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HomeMy WebLinkAboutResolution - 3819 - Grant Application - HUD - 1992 Shelter Plus Care Program - 02_27_1992i Resolution No. 3819 February 27, 1992 Item #15 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock BE and is hereby authorized and directed to execute for and on behalf of the City of Lubbock an Shelter Plus Care Grant Application for the year 1992 and related documents, which Application is attached herewith, which shall be spread upon the minutes of the Council and as spread upon the minutes of this Council shall constitute and be a part of this Resolution as fully copied herein in detail. Passed by the City Council this 27th day of February 1992. C . C. MCMI MAYOR ATTEST: Ran tte Boyd, -City Seere ary APPROVED AS TO CONTENT: Sandy 0 etr , Community Development Administrator APPRO S FORM: Denni MeG' Civil Tria Attorney dr '��,4 i�.} a,t•�+ •� _ � 1�' ��r� y fr{� f IF IN { fIL yr, � r#� � •�� � '.# 'r�r " . �_ -,. - fii } 'S'.\•• 3 * �. 4i�{},}�1 +.fir: y.. • Mill 0 171 r Tom.I'r4T i#.� '} �I.! rr+r.•y, ii}Iw.� � r LR�.� } A it . #�'• ,x*d il lk $ - # 5 ■ F}`!'.r -2 OP jog jp dr 41 fi ■ {�} I '16 i. y i L f 'r r • r 'w Alif Pod ; Fm Al Pik ,- .. ) a,. , , *�j ! .. f1 40 ri. r s P } �' '. qt I: F Fit +' y + {*{`�- dIw ti Table of Contents page 1 Standard Form 424 2 Certifications Part A: General Information 5 Exhibit I Project Summary 8 Exhibit II Proposed Participants 9 Exhibit III Description of Need 11 Exhibit IV Program Plan 15 Exhibit V Provision of Supportive Services 30 Exhibit VI Documentation of Supportive Services 33 Exhibit VII Ability to Administer the Program 41 Exhibit VIII Evidence of Consistency with the Comprehensive Housing Affordability Strategy Part D: Sponsor -based Rental Assistance (S+C/SRA) 42 Exhibit XVII Project Sponsor Information Housing and Information (S+C/SRA) 63 Exhibit XVIII Rental Assistance (S+C/SRA) 1 OMB ApptOvsl No. 03"-GG43 APPLICATION FOR : DA7ESusumto AooWwt Identifier FEDERAL ASSISTANCE 2- 28-92 ' ' N/A 1. TYPE OF SUBMM31olt 1. DATE RECEIVED EY STATE State Application IdenMier Acorscarron IReaod+calion N/A ❑ Construction (3 Construction RECEMO BY FEDERAL AGENCY Fadaral Identifier �0 Non -Construction ❑ Non-Constluction F"—Tt N/A S. "PUCANTINFOAMATIOII Lego tvame. City of Lubbock Orgarwzatiorvl unit: Community Development Department Address tgn'e city. county. State. and, Srp cadeI7 Nwrie and telephone numtter of the person to be contacted an matters involving this application (give aria code) P.O. Box 2000 Sandy Ogletree Lubbock, TX 79457 - Community Development Administrator (806) 767-2290 e. EMPLOYER IDENTIFICATION NUMBER WNt 1. TYPE OF APPUCAMT: (enlef ap"onate 1e110f in box) C 7 5 1 0 1 0 1 0 1 5 1 9. -0 A. State N kulapena+nt Scr+oot DISL County C State Controlled tit tm,tlon a Nigher Leamwig .6 C. Municipal J. Private Urltversrty L TYPE OF APPLICATION: O. Township IC Indian Tribe Xb New ❑ Continuation ❑ Revision E- Interstate • L. kidiwdual F Intermuniclpm U Profit Organization it Revision. enter aoproprtate iettertsl in boitlesl: ❑ ❑ G Special District N. Other (SoectN)- A increase Award . B Decrease Award C. Increase Duration D. Decrease Duration Other (SpectimVp 1. NAME OF FEDERAL AGENCY: U.S. Dept. Housing and Urban Development COMESTIC 1 4 2 3 8 Ill. CATALOG►tGE f 1. DTTL ESCRIPTIn TE OF APPLICANTS PROJECT: NECERA Shelter + Care Ltibbock S+C Program IL AREAS AFFECTED BY PROJECT (cities. caunties. states. etc.► Lubbock, Texas 12. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Data Ending Date a. Applicant : I Prolect 3/92 3/93 19th 19th 15. EST114ATED FUNDING: 1s. 15 APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12272 PROCESS7 a YES THIS PREAPPLICATIOWAPPLICATION WAS UADE AVAIU►ME TO TtiE a Federal S 00 553,320 STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON. BATE b NO PROGRA.0 IS NOT COVERED BY E 0. 12372 ❑ OR PROGRAI.I HAS NOT BEEN SELECTED BY STATE FOR REVIEW 1 D Appicant _ a State = .00 d Local _ .00 a Other = .00 r Program Income 2 .00 17. IS THE APPLICANT DELINOUENT ON ANY FEDERAL DEBT7 Yes N 'Yes.' attach an explanation. No i g TOTAL ! .00 . 553,320 ta. TO THE BEST OF MY KNOWLEDGE AND BELIEF. ALL DATA IN THIS APPLICATIONPREAPPLtCAnoN ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED a Typed Narrie of Authorized Representative b Title c Teleorwne nu-betB.C. McMinn Mayor (806) 767-3000 d Signature of Authorized Representative a Ogle Signed C ` 2-26-92 rrev CAS tCit�OnS VOI USJC .l ti rRo �:. l %. ! _ i ✓ A DD VFT1 A C T . d.� nrs� By OMB :.•rc�,a• A - 2 Applicant Certifications LOCAL GOVERNMENT GRA14TEE SHELTER + CARE GRANTS PROGRAM CERTIFICATIONS BY THE CHIEF EXECUTIVE OFFICER The Applicant hereby assures and certifies that: CFR Part 135). which require that to the greatest extent feasible opportunities for training and employment be 1. It will comply with Title VI of the Civil Rights Act given to lower -income residents of the project and of 1964 (42 U.S.C. 2000(d)) and regulations pursuant contracts for work in connection with the project be thereto (Title 24 CFR Part 1). which state that no person awarded in substantial part to persons residing in the in the United States shall. on the ground of race, color area of the project. or national origin, be excluded from participation in, be It will comply with Section 504 of the Rehabilita. denied the benefits of. or be otherwise subjected to don Act of 1973 (29 U.S.C. 794), as amended, and with discrimination under any program or activity for which implementing regulations at 24 CFR Part 8, which the applicant receives financial assistance, and will prohibit discrimination based onhandicap inFederally- immediately take any measures necessary to effectuate assisted and conducted programs and activities. this agreement. With reference to the real property and It will comply with the Age Discrimination Actof structure(s) thereon which are provided or improved 1975 (42 U.S.C. 6101-07), as amended.and implement - with the aid of Federal financial assistance extended to the applicant, this assurance shall obligate the appli- ing regulations at 24 CFR Part 146, which prohibit discrimination because of age in projects and activities cant, or in the case of any transfer, the transferee, for the receiving Federal financial assistance. period during which the real property and structure(s) It will comply with Executive Orden 11625, are used for a purpose for which the Federal financial 12432, and 12138, which state that program partici- assistance is extended or for another purpose involving pants shall take affirmative action to encourage partici- the provision of similar services or benefits. pation by businesses owned and operated by members It will comply with the Fair Housing Act (42 of minority groups and women. U.S.C. 3601-19), as amended, and with implementing If persons of any particular race, color, religion, regulations at 24 CFR Part 100, which prohibit dis- sex, age, national origin, familial status, or handicap crimination in housing on the basis of race, color, who may qualify for assistance are unlikely to be religion, sex, handicap, familial status or national ori- reached, it will establish additional procedures to en - gin, and administer its programs and activities relating sure that interested persons can obtain information to housing in a manner to affirmatively further fair concerning the assistance. housing. It will comply with the reasonable modification It will comply with Executive Order 11063 on and accommodation requirements of the Fair Housing Equal Opportunity in Housing and with implementing Act and, as appropriate, the accessibility requirements regulations at 24 CFR Part 107 which prohibit discrimi- of the Fair Housing Act and section 504 of the Rehabili- nation because of race, color, creed, sex or national origin in housing and related facilities provided with cation Act of 1973, as amended. 'in Federal financial assistance. 2. It will provide drug -free workplaces accordance It will comply with Executive Order 11246 and all with the Drug -Free Workplace Act of 1988 (41 U.S.C. regulations pursuant thereto (42 CFR Chapter 60-1), 701) by: which state that no person shall be discriminated against (a)publishing a statement notifying employees that on the basis of race, color, religion, sex or national the unlawful manufacture, distribution, dispensing, origin in all phases of employment during the perform- ance,of Federal contracts and.shall take affirmative possession, or use of a controlled substance is prohib- ited in the grantee's workplace and specifying the action to ensure equal employment opportunity. The actions that will be taken against employees for viola. applicant will incorporate, or cause to be incorporated, tion of such prohibition; into any confract for construction work as defined in (b)estnblishing an ongoing drug -free awareness Section 130.5 of HUD regulations the equal opportu- program to inform employees about - nity clause required by Section 130,15(b) of the HUD (1)the dangers of drug abuse in the workplace; - regulations. - It will comply with Section 3 of the Housing and (2)thegrantee's policy of maintaining a drug -free workplace; Urban Development Act of 1968, as amended (12 (3)any available drug counseling, rehabilitation-, U.S.C. 1701u), and regulations pursuant thereto (24 and employee assistance programs; and Page loim HUD•40095 7 P 0 0 r 7 M_ I F F I Applicant Certifications (Continued) (4)the penalties that may be imposed upon ern activities. Grantees, in such casesare required to ployees for drug abuse violations occurring in the advise the HUD Field Office by submitting a revised workplace; --'Place of Performance" form. The period covered by (c)making itarequirement thateach employee to be the certification extends until all funds under the spe- engaged in the performanceof grantbe given acopy cific grant have been expended. of the statement required by paragraph (a); (d)notifying the employee in the statement required 3. It will comply with the Uniform Relocation Assis- byparagraph (a) that. as a condition of employment tance and Real Property Acquisition Policies Act of under the grant, the employee will -(1) abide by the 1970, as amended, and the implementing regulations at terms of the statement; and (2) notify the employer in 49 CFR Part 24. For S+C/SRO projects, it will comply writing of his or her conviction for a violation of a with 24 CFR 882.803(d). criminal drug statute occurring inthe workplace no later than five calendar days after such conviction; 4. The environmental effects of this application will be (e)notifying the agency in writing, within ten calen- assessed in accordance with the provisions of the Na- dar days after receiving notice under subparagraph tional Environmental Policy Act of 1969 (42 U.S.C. (d)(2) from an employee or otherwise receiving actual 4321)(NEPA) and the related environmental laws and notice of such conviction. Employers of convicted, authorities listed in HUD's implementing regulations at employees must provide notice, including position title, 24CFRPart 58. All applicants mustassumeresponsi- to every grant officer or other designee on whose grant bility for environmental review, decision -making, and activity the convicted employee was working, unless action for each application for assistance in accordance the Federal agency has designated acentral point for the with Part 58. receipt of such notices. Notice shall include the identi- fication numbers) of each affected grant; (f) taking one of the following actions, within 30 cal- endar days of receiving notice under subparagraph (d)(2), with respect to any employee who is so con- victed - (1) taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) requiring such employee to participate satis- factorily in a drug abuse assistance or rehabilitation _ program approved for such purposes by a Federal, State, or local health, law enforcement, or other appro- priate agency; (g) making a good faith effort to continue to main- tain a drug -free workplace through implementation of paragraphs (a). (b). (c), (d). (e) and (f); (h) providing the street address, city, county, state, and zip code for the site or sites where the performance of work in connection with the grant will take place. For some applicants' who have functions carried out by employees in several departments or offices, more than one location may need to be specified. It is further recognized that States and otherapplicants who become grantees may add or change sites as a result of changes to program activities during the course of grant -funded 5. (a) No Federally appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing orattempting to influence an officer or employee of any agency, a Member of Con- gress, an officer or employee of Congress, or an em- ployee of a Member of Congress in connection with the awarding of any Federal contract. the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, contin uction. renewal, amendment, or modi- fication of any Federal contract, grant. loan, or coopera- tive agreement. (b) If any funds other than Federally appropriated funds have been paid orwill be paid to any person for in- fluencing or attempting to influence an officer or em- ployee of any agency, a Memberof Congress, an officer or employee of Congress. or an employee of a Member of Congress in connection with this Federal contract, grant. loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Dis- closure Form to Report Lobbying," according to its instructions. (c) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts. subgrants, and contracts under grants, loans, and coop - Paso form iIUD-;CJ1,S Applicant Cettillcatlons"(Continued) - . eradve agreements) and than all subrecipients shall charged by a governmental entity (Federal. State i certify and disclose accordingly. local) with commission of any of the offenses enume 'Iris certification is a material representation of fact ated in (b) of this certification; and (d) have not withi upon which reliance was placed when this transaction a three-year period preceding thisapplicatiorl/propos: was made or entered into. Submission of this certifica- had one or more public transactions (Federal, State c tion is a prerequisite for making or entering into this local) terminated for cause or default. Where nth transaction imposed by section 1352, title 31, U.S. applicant is unable to certify to any of the statements i Code. Any person who fails to file the required certifi- - this certification. such applicant shalt attach = expla cation shall be subject to a civil penalty of not less than nation behind this page. $10,000 and of more than $100,000 for each such failure. 7. Ile applicantassures that thcassistaneeprovidedb, HUD. and any amounts provided irom other sources 6. It and its principals (sec 24 CFR 24.105(p)) (a) are " are managed so that the housingassistance described it not. presently debarred, suspended. proposed for de- the application is provided for the fall term of the grant barment. declared ineligible, or voluntarily excluded orthatapplicantswill provideanyshortfall,ifnecessary from covered transactions (see 24 CFR 24.110) by any (except in the case of S+C/SRQ where amendmen Federal department or agency; (b) have not within a ; funding will be provided as needed). The applican three-year period preceding. this proposal been con- further assures that it will provide or secure supportivf victed of or had a civil judgment rendered against them services appropriate to the needs of the populadot for commission of embezzlement, theft. forgery, brib- served and equal in value to the aggregate amount o ery, falsification or destruction of records, making false rental assistance funded by HUD for the full term of thi statements, or receiving stolen property; (c) are not grant and that it will fund the supportive services itsel presently indicted for or otherwise criminally or civilly if the planned resources do not becomeavailable for an-, reason. Signature of Authorized Certifying Official B. C. McMinn Tile MAYA, CITY OF LUBBOCK Applicant Date 2-26-92 For SrCISRO Only: Signature of Authorized Certifying Official of PHA _f i. 5 Exhibit I - A Exhibit I - B k r Funding Summary Total Rental Assistance Dollar Value of Services from HUD (from exhibit 5) $ from exh. 10.15. & 18 $ 1. S+C / TRA (total for 5 years) 2. S+C / SRO (total for 10 yrs) 3. S+C / SRA $ 553,320 $ 1,422,813 (total for 5 years) 4. TOTAL $ 553,320 $ 1,422,813 Major Milestones 1. Outreach begins. S+C/TRA S+C/SRO S+C/SRA 1 2. Residents begin to occupy units. 1 3. Supportive Services for residents begin 1 4. Last unit initially occupied. 6 Project Summary Narrative The City of Lubbock, Texas proposes to implement a rental assistance program utilizing funds provided by the Shelter Plus Care Sponsor -based Rental Assistance Program. The program will address the long term housing and supportive service needs of homeless individuals who are disabled due to a chronic mental illness, alcohol and/or drug abuse, or AIDS. Because this is an extremely difficult population to reach, the effectiveness of the program will rely heavily on outreach efforts. Lubbock is fortunate to have several very effective outreach programs in place. These programs have laid the groundwork necessary to the success of a coordinated effort. Treatment and supportive services for the targeted populations are also available and appropriate. The rental assistance piece provided by the Shelter Plats Care Program will assist our community to supply a total package of assistance and supportive services in our struggle to alleviate homelessness. Fifteen homeless individuals who have a chronic and disabling mental illness will be assisted with an individual apartment integrated within a residential neighborhood. They will be provided with a stable living environment that they can call their own, and the supportive services necessary for them to maintain themselves within the community. For many of these individuals this will be the first time they have had a home of their own, and for most, the first time they have had a true choice in where they live, other than on the streets. In the past, the Mental Health System has made these decisions, determining which congregate living environment or training program was most appropriate, how long they would stay, and where each individual would next be "placed". Not only has this approach been a deterrent to stabilizing individuals in the community, it has also created a determination on the part of some to avoid the system and it's control over every aspect of their lives. Returning the individual's right to choose his or her own home and the services they need not only removes a barrier to treatment, but also encourages growth and promotes self-esteem. Supportive services available are comprehensive and address needs for treatment, recreation, social support, independent living skills training, crisis intervention and resolution, transportation, education and vocational training. An innovative combination of housing and services has been developed to meet the unique needs of homeless women who are addicted to substances and have small children. Because most substance abuse 7 t treatment models were designed for men, few are truly appropriate for women. Additionally, the treatment system does not readily accommodate indigent women with dependent children. The need for child care to allow for the mother's treatment, as well as the child's own need for intervention are not addressed in traditional settings. By providing family units in'a congregate setting hand -in -hand with a treatment program designed to meet the needs of the both mother and child, addicted women will be able to access treatment, maintain family integrity and make preparations for an independent, substance free future. Treatment and supportive services will include detoxification, intensive long term chemical dependence treatment, coping, parenting and life skills training, health care for both parent and child, children's support groups, day care, individual, family, and group counseling, twelve step support groups, tutoring, and transportation. Structured recreation and experiential activities will promote and enhance the recovery process. Educational and vocational opportunities will be supported. Eight family units are proposed for eight homeless women and an estimated sixteen children. The utilization of Shelter Plus Care Sponsor -based Rental Assistance to support one six -bed group home and three individual apartment units for homeless individuals with AIDS will create an additional resource Lubbock desperately needs. The majority of homeless service providers are ill-equipped to meet the overwhelming and often times emergency physical and emotional needs of persons afflicted with this deadly virus.. The epidemic proportions of the disease have stretched present resources to the limit, with the harsh reality of rising numbers as the future. Providing additional housing units will not only assist those individuals in need of appropriate shelter, but will relieve present stresses on the emergency shelter system. One group home with a live-in care giver is being proposed to meet the needs of those individuals Am who are unable to totally care for themselves. Three individual apartment units will be available for persons who are able to maintain themselves in an independent living situation. Services available are flexible to meet rapidly changing needs and include a pantry, support groups, Pentamadine Mist treatments, case management, home health care, financial and prescription assistance, buddy project, counseling, transportation, and hot meals. Overall, the program is designed to serve a mininurm of 48 individuals (including children) each year with housing and supportive services designed to respond to the specific needs created by their disabling illness. This effort will significantly impact the homeless situation in Lubbock, and provide individuals an opportunity for stability that they might otherwise not have. No Text W Exhibit II - A Primary Disability S+C/TRA S+C/SRO S+C/SRA Total 1. Seriously Mentally Ill 13 13 2. Chronic Substance Abusers 8 8 3. Both Seriously Mentally Ill & Chronic Substanct Abusers 2 2 4. Persons with AIDS and Related Diseases 9 9 5. Persons with Other Disabilities 6. Total Participants 32 32 7. Other Family members Living with Participants 17 17 Exhibit H - B S+C /TRA S+C/SRO S+C/SRA 1. Regularly sleep in places not designed for, or ordinarily used as, sleeping accommodations for human beings 30% 2. Currently are resiging in an emergency shelter 70% 3. Are otherwise homeless Total 100% No Text E Description of Need Lubbock, with a population of 191,069, ranks 81st in size in the United States. Located in the center of a lame rural area, the city serves as educational, medical, and commercial hub for the plains of West Texas. The climate is semi -arid and the population multicultural, with a large Hispanic influence. The economy has been hard hit in recent years due to the effects of a drastic drop in oil and gas prices and production, and depression of the agribusiness industry. The most recent jobless rate, 7.8%, is the highest since March of 1988, and higher than the national rate of 7.1%. Lubbock has met the demand for emergency shelter through coordinated community collaboration. The need for transitional and permanent housing, however, remains a significant problem for the community. The recently approved City of Lubbock CHAS identifies transitional and permanent housing for the disabled as priority objectives. Specifically targeted are persons with mental illness, chemical dependency, and AIDS. Services for each group are present, but providers have few resources available to meet housing needs, and housing is a key element to -providing a stable base for other interventions. Disabled persons in Texas face significant obstacles in meeting housing needs. The few individuals fortunate enough to access SSI or SSDI benefits live on'an income far below the poverty level. No state funded public assistance or rent subsidy exists. The waiting period for Section 8 Certificates is two years or more. Id A survey of Mental Health case managers conducted in January, 1992, revealed 103 homeless individuals within a caseload of 800 people with disabilities related to mental illness. This is 13% of the identified population receiving services. Texas ranks near the bottom in funding per capita for mental health services (Torrey, 1990), therefore, the mental health system has limited funds to devote to housing, concentrating its resources on treatment related needs instead. Only twenty percent (20%) of Lubbock's identified mental health clients have SSI and 90% are unemployed.` Sponsor based rental assistance with apartment units has been selected for this group due to their difficulty with closeness in interpersonal relationships, their expressed desire to live alone, and the need for community integration. Proposed services are holistic, comprehensive, and adaptable to individual need. 10 Homeless, addicted women with children face unique barriers to treatment. Most are deprived in multiple ways; financial, social, scholastic, work skills or physical health. The Worker's Assistance Program of Texas indicates that 75% of the poor are women. AFDC has not increased in this state since 1985. Most addicted and homeless women are single parents. Many have been physically abused, some have mental health problems. All have low self-esteem. Addicted women feel trapped. Society has little tolerance for drug abusing women, especially if they have small children. Asking for help may result in legal sanctions and loss of their children. If they do choose treatment, child care is unavailable. Because addiction is a family disease, the needs of the children must be addressed as well. Children of addicted parents are in denial, apprehensive about the future, and confused and uncertain about who they are. They have been raised in chronic shock. Their only security is in the knowledge that nothing is secure. These children are at extremely high risk for substance abuse and criminal behavior. For them, intervention is not only treatment, but prevention. Sponsor based rental assistance with multiple two bedroom units in one location has been identified as appropriate for this target group. Rationale relates to their need for a safe environment, the need for peer group support in recovery, accommodation of the treatment process without separating parent and child, and the provision of structure and consistency. Accompanying services are uniquely designed to meet the needs of the family unit. AIDS is a disease that has reached epidemic proportions national and West Texas has not been exempt. P P P Y• The South Plains AIDS Resource Center currently serves 147 HIV positive individuals. This is more than double the number served in January of 1991, and the number is predicted to double again in the coming year. The City of Lubbock Health Department estimates there are between 1,500 and 2,000 people in Lubbock who are unaware of their HIV positive status. Of the individuals presently being served by SPARC, 69 are unemployed, 106 have no medical insurance, and only 39 receive SSI and/or SSDI. Sponsor based rental assistance utilizing two types of housing has been identified as being needed by this target group. A group home environment with a care giver will promote mutual support while ensuring that basic care needs are met. Individual apartment units will provide independent living situations for persons still able to care for themselves. Supportive services address social, emotional, economic, medical, and spiritual needs. No Text 11 Exhibit IV Program Plan Even the most appropriate housing and effective services are useless unless the homeless individuals targeted to benefit from them are properly identified, and then engaged with an experienced and competent service provider that can sustain continued participation. It is the goal of the Lubbock Shelter Plus Care Sponsor based Rental Assistance Program to ensure those end results. Due to the diversities inherent in the three identified target groups for this project, a variety of outreach approaches will be utilized. The Homeless Outreach Team funded by PATH grant dollars and operated by the Lubbock Regional Mental Health Mental Retardation,Mental Health Program provides mobile outreach services to a five county area which both surrounds and includes the city of Lubbock. The team is comprised of a Masters �j prepared social worker with counseling and case management experience, and a Registered Nurse Practitioner experienced in both Psychiatric_ and Medical -Surgical fields. These individuals provide liaison and education to homeless service providers and other agencies, groups and individuals who have contacts AM with the homeless population. Their primary functions are to identify, engage and link homeless persons to those service providers best able to assist in alleviating their homeless condition and meet other Isidentified needs. The team spends regularly scheduled time at homeless shelters and other locations where homeless individuals are known to congregate, developing relationships and rapport with both the care givers and the persons who are homeless. Assessments and screening are done whenever and wherever the need arises. Patience and persistence are often required to engage individuals in services. 7171`_�, Immediate access to the team by other service providers is ensured by mobile telephones with long distance capabilities. Team membcrs respond immediately to any request for assistance in assessment or linkage with other services. Significant outreach services are also provided by the AIDS Education Program of Lubbock Regional MHMR. This program is funded by a Texas Department of Health grant, and it's purpose is to provide AIDS education and prevention services to IV drug users. In addition to structured educational efforts, program staff meet their target audience on their home turf where drugs are sold openly on the street and F 12 prostitutes ply their trade. They are familiar faces to gang members and crack house operators, and frequent visitors to jail -houses and homeless shelters. Functions include distributing condoms, teaching proper needle cleaning techniques, counseling and testing, and engaging individuals in treatment for their addiction. Catholic Family Services of Lubbock provides AIDS education to migrant field workers through a Texas Department of Health minority AIDS education grant. Educators from this agency provide outreach services to this group of individuals who are particularly vulnerable to the homeless condition due to their lack of stability, limited skills and education, language barriers, and meager resources. South Plains AIDS Resource Center approaches outreach in a number of different ways. The Stop AIDS Lubbock project utilizes a minority AIDS educator to provide'a comprehensive education and AIDS prevention program targeted for gay men. Because only a fraction of this high -risk group is visible and readily accessible, outreach strategies include involvement with gay identified organizations, anonymous testing and counseling, AIDS awareness activities conducted at local gay bars, and a peer to peer interpersonal communication program of informal, small group, evening long HIV education and prevention discussions. Active outreach to the homeless and other high risk groups is achieved through staff participation in STD clinic activities and distribution of,safe sex packets and AIDS information to shelters, street persons, and prostitutes. AIDS testing and counseling is conducted regularly at homeless shelters as well as at.two local churches who'provide p i hot meals to homeless individuals. Community AA and NA groups are one avenue for providing active, ongoing outreach to the substance abusing community. Intervention, support and encouragement from "one who has been there" is an engagement tool of time proven effectiveness. The City of Lubbock Health Department receives grant funding from the Texas Department of Health to provide AIDS testing and FIIV counseling. Testing staff are flexible and innovative, and will go anywhere at anytime to provide outreach services, even to the extreme of making house -calls. Workers in the STD clinics also provide valuable outreach on a daily basis. LI El 13 Other groups who provide outreach services adjunctive to their primary job functions are law enforcement personnel, Department of Human Resources, shelter and financial assistance providers, Adult Probation, and the criminal justice system, Food Bank, churches, Children's Protective Services and Women's Protective Services. These agencies regularly make referrals to providers of services for the identified target groups. Coordination of services, maintenance of accurate and updated information on available services and avoidance of duplication of services is assisted by the participation of these groups in the Lubbock Homeless Consortium. The Consortium will serve as the focal point for providing information to the referral sources related to the rental assistance provided through the Shelter Plus Care Program. Agencies will be given information on eligibility criteria, the process for accessing services, and appropriate utilization of those services. Screening and selecting eligible participants will be the responsibility of the sponsor agencies following the criteria and procedures as outlined in Exhibit XVII. f The term "chronic problems with alcohol and/or other drugs" as used in the screening process for substance abuse services refers to the long-term abuse, psychological or physical dependence on, or addiction to alcohol, a toxic inhalant, or any substance designated as a controlled substance in the State Controlled Substance Act. These problems are expected to be of long -continued and indefinite duration without intervention, and they substantially impede the ability of the individual to live independently. j Shelter Plus Care Rental Assistance funds will be made available to the sponsor agencies by subcontract I with the applicant (City of Lubbock). Sponsors will requisition funds monthly from the applicant based upon written reports of occupancy and number of units utilized. Sponsors will be responsible for leases and money management. This responsibility includes payment of rents to landlords, assessment of participant income and determination of participant rental obligation share, collection of participant rental share, and documentation of all financial transactions. Sponsors will also be responsible for assuring that units are inspected prior to occupancy and at least annually thereafter, assessing the need for and coordinating appropriate supportive services, developing a flexible, individualized program plan which will accommodate the changing needs of the participant, and monitoring participant progress toward identified goals. Each sponsor agency will be required to track supportive services provided to each 14 t program participant and provide the applicant with accurate reports of program activities. The applicant will be responsible for disbursement of program funds to sponsor agencies, oversight of housing unit inspections and ensuring compliance with HUD Housing Quality Standards, monitoring program implementation and adherence to grant requirements, and required reporting of program activities to HUD. Applicant and sponsors will be jointly responsible for program evaluation and making necessary adjustments in program content and procedures to ensure that the program is responsive to client needs, and meeting'stated goals. The applicant (City of Lubbock) will retain 1% of the total grant amount for provision of unit inspections and disbursement of funds to sponsor agencies. Each sponsor agency will retain 6% of the total funds dispersed to that agency for administering the housing assistance. In the event that designated funds remain available due to the difference between the fair market rent and the contract rent, or partial payment of rents by participants, these funds will be used to cover rent increases over the five year grant period or to add individuals to the program. No Text OLNL K 1L 11L 1K I* at ow Va. 60, wa mom waiii ftNftd - fam"ma Exhibit V Provision of Supportive Services 3. S+C/SRA Component Value of Services (in dollars) Year I Year 2 Year 3 Year 4 Year 5 Total I Lubbock Regional MHMR Center - Mental Health $16,992 S17,841 S18,733 519,669 S20,652 $93,887 Case Management 2 Lubbock Regional MHMR Center - Mental Health 56,664 56,997 $7,347 S7,714 S8,099 S36,821 Psychiatric Services 3 Lubbock Regional MHMR Center - Mental Health $3,332 S3,498 $3.672 $3.855 S4,047 S 18,40a Nursing Services 4 Lubbock Regional MHMR Center - Mental Health $3,730 $3,916 $4,111 $4,316 S4,531 S20,604 Crisis Intervention 5 Lubbock Regional MHMR Center - Mental Health $5,499 $5,773 $6,061 $6,364 $6,682 S30,379 Community Living Center 6 Lubbock Regional MHMR Center - Mental Health $6,280 $6,594 $6,923 S7,269 S7,632 534,698 Psychosocial Activities 7 Lubbock Regional MHMR Center - Mental Health $95,720 $95,720 $95,720 $95,720 S95,720 S478.600 Path Grant - Outreach 8 Lubbock Regional MHMR Center - Alcohol 594,656 $99,389 $104.358 5109,575 $115,054 $523,032 Family Tree Program 9 South Plains AIDS Resource Center $33,732 $35.418 $37,189 $39,048 $41,001 $186,388 AIDS Services TOTAL SERVICES BUDGET $266,605 1 $275,146 1 $284,1141 $293,5301 $303,418 1 $1,422,813 97 0 16 1. Lubbock Regional MHMR Center - Mental Health Program- Case Management Services Case management services will be provided to all 15 grant recipients who are both homeless and mentally ill by the Mental Health Program of Lubbock Regional MHMR Center. Case management services were piloted as a program at Lubbock Regional MHMR prior to statewide implementation in 1985. It is the oldest and most experienced mental health case management unit in the state of Texas. The Mental Health Program Director was a leader in the task force that oversaw implementation of case management services throughout the MHMR system. She continues to serve in that capacity, ensuring this programs' place on the cutting edge of change and progress. Case managers function as the single identified individual responsible for developing and implementing the consumers Management Plan, identifying and coordinating necessary services, acting as advocate in assertively negotiating other service systems, and providing hands on assistance in such areas as assessment, crisis intervention, and resolution of problems of everyday living. Activities commonly performed by case managers include developing rapport and building a trusting relationship, ensuring that the basic needs of food, shelter, clothing and medical care are met, performing liaison with and providing education and support to families, doing home visits, money management, accessing entitlement benefits, providing independent living skills training in such tasks as grocery shopping, doing laundry, and managing a checking account, interagency brokering and advocacy, acting as representative payee, assuring necessary transportation, monitoring safety, doing aftercare planning post -hospitalization, maintaining communications with collateral service providers, and assuring documentation of all client related activities. Case managers must be assertive, empathetic, flexible, creative, and broad sighted. They must have an orientation toward growth and self-determination, be willing to get their hands dirty, be open to other perspectives and opinions, and be both patient and persistent. Above all, they must care. 17 Lubbock Regional MHMR case managers are field based rather than office bound, and provide all services in the consumers own environment. This approach supports the belief that an "in -vivo" locus of intervention, or one that provides supports and intervention in the places where problems of everyday life arisejs most effective in improving quality of life and reaching people who are in the greatest need. These individuals might not otherwise be reached by more typical social service efforts. This approach to providing services is supported technologically by mobile phones which are carried by all case managers to make them immediately accessible to the consumer at all times, particularly in times of crisis. Mobile phones are also an aid in rapid problem resolution. An additional innovation which decreases time consuming paperwork and increases direct client service time is a Lanier NbiceWriter digital dictation system which allows dictation of progress notes from the service site by mobile phone, transcription, and placement of notes within the service record within 48 hours. Minimum requirements for case managers include a bachelor's degree in a health or human service related field. The average number of years experience for the current case management unit is 5.2 years. All individuals receiving services from the Lubbock Regional MHMR Mental Health Program are assigned'a case manager. Case loads are determined by intensity of need, with those individuals most in need being on caseloads numbering no more than thirty. The remainder are on caseloads of sixty. The current census of the Mental Health Program is 800. There are 19 case managers - 11 intense and eight monitoring. The case management unit is supervised by two coordinators of case management services who answer to the Director of Case Management Services. This individual is directly responsible to the Director of the Mental Health Program. Shelter Plus Care rental assistance for individuals who are homeless and mentally ill will be implemented and monitored by the Director of Case Management Services. Persons will be screened for eligibility by the Director, who will select participants based upon homelessness, disability due to chronic and pervasive mental illness or mental illness and substance abuse, and lack of adequate resources and support networks to secure housing. Priority will be given to those individuals who, without the Shelter Plus Care Program, would have no alternative but to spend the night on the street or in an emergency shelter. Assigned case managers will monitor and evaluate services for individual participants, and adjust and adapt services to meet changing needs, while the Director will monitor overall case management services, track reporting documentation, and coordinate evaluation with the applicant representative. 18 2. Lubbock Regional MHMR Center - Mental Health Program - Psychiatric Services Psychiatric services will be provided to all 15 grant recipients who are both homeless and mentally ill by the Mental Health Program of Lubbock Regional MHMR Center. Psychiatric services include psychiatric assessment, evaluation, prescription of medication, ordering of appropriate laboratory tests, and ongoing monitoring of psychiatric status and medication response. Crisis intervention is available when needed, as well as the actual provision of medications when the in least individual is unable to secure them via other resources. Consumers areseen the clinic at every three months for monitoring, and more frequently as necessary to manage the disease process. Clinic psychiatrists are available after hours by mobile telephone. 19 Services are provided by two full time psychiatrists at the out -patient clinic location at 1210 Texas Avenue. Psychiatric crisis intervention services are provided via contract with the Texas Tech Health Science Center School of Medicine at the emergency room of University Medical Center, or at the Crisis Stabilization Unit operated by Lubbock Regional MHMR. These locations are readily accessible by bus transportation. Clients not having resources to access public transportation are -provided bus passes or transported by their case manager. Lubbock Regional MHMR has provided psychiatric services since 1967, and is the only provider of psychiatric services in the area who targets the individual with chronic mental illness. The two full time clinic psychiatrists on staff have more than 30 years of experience between them in serving this difficult population. Psychiatric services being provided to the individual will be monitored and evaluated by the case manager as apart of the overall management plan, with adjustments made as necessary. Accessing emergency psychiatric services will be a function of the case manager,or the crisis intervention team, , dependent upon circumstances. Overall psychiatric services are monitored and evaluated by the Director of Outpatient Services, who is directly responsible to the Mental Health Program Director. 19 3. Lubbock Regional MHMR Center - Mental Health Program - Nursing Services Nursing services will be provided by Lubbock Regional MHMR to all 15 participants who are both :homeless and mentally ill. Nursing services include triage, psychiatric screening, physical assessment, medication administration, monitoring and education, AIMS testing, coordinating and monitoring necessary lab work, counseling related to symptoms and side effects, stress management, and referrals for medical' treatment. Services are provided at the out -patient clinic which is conveniently located and accessible by bus. Clients unable to access public transportation are provided bus passes or transported by their case manager. Nursing services are provided after hours by mobile phone and referral to the emergency room at University Medical Center in the event of crisis. ImI , Nursing services are provided by five Registered Nurses. Nursing caseloads are coordinated with case manager case loads to enhance communications and ensure continuity of care. All Registered Nurses have experience in other areas of nursing in addition to mental illness to facilitate identification and referral for treatment of concurrent medical problems: One staff member has attained nurse - practitioner status, and the nursing unit is supervised by a Registered Nurse with nine years experience with MHMR. Nursing services for the individual are monitored and evaluated by the case manager as a part of the overall management plan, with adjustments made as needs change. Overall nursing services are monitored and evaluated by the Director of Outpatient Services, who is directly responsible to the Mental Health Program Director. 4. Lubbock Regional MI-IMR Center - Mental Health - Crisis Intervention Team The Crisis Intervention Team of Lubbock Regional MHMR has the distinction of being the first mobile intervention team in the state of Texas, and has served as a model for subsequent team development throughout the MHMR system. The heart of the crisis team is the hotline operator, who screens and evaluates all emergency calls and coordinates the activities of other team members. Mobile team members are immediately available 24 hours a day, seven days a week to respond to psychiatric emergency calls anywhere within the five county'catchrrient area." The team makes on -site assessments and performs necessary immediate interventions to rapidly defuse volatile situations and promote rapid problem resolution. Referral and recommendations ensure appropriate follow up. Team members typically respond to directives from the screening hotline operator, but may also accompany law enforcement and emergency medical professionals to the site of a crisis where their expertise may be needed. Close collaborative relationships with other service providers resulting in more efficient and effective services have been one result of this service. Other positive results have been a decrease in ( the number of crisis presenting at emergency rooms and the avoidance of hospitalization, both of t which are costly in terms of dollars and human dignity. Another unanticipated result has been a decrease in use of the hotline and other emergency services by active clients. This is felt to be the Iresult of a decrease in anxiety brought about by the assurance that assistance is only a phone call away, and one need not "wait until Monday to make an appointment". Team members also travel to the emergency room to assess individuals who present with psychiatric related problems., Appropriate referrals are made following assessment. Persons are admitted to the Crisis Stabilization Unit following medical clearance by ER physicians, if deemed necessary for stabilization. Twenty four hour in -home respite is also available as an alternative. These crisis intervention services will be available to all individuals utilizing Shelter Plus Care funds j who are experiencing a psychiatric emergency. Assessment staff hold at least a master's degree in a human service related field and have extensive experience in psychiatric crisis situations. The number of staff on duty at any given time include one hotline operator, one emergency room assessor, and two mobile team members. Additional staff may be called upon as necessary. Crisis intervention team services are monitored and evaluated, in relation to each individual served, by the Coordinator of Crisis Services. Overall crisis services are monitored and evaluated by the Director of Outpatient Services who answers directly to the Mental Health Program Director. 5. Lubbock Regional MHMR Center- Mental Health - Community Living Center U 21 Services of the Community Living Center will be available to all 15 recipients of rental assistance from Shelter Plus Care who are both homeless and have a disabling mental illness. The Community Living a illness living in Center provides persons with mental the community the opportunity to engage in activities which support independence, social integration, and self- determination. The Center is managed by a board,`the majority of whom are consumers of mental health services. The board determines operating hours and rules governing operations, plans and implements all activities, and manages monies earned by members in fund raising activities. A partial list of typical activities includes GED classes, education in leadership skills, decision making, goal setting, money management, classes in art, music and dance, games, aerobics, guest speakers from the mental health system, sheriffs department and health department, dances, garage sales, and projects to assist charities and needy individuals. A peer support group for persons who are dually diagnosed with both a mental illness and substance abuse meets weekly. Other types of assistance to support successful living within the community are also available. Emergency food goods from the Food Bank and Desert Share are stored at the Community Living Center and are accessible on an as needed basis. A telephone and washer/drier are provided for individuals who have no other access to these necessary items. Donated furniture and clothing are stored at the facility for use by persons in need. Storage space is also available for personal item safe -keeping during hospitalizations. Space and encouragement aid in the development of peer support groups.Mental Health Program dollars provide the resources for publishing a monthly client newsletter and a paid, part-time consumer/employee newsletter editor. Transportation is provided to enhance participation, in the form of bus passes. A van and driver also make regular trips throughout the five county area to transport individuals for whom public transportation is unavailable. Advocacy activities are encouraged by providing financial support and transportation to workshops and seminars across the state. Activities of the board are supported and monitored by the building manager who reports to the Coordinator of Supported Housing Services. These individuals are both available to the board as resources, and will assist the board in adapting services to meet changing needs when requested. Both of these staff positions require a minimum of a bachelor's degree in a health/human services related field. They are supervised by the Director of Community Support Programs who is directly responsible to the Mental Health Program Director. Together these four positions have more than 55 I r E 6. Lubbock Regional MHMR Center - Mental Health Program - Psychosocial Activities The Psychosocial Activities Service provides, a structured day program with a focus on the development and maintenance of independent living skills. Specific activities are developed for individuals based upon assessed need and deficits in functioning level. Targeted skills may be in areas such as home maintenance, personal self -care, interpersonal relationships, appropriate social interactions, recreation and leisure skill development, or any combination of needed skills. Services are provided at a facility convenient to other Mental Health Program activities and is readily accessible by bus. Transportation is provided if needed. Services will be available to all 15 individuals with a mental illness receiving assistance from Shelter Plus Care funds if assessed by their case manager to be in need of these activities. Monitoring of individual progress is ajoint responsibility of the consumer's case manager and program staff, who work together to make necessary changes in programming as needs change. Monitoring of the overall psychosocial service is the responsibility of the Director of Community Support Programs, who answers directly to the Mental Health Program Director. Program staff are required to have, at the minimum, a degree in a related field and experience in recreation or activity therapy and skills development. 7. Lubbock Regional MHMR Center - Mental Health Program - Mobile Homeless Outreach Team Outreach services to the homeless in the Lubbock area were greatly enhanced in September of 1991 by the receipt of Path Grant funds. Monies were awarded to the Mental Health Program of Lubbock Regional MHMR, following a statewide competition, for the implementation of a mobile team whose express purpose is to seek out those homeless individuals who tend not to access services and are the most difficult to serve. The team is comprised of a Homeless Specialist with a master's degree and case management background, and a Registered Nurse Practitioner with psychiatric nursing experience. The team utilizes a van which is equipped with all elements necessary to provide immediate evaluation, L! 23 screening, and physical assessment at locations where homeless individuals are to be found. Immediate access to the team by other service providers in ensured by mobile telephones with long distance capabilities. Extensive liaison and collaboration have been accomplished with other agencies and groups who provide services to homeless individuals. Training related to mental illness and substance abuse issues is provided by the team to referral agency staff. Regularly scheduled time is spent by the team at shelter locations such as the Salvation Army and Guadalupe Economic Services to ensure communications and rapid target population identification. While most organized area homeless services are provided within the city of Lubbock, only 47.8% of the five county area the team serves is considered urban. The remainder is rural,vith as few as 6.2 persons per square mile in one county, and no homeless shelters or identified homeless providers. As a result, homeless individuals are much more difficult to locate, and once contact is made, necessary and appropriate services are rarely available. To surmount this obstacle, the Homeless Team has adopted somewhat unique and unorthodox approaches for achieving their goals. Contacts and referral sources in the rural areas include sheriff departments, judges, attorneys, school nurses and teachers, agricultural extension agents, landlords, private physicians, and a convenience store clerk. Service sites have been as diverse as a two room town library, a courthouse lawn, a commodity distribution center and the Dairy Queen. Once contact has been made with a homeless individual or family and assessment completed, the team attempts to meet their critical immediate needs. Efforts are then made to link them with appropriate longer term services with the goal of alleviating the cause of homelessness and reestablishing the person in his/her own community. Those persons exhibiting symptoms related to mental illness and/or substance abuse are admitted to appropriate MHMR services for treatment and supports. Individuals with other long tern needs are directed to appropriate agencies and assisted in accessing the needed service system. Transportation is provided or arranged for as necessary. It is estimated that the team will serve 50 persons with a mental illness, 20 persons with chronic substance abuse and five (5) persons with AIDS in the coming year. The team is responsible to the Director of Outpatient Services who monitors and evaluates this service. The Outpatient Services Director answers directly to the Mental Health Program director. Services are `extremely flexible and respond to the' needs of the individuals served and deficits in services identified 24 in the community. Overall team effectiveness is monitored and evaluated at the state level by the Path Grant Program Coordinator, Ann Denton, who reports on state activity to Washington. 8. Lubbock Regional MHMR Center - Alcoholism Services - Family Tree Program The Family Tree Program will provide treatment and supportive services to eight (8) homeless women with chronic substance abuse problems and their young children each year. The number of children to from is 16 benefit services estimated at per year. The program will be designed to address the unique needs of women with chemical dependency. The program will also target the children of these women, who have been intensely affected as a result of having been raised in a substance abusing household and the homeless condition. Without appropriate intervention, these children are at extremely high risk for both substance abuse and criminal behavior. Treatment and support activities will include detoxification, intensive long term chemical dependence treatment, coping, parenting, and life skills training, health care for both parent and child, children's support groups, day care, individual, family and group counseling, twelve step support groups, tutoring, and transportation. Heavy emphasis will be placed on addressing women's issues such as abuse, female physiology and sexuality, and women's role in the home and work place. Structured recreation and other activities which support and enhance the mother -child relationship will be provided. Referral agencies will be utilized to provide the opportunity for educational and vocational training to increase the potential for eventual self-support and reintegration into the community. Many of the services will be provided at the housing site. Other services such as detoxification and chemical dependency treatment are provided at the Alcoholism Services location. Transportation will be provided to this location as well as to school for those children of school age. Chemical dependency services have been provided by the Alcoholism Program of Lubbock Regional MHMR since 1976. The service delivery system has been expanded from its beginnings with one half way house, to the present provision of prevention, outreach, intervention, outpatient and inpatient treatment and rehabilitation services for male and female adults, adolescents and children. All E775f� 25 programs and facilities are licensed by Texas Commission on Alcohol and Drug Abuse, and the system serves over 2,500 clients annually. The program is also approved by the Texas Certification Board of Alcohol and Drug Abuse Counselors to provide certified counselor training and practicum for counselor certification. Overall management, monitoring, and evaluation of the Family Tree Program are the responsibility of the Alcoholism Program Director. Components of the program are supervised by the Adult Treatment Services Director and the Children and Adolescent Services Director. Other integral staff include a licensed licensed licensed licensed psychologist, physician, nursing staff, women's counselors, chemical dependency counselors, family counselor, child development specialists, and art and in hiring is have in recreational therapists. A preference given to persons who personal life experience the .recovery process. Planning, monitoring and evaluating services provided to each individual family unit are the responsibility of the assigned women's counselors and the service directors. The women's counselor serves as both primary counselor and treatment coordinator. Inherent in this role is the function of adjusting services as needs change. Overall program adaptation is the ultimate responsibility of the Alcoholism Program Director. 9. South Plains AIDS Resource Center - AIDS Services The South Plains AIDS Resource Center will provide AIDS Services to all nine (9) individuals with AIDS who are homeless and receiving rental assistance via the Shelter Plus Care Program. SPARC is the primary organization in West Texas providing and coordinating services to persons affected by the Human Immunodeficiency Virus (HIV). Services are funded primarily through grants from Texas Department of Health and Chicago Resource Center, Catholic Family Services, private donations, and fund raising activities. SPARC is a recognized leader among agencies addressing AIDS issues. Board members serve on the steering and standing committees of the Lubbock AIDS Health Care Planning Board and the Lubbock Area HIV Services Planning Committee. The Executive Director of SPARC chairs the Lubbock HIV/AIDS Consortium, a growing consortium of local 26 organizations providing HIV/AIDS educational and support services. SPARC has developed and implemented a broad range of services ranging from outreach, education and testing, to coordinated hospice and pastoral care. Professional counselors provide support groups for persons with AIDS, HIV positive individuals, family members and significant others. Assistance is also provided in grief resolution, and one to one counseling is available. Case managers perform both internal hands - assessments, make referrals, coordinate and external services, and perform -on care. Linkage with other service providers is assured to meet individual. needs, and accessing benefits is Financial is for entitlement a top priority. assistance available emergency needs such as housing, utilities, prescriptions and medical bills. Pentamadine Mist treatments are provided in-house, Buddy as is a food pantry for those with limited resources. Prepared hot meals are available, and a Program gives every client the opportunity to receive individual attention and supports. A discount prescription program is coordinated through a local pharmacy. Two group home settings have been developed, one with a live in care -giver, to meet the need for safe and sanitary shelter for the homeless. A transportation program ensures that clients are able to access all necessary medical and supportive services. Home health care and hospice services assist individuals who choose to remain at home, and help to decrease the need for more expensive hospital and nursing home care. SPARC is located in close proximity to the major hospitals and medical services providers in the P Y P community. It is also readily accessible by bus. Any client who lacks financial or physical resources to reach either SPARC or other service providers are assisted by the transportation program. Management oversight is provided by a 10 member board of directors. All services are monitored and evaluated by the Executive Director who is responsible for program content and development. This individual will also be responsible for coordinating the Shelter Plus Care Program with the applicant, the City of Lubbock. Together they will monitor and evaluate the program and determine whether , adaptation is necessary. Paid staff includes a Ph.D. licensed clinical psychologist, an M.Ed. certified drug and alcohol counselor, and a Ph.D. licensed marriage and family therapist who is also a certified drug and alcohol counselor. In addition to office and clerical staff, SPARC coordinates the activities of over 50 volunteers in areas such as transportation, food pantry operations, and the Buddy Program. All volunteers receive training in AIDS related issues, as well as their volunteer job descriptions. While some volunteers are family and significant others of persons living with AIDS, a large number No Text 28 4 Exhibit V - Assimilation Each sponsor agency selected to provide services to the disabled homeless target groupsrecognizes the important role that reintegration plays in meeting the global needs of their clients. 10 Because each target group has such diverse needs, the approach to assimilation differs significantly. The Mental Health Program of Lubbock Regional MHMR deals with a population that has historically been segregated from the public -at -large. Treatment has traditionally been provided in large institutions far removed from individuals home communities, and the stigma surrounding mental illness has served to further isolate the mentally ill. The illnesses themselves compound the problem. Symptoms of schizophrenia include apathy, isolation, and lack of motivation. Disturbed thought process create extraordinary difficulties in interpersonal relationships. As a result, reintegration into the community is a goal that permeates the total treatment and support effort. Housing is assisted in individual living situations which are integrated within residential neighborhoods. Congregate living arrangements are avoided. Supportive services are provided in the natural environment on a one to one basis rather than in groups in an artificial setting. Supports are designed to enable the individual to gain skills, experience and confidence in dealing with peers, family and community. Client choice is upheld as a philosophy, and supported in fact by teaching decision making and problem solving, providing education, and reinforcing positive experiences and successes. Remedial education and vocational training are emphasized as stability is achieved. A supported employment program celebrates successes publicly to emphasize accomplishment and educate the community. The Center hires clients as employees to demonstrate successful utilization of abilities. Client operated services are encouraged and fully supported as equal in value. Client advocacy is viewed as a partnership effort rather than as an adversarial relationship. The goal of all involved is to support the return of the individual to as full and productive a life as is possible. INThe Alcoholism Program of Lubbock Regional MHMR is the beginning of a life-long recovery process that cannot and does not end upon leaving the active treatment setting. Nor does recovery affect only the Isindividual. Addiction is a family illness and recovery, too, must be a family recovery to be successful. 29 Thus, the Family Tree Treatment Program is designed to provide all family members with the skills necessary to re-enter the community and maintain themselves as healthy, chemical free individuals. Safe, secure housing provides stability for the family unit. Detoxification and intensive treatment frees the abuser from the grip of addicting substances.. Therapy and education teach skills with which to maintain the chemical free state, and coping, parenting and life skills training increase confidence and abilities as a parent. Counseling, education and women's groups explore the women's role to help them to define and understand their identity. Health care addresses current medical needs and helps to prevent future problems. Child care both protects the child and allows the mother to concentrate on the recovery process. Transportation provides, access to supportive services. Support groups, counseling, play and art therapy, and education increase the child's adaptive skills and intervene in destructive and self-defeating behaviors. Education, vocational training and job placement assistance promote confidence and independence and provide the opportunity to become self-supporting. Aftercare and linkage with community AA and NA groups provide support during transition, and assist in the maintenance of long term stability. The focus of services provided by South Plains AIDS Resource Center is on the maintenance of integration within the community for as long as possible, rather than reintegration. Due to the progressively debilitating nature of the disease process, services are designed around prevention and increasingly intensive supportive measures. Pentamadine Mist treatment, prescription and insurance assistance, and assistance in accessing entitlement benefits assist in forestalling more serious future problems. Appropriate medications delay the onset of life -threatening illnesses. Financial assistance prevents homelessness and aids maintenance within the community. Counseling and support groups assist in maintaining emotional stability and the development of coping skills while providing peer support and an avenue for expression. Support groups for family and significant others promote family support, stability and understanding. The Buddy and transportation programs assist in accessing necessaryservices and community activities. Home maintenance, shopping and meal preparation activities performed by volunteers help individuals stay in their homes for as long as possible. Home healthcare and supportive group home settings prevent long term institutionalizations which are stressful to the individual, families, and the community. No Text 30 Exhibit VI Letter of Commitment Lubbock Regional MHMR - Mental Health Program The Mental Health Program of Lubbock Regional MHMR Center hereby commits to providing services as match for Shelter Plus Care Sponsor Based Rental Assistance dollars. Services will begin immediately upon receipt of rental assistance under the Shelter Plus Care program. Services which will be provided in year one for recipients of Shelter Plus Care Sponsor Based Rental Assistance who are homeless and have a mental illness include: Case Management Services $ 16,992 Psychiatric Services $ 6,664 Nursing Services $ 3,332 Crisis Intervention Services $ 3,730 Community Living Center Services $ 5,499 Psychosocial Activities Services $ 6,280 Path Grant Outreach Services $ 95,720 TOTAL $ 138,217 Business Manag Date Lubbock Regiorfal MHMR Center /dks 31 Exhibit VI Letter of Commitment Lubbock Regional MHMR - Alcoholism Program The Alcohol Program of Lubbock Regional MHMR Center hereby commits to providing services as match for Shelter Plus Care Sponsor Based Rental Assistance dollars. Services will begin immediately upon receipt of rental assistance under the Shelter Plus Care program. Services which will be provided in year one for recipients of Shelter Plus Care Sponsor Based Rental Assistance who are homeless, mothers with children, and dependent upon substances include: Family Tree Services Business Man er Lubbock Regional MHMR Center /dks $ 94,656 Date 32 Exhibit VI Letter of Commitment South Plains AIDS Resource Center South Plains AIDS Resource Center hereby commits to providing services as match for Shelter Plus Care Sponsor Based Rental Assistance dollars. Services will begin immediately upon receipt of rental assistance under the Shelter Plus Care program. Services which will be provided in year one for recipients of Shelter Plus Care Sponsor Based Rental Assistance who are homeless and have AIDS include: S PARC - AIDS Services ins AIDS Resource Center $ 33,732 Date No Text 33 in Exhibit VII Ability to Administer. LRMHMR - Mental Health Program 1. Rental Assistance The Lubbock Regional MHMR Mental Health Program will administer rental housing assistance for individuals who are homeless and have a mental illness. The Mental Health Program currently administers a rental housing assistance program funded by a Supported Housing Demonstration Grant from TXMHMR. This grant was received in September 1990, and presently supports 45 individuals with a mental illness in integrated housing within the community. The coming year will add an additional 20 persons to the Supported Housing Program for a total of 65 individuals. The Supported Housing Grant also provides the recipients of housing assistance with intensive in -home supports to, enable successful community integration for persons with severe and persistent chronic mental illness. As a direct result of the Supported Housing Grant, LRMHMR has developed a Rental Housing Assistance Disbursement and Tracking system which is being utilized as a model for other MHMR Supported Housing programs across the state. The Mental Health Program has functioned as representative payee for numerous persons with disabling mental illness for many years, and as such, has in place appropriate systems to safeguard client funds. The program has also operated a variety of residential facilities over the years such as half -way houses, group homes, and an emergency respite program. 2. Supportive Services Coordination The Mental Health Program of Lubbock Regional MHMR Center will coordinate the provision of Supportive services to program participants with a mental illness. r 34 The Mental Health Program has many years experience in supportive services coordination. All individuals who receive mental health services from Lubbock Regional MHMR have an assigned case manager who is responsible for coordinating all necessary services, including housing. Case managers deal daily with both housing and money management issues, and receive training related to both subjects. They are experienced in dealing with land lords, accessing entitlement benefits, making application for Section 8 housing, assisting clients to negotiate other system boundaries and bridge gaps between service delivery systems, and coordinating all elements of services provided within the MIIMR system including treatment and supports. Case managers also strive to support families and act as advocates on behalf of individuals living with a mental illness. 3. Homelessness Homelessness has been an ever-increasing issue for providers of Mental Health services. To help address this issue, Lubbock Regional MHMR has aggressively pursued resources to assist in providing interventions for this extremely hard to reach group. In 1989, the Mental Health Program applied for and received a HUD funded Transitional Housing Grant which provides vocational training, job placement, and long-term followup by job coaches, in addition to a 16 bed living facility for homeless individuals with a mental illness. The Mental Health Program has been the recipient of Homeless Block Grant funds for the past four years, which provided specialized case management services to identified homeless individuals with mental illness. The program has utilized four Emergency Shelter Grants for renovation and furnishing of facilities. In 1990 the Mental Health Program implemented a Supported Housing Grant, and in September 1991, began Homeless Outreach Services via the newly funded Path Grant. This grant provides a mobile team comprised of a homeless specialist and a nurse practitioner who travel throughout both the rural and urban regions of the catchment area providing assertive outreach to homeless individuals within an area of 4,270 square miles. Concurrently, the team provides education and training on mental health issues to staff of other service delivery systems, liaison to homeless service providers, facilitates access to mental health services, and promotes the development of new community resources. The mobile team has greatly increased the ability to seek out and identify the most difficult to reach homeless in their own environment. A 35 Exhibit VII 1. Rental Assistance Ability to Administer. LRMHMR - Alcoholism Program The Lubbock Regional MHMR Alcoholism Program will administer rental housing assistance for individuals who are homeless, dependent upon chemical substances, and mothers with children. The Alcoholism Program has not itself administered a rental housing assistance program such as the one being proposed. The program has, however, assisted clients in linking with other agencies providing that service. In addition, due to the Mental Health Program Supported Housing Grant, business office systems are already in place to appropriately manage disbursement and tracking of rental assistance funds. The Alcoholism Program has operated a wide variety of residential programs over a period of many years. These programs have served both adolescents and adults, and range from treatment settings to transitional living environments. Staff responsible for the administration of rental housing assistance will be provided training by the Lubbock Regional.MHMR business office, Supported Housing staff, and the applicant. 2. Supportive Services Coordination The Alcoholism Program of Lubbock Regional MHMR Center will coordinate the provision of supportive services to program participants who are dependent upon substances and homeless mothers of children. The Alcoholism Program has been coordinating services and developing services to address the multiple needs of individuals addicted to substances since 1967. Coordinated efforts and close working relationships exist with agencies such within the criminal justice system, Children's Protective Services, Women's Protective Service, Texas Department of Health, Lubbock Council on Alcohol and Drug Abuse, South Plains Food Bank, Catholic Family Services, Texas Employment Commission and Texas Rehabilitation Commission, and the AA and NA community. Services which have been Ma 36 developed include prevention, intervention, out -patient and in -patient treatment, rehabilitation and aftercare services for male and female adults, adolescents and children. 3. Homelessness in The end result of dependence upon chemical substances is ultimately loss. Loss of material goods, loss of job, loss of significant others, loss of health, loss of self-esteem and self respect and loss of home. Staff of the Alcoholism Program of Lubbock Regional MHMR Center is well -versed in dealing homelessness factor in the downward It is but issues with as a spiral of addiction. one of many which must be dealt with in order to return an individual to a productive, substance free lifestyle. The homeless from law program regularly receives referrals of persons area shelters, enforcement agencies, and AA and NA groups, and is well aware of the role that a stable living environment plays to the recovery process. The staff is adept at linking individuals with those services and agencies which will help to provide the building blocks back to a future free of chemicals. Housing is but one of these - albeit one of the most important. 37 Exhibit VII Ability to Administer: South Plains AIDS Resource Center 1. Rental Assistance The South Plains AIDS Resource Center will administer rental housing assistance for individuals who homeless infected Human. Immunodeficiency Virus. are and are with ' with it's S PARC has, since it's . inception, provided rental assistance to persons AIDS through Emergency. Financial Assistance Program. This assistance is in the form of payments made directly to the vendor providing service (i.e., landlord, utility' company, etc.)." The purpose is to provide minimal acceptable housing and utilities fora temporary period until long termassistance is received To be eligible for this assistance the individual must be HIV positive, be unemployed or have severely. restricted income due to illness, have made application for social service supports available or be waiting for government financial assistance applications to be processed, have exhausted all sources of familial support, and have completed a financial status assessment form. Dispersements are administered through the Board of Directors, who evaluate the financial status assessment and prioritize applications based upon greatest financial need. Rent or mortgage payments require a copy of the lease or mortgage payment coupons. IS PARC also manages two group homes for persons who are homeless and have AIDS. One of these homes has a live-in care provider for residents who require some assistance with activities of daily i living, and rental assistance is provided to residents based upon need. 2. Supportive Services Coordination South Plains AIDS Resource Center will coordinate the provision of supportive services to program participants with AIDS. S PARC currently provides a broad continuum of services which includes case management, whose function is to coordinate both in -program and collateral services. Internal services available in addition Am to Emergency financial assistance and group homes are support groups for clients, families, and 38 significant others, Pentamadine Mist treatments, prescription assistance, transportation, psychological counseling, food pantry, home health care, buddy program, access to experimental drug programs, education and prevention, and testing. Case managers regularly coordinate services with more than 50 agencies, organizations and care givers, including attorneys, law enforcement and legal aide, dentists, physicians, clinics, hospitals, nursing homes and pharmacies, churches, homeless shelters, Hospice, Meals on Wheels, Housing Authority, AA and NA, Red Cross, Social Security Administration, Texas Department of Health, and many others. 3. Homelessness The vast majority of individuals served by South Plains AIDS Resource Center are either homeless when identified as being in need of services, or become homeless due to the devastating effects of the disease. Sixteen percent of SPARC's current caseload contracted the AIDS virus as a result of IV drug use, and the proportion is increasing each year. The lifestyle and attendant depletion of physical, material and familial resources which accompanies IV drug use frequently results in the homeless condition. Individuals who have been self- supporting prior to contracting the disease face harsh realities once symptoms begin manifesting themselves. The ability to work rapidly diminishes. Insurance, if not canceled, covers only a portion of astronomical care costs. Those without insurance quickly deplete their own financial resources (and frequently those of family as well). Entitlement benefits take considerable time to access and systems are difficult to negotiate, especially in a distressed physical condition. Landlords may react out of ignorance and fear, and eject tenants from their homes. SPARC service providers are adept at dealing not only with the disease itself, but with the effects of the disease on the human condition - including homelessness. Close collaborative relationships with churches, shelters and social service agencies, continuous and energetic fund raising activities, and aggressive pursuit of grants and other financial resources have assisted the agency in meeting the extraordinary needs of it's clients. 39 CLAUS `ASSOCIATES TAX & FINANCIAL CONSULTANTS February 12, 1992 DepartmentofHousing and Urban Development Office of the Secretary NOFA for Shelter Plus Care Program Notice of Funding Availability Re: South Plains AIDS Resource Center Lubbock, Texas The organization referenced above has designated Claus Associates, CPA, ° to ;maintain its accounting system.The accounting system generates financial statements which are in accordance with generally accepted'accounting`principles. If you have any questions with regard to the accounting system, please, write to Claus Associates, CPA, at 4412 74th St., Suite F-100, Lubbock, Texas, 79424. Sincerely, Brad Hamon, CPA 4412 74th Street, Suite F100 • Lubbock, Texas 79424 • Phone (806) 791-1197 • Fax (806) 792-6774 r r 0 r r r y BOLINGER, 5EGAI S, GILDr-RT & MOSS C E R T I t I E D PUBLIC ACCOUNTANTS AREA COOE 806 - 747.3806 0623 10TN STREET Lunmx•h, TFx,\s 79401 January 30, 1992 To Whom it May Concern: 40 In serving as auditors for the Lubbock Regional Mental Health Mental Retardation Center for the past several years, we have determined that the Center has an adequate accounting system. The system enables the presentation of financial information in conformity with generally accepted accounting principles. The system is designed to achieve the maximum in audit trail for all financial transactions. Very truly yours, BOLINGER, SEGARS, GILBERT $ MOSS By: No Text CERTIFICATION OF CONSISTENCY WITH COMPREHENSIVE HOUSING AFFORDABILITY STRATEGY I, B. C. McMinn, Mayor of the City of Lubbock, Texas, authorized to act on behalf of the City of Lubbock, do certify that the activities proposed by the City of Lubbock are consistent with the Comprehensive Housing Affordability Strategy submitted by the City of Lubbock on December 31, 1991, to the Department of Housing and Urban Development. B. C. McMinn, Mayor, City of Lubbock (Name and Title) C . C. McMinti, Mayor Approved as to Content: Sandy Ogletree, Community -Development Administrator 2 27 lq2, (Date) Approved s t Form: 'Dennis W. cGill Civil Trial Attorney 41 No Text 42 Exhibit XVII - A Project Sponsor Selection Lubbock Regional Mental Health Mental Retardation Center Mental Health Program 1210 Texas Avenue Lubbock, TX 79401 (806) 766-0233 Contact person: Sam Miller - Director of Community Support Programs Criteria for sponsor selection: 1. Nonprofit status 2. Services address target groups - homeless persons with mental illness, chronic substance abuse, or AIDS. 3. History of providing effective services. 4. Sound administration and management. (� 5. Collaborative relationships with other service providers. u 6. Effective working,relationship with applicant. The Lubbock Regional MHMR Mental Health Program was selected as a project sponsor because it has nonprofit status and provides services to individuals with chronic and pervasive mental illness, many of whom are homeless. It is also the only provider in this area of Texas that serves this target population. The agency has a long history of providing effective, comprehensive and innovative services, and it's administration and management are sound. Long term collaborative relationships exist with other service providers within the community. These relationships are evidenced by coordinated, multiple agency service provision to clients, membership on multi -agency committees and task forces, and past collaborative grant applications and joint research projects. The Mental Health Program and the Applicant (City of Lubbock) have had a mutually supportive working relationship for several years demonstrated by collaboration on grant applications, donation of land to program projects by the city, participation by program representatives in preparation of the CHAP and CHAS, and committee work in addressing homelessness. Additionally, the Mental Health Program is the designated provider of homeless outreach services via Path Grant funds. F 43 , Exhibit XVII - A Project Sponsor Selection Lubbock Regional Mental Health Mental Retardation Center Alcoholism Program 1202 Main Lubbock, TX 79401 (806) 766-0310 Contact person: Charlotte Foster - Director, Alcoholism Program Criteria for sponsor selection: 1. Nonprofit status 2. Services address target groups - homeless persons with mental illness, chronic substance abuse, or AIDS. 3. History of providing effective services. 4. Sound administration and management. 5. Collaborative relationships with other service providers. 6. Effective working relationship with applicant. The Lubbock Regional MHMR Alcoholism Program was selected as a project sponsor because it has nonprofit status and provides services to individuals with a history of chronic substance abuse, many of whom are homeless. It is the only licensed substance abuse treatment facility in this area providing services for indigent adults, adolescents and children. The agency has a long history of providing effective, comprehensive services, and it's administration and management are sound. All services and facilities are licensed by the Texas Commission on Alcohol and Drug Abuse. Collaborative relationships exist between the program and other entities including Lubbock County Adult Probation, Children's Protective Services, Texas Department of Health, South Plains Food Bank, Department of Human Services, Catholic Family Services, South Plains Children's Shelter, Lubbock Health Department, Texas 'Tech University Health Sciences Center, Lubbock Housing Authority, Texas Employment Commission, Texas Rehabilitation Commission, and community AA and NA groups. The Alcoholism Program and the Applicant (City of Lubbock) have had a mutually supportive relationship for several years which has been demonstrated by collaboration on grant applications, participation by program representatives in preparation of the CHAP and CHAS reports, and committee work in addressing homelessness. Program staff also provide technical assistance to the community by serving on the Lubbock County Gang Task Force, Lubbock At -Risk Youth Advisory committee, the LISD Drug -free Schools Advisory Committee and the Regional Institute for Addictions Planning Committee. y 7`� 77.1111-1 44 Exhibit XVH - A Project Sponsor Selection South Plains AIDS Resource Center 4204-B 50th Street Lubbock, TX 79413 (806) 796-7068 Contact person: David Crader - Executive Director Criteria for sponsor selection: 1. Nonprofit status 2. Services address target groups - homeless persons with mental illness, chronic substance abuse, or AIDS. 3. History of providing effective services. 4. Sound administration and management. 5. Collaborative relationships with other service providers. 6. Effective working relationship with applicant. The South Plains AIDS Resource Center was selected as a project sponsor because is has nonprofit status and provides services to persons living with AIDS, many of whom are homeless. It is also the only agency in the Lubbock area providing comprehensive services to persons with AIDS. The agency, founded in May of 1989, has developed, implemented and funded a wide range of comprehensive services for individuals infected with the HIV virus, and currently serves 147 clients. Administration and management have met multiple funding source criteria. Collaborative relationships exist with numerous other service providers including the Texas Department of Health, Texas Tech University Health Sciences Center School of Nursing, Hospice of Lubbock, home health care providers, churches, Neighborhood House, Catholic Family Services, gay oriented organizations, the South Plains Food Bank, and Texas Tech University Dean of Students Office and Student Health Services. SPARC and the Applicant (City of Lubbock) have a history of joint working relationships. SPARC provides a case manager who assists in staffing the City Health Department HIV Clinic, and a phlebotomist employed by the City Health Department draws blood for testing at SPARC testing sites. Additionally, in the early months of SPARC's history, the Executive Director's salary was provided by the city. Internal Revenue Service District Director _,..,Department of the Treasury 45 T 1100 CMAM- CE STREET DALL,AS, TX 75242-0000 Date. F EB 2 8 1999 SOUTH PLAINS AIDS RESOURCE CE MR PO BCD( 6949 LUDBOCK, TX 79494-6949 1 Dear Applicant: Employer Identification Number: 75-2302390 Contact Person: EO TDCHNICAL ASSISI'OR Contact Telephone Number: (214) 767-3526 Accounting Period Ending: December 31 Foundation Status Classification:' 509(a)(1) Advance Ruling Period Begins: September 20, 1989 Advance Ruling Period Ends: December 31, 1993 Addendum Applies: N/A Based on information supplied, and assuming your operations will be as stated in your application for recognition of exemption, we have determined you are exempt from Federal income tax under section 501(a) of the Internal Revenue Code as an organization described in section 501(c)(3). Because you are a newly created "organization, we are not now making a final determination of your foundation status under section 509(a) of the Code., However, we have determined that you can reasonably be expected to be a public- =t=ly supported organization described in sections 509(a)(1) and 170(b)(1)(A)(vi). Accordingly, you will be treated as a publicly supported organization, "'''and not as a private foundation, during an advance ruling period. This advance ruling period begins and ends on the dates shown above. Within 90 days after the end of your advance ruling period, you must submit to us information needed to determine whether you have met the require- ments of the applicable support test during the advance ruling period. If you establish that you have been a publicly supported organization, you will be classified as a section 509(a)(1) or 509(a)(2) organization as long as you con- tinue to meet the requirements of the applicable support test. If you do not meet the public support requirements during the advance ruling period, you will. be classified as a private foundation for future periods. Also, if you are classified as a private foundation. you will be treated as a private foundation from the date of your inception for purposes of sections 507(d) and 4940. Grantors and contributors may rely on the determination that you are not a private foundation until 90 days after the end of your advance ruling period. If you submit the required information within the 90 days, grantors and contri•- ..`butors may continue to rely on the advance determination until the Service rakes a final determination of your foundation status. 43 Letter 1045(DO/CG) 'k'Y.. �. ,<a. y ... � -, 3:^� -.L?-5 .;":. :C!�;r:. '2�` ,r's+, r�.3Yw�"'r. 1".�L. a,, •.,± .� w:�:.?..�, .•y[e �y `lq!'�: �",..�.e�.: v.»S3:C'rY'` �,'A ^`'+Y,. `�r _ �.•tt?T�,.- "'«a'a--�:r,x F , -..! ..Y-v'.d5:, 46 -2- SOUTH PLAINS AIDS F2ESOURCF C=R If notice that you will no longer. be treated as a publicly supported or- anization is published in the Internal Revenue Bulletin, grantors and con ributors may not rely on this determination after the date of such publica- tion. In addition, if you lose your status as a publicly supported organiza- aion and a grantor or contributor was responsible for, or was aware of, the act r failure to act, that resulted in your .loss of such status, that person may not rely on this determination from the date of the act or failure to act. so, if a grantor or contributor learned that the Service had given notice .hat you would be removed from classification as a publicly supported organiza- tion, then that person may not rely on this determination as of the date such 'nowledge was acquired. If your sources of support, or your purposes, character, or method of operation change, please let us know so we can consider the effect of the Itange on your exempt status and foundation status. In the case of an amend- nt to your organizational document or bylaws, please send us a copy of the amended document or bylaws. Also, you should inform us of all changes in your moftame or address. As of January 1, 1984, you are liable for taxes under the Federal Insur- ce Contributions Act (social security taxes) on remuneration of $100 or more ou pay to each of your employees during a calendar year. You are not liable cor the tax imposed under the Federal Unemployment Tax Act (FUrA) Organizations that are not private foundations are not subject to the pri- .ate foundation excise taxes under Chapter 42 of the Code. However, you are not automatically exempt from other Federal excise taxes. If you have any iestions about excise, employment, or other Federal taxes, please let us Donors may deduct contributions to you as provided in section 170 of the e. Bequests, legacies devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the appli- cable provisions of sections 2055, 2106, and 2522 of the Code. Contribution deductions are allowable to donors only to the extent that their contributions are gifts, with no consideration received. Ticket pur- Iases and similar payments in conjunction with fundraising events may not cessarily qualify as deductible contributions, depending on the circum- stances. See Revenue Ruling 67-246, published in Cumulative Bulletin 1967-2, page 104, which sets forth guidelines regarding the deductibility, as chari- le contributions, of payments made by taxpayers for admission to or other participation in fundraising activities for charity. IYou are required to file Form 990, Return of Organization Exempt Fran me Tax, only if your gross receipts each year are normally more than $25,000. However, if you receive a Form 990 package in the mail, please file loe return even if you do not exceed the gross receipts test. If you are not quired to file, simply attach the label provided check the box in the head- 44 47 -3- PLAINS NS AIDS RESOURCE CENTER i; ing to indicate that your annual gross receipts are normally $25,000 or less, and sign the return. If a return is required, it must be filed by the 15th day of the fifth -t month after the end.of your znnual accounting period. A penalty of $10 a day is charged when a return is filed late, unless there is reasonable cause for the delay. However, the maximum penalty charged cannot exceed $5,000 or 5 per- cent of your gross receipts for the year, whichever is less. This penalty:may also be charged if a return is not complete, so please be sure your return is complete before you file it. }' You are not required to file Federal income tax returns unless you are subject to the. tax on unrelated business income under section 511 of the Code. If you are subject to this tax, you must file an income tax return on Form 990 T Exempt Organization Business Income Tax Return. In this letter we are not determining whether any of your present or proposed activities are unre- lated trade or business as defined in section 513 of the Code. You need an employer identification number even if you have no employees. If an employer identification number was not entered on your application,.a number will be assigned to you and you will be advised of it. Please use that number on all returns you file and in all correspondence with the Internal Revenue Service. If distributions are made to individuals, case histories regarding the recipients should be kept showing names, addresses, purposes of awards, manner of selection, relationship (if any) to members, officers, trustees or, donors of funds to you, so that any and all distributions made to individuals can be substantiated upon request by the Internal Revenue Service. (Revenue Ruling 56-304, C.B. 1956-2, page 306.) If we have indicated in the heading of this letter that an addendum applies, the addendum enclosed is an integral part of this letter. Because this letter could help resolve any questions about your. exempt status and foundation status, you should keep it in your permanent records. 45 Letter 1045(DO/CG) SOUTH PLAINS AIDS RESOURCE CMMR 48 If you have any questions, please contact the person whose name and telephone number are shown in the heading of this letter. Sincerely yours, Cary O. Booth District Director j Enclosure(s): Form 872-C 46 Letter 1045(DO/CG) 426A 49 Tolenhone .,j..-tact: Rov L Henlor 21Z 7749-3h,3 f Internal Revenue Service 041. it r•oly nr•r to. APR 3 475. :Eo:2:3091RLH DAL:E0:75-435 MODIFICATION Lubbock Regional Mental Health and Mental Retardation Canter 1210 Texas Avenue Lubbock Texas 79401 Gaaclamea: In our determination letter of January 14, 1971, we ruled that you were exempt from Federal intone tax under section 501(c)(3) of the Internal Revenue Noce. t.e nelo that you were required to file an annual information return on Form 990. We also mentioned Form 990-•f tiling requirements. A governmental instrumentality, the income of which is excluded from gross income under section. 115(a), is not required to fila Form 990 or 990-+. You are a ►rovernrnantAl instrumentality. You are also exempt under section 501(c)(3) of the Code. Our determination letter of January 14, 1971, is:modifiad to remove liability for filing For -no 990 and 990-T. This is a determination letter. Sincerely yours, A. W. McCanless District Director ...`lf�ri� r- —....— 5Q _ Internal Revenue Service Vale: in rie w rote. $$I 1 i :;'! • •moo::�:.sr �.r..•:,�7• i 1.3 any :;aearda .inter 131::' ::sin �t:ssc• .'u�bcc:;r Texcj 79401 Bonn "a No Asmnane lertodi f.uous c 31 Gentlemen: . ; Band on infa msnon suppiied. and assuming your opemcons will be as elated in your exuapdon appllaa• . . eon. we have determined tnat you are exempt from Federal income tax under eretion 501(ox3) of the Internal Revenue Code. .env change :n your purposes, character, of method of operaaon must be reported to us so we may consider the effect of the change on your exempt status. You must also repose any ehanp in your name and sddresa. Pending issuance of rttguiations under section 509 of the Code. we are unable to make a detirminadon as to whether you are a pnvate foundation as 4e6neo :n that section. Upon imuanes of the re`ulaaons we wtil evuuats your appi�cataon. mane a determination as to your Status under Stcnon $09 of the Code. and ::notify you of our decision. It upon issuance of the regviaaons we determine that You are a pmvitt {oundation. you will be reouired to comply with the prov-isions of seeeion 308(e). wnicn specific$ treat a private ioundanon to not exempt unless tees governing instrument tnctuCet certain provisions iet forth to that section and the rtguiatsons thereunder. Failure to comply with dhe requirerrtenu of section 5-jd(c ) will restut in retroactive revocation of this determination. If Cling is required, you must 61t an annual information return. Form 990. by the Cfteenth day of the fifth month after the and of your annual accouriting period. You are not required to 61t Federti income tax returns unless you are subject to the tax on unrelated bt::i- nee income under eccnon 511 of the Code. It ,You are subject to this tax. you must bit an income tax return on Form 990•T. In qus letter we are nut artermining wnetntr any of your present or or000ae•i aenYtnes as unrelated trace or butanes+ as it6ned in section 513 of the Code. (Over t sewn AWo • 3L0 f. �. vp i 52 Exhibit XVII C IVA Housing Information: LRMHMR -Mental Health Program The Mental Health Program of Lubbock Regional MHMR will lease 15 - 1 bedroom units in a variety of housing complexes in residential areas to provide housing within the community. The objective of this approach is to provide integrated, independent living situations (with appropriate supports) while avoiding the creation of "ghettos" of persons who are mentally ill. A maximum of two to three units will be leased per location. One bedroom units have been selected based upon surveys of mentally ill clients by this agency which indicate an overwhelming preference for living by themselves, rather than with roommates or in congregate living situations. All residential services of the Mental Health Program are guided by the Supported Housing philosophy, whereby clients have choice in where they live, and have an active voice in determining what supportive services they are in need of. This philosophy supports "in -vivo" services - services provided within the living environment, with the goals of increased independence, community integration, and flexible services based upon fluctuations in individual need rather than services designed for of individuals. groups Our experience base of 1.5 years with the Supported Housing Demonstration Grant has provided us with ample evidence of the effectiveness of this approach. It has also allowed us to develop strong working relationships with numerous landlords throughout the community. As a result, landlords are willing to work with us, are familiar with the standards we must adhere to in relation to housing, and are confident .that we will provide the supportive services needed to maintain the individual successfully in the community. All units leased will meet the following criteria: a. ; leases will be in the name. of Lubbock Regional MHMR. b. units will meet HUD Housing Quality Standards prior to being occupied, and will be inspected at least annually and more frequently as indicated c. units will be located in areas preferred by the occupant as is feasible d. units will be conveniently located in regards to public transportation and services unique to that client's needs e. rents will be at or below fair market rate and reasonable in relation to rents charged for comparable, unassisted units in the area. 53 Initial leases will be for at least one month, automatically, renewable upon expiration, except on prior notice. In the event of inpatient care, rental assistance will be continued for up to 90 days and the unit maintained by the sponsor agency. Participants will pay rent of 30% of monthly adjusted income, or 10% of monthly income, which ever is highest, in accordance with Section 3(a) of the Housing Act of 1937. Eligibility criteria for the Shelter Plus Care Program for individuals with mental illness: 1. History of chronic and disabling mental illness. 2. Lacks the resources to access appropriate housing. 3. Without Shelter Plus Care assistance, the individual would have no alternative but to spend the night on the street or in an emergency shelter. 4. Long term stable housing would impact their disability in a positive manner. The Director of Case Management Services will be responsible for screening individuals. Those who meet the eligibility criteria will be accepted for Shelter Plus Care rental assistance. The assigned case manager will then assist the individual to locate and access housing. The case manager will identify the individual's needs and priorities for housing and will then work with known landlords to secure a unit appropriate to those needs. The case manager will assess the individual's income and determine the amount of rent to be paid by the individual. They will then include housing and support needs in the individual's management plan, and coordinate treatment and supportive services to improve the chances for success in the -living environment. Income will be examined at least annually thereafter and more frequently as'necessary to make adjustments in the rent payment obligation. Initial leases will be for at least one month, automatically renewable upon expiration, except on prior notice. In the event of in -patient care, rental assistance will be continued for up to 90 days and the unit will be maintained by Lubbock Regional MHMR Center. Participants will pay rent of 30% of adjusted income, or 10% of monthly income, whichever is highest, in accordance with Section 3(a) of the Housing Act of 1937. Leases and money management will be a function of the business office of Lubbock Regional MHMR. Payments will be made directly to landlords. No funds will be handled by treatment or support services staff. Shelter Plus Care funds will be made available by the applicant (City of Lubbock) by subcontract to Lubbock Regional MHMR Center. Funds will be requisitioned monthly from the applicant based upon R 54 written reports of occupancy and units utilized. Additional persons will be assisted if sufficient funds become available due to client rent payments. Checks and balances within the system include Case Management Director oversight of entry into the program and client related activities, centralization of fund management by the business office and duplicate reporting to the applicant (Case Management Director and business office): Annual financial audits as well as monthly budget reviews by Program Directors provide additional safeguards. The following flow chart traces the path of Shelter PIus Care sponsor based rental assistance funds. ?�, �' '•• , i"�; � �r i ' F � `-iif i S�S;Wr ilk) � (♦ � ie�'/A �3ba�� r�d:Y ��r�:� �t, Lubbock Regional MHMR Center Mental Health Program Unit is inspected and approved d Individual who is 1 homeless Case manager Case Manager and mentally ill t locates unit coordinates signing of lease d� Case Management Director screens and accepts Business Office sends monthly payment to landlord -. Case Management Director Business Office prepares monthly report of requisitions necessary monthly individuals in program funds from Applicant • for Business Office and Applicant Applicant sends approved funds to Business Office Case Manager develops plan of care and coordinates services Landlord revives rent Ln ss Exhibit XVII - C Housing Information: LRMHMR - Alcoholism Program _ The Alcoholism Program of Lubbock Regional MHMR Center will lease eight - 2 bedroom family units within a complex capable of providing adequate space for on -site group counseling, child daycare, and both indoor and outdoor recreation. The structure will also meet the Texas Commission on Alcohol and Drug Abuse Licensure Standards. In addition, it must provide an environment which is responsive to the therapeutic and family needs of homeless women and children. The location selected will meet considerations which address the availability of schools and medical services, security in relation to crime and drug traffic, public transportation, and correlating MHMR chemical dependency treatment facilities. This type of structure has been selected to meet the unique needs of the target population. Homeless women with children who are dependent upon chemicals are unable to afford housing for themselves, much less their children. Most are single parents. If they request treatment, child care is unavailable and not only are they separated from their children for the course of treatment, they run the very real risk of legal sanctions and the loss of their children. These women are far more likely to accept treatment if it is accompanied by a safe and healthy environment where they can keep their children with them. Many of these women have been abused in other living situations. A monitored living environment lends itself to ensuring the safety of both the mothers and their children. Experience has demonstrated the devastating effects of both addiction and homelessness on children. They feel abused, neglected, and deserted. They live in chronic shock, not knowing what to expect from one day to the next. The average onset age for experimental' substance use by children coming from alcoholic/addicted homes is six. Over 50% of alcoholics come from alcoholic homes. These children are as much in need of treatment as their mothers if there is to be effective intervention and prevention of destructive and self-defeating behaviors which would handicap their futures. Chemical addiction is a family disease, and the needs of the entire family must be accommodated and addressed. In addition to safety and family issues, women need other women for group support and recovery. Women have special and unique needs which have rarely been addressed in treatment models. Women's issues such as female physiology, abuse, parenting, eating disorders, PMS, female sexuality, STDs, and 57 t women's role in the family and work place do not cease to be pertinent outside the counseling office, and can better be addressed in a homogeneous and supportive environment. Units leased will meet the following criteria: a. leases will be in the name of Lubbock Regional MHMR Center b. units will meet HUD Housing Quality Standards prior to being occupied, and will be inspected at least annually and more frequently as indicated c. units will be conveniently located in regards to public transportation and unique client needs d. rents will be at or below fair market rate and reasonable in relation to rents charged for comparable unassisted units in the area Eligibility criteria for the Shelter Plus Care Pro for individuals with chronic problems with substance g ty >� abuse: 1. History of chronic problems with alcohol or other drugs that is expected to be of long continued and indefinite duration without intervention and substantially impedes the ability to live independently. 2. Is a mother with children. 3. Lacks the resources to access appropriate housing. 4. Without Shelter Plus Care Program assistance would have no alternative but to spend the night on the street or in an emergency shelter. 5. Long teen stable housing would impact the family and treatment process in a positive manner. inInitial leases will be for at least one month, automatically renewable upon expiration, except on prior notice. In the event of inpatient care, rental assistance will be continued for up to 90 days and the unit maintained by the sponsor agency. Participants will pay rent of 30% of monthly adjusted income, or 10% of monthly income, which ever is highest, in accordance with Section 3(a) of the Housing Act of 1937. Persons will be screened on the basis of the above criteria for eligibility. Those accepted to receive Shelter Plus Care rental assistance will be assisted to relocate in available units. The mothers share of rent for the unit will be determined by an assessment of current income, which will be reexamined at least annually, and more frequently as necessary, to make adjustments in the rental obligation. 19 Leases and money management will be a function of the business office of Lubbock Regional MHMR 58 r Center. Payments will be made directly to landlords and no funds will be handled by treatment or support staff. Shelter Plus Care funds will be made available by the applicant (City of Lubbock) by subcontract to Lubbock Regional MHMR Center. Funds will be requisitioned monthly from the applicant based upon written reports of occupancy and number of units utilized. Additional persons will be assisted if sufficient funds become available due to client rent payments. Annual financial audits, Program Director oversight, centralization of fund management by the business office, duplicate reporting to the applicant and monthly budget reviews by Program Director will ensure appropriate money management. The following flow chart traces the path of Shelter Plus Care sponsor based rental assistance funds. k ML a KA Lubbock Regional MHMR Center Alcohol Program Homeless mother with children Unit is ._ inspected and approved Women's counselor admits family Women's counselor to unit & program develops plan of care and coordinates services Screening staff screens and accepts B000005 usiness Office lar►dlord sends monthly payment to landlord reeives rent -------- ------ --- -to Alcohol Program Director locates unit and coordinates Business Office signing of lea requisitions necessary monthly funds from Applicant Alcohol Program Director prepares monthly report of Applicant individuals in program sends approved funds for Business Office and Applicant to Business Office 60 Exhibit XVII - C _ Housing Information: South Plains AIDS Resource Center The South Plains AIDS Resource Center will utilize two different types of housing for persons who are homeless and have AIDS. A family style, four bedroom group home will be leased to provide housing for six individuals with a live- in care giver. This unit will provide an adequate living environment, opportunity for peer support, and 24 hour, assistance for those who are physically unable to meet all of the rigors of everyday -living tasks. This type of intervention offers a cost-effective alternative to the more burdensome expense of long term hospitalization, nursing home, or hospice care. It also encourages maximum self sufficiency and distances the ultimate reality of terminal outcome, thus promoting the positive effects of hope. In addition, three (3) one bedroom units will be leased for individuals who are homeless but still able to live independently. These persons will receive as needed assistance in such areas as grocery shopping, housekeeping and home maintenance, in order to support their independence for as long as possible and postpone the need for more intensive (and costly) living supports for as long as possible. Individuals may transition from an independent unit to the group home setting as the need arises, and back to independent Iiving iftheir condition improves. Rental assistance will follow the recipient from one setting to the other. Both types of housing will be located in residential neighborhoods in close proximity to public transportation, the Resource Center, medical facilities and other frequently utilized agencies. The group home will be located in the same area of the city as SPARC's present group homes so as to expedite 1 management and monitoring. All units leased will meet the following criteria: a. leases will be in the name of SPARC b. units will meet HUD Housing Quality Standards prior to being occupied, and will be inspected at least annually and more frequently as indicated c. rents will beat or below fair market rate and reasonable in relation to rents charged for comparable, unassisted units in the area. 61 Individuals will be selected to participate in the program based on the following criteria: 1. Disabled as a result of a diagnosis of AIDS. 2. Lacks the resources to access appropriate housing. 3. Without Shelter Plus Care Program assistance would have no alternative but to spend the night on the street or in an emergency shelter. 4. Long term stable housing would impact disability in a positive manner. S. Physical care needs are appropriate to funded housing units. Initial leases will be for at least one month, automatically renewable upon expiration, except on prior Idnotice. In the event of inpatient care, rental assistance will be continued for up to 90 days and the unit maintained by the.sponsor agency. Participants will pay rent of 30% of monthly adjusted income, or 10% of monthly income, which ever is highest, in accordance with Section 3(a) of the Housing Act of 1937. Persons will be screened on the basis of the above criteria and the financial status form for eligibility by S PARC case management personnel. Those accepted to receive Shelter Plus Care rental assistance will be Idassessed for the type of residence which will best meet their current needs. Case managers will assist those appropriate for independent living to locate and move into their assisted unit. Case managers will determine the clients rental share based upon income, which will be reexamined at least annually and more frequently as necessary to make adjustments in rent payment obligations. Leases will be approved by the Board of Directors and signed by the Executive Director or designee. Shelter Plus Care funds will be made available by the applicant (City of Lubbock) by subcontract to SPARC. Funds will be requisitioned monthly from the applicant based upon written reports by the Executive Director of occupancy and number of units utilized. Disbursement of funds will be authorized by the Board of Directors and paid directly to landlords. Additional individuals will be assisted if sufficient funds become available due to client rent payments. Annual financial audits, Board of Director oversight, and reporting requirements will ensure appropriate money management. The following flow chart traces Shelter Plus Care sponsor based rental assistance funds. f 1» R'; mod•. South Plains AIDS Resource Center Applicant inspects unit Homeless �� � Manager person with g P Case Manager bating case Manager. , screens assists with provides and AIDS and moving coordinates services Executive Director signs lease Board of Directors approves leases and funds Executive Director prepares monthly report Applicant and requisitions provides provides funds funds No Text 63 Exhibit XVIII Rental Assistance (S+C/SRA) Rental Assistance # of Units FMR $ No of Mo Total $ SRO 0 Bedroom One Bedroom 18 $304 60 $328,320 Two Bedroom 8 $399 60 $191,520 Three Bedroom Four Bedroom 1 $558 60 $33,480 Other Total Rental Assistance $553,320