2024 Edition

Outreach Services Definition

Purpose

Outreach Services identify and engage youth, adults, and families experiencing homelessness as a first step to accepting care for immediate health and safety needs, gaining access to community services and resources, taking steps toward community integration, and connecting to safe and stable housing.

Definition

Street Outreach Services/Mobile Outreach Services are offered to youth, adults, and families experiencing homelessness, including those who are not served or are underserved by existing community service delivery systems.

Drop-In Centers are fixed-site programs that meet basic needs and connect individuals to community services in an environment that is safe, secure, comfortable, and non-stigmatizing.

Note:Programs that provide case management will also complete COA's Case Management standards (PA-CM). Programs that provide mental health or substance use services will also complete COA's standards for Mental Health and/or Substance Use Services (PA-MHSU).


Note:Please see PA-OS Reference List for the research that informed the development of these standards.


Note:For information about changes made in the 2020 Edition, please see the OS Crosswalk.

2024 Edition

Outreach Services (PA-OS) 1: Person-Centered Logic Model

The agency implements a program logic model that describes how resources and program activities will support the achievement of positive outcomes.  

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VIEW THE STANDARDS

Note: Please see the Logic Model Template for additional guidance on this standard.  

1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
 

PA-OS 1.01

The program logic model, or equivalent framework, identifies: 
  1. needs the program will address; 
  2. available human, financial, organizational, and community resources (i.e. inputs); 
  3. program activities intended to bring about desired results; 
  4. program outputs (i.e. the size and scope of services delivered);  
  5. desired outcomes (i.e. the changes you expect to see in persons served); and 
  6. expected long-term impact on the agency, community, and/or system. 

Examples: Please see the W.K. Kellogg Foundation Logic Model Development Guide and COA Accreditation’s PQI Tool Kit for more information on developing and using program logic models. 
 
Examples: Information that may be used to inform the development of the program logic model includes, but is not limited to:  
  1. needs assessments and periodic reassessments;  
  2. risks assessments conducted for specific interventions; and 
  3. the best available evidence of service effectiveness. 
 

PA-OS 1.02

The logic model identifies desired outcomes in at least two of the following areas:  
  1. change in functional status;  
  2. connection to formal and informal support systems;  
  3. health, welfare, and safety;  
  4. achievement of individual service goals;   
  5. community awareness of services provided or topics relevant to the service population; and   
  6. other outcomes as appropriate to the program or service population.  
Interpretation: Outcomes data should be disaggregated to identify patterns of disparity or inequity that can be masked by aggregate data reporting. See PA-PQI 5.02 for more information on disaggregating data to track and monitor identified outcomes.  

Interpretation: COA Accreditation recognizes that it may be difficult to track individual outcomes given the nature and duration of OS services. If individual outcomes are not being tracked, the agency must be prepared to demonstrate how program-level outputs are used to build capacity, improve programs, and positively impact persons served. Additionally, the agency may speak to how it uses community-wide outcomes data collected by outside entities to make data-informed decisions within its program when appropriate. 
2024 Edition

Outreach Services (PA-OS) 2: Personnel

Program personnel have the competency and support needed to provide services and meet the needs of youth, adults, and families experiencing homelessness.
Interpretation: Competency can be demonstrated through education, training, or experience. Support can be provided through supervision or other learning activities to improve understanding or skill development in specific areas.

1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
 

PA-OS 2.01

Supervisors are qualified by:
  1. an advanced degree in social work or a comparable human service field and at least two years of direct care experience in human services; or
  2. a bachelor’s degree in social work or a comparable human service field and at least four years of direct care experience in human services.
 

PA-OS 2.02

Personnel who have frequent contact with individuals living with mental health and/or substance use conditions have clinical skills and/or are supervised by personnel with such skills.
 

PA-OS 2.03

All direct service personnel are trained on, or demonstrate competency in:
  1. understanding homelessness, including the causes and effects of homelessness, overrepresented and vulnerable populations, impact of homelessness on child development, barriers to exiting homelessness, and service needs;
  2. the ability to handle rejection;
  3. recognizing and responding to signs of suicide risk;
  4. making linkages and referrals to community and housing services; and
  5. implementing the agency’s plans for managing medical or psychiatric emergencies.
Interpretation: Peer outreach workers should be trained on or demonstrate competency in these areas as needed based on their job responsibilities.
 

PA-OS 2.04

All direct service personnel are trained on, or demonstrate competency in, understanding the special service needs of service recipients, including, as appropriate:
  1. individuals coping with substance use and/or mental health issues, including dual diagnosis;
  2. individuals coping with trauma, including how to recognize trauma and appropriate interventions for addressing the acute needs of trauma victims;
  3. individuals with HIV/AIDS;
  4. individuals who identify as lesbian, gay, bisexual, transgender, or gender non-conforming;
  5. individuals and families who have been victims of violence, abuse, or neglect;
  6. individuals who may be the victims of human trafficking or sexual exploitation, including how to identify potential victims;
  7. pregnant and parenting mothers and/or fathers with young children;
  8. runaway and homeless children and youth;
  9. persons with current or past criminal justice system involvement;
  10. persons with current or past child welfare system involvement;
  11. persons with developmental disabilities; and
  12. older adults.
Interpretation: Peer outreach workers should be trained on or demonstrate competency in these areas as needed based on their job responsibilities.
 
Fundamental Practice

PA-OS 2.05

The agency ensures the safety of street outreach personnel by:
  1. developing procedures and trainings that address how to recognize and respond to street safety risks; and
  2. deploying at least a two-person team when necessary due to safety concerns.
Related Standards:
NA The agency does not provide street outreach.
 

PA-OS 2.06

Peer outreach workers receive pre- and in-service training and ongoing supervision and support around: 
  1. the role of a peer outreach worker, including skills, concepts, and philosophies related to peer support; and
  2. established ethical guidelines, including setting appropriate boundaries and maintaining confidentiality.
Interpretation: Peer outreach workers establish relationships with service recipients that are based on mutual respect and trust and support bidirectional learning and reciprocity.
NA The agency does not utilize peer outreach workers.
 

PA-OS 2.07

Employee workloads support the achievement of client outcomes and are regularly reviewed.

Examples: Factors that may be considered when determining employee workloads include, but are not limited to:
  1. the qualifications, competencies, and experience of the worker, including the level of supervision needed;
  2. the work and time required to accomplish assigned tasks and job responsibilities; and
  3. service volume, accounting for assessed level of needs of persons served.
2024 Edition

Outreach Services (PA-OS) 3: Engagement and Assessment

The agency’s engagement and assessment practices enable workers to build trust with individuals experiencing homelessness and ensure they receive prompt and responsive access to appropriate services.

1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
 

PA-OS 3.01

Engagement and assessment are:
  1. non-stigmatizing and non-judgmental;
  2. sensitive to the willingness of the individual or family to be engaged;
  3. culturally and linguistically responsive;
  4. non-threatening;
  5. respectful of the person's autonomy and confidentiality;
  6. focused on information pertinent for meeting service requests and objectives;
  7. trauma-informed;
  8. flexible; and
  9. persistent.
Interpretation: To ensure that transgender and gender non-conforming service recipients are treated with respect and feel safe, service recipient choice regarding their first names and pronouns should be respected and forms and procedures should allow individuals to self-identify their gender and receive access to services accordingly, in accordance with applicable federal and state laws.
 
Fundamental Practice

PA-OS 3.02

Personnel use standardized, evidence-based instruments to assess:
  1. safety, including potentially life-threatening situations and risk for suicide in order to determine if a more intensive service is necessary;
  2. immediate needs;
  3. level of functioning;
  4. overall mental and physical health; and
  5. strengths and capacities, including the capacity for making decisions.
Interpretation: Depending on the qualifications of staff doing street outreach, the assessment process may be a two-phased process with elements (a) and (b) addressed by outreach workers in the locales where connections are made with service recipients, and elements (c), (d), and (e) addressed by a case manager or other qualified staff once the service recipient has agreed to accept services at a shelter or drop-in center. Assessments should be updated as needed based on the needs of persons served.

Examples: Agencies can respond to identified suicide risk by connecting individuals to more intensive services; facilitating the development of a safety and/or crisis plan; or contacting emergency responders, 24-hour mobile crisis teams, emergency crisis intervention services, crisis stabilization, or 24-hour crisis hotlines, as appropriate.
 

PA-OS 3.03

Programs facilitate access to the continuum of services through active collaboration with other homelessness service providers and community resources.

Examples: Agencies may collaborate through their community's coordinated entry processes, if available. Coordinated entry provides equal, nondiscriminatory access to appropriate services regardless of where service recipients present for assistance, and connects service recipients to all available community programs and services, as appropriate. Coordinated entry processes provide access to providers delivering a wide range of services, including both homeless-specific programs and services for the general population. Examples include shelters for domestic violence survivors, runaway and homeless youth programs, street outreach services, homelessness prevention programs, emergency shelters, transitional housing, permanent supportive housing, rapid re-housing, programs for veterans, LGBTQ-affirming services and supports, providers of mainstream benefits and services, health and mental health clinics, employment services, and child development programs.
2024 Edition

Outreach Services (PA-OS) 4: Service Provision

Outreach services link individuals and families with needed services and housing.

1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
 

PA-OS 4.01

The agency works in active partnership with persons served to:
  1. assume a service coordination role, as appropriate, when the need has been identified and no other agency has assumed that responsibility;
  2. ensure that they receive appropriate advocacy support;
  3. assist with access to the full array of services to which they are eligible; and
  4. mediate barriers to services within the service delivery system.

Example: Personnel can facilitate and improve access to services by personally introducing service recipients to health, mental health, social service, and mainstream benefit providers.
 

PA-OS 4.02

Outreach services are flexible and respond to the unique needs of youth, adults, and families experiencing homelessness.
 

PA-OS 4.03

Outreach services provide, either directly or through referral, an array of services that meet basic needs and help integrate the person or family into the community.

Examples: Needed services may include:
  1. services to meet basic needs, including food, clothing, shelter, hygiene, and laundry;
  2. crisis intervention;
  3. medical/dental evaluation and care;
  4. behavioral health care;
  5. housing assistance;
  6. substance use education and treatment;
  7. legal assistance;
  8. help obtaining documentation, for example birth certificate, photo identification, and/or social security card;
  9. help with mainstream benefit enrollment and renewal applications;
  10. case management;
  11. social support services; 
  12. medical respite care services; and
  13. health information, including information about harm reduction, STDs, HIV/AIDS, and pregnancy prevention.
 
Fundamental Practice

PA-OS 4.04

When the outreach team has the authority to transport a person involuntarily to an emergency facility, the agency follows written procedures that protect the safety, dignity, and legal rights of the service recipient.
NA The agency does not have the required authority.
2024 Edition

Outreach Services (PA-OS) 5: Drop-In Centers

Drop-in centers for individuals experiencing homelessness provide basic services in a safe, supportive, minimally-intrusive environment.
NA The agency does not provide a drop-in center for individuals experiencing homelessness.

1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
 

PA-OS 5.01

Drop-in centers are located in areas where they can be easily accessed by individuals experiencing homelessness, and provide:
  1. comfortable seating;
  2. food or snacks;
  3. a telephone;
  4. a mailing address;
  5. a computer with internet access;
  6. a safe, lockable place to keep personal belongings and valuables;
  7. clothing;
  8. laundry facilities or laundromat tokens; and
  9. bathroom facilities with showers, including personal hygiene supplies.
 
Fundamental Practice

PA-OS 5.02

Drop-in centers provide, directly or by referral:
  1. crisis intervention;
  2. information and referrals;
  3. medical and dental services;
  4. behavioral health services;
  5. legal services;
  6. housing services; 
  7. employment services; and
  8. support, programming, and education on a range of topics, when serving youth.

Examples: Support, programming, and education for youth may include workshops on topics, such as independent living skills, education, employment, health, and relationships, as well as opportunities for socialization and recreation.
 

PA-OS 5.03

In order to ensure the needs of service recipients are met:
  1. personnel are available during operating hours to provide ongoing services and overall supervision; and
  2. operating hours are clearly posted on or near the front door, and include information on alternative service locations that are accessible when the drop-in center is closed.
 
Fundamental Practice

PA-OS 5.04

Written expulsion policies and procedures:
  1. are posted or otherwise provided to individuals using the service;
  2. are clear and simple, avoiding overly rigid and bureaucratic language and rules;
  3. define specific behaviors, conditions, or circumstances that may result in expulsion, and limit expulsion to extreme situations;
  4. include timely due process provisions;
  5. describe the conditions or process for re-admission to the facility; and
  6. require that all reasonable efforts be made to provide an appropriate referral.

Examples: Examples of reasons for expulsion include when a service recipient exhibits severely disruptive behavior or is violent toward self or others.
2024 Edition

Outreach Services (PA-OS) 6: Follow-Up

Personnel follow-up, to the greatest extent possible, with each person or family regarding their short- and long-term progress and stability.

1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
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