Services to support people in isolation and quarantine
A checklist for establishing wrap-around policies and social support services
Determine available budget for provision of wrap-around services and social support; prioritize resources and services that can be provided accordingly. Services and resources should be prioritized based on the needs of cases and contacts.
Collaborate with Medicaid to identify potential funding sources for provision of supports.
People with fewer resources historically should be prioritized to receive these supports.
2. Support services
Determine the set of support services and resources that will be made available to cases in isolation and contacts in quarantine.
The goal of providing support services and resources is to make it safe, comfortable and easy for people to comply with isolation and quarantine orders. Using escalating social support is the recommended approach to promote compliance (vs. a more coercive enforcement approach that uses punitive measures).
Supporting cases in isolation and contacts in quarantine also contributes to alleviate the burden placed on them for the benefit of society as a whole.
Support should be available to all people regardless of what language they speak, if they have disabilities including blind or deaf, or if they have adequate immigration papers.
3a. Eligibility for core resources
The core resources should be made available to all cases and contacts entering isolation and quarantine.
3.b Eligibility for care package
The care package should be offered to cases and contacts entering isolation and quarantine based on need.
Cases and contacts are eligible to receive the care package if they do not otherwise have access to the goods or services offered (either they do not have the financial means or cannot safely obtain the goods and services without putting themselves or others at risk).
Jurisdictions with available resources may choose to offer the care package to all cases and contacts.
3.c Eligibility for financial support.
Financial supports should be offered to cases and contacts who:
Cannot perform their jobs while in isolation or quarantine and whose employers will not provide adequate paid sick leave
Are caregivers (for example, of children or elderly) and cannot provide their caregiving services and do not have access to fill-in support while in isolation or quarantine
Other (as locally relevant):
3.d Eligibility for other supports
Other supports should be offered on an as-needed basis to ensure that cases and contacts can meet their basic needs and to minimize harm and suffering.
Depending on the wraparound services and social support that will be provided along with the landscape of potential service providers in the community, it may be necessary to contract with more than one agency.
Funding must cover staffing and resource needs, where these cannot be delivered directly by the jurisdiction.
4.a Identify landscape of agencies or organizations that already work in the community providing similar services. This may include health care providers or social services providers, religious groups, food banks, etc.
4.b Select and contract with agencies or organizations that can rapidly and effectively provide the needed wraparound services and social support.
5. Private sector engagement
Consider engaging the private sector to support provision of social support. For example: discounted/free internet, or food deliver services with waived fees.
6. Linkage for cases and contacts
Ensure the link to social support is made for contacts and cases, as appropriate.
Train contact tracing staff to assess an individual’s ability to isolate or quarantine in a safe environment that provides the necessary support (private room and bathroom, adequate food and water, and access to medication) and keeps them away from high-risk individuals.
Contact tracing staff should link people with social support and wraparound services based on their eligibility and interest receiving the supports.
During daily monitoring of cases and contacts, contact tracing staff should reassess social support needs throughout quarantine and isolation periods.
Forms and protocols used by contact tracing staff should include questions and prompts to guide this process.