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County Adult Assistance Programs Housing and Homeless Services. Gregory Kats CAAP Outreach Manager San Francisco Human Services Agency. CAAP Program Overview. County Adult Assistance Programs (CAAP) CAAP is an umbrella program offering financial support and services for very low-income San
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County Adult Assistance ProgramsHousing and Homeless Services Gregory Kats CAAP Outreach Manager San Francisco Human Services Agency
CAAP Program Overview County Adult Assistance Programs (CAAP) CAAP is an umbrella program offering financial support and services for very low-income San Francisco residents with no dependent children. CAAP consists of four individual programs: General Assistance (GA) GA is a basic, safety-net benefit program for very low income adults. Personal Assisted Employment Services (PAES) PAES provides a cash stipend and services to clients who are interested in pursuing employment. This program provides clients with employment assistance and training. Supplemental Security Income Pending (SSIP) SSIP is for clients with disabilities that have lasted or are likely to last 12 or more consecutive months. This program is designed to assist clients through the SSI eligibility process and get them enrolled in SSI. Cash Assistance Linked to Medi-Cal (CALM) CALM is for clients that receive Medi-Cal benefits because they are either aged or disabled, but do not currently qualify for SSI.
Prior to Care Not Cash (CNC) • County Adult Assistance Programs had 2600 homeless clients as of April 1, 2004 • Clients were provided with substantial monetary benefits (value of homeless grants was either $332 for GA or $410 for PAES or SSIP) • No funding available for affordable housing, so homeless clients were caught in the “shelter shuffle" • Minimal support services available to homeless clients and available services were scattered
Post Care Not Cash • Proposition N (the Care Not Cash Initiative) was passed by voters in November 2002 • Due to legal challenges, implemented in May 2004 • The cash portion of the homeless grant is now $59 for GA and $65 for either PAES or SSIP • The bulk of the grant now goes to housing and services • County Adult Assistance Programs currently has 418 homeless clients (stats as of July 2009)
Care Not Cash Core Principles • People are better served in shelter/housing than on the streets • Services should be tailored to meet individuals’ needs • Length of time in shelters should be minimized • Affordable housing options should be expanded
What Care Not Cash Funds • The “Human Services Care Fund” (which utilizes savings from the reduced CAAP homeless cash grants) totals approximately $14 million annually • 1321 units of permanent, supportive housing • 2662 clients housed through CNC as of June 2009 • On-site case management • A roving team of clinicians to address physical and mental health issues on-site • On-site substance abuse services • A shelter bed and 2 meals per day for CAAP clients who have not yet received CNC housing
Substance Abuse Services Mental Health (licensed clinician) Primary Medical Care Dental Treatment Podiatry Care Vision Care Health Screening Employment Services Social Activities Support Groups Money Mgmt/ Rep Payee Eviction Prevention Legal Services Transportation Assistance Phone calls-local Phone calls-long-distance Voicemail Individual Postal Mailbox Food Distribution (not meals) Meals Community Kitchen Access Laundry Facilities Hygiene Assistance or Supplies Assistance Finding Other Housing SSI - Initial Application SSI - Follow-Up and Advocacy CAAP Assistance Veterans Benefits Health Insurance Linkages Food Stamps In-Home Supportive Services Case Mgt. Mediation Meditation/Stress Reduction Computer Training Fitness Classes On-Site Support Services
Current Status of CNC Housing • No more CNC funding for new housing • Current funding fully allocated to existing housing • New CNC clients continue to be housed • Five to six unit-per-week turn-over • CNC clients transition from CAAP to SSI and employment • Higher income = self sufficiency and independent housing
Client Exemptions • Exemptions granted by on-site CAAP clinicians • Clients with mental health issues • Don’t have to stay in shelter • Grants not reduced • Counseling available
EBT • CAAP transitioned to using EBT cards in 2008 • Prior to EBT clients cashed their grant checks at check cashing outlets • Associated cost was a hardship for client • Much more convenient for clients and no user costs
Monthly Homeless Appointments • Clients meet with workers on a monthly basis • Confirm ongoing eligibility • Adjust benefit amount • Make new shelter reservations • Extend existing shelter reservations • Check for available housing opportunities
Specialized Homeless Services • Roving Shelter Case Management • SSI Advocacy • Modified Payment Program • Employment Services • Homeless Outreach Team