about the work Housing is a basic human right, not a reward

for good behavior

“When you do this work on behalf of other women, you become stronger”– Lynn Rosenthal

© NNEDV. All rights reserved

Page 3: 3.7 Voluntary Case Management Strategies

What are Voluntary Services?

Goal based

Structured around real expectations: Lease, eligibility standards, legal issues, CPS requirements

Provides information and choice

Addresses identified needs

Page 4: 3.7 Voluntary Case Management Strategies

Transition

Transition from an acute model to a long term model

From a symptom-based model to goal-based models

From crisis response to long term planning

Look at long term change

Provide housing as a base

Page 5: 3.7 Voluntary Case Management Strategies

What Are People Asking For

A Safe Affordable Place To Live

Community

Services Appropriate To Their Needs

Choice and Respect

Money Enough To Live On

A Role In The Community And In Their Families

A Chance For Their Children And Themselves To Get Ahead

Page 6: 3.7 Voluntary Case Management Strategies

Why Voluntary Services?

A critical component of Accessibility

Research indicates Best Practice

National trend and increasingly a grant requirement (OVW, FVPSA)

Participants support this approach

Don’t worry, be happy! staff say they’re happier, chaos didn’t ensue,

& the world didn’t end© NNEDV. All rights reserved

Page 7: 3.7 Voluntary Case Management Strategies

Common Misconceptions ~Voluntary Services means…

I can never ask participants to do anything, or initiate unsolicited contact. I always have to wait for them to come to me.

I can’t intervene, even for a concern about safety or emotional well-being.

I can’t institute any rules, even for legal reasons or safety.

© NNEDV. All rights reserved

Page 8: 3.7 Voluntary Case Management Strategies

Common Misconceptions ~Voluntary Services means…

Participants will ‘sit around and do nothing’

If I don’t require services, I’ll never know if the program is ‘working’.

I can never ask anyone to leave the program, unless for illegal behavior or if their time is up.

© NNEDV. All rights reserved

Page 9: 3.7 Voluntary Case Management Strategies

“It is not just an issue of whether problems are solved or needs are met, but rather the manner in which mobilization of resources occurs that is a major determinant of the empowerment of individuals and groups.”

Dunst, C. J.&Trivette, C. M. (1994). What is effective helping? In C. J. Dunst, C. M. Trivette,& A. G. Deal (Eds.), Supporting and strengthening families: Vol. 1. Methods, strategies and practices (pp. 162-170). Cambridge, MA: Brookline Books.

Consider this….

© NNEDV. All rights reserved

Page 10: 3.7 Voluntary Case Management Strategies

Tasks

Ask people what they want, where they want to be in 5 years

Connect people’s dreams and goals for their families to housing as the first step

Educate people about available housing options and expectations of each

Identify skills and supports needed to maintain chosen housing options

Establish housing access or housing stability as a primary goal

Assist people to secure an income

Page 11: 3.7 Voluntary Case Management Strategies

Tasks

Prepare for the expectations of each housing opportunity

Plan for and assist in maintaining housing (paying rent, apartment maintenance and upkeep, complying with the lease and following house rules, accessing aftercare services and supports)

Page 12: 3.7 Voluntary Case Management Strategies

Case Management: Engagement Strategies

• Pro-active outreach

• Introduce yourself and how you can be helpful

• Repeated, predictable, non-intrusive patterns of interaction

• Responding to felt needs

• Respecting boundaries

• Allowing people as much control as possible over interactions

• Be patient and persistent

• Listen

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Goal Based Engagement and Assessment Strategies

Explore what the persons/ family’s choice means

History (i.e. housing, employment)

How person/ family became homeless, lost employment/ income

Preferences

Financial Issues

Implications of disabilities or service needs and how this relates to goal

Long term goals, particularly as relate to children

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Finding Common Ground

Negotiation Strategies Link proposed option to client’s aspirations

Frame move as intermediate

Reflect on clients experience in housing to better understand current needs

Open up discussion of other options

Test available options with peers

Negotiate to improve skills/resources to access/maintain preferred option

Page 15: 3.7 Voluntary Case Management Strategies

Finding Common Ground

Worker should be forthright about the reasons for assessment and what they are able to access

Worker should anticipate reactions to disagreement and remain connected

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Begin: Developing the Plan to Work Together

Elicit and listen to the parent and reflect back to clarify and check understanding

Goal setting is an individual process

Empathize about goal setting and unmet goals

Listen to resident’s perception of past successes and struggles in reaching goals

List and discuss strengths that may facilitate reaching goals

Page 17: 3.7 Voluntary Case Management Strategies

Engaging Participants Individualized services, policies and approach

Meaningful opportunities for participant-input, to increase relevance and appeal

Recognize the power of language

Informal opportunities to get to know participants – fun, recreation, interaction

Use resources as method (excuse) of checking-in

Rely on natural consequences to relationship-build © NNEDV. All rights reserved

Page 18: 3.7 Voluntary Case Management Strategies

Engaging Staff

Measure and reward what is important to your program: What does excellence look like?

Track changes over time (journals)

Create “VS Committee”

Explore and challenge personal biases, values and beliefs

Build staff relationships and trust. Have fun, foster mutual respect and self-care.

© NNEDV. All rights reserved

Page 19: 3.7 Voluntary Case Management Strategies

Program Level

Clarify program goal/mission

Let go of “savior” persona

Review policies and rules often (annually). Put them to the test: Effective? Necessary? Respectful? Enforceable?

Examine outcomes and measures of success

© NNEDV. All rights reserved

Page 20: 3.7 Voluntary Case Management Strategies

Community Level

Create buy-in - referral sources, program reputation, other’s funding issues

Manage funder’s expectations –outcomes, goals, definition of success

Re-define success: program and participant

© NNEDV. All rights reserved

Page 21: 3.7 Voluntary Case Management Strategies

A Word About Outcomes“An outcome is a change in knowledge,

attitude, skill, behavior, expectation, emotional status, or life circumstance due to

the service being provided”

Success is participant-defined; not defined solely by “numbers”

Adapt services to meet participant’s goals

Adapt grants and other funder-related documents

Some participants still may not be “successful”

© NNEDV. All rights reserved

Page 22: 3.7 Voluntary Case Management Strategies

Voices From The Field

“The VS approach is really based in trust, respect, removing power imbalances and focusing on how we as service providers are more alike than unalike the people we serve.”

“The only insight that I have in doing this work is that you will never figure it all out. Life is messy. Violence and trauma do horrible things to people. Poverty and oppression can bring out the worse in people. We can not develop the perfect set of rules (even the most well intentioned) and guarantee that everything will be perfect…we cannot and should not control other people. We truly do need to listen to what women are saying that they need. Not what we want them to have.” © NNEDV. All rights reserved

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Food for Thought… Relationships are everything!

Attendance at classes and groups may decrease

Some participants may not need or have time for additional supportive services

Program may need to redefine program outcomes and meaning of Success.

Some participants still may not ‘be successful’ © NNEDV. All rights reserved

Page 24: 3.7 Voluntary Case Management Strategies

Resources National Network to End Domestic

Violence TA and training Template policies, program materials Interviews with survivors in transitional

housing

State “No Rules” Projects

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THANK YOU!

Anna Melbin 207-847-3199

[email protected]

Andrea White

[email protected]