Welcome to the Homeless Provider’s Forum! Topic: Forming Productive

Collaborative Groups 8/7/2014

Continuum of Care Announcements

Spotlight: Buena Park Community Clinic/

The Recuperative & Recovery Centers

Julia Cross

General Announcements: Shelter Openings/New

Programs/Events

Welcome Panelists:

Brad Fieldhouse: City Net

Christina Hall: OC Food Access Coalition

David Gillanders: Financial Stability Alliance

Erik Wadsworth: Orange County Re-Entry Partnership

Maricela Rios-Faust: Health and Domestic Violence Task Force

Rochelle Mills: OC Veterans and Military Families Collaborative

Rory Luepton: Covered OC

Brad Fieldhouse: City Net

Contact Information:

Dr. Brad Fieldhouse

Executive Director, City Net

bfieldhouse@citynet.org

Specific Project:

"Coming Home Anaheim"

Anaheim Multi-Sector Homeless Collaborative - Since Jan 1, 2014

Meets every other week at various locations - (1x) General meeting (1x) Collaborative Case Management

Noon-1:30

Results:

43 faith communities; 37 non-profits; 11 Government agencies; 9 Local Businesses

97 Households/152 individuals moved off streets and on the path to permanent housing since Jan 1 through collaborative case management

$44,375 new resources given by community ($11,750 cash) for ongoing continuum of care

1,882 volunteer hours donated

Anaheim PD Police calls reduced 11 YTD for homeless related calls (336 fewer calls in first 6 months of 2014 vs 2013)

Christina Hall: OC Food Access Coalition OC Food Access Coalition convenes multiple collaboratives in order to build the community

and resources to support access to healthy, local food options for Orange County's most nutritionally vulnerable residents. These include:

OC Farm to School Task Force - Food Service Directors, Nutritionists, Farmers, Retailers, Distributors working to increase the consumption of healthy whole foods which also expanding the amount of local purchasing of these foods to support local farmers.

Food Providers Forum - Food Pantries, Community Centers, Senior Centers and other agencies with food distribution programs meet for capacity building workshops and networking. Most similar to the Homeless Providers Forum.

Food Access Partners - Agencies, University Researchers, Retail and other organizational reps that are interested in changing the food system so that it is equitable and allows everyone to eat the healthy foods that they want to.

Food Policy Council - Advocates for policy change that will support the changes that need to be made in the overall food system at the municipal, state or federal level. Examples include work on the Federal Farm Bill or making the process easier for CalFresh recipients at the state level.

We meet at various times of the year and locations depending on which collaborative. Please contact Christina Hall for more information.

Gillian Poe, executive director Christina Hall, advocacy & programs May 9, 2014

Partners nonprofit, academic, business & government

Through collaboration…

2014 Priorities

Build on Policy & Advocacy Efforts Hunger Action Day Legislative Roundtables Establish an action network – OCFAC CSA

Farm to School

2014 Priorities

CalFresh & Medi-Cal Enrollment Food Providers Forum

Advocacy Education Brand Development Nutrition & Healthier Food Drive

Impacts

Food Security is a conversation now County level research is taking place Collaborative funding opportunities Legislative Roundtables Southern Cal Food Summit 2015

Partnering - OCHCA

County Nutrition Action Plan Hunger Advocates EBT / WIC @ Farmer’s Markets Federal Nutrition Programs - Outreach

Farm to School Programming Nutrition Ed / Food Literacy

Regional Coordination

David Gillanders: Financial Stability Alliance

Orange County Financial Stability Alliance (OCFSA) meets second Monday of each month at 3:30pm at Orange County United Way.

Pulls together partners in employment services, financial literacy, career pathways, financial institutions, partners in Orange County Free Tax Preparation program, any/all agencies geared towards helping families achieve financial stability.

Income Coalition of funded United Way partners from our first RFP offered through our strategic plan FACE2024. Includes WHW, Working Wardrobes, Goodwill Industries Orange County, And Taller San Jose. Purpose is to foster collaboration with agencies doing similar work and help create linkage to employment and career partnerships.

Erik Wadsworth: Orange County Re-Entry Partnership

Participate:

Currently being informed on issues related to the incarcerated formerly incarcerated…on service providers & provision to the formerly incarcerated and the community at large.

Outcomes:

Currently this is limited to those who provide direct services to the formerly incarcerated, but may open up to all who are interested in this population.

Effective Collaboration:

Collaborative meetings remove barriers to service and people/organizations, increases networks (more people to do the work), increases collaborative capability, clarifies and increases limited knowledge, identifies select partners, maximize the utilization of existing processes, systems, people and organization assets that will facilitate a quick and productive start to the relationship, co-create new value, increased profitability and competiveness through joint creative innovation and continual improvement programs and projects…

Maricela Rios-Faust: Health & Domestic Violence Task Force THE NEED:

Nationally, between 1 in 4 and 1 in 3 women have experienced Domestic Violence as adults. Orange County is no different – according to the most recent California Health Interview Survey, 26.3% of OC women respondents have experienced physical or sexual violence by an intimate partner in their adult lifetimes. CHIS 2009.

Domestic violence creates significant short and long-term health consequences for the victim and exposed children, burdens the healthcare system, and interferes with workplace productivity. ACOG Committee Opinion No. 518, Obstet. Gynecol. 119:412-417 (Feb 2012).

In Orange County, there is no comprehensive, countywide system for addressing Domestic Violence as a health priority.

There is a growing support for DV screening and counseling by healthcare providers:

Some research and an increasing number of professional medical associations endorse DV screening and counseling of women of reproductive age.

The Affordable Care Act requires DV screening and counseling to be covered as preventive women's health service, with no cost sharing to the patient.

According to a 2013 survey funded by Blue Shield of California Foundation, California residents trust their doctors and nurses to talk with them about DV.

While some OC hospital departments are beginning to screen and counsel, there is no consistent approach for local hospitals, community clinics, and private medical offices to train providers to screen and counsel, no common resource directory nor referral mechanism, and little guidance on how to document, seek reimbursement, and/or mandatory reporting.

THE RESPONSE:

In the spring of 2013, the OCWHP partnered with the four OC-based state-funded DV agencies (Human Options, Interval House, Laura’s House, and Women’s Transitional Living Center) to launch a Health & Domestic Violence (HDV) Task Force. Approximately 40 organizations participate in the HDV Task Force, including:

CalOptima (Medi-Cal administrator)

Coalition of OC Community Health Centers

Large Hospital Systems in OC (Hoag, Kaiser, Memorial, Tenet and UCIMC)

Multiple nonprofit organizations (Casa de la Familia, CSP, MOMS, SAHARA, etc.)

OC Health Care Agency & Social Services Agency

Orange County Medical Association and American Academy of Pediatrics

Faculty from Chapman, CSU Fullerton and UC Irvine

THE PLANNING:

In October 2013, BSCF funded the OCWHP, on behalf of the HDV Task Force, to complete a six-month planning project to develop a vision for a countywide, integrated and collaborative Health & Domestic Violence System in Orange County. During the planning project the HDV Task Force:

Outreached to and engaged key stakeholders

Completed a needs assessment to identify significant gaps between the healthcare sector and the other social, legal and shelter services that support DV victims in OC

Review existing data, hospitals’ needs assessments, CBO program info

Surveys of DV shelter clients, healthcare providers, social service providers

Interviews with 13 key informants

Focus group of 7 social service providers

Review the literature and best practices

Evaluated different approaches and ultimately recommend a set of four strategies to establish such a countywide, integrated & collaborative HDV System in OC

Cross-Disciplinary Training for Healthcare and Social Service Providers

Central Clearinghouse for DV Resources and Referrals

Public Health Campaign re: DV as a Health Issue

Assess the need and the county's capacity to deliver Mental Health and Substance Abuse services for DV victims

THE OPPORTUNITY:

BSCF subsequently invited the OCWHP to apply for a grant to implement, coordinate and evaluate the strategies over a four-year period. The application was submitted in late March, a site visit was held in June, and a decision is expected this fall.

If awarded, the OCWHP will re-grant approximately $1.15 million for strategy implementation through a competitive RFP process beginning in 2015. The OCWHP will also coordinate the timing, messaging, outreach and other implementation issues for the strategies and ensure they are working together to establish the countywide, integrated, and collaborative HDV System contemplated during the planning project. Finally, the OCWHP will evaluate the collective impact of the strategies in establishing such a system and disseminate its findings in Orange County and beyond.

Rochelle Mills: OC Veterans and Military Families Collaborative Housing & Homeless Working Group Objective: Increase housing opportunities for veteran and military families in

Orange County through sharing housing and land use policy initiatives, identifying service dollars and eligibility, and connecting developers and real estate owners, and identifying services available to this resident population

Topic: Housing Policy

Meetings: 3rd Monday of Every Month

Where: Families Forward (8 Thomas, Irvine 92618; Carpooling encouraged)

Attendees: Veteran service providers, homeless and transitional housing providers, housing policy experts, permanent affordable housing developers, etc.

Chair: Deanne Tate, CEO - Veterans First, 714-547-0615

Co-Chair: Rochelle Mills, Dir. Housing & Business Development – Innovative Housing Opportunities, 949-863-9740

Rory Luepton: Covered OC Covered OC is a collaborative of service agencies, businesses, and

government representatives dedicated to supporting successful access to and coverage of health for all Orange County residents.

Covered OC’s purpose is to: Educate members about changes in the regional healthcare system Coordinate and support outreach, education, and enrollment

activities Advocate for resources to fill identified gaps in services Evaluate and assess the outcomes of member activities

Covered OC goals

Formalize and ramp up a coordinated countywide referral, outreach, education, enrollment, retention, and utilization infrastructure to improve the consumer continuum

Establish Covered OC as the central hub for health access related information, training, and evaluation to improve the regional health infrastructure.

Membership 70 Agencies represented

Over 140 collaborative members

Health plans, hospitals, and providers Nonprofits, family resource and community centers, and other

community and faith based organizations Government agencies, and city, county and state representatives

Open to anyone interested in learning more about Covered CA and regional outreach and enrollment activities

2-1-1 Orange County Karen Williams, President & CEO

CalOptima Ilia Rolon, Director, Strategic

Development Children's Health Initiative of Orange

County Adriana Moreno, Program Director

Coalition of Orange County Community Health Centers Isabel Bacerra, Executive Director

Diane Ilan Consulting Inc. Diane Ilan, Consultant

Institute for Healthcare Advancement Michael Villaire, CEO Amy DeMarco, Programs Manager

Planned Parenthood of Orange and San Bernardino Counties Georgina Maldonado, Director of

Patient Engagement Orange County Social Services Agency

Raquel Vargas, , SSA, Senior Operations Manager

Orange County United Way Rory Luepton, Regional Advocacy

Coordinator Marcos Ramirez, Consultant

Steering committee

www.coveredoc.org

All resources available on this site

Including meeting dates and minutes

Listserv registration

Website

Covered OC listserv Email updates

Information on events, trainings, policy changes and Covered CA Meeting minutes and upcoming meeting dates

Communication platform

Ask questions to the entire membership Facilitate collaboration among members

Register

On www.coveredoc.org Email ademarco@iha4health.org

Q & A / Moderated Discussion

Thank you for coming! Next Meeting: September 4th, 2014