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Jamaica Women’s Triage and Referral 

Background

The Jamaica Women’s Triage and Referral shelter (JWTRS) is a 65-bed facility designed to assess the needs of homeless women to develop service plans in order to refer clients to appropriate transitional settings. In addition, clients may be referred to vocational, educational and employment programs when eligible.

Triage Shelter

The 21-day assessment model’s mission is to assess the needs of homeless women and to develop a service plan to move clients to appropriate transitional settings, treatment programs or back to the community.  Once initial eligibility is determined, the client receives a bed and is then assisted by a caseworker to delineate a 21-day service plan.  This plan may include goals to attend substance abuse support groups, orientation and long-term placement after 21-days.

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On-Site Programs and Services

v              Triage Program

v              Medical Services and Psychiatric Services

v              Recreational Activities

v              Health and Wellness Workshops

v              Motivational Workshops

v              Token Economy

 

 

Medical Psychiatric and Services

Medical Services are provided by the Floating Hospital and are available 6 days per week.  The client is offered TB testing, physical examinations, voluntary HIV testing and referrals to medical facilities as required.

 

Psychiatric evaluations are conducted on-site and are designed to provide screening, assessment and specialized case management for those clients with mental illness.

 

 

Token Economy

The Token Economy program of JWTRS is a motivational incentive program designed to reinforce positive behaviors of residents of the shelter.  In our experience, we have found that this program has served a number of purposes and has created positive relationships and responsibilities for both staff and clients.

 

The Token Economy program awards “points” to clients for engaging in the assessment process.  These points are input into our computerized tracking system and can then be accumulated and used to purchase items from the Token Economy store.  Positive behaviors include, but are not limited to: workshop participation, attending appointments, completing the psychosocial evaluation and completing the psychiatric evaluation.

 

It also deducts points for certain negative behaviors.  Points may be deducted for such negative behaviors as smoking in the facility, entering unauthorized areas without permission or verbal abuse.

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Franklin Women’s Triage & Referral

Background

Located in the Franklin Armory in the Bronx, the Franklin Women’s Triage & Referral Shelter is a 100-bed facility that provides emergency shelter and assessment services for homeless women.  The assessment process reviews specific issues the homeless woman is facing in order to appropriately place her to a facility designed to meet her specific needs. 

For example, victims of domestic violence may need special placement and counseling services; substance abusers may require detox and placement in a treatment program and those with mental illness require supportive housing.  Other clients may be placed in vocational and employment programs when eligible.

The women arriving at Franklin come from a variety of experiences.  Some are recent immigrants, abandoned by family upon their arrival in New York.  Others are dealing with drug and alcohol abuse issues, while other have spent years working as prostitutes in the Bronx and other New York Boroughs.  Many of our women have been abused either at the hand of their romantic partner, drug dealers and family members.  It is not uncommon for the homeless women in our shelter to have faced sexual abuse or trauma at some point prior to intake.

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The Triage and Referral Process

The goal of the Triage & Referral Shelter is to first assess the needs of homeless women and then develop a service plan that will help move clients to appropriate transitional settings, treatment programs or independent living.  Once initial eligibility is determined, the client receives a bed and is assigned a caseworker.  Together, the client and caseworker work to complete a 14-day milestone plan, which includes completing a psychosocial assessment, meeting with the psychiatric and medical teams and applying for any necessary entitlements. 

When possible, the caseworker encourages his/her client to move in with a family member or to return to her last residence.  If these options are no available, the caseworker works with the client to plan an appropriate placement.  Our goal is to place all clients in long-term settings within 21-days. 

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Services

During those 21 days, when placements are pending, Franklin offers the women a series of day-to-day activities including support groups, independent living workshop and recreational activities.  In the past, the women have visited television talk shows, baseball games and jazz and gospel concerts.  The facility provides craft workshops, games, and athletic equipment for those interested in such activities.  More specifically, the facility offers the following services:

Incentive Programs

The Token Economy program of Franklin Triage and Referral Shelter is a motivational incentive program designed to reinforce positive behaviors of shelter residents. The program awards “points” to clients for engaging in the assessment process.  For example, points may be given to clients who participate in workshops, attend their appointments, complete their psychosocial evaluation and complete their psychiatric evaluation.  They may also been given for clients meeting curfew, maintaining a clean living space and mentoring new clients.

 

The House Managers maintain a computerized record of point accumulation, and once enough points are accrued, clients are able to “purchase” items from the Token Economy store.  The Economy program not only rewards positive behaviors but also deducts points for certain negative behaviors.  Client may lose Token Economy points for smoking in the facility, entering unauthorized areas, or verbally abusing staff and/or clients.  We have found that this program serves a number of purposes from establishing clear expectations to creating positive relationships between staff and clients.

The items for the Token Store are purchased with funds from the program budget and from donations received by private donors.  Current items include:
v                Phone cards
v                Candy and snacks
v                McDonald’s gift   certificates
v                Activity books with pens and pencils
v                Cosmetics
v                Clothing items such as slippers, baseball caps and tee-shirts
v                Notebooks and calendars
v                Various hygiene products
v                Teddy bears
v                Travel bags

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Medical Service

Provided in-house by Bronx Lebanon Hospital six days per week. Clients are offered TB testing, physical examinations, pregnancy tests, voluntary HIV testing and referrals to medical facilities.

Psychiatric Evaluations

Conducted on site and provide screening, assessment and specialized case management for mentally ill clients.

Workshops

Domestic Violence, Budgeting Fundamentals, Health and Well-Being, AA/NA, Motivational, Life Skills and Independent Living

Recreation

Ping-Pong and pool tournaments, air hockey, darts, board games, movie field trips, theater trips, Good Morning America, Birthday celebrations, baseball games, bingo, arts and crafts.

Supportive Services

Counseling, assessment, referral and Faith Sharing workshops, non-denominational religious services, field trips to church services.

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