Core Functions of Transitional Care Facilities

Mission and Purpose

The Mission and Purpose of primary care facilities is to provide housing and supportive services to special need homeless populations comprised of persons with a history of mental illness or dehabilitating mental health conditions, substance abuse, victims of domestic violence, HIV infection or AIDS, as well as homeless individuals and families in order to assist such persons in the transition from homelessness to independent living or to permanent supported housing, as the case may be.

Core Functions:

Primary care facilities shall provide the following core functions to their clients:

• Housing, including clothing, meals, and initial health screening for communicable diseases.
• Comprehensive/Revised Assessment of current social, health (including mental health and substance use/abuse), and employment/education conditions and Development/Revision of Individualized Continuum of Care Plans describing a client's needs for supportive services, establishing a service/referral plan and outlining the client's personal goals towards attaining residential, financial and personal stability and self-sufficiency.
• Mental Health/Substance Abuse Treatment or Rehabilitative Support through onsite treatment for mental illness or dehabilitating mental health conditions, including substance abuse, or referral to out-patient treatment for same, and/or on and off-site support groups and/or activities.
• Linkage/Referral to internal and external supportive services including, but not limited to, benefit programs, primary health care, education/vocational opportunities, job counseling, training and placement, child care and legal services, and transportation.
• Outplacement to appropriate housing opportunities in the Advanced Care level of the Continuum of Care, in theDade County community or in the local affordable housing market and Follow-Up Case Management Services for at least ninety days following outplacement.