| Service Options & Definitions |
Common Case Management Action Steps |
| Homeless System of Care Linkage/Coordination Coordinating enrollment and/or notifications in LA County’s homelessness response system. |
- Intake
- Opt-In
- Pre-Match Request
- Demographic Profile Update
- Alternate Voucher Request
- RMS Update
- PH Update
- Universal Consent
- Incident Report
- Exit Request
|
| Assessment Conducting an HFH-approved non-clinical assessment to evaluate participant functioning and self-sufficiency. |
- HMIS Assessment
- 5x5
- Housing Acuity Index
- Psychosocial
- LA HAT
|
| Care Plan Development / Update Updating Care Plan content based on assessments, achievements, and participant feedback. |
- Create SMART Goal
- Assign New Action Step
- Update Action Step Status
- Update Goal Status
|
| Housing Navigation Support Gathering and submitting key housing eligibility applications and documents, assisting with housing search, and facilitating move-in to permanent housing. |
- Basic Needs Assistance
- CES Linkage
- Document Support
- Submit Subsidy App
- Resolve Debt
- Arrange Transportation
- Housing Search
- Coordinate Move-In
- Housing Deposits Coordination
|
| Mainstream Benefits Assistance Assisting with connection to safety net programs, including health care, income, and nutrition. |
- CBEST Referral
- Medi-Cal / Medicare Application
- GR / CalFresh
- Unemployment Income Connection
- VA Coordination
- Social Security Benefits Assistance
|
| Health, Mental Health, Substance Use Linkages Linkage to and/or coordination with health care providers. |
- Connect to PCP
- Connect to Specialty Medical Care
- Connect to Mental Health Care
- Connect to Substance Use Care
- PH² Referral
- Case Conference / Follow-up with Care Provider
- Appointment Reminder
|
| ISP Care Coordination Linkage to and/or coordination with PSH Integrated Services Program (ISP) providers. |
- Submit CENS Referral
- Submit HSSP Referral
- Submit FSP Referral
- Case Conference / Follow-up with ISP Provide
|
| Accompaniment Health Care Attending a health care visit alongside a participant. |
- Arrange Travel to Appointment
- Attend Participant Appointment
- Debrief with Participant After Appointment
|
| ICMS TOC Visit Visiting a participant in their home within 72 hours of hospital discharge. |
- Hospital Visit
- Coordinate Hospital Discharge
- Home Visit Post-Hospitalization
|
| Permanent Housing Retention Assistance Ongoing support, advocacy, and interventions for permanently housed participants to promote long-term tenancy, wellness, and self-sufficiency. |
- Build Rapport
- Health & Safety Visit
- Tenancy Education
- Life Skills Coaching
- Budgeting
- Reasonable Accommodation Support
- Family Reunification
- Connect to Caregiving
- Engage Property Manager
- Re-certify Voucher
- Moving On Application
- Decluttering Support
- Resolve Arrears
- Submit FHSP GAR Request
- Safety Plan
- Mediate Dispute
- Crisis Intervention
|
