MAY 20 2017 Welcome Introductions DHS DMVA LASD

MAY 20, 2017

Welcome & Introductions • DHS, DMVA, LASD, CEO, DPSS Purposes of this Input Session: • Provide an overview of the CBEST Program • Provide an overview of the Measure H program elements • Receive community input and feedback about the CBEST Measure H program additions

L. A. County Strategies to Combat Homelessness • In February 2016, the Los Angeles County Board of Supervisors approved strategies C 4, C 5, and C 6 • The RFP process, including all three strategies, was completed in March 2017 • There were 7 successful proposers (community based agencies) serving all 8 SPAs

What is CBEST? History of Benefits Advocacy in Los Angeles • HOPE, BEST, SOAR, DPSS GR to SSI (SSIMAP) County Homeless Initiative: • C 4, C 5, C 6 New Program design is a holistic approach • Benefits advocacy and linkage to housing and services • “Whatever it takes” approach

CBEST Program C 4: SSI Advocacy Homeless & At-Risk C 5: Homeless Veterans Benefits Advocacy C 6: Targeted SSI Jail Advocacy

CBEST Providers • • SPA 1 - The Catalyst Foundation SPA 2 - Tarzana Treatment Center SPA 3 - Volunteers of America SPA 4 - Volunteers of America SPA 5 - St. Joseph Center SPA 6 - Special Services for Groups (HOPICS) SPA 7 - People Assisting the Homeless SPA 8 - Lutheran Social Services

Original C 4, C 5, C 6 Goals • Screen and serve 10, 000 people per year • Complete 5, 000 SSI/SSDI/CAPI applications per year • Complete 600 Veterans benefits applications per year

Measure H Expansion Our goals have DOUBLED! • Screen and serve 20, 000 people per year • Complete 10, 000 SSI/SSDI/CAPI applications per year • Complete 1, 200 Veterans benefits applications per year

Who is eligible for CBEST? Individuals with disabilities who are experiencing homelessness or at risk of homelessness. This includes but is not limited to older adults (65+), youth transitioning from foster care, and veterans. ~Eligibility for Medi-Cal (138% Poverty Level; income of $16, 395 for an individual)

Service Locations • Co-located in 14 GR District Offices • Community based locations in each SPA • Jail facilitates only located in SPA’s 2, 4, and 6 • Benefits Advocate teams are mobile

CBEST Program Components Global Screening Coordination with Homeless Systems of Care Comprehensive Evaluation Benefits Advocacy Linkage to Physical & Mental Health; Substance Use Services Record Retrieval Outreach & Engagement

Coordination with Systems of Care • • • Homeless Systems Private Hospitals & Clinics Veteran’s Administration Los Angeles County Sheriff’s Department Older Adult System Child Welfare System • Children’s SSI Applications to begin Spring 2018

Linkage to Physical & Mental Health Goal: link 75% of applicants to care • Physical Health • • Medi-Cal and Managed Care Medical Homes Primary Care Providers Specialty Care • Mental Health • Los Angles County Department of Mental Health (DMH) • Substance Use Services

Measure H Program Additions Expanded Teams Payee Services Benefits Advocacy Enhanced Legal Support Enhanced Clinical Support

Measure H Program Additions The Benefits Advocacy Three Legged Stool Model Payee Services l ega ed L anc Enh t por Sup Enhanced Clinical Support its Bene f es Ad v o c at

Clinical Team 01 02 Link patients to primary medical health home Obtain medical records from all treating facilities 03 Assist teams to construct a clinically coherent medical summary 04 Obtain medical summary report from primary treating physician

Role of Clinics Provide medical evidence for disability claim • • Documentation for disability applications Work with CBEST advocates to complete medical summary report Train clinicians • DHS team will be developing curriculum for clinical staff to train providers • Blue book listings • Documentation for disability claims

How to Refer into CBEST Electronic Referrals • • Department of Public Social Services Coordinated Entry System Leads Housing for Health Contracted Providers Department of Health Services Hospitals and Clinics Fax Referrals • Community organizations can refer potential applicants via a faxed referral form. Please contact the agencies above for instructions. Appointments and Walk-ins • Potential applicants can schedule an appointment or walk-into the community based locations during walk-in hours. Please contact the agencies above for instructions.

Success Story 40 year old male, diagnosed with paranoid schizophrenia and experiencing homelessness for the past 15 yrs. CBEST advocates worked with DPSS to connect him to GR and Cal. Fresh within 1. 5 hours. Medi-Cal has been approved and we have already connected with DMH to begin treatment and documentation for an SSI application.

Contact Information Elena Fiallo, Program Manager Department of Health Services Housing for Health efiallo@dhs. lacounty. gov 213 -864 -8376

THANK YOU