Evergreen Recovery Centers 3/12/2025

Page 8 of 27 2.3 HIGHLIGHTS OF SERVICE The City of Everett’s Care Management Program will provide Service-Based Case Managers to assist individuals who are unsheltered or habitual utilizers of city services by coordinating care, advocating for best options, and providing any other support needed. This program will also provide Intervention specialists to support those not regularly engaging in case management and frequenting our jail system by providing intake and assessment of needs for those who are frequently incarcerated. The program’s goals are to increase service connections, lower calls for service needs to 911 systems, and lower the impacts of behavioral health crises and homelessness to both the unhoused and the community. Adding direct case management and intervention will help the City of Everett support those living in the cycle of crisis further. Case managers and intervention specialists are expected to help clients develop the necessary skills to address their needs and find pathways into successful long-term housing and access treatment and health care. The case managers will also serve as the point of contact between clients and their professional support systems to help navigate the barriers that stall an individual’s progress. They will promote overall recovery from behavioral health, crisis, and or homelessness by providing a high level of support. 2.4 PROGRAM EXPECTATIONS Each case manager will carry a caseload of twenty (20) to -twenty-five (25) individuals. Cases are anticipated to be followed from ninety (90) days to twelve (12) months. Cases may be reopened or maintained past the twelve (12)-month mark on an individual basis. Cases can and should be closed after 45-60 days of no contact and inability to locate the referred client. If the client is highly engaged, well- established with other suppliers, and stabilized, this case can and should be closed. Intervention specialists' caseloads will vary based on those who have been incarcerated or recently released. All case decisions will be made in collaboration with the COE Community Support Team. Clients will be identified through a referral system. Referrals will come from City of Everett Community Support team members. The Community Service-Based Case Managers will provide long-term case management and care collaboration. The Intervention Specialist will provide short-term care coordination and service referral to those served. After receiving a referral for case management, the contractor will work to engage with the referred individual within 72 hours. After receiving a referral for an intervention specialist, the contractor will work to engage the referred individual within 48 hours of receiving the referral. The contractor is expected to make multiple efforts to engage with referred individuals in the community. Examples of what Case Managers will assist clients with: • Obtaining identifying documentation such as birth certificates, social security cards, and Washington State Identification. • Establishing income such as Aged, Blind, or Disabled (ABD), Social Security, and assisting with opening bank accounts. • Assessing basic food such as Electronic Benefit Transfer cards (EBT) and providing knowledge of food banks and where to obtain meals. • Engaging in housing-based needs by connecting with the 211 Program and housing navigators to ensure their case remains open while working to find sober housing and transitional housing options, apartments, and or shelter options. • Obtaining health care insurance and ensuring those served have been or are seen by a health care provider. • Accompanying and arranging transportation of those served to appointments as needed. • Connect with other support systems such as mentors, friends, families', peers, recovery groups, volunteer organizations, job centers, and counselors. Exhibit C