Blueprint for Change: Ending Chronic
Homelessness for Persons with Serious
Mental Illnesses and Co-Occurring Substance Use Disorders
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Acknowledgements
Numerous people contributed to the development of this manual. The document
was produced by Policy Research Associates, under contract No. 280-99-0601,
Substance Abuse and Mental Health Services Administration (SAMHSA), U.S.
Department of Health and Human Services (DHHS). Susan Wells, Advocates for
Human Potential, and Francine Williams, M.A. and Deborah Dennis, M.A., of
Policy Research Associates, wrote and edited the material in this document.
Frances Randolph served as the SAMHSA Government Project Officer.
Disclaimer
The views, opinions, and content of this publication are those of the
authors and do not necessarily reflect the views, opinions, or policies of
SAMHSA or DHHS.
Public Domain Notice
All material appearing in this report is in the public domain and may be
reproduced or copied without permission from SAMHSA. Citation of the source is
appreciated. However, this publication may not be reproduced or distributed
for a fee without the specific, written authorization of the Office of
Communications, SAMHSA, DHHS.
Electronic Access and Copies of Publication
This publication can be accessed electronically through the following Internet World Wide Web connection: www.nrchmi.samhsa.gov. For additional free
copies of this document please contact SAMHSA’s National Mental Health
Information Center at 1-800-789-2647.
Recommended Citation
Substance Abuse and Mental Health Services Administration. Blueprint for
Change: Ending Chronic Homelessness for Persons with Serious Mental Illnesses
and Co-Occurring Substance Use Disorders. DHHS Pub. No. SMA-04-3870,
Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental
Health Services Administration, 2003.
Originating Office
Substance Abuse and Mental Health
Services Administration (SAMHSA) Center for Mental Health Services, 1 Choke Cherry Road Room 6-1057 Rockville, MD 20850,
Phone: 240-276-1310, Phone: 1-800-789-2647
Webpage: www.mentalhealth.samhsa.gov
Table of Contents
Preface
Using This Report
Section I: Before You Begin
- Understand the Changing Context of Care and the Nation’s Response
The Changing Context of Care
The Federal Response
Understanding the Population
- Learn About the Population
Individual Risk Factors
Service System Challenges
Societal Risk Factors
Guiding Principles for a System of Care
- Establish Core Values
The Concept and Practice of Recovery
Person-Centered Values
System-Level Values
Establishing a System of Care
Section II: Plan for Services
- Establish a Comprehensive, Integrated System of Care
Why Comprehensive, Integrated Services?
Key Systems Integration Strategies and Mechanisms
Ensuring Adequate Resources
- Finance a Comprehensive System of Care
Access and Use Community Resources
Funding Sources
For More Information
Putting the Pieces Together
Section III: Organize Services
- Use Evidence-Based and Promising Practices
Evidence-Based and Promising Practices
Other Essential Services
SAMHSA’s Leadership in Evidence-Based Practices
Developing Services That Will Last
Section IV: Sustain Services
- Measure Results
Why Measure Outcomes?
The Types of Outcomes That Should be Measured
Barriers to Measuring Outcomes
Use of Management Information Systems
Connecting to Mainstream Resources
- Use Mainstream Resources to Serve People Who Are Homeless
A Wide Range of Available Resources
Making Mainstream Services Work for Homeless People
Moving Forward
References
Resources
Tables
4.1 The Strategic Planning Process
4.2 Implementation Strategies
6.1 Essential Service System Components
SMA04-3870
01/2004
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