Last Updated - April 7, 2020
This resource guide is intended to provide useful information to providers of homeless shelters, transitional housing, drop-in centers, and other homeless services to assist with preparation and prevention of spread of COVID-19 in Pima County.
STAY UP TO DATE
TPCH Covid-19 Preparedness & Response Basecamp: TPCH has created a Basecamp Team for housing and homeless service providers to share tools, resources, and information about COVID-19, strategies being used for preparedness and response, and changes in local practices and approaches. The Basecamp provides a forum for TPCH members to communicate directly and share information in real time. Join the Basecamp here. Unfamiliar with Basecamp? Check out this brief video tutorial.
Daily Pima County Public Health Updates: The Pima County Health Department is posting a daily video update focused primarily on the coronavirus update. Video updates can be viewed on the Pima County Youtube channel.
TPCH INTERIM GUIDANCE
- TPCH Interim Guidance - Updated Coordinated Entry Policies (March 27, 2020)
REGULATORY WAIVERS FOR COC, ESG, AND HOPWA PROGRAMS
On April 1, 2020, HUD released a memorandum outlining several regulatory waivers related to the Continuum of Care (CoC), Emergency Solutions Grant (ESG), and Housing Opportunities for Persons with HIV/AIDS (HOPWA) programs. The memorandum also outlines regulatory waivers related to consolidated planning for consolidated plan jurisdictions. Review HUD guidance and the official memorandum on the HUD Exchange.
In response to the memorandum, the Region IX HUD Community Planning & Development (CPD) Field Office issued instructions for the submission of waiver notifications. CoC, ESG, and HOPWA recipients must email a written notification regarding the use of waivers at least 2 days before beginning use. Written notifications must be provided on the approved template and emailed to CPD_COVID-19WaiverSFO@hud.gov. Copy email@example.com and firstname.lastname@example.org on all waiver submissions.
Download the Region IX waiver notification template here.
TPCH hosted a 60-minute webinar on April 7, 2020 to provide an overview of the regulatory waivers for the CoC, ESG, and HOPWA programs including instructions for subrecipient agencies wishing to make use of waivers through the City of Tucson, Pima County, and Arizona Department of Economic Security.
View the recorded webinar here. We apologize for the audio quality.
Download the webinar slide deck here.
Arizona Community Foundation - COVID-19 Community Response Fund: The Arizona COVID-19 Community Response Fund will provide flexible resources to nonprofit organizations in Arizona working with communities who are impacted by COVID-19. For more information or to complete the brief application for funds, visit the Arizona Community Foundation website.
GUIDANCE AND RESOURCES
TPCH is coordinating closely with health officials and community partners to assist homeless services providers in the response to COVID-19. TPCH encourages all providers of shelter, transitional housing, and other congregate settings to review these resources, as well as to continue to check back with the Arizona Department of Health Services website on the status of coronavirus in the United States on the status of COVID-19 in our state and the Centers for Disease Control’s page on COVID-19 on the status of coronavirus in the United States.
Local information and guidance is available at the Pima County Health Department website.
The State of Arizona and 211 Arizona have partnered to launch a COVID-19 hotline to answer questions from the public regarding community resources, testing, symptoms, and other issues related to COVID-19. Dial 2-1-1 from any Arizona phone to be connected or visit www.211arizona.org for assistance.
NOTE: At this time, we are strongly urging homeless shelters and other services providers to remain open, while modifying services delivery and implementing measures to minimize community spread of COVID-19.
Summary of National Resources
- HUD Guidance:
- Infectious Disease and Provider Preparedness (Webinar)
- COVID-19: Essential Services for Encampments During an Infectious Disease Outbreak (HUD - March 23, 2020)
- COVID-19: Shelter Management During an Infectious Disease Outbreak (HUD - March 23, 2020)
- COVID-19: How to Screen Clients Upon Entry to Shelter or Opportunity Centers (HUD - March 23, 2020)
- National Health Care for the Homeless Council (Recorded Webinar)
- CDC Guidance:
- NAEH Guidance:
- National Rural Health Association Guidance:
- USICH Guidance:
- CSH Guidance:
- Arizona Health Care Cost Containment System (AHCCCS) Guidance for Medicaid-covered individuals and list of 24-hour nurse lines by plan
- Arizona Department of Health Services Public Health Recommendations
The U.S. Department of Housing and Urban Development’s Infectious Disease Toolkits
The U.S. Department of Housing and Urban Development has published a set of infectious disease toolkits for homeless services providers, including a toolkit for providers of shelter. This toolkit outlines specific important steps that shelters can take such as implementing preventive sanitation measures, using a cough alert policy to identify potential respiratory illnesses early, health screening questions and protocols, tips on implementing an isolation practice, tips on when to bring residents to hospitals or clinics and readmit them to shelter, and information on staff training.
- Managing the Spread of Infectious Disease for People Experiencing Homelessness
- Managing the Spread of Infectious Disease Within Shelters
- Managing the Spread of Infectious Disease Within Encampments
Centers for Disease Control and Prevention (CDC) guidance and HUD Technical Assistance (TA) materials
- Interim Guidance for Homeless Shelters
- People Experiencing Unsheltered Homelessness
- Environmental Cleaning and Disinfection Recommendations
- CDC: Interim Guidance for Homeless Service Providers to Plan and Respond to Coronavirus Disease 2019 (COVID-19)
- CDC: Interim Environmental Cleaning and Disinfection Recommendations for US Community Facilities with Suspected/Confirmed Coronavirus Disease 2019 (COVID-19)
- CDC: COVID-19 Guidance for Schools and Child Care
- CDC: Talking to Children about Coronavirus Disease 2019 (COVID-2019)
- Questions to Assist CoCs and Public Health Authorities to Limit the Spread of Infectious Disease in Homeless Programs
- Specific Considerations for Public Health Authorities to Limit Infection Risk Among People Experiencing Homelessness
- Eligible ESG costs for Infectious Disease Preparedness
- Using CoC Program Funds for Infectious Disease Preparedness and Response
- Quick Guide to CDBG Eligible Activities to Support Infectious Disease Response
Families and individuals experiencing homelessness are more vulnerable to infectious diseases due to lack of access to primary care, mobility, and poor health status from extended episodes of homelessness. HUD strongly encourages Continuums of Care (CoCs) to contact local public health departments, Healthcare for the Homeless agencies, and other local health partners to ensure the unique needs and opportunities related to the homeless service system are incorporated. CoCs can take steps now to develop preparedness and response plans to protect against infection.
HUD resources are regularly being updated and posted to the HUD Exchange Disease Risks and Homelessness Page. mHUD is also available to provide technical assistance to homeless assistance providers who need support in preventing or responding to the spread of infectious disease. Please submit your questions to the Ask A Question (AAQ) portal. In Step 2 of the question submission process, select “CoC: Continuum of Care Program” from the “My question is related to” drop down list and write “Health Preparedness and Response” in the subject line.
The National Health Care for the Homeless Council’s Coronavirus Resource Page
The National Health Care for the Homeless Council has compiled a set of useful resources on COVID-19, along with their guide to helping treat and prevent the spread of pandemic influenza.
The National Alliance to End Homelessness Coronavirus Blog
In addition to these resources, shelters and other homeless services providers should continue to take everyday preventative measures to help stop the spread of germs that cause all illnesses, including flu and coronavirus:
- Ensure that staff and residents wash hands often with soap and water for at least 20 seconds. If soap and water are not available, use alcohol-based hand sanitizer.
- Encourage staff and residents to avoid touching your eyes, nose, and mouth with unwashed hands.
- Make sure tissues are available, and encourage staff and residents to cover their cough or sneeze with a tissue, then throw the tissue in the trash.
- Encourage staff should stay home when they are sick.
- Clean and disinfect frequently touched objects and surfaces.
TPCH will continue to provide updates and additional resources as needed on coronavirus (COVID-19) to our members and providers of homeless services. Thank you for all that you do every day to ensure the health and wellness of people experiencing homelessness in our region!
Sample Documents & Service Recommendations from Other Communities
- COVID-19 Client Triage Tool: Atlanta, GA CoC Example (HUD - March 15, 2020)
- Sanitation and Hygiene Guide for Homeless Services Providers
- Sanitation and Hygiene Assessment Tool for Day Centers, Shelters, and Encampments
- Seattle King County Interim Guidance - COVID-19 Homeless Service Providers (updated 3.12.20)
- COVID-19 – Quick Tips for What Shelters & Other Homeless Programs Need to Know (updated 3.6.20)
- Home Isolation Guidance for Families and Individuals Living in Permanent Supportive Housing (updated 3.6.20)
- COVID-19 Preparedness Planning (updated 3.6.20)
- COVID-19 Disinfection Instructions (updated 3.12.20)
- Interim Guidance on How to Care for Someone with Symptoms Consistent with COVID-19 (updated 3.12.20)
- Coronavirus guidance for congregate living facilities
- Preparing for COVID-19 webinar slides for outreach staff
Sample Preparation Plans from Shelter and Services Providers:
Sample Notices of Reduced or Modified Services: