Specifications include, but are not limited to: 1. When during a routine or emergency inspection by and ISD inspector, or a referral to HHS administrative staff by 311 intake callers or HHS program affiliates, that identifies a situation that may need a referral. These situations could range from a tenant’s crisis with immediate safety threats (i.e. evictions, substance abuse) or a need for less urgent but vital services (i.e. food assistance or mental health services). 2. The inspector and/or staff person issues the referral either by directly connecting the resident to the dedicated case manager or by alerting the case manager of the property at which service(s) are needed. Outreach will be supported by, for example, Inspectors will leave informational brochures detailing the types of services available and how to contact the community-based organization at every residence inspected. 3. The case manager follows up with the resident after reviewing information about the referral and the property to determine if, what type, and where a referral should be made. 4. The case manager works with the resident, relevant social service agency(s), and/or the Chelsea HUB to ensure connections to services are made. 5. The City receives feedback on the outcomes of the referrals made and quarterly reports on the outcomes of the program from the community-based organization using predetermined reporting templates.