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Slide1
Patient Navigation Conference Series
Welcome and thank you for joining us!
Here are some tips that may be helpful during the webinar today
:
Please make sure to click the volume icon (it should be grey) to mute your speakers.
On your phone, dial
866-715-6499. Enter
passcode: 996-860-6215, then press #.
All lines are currently muted.
To speak, please
unmute your line by dialing *6 on your phone. You can
re-mute
your line by dialing *6 as well. Slide2
Announcements
Launch of bi-weekly
discussion questions on
e-Forum at
www.medheart.hdwg.org
Next Patient Navigation webinar:
June 18
,
2014 @ 12pm ET, 11am CT, 9am PTSlide3
James Apt,
Case ManagerBoston health care for the Homeless Program
May 21,
2014
Housing Part 2: You’re Housed, Now What?Slide4
Review: Realistic Expectations
Get the patient thinking about what their day-to-day life will be like once they're housed. Reinforce the importance of "structure" in daily life. There may be "triggers" for anxiety, for stress and for relapse in your new life as a housed person. Life has it's challenging moments.
Ask patient: what helps keep you sane?
Record answer and help patient troubleshoot difficult situations ahead of time.
Discuss the pros and cons of using a payee service?
Slide5
Review: It’s About the Small Steps…
Encourage the patient to think of housing in units of 1 year or 30 days, depending on the terms of the lease. Encourage the patient to think of good housing as a stepping stone to great housing. Don't be afraid to admit (temporary) defeat. Preserve housing options at all costs!
Don't personalize rejection. Housing is about $$$.
Collect: letters of support from service providers, associates and community members can be useful. Slide6
Checking-in After Being Housed
After they’re housed, compare and contrast their impressions of being housedIf possible make a list of good and less good things about current housingAlternatively create a Done List or a To Do List
Think of housing not as a “finish line”, but as a “new chapter”Slide7
Structure is Key
Encourage your newly housed patients to think in blocks of 365 days.Map out with a patient what a typical day and week might look like for them
Are there any patterns?
Supply client with bus or subway maps and routes
Discuss the following topics:
Utilities shutoff protection
Food stamps and food resources in the area
Mail delivery
Day programs or drop-in centers in the area
Libraries and other public resources
Financial obligations
Rent ▪ Food
Utilities ▪ Cable
Cell phone ▪ Non-essential essentials Slide8
How can being housed affect staying in care?
Better:Close to care, housing adds stability , home visits more frequent…Worse:
Poor location, transportation issues, isolation…Slide9
Acquiring housing can be exhausting
Acknowledge to the patient that it’s fine to take a quick breather but then it’s time to set new goals!New goals can be…
Housing goals
Non-housing goals
Both
Be patient centered – what would you like to work on next?Slide10
Change in household composition
Situations that affect household compositionGetting married or divorcedHaving childrenReuniting with family
Is it a cause for “reasonable accommodation”?Slide11
Dating while housed
Negotiating health relationships AND retaining housingHousing involves landlords, and usually neighborsDiscuss the safety rules for dating
Rules for both physical, social, and emotional safety but also housing retention safetySlide12
Avoiding unwanted guests
What are some reasons people invite guests into their home?Moving from a shelter to housing is a BIG thing and can bring up conflicting emotionsSocial isolation is sometimes a problem Slide13
Other visitors
Patients may invite outside guests into their home because of loneliness or pressure from shelter or other homeless folksMay serve as triggers to relapse or overdose – if applicable discuss and offer Narcan
with instructions
How do you balance helping your patients feel “relaxed” vs encouraging them to guard themselves from danger?Slide14
Dealing with difficult neighbors and stressful situations at home
Number 1 Rule: this is YOUR housing!
Brainstorm with patient some key way to avert problems with neighborsSlide15
What about pets?
Review lease to see whether this is allowedIf not, you may try obtaining a letter from the patient’s doctor outlining a medical necessity for a pet
Pets are good companions and alleviate anxiety and loneliness but can be a big responsibility
Review what’s required, physically and emotionally to take care of a pet
Are there organizations in the area that help to pay for pet food? Care? Supplies?Slide16
Tips and Tools
JournalingTrack how a patient is feeling over timeAre there times of the day, week, or month that are more stressful?
Look for patterns and work with patient on solutions both short and long term
List of important and/or emergency numbers
Place in a convenient location
Update regularly with patient
Reminder of upcoming appointments
Sampl
e tools on the Med-HEART website