COMMUNITY CARE ALLIANCE

COMMUNITY SUPPORT & RECOVERY SERVICES THE COMMUNITY SUPPORT PROGRAM (CSP) PROVIDES CLINICAL AND SUPPORT SERVICES TO INDIVIDUALS WITH LONG-TERM MENTAL ILLNESS AND/OR SUBSTANCE USE NEEDS. THE GOAL IS TO HELP PEOPLE LIVE AS INDEPENDENTLY AND FULLY INTEGRATED WITHIN THE COMMUNITY AS POSSIBLE, REDUCING HOSPITALIZATIONS AND INSTITUTIONAL CARE.THE INTEGRATED COMMUNITY HEALTH HOME IS A MULTI-DISCIPLINARY TEAM OF PROFESSIONALS PROVIDE SERVICES ARE CENTERED AROUND INDIVIDUAL NEEDS AND MAY INCLUDE LONG AND SHORT-TERM BEHAVIORAL HEALTH RECOVERY SERVICES, CARE COORDINATION, AND HEALTH EDUCATION. 641 CLIENTS WERE SERVED, INCLUDING 145 NEW ADMISSIONS. IN FY25, 184 WERE DISCHARGED. ALL TEAM STAFF COMPLETED TRAINING ON NEW SCREENING TOOLS AND PROCESSES FOR DISPOSITIONS CONTINUE TO BE ASSESSED FOR IMPROVEMENTS, PARTICULARLY AS IT RELATES TO HOUSING. SCREENINGS ARE IMPLEMENTED AT THE TIME OF RECOVERY PLANNING TOOLS WITH A 90% COMPLETION RATE. SINCE THE START OF CCBHC, STAFFING PATTERNS HAVE BEEN MORE CONSISTENT, BUT VACANCIES AND LEAVES OF ABSENCE STILL REMAIN CHALLENGES FOR CASE MANAGEMENT STAFFING AND MAINTAINING PRODUCTIVITY. A DECREASE IN CENSUS IS A RESULT OF FEWER REFERRALS AND CHANGES IN DLA REQUIREMENTS (CHANGED TO UNDER 4), AS WELL AS PRESCRIBING PRACTICES FOR CONTROLLED SUBSTANCES. CLIENTS WHO WERE CHOOSING TO HAVE "MEDS ONLY" TREATMENT WERE DISCHARGED.PSYCHOSOCIAL REHABILITATION SERVICES FOCUSES ON SUPPORTING INDIVIDUALS WITH MENTAL AND EMOTIONAL CHALLENGES TO LIVE MEANINGFUL, INDEPENDENT LIVES. THE ASSERTIVE COMMUNITY TREATMENT (ACT) TEAMS SERVED 107 PEOPLE, DISCHARGING 5 INDIVIDUALS. CSP UTILIZED CHECKLISTS SYSTEM, ALREADY IN PLACE, TO PROMPT COMPLETION OF SCREENING TOOL AND FOCUSED ON ACHIEVING CCBHC CLINICAL CARE STANDARDS. ABOUT 80% OF CLIENTS RECEIVE 3 DIFFERENT TYPES OF SERVICES (NURSING, VOCATIONAL, SUBSTANCE USE, CASE MANAGEMENT AND PSYCHIATRY). REFERRAL TRACKERS ON ALL INTERNAL AND EXTERNAL REFERRALS AND PROCESSES FOR COMPLETING DISPOSITION CONTINUES TO BE ASSESSED, ESPECIALLY AS IT RELATES TO HOUSING. VOCATIONAL SERVICES PROVIDES INDIVIDUAL PLACEMENT AND SUPPORTS (IPS) TO MAXIMIZE EMPLOYMENT FOR PEOPLE WITH MENTAL HEALTH CONDITIONS. THE PROGRAM SERVED 74 INDIVIDUALS64 RECEIVED IPS AND 12 RECEIVED PSYCH REHAB SERVICES. JOB STARTS FOR THOSE IN PSYCH REHAB SERVICES TARGETS INDIVIDUALS PREPARING TO ENGAGE IN EMPLOYMENT IN THE FUTURE WITH MORE FOCUS ON JOB PREPARATION. THESE CLIENTS HAD A SLIGHT DECREASE IN JOB STARTS. 20 CLIENTS STARTED NEW JOBS. 11 OF THE 20 (55%) MAINTAINED EMPLOYMENT BEYOND THE END OF THE FISCAL YEAR. THERE WAS A SIGNIFICANT INCREASE IN JOB RETENTION OVER THE PREVIOUS YEAR, AND THREE CLIENTS TRANSITION TO FULL TIME EMPLOYMENT, TERMINATING THEIR DISABILITY BENEFITS.GROUP LIVING SERVICES PROVIDE TRANSITIONAL PLACEMENTS FOR PEOPLE DISCHARGED FROM LONG-TERM HOSPITALIZATION WHO REQUIRE 24/7 SUPPORT IN ORDER TO DEVELOP INDEPENDENT LIVING SKILLS. SERVICES PROVIDED BY MENTAL HEALTH PSYCHIATRIC REHABILITATION RESIDENCES (MHPRR) SERVED 29 CLIENTS IN THREE RESIDENTIAL HOUSES, CHICOINE, SUTHERLAND AND TANGUAY. THE AVERAGE CENSUS FOR ALL THREE WAS 94%. LEADERSHIP AND STAFF TOURED/EXPLORED LOCAL ADULT DAY PROGRAMS FOR CONNECTIONS FOR CURRENT MHPRR RESIDENTS (E.G., GENERATIONS, ELMWOOD) AT LEAST 50% OF CLIENTS ATTENDED DAY PROGRAMS FOR AT 2-3 DAYS OF THE WEEK. RISK MANAGEMENT DISCUSSIONS AND DOCUMENTATIONS WERE IMPROVED WITH A DAILY COMMUNICATION LOG TO TRACK CLIENT MEDICATION ISSUES, MED VISITS, AND OTHER MEDICAL ISSUES. CHICOINE MADE IMPROVEMENTS TO COMMON AREAS CREATING A MORE WELCOMING ENVIRONMENT. MHPRR EXPERIENCED CHALLENGES IN KEY LEADERSHIP ROLESLOSING A DIRECTOR LEVEL POSITION AND HAVING 2 VACANT HOUSE MANAGEMENT LEADERSHIP POSITIONS, MAKING IT DIFFICULT TO PURSUE ACTIVITIES AND GOALS. EVERGREEN ASSISTED LIVING AVERAGE CENSUS WAS 22/RESIDENTS PER MONTH. COMMUNITY SUPPORT PROGRAM CLIENTS RECEIVE THERAPEUTIC, AND HEALTH AND WELLNESS GROUPS AT THE WELLNESS AND RECOVERY CENTER, A WELCOMING PLACE TO MEET PEERS. NEW EFFORTS TO COORDINATE RIDES WITH SECURITY STAFF ALLOWED RESIDENTS TO ATTEND WELLNESS CENTER ACTIVITIES AND INCREASED THEIR COMMUNITY INVOLVEMENT. CHICOINE RESIDENTS ALSO ROUTINELY ATTENDED WEEKLY GROUPS.

SOCIAL HEALTH SERVICES (FORMERLY HOUSING. WORKFORCE DEVELOPMENT & BASIC NEEDS SERVICES)SOCIAL HEALTH SERVICES ADDRESS ISSUES THAT GO BEYOND PHYSICAL HEALTH AND PROVIDES SUPPORTS FOR MULTIPLE FACTORS THAT INCLUDE EDUCATION, EMPLOYMENT, HOUSING, INCOME AND SOCIAL STATUS, AND RELATIONSHIPS, TO NAME JUST A FEW. THE WOONSOCKET FAMILY SHELTER HOUSED 104 INDIVIDUALS. NEARLY HALF OF ALL CLIENTS SERVED WERE CHILDREN (47 OF 104), UNDERSCORING THE PROGRAM'S ROLE IN FAMILY STABILIZATION. SPECIAL POPULATIONS SERVED INCLUDED 27 CHRONICALLY HOMELESS, 5 YOUTH UNDER AGE 25, AND 3 PARENTING YOUTH UNDER 25 YEARS OF AGE WITH CHILDREN. OF 51 LEAVERS, 29.4% (15 HOUSEHOLDS) EXITED INTO PERMANENT HOUSING. THIS INCLUDED 6 WITH SUBSIDY, 2 WITHOUT SUBSIDY, AND 7 REUNIFIED WITH FAMILY/FRIENDS. 33% (17 LEAVERS) TRANSFERRED INTO OTHER EMERGENCY SHELTERS, REMAINING CONNECTED WITHIN THE HOMELESS RESPONSE SYSTEM. IF TRANSFERS ARE EXCLUDED, 44.1% OF HOUSEHOLDS (15 OF 34) EXITED TO PERMANENT HOUSING STILL BELOW THE 70% GOAL, BUT MORE REFLECTIVE OF TRUE PROGRAM COMPLETIONS. OF 29 ADULT LEAVERS, 20 (69%) EXITED WITH INCOME AND 9 (31%) EXITED WITHOUT INCOME. WHILE ONLY 2 LEAVERS (6.9%) INCREASED THEIR INCOME DURING PARTICIPATION, THIS MIRRORS FY24 LEVELS (7.3%). INCOME SOURCES INCLUDED SSI (8), SSDI (4), TANF (5), OTHER BENEFITS (2), AND EARNED INCOME (2). AMONG ADULT LEAVERS, 76% (22 OF 29) EXITED WITH SNAP AND 100% (29 OF 29) EXITED WITH MEDICAID, EXCEEDING THE 70% BENCHMARK. MEDICAID RETENTION IMPROVED DRAMATICALLY, WITH ALL ADULT LEAVERS (100%) EXITING COVERED, UP FROM JUST 56% IN FY24. MEDICARE (17%) AND SCHIP (59%) WERE ALSO ACCESSED. THIS REFLECTS STRONGER CASE MANAGEMENT FOLLOW-THROUGH AND REPRESENTS A MAJOR IMPROVEMENT FROM FY24, WHEN ONLY 56% OF LEAVERS EXITED WITH MEDICAID. ENSURING UNIVERSAL MEDICAID COVERAGE AT EXIT IS A SIGNIFICANT ACHIEVEMENT, SAFEGUARDING CONTINUED ACCESS TO HEALTHCARE. SNAP RETENTION ALSO REMAINED STRONG AT 76%.THE NORTHERN RHODE ISLAND SHELTER SERVED 200 INDIVIDUALS IN 71 HOUSEHOLDS136 ADULTS AND 64 CHILDREN. PEOPLE SERVED INCLUDED 73 CHRONICALLY HOMELESS PERSONS, 4 VETERANS, AND 24 ADULTS FLEEING DOMESTIC VIOLENCE, DEMONSTRATING IMPACT ACROSS HIGHLY VULNERABLE GROUPS. 106 INDIVIDUALS LEFT THE SHELTER AND 94 STAYED. THE AVERAGE LENGTH OF STAY WAS 167 DAYS. OF 106 LEAVERS, 44 (42.3%) EXITED INTO PERMANENT HOUSING, INCLUDING 19 RENTALS WITH SUBSIDY, 10 RENTALS WITHOUT SUBSIDY, AND 15 REUNIFIED WITH FAMILY/FRIENDS ON A PERMANENT BASIS. ANOTHER 22 (21%) TRANSFERRED INTO OTHER SHELTERS, AND 18 (17%) EXITED TO UNSHELTERED SITUATIONS. OF THOSE WHO STAYED, THE AVERAGE LENGTH OF STAY WAS 346 DAYS. MEDICAID COVERAGE AT EXIT ROSE FROM 56% TO 61%, AND SNAP REMAINED HIGH (71% 56%, A SLIGHT DECLINE). SCHIP WAS NOTABLE AT 46%.OVERALL, FY25 REFLECTS PROGRESS IN HOUSING OUTCOMES AND BENEFIT R ETENTION, WHILE INCOME STABILITY REMAINS A CHALLENGE.THE DIGNITY BUS IS AN OVERNIGHT EMERGENCY SHELTER LOCATED AT THE HOLY FAMILY CHURCH IN WOONSOCKET THAT PROVIDED 2636 BED NIGHTS BETWEEN JANUARY 6, 2025 AND JUNE 30, 2025 (75% AVERAGE CAPACITY). 133 UNDUPLICATED PEOPLE UTILIZED THE BUS FOR SHELTER. CLIENTS USING THE DIGNITY BUS HELP EACH OTHER AS THEY FORMED A COMMUNAL BOND AND WATCH OUT FOR ONE ANOTHER ON THE STREETS. WE HAVE DIRECTED CLIENTS TO OTHER CCA FACILITIES WHERE THEY COULD GET FURTHER ASSISTANCE. MULTIPLE CLIENTS WERE TRANSFERRED TO FULL TIME SHELTERS AS OPENINGS AROSE.THE HOME STABILIZATION PROGRAM RENDERED 464 SERVICES (330 BILLABLE HOURS) SUCH AS RENTAL ASSISTANCE, CASE MANAGEMENT AND COLLABORATIONS WITH LANDLORDS OR HOUSING AUTHORITIES; AND ENROLLED 113 HOUSEHOLDS. WE PLACED 10 CLIENTS SUCCESSFULLY TO PERMENANT LOCATIONS. IT IS EXTREMELY DIFFICULT WITH THE LACK OF AVAILABLE UNITS, SUBSIDIES AND PRICES OF FAIR MARKET RENTS. OF THE 10 CLIENTS PLACED WE WERE ABLE TO PERFORM HOME MAINTENANCE SERVICES TO 8 OF THEM ENSURING THEY COULD STAY IN THEIR HOME. CCA'S COMMUNITY ACTION PROGRAMS SERVED 4052 INDIVIDUAL CLIENTS, AS PART OF 3670 HOUSEHOLDS. THE FAMILY SUPPORT CENTER (FSC) OFFERS BASIC NEEDS ASSISTANCE TO LOW INCOME, WOONSOCKET HOUSEHOLDS OFFERING ASSESSMENTS, GUIDED REFERRALS, ADVOCACY AND FINANCIAL ASSISTANCE TO STRENGTHEN FINANCIAL CONDITION. FSC SERVED 3,481 PEOPLE WITH SUPPLEMENTAL FOOD AND 2,947 WITH FOOD VOUCHERS, PROVIDED 874 HOUSEHOLDS WITH CLOTHING VOUCHERS, AND 1,840 HOUSEHOLDS WITH UTILITY ASSISTANCE VIA LIHEAP, GNEF, GLOBAL PARTNERS AND JB WILLIAMS FUNDING SOURCES. STAFF REFERRED 928 HOUSEHOLDS TO OTHER SERVICES INCLUDING WEATHERIZATION THROUGH BVCAP (170) AND LOW INCOME PAYMENT PLAN ADVOCACY WITH RI ENERGY (675). 125 HOUSEHOLD RECEIVED RENTAL ASSISTANCE VIA DHS-HSP AND EMERGENCY FUNDS. EMPLOYMENT, EDUCATION & SUPPORT SERVICES HELPS PEOPLE GET BACK INTO THE WORKFORCE, INCLUDING SKILLS-BUILDING CLASSES, WORK READINESS, JOB SHADOWING AND JOB PLACEMENT AND ACADEMIC ENRICHMENT. PROJECT LEARN PROVIDED ESL, GED AND ADULT BASIC EDUCATION (ABE) CLASSES TO 116 STUDENTS WITH A 111 COMPLETING 40 HOURS OF INSTRUCTION TO ACHIEVE A MEASURABLE ACADEMIC GAIN IN POST TESTING. FIVE OF THESE STUDENTS WORKED WITH A TRAINING/VOCATIONAL PROGRAM TO ASSIST SUCCESS IN JOB DEVELOPMENT, COMMUNITY-BASED WORK EXPERIENCE AND ONGOING JOB PLACEMENT. THE PROGRAM HIRED TWO NEW EDUCATORS AND USE A SYSTEM CALLED NEARPOD TO SUPPORT EDUCATION IN AND OUT OF THE CLASSROOM BY CREATING INTERACTIVE LESSON MODULES. CCA PARTNERS WITH OTHER CAP AGENCIES TO PROVIDE RI WORKS (RIW), ENROLLING 241 LOW-INCOME CLIENTS FACING BARRIERS TO EMPLOYMENT IN VARIOUS RIW COMPONENTS. 136 FAMILIES WERE ABLE TO RECEIVE SUPPORTS, SUCH AS COUNSELING, BASIC NEEDS, RESOURCES, AND WORKSHOPS TO DECREASE BARRIERS TO EMPLOYMENT. TEEN AND FAMILY DEVELOPMENT SERVED 5 PREGNANT TEENS TO EARN A HIGH SCHOOL DIPLOMA OR GED. THE VOCATIONAL COMPONENT ENGAGED 61 PEOPLE IN EXPLORATIVE PROGRAMMING AND TRAININGS, CASE MANAGEMENT AND SETTING SMART GOALS. 39 COMPLETED THE 4TH COMPONENT CONTINUING TO PURSUE CAREER EXPLORATION AND EMPLOYMENT. THE PROGRAM ALMOST DOUBLED PERFOMANCE OUTCOMES, RESULTING IN AN INCREASE IN PERFORMANCE BILLING. THE RIW PROGRAM ALSO HAD 13 PARTICIPANTS CLOSE TO THE RHODE ISLAND WORKS PROGRAM AS THEY OBTAINED EMPLOYMENT THAT SURPASSED THE INCOME GUIDELINE LIMIT SET BY DHS. THE HARBOUR YOUTH CENTER (HYC) PROVIDES CAREER ENGAGEMENT OPPORTUNITIES TO TEENS AND YOUNG ADULTS OFFERING 14 PROGRAM ELEMENTS/SERVICES TO ALL CLIENTS. OVER 450 YOUTH UTILIZED THE DROP-IN CENTER SERVICES, AND 160 CLIENTS CONNECTED TO 120 DIFFERENT JOBS. ROUGHLY 300 YOUTH RECEIVED CASE MANAGEMENT AND/OR CRISIS INTERVENTION SERVICES. OVER 250 YOUTH AND YOUNG ADULT PARTICIPANTS RECEIVED REFERRAL SERVICES AND CAREER EXPLORATION SERVICES AT 3 LOCAL MIDDLE AND HIGH SCHOOLS AND IN THE HYC. PAID STUDENTS CONTINUE TO ENGAGE IN CAREER PATHWAY SERVICES, JOB COACHING SERVICES AND FINANCIAL LITERACY SUPPORTS WHEN NECESSARY. 20 PAID CLIENTS COMPLETED CLASS AND INTERNSHIP HOURS, AND 15 (75%) PLACED IN EMPLOYMENT. 30 YOUTH HAVE ENGAGED IN AFTERSCHOOL HOMEWORK HUB. THE YOUTH CENTER SUCCESSFULLY ENROLLED 25 OF THE 27 WORKFORCE INNOVATION AND OPPORTUNITY ACT (WIOA) AVAILABLE OPENIINGS. THE HYC SUCCESSFULLY COMPLETED ITS 2ND YEAR OF THE NO LIMITS PROGRAM FROM SAMSHA TO OFFER PREVENTION, HARM REDUCTION AND RECOVERY SERVICES TO YOUTH, AGES 12-25. 101 NO LIMITS CLIENTS WERE SCREENED WITH CRAFFT 2.1N+ AND ASSESSED WITH GPRA. CONTINUED PARTNERSHIP WITH ROB ROY ACADEMY HAS GROWN INTO A MAJOR REFERRAL SOURCE, AS WELL AS ANOTHER INDUSTRY RECOGNIZED TRAINING OPPORTUNITY FOR OUR YOUTH. WE HAVE ALSO CONTINUED OUR RELATIONSHIP WITH FEEDRI AND STONELINK PROPERTIES IN ORDER TO OPEN A FULLY FUNCTIONING FOOD PANTRY FOR ALL HYC CLIENTS AND THEIR FAMILIES.SAFE HAVEN IS A WARMING, DROP-IN CENTER FOR INDIVIDUALS WHO ARE UNHOUSED OR INSECURELY HOUSED. THERE WERE 150 NEW "MEMBERS" WHO CAME TO SAFE HAVEN THIS YEAR AND 300 MEMBERS CONNECTED TO MENTAL HEALTH/SUBSTANCE USE TREATMENT. THE PROGRAM DISTRIBUTED 12,091 HARM REDUCTION MATERIALS, 2750 BASIC NEEDS ITEMS, 2458 BUS PASSES AND 738 SURVIVAL ITEMS, 1440 RECEIVED HELP WITH OBTAINING VITAL DOCUMENTS. 300 MEMBERS RECEIVED A CRISIS HOUSING ASSESSMENTS, 2 WERE PLACED IN RESIDENTIAL PROGRAMS AND 6 IN SOBER RECOVERY HOUSING. OF UNHOUSED MEMBERS, 20 WERE PLACED ON THE DIGNITY BUS FOR OVERNIGHT SHELTER AND 40 WERE PLACED AT THE OVERNIGHT WARMING CENTER. SEVEN MEMBERS BECAME GAINFULLY EMPLOYED.THE SERENITY CENTER, A PEER-RUN RECOVERY SUPPORT CENTER, ENROLLED 42 NEW CLIENTS INCLUDING 15 DUALLY ENROLLED IN OTHER CCBHC PROGRAMS. TWENTY-TWO UNIQUE CLIENTS ATTENDED 86 GROUP SESSIONS. CLIENTS ATTENDED 143 COUNSELING SESSIONS, 95 PEER SUPPORT SESSIONS AND RECEIVED 25 ASSESSMENTS.AGAPE HIV SUPPORTS PROGRAM SERVES INDIVIDUALS LIVING WITH HIV/AIDS. THE PROGRAM NEWLY ENGAGED OR REENGAGED 4 CLIENTS TOTALING 40 CLIENTS RECEIVING IN CASE MANAGEMENT SERVICES. 30 ADDITIONAL CLIENTS RECEIVED BASIC NEEDS SERVICES. THE PROGRAM PROVIDED 102 PREPARED MEALS AND MEDICAL NUTRITION THERAPY TO 8 PEOPLE.