Full Text
COMMUNITY DEVELOPMENT DIVISION HOMELESS PROVIDER SURVEY Agency: Contact Person: Address: Phone: Site Email: Survey Date: Costs of Service Number of homeless seen in 2006, unduplicated if available: Of those, the number meeting HUD’s definition of chronic homelessness: Unaccompanied homeless individual with a disabling condition who has either been continuously homeless for a year or more, or who has had at least four episodes of homelessness in the past three years. R = Referrals for this service Y = Services provided on-site regardless of enrollment P = Service provided for enrolled participants only Please check all of the services you currently provide to the homeless in the Billings area: Prevention Outreach Supportive Services Public Assistance Street Outreach Case Management Community Services Referral Mobile Clinic Personal Money Management Housing Counseling Showers Life Skills / Decision Making Mortgage Assistance Laundry Conflict Resolution / Mediation Rental Assistance Clothing Alcohol & Drug Treatment Utilities Assistance Food Assistance Mental Health Counseling Housing Food Boxes / Meals Health Care Services Counseling / Advocacy Sack Lunches Health Care Referrals Support Groups Telephone Use Medication Assistance Tenant Rights Education Computer Access Dental Care Legal Assistance Toiletry Supplies Vision Care Family Planning Family Planning Education HIV / AIDS Other prevention services: Temporary Shelter Education Day Center Employment Assistance Law Enforcement Child Care Other outreach services: Parenting Classes Transportation & Assistance Pre-release & Re-entry Domestic Violence Assistance Other supportive services: Please contact Miranda Dye at 247-8601 or via email at [EMAIL REDACTED] with questions. Thank you for your participation! ---PAGE BREAK--- What is the most urgent homeless service need in Billings? Please identify the total cost for services you provide for the homeless in the Billings Area: How much of the total cost of services is not reimbursed? Comments: Please contact Miranda Dye at 247-8601 or via email at [EMAIL REDACTED] with questions. Thank you for your participation!