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What is ACT/ICM?

What is ACT Assertive Community Treatment: a client-centered, recovery-oriented behavioral health service delivery model that has received substantial empirical support for reducing psychiatric hospitalizations, facilitating community living, and enhancing recovery for persons with serious mental illnesses. DBH ACT Program standards (2015)

What is ICM Intensive Case Management: a client-centered, recovery-oriented service delivery model that promotes community integration, independence and an improved quality of life through the provision and coordination of on-going direct services and supports. DBH ICM Program standards (2015)

75% of ACT/ICM service contacts occur in the community

Free Continuing Education Hours Hello Social Workers, For attending the Fairbanks Symposium on Homelessness II, the National Association of Social Workers is offer 5 CE credits. The Fairbanks Housing & Homeless Coalition is picking up the costs. Please fill out: Social Worker CE Sign In Social Worker Educational Evaluation Symposium Evaluation

How many people are involved in ACT/ICM?

ACT/ICM Overview 1 Some positions can fulfill multiple roles   ACT Team ½ ACT Team ICM Team Recipient Capacity 80-100 people 42-50 people 50-60 people Staff Coverage 24/7 flexible Staffing Requirements 10-12 FTE 7-8 FTE 4-4.5 FTE Staffing Roles 1 Team Leader 2 1 FTE Psychiatric Prescriber 32 hours/week 16 hours/week Registered Nurse 3 FTE 1.5 FTE Peer Specialist 1 FTE optional Mental Health Professional 3 4 FTE 2 FTE Substance Abuse Specialist Vocational Specialist Housing Specialist Program/Administrative Assistant 1-1.5 FTE 0.5 FTE Case Manager 2.5-3 FTE 1 Some positions can fulfill multiple roles 2 Licensed Clinician / Case Manager that leads team and functions as a clinician /case manager 3 Master’s Level Minimum: may include the Vocational Specialist, Substance Abuse Specialist, and/or Housing Specialist

ACT/ICM prioritize high risk individuals identified as frequent users of emergency services

Mental Illness and Homelessness About 21% people experiencing homelessness in Fairbanks suffer from a severe mental illness and/or addiction AKHMIS Nationally approximately 1/3 of people experiencing homelessness have a mental illness not related to substance abuse Treatment Advocacy Center Nationally 6% of the US population has a severe mental illness, but 25% of the people experiencing homelessness have a severe mental illness Harvard SMHR

ACT/ICM follow a Housing First approach

Housing in Fairbanks 487 Vacancies in Fairbanks 12.8% Vacancies Rate FNSB Community Research Quarterly - Fall 2018 487 Vacancies in Fairbanks 12.8% Vacancies Rate 129.1% National Composite Cost of Living Out of Reach Report – 2018 - Fairbanks $1,368 Fair Market Rent for 2 bedroom apartment in Fairbanks, AK $26.31 Single full time hourly wage needed to afford a 2 bedroom apartment in Fairbanks, AK $16.30 Average renter’s hourly wage in Fairbanks, AK $54,720 Annual income needed to afford a 2 bedroom apartment in Fairbanks, AK 41% 41% of residents in the Fairbanks area rent 64 hours per week Must work 64 hours per week at the average renter wage to afford a 2 bedroom apartment

ACT has internal vocational services ICM connects the client with vocational services

Unemployment Rate 2019 Unemployment Rates USA 4.0% Alaska 6.3% Fairbanks 5.8% Underemployment / unemployment was the leading cause of homelessness in Fairbanks for 2018. ICA Data Dashboard United States Department of Labor, Bureau of Labor Statistics

Random Slide: Need Boots? If your agency needs winter boots of all sizes, please contact Mike Sanders at msanders@Fairbanks.us