Moving
The Moving is an institute that, since 2021, uses the methodology of Housing First (Moradia First), to have a perennial impact on the lives of people with street paths.
Starting from the idea that housing is a basic right that should not be denied to anyone, "Opening Doors" was born as a program to provide immediate access to housing, financial assistance and assistance services. The service provided is individualised and guided by the assisted person, focusing on social and community integration. Thus, it is intended to provide the necessary conditions and services for a person to be able to maintain his dwelling independently.
Introduction
Internally, we divided the cases into three stages: case opening, case management and case closure. The first steps of case opening involve listening to the life history of the assisted person, explaining the methodology on which we base ourselves, the operation of the program and finally, the search for housing.
We started case management as soon as the assisted person is in their new home. Therefore, we have already completed its registration, its completion of terms, a verification of legal to-dos and its first impact assessment.
Case Management
The first meetings are essential to establish a relationship of trust with the assisted person. Keep in mind that she has just moved into a new home, so the first visit should be to organize the dwelling. As for market purchases, at first we monitor the assisted person to help them analyze how much money they have and how to spend it (choose priorities).
This is also the moment when we pass on the Institute's vision of drug addiction, harm reduction and the Housing First methodology. Thus, we strengthen combined and improve the bond with the assisted person, differentiating our way of working from traditional bias. It is also important to remember that we are there to assist them, but that all the decision and progress in the programme depends entirely on them.
Thus, we begin the continuous process of case management. This consists in conducting periodic visits where we apply the case management tools and develop objectives with the assisted person. These are the objectives that become action plans to be followed in the visits. We also conducted the follow-up regarding a search for stable income and expenditure management. In the first few months, we make weekly visits, but during the course of the case, we can combine another frequency with the assisted person.
Documentation
It is essential to draw up a report after each visit to ensure documentation on the progress of the case. We use this document as the basis for discussions on cases and filled in the following model:
We also use two case management tools. The first is the Vulnerability Framework to identify the risk and protection factors of the assisted person. The second is Ecomap, to map the social support network of the assisted person.
It is from these tools that we can identify the possible barriers of the assisted person to manage to maintain the housing and its strengths that can be worked to break the identified barriers. Objectives are then traced, necessarily together with the assisted person, from this information. Thus, we can unfold them into action plans for the person himself and the team. The team consisted of the monitoring agent and the case manager.
Na prática, muitos dos planos de ação desdobrados dos objetivos envolvem conectarmos a pessoa assistida à informações e equipamentos da rede de assistência e saúde do município. Por exemplo, o CAPS AD (Centro de Atenção Psicossocial álcool e outras drogas) e o CRAS (Centro de Referência de Assistência Social), por isso contamos com um levantamento de iniciativas feito sobre o município em que atuamos.
O levantamento leva em consideração legislações, direitos, benefícios, a rede de serviços públicos e iniciativas privadas ou voluntárias. Podemos ir consultando e o atualizando a cada caso.
A principal função da equipe é acolher as demandas, apoiar e criar as condições necessárias para que a pessoa assistida consiga enfrentar as questões identificadas como barreiras para manter sua moradia.
Qual é o objetivo final?
É importante lembrar que em programas baseados em Housing First, é fundamental não trabalhar com prazos e a lógica frustrante do processo repetitivo de renovação destes prazos. A informação de que o programa é permanente e que as pessoas poderão contar com aquele bem por tempo indeterminado tem um efeito psicológico de segurança imediato.
A gestão do caso é um processo contínuo e momentos de crise serão recorrentes. Assim, a equipe deve se fortalecer e ter momentos de discussão, estudo aprofundado dos casos e (re)elaboração das estratégias. Sempre tenha em vista a vontade da pessoa assistida e um claro processo de pactuação de acordos.
Consideramos como sucesso a pessoa se sentir pronta para voltar ao trabalho, fazer novos amigos e restabelecer relações familiares. Mas principalmente, consideramos como sucesso cada dia que a pessoa escolhe continuar em sua moradia.
O processo de fechamento de caso depende do sentimento de prontidão da pessoa assistida. O iniciamos a partir da análise de diversos indicadores, como renda, rede de apoio social e relação com o uso de substâncias.
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