Projects & Impact

AHP has built its business on applying best practices, many of which we have helped to shape, and real-world, hands-on knowledge to improving systems and business practices for our clients.

In all of the work that we do, we are guided by our mission to improve health and human services systems of care and business operations to help organizations and individuals reach their full potential.

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Capacity Building to Support the Department of Housing and Urban Development (HUD) and the Centers for Medicare & Medicaid Services (CMS) (also called: CMS Housing Collaborative)

AHP is a subcontractor on the CMS Housing Collaborative, which is focused on building sustainable partnerships across all levels of government to link affordable, accessible, and integrated housing options with long-term supports and services for people with disabilities and chronic conditions. The objectives include:
 
  • to assist people with disabilities, older adults, and those with chronic conditions who are at risk of institutionalization or who currently receive care in institutional settings in finding appropriate housing to live more independent lives; and
  • to assist federal, state, and local agencies and community partners to create a sustainable, collaborative system between housing and human services agencies to support community living for older adults and those with chronic conditions who are at risk of institutionalization or who currently receive care in institutional settings.
 
These are accomplished by evaluating federal, state, and local level training needs, providing TA and training to all levels of government and grantees, and by developing and disseminating practical information and tactical strategies about how to increase collaboration.
 
AHP’s major accomplishments on this project have included providing federal level (HUD/CMS/HHS) cross-training on housing and disability policy, regulations, agencies, services, planning processes, and funding streams; state-level cross training regarding housing and disability policy, agencies, planning processes, services, and funding streams to build effective working partnerships; and overall training for housing agencies and Money Follows the Person (MFP) grantee disability agencies. AHP, in collaboration with New Editions, developed the Rural Housing Toolkit
 
Related resources and publications:
 
  • Downing, S. & Speckman-Randall, E. (2013). Rural Housing Toolkit: Money Follows the Person. New Editions Consulting, Inc. Funded through the Housing Capacity Building Initiative for Community Living Project, a collaboration of the Departments of Housing and Urban Development (HUD) and Health and Human Services (HHS), under the Centers for Medicare & Medicaid Services (CMS) Money Follows the Person (MFP) Rebalancing Demonstration. Retrieved from http://www.neweditions.net/housing/documents/Rural_Housing_Toolkit.pdf  

Detroit Wayne Mental Health Authority [DWMHA] (formerly Detroit-Wayne County Community Mental Health Agency [D-WCCMHA])

Detroit Wayne County Community Mental Health Agency (D-WCCMHA) engaged AHP in 2006 to provide and coordinate technical assistance and evaluation services for eight community mental health centers that received new funding to develop and operate supportive housing and supported employment initiatives. AHP helped implement these Substance Abuse and Mental Health Services Administration (SAMHSA) evidence-based practices (EBPs) to fidelity, together with ensuring the client and its stakeholders had access to timely and ongoing information on program performance.
 
Work occurred over many years (from 2006 through 2015) and involved many tasks and elements. Following are highlights of some of this work:
 

  • 2006–2011: AHP defined and developed a sustainable strategy to implement supported employment and housing initiatives. It also developed guidelines to assist providers in implementing these practices. AHP senior staff facilitated numerous onsite strategic planning and operations management sessions for executive leadership of the nine agencies in the initiative. Other work during this time included:
    • Development of bi-annual fidelity assessments of supported employment and supportive housing models implemented by provider agencies;
    • Provision of extensive on- and off-site technical assistance, training, and mentoring;
    • Development and design of e-learning courses on 1) Permanent Supportive Housing; 2) Planning for Housing; and 3) Role of Housing in Recovery; and
    • Performance of process/outcome evaluations of supported employment and supportive housing initiatives by conducting key informant focus groups and individual-level data collection
       
  • 2011-2015: AHP’s work focused on supported housing initiatives during this period. Key accomplishments include:
    • Redesign of outcomes evaluation to facilitate performance monitoring along with providing technical assistance in the form of training development and implementation;
    • Performance of an overhaul of existing quantitative consumer-level evaluation data, working closely with a local evaluator and project stakeholders. The new system led to a marked increase in provider program engagement that allowed delivery of monthly performance data for eight providers serving 200 active consumers; and
    • Planning and implementation of nine site visits to evaluate provider agencies on an annual basis.
       
  • 2012-2013: AHP worked together with a planning team to design curriculum and develop priority messaging. AHP gathered feedback on draft materials that resulted in development and implementation of a two-day onsite GOI training session, as well as two new online training courses, including:
    1. Critical Time Intervention (CTI) and Permanent Supportive Housing; and
    2. General Organizational Index (GOI) and Permanent Supportive Housing.
 
In addition, AHP implemented a plan to gather service use data for both supportive housing and employment consumers that expanded descriptive information on consumers served. This data demonstrated a reduction in costly inpatient and crisis-related service use following supported employment and supportive housing program enrollment.
 
Related resources and publications:

MA-Access to Recovery (MA-ATR) [Commonwealth of Massachusetts, DPH/BSAS]

The Commonwealth of Massachusetts subcontracted AHP to run the federally-funded MA-Access to Recovery (MA-ATR), which is a program designed to give people with substance use disorders wider access to community services that help them recover. Clients choose recovery support services they think will help them most in their recovery by using vouchers they are given to secure these services. MA-ATR’s goal is to enroll over 6,000 individuals within a three-year period.
 
This project is being implemented in the Greater Springfield and Greater Boston areas where there are high incidences of substance use. AHP’s accomplishments in this contract are summarized below.
 
  • Through MA-ATR, AHP created an innovative, nationally acclaimed program called the Career Building Initiative (CBI), designed to address the importance of employment to recovery. Providers were recruited that could provide different kinds of job training and job readiness programs. In addition, in order to eliminate the financial hardships of entering training instead of receiving income from a job, ATR gives every client a work-study benefit of $8 per hour for attendance.
  • AHP developed a provider network integrating traditional substance use providers with non-traditional recovery support supports and faith-based and community agencies.
  • Through MA-ATR, AHP created a client-centered system of care by providing clients with choice of services and providers.
  • AHP customized a curriculum to train eight ATR coordinators on effective engagement techniques, which is a critical skill needed to enroll the target number of clients within the three-year period. ATR coordinators learned follow up techniques such as finding individuals who are experiencing homelessness or are transient.
 
Related resources and publications:
 

SAMHSA’s Homeless and Housing Resource Network

The Substance Abuse and Mental Health Services Administration (SAMHSA) contracted with AHP to provide training and technical assistance (TA) on housing and homelessness to SAMHSA Homeless Program Branch grantees and other homeless housing and service providers operating across the U.S. states and territories. Homeless housing and service programs are united by a vision of ending homelessness by supporting individuals through a process of change as they improve their health and wellness, live a self-directed life, and strive to reach their full potential. HHRN focuses on four of SAMHSA’s strategic initiatives: trauma and justice; military service members, veterans, and their families; recovery support; and data, outcomes, and quality. The goals of this project include:
 
  • promoting the adoption of best practices for serving people who are experiencing homelessness or are at risk of becoming homeless and have chronic mental illness or co-occurring disorders;
  • increasing workforce capacity through TA and training;
  • disseminating information to the homeless services field in support of SAMHSA’s strategic initiatives;
  • collaborating with other agencies and organizations to improve coordination of SAMHSA activities focused on addressing homelessness and building effective partnerships; and measuring meaningful change.
 
The HHRN TA team is led by AHP and includes partners the Center for Social Innovation and JBS International. Key accomplishments of SAMHSA’s HHRN project include:
 
  • conducting 70 webinars on 53 topics;
  • offering 28 virtual learning classrooms to SAMHSA grantees;
  • providing responses to grantee TA requests, including the received provision of onsite training on implementing Homeless Management Information Systems (HMIS) for 11 states;
  • leading workshops at conferences and symposiums and conducting virtual workshops;
  • conducting expert panels;
  • developing two sustainable implementation guides—one that promotes effective collaboration among law enforcement, homeless service providers, and the community and the other that helps direct service staff and people experiencing homelessness how to go about getting or replacing the various types of ID documents.
 
AHP updated, enhanced, and field tested two Evidence-Based Practices KITs focused on people experiencing homelessness—the Permanent Supportive Housing ToolKIT and the Integrated Treatment for Co-occurring Disorders ToolKIT. In addition, HHRN has conducted led multifaceted, interagency policy academies on Chronic Homelessness (CH) and fostered the development of collaborative relationships with federal regional partners.
 
Related resources and publications: