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Winter Issue January 2010
In This Issue
2010 Medical Respite Preconference Institute
Medical Respite Tool Kit
New Medical Respite Research
Orange County Recuperative Care Program
Benefits Assistance
Plan to Attend!
Medical Respite Care Leadership & Advocacy Workshop
February 22, 2010


National Health Care for the Homeless Council's Free Training for Administrators & Consumers
 
Houston, Texas
February 22-23, 2010
 
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ANNOUNCING THE
 2010 MEDICAL RESPITE PRE-CONFERENCE INSTITUTE

 

Medical Respite Pre-conference Institute: June 2, 2010
National Health Care for the Homeless Conference: June 3-5, 2010
San Francisco Marriott Marquis | San Francisco, CA

Sarah speaking at conf

This year's Medical Respite Pre-conference Institute, Medical Respite Care Everywhere: Building our Future, will include concurrent sessions  to meet the learning needs of both new and established program providers.

The morning session will include an introduction to medical respite care  and program development. A concurrent advanced session will focus on funding strategies, medical respite policy and advocacy issues, and implications and solutions for reducing the incidence of administrative discharge and patients who leave against medical advice. During the afternoon, both new and established program providers will come together to learn and share approaches to handling challenging clinical and administrative medical respite cases. 

Several medical respite workshops will be offered throughout the annual conference. More details about the conference and early registration will be available on February 15 on the National Health Care for the Homeless Council's website.

NEW RESOURCE: TOOL KIT FOR DEVELOPING AND
OPERATING A MEDICAL RESPITE PROGRAM
The National Health Care for the Homeless Council is pleased to announce a new tool kit aimed to provide information and tools to help organizations and advocates plan, develop, and sustain medical respite programs.

This tool kit organizes existing resources developed by the Council and other medical respite providers while incorporating new and practical tools. The tool kit is organized into the following sections: Introduction and Overview of Medical Respite Care, Development and Finance, Operations, and Advocacy.
 
NEW MEDICAL RESPITE RESEARCH
Shelter-based convalescence for homeless adults in Amsterdam: A descriptive study
Igor van Laere, Matty de Wit and Niek Klazinga
BMC Health Services Research 2009, 9:208
 
The concept of medical respite care is gaining attention worldwide as a dignified approach to meeting the health care needs of people who are homeless while reducing public costs. Over the last several years, medical respite programs have sprouted up in Canada. In the meantime, homeless advocacy groups have developed reports and recommendations to develop medical respite programs in the United Kingdom. Last year, Scotland's Deputy First Minister, Nicola Sturgeon, visited the San Francisco Medical Respite and Sobering Center to learn more about medical respite services. This latest research article focuses on a medical respite program in Amsterdam.
 
Read the entire article.
NEW PROGRAM:
ORANGE COUNTY RECUPERATIVE CARE PROGRAM
On January 4, 2010, the Hospital Association of Southern California, the National Health Foundation and the Illumination Foundation launched the Orange County Recuperative Care Program. The program will be the first of its kind in Orange County where the homeless population is estimated to include 21,500 people. The program will offer a minimum of 35 beds at the Costa Mesa Motor Inn, a motel where the Illumination Foundation offers support services to people experiencing homelessness.
 
New medical respite program
In addition to medical oversight and residential services, the Recuperative Care Program participants will have access to various services offered by the Illumination Foundation including advocacy, community outreach, interim housing, and placement in permanent housing. The new program's 2010 Goals and Plan of Action are below.
 

2010 Goals
  • Serve 420 individuals in recuperative program
  • Connect 280 (or 67 percent) to permanent housing or transitional programs
  • Generate $630,000 funding for Illumination Foundation programs
  • Secure partnerships with hospitals in Orange County through collaboration with Hospital Association of Southern California and National Health Foundation
Broad Plan of Action
  • Provide basic needs including shelter, food, hygiene supplies and bus passes
  • All patients receive mental health counseling and critical case management to assist with their homelessness and connect them to resources designed for their specific needs
  • Connect patients to a medical home and introduce them to community services that they may not have had access to previously
  • Patients are entitled to all of the Illumination Foundation's services while staying in the Recuperative Program
  • Maintain medical and nursing oversight of the program to ensure effectiveness
BENEFITS ASSISTANCE:
CHANGE TO SSA's FLEEING FELON REGULATION 
A recent court decision in the case of Martinez vs Astrue changes the way that the Social Security Administration interprets its "fleeing felon" regulation. In the past, anyone applying for Supplemental Security Income (SSI) and/or Social Security Disability Insurance (SSDI), who has had an outstanding felony warrant had to satisfy the warrant before having his/her application processed.

In addition, SSI or SSDI recipients found to have outstanding felony warrants were placed in overpayment and suspended pay status for the duration of the warrants and needed to address them before benefits resumed. This has been especially difficult for people who are homeless, many of whom had been arrested for minor charges (e.g., trespassing, loitering, etc), or who failed to appear for hearings and had bench warrants (which were often felony warrants) issued.
 
Beginning April 1, 2009, SSA will suspend or deny benefits only if an individual's felony warrant was issued for one of the following offenses:
  • Escape
  • Flight to avoid prosecution, confinement, etc. or
  • Flight-Escape
For individuals whose benefits were suspended or denied since
January 1, 2007, or who had an administrative claim pending on August 11, 2008, SSA will stop collecting over-payments from these individuals and will repay retroactive benefits. These individuals will not have to file a new application or have a continuing disability review (CDR). This change should happen automatically.
 
Learn more

Sabrina Edgington, MSSW | Respite News Editor
Respite Care Providers' Network Coordinator
National Health Care for the Homeless Council, Inc.
sedgington@nhchc.org
| 615/226-2292 | www.nhchc.org
Brenda J. Proffitt, MHA | Membership & Communications Director
National Health Care for the Homeless Council, Inc.
bproffitt@nhchc.org
| 505/872-1151 | www.nhchc.org
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Health Care and Housing Are Human Rights
The Respite Care Providers' Network develops and distributes Respite News with support from the Health Resources & Services Administration. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of HRSA or the National Health Care for the Homeless Council.