Chronically homeless people in this group are often served in PSH that does not deliver Medicaid-reimbursed services, as well as in PSH models (described earlier) that serve homeless people in all three groups. People in this group will not, however, live in PSH that restricts occupancy to people who qualify to receive services funded through state or local mental health agencies. Also, this group will not be eligible for SSI. Members may have at least some modest income from sources such as General Assistance benefits or part-time employment. But if they have no income, PSH providers often are reluctant to accept them as tenants, because they have no way of paying for any aspect of their housing costs, and service-providers may be unable to access payment for providing needed care and support.
Basic supports to this group start with case management, and extend to primary and behavioral health care to the extent that non-Medicaid funding will cover such supports. In addition to case management, services for people in Group 1 may focus on managing chronic alcoholism or other severe substance abuse disorders through strategies such as Harm Reduction techniques and Motivational Interviewing. Medical and behavioral health services address unmet needs, which may be significant. Services may also include benefits advocacy, legal assistance, vocational/employment supports, and activities to facilitate community reintegration.