8/12/2020 Moving On Program from Supportive Housing (MOSH): Practice & Program Strategies Arlington Substantial sections of this powerpoint were adapted from Tiderington, E et al, “Moving on from Supportive Housing”, Rutgers University, 2018. Andrea White Email: [email protected] 1 1 Agenda . Introductions . What is Moving On? . Why Implement Move On Strategies? . Program Strategies . Core Program Features . Stages of Moving On . Creating a Culture of Moving On . Practice Interventions . Identifying Candidates and Assessments . Pre-MOSH Planning . Finding Housing . Post-MOSH Planning . Closing 2 2 1 8/12/2020 Zoom, zoom zoomerating ◦ We will mute all of you at the beginning of the presentation. ◦ We will pause periodically through the presentation for polls, questions and discussions. ◦ If questions come up during the presentation, please write them in the chat box. ◦ The slides and resource materials will emailed out after the session by The Planning Council. 3 3 Thoughts on Problem Solving Skills Last Week: Stabilizing in PSH Tenancy Skills and Resources Developing a Network of Care Housing Stabilization Pro-Active Housing Planning Session Crisis Planning • Thoughts Mentoring for Services Going Forward • Reflections 4 4 2 8/12/2020 Introductions Poll .Why are you here today? . I have tenants ready to move on . I have no tenants ready to move on . I want to start a moving on program at my housing authority . I want to start a moving on program at my agency . I am curious about the program model . Our system has no vacancies in PSH (permanent supportive housing) and we need to get some flow to house high need people . My boss told me to come . None of the above – please type in chat box 5 5 What is Moving On? ◦ Help tenants who no longer require on-site services to transition from supportive housing to private apartments with, or without, rental support and less intensive community-based services. ◦ Allows providers to then fill now-empty units with people who are most in need of supportive housing. (CSH, 2016) ◦ Has become a HUD focus – question in 2019 Continuum of Care NOFA Competition ◦ Earliest efforts starting almost 20 years ago 6 6 3 8/12/2020 What is Moving On - 2? .Spirit of Moving On .Recovery-oriented .Promotes self-determination .An individualized process .Voluntary .Self-directed by the consumer .A process that starts at move in 7 7 Moving On – Paying for Housing ◦ Many people need a long-term/permanent subsidy ◦ Set asides of Section 8/Housing Choice vouchers ◦ Units in affordable properties ◦ Employment ◦ Back pay from mainstream benefits ◦ Family reunification ◦ Major life changes- marriage, new relationship, children, etc. ◦ VA Home Loans 8 8 4 8/12/2020 Financial support for moving expenses like: ◦ Security deposits Moving On – ◦ First and last month’s rent Services and ◦ Purchasing household items: furniture, dishes, appliances Financial Case management support for: ◦ Identifying, securing and setting up the new home and Assistance acclimating to the neighborhood ◦ Increasing income ◦ Help with developing positive relationships with landlords ◦ Providing education on financial management and tenancy rights/responsibilities ◦ Crisis planning, negotiation, problem-solving, refusal and conflict resolution skills ◦ Bridging resources ◦ Establishing new goals, routines and connections to formal and informal supports ◦ Building confidence in succeeding 9 9 Pause for questions and comments. How many of you are doing moving on already? If so, what has been most important in your direct practice with participants? Please indicate in the chatbox or raise your hand if you would like to comment. 10 10 5 8/12/2020 Features of a Successful Moving On Program ◦ Moving on is introduced at the beginning of tenancy in supportive housing and discussed regularly during service plan reviews ◦ Focus on consumers who will be successful ◦ Requires all hands-on deck! ◦ Strong communication ◦ Training in Evidence Based Practices ◦ Critical Time Intervention ◦ Motivational Strategies using Motivational Interviewing Tools ◦ Culture of Moving On ◦ Peer Support 11 11 Stages of MOSH Adapted from Stages of Change - Prochaska, J.O. & DiClemente, C.C. (1983). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research and Practice, 20, 161-173. Maintenance I know how to do this! Action I’m out of here! Preparation What do I have to do Contemplation to get out of this place? Pre-Contemplation Maybe I would like to get my own place Why Move On? one of these days. I just got here! Stages of Moving On from Supportive Housing 12 12 6 8/12/2020 Stages of MOSH: Pre-Contemplation Pre-contemplation : A person has not yet identified an issue as a problem and is not currently considering change. Staff Roles: ◦ Introducing consumers to the idea of MOSH ◦ Educating consumers about MOSH options ◦ MOSH success stories ◦ Using open ended questions to help consumers think about future goals 13 13 Stages of MOSH: Contemplation Contemplation : A person begins to identify an issue as a problem and is thinking about but ambivalent about change. Staff Role ◦ Exploring ambivalence ◦ Have conversations about what is expected to move out and be realistic - budgeting, finances, etc. Bringing these things to life really motivates people to think if they are ready and make their own decision (CSH, 2016) ◦ Use “Decisional Balance Sheet” to explore the Pros and Cons of staying and of moving on 14 14 7 8/12/2020 Decisional Balancing Benefits Costs Staying in Supportive Housing Moving On from Supportive Housing Elicits statements of Why consumers want to Move On 15 15 Challenges and Benefits of Moving On CHALLENGES BENEFITS ◦ Loss of connections with the ◦ Freedom from service providers community ◦ Increased independence ◦ Increased responsibility ◦ Safer, more peaceful environment ◦ Managing mental and physical health conditions ◦ Reunite with family/friends ◦ Housing/neighborhood quality can ◦ Better access to work/services etc. decrease ◦ More social/community integration ◦ Moving On is expensive CSH, 2016 Tiderington, Livingstone, & Herman, 2017 16 16 8 8/12/2020 Importance and Confidence Ruler Importance Ruler: ◦ “On a scale of 1 to 10, how important is it for you to Move On from PSH” ◦ “Why are you a ____ and not ___?” ◦ Your number should be 2-3 digits lower than the consumer's Confidence Ruler: ◦ “On a scale of 1 to 10, how confident are you that you can Move On from PSH”? ◦ “Why are you a____ and not ___”? ◦ Your number should be 2-3 digits lower than the consumer's ◦ “What would it take for you to be a _____” ◦ Your number should be 2-3 digits higher than the consumer’s 17 17 Stages of MOSH: Preparation Preparation : A person is planning to make a change. They seek out information and support, they are “testing the waters.” ◦ Be trauma-informed and educate your consumers on what to expect during the MOSH process ◦ Planning support for the process ◦ Consumers in this stage usually have the capacity to save money and are tenants in good standing, up-to- date on their rent, etc. 18 18 9 8/12/2020 Stages of MOSH: Action Action : A person actively begins making changes in his or her life. They are practicing new behavior(s). ◦ Making a Pre-MOSH Service Plan ◦ Securing Income and Benefits ◦ Budgeting/Financial Planning ◦ Enhancing Tenancy Skills ◦ Resolving Tenancy Barriers ◦ Executing the Housing Search Process ◦ Creating a Post-MOSH plan to be executed after moving on in maintenance phase ◦ Connecting to External Support Services and Resources ◦ Eviction Prevention ◦ Crisis Planning ◦ Income Growth 19 19 Stages of MOSH: Maintenance Maintenance/Relapse: A person sustains behavior change OR a person resumes old behaviors. Relapse is considered a part of the change process. Staff Roles ◦ Check-ins and aftercare: formalize this process ◦ Updating the Post-MOSH Plan ◦ Relapse prevention plan, as it relates to housing ◦ Eviction prevention planning 20 20 10 8/12/2020 Polls ◦ Do you have tenants in your program who could successfully move on? ◦ Do you have participants in your program who are already in the Preparation or Action stage? ◦ Please use chat box to elaborate or indicate if you would like to comment. 21 21 Creating a Culture of Moving On Strategies ◦ Integrate Moving On into service plan discussions ◦ Publicize and celebrate moving on opportunities ◦ Moving On group for peer support ◦ Bring back alumni to meet with potential movers ◦ Peer-run alumni activities (e.g., celebrating holidays, etc.) ◦ Integrating MOSH into your supervision People are resistant to change. Moving On usually requires a significant organizational culture shift, and it starts with people who have already done Moving On. ◦ Must do cost/benefit analysis 22 22 11 8/12/2020 ◦ Losing your favorite consumers Challenges for ◦ Fearing they won’t succeed without you Providers ◦ Lack of community resources for support post move on ◦ Lack of affordable housing ◦ Housing Authority not engaged ◦ Additional workload – getting new higher need tenants and following people who have moved on ◦ Lack of funding ◦ Organizational culture/mission conflict 23 23 Benefits for the ◦Provides “churn” so others can access Provider and supportive housing units ◦Landlords/PHA serve homeless system System and tenants who have successful track record as a tenant/following a lease ◦Helps people achieve a “life after case management” ◦Staff feel a sense of success in their work ◦Follows the aim of the recovery model to encourage people to move forward ◦Can serve higher-need more vulnerable people in vacated supportive housing units ◦ 24 24 12 8/12/2020 Pause for discussion *How does this align with your agency’s mission? *How will you “sell” this in your agency? * What reservations do you have about Moving On? * What reservations do you think your leadership will have? Your staff? *What else do you need from your supervisor, your agency, or the CoC to be able to make Moving On part of your work? Please indicate in the chatbox or raise your hand if you would like to comment.