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Housing Options & Resources

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1 Housing Options & Resources
Opening the Door to Recovery

2 Behavioral Health Administration
Our Mission The Department of Health and Mental Hygiene’s Office of Behavioral Health and Disabilities will develop an integrated process for planning, policy, and services to ensure a coordinated quality system of care is available to individuals with behavioral health conditions and developmental disabilities.  The Mental Hygiene Administration will, through publicly-funded services and supports, promote recovery, resiliency, and health for individuals who have emotional or psychiatric disorders. Our Vision The Vision of our public mental health system is drawn from fundamental core commitments: Coordinated, quality system of care. A full range of services available. Seamless linkages to services for the consumer delivered through a system of integrated care. Recognition that co-occurring and co-morbid conditions are the norm. Focus on treatment, behavioral health, support, recovery, and resilience. Services developed in collaboration with culturally competent stakeholders in an environment that is culturally sensitive. Improved health, wellness, and quality of life for consumers. Public Behavioral Health System (PBHS) partners: Behavioral Health Administration (BHA) (Mental Hygiene Administration merged with the Alcohol and Drug Abuse Administration) Core Service Agencies (CSA) – Local Health Departments and free standing CSAs (local mental health authorities) Administrative Service Organization (ASO) – Value Options (managed behavioral health care – service authorization, claims, payments)

3 Housing & Services Housing With Services Housing Plus Services
Services are included with or attached to the housing. Examples: Residential Rehabilitation, Transitional Housing Housing Plus Services Services are available, but not a part of the housing. Examples: Shelter Plus Care, Supported Housing Programs

4 Housing Challenges Lack of affordable housing stock in many areas of MD Olmstead decision – State’s continued commitment to support individual’s in the least restrictive environment Judicial system insist people be in structured supervised housing Forensic histories and federal restrictions Credit histories Poverty – SSI Maximum benefit $721/month Arrearages in utility Restrictions due to funding requirements Loss of Medicaid as a person moves out of RRP Access to services due to transportation barriers

5 Housing types defined CoC = Continuum of Care (formerly Shelter Plus Care) Grand Total (CoC): 361 units, 317 approved by HUD, 44 additional units approved by MHA. The CoC is a grant funded program through HUD that provides rental assistance for permanent housing to individuals and families with an adult member who has a mental illness or co-occurring disorder. Supported Housing = housing for individuals served by the Public Behavioral Health System (PBHS) where the person is the lease holder. Most supported housing units are subsidized or affordable. Services are available but not required. Transitional Housing = housing that assists persons to move from homelessness to permanent housing. Services are included, including accessing benefits, referral to behavioral health resources, life skill training, etc. 

6 Housing types defined (cont.)
RRP = Residential Rehabilitation Programs (approx 40 programs statewide) Total number of RRP beds Statewide is – 2498 General Level beds - 912, Intensive Level beds RRP is psychiatric rehabilitation connected with program housing. Persons learn independent living skills, self management of mental health care and recovery in a residential setting in order to graduate to independent living of their own choice. General Level of Care = minimum of 13 face to face services in the residence monthly Intensive Level of Care = minimum of 19 face to face services in the residence monthly, with staff on site 7 days per week. Both levels of care have 24 hour/day on call staff available. RRP is accessed by application to the Core Service Agency (CSA) of the county of residency. Eligibility is determined by the CSA using the BHA priority population definition and medical necessity criteria applied by the Administrative Services Organization (ASO). The CSA reviews applications, tracks vacancies, maintains waiting lists if necessary, and refers applications when bed availability occurs. Core Service Agency contact list from the BHA website:

7 Housing Resources by Core Service Agencies in Maryland - as of June 2014
Allegany County CoC 21 rental subsidy units including single individuals and families. All units are in the tenant’s name. 14 (1BR) 4 (2BR) 3 (3BR) RRP 30 beds – 0 General level of care (LOC), 30 Intensive LOC Supported Housing 4 units, 5 individuals Anne Arundel County 28 rental subsidy units including single individuals and families. All units are in the tenant’s name. 14 (1BR) 8 (2BR) 6 (3BR) 271 beds – 75 General LOC, 196 Intensive LOC 58 units, maximum of 105 individuals Baltimore City 99 Shelter + Care units 357 beds – 175 General LOC, 182 Intensive LOC 80 units, 100 individuals Transitional Housing 164 transitional beds at 5 different programs, length of stay (LOS) between 3 months – 2 years Baltimore County 58 rental subsidy units including single individuals and families. All units are in the tenant’s name. 23 (1BR) (2BR) (3BR) 352 beds – 117 General LOC, 235 Intensive LOC 25 units, 35 individuals Calvert County 17 rental subsidy units including single individuals and families. All units are in the tenant’s name. 9 (1BR) (2BR) 4 (3BR) 19 beds – 12 General LOC, 7 Intensive LOC No supported housing other than CoC Carroll County 13 rental subsidy units including single individuals and families. All units are in the tenant’s name. 11 (1BR) 1 (2BR) 1 (3BR) 67 beds – 14 General LOC, 53 Intensive LOC 13 units, 18 individuals One program with 44 beds Cecil County 12 rental subsidy units including single individuals and families. All units are in the tenant’s name. 4 (1BR) 4 (2BR) 5 (3BR) 38 beds – 6 General LOC, 32 Intensive LOC Support Housing 17 individual, no unit # reported

8 Charles County CoC 43 rental subsidy units including single individuals and families. All units are in the tenant’s name. 20 (1BR) 7 (2BR) 7 (3BR) 9 (4BR) RRP 19 beds – 3 General LOC, 16 Intensive LOC Supported Housing Rental Assistance program (grant funded) 13 slots for individuals in the Public Mental Health System (PMHS) Additional Supported Housing 2 units serving maximum of 7 individuals (3 are w/Rental Asst program currently) Frederick County 25 rental subsidy units including single individuals and families. 21 of the units are in the tenant’s name and four are sponsor-based. 19 (1BR) 5 (2BR) 1 (3BR) 180 beds – 98 General LOC, 82 Intensive LOC 13 units, 17 individual Additional 10 units, 14 individuals served by ACT Garrett County Coc None 6 beds – 0 General LOC, 6 Intensive LOC 30 units through HUD-SHP program Transitional Housing Transitional Housing through Public Housing Authority 9 beds Harford County 23 rental subsidy units include single individuals and families. All units are in the tenant’s name. 8 (1BR) 10 (2BR) 5 (3BR) 59 beds – 17 General LOC, 42 Intensive LOC 2 units, 6 individuals 11 Supportive housing units*, individual has lease but agrees to support by program staff 21 units of permanent housing for former homeless individuals served by the PMHS Howard County 10 units single individual, all units are sponsor based in the tenants’ name. 106 beds – 41 General LOC, 65 Intensive LOC 12 units, maximum 26 individuals Mid-Shore Counties (Caroline, Dorchester, Kent, Queen Anne’s, Talbot) 16 rental subsidy units include single individuals and families. All units are in the tenant’s name. 11 (1BR) 2 (2BR) 3 (3BR) 58 beds – 9 General LOC, 49 Intensive LOC 49 units, 65 maximum individuals

9 Montgomery County CoC 52 single units RRP 382 beds – 215 General LOC, 167 Intensive LOC Supported Housing 34 units, 75 individuals 155 units, 260 individuals (Public Housing Authority) Transitional Housing 2 programs serving 15 homeless men and 8 homeless women Pr. George’s County 29 rental subsidy units include single individuals and families. All units are sponsored based in the tenant’s name. 7 (1BR) 14 (2BR) 8 (3BR) 398 beds – 76 General LOC, 322 Intensive LOC 34 units, 107 maximum single individuals 35 Single Family units – HUD and TAY grant funded St. Mary’s County 12 rental subsidy units include single individuals and families. All units are in the tenant’s name. 5 (1BR) 6 (2BR) 1 (3BR) 39 beds – 11 General LOC, 28 Intensive LOC One program serving homeless persons with behavioral health issues, assisting movement to permanent housing 10 units – 4 for women w/children, maximum 20 individuals 6 for men, maximum 24 individuals Washington County 32 rental subsidy units include single individuals and families. All units are in the tenant’s name. 19 (1BR) 8 (2BR) 4 (3BR) 1 (4BR) 33 beds – 7 General LOC, 26 Intensive LOC 16 units, 21 individuals Wicomico/Somerset Counties 25 rental subsidy units include single individuals and families. All units are in the tenant’s name. 15 (1BR) 7 (2BR) 3 (3BR) 74 beds – 32 General LOC, 42 Intensive LOC 48 units in Wicomico Co, 48 individuals (33 one bedrm, 10 two bedrm, 5 three bedrm) 9 units in Somerset Co, 9 individuals (5 one bedrm, 3 two bedrm, 1 three bedrm) 15 units (Wicomico only) women & children only Worcester County 6 rental subsidy units include single individuals and families. All units are in the tenant’s name. 2 (1BR) 3 (2BR) 1 (3BR) 10 beds – 4 General LOC, 6 Intensive LOC 22 units, 34 individuals (includes 1, 2, 3 bedrm units – all HUD funded) 1 one bedroom unit for homeless veteran served in PBHS

10 Residential Rehabilitation Programs
Residential Rehabilitation Program (RRP) provides housing and supportive services to single individuals. The goal of residential rehabilitation is to provide services that will support an individual to transition to independent housing of their choice. Residential Rehabilitation Programs provide staff support around areas of personal needs such as medication monitoring, independent living skills, symptom management, stress management, relapse prevention planning with linkages to employment, education and/or vocational services, crisis prevention and other services that will help with the individual’s recovery. Application for RRP available on BHA website and from local Core Service Agencies in the county where the individual resides. (See List and contact info on following pages) RRP application link from BHA website:

11 Core Service Agencies (CSA)
ALLEGANY COUNTY Allegany Co. Mental Health System's Office P.O. Box 1745 Cumberland, Maryland Phone: Fax: ANNE ARUNDEL COUNTY Anne Arundel County Mental Health Agency PO Box 6675, MS 3230, 1 Truman Parkway, 101 Annapolis, Maryland Phone: Fax: BALTIMORE CITY Behavioral Health System Baltimore, Inc. One N. Charles Street, Suite 1300 Baltimore, Maryland Phone: Fax: BALTIMORE COUNTY Bureau of Behavioral Health of Baltimore County Health Department 6401 York Road, Third Floor Baltimore, Maryland Phone: Fax: CALVERT COUNTY Calvert County Core Service Agency P.O. Box 980 Prince Frederick, Maryland Phone: #330 Fax: CARROLL COUNTY Carroll County Health Department Bureau of Prevention, Wellness, and Recovery 290 South Center Street Westminster, Maryland Phone: Fax: CECIL COUNTY Cecil County Core Service Agency 401 Bow Street Elkton, Maryland Phone: Fax: CHARLES COUNTY Department of Health Core Service Agency P.O. Box 1050, 4545 Crain Hwy. White Plains, Maryland Phone: Fax: FREDERICK COUNTY Mental Health Management Agency of Frederick County 22 South Market Street, Suite 8 Frederick, Maryland Phone: Fax: GARRETT COUNTY Garrett County Core Service Agency 1025 Memorial Drive Oakland, Maryland Phone: Fax: HARFORD COUNTY Office on Mental Health of Harford County 125 N Main Street Bel Air, Maryland Phone: Fax: HOWARD COUNTY Howard County Mental Health Authority 9151 Rumsey Road, Suite 150 Columbia, Maryland Phone: Fax: MID-SHORE COUNTIES (Includes Caroline, Dorchester, Kent, Queen Anne and Talbot Counties) Mid-Shore Mental Health Systems, Inc Mary’s Court, Suite 1 Easton, Maryland Phone: Fax: MONTGOMERY COUNTY Department of Health & Human Services, Montgomery County Government 401 Hungerford Drive, 1st Floor Rockville, Maryland Phone: Fax: PRINCE GEORGE’S COUNTY Prince George’s County Health Department Behavioral Health Services Prince George's County Core Service Agency 9314 Piscataway Road Clinton Maryland Phone: Fax: ST. MARY’S COUNTY St. Mary's County Dept. of Aging and Human Services Leonard Hall Drive, P.O. Box 653 Leonardtown, Maryland Phone: ext Fax: WASHINGTON COUNTY Washington County Mental Health Authority 339 E. Antietam Street, Suite #5 Hagerstown, Maryland Phone: Fax: WICOMICO/SOMERSET COUNTIES Wicomico Behavioral Health Authority/Somerset Core Service Agency 108 East Main Street Salisbury, Maryland Phone: Fax: WORCESTER COUNTY Worcester County Core Service Agency P.O. Box 249 Snow Hill, Maryland Phone: Fax:

12 Specialty RRP Housing TAY (Transitional Age Youth)
Baltimore City, Baltimore County, Calvert County Carroll County, Charles County, Frederick County, Howard County, Montgomery County, Prince George’s County , St Mary’s County. Anne Arundel County, Carroll County, Frederick County, St. Mary’s County Frederick County, Montgomery County Anne Arundel County, Baltimore City, Baltimore County, Frederick County, Prince George’s County Anne Arundel County, Baltimore City, Frederick County, Prince George’s County, Wicomico County TAY (Transitional Age Youth) DD/MH (Developmental Disability/Mental Health) IDDT (Integrated Dual Disorders Treatment) DEAF AND/OR HARD OF HEARING GERIATRIC


$867 $988 ANNE ARUNDEL $847 $1,001 $1,252 $1,599 $1,741 BALTIMORE BALTIMORE CITY CALVERT $1,176 $1,239 $1,469 $1,966 $2,470 CAROLINE $654 $659 $891 $1,186 $1,332 CARROLL CECIL $799 $942 $1,135 $1,414 $1,518 CHARLES DORCHESTER $658 $689 $1,055 $1,132 FREDERICK GARRETT $576 $691 $879 $923 HARFORD HOWARD HOWARD-COLUMBIA AREA $1,047 $1,307 $1,556 $1,994 $2,186 KENT $693 $698 $944 $1,241 $1,672 MONTGOMERY

$1,239 $1,469 $1,966 $2,470 QUEEN ANNE'S $847 $1,001 $1,252 $1,599 $1,741 SOMERSET $414 $587 $696 $875 $962 ST. MARY'S $819 $1,026 $1,216 $1,768 $2,147 TALBOT $808 $814 $1,060 $1,320 $1,821 WASHINGTON $616 $748 $968 $1,340 $1,359 WICOMICO $521 $647 $1,126 $1,242 WORCESTER $584 $669 $888 $1,106 $1,348

16 Maryland Partnership for Affordable Housing (MPAH)
Implementation began in 2011 with funding from a grant from the Centers for Medicare and Medicaid Services (CMS). Partners include DHMH (BHA, DDA, MFP), DHCD, MDOD, MCDD, Centers for Independent Living (CILS), consumer organizations and housing developers. Implementation and maintenance of an internet-based affordable housing registry through DHCD and MDOD at and Applied to HUD for 811 PRA Demonstration Project in 2012 and awarded $10.9 million to develop 150 units of HUD 811 project based rental assistance in February 2013. DHCD currently working with housing developers to create or rehab existing housing. MPAH is training Case Managers to assist individuals, and the Social Serve registry will be available in November 2014 to determine eligibility and get individuals on lists for the housing that will become available in 2015/2016.

17 Documentation Social Security Card State ID
Birth Certificates ( In State and Out of State) Benefit Letter ( Income Statement) Do you know where to obtain these documents? Do you know what forms to use to obtain these documents? Are there costs associated with obtaining these documents?

18 Benefit Letter ( Income Statement)
Documentation Cont. Social Security Card Benefit Letter ( Income Statement) Where: Social Security Administration Forms Needed: Social Security Card Application SSA-3288 Items Needed: Birth Certificate, U.S. ID or driver’s license or Passport Letter of Residency Provide Your Social Security Number and ID Participant’s U.S. ID or driver’s license or Medicaid Card Social Security Application only use BLUE or BLACK INK All fields must be complete or SSA will not honor form Cost: Free Website:

19 Documentation Cont. Birth Certificate State ID Where:
Local Health Dept. or Division of Vital Records (Reisterstown Rd.) Maryland Motor Vehicle Administration (MVA) Forms Needed: Birth Certificate Application Application provided by MVA Items Needed: U.S. ID or driver’s license Letter of Residency from facility Notarized letter * Case Manager’s ID* Birth Certificate (actual)* Social Security Card (actual)* Letter from Physician If individual is not born in MD, please contact the state in which they were born Letter of Residency, Birth Certificate, and Social Security card have to be taken to local MVA to be verified Cost: $24 (check or money order) Cost: Free (if disabled) Website: Website:

20 Forms for Documentation

21 Forms for Documentation

22 Barriers A circumstance or obstacle that keeps people or things apart or prevents communication or progress Past Electricity Bills Credit Issues Criminal Background Rental History

23 Barriers Rental History
Past Due Electricity Bills Address the issue immediately a. Contact the utility company to find out how much is owed b. Inform the utility company of the current situation c. Work on a payment plan d. Request a letter from utility company stating there is currently a payment plan Rental History Have you ever been evicted or owe another housing community money ? a. If money is owed, set up a payment plan (if possible) b. Any HUD assisted housing will not accept an individual for housing if money is due to another housing agency Ask previous landlords to provide a reference letter ( on time rental payments and good tenancy)

24 Barriers Credit Case managers can assist applicant with determining what type of credit issue exists and help the applicant understand the credit issue may impact their ability to rent. Individuals have the right to obtain a free copy of their credit report once every 12 months from Equifax, Experian, and TransUnion a. If an applicant has credit issues, applicants should get in contact with Consumer Credit Counseling Services of Maryland and Delaware or All property management companies screen applications for credit issues If the credit report is negative, then the applicant could be denied or asked to pay a higher security deposit If the issue occurred during a medical event, a case manager can advocate for the applicant

25 Barriers Criminal Background
Identify the applicants criminal background If an applicant is not sure if they have a criminal background, look up on Maryland Judiciary Case Search, a. Maryland Judiciary Case Search is for criminal records maintained in Maryland b. It is free and will reveal the following information: defendant and plaintiff’s name, date of birth, trial date, charge, case disposition, case number, and city Maryland will expunge the following records nuisance charges , such as eating on public transportation urinating in public, and loitering Guide to Expungement of nuisance crimes For legal advise contact - Maryland Disability Law Center,

26 Good Tenancy Paying rent on time Maintaining the unit
Engaging in friendly neighbor relationships Complying with the terms of the lease Communicating with the property manager Understanding tenant responsibilities Knowing who to call and when to call these individuals

27 Resources Tool Website Social Security Administration
US Department of Housing and Urban Development Consumer Credit Counseling Services of Maryland and Delaware or Annual Credit Report or Guide to Expungement of Nuisance Crimes Maryland Judiciary Case Search Maryland Disability Law Center Public Housing Authority Locator

28 Resources Tool Website Housing Choice Voucher Guidebook
Craigslist (Furniture, Apartment, Roommates) Weinberg Initiative HUD Section 811 PRA Demo. Baltimore Free Store SNAP Program/Food Stamps Go Section 8

29 Resources Tool Website MD Housing Search
Social Serve Fair Housing Act Reasonable Accommodations MD Motor Vehicle Administration or Area Median Income MARYLAND CENTERS FOR INDEPENDENT LIVING (CIL)

30 Housing Options & Resources
Presenter information: Russell T. Springham, LCSW-C Case Management and Housing Coordinator Maryland Department of Health & Mental Hygiene Behavioral Health Administration Office of Adult and Specialized Behavioral Health Services Spring Grove Hospital Center – Dix Building 55 Wade Avenue, Catonsville, MD 21228 (410)

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