Mobile Case Management and Peer-Led Outreach Services

The Vendor is required to provide mobile case management and peer-led outreach services for include:
• Mobile outreach and engagement: proactive street-based outreach by foot or vehicle to build rapport with high-risk individuals.
• Low-barrier shelter: immediate access to temporary beds providing safety, showers, laundry, and meals for those awaiting treatment or longer-term housing.
• Intensive case management: short-term coaching and advocacy to connect individuals with treatment, mental health care, and benefits.
• Law enforcement collaboration: working directly with the department to facilitate diversions at the point of contact.
• Community safe haven: a dedicated hub for community forums, support groups, town halls, and family engagement activities.
- Primary tasks
• Assessment and triage: conducting comprehensive bio-psychosocial assessments within 24 hours of engagement to identify immediate and long-term
• Goal planning: collaboratively developing 90-day action plans with participants using motivational interviewing techniques.
• Safety monitoring: conducting and documenting safety walk-throughs in the shelter facility to ensure participant well-being.
• Outreach and canvassing: distributing flyers and engaging individuals in areas known for high-risk activity to offer diversions.
• Warm handoffs: coordinating direct transport and pick-up for participants transitioning to specialized treatment facilities.
- Estimated service volume
• Case management: two full-time case managers, each handling a caseload of 12-15 individuals
• Shelter capacity: at least 4 short-term beds available 7 days and week
• Outreach impact: a target of at least 10 contacts per week across the outreach team.
• Community events: weekly and monthly outreach to the community through supporting and hosting events to raise awareness about program.