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Chapter 9: Integrated Health Care • Physical therapy • Alternatives to western medicine Prior to team implementation at 18 months, establish a referral process and protocols for connecting the frequent users identified to the geographically appropriate team. Have signed MOU's among the organizations/departments participating in each of the teams. MOU's should include the administrative and clinical authority of each collaborative partner organization/agency, clinical and fiscal accountability and the process by which differences will be resolved as well as defining specific contributions to the collaborative. During this time, set priorities so that the teams have reasonable caseload sizes. Establish an evaluative measure as part of quality assurance which would include a consumer survey. After implementation at 18 months, assign a primary provider to all homeless people entering the health system, and assess each person for multidisciplinary team assignment. - At all stages, include labor representatives in all health services planning. ~ Maintain and increase homeless people's access to existing public health facilities. Action Stens - Support existing crisis management, outreach and intervention programs, which provide mobile health and mental health services and referrals at parks and homeless service sites all over the county and which subcontract with health providers to treat homeless people they refer. - Expand the capacity to serve more geographic regions where homeless people reside. - Establish homeless set asides and waiting list priorities for publicly funded mental health and AOD treatment slots, with a goal of treatment on demand for those personally committed to treatment. Ensure that homeless people are not denied services for reasons relating to homeless status or co-existing disabilities. - Expand the number of AOD pre treatment, detox, outpatient, short-term residential, and long-term residential treatment slots. Special priority should be given to increasing beds for dually diagnosed homeless people and programs that accommodate single parents with children. Coordinate these services with court referrals. Access to beds should be flexible without regard to what area of the county the homeless person is coming from, when possible. - Conduct an assessment of all public and publicly funded health programs with a goal of improving homeless access by making recommendations in the following areas: Alameda County-Wide Homeless Continuum of Care Plan: April 1997 117