Tenancy:

Tenancy Support Team (TST) is a service provided to individuals participating in the Transition to Community Living Initiative (TCLI). TST is a rehabilitation service intended to increase and restore an individual’s ability to live successfully in the community by maintaining tenancy. TST

Focuses on increasing the individual’s ability to live as independently as possible, managing the illness, and re-establishing his or her community roles related to the following life domains: emotional, social, safety, housing, medical and health, educational, vocational, and legal.

1. Assessment: Identify the individual’s housing preferences, and transition and housing retention barriers related to successful tenancy, using the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services approved Housing History/Housing Supports Need Assessment.

2. Individual Housing & Tenancy Sustaining Services:

• Ensure that the living environment is safe and ready for move-in.
• Assist in arranging for and supporting the details of the move such as utility connection, purchase housing items to set up apartment (bedroom, kitchen, living room, bathroom), and arrange transportation to move items to apartment.
• Provide early identification and intervention for behaviours that may jeopardize housing, such as late rental payment and other lease violations.
• Assist the individual in understanding the role, rights and responsibilities of the tenant and landlord.
• Restore skills to develop key relationships with landlords/property managers with a goal of fostering successful tenancy.
• Assist in resolving disputes with landlords and/or neighbours to reduce risk of eviction or other adverse action.
• Restore the individual’s connection to community resources to prevent eviction when housing is, or may potentially become jeopardized.
• Assist with the housing recertification process.
• Establish or restore the individual’s ability to comply with lease agreement and manage his or her household.
• Act as primary contact for landlord to address any tenancy issues.

3. Activities of Daily Living Assist the individual to restore or improve his or her ability to:

• Perform self-care management
• Maintain personal safety
• Meal plan, grocery shop, cook, use kitchen appliances and properly store food safely
• Purchase and care for clothes
• Maintain and clean apartment
• Use different modes of transportation

4. Service Type and Setting TS is a direct and indirect periodic rehabilitative service in which TST members help the individual successfully transition to community living. TST shall provide services where they live prior to the transition, in the home where the individual lives, and other community settings.

5. Expected outcomes include, but are not limited to, the following:

• Achieved recovery goals identified in the PCP;
• Continued community tenure;
• Improved personal, social, and community living skills;
• Increased access to necessary services in all life domains;
• Improved functioning in community roles;
• Re-established or restored network of healthy natural supports and community contacts;
• Re-established or restored independent living abilities.

6. An individual may receive TST from only one TST provider organization during any active authorization period. Family members or legally responsible individuals of the individual are not eligible to provide this service. TST shall not be provided in conjunction with ACT Team Services.

The following are not billable under this service:

• Transportation for the individual or family. Services provided in the car are considered transportation.
• Time spent doing, attending or participating in recreational activities unless tied to specific planned social skill assistance.
• Clinical and administrative supervision of TST staff is covered as an indirect cost and included in the rate, therefore, should not be billed separately.
• Services provided to individuals under age 18.
• Covered services that have not been rendered.
• Services provided to teach academic subjects or as a substitute for educational personnel, including a: teacher, teacher's aide or an academic tutor.
• Services not identified on the individual’s PCP.
• Services provided without prior authorization by the LME- MCO.