Presentation on theme: "How to Start A Peer Driven Room & Board Advisory Coalition"— Presentation transcript:
1 How to Start A Peer Driven Room & Board Advisory Coalition Cynthia White, M.F.T.Chief Advocate, Patients’ RightsCounty of San Bernardino
2 Call to ActionDue to unfortunate circumstances, Room & Boards came to the forefront of Patients’ Rights attentionConsumers were being taken advantage of in a variety of ways – fiduciary, poor standardsCoSB-DBH stopped using existing list-which historically gathered from all over and not verified
3 Federal Fair Housing Act FHA defines discrimination as “a refusal to make reasonable accommodations in rules, policies, practices or services , when such accommodations may be necessary to afford (handicapped) person(s) equal opportunity to enjoy a dwelling.”
4 The Continuum of MH Housing Locked facilitiesBoard & CaresRoom & BoardsStabilization neededMedical , Supervision or ADL Care neededIndependentLivingAlways emphasize that the consumer must have funding for a room and board, and they must be ready to live independently.
5 Housing Costs in SB County Board & Care *900-$1,086 per month Def: Facilities that provide 24-hour non-medical care for adults ages 18-59, who are unable to provide for their own daily needs. Adults may be physically handicapped, developmentally disabled and/or mentally disabled.Room & Board ** $350-$700 per monthDef: a place to live which includes bed, electricity, water and food. For adults who are able to provide for their own daily needs.SOURCE: * Community Care Licensing, Title 22** DBH Homeless Program
6 Peer Driven Room & Board Advisory Coalition Mission Statement To provide Room & Board consumers a resource tool to assist in renting healthy, safe, well managed and quality room and board housing.
7 Values StatementTo recognize the dignity and worth of all human beingsTo acknowledge that clients are the experts of their experienceTo empower consumers to develop leadership skillsTo promote and encourage consumer self-advocacy skillsTo facilitate a positive partnership between consumer and room and board operatorsTo advocate for consumers of room and board facilitiesTo educate consumers on available resourcesTo actively participate in monthly coalition meetings.
8 Wellness & Recovery includes… Steps toward Self DeterminationSetting goals for symptom management, work, education, socialization and housingAccessing information to make informed choicesAcquiring confidence and developing a sense of personal accountabilityBeing woven into the community
9 Empowerment is the key!Wellness and Recovery promotes self-determination – including housing choicesRoom & Boards are a popular choice among mental health clients due to: -Limited, fixed income-Meals are included-Socialization opportunities-AffordabilityThis begins the section on “selling the idea” This is why we are doing this Coalition, and why room and boards are used by our clients
10 Client Issues with Room & Boards Quality of housingQuality & quantity of foodNot getting what you paid forR&B operators as the payeePoor or NO record keeping of P&I moneyRude and discourteous treatment from staffArbitrary rulesLack of accountability“Oral” rental agreementsIncreased number of tenants over timeArbitrary evictions
11 R&B Operators had issues as well Disruptive behaviorAgency contacts in the homeUnreliable paymentsDestruction of propertyComplaints from neighborsUncooperative, demanding tenantsDrug/alcohol issuesSecurity issuesPolice involvementGetting a bad reputation
12 Provider concerns…Providers want to be able to provide a location that is safe and reputableEthically responsible for client safety upon dischargeHousing is essential to client wellnessNo means to “report” or “complain” on R&B’sSeeking solutions that are client centered
13 Background Work to be Done Check with your Local Housing Authority for any considerationsReview city requirements – Fire Clearance, Business LicenseIdentify a location for regular meetingsDevelop goals of Coalition (different than Mission Statement)Identify current R&B Operators in county
14 Seeking out Participants 1) Solicit participants from local Clubhouses2) Seek current Providers of Behavioral Health3) Encourage NAMI members to participate4) Allow community members and volunteers to join5) Seek agency participation – e.g. local community groups, homeless services6) Find existing R&B Operators
15 First Steps as a Coalition Mission Statement – what are you hoping to accomplish?Code of Ethics – define your standards. Conflict of interest? Adherence to rules necessary for participation.Membership requirementsApplication, site review, attendance, fee?Define Training Necessary – conduct needs assessment from Consumers, Operators, ProvidersDevelop a Complaint Resolution Committee
16 Governing BoardDecide what titles you want to have Director, Chairperson, Co-Chair and a Complaint Resolution Committee Chair?Establish the guidelines for election and participation. Establish roles for each position.Encourage regular participation so members can benefit from the trainings.
17 Additional considerations… How often should you hold meetings?Where are they to be held? Can they move locations for large counties?How long will the meetings be?What are the standard meeting agenda items?Define your training schedule after needs assessment is done and line up presentersRemember Cultural Competency considerations
18 Sample Meeting Agenda Welcome New members introduction – Self PTSD – How to recognize and help – Pts. Rts. StaffDischarge Considerations – SB Community HospitalRecipe of the Month – a healthy alternativeLow Cost Socialization Ideas - VariousCultural Competency Insights – Office of Cultural Competency
19 Other topics we have shared… Board & Care vs. Room & BoardDepression – Taking positive stepsCommunication 101Preparing for an Emergency – Developing Action Plans for the Room & BoardDisaster Preparedness – Taking care of those in your homeBeing Culturally Sensitive
20 The Process Consumer seeks independent living arrangement List is provided via clubhouse, case manager, or mental health providerConsumer is guided through available options based on personal needsConsumer makes selection and calls for interviewConsumer makes selection(s) – appropriate information sheet(s) is providedConsumer visits location and enters into rental agreement with operator
21 Maintaining the ListOperators are asked to call by Monday at noon any changes to their vacancy statusNew lists sent electronically each Tuesday to all recipients that have been trained on the process – (note: operators do not get lists)Operators can be suspended or removed from list if they do not comply with Coalition guidelines.
22 Paperwork… Interest/Application Forms Site Review Forms Complaint Resolution FormRoom & Board Comparison List
23 Lessons Learned… Membership drive must be ongoing Operators stop attending once their houses become full – have a participation policyDevelop Resolution Committee quicklyLine up several presenters of information based on training needs assessmentProvide a consistent day and time for attendanceBe willing to “hand over” the process to the community