Cathedral Square Corporation

EMBEDDED MENTAL HEALTH SUPPORTS IN SASH HOUSING FY24 - THIS PROJECT ADDS MENTAL HEALTH CLINICIANS TO OUR SASH AFFORDABLE HOUSING SITES THROUGHOUT VERMONT, AND WILL BE AVAILABLE TO SERVE AS MANY AS 2,000 OLDER ADULTS AND ADULTS WITH DISABILITIES. THE EQUIVALENT OF TEN FULL TIME CLINICIANS ARE EMPLOYED BY LOCAL COMMUNITY MENTAL HEALTH DESIGNATED AGENCIES AND EMBEDDED AT THE LOCAL SASH SITES JOINING TEAMS COMPRISING OF A SASH CARE COORDINATOR AND WELLNESS NURSE (RN). A REGIONAL MENTAL HEALTH CLINICIAN TO LEAD PUBLIC HEALTH APPROACHES TO LOWER BARRIERS, AND SUPPORT IMPROVED MENTAL AND EMOTIONAL WELLNESS THROUGHOUT ALL SASH PANELS STATEWIDE. THEY WILL PROVIDE VIRTUAL AND IN-PERSON EDUCATION FOR PARTICIPANTS AND SASH STAFF WITH PARTICULAR EMPHASIS TO SUPPORT THE SASH TEAMS WITHOUT THE SASH CLINICIAN. CHITTENDEN COUNTY SITES WITH THE SEWC WILL ADD A NEW PROGRAM, CALLED SUCCESS IN HOUSING - IDENTIFY NEEDS & ENHANCING SUPPORT (SHINES). THE SHINES COACH WILL SPECIFICALLY WORK WITH RESIDENTS WHO WERE FORMERLY HOMELESS. THROUGH TARGETED SUPPORT, EDUCATION AND LINKING TO SERVICES, SUCH AS EMOTIONAL WELLNESS SUPPORT FROM THE CLINICIAN, THE SHINES COACH WILL FOCUS ON HOUSING RETENTION AND KEEPING PEOPLE SUCCESSFULLY HOUSED. SIX OVERARCHING GOALS OF THE PROJECT INCLUDE: 1) SASH PARTICIPANTS AT PROGRAM SITES WILL HAVE ACCESS TO AND ENGAGE IN EXPEDITED MENTAL HEALTH SUPPORT, WITHIN 1-3 BUSINESS DAYS OF REFERRAL. 2) SASH PARTICIPANTS AT PROGRAM SITES WILL EXPERIENCE DECREASED STIGMA ASSOCIATED WITH SEEKING MENTAL HEALTH SUPPORT. 3) SASH PARTICIPANTS AT PROGRAM SITES WHO ARE HIGH EMERGENCY DEPARTMENT UTILIZERS WILL EXPERIENCE FEWER UNNECESSARY EMERGENCY DEPARTMENT VISITS OVER TIME AND EXPERIENCE RESILIENCY WHEN HEALTH EMERGENCIES DO ARISE. 4) SASH PARTICIPANTS AT PROGRAM SITES WILL EXPERIENCE A REDUCTION IN DEPRESSION AND ANXIETY SYMPTOMS OVER TIME. 5) SASH WILL BUILD ON OUR COORDINATED PUBLIC HEALTH APPROACH BY ADDING RESOURCES AND SYSTEMS THAT SUPPORT SASH STAFF, SUPPORTING EMOTIONAL WELLNESS GROUPS AT SASH SITES, AND SUPPORT PARTICIPANTS TO ACCESS MENTAL HEALTH CARE. 6) INDIVIDUALS ENROLLING IN THE SUCCESS IN HOUSING - IDENTIFY NEEDS & ENHANCING SUPPORT (SHINES) PROGRAM WILL EXPERIENCE LONG-TERM, STABLE HOUSING.

EMBEDDED MENTAL HEALTH SUPPORT IN SASH? HOUSING-A STATEWIDE EXPANSION AND ENHANCEMENT - THE REGULAR, AT-HOME PRESENCE OF A SASH CLINICIAN HAS BEEN SHOWN, THROUGH QUANTITATIVE AND QUALITATIVE DATA EVALUATION OVER 3 YEARS, TO IMPROVE THE HEALTH AND WELLBEING OF THE 200 RESIDENTS PARTICIPATING IN THE BURLINGTON PILOT, AND REDUCE UNNECESSARY EMERGENCY ROOM VISITS. THIS PROJECT WILL EXPAND THE MENTAL HEALTH PILOT ACROSS VERMONT THROUGH SASH'S EXISTING REGIONAL DELIVERY SYSTEM BUILT ON FORMALIZED PARTNERSHIPS BETWEEN SASH HOUSING ORGANIZATIONS AND COMMUNITY BASED ORGANIZATIONS INCLUDING THE DESIGNATED AND SPECIALIZED SERVICES AGENCIES, HOME HEALTH, AREA AGENCIES ON AGING, AND PRIMARY CARE, TO SERVE 1,200 UNDUPLICATED OLDER ADULTS AND ADULTS WITH DISABILITIES RESIDING IN SASH AFFORDABLE HOUSING SITES. SIX FULL TIME SASH CLINICIANS, TO BE EMPLOYED BY SIX LOCAL COMMUNITY MENTAL HEALTH DESIGNATED AGENCIES, WILL BE EMBEDDED INTO THE SASH TEAMS COMPRISING OF A SASH CARE COORDINATOR AND WELLNESS NURSE (RN) IN CHITTENDEN, RUTLAND, WASHINGTON, WINDSOR, WINDHAM, AND BENNINGTON COUNTIES AND THE NORTHEAST KINGDOM OF VT. THE SASH CLINICIAN PROVIDES AN ARRAY OF SERVICES DIRECTED BY PARTICIPANTS INCLUDING INDIVIDUAL AND COUPLES THERAPY, SHORT-TERM AND ONGOING PSYCHOSOCIAL SUPPORT, PSYCHOEDUCATION AND PROCESS GROUPS, AND WORKSHOPS; CARE COORDINATION, AND STAFF EDUCATION. IN ADDITION TO A FOCUS ON TOPICS LIKE MANAGING ANXIETY OR DEPRESSION OR DEALING WITH GRIEF, GROUP PROGRAMS TARGET SOCIAL ISOLATION AND LONELINESS. EDUCATION, SUPPORT, AND ACCESS TO APPROPRIATE LEVEL OF CARE TREATMENT FOR SUBSTANCE USE DISORDERS IS ALSO PROVIDED. THE PROJECT WILL ALSO OFFER FOUR REGIONAL MENTAL HEALTH CLINICIANS STATEWIDE WHO WILL LEAD PUBLIC HEALTH APPROACHES TO LOWER BARRIERS AND SUPPORT IMPROVED MENTAL AND EMOTIONAL WELLNESS THROUGHOUT ALL SASH PANELS. THEY PROVIDE VIRTUAL AND IN-PERSON EDUCATION FOR PARTICIPANTS AND SASH STAFF, AND SUPPORT THE SASH TEAMS THAT WILL NOT HAVE A SASH CLINICIAN. FIVE OVERARCHING GOALS OF THE PROJECT INCLUDE: 1. SASH PARTICIPANTS AT PROGRAM SITES HAVE ACCESS TO AND ENGAGE IN EXPEDITED MENTAL HEALTH SUPPORTS, WITHIN 1-3 DAYS OF REFERRAL. 2. SASH PARTICIPANTS AT PROGRAM SITES WILL EXPERIENCE DECREASED STIGMA ASSOCIATED WITH SEEKING MENTAL HEALTH SUPPORTS. 3. SASH PARTICIPANTS AT PROGRAM SITES WILL EXPERIENCE FEWER UNNECESSARY EMERGENCY DEPARTMENT VISITS OVER TIME AND EXPERIENCE RESILIENCY WHEN HEALTH EMERGENCIES ARISE. 4. SASH PARTICIPANTS AT PROGRAM SITES WILL EXPERIENCE A REDUCTION IN DEPRESSION AND ANXIETY OVER TIME. 5. SASH STAFF WILL ATTAIN KNOWLEDGE, CONFIDENCE, TOOLS AND STRATEGIES AIMED AT IMPROVING MENTAL WELLBEING OF PARTICIPANTS IN THEIR PANELS.

PURPOSE: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING AWARDS ARE AUTHORIZED UNDER THE CONSOLIDATED APPROPRIATIONS ACT, 2022 PUBLIC LAW 117-328 AND THE EXPLANATORY STATEMENT FOR DIVISION L OF THAT ACT. PROJECTS SELECTED FOR COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING ARE LISTED IN THE JOINT EXPLANATORY STATEMENT (JES) THAT ACCOMPANIES A SPECIFIC FISCAL YEAR’S APPROPRIATIONS ACT OR CONGRESSIONAL RECORD. THE JES LISTS PROJECT, RECIPIENT, STATE, AMOUNT AND CONGRESSIONAL SPONSOR.; ACTIVITIES TO BE PERFORMED: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING AWARD PROJECTS INCLUDE A WIDE VARIETY OF ACTIVITIES THAT RESULT IN ECONOMIC DEVELOPMENT OR COMMUNITY DEVELOPMENT OUTCOMES. HUD WILL NOT KNOW THE FULL SCOPE OF THE PROJECT UNTIL THE RECIPIENT SUBMITS THE REQUIRED PROJECT NARRATIVE AND CONFIRMS ALIGNMENT WITH THE LANGUAGE AS PROVIDED IN THE CONGRESSIONAL RECORD. TO FIND THE DETAILS OF THE GRANT AWARD AS WRITTEN WITHIN THE CONGRESSIONAL RECORD USE THE FOLLOWING LINK AND PATH SELECTIONS TO GET TO THE DESCRIPTION OF THE ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING GRANTS HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/EDI-GRANTS, SELECT THE FISCAL YEAR OF INTEREST, SCROLL DOWN TO PROGRAM LAWS AND REGULATIONS, UNDER FISCAL YEAR 20XX CONSOLIDATED APPROPRIATIONS ACT, 20XX: CONGRESSIONAL RECORD (JOINT EXPLANATORY STATEMENT).; EXPECTED OUTCOMES: COMPLETION OF THE PROJECT AS DESCRIBED IN THE JOINT EXPLANATORY STATEMENT (JES) PROJECT DESCRIPTION AND SUBSEQUENT APPROVED PROJECT NARRATIVE.; INTENDED BENEFICIARIES: THE PROJECT BENEFICIARIES ARE THE INDIVIDUALS AND/OR ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS OR SERVED BY THE ENTITIES THAT ARE AWARDED GRANT FUNDS AS IDENTIFIED IN THE JES RECIPIENT OR PROJECT DESCRIPTION SECTIONS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

MULTIFAMILY HOUSING SERVICE COORDINATORS

OLDER ADULTS HOME MODIFICATION GRANT PROGRAM

MULTIFAMILY HOUSING SERVICE COORDINATORS

SASH (SUPPORT AND SERVICES AT HOME) FOR ALL

MULTIFAMILY HOUSING SERVICE COORDINATORS

MULTIFAMILY HOUSING SERVICE COORDINATORS

PURPOSE: THE SERVICE COORDINATORS IN MULTIFAMILY HOUSING (SCMF) PROGRAM SUPPORTS SERVICE COORDINATOR POSITIONS FOR ELDERLY INDIVIDUALS AND NON-ELDERLY PERSONS WITH DISABILITIES LIVING IN ELIGIBLE HUD-ASSISTED HOUSINGSERVICE COORDINATORS PLAY A CRITICAL ROLE IN CONNECTING OLDER ADULTS AND PERSONS WITH DISABILITIES WITH COMMUNITY-BASED SUPPORTIVE SERVICES FOR INDEPENDENT LIVING AND REDUCING PREMATURE AND UNNECESSARY TRANSITIONS TO HIGHER LEVELS OF CARE. SERVICE COORDINATORS WORK TO PROMOTE ACCESS TO RESOURCES, FINANCIAL SECURITY, SOCIAL CONNECTIONS, HEALTH, AND WELL-BEING FOR RESIDENTS IN ASSISTED HOUSING. SERVICE COORDINATORS HELP RESIDENTS IDENTIFY AND ACCESS SUPPORTIVE SERVICES THAT WILL ENABLE THEM TO CONTINUE LIVING INDEPENDENTLY IN THE COMMUNITY AND AGE IN PLACE. PARTICIPATION IN THE SERVICE COORDINATOR PROGRAM IS VOLUNTARY, AND RESIDENTS CHOOSE WHICH SERVICES THEY ACCEPT. SERVICE COORDINATORS WORK WITH RESIDENTS AND THEIR FAMILIES TO IDENTIFY THE INDIVIDUAL NEEDS AND PREFERENCES OF RESIDENTS AND CONNECT THEM WITH APPROPRIATE RESOURCES. SERVICES MAY INCLUDE NUTRITION SUPPORT, HOUSEKEEPING AND SHOPPING ASSISTANCE, COORDINATION WITH HEALTHCARE PROVIDERS, HELP ACCESSING PUBLIC BENEFITS, FINANCIAL MANAGEMENT ASSISTANCE, AND OTHER SERVICES THAT SUPPORT ACTIVITIES OF DAILY LIVING (ADLS) AND INSTRUMENTAL ACTIVITIES OF DAILY LIVING (IADLS) INCLUDING SERVICES FOR PERSONS WITH SEVERE DISABILITIES. SERVICE COORDINATORS ALSO ORGANIZE EDUCATIONAL PROGRAMMING THAT GIVES RESIDENTS TOOLS TO SUPPORT INDEPENDENT LIVING, AND HELP PROPERTY MANAGEMENT BETTER UNDERSTAND THE SERVICE AND SUPPORT NEEDS OF THEIR PARTICULAR RESIDENT POPULATION.; ACTIVITIES TO BE PERFORMED: APPROXIMATELY 1,350 HUD-ASSISTED MULTIFAMILY HOUSING RECEIVE GRANT FUNDING ANNUALLY THROUGH THE SCMF PROGRAM. SCMF GRANTS PROVIDE FUNDING FOR THE SALARY, FRINGE BENEFITS, TRAINING, SUPPLIES, AND OTHER COSTS ASSOCIATED WITH HIRING OR CONTRACTING FOR A SERVICE COORDINATOR TO WORK WITH RESIDENTS AT ELIGIBLE MULTIFAMILY PROPERTIES. SERVICE COORDINATORS: 1. CONSULT WITH THE OWNER OF HOUSING, TENANTS, ANY TENANT ORGANIZATIONS, ANY RESIDENT MANAGEMENT ORGANIZATIONS, SERVICE PROVIDERS, AND ANY OTHER APPROPRIATE PERSONS, TO IDENTIFY THE PARTICULAR NEEDS AND CHARACTERISTICS OF ELDERLY AND DISABLED FAMILIES WHO RESIDE IN THE PROJECT AND ANY SUPPORTIVE SERVICES RELATED TO SUCH NEEDS AND CHARACTERISTICS. 2. MANAGE AND COORDINATE THE PROVISION OF SUCH SERVICES FOR RESIDENTS. 3. REFER AND LINK THE RESIDENTS OF THE ASSISTED HOUSING TO SUPPORTIVE SERVICES PROVIDED IN THE COMMUNITY. SUCH SERVICES MAY INCLUDE PERSONAL ASSISTANCE, HOUSEKEEPING ASSISTANCE, NUTRITION SUPPORT, TRANSPORTATION, SHOPPING ASSISTANCE, MENTAL AND/OR PHYSICAL HEALTH SERVICES, OCCASIONAL VISITING NURSE, PREVENTIVE HEALTH SCREENING/WELLNESS, AND LEGAL ADVOCACY. 4. EDUCATE RESIDENTS ON SERVICE AVAILABILITY, APPLICATION PROCEDURES, AND CLIENT RIGHTS 5. ESTABLISH LINKS WITH AGENCIES AND SERVICE PROVIDERS IN THE COMMUNITY. PERFORM MARKET RESEARCH TO ENSURE INDIVIDUALIZED AND FLEXIBLE SERVICES FOR THE INVOLVED RESIDENT. 6. PROVIDE CASE MANAGEMENT. CASE MANAGEMENT INCLUDES BUT IS NOT LIMITED TO EVALUATION OF HEALTH, PSYCHOLOGICAL AND SOCIAL NEEDS, DEVELOPMENT OF AN INDIVIDUALLY TAILORED CASE PLAN FOR SERVICES, AND PERIODIC REEVALUATION OF A RESIDENT'S NEEDS. SERVICE COORDINATORS CAN ALSO SET UP A PROFESSIONAL ASSESSMENT COMMITTEE (PAC) TO ASSIST IN PERFORMING INITIAL RESIDENT ASSESSMENTS. 7. MONITOR THE ONGOING PROVISION OF SERVICES FROM COMMUNITY AGENCIES. 8. FOSTER COMMUNITY BETWEEN THE RESIDENTS, FAMILY MEMBERS AND FRIENDS. 9. WORK WITH TENANT ORGANIZATIONS AND RESIDENT MANAGEMENT CORPORATIONS. 10. ORGANIZE EDUCATIONAL PROGRAMMING FOR THE PROPERTY’S RESIDENTS ON HEALTH AND WELLNESS, LANGUAGE CLASSES/EXCHANGES, TENANT’S RIGHTS AND RESPONSIBILITIES AND OTHER TOPICS 11. CREATE AND/OR MAINTAIN AN UP-TO-DATE DIRECTORY OF SERVICE PROVIDERS FOR USE BY BOTH HOUSING STAFF AND RESIDENTS. 12. EDUCATE OTHER STAFF ON THE MANAGEMENT TEAM AND AIDES ON ISSUES RELATED TO AGING IN PLACE AND SERVICE COORDINATION, TO HELP THEM BETTER WORK WITH AND ASSIST THE RESIDENTS. 13. PROVIDE SERVICE COORDINATION TO LOW-INCOME ELDERLY PERSONS OR PERSONS WITH DISABILITIES WHO ARE LIVING NEAR AN ELIGIBLE PROPERTY, PROVIDED THAT THE SERVICE COORDINATOR HAS CAPACITY TO WORK WITH ADDITIONAL INDIVIDUALS. RESIDENTS OF THE PROPERTIES LISTED ON THE APPLICATION RECEIVE PRIORITY. 14. PROVIDE ADVOCACY AS APPROPRIATE.; EXPECTED OUTCOMES: SCMF GRANTEES PROVIDE CONNECTIONS TO SUPPORTIVE SERVICES, SUCH AS CONNECTING THEIR RESIDENTS WITH HEALTHCARE PROVIDERS, EDUCATIONAL PROGRAMMING, SUPPORTIVE SERVICES FOR ACTIVITIES OF DAILY LIVING (ADLS), INSTRUMENTAL ACTIVITIES OF DAILY LIVING (IADLS), AND OTHER RESOURCES ACCORDING TO THE INDIVIDUAL NEEDS OF PARTICIPATING RESIDENTS. BY CONNECTING RESIDENTS TO APPROPRIATE SERVICES, SUPPORTS, AND INFORMATION, SCMF GRANTEES REDUCE PREMATURE AND UNNECESSARY TRANSITIONS TO HIGHER LEVELS OF CARE, ENHANCE RESIDENTS’ QUALITY OF LIFE, AND SUPPORT THEIR ABILITY TO LIVE INDEPENDENTLY AS THEY AGE IN THE COMMUNITY.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES WHO LIVE AT HUD-ASSISTED MULTIFAMILY HOUSING PROJECTS THAT MEET THE ELIGIBILITY CRITERIA BELOW ARE THE INTENDED BENEFICIARIES OF THE SCMF PROGRAM. ELIGIBLE BENEFICIARIES ARE RESIDENTS OF ELIGIBLE HOUSING OR COMMUNITY RESIDENTS WHO LIVE IN THE VICINITY OF SUCH HOUSING. SERVICE COORDINATION MAY BE PROVIDED TO ELDERLY OR DISABLED FAMILIES. IN PARTICULAR, THE PROGRAM AIMS TO SERVE RESIDENTS WHO ARE FRAIL (UNABLE TO PERFORM AT LEAST THREE ACTIVITIES OF DAILY LIVING (ADLS)) OR "AT RISK" ELDERLY PERSONS WHO ARE UNABLE TO PERFORM 1- 2 ADLS, OR NON-ELDERLY DISABLED OR TEMPORARILY DISABLED RESIDENTS. TO BE ELIGIBLE FOR SCMF FUNDING, THE PROPERTY MUST: • BE ASSISTED OR FINANCED THROUGH ANY OF THE FOLLOWING PROGRAMS: (1) SECTION 202 DIRECT LOAN, 12 USC 1701Q, AS SUCH SECTION EXISTED BEFORE THE ENACTMENT OF THE CRANSTON-GONZALEZ NATIONAL AFFORDABLE ACT (2) PROJECT-BASED SECTION 8 (INCLUDING SECTION 8 MODERATE REHABILITATION), OR (3) SECTION 221(D)(3) BELOW-MARKET INTEREST RATE. • BE DESIGNED OR DESIGNATED FOR ELDERLY PERSONS OR PERSONS WITH DISABILITIES AND CONTINUE TO OPERATE AS SUCH. THIS INCLUDES ANY BUILDING WITHIN A MIXED-USE DEVELOPMENT THAT WAS DESIGNED FOR OCCUPANCY BY ELDERLY PERSONS OR PERSONS WITH DISABILITIES AT ITS INCEPTION AND CONTINUES TO OPERATE AS SUCH, OR CONSISTENT WITH TITLE VI, SUBTITLE D OF THE HOUSING AND COMMUNITY DEVELOPMENT ACT OF 1992 (PUB. L. 102-550). IF NOT SO DESIGNED, A PROPERTY IN WHICH THE OWNER GIVES PREFERENCES IN TENANT SELECTION (WITH HUD APPROVAL) TO ELIGIBLE ELDERLY PERSONS OR PERSONS WITH DISABILITIES FOR ALL UNITS IN THAT PROPERTY. • HAVE NO AVAILABLE PROJECT FUNDS (E.G.., SECTION 8 OPERATING FUNDS, RESIDUAL RECEIPTS, OR EXCESS INCOME) THAT COULD PAY FOR A SERVICE COORDINATOR.; SUBRECIPIENT ACTIVITIES: THE RECIPIENT DOES NOT INTEND TO SUBAWARD FUNDS.

MULTIFAMILY HOUSING SERVICE COORDINATORS