GREATER HARTFORD COORDINATED ACCESS NETWORK MEETING AGENDA
Follow Up Meeting
Wednesday, March 25, 2020 at 1PM – 2:15PM
1. Welcome and Introductions – 10 minutes
2. COVID – 19 – All – 50 minutes
a. Agency Updates/Barriers
- SPI - would like to identify ways to work together to identify inefficiencies as a whole? Hotel clients are still being served by SPI, case management, changes to schedules, access to basic needs like laundry. Monitors do not provide case management just there to help with food, checking in, help to facilitate emergencies, and provide Narcan if needed. Who should the client contact if they are having a problem with staff? Call Matt to Rebekah. Non compliant clients - hotel reinforces the rules. After hour calls if more satellite sites appear. Who is responsible for damages/long call bills from the hotel? 211 is paying for rooms, if 211 has concern they can reach out to Journey Home.
- JH - to find out specific hospitals for those who are in hotels. If someone gets sick split those people who are exhibiting symptoms. Guidance has been given to staff to reach out to shelters.
- Atlas - telehealth has rolled out, lots of crisis, crisis planning for children, needs around education, in the process of providing education and materials like gloves and thermometers - shipment will be from City of Hartford. Emergency food for clients, diapers and formula for children through C-Town. Providing education for clients on what to do in case of an emergency. No emergency room - call provider to triage then a referral to the hospital - Hartford Hospital and St. Francis. Looking to hire nurse to help with referrals. Spanish speaking clients are isolated, limited to spanish speaking case management. Daily routines starting tomorrow.
- Cornerstone- continuing to follow procedures for clothing and food bank. Bagged food is still being provided. Thermometers have been delayed/ lost. 3 people in hotels. 1 person is unsheltered. Bringing food to clients.
- The Connection - working remotely, RRH is working to house youth. Concern about apartment viewing.
- Town of Enfield - 9 guests, numbers have gone down, quarantine space identified. Have masks and gloves. Making sure elderly are save. Warming center will close soon - no plans what will happen to clients as of now. Those who have symptoms will be tested at a local hospital.
- CHR Enfield- some are choosing to stay outside, but connected to services. Working to connect those outside to more services
- McKinney - change curfew to 7pm, less time outside for clients, encouraging clients to stay in shelter unless they are working or need to go to a doctors appointment. 30 masks from PR. Lots of food donations. 2 case managers are in quarantine. Not touching clients during pat downs. 2 clients have gone to the hospital, one client is in the hotel, other client self discharged. 1staff is in quarantine. If they exit the shelter they cannot come back. 1 person tested positive but hard to locate. Open 24/7. So far McKinney has enough staff
- SAMH - Lauren is leaving next week, Lisa will be taking over. Talking to the city to extend overflow shelter/Milner space. Looking to operate it 24/7. No onsite showers at the moment - will determine the number that can be served. Milner has served at least 60 people each night. MH has individual room/bathrooms. Thermometers have been a struggle to receive, also need masks. Trying to practice social distancing with large population. Relying on city to help figure out the challenges with Milner. Reaching out to partners for more supplies. Cleaning company will stay on till the 31st at Milner. After 31st need to find alternatives for cleaning linens. Laundry mat in Hartford has option for pick up and delivery. Sara to connect with Lisa about laundry.
- ImmaCare - Staff is getting hazard pay - Tony Mack and 2 staff at hotels. Case managers are seeing clients as necessary but working from home. Continuing to work with clients for housing.
- GHHRC - RV is out to serve clients. Lots Detox beds. Providing transportation for clients for treatment. Mark has available Narcan for anyone who needs it.
- Open Hearth - Fred will try to call in daily defending on the day. Starting tomorrow will encourage men to not leave building. Men who have to leave building daily will no longer eat in the common areas. Have enough supplies of hand sanitizer, short on sanitizer for cleaning. Using bleach mainly to clean facility. Have enough staff for now. Open 24/7, if you leave other than medical reasons you can not return until 3pm.
- Mercy - 24/7 programs, clients are complying with social distancing. Grab and go for food. Person who tested positive was at Friendship service center on Saturday. Call backs are being provided.
- Hands on Hartford - seeing some people in person, taking some clients to appointments. Staff openings. Pantry - 4 days a week, pre bag and custom bagged for clients. Take out option is now open. Operating on Church st. Shower on site but can not get clients to the space.
- CRT - Housing programs- open to staff, staff are working from home. 5 RRH referrals, 2 secured units and working with other clients. Rotating call list. 2 new case managers have been hired and will be trained.
- CRT East Hartford - Struggles - keeping residents inside. Residents need to come back by 8pm, discussing with residents to stay inside as much as they can. Cleaning facilities as much as possible. Need hand sanitizer, Staff are still coming in. 1 resident was tested for COVID-19, results are expected to come in soon - resident and son are in quarantine. Open 24/7.
- YWCA - staff are on site, remote case management, remaining open. Hiring per diem staff.
- Interval House - continuing 24/7 hour, private rooms for clients. Advocates are available remotely for case management. Court advocates some are on site. Hotline is available - expecting increase in calls. Safe house is in good shape for now. No external volunteers or visitors. Not adding to hoteling for now. Can not commit to a daily call at the moment.
- DMHAS - Capitol Region has closed one building. 1 staff in Middletown tested positive for COVID - 19. Services are still in place. Can attend a daily call.
- City of Hartford - email has been sent out for communications. Staff are not going into the office, staff are working from home.
- CCEH - evictions email has gone out. Webinar about evictions.
- All shelters are open 24/7 except for Cornerstone (will explore option to stay open 24/7) and Milner (Warming Center/Shelter)
- Updates:
- CME Church - will not be a site anymore
- Outdoor/ trailer - need 8 staff to maintain
- Hotel funding to be determined
- Dorms from state colleges? May not be an option anymore
- Hartford Flavor company - hand sanitizers, 5 gallons, Sara will pick up.
- Sara has 12 gallons at the moment
- Amanda submitted supply request to DOH
- 3 gallon containers
- Boxes of gloves available
- Gallons of bleach, and disinfectants
- Not enough masks - issue for everyone
b. Interagency coordination of the hotel effort
- SPI, McKinney, Open Hearth, Cornerstone providing hotel services
- Enfield clients in a hotel in Enfield
- Procedure for staff who are working in hotels
- SPI staff are going in everyday day and evening shifts, those have special dietary needs SPI is providing food
- Today is the 1st day with someone there for 3 shifts at the hotel
- Monitors are staying in a room 204, clients know to go to room with issues or concerns
- If shelters loose staff monitors what should we look into? Day by day to decide. Can begin to work on strategy for temps (temp agency)
- Temps can provide support when needed if we are low on staff
- Identify teams
- Identify “hazard” to then start hazard pay
- Using school nurses as back up staff - SVDP
c. Telehealth Opportunities from the City
d. Transportation for Clients
- HOH is taking some clients to appointments
e. Protective Equipment Update (Masks, gloves, hand sanitizer, and thermometers)
- Most shelters are in need of thermometers
- JH has received hand sanitizers and gloves that they are distributing to agencies by request. Agencies can pick up supplies from Amanda.
3. HMIS Rapid Exit Enrollment
4. Announcements
- Weekly or daily/ more frequent calls? Majority - Weekly
- Smaller group calls? Yoshi would like to connect with a few who are doing satellite sites (shelters, soup kitchens)
- 15-30 min check in - SPI, Atlas, DMHAS, HOH, ImmaCare
- Check in about supplies for locations, staff
- Doddle Poll of convenient times
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