request for proposal Baba Manor Permanent Supportive Housing Introduction Baba Manor Permanent Supportive Housing is a new project funded through Homeward Trust Edmonton (HTE) by the Government of Alberta within the Edmonton Community Service Delivery Plan, and includes funds from the Outreach Support Services Initiative ($365,715) and the Mental Health stream ($358,847). Baba Manor is a 20 unit facility to be used for Permanent Supportive Housing for chronically homeless individuals with complex needs. A typical Baba Manor resident will have high acuity in several domains, including a history of having spent many years chronically homeless. Additionally, history of homelessness will be coupled with significant mental health diagnoses, addictions, and/or physical health conditions as well as histories of trauma and marginalization. Many will have experienced challenges engaging with conventional services. This Request for Proposals (RFP) is intended to determine the operating team that will provide a 24-hour service, incorporating on-site housing and care supports coordinated by Alberta Health Services, to address complexities related to addictions, mental health, concurrent disorders and chronic health issues. It is expected that proponents will work with AHS in order to implement best practices for providing permanent supportive housing, including clientcentred care and optimal integration of Baba Manor and its residents with the surrounding community. About Homeward Trust Edmonton Homeward Trust Edmonton is a not for profit organization that uses a community-based approach toward the goal of ending homelessness in Edmonton. Our primary role is to provide leadership to coordinate responses to ending homelessness in Edmonton, managing approximately $30 million in funding on behalf of the federal, provincial, and municipal governments. Homeward Trust increases access to housing by funding the development of new units and accessing market units, coordinates the provision of support services, undertakes community planning and research, raises awareness in the community through events and initiatives that promote ending homelessness in Edmonton. Priority Need for Permanent Supportive Housing The need for Permanent Supportive Housing (PSH) has been identified as an essential component of long-term plans to address homelessness. In November 2011, the Edmonton Homeless Commission released their Study of Homeless in Edmonton with Intensive Needs report, which provided an in-depth assessment of the need for supportive housing in Edmonton, particularly for individuals with complex needs. The Edmonton Area Community Plan on Housing and Supports: 2011-2015 was developed to consolidate the multiple plans and homeward trust – request for proposal strategies related to housing and homelessness (including the provincial and municipal Ten Year Plans to End Homelessness) relevant in the Edmonton context. It is used as a key guiding document for HTE and the homeless-serving sector in Edmonton. The Community Plan highlights PSH as a focus area and identifies several strategies to address this need: • • • Prioritize new permanent supportive housing projects that incorporate a harm reduction philosophy Provide more permanent supportive housing for people with complex behaviors, people with physical disabilities, and seniors Address the needs of vulnerable populations that do not have access to permanent supportive housing About Baba Manor Baba Manor is located at 10121 – 151 Street in west Edmonton. Each resident will have their own one bedroom unit; several of those units are handicap accessible. Each unit has a living area, kitchen, bathroom and bedroom. Residents will have full access to laundry facilities on the ground floor. Also, on the ground floor will be staff offices conveniently located right in the building (see attached floor plan). The property will be managed by the owner of the building, with whom clients will have a landlord-tenant relationship. Target Population and Intake Process Characteristics of the target client group may include the following: • • • • • • • Singles or couples without children May be high users of emergency services (EMS, ED’s) Have symptoms of multiple medical, mental health and/or addiction issues that necessitate 24 hour support Are able to conduct the basic skills associated with independent living with regular prompting and/or some support Some physical conditions resulting in mobility challenges Those that require a harm reduction, recovery focused living environment History of chronic homelessness. All referrals for Baba Manor will come through Homeward Trust’s Referral Review and Placement Committee. The committee provides a centralized access point where referrals are received, reviewed based on a clinical assessment, and matched to an appropriate permanent supportive housing option, including Baba Manor. The Committee ultimately supports timely and appropriate placement of clients in need of Permanent Supportive Housing. The key activities of this committee are: homeward trust – request for proposal • • • • • Review referrals on a monthly basis to make an eligibility determination for PSH Submit approved referrals to qualified professionals for clinical assessment and recommendations on services required, based on client needs Assure the availability of required services through Alberta Health Services, other resources, and/or on-site staff prior to making a decision on placement. Coordinate with PSH providers to secure placement with the provider best suited to support the referral successfully Provide advice on coordination of mainstream services in relation to the on-site supports provided The operating team will work closely with the committee in the intake process. Baba Manor staff will be expected to implement and coordinate multiple care plans based on assessments and committee recommendations. Scope of Service Baba Manor staff will have the tools, education, and background to keep the target individuals housed successfully. Service will be provided in order to address the mental health, addiction, and other health needs of the residents. This approach includes assistance with transitions to and from institutions like hospitals or corrections, individualized recovery planning, joint wellness programming, coordination of on-site and mainstream services, facilitating connections to community resources, concurrent mental health and addiction treatment, and care coordination. Proponent will develop strategies for proactively addressing resident issues and providing an adequate crisis response on a 24/7 basis. Those strategies will include having staff on-site 24/7, supporting participants to develop their own crisis plans, and working with clinical staff on crisis prevention. In order to serve the recommended client group, it is anticipated they will require wrap around clinical and housing supports, some of which will be provided directly by the contractor while others will be coordinated through mainstream services like Alberta Health Services and community-based agencies. The operating team should be composed of staff capable of providing the following: • • Recovery Services – access to peer support and peer-led education, vocational and employment assistance, wellness self-management and recovery education, support groups, recreation and leisure, community integration and community development, and family support Skills for Independent Living – assistance with developing skills for meal preparation, cleaning, money management, laundry, transportation, shopping, tenant responsibilities, relationships with other tenants, communication and conflict resolution homeward trust – request for proposal • • • Supports for Daily Living – assisting tenants with meals, housekeeping, laundry and linen, social leisure, and referral to community supports to supplement independent living skills Coordination of Other Health and Social Supports – provide case management, routine medical care and assistance, and planning and coordination of services provided on-site and by external service providers (e.g. Alberta Health Services) Property Management – provide a single point of contact for safety and security, landlord relations, rent collection, and community relations Staff Training The following training will be provided by Homeward Trust Edmonton either directly or through other providers: • Motivational Interviewing • Workplace Safety • Non-Violent Crisis Prevention • Efforts to Outcomes™ • Aboriginal Diversity • Housing First Philosophy • Non-Judgmental Approaches • Trauma Informed Care • Recovery Based Care • Harm Reduction Principles • Community Development and Integration • Landlord Relations • Conflict Resolution Please note that proponents need to include a plan (including budget if applicable) for providing the following training: • Workplace health and safety • Resident safety • Treatment of concurrent disorders (mental health and addictions) Evaluation Homeward Trust is responsible for the evaluation of the Baba Manor project, working with the proponent to apply elements from the existing Housing First evaluation framework to the Baba Manor project. It is expected that the proponent will participate in evaluation activities of Baba Manor and collect data accordingly. The proponent is required to use Efforts to Outcomes™ (ETO), a widely used online platform for case management and reporting, as part of the evaluation protocol. Staff will be required to use ETO for case management and room management. Homeward Trust will cover the costs of licensing, training, support, and user homeward trust – request for proposal access for ETO. Equipment such as computers, tablets, and relevant software should be included in the budget plan. Eligibility Criteria In order to be considered to receive funding, the proponent must demonstrate: • • • • • Organizational and program alignment with the approaches, principles, and best practices described above, including (but not limited to) recovery-oriented services, harm reduction, and housing first A viable strategy for consistently staffing a 24-hour service incorporating on site housing supports as well as working with clinical service providers for the period of the contract Sufficient programming and operational expertise and capacity to facilitate successful outcomes for the residents Sound financial and human resources management Strong connections with key service providers in the community Approved Costs For the purpose of the Baba Manor Permanent Supportive Housing, the following are approved costs: • Personnel (please indicate on the budget sheet the proposed occupations and their respective budget) • Staff operation o Phones (in house staff line) o Kilometers @ $0.50/KM • Client startup costs o Security Deposits o Household Items o Furniture (FIND Eligible) • Administration costs @ 15% • One time set-up costs Application Requirement All proponents must submit a proposal with the following components: • • • A complete electronic RFP application form A complete electronic budget negotiation form Attachments o Certificate of Insurance o Proof of non-profit status (registration as a Not for Profit Society in the Province of Alberta and/or Revenue Canada as a Charitable Organization) homeward trust – request for proposal o Certificate of Incorporation o Audited financial statements for the two most recent fiscal years, including any management letters and responses to the same Review Process Those interested in providing a submission for consideration are asked to complete the application and submit to Homeward Trust by TBD. Homeward Trust administration will then review submissions to the RFP to ensure completion, determine eligibility and appropriateness for the submission and prepare items for review by the Project Review Committee and the Aboriginal Advisory Council. Following that, review by the Board of Directors will decide on allocations of funding to organizations. Homeward Trust is a community-based organization and therefore all submissions are subject to this review process. Submissions and Deadline Please note that all final proposals must be submitted via email to the attention of: Susan McGee, Chief Executive Director Homeward Trust Edmonton 6th Floor, 10242 105 Street Edmonton AB T5J 3L5 Email: proposals@homewardtrust.ca Application Submission Deadline: February 15th, 2013, 12:00 PM, Mountain Standard Time, Homeward Trust reserves the right to refuse or reject applications that are not completed in full, do not include all necessary attachments, or are not submitted by the deadline.