Author: Housing First ATX

We recently met with Lauren Dreyer, Licensed Clinical Social Worker and Program Manager with the Healthy Community Collaborative.

Tell us about your role at Integral Care.

I am a Program Manager of the Collaborative Community Specialists (CCS) team within the Healthy Community Collaborative, and also manage a small team of housing specialists working with the Home Front permanent supportive housing partnership between Front Steps and Integral Care. The CCS team provides intake, counseling, peer support, SOAR, transition, and jail-based services to individuals with a history of homelessness, mental health issues, and co-occurring disorders. In addition, I teach Adult Mental Health First Aid and provide clinical supervision to social workers obtaining their clinical license.

What are some opportunities you see in your position?

Our team is innovative, and it is exciting to work with staff to further refine their roles in ways that best meet the needs of the team and the individuals with whom we work.

What do you enjoy most about your work?

I really enjoy the opportunities to work with different teams within Integral Care as well as other agencies throughout our community who have common goals of ending homelessness and helping people find their own path to recovery.

Tell us about an impactful experience you have had here.

It takes a team. I get motivated by how different team roles can work together to get fresh perspectives and new ideas to help people work towards their goals.

Is there anything else you’d like people to know?

I love to experiment with various baking methods and sharing these with my team when the creations turn out well (which happens less often than I would like)!

We recently met with Ruth Ahearn, LMFT at our Dove Springs Clinic, where she is Community Rehabilitation and Treatment Program Manager with the Healthy Community Collaborative.

Tell us about your role at Integral Care.

I am one of three Program Managers for the Healthy Community Collaborative. I manage the Rehabilitation Specialists on the Community Recovery Team – ten Rehabilitation Specialists, an LPHA (Licensed Practitioner of the Healing Arts) Team Lead, and a new site based case manager at the Oak Creek Apartments.

What does the Community Recovery Team do?

We work with people in their homes and in the community, visiting a minimum of once weekly. The people served by our team are individuals who were homeless and now live in permanent supportive housing. In addition to a home, we provide mental health care, supportive employment and training in living skills.

What are some opportunities you see in your position?

Although the Healthy Community Collaborative program has been around for a few years, it’s relatively young. We are always finding new ways to engage the community, the chronically homeless population, and to build new relationships with other homeless service providers – to really be innovative in providing services. For example, the Oak Creek position is a brand new relationship that we’re forging with the Ending Community Homelessness Coalition. We’ll have a Case Manager housed at that apartment complex to work with veterans and families that live there as well as a peer support specialist. It’s something we’ve never done before. It always keeps me engaged being in a program where we can come up with something new.

In the two and a half years that I’ve been in this program, I’ve enjoyed seeing how far the community really come together to make certain processes more effective, and to identify people that need our services.

What do you enjoy most about your work?

I’m fortunate to work in a unit where we have the flexibility to try new things – both with the positions on our staff and in the way we engage our clients, who can be wary of services. I enjoy building client relationships. Our team excels at that.

It’s amazing seeing people who have been chronically homeless get housed. We even enjoy doing things like going to Wal-Mart with a client to pick out bed sheets. It’s so exciting for them.

I also enjoy supervising people – getting to build a team and be creative. It helps that we have really supportive leadership.

What are some innovative moments you’ve had in your work?

My supervisor, Christine Laguna, the Practice Manager for the Healthy Community Collaborative, and I were recently discussing what to present at a conference. What work have we been doing that’s different? One thing that’s different is the wrap-around support we provide to our clients. We’re seeing more clients that might need more intensive services. We have been able to engage these clients in different ways. Across the Healthy Community Collaborative, we have three Peer Support Specialists. Being able to have a peer step in at times to meet with clients has been amazing. We have a Supportive Employment Specialist just for our team. We have a Jail Liaison, which has been instrumental when we need to advocate for a person who may have been picked up when they were trying to get basic needs met. If we can get a client housing, income and support, we can work to minimize their time in jail. We also have a therapist now that provides counseling. We have a nurse that’s able to go into people’s homes. So we provide all of these things, but through the lens of working with the chronically homeless – and asking ourselves, “What do they need that’s a little bit different?”

We have brought people into our program who have been on the street for 20 years, and we weren’t sure they would make it until they got their apartment. Now they’ve been housed for two years! They’re working on their sobriety, they’ve got an income, and maybe they have a peer that they see weekly. That’s life-changing.

Is there anything else you’d like people to know?

I would encourage people to continue to stay informed, ask questions and be aware of who is in your community. That will include folks experiencing homelessness, who tend to be marginalized. Try to see their faces and ask yourself what their story is. Ask yourself how you can learn more about them and the community resources that serve them. Individuals experiencing homelessness are our neighbors.

We recently met with David West to learn more about his work and insights into the East 2^nd Street Clinic, where he is Practice Manager.

What is your role at Integral Care?

I am the practice manager of our E. 2^nd Street Clinic. At this location, we have about six teams of providers working to meet the needs of our clients. Each of those teams has a program manager. Together, we navigate concerns and advocate for resources and support to best meet the needs of our clients and our staff. I view my job as working for them. It’s really about providing direction and support.

What other roles have you had?

I’ve been in my current role for three years. I came to the agency in October of 2010. I was originally a social worker on the ACT Team, which is a community-based behavioral health treatment team. I loved that team – the work is kind of a lifestyle. There’s such a sense of dedication to the client population and also to the team, which was unbelievably rewarding due to the shared experience. With a shared caseload, everyone on the team worked with all of our clients, so there was a shared perspective and this kind of  joy to the work. I went on to manage the ACT Team for about two years before transitioning over to the clinic.

Is there a particular population that this clinic serves?

We are an adult integrated behavioral health clinic. Our primary focus at this location is providing services to adults. . Our homeless population is significantly higher at this clinic because we are closer to downtown and all of the homeless resources nearby. We also tend to serve more deaf clients here, in part because this used to be the only clinic. This is the oldest clinic in the agency, and there were some systems developed here that haven’t necessarily been fully replicated at other locations. We are unable to serve children at E. 2^nd Street, but we have children’s services available at multiple locations throughout Travis County. Otherwise, the work we that we do here is very much in line with our other clinic locations. Our shared focus is to provide fully integrated behavioral health and primary care services. We have over 2,300 clients open to ongoing services at this clinic alone, and an average of about 20 people accessing services  through our intake department here per day. We have a staff of over 60 employees at E. 2^nd Street alone in order to meet the needs of our growing population. We have recently been focusing a whole lot of our attention on increasing access to services. Our goal is to get those who are in need of services open and connected on the same day. We have come a very long way with this in a short period of time, and we are going to stay on it.

What are some opportunities you see in your particular role and for the clinic?

I’m leading Integral Care’s Trauma-Informed Care initiative, and that’s a wonderful opportunity because it involves systemic change that spans our agency as a whole. There’s no limit to the scope of that work; it touches every aspect of our work. Our vision is to create a community of compassionate, collaborative care. We have 7 workgroups going right now that report to our core implementation team. I have the opportunity to come together with my counterparts at the other clinics, other practice managers within adult behavioral health, and with leaders throughout our agency, and we focus on improving services across our agency.

What do you enjoy about your work?

Working with people is one of the things I enjoy the most. Being able to influence positive change is important. I enjoy identifying how to improve parts of our operation to create an ongoing dialogue about optimizing our clinic flow, atmosphere and system. It’s an ongoing process. One of the ways I try to foster that is to model an open and positive approach to change – if there’s a problem, let’s recognize it and if we can think of a better way to do it, we’ll do it. In the end, we all want to do good work.

As Integral Care’s Housing Services expands, the Housing team is growing as well. Helen Eisert joined the Supported Housing team as a lead and helps ensure streamlined and efficient access to housing for our clients. Helen evaluates and develops existing and emerging resources for individuals experiencing homelessness or that are at-risk of becoming homeless. Helen has worked with individuals experiencing homelessness for over two decades in multiple capacities. Previously, she led programming at the University of Texas Health Science Center that worked to transition individuals with serious mental illness from institutions into the community. She also directed programs at Saint Louise House. In these two positions, she developed programming guided by the belief in people’s unfailing capacity for change and the basic human right to have safe and decent housing.

Helen shared a little about her position, opportunities on the Supported Housing team, and what she enjoys most about working at Integral Care. Welcome to the team, Helen!

“Program development is an amazing opportunity to work both ends of the problem of homelessness and still stay hands-on with the day-to-day challenges people face in the transition out of homelessness.  I also have the opportunity to partner with passionate, creative staff at Integral Care and other agencies to work toward the common goal of ending homelessness in Austin.

Our local community is at a pivotal time in recognizing safe, decent housing as not only a basic human right, but essential to a healthy community.  We all suffer when one of us experiences homelessness.  Integral Care is on the frontlines with finding creative ways to support people in transitioning from homelessness to housing and prevent homelessness in the first place.  We have an amazing opportunity to leverage the wealth of expertise both staff and clients possess about how to best support people living with serious mental illness find and maintain housing and ultimately prevent and end homelessness.

The transition from homelessness to housing stability encompasses every aspect of a person’s life.  A person can move from a place of suffering and fear living on the streets to thriving in ways they never imagined once they have a safe, stable place to call home.   Witnessing that each day and supporting the staff walking with people on that journey is a remarkable experience.”

“The ACT team assertively engages the chronically homeless population by providing community based services and innovative engagement strategies to build trusting and meaningful relationships.  From this foundation of trust, and a Housing First philosophy, the team helps consumers identify and work toward goals related to housing, employment, harm reduction and wellness. “

~Elizabeth Baker, LCSW

What is your role at Integral Care? I am a Practice Manager, focusing on developing and refining the practices of the ACT teams and Supported Housing services we offer to adults experiencing mental health issues and/or homelessness.

How does Assertive Community Treatment team work with Travis County’s homeless population?   The ACT team assertively engages the chronically homeless population by providing community based services and innovative engagement strategies to build trusting and meaningful relationships.  From this foundation of trust, and a Housing First philosophy, the team helps consumers identify and work toward goals related to housing, employment, harm reduction and wellness.  The team also connects consumers to subsidized housing resources, helps them transition from homelessness to housing and provides ongoing wrap around supports to ensure consumers maintain their housing.

What are the mobile services you  provide? Eighty percent of ACT services are provided in the community or client home.  The ACT team provides a wide variety of support services including nursing, psychiatric prescriptions, case management, supported housing, supported employment, SOAR (rapid social security application for homeless adults), Co-occurring Psychiatric and Substance Use Disorder treatment, and peer support services.

Once in a home, what’s the biggest change you see in your clients? Once in a home, consumers are able to lock the door behind them and feel safe.  Over time, they can begin to take pride in their space, their health and their successes, without fear of their progress being stripped from them by the brutality of the streets/shelter.  That is the biggest change I see—clients feeling safe and secure enough to succeed.