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Care Collaborative March 27, 2018

Care Collaborative March 27, 2018. Lindsay Newvine St. Lawrence County Mental Health Services Coordinator lnewvine@stlawco.org (315) 229-3871. Adult SPOA (Single Point of Access).

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Care Collaborative March 27, 2018

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  1. Care CollaborativeMarch 27, 2018 Lindsay Newvine St. Lawrence County Mental Health Services Coordinator lnewvine@stlawco.org (315) 229-3871

  2. Adult SPOA (Single Point of Access) • Provides a centralized intake system for referrals to case management, housing, and other supports for individuals with serious mental illness who are having difficulty managing day to day life • Goal is to ensure individuals referred will be matched to the appropriate level of service based on their needs

  3. Adult SPOA (Single Point of Access) • 18 years and up • Diagnosis of a serious mental illness • Need ongoing support to live successfully in the community • Referral can be found at http://northcountryinitiative.org/wp-content/uploads/2017/07/SPOA-Referral-Form-adults.pdf

  4. Adult SPOA (Single Point of Access) • Case Management Services Available • Assertive Community Treatment (ACT) Team, • Delivers comprehensive services to individuals diagnosed with severe mental illness and whose needs have not been well met by traditional service delivery approaches • Services offered • On call access 7 days a week • Service planning and coordination • Family life and social relationship support • Housing assistance • Wellness Self-Management and Relapse prevention • Assistance with ADL’s • Health Promotion • Money Management and Entitlements • Integrated Treatment for Substance Abuse • Vocational Opportunities • Problem Solving • Medication Support • Self Help

  5. Adult SPOA (Single Point of Access) • Case Management Services Available (Cont.) • Intensive Health Home Care Management • Delivers services to individuals who have SPMI (Serious and Persistent Mental Illness), impairment in functioning, repeated psychiatric hospitalizations, frequent crisis contacts, resistance with treatment • Services Offered • Comprehensive Case Management • Care Coordination and health promotion • Transitional care (from inpatient to community) • Individual and Family Support • Referrals to community and social supports

  6. Adult SPOA (Single Point of Access) • Case Management Services Available (Cont.) • Health Home Care Management, https://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/ • Eligibility • Medicaid and • Two or More Chronic Conditions or HIV/AIDS, or SPMI and • Significant behavioral, medical or social risk factors • Care management service model, all caregivers communicate with one another so individual’s needs are addressed in a comprehensive manner • Services Offered • Comprehensive Care Management • Care Coordination and Health Promotion • Comprehensive Transitional Care • Family Support • Referral to Community Supports

  7. Adult SPOA (Single Point of Access) • Case Management Services Available (Cont.) • Supported Housing Case Management • Financial and Case Management assistance to adults diagnosed with SPMI in the area of location, procuring and maintaining safe, affordable housing • Services • Start up funding for security deposits, first month’s rent, furniture, appliances • Ongoing rental stipends • Low level case management needs • Seen once or twice a month

  8. Adult SPOA (Single Point of Access) • Case Management Services Available (Cont.) • Peer Support Case Management • Step by Step, 1515 Knox St, Ogdensburg (315) 394-0597, http://stepbystep.technologyworks4you.com/ • Also have a drop in center which is a safe, non-judgmental environment where people can be themselves, socialize with others and engage in activities and services of their choice.

  9. Adult SPOA (Single Point of Access) • Residential Services Available • Northwood Manor (Ogdensburg) • State Operated Voluntary Community Residence • Staff 24/7 • For individuals needing assistance and support either following a psychiatric hospitalization or an alternative to hospitalization • Eligibility • Diagnosis of Mental Illness • Unable to live independently, but has a goal to live independently • In need of rehabilitation and guidance in ADL’s • Capable of self-preservation • 18 years and older

  10. Adult SPOA (Single Point of Access) • Residential Services Available (Cont.) • United Helpers Gateway Apartments (Ogdensburg) • Housing, Support and Education for people diagnosed with SPMI with the goal of reintegrating into community life • Skill training provided in: Medication Management, cooking, cleaning, laundry, self-care skills, budgeting, and others • Staffed during the day with on call in the evenings • Eligibility • Diagnosis of Mental Illness • Unable to live independently, but has a goal to live independently • Capable of self-preservation • 18 years or older

  11. Adult SPOA (Single Point of Access) • Residential Services Available (Cont.) • North Country Transitional Living Services Community Residence • Co-ed apartment style housing with 24/7 staff support located in Gouverneur • Residents acquire independent living skills including medication management, socialization and daily living skills • Eligibility • Diagnosis of Mental Illness • Unable to live independently, but has a goal to live independently • 18 years or older • Capable of self-preservation

  12. Adult SPOA (Single Point of Access) • Residential Services Available (Cont.) • North Country Transitional Living Services Single Room Occupancy (SRO) • Homeless housing – immediate goal is to provide shelter and then follow up to ID cause of homelessness and provide assistance to reverse circumstances • One person per bedroom community style living • Shared kitchen, living room and bathroom • Each room has its own dresser, closet and dorm sized fridge • Staffed during normal business hours and on call after hours • Residence located in Ogdensburg (Male and Female) and Canton (Male) • Eligibility • 18 years or older • Homeless

  13. Adult SPOA (Single Point of Access) • Residential Services Available (Cont.) • Family Care • Residential service sponsored by OMH • Places individuals in need of community placement with persons certified to deliver residential care in their own homes • Providers receive training, support and financial reimbursement • Eligibility • Diagnosis of Mental Illness • Unable to Live Independently • 18 years or older

  14. Adult SPOA (Single Point of Access) • Residential Services Available (Cont.) • Step by Step, Inc. Housing Program (Ogdensburg) • Peer run service designed to provide an alternative option to traditional residential and supported housing program • Transitional housing for individuals re-entering the community from hospitalization or for those who have not benefited from traditional supported housing programs • Eligibility • Diagnosis of a mental illness • 18 years or older

  15. Children’s SPOA (Single Point of Access) • Process to identify the children most at risk of out of home placements and to connect them to community based programs that will support them and their families. • Goal is to keep children in their home with their families in the most normalized setting as possible. • Ensure children and their families are getting the right services in the right amount.

  16. Children’s SPOA (Single Point of Access) • Who is eligible? • Children and youth who reside in SLC • Child/youth experiencing serious emotional, behavioral and/or social challenges • Risk of hospitalization or out of home placement • Child currently hospitalized or in an out of home placement • Referral can be found at http://northcountryinitiative.org/wp-content/uploads/2017/07/SPOA-Referral-Form-children.pdf

  17. Children’s SPOA (Single Point of Access) • Case Management Services Available • Home and Community Based Service Waiver • Children 5 to 18 who have complex health and mental health needs, must demonstrate evidence of SED (serious emotional disturbance) • Has had a hospitalization or is eligible for psychiatric hospitalization • Services • Care coordination • Respite • Family support services • Intensive in-home services • Crisis response • Skill building

  18. Children’s SPOA (Single Point of Access) • Case Management Services Available (Cont.) • Health Home Care Coordination • Eligibility • Medicaid and • Two or More Chronic Conditions or HIV/AIDS, or SED or Complex Trauma and • Significant behavioral, medical or social risk factors • Care management service model, all caregivers communicate with one another so individual’s needs are addressed in a comprehensive manner • Services Offered • Comprehensive Care Management • Care Coordination and Health Promotion • Comprehensive Transitional Care • Family Support • Referral to Community Supports

  19. Children’s SPOA (Single Point of Access) • Case Management Services Available (Cont.) • Coordinated Children’s Services Initiative • Children under age of 18, at risk of out of home placement or inpatient treatment, family is involved with two or more systems (Mental Health, CSE, Probation, DSS, etc) * No Mental Health Diagnosis Required* • Brings the family and providers together in an effort to coordinate services. • Services Offered • Case Management • Family Support • Skill Building • Socialization • Linkage to community resources

  20. Children’s SPOA (Single Point of Access) • Case Management Services Available (Cont.) • St. Lawrence County Community Services Child and Family Support Team • Team consisting of a case manager and licensed therapist • Children ages 4 to 18 and one episode of outpatient and/or inpatient mental health care within past 12 months or have had a mental health evaluation at an ER and is at risk of out of home placement • Services Offered • Child/Family Therapy • Support and collaboration with agencies/schools working with child/family • Family Peer Support • Case Management

  21. Mental Health Clinics • St. Lawrence County Mental Health- 80 State Highway 310, Canton, (315) 386-2167 • Adults and Children • St. Lawrence Psychiatric Center • Gouverneur Wellness Center, 28 William St, Gouverneur, (315) 287-2811 – Adults and Children • Massena Wellness Center, 23 Maple St, Massena, (315) 769-8441 – Adults and Children • Ogdensburg Wellness Center, 109 Ford St, Ogdensburg (315) 394-0101 – Adults Only • Children and Youth, 1 Chimney Point Drive, Ogdensburg, (315) 541-2580 – Children Only • United Helpers Mosaic, 221 Hamilton St, Ogdensburg (315) 541-3042 – Adults and Children • Claxton Hepburn Wellness Center, 214 King St, Ogdensburg, (315) 713-5720 – Adults and Children • Canton Potsdam Hospital Behavioral Health – Adults and Children • Dr. Mariam Asar, 20 Cottage St, Potsdam, (315) 261-5405 • Dr. Joshua Frank, 12 Elm St, Potsdam, (315) 261-5420

  22. Substance Abuse Services • St. Lawrence County Chemical Dependency Services • Gouverneur, 99 West Main St, (315) 386-2189 • Canton, 80 SH 310, (315) 386-2189 • Ogdensburg, 206 Ford Street, (315) 393-1164 • Massena, 21 Harrowgate Commons, (315) 764-0718 • Canton Potsdam Hospital Chemical Dependency Services, • Outpatient - 12 Elm St, Potsdam (315) 353-2572 • Detox – 50 Leroy St, Potsdam (315) 261-5969 • Seaway Valley Prevention Council – 206 Ford St, Ogdensburg, (315) 713-4861 • Teen Intervene Counselor • Family Support Navigator • Peer Support • Horizons Club House (club house for adolescents 12-17) – 56-58 Main St, Massena, (315) 705-4203

  23. Crisis Services • Reachout of St. Lawrence County • 24/7, 365 days a year • (315) 265-2422 • National Suicide Hotline • (800) 273-8255

  24. Office for Persons with Developmental Disabilities • Call the Front Door and refer a person via telephone (518) 536-3480 • Contact United Helpers (315) 393-3072 x327 • Contact CP of the North Country (315) 379-9667

  25. Homelessness • Contact Department of Social Services, Adult Protective Services, 6 Judson St, Canton (315) 379-2148 • If a child still enrolled in school is deemed homeless or displaced contact child’s home district McKinney Vento Liaison • Adult/Children’s SPOA Coordinator – Lindsay Newvine

  26. Financial, Food and Housing Assistance • Catholic Charities – 716 Caroline St, Ogdensburg (315) 393-2660 • Adoption, counseling, financial assistance, parenting education • Seaway House, 212 Caroline St, Ogdensburg, (315) 393-3133, http://www.cathcharities.org/seawayhouse1.html • Clubhouse based on psychiatric rehabilitation, promoting individual recovery through the process of skill development. • Massena Independent Living Center – 156 Center St, Massena, (315) 764-9442 • STEHP (Solutions to End Homelessness Program) – assists households identified as at risk and without assistance would experience homelessness • Advocacy • Independent Living Skills Training • Peer Services • Assistive Technology (to live independently at home) • Loan Closet (equipment to use on a trial basis) • Benefits Advisement • Home Health Care • Health Insurance Navigator

  27. Financial, Food and Housing Assistance (Cont.) • Neighborhood Centers • Potsdam – 2 Park St, (315) 265-3920 • Canton – 5 West St, (315) 386-3541 • Gouverneur – 15 Rock Island, (315) 287-3370 • Ogdensburg – 330 Ford St, (315) 393-5561 • Edwards – 183 Main St, (315) 562-3296 or (315) 562-8252 • Hammond – 30 Lake St, (315) 324-5219 • Massena – 61 Beach St, )315) 764-0050 • Norfolk/Raymondville – 287 Brouse Rd, Massena, (315) 384-4629 or (315) 769-3915 • Richville Food Pantry – 209 Main St, (315) 287-0259 or (315) 287-2680 • Town of Pierrepont – 864 State Highway 68, Canton, (315) 379-0415

  28. Financial, Food and Housing Assistance (Cont.) • Helping Hands – 5868 State Route 56, Hannawa Falls, (315) 268-0633 • Food, Household Items, Financial Assistance • Salvation Army • Ogdensburg – 401 Franklin St, (315) 393-3351 • Massena – 20 Robinson Road, (315) 769-5154 • St. Lawrence County Community Development Program – 1 Commerce Lane, Canton, (315) 386-1102 • Weatherization, housing choice voucher program, personal care

  29. Financial, Food and Housing Assistance (Cont.) • St. Lawrence County Department of Social Services • Supplemental Nutrition Assistance Program (SNAP), (315) 379-2155 or (800) 649-7565 • Home Energy Assistance Program (HEAP), (315) 379-2297 • Medical Assistance/Medical Services, (315) 379-2701 • Program for those who cannot afford to pay for medical care and meet certain financial requirements. • Temporary Assistance, (315) 379-2155

  30. Senior Services • St. Lawrence County Office for the Aging, 80 State Highway 310, Canton, (315) 386-4730, https://www.stlawco.org/Departments/OfficefortheAging/OFAServices • Nutrition Program, prescription plan, transportation, employment program, in-home services, caregiver support, legal services, health insurance information and counseling

  31. Transportation • St. Lawrence County Public Transit, 6 Commerce Lane, Canton, (315) 386-2600 http://www.slnysarc.org/public-transit • Ogdensburg Public Transportation, (315) 386-2600 http://www.ogdensburg.org/index.aspx?NID=407 • Volunteer Transportation Center, (315) 714-2034 https://volunteertransportationcenter.org/

  32. Child Care • St. Lawrence County Department of Social Services, (315) 379-2285 or (315) 229-3127 • St. Lawrence Child Care Council, 314 Ford Street, Ogdensburg, (315) 393-6474 or (800) 246-5352 http://www.stlawrencechildcare.org/

  33. Transgender Services • The Trevor Project Lifeline (866) 488-7386, https://www.thetrevorproject.org/#sm.000zgfb8g9tpf6y10i120xa587scp • Gay and Lesbian National Hotline (888) 843-4564 • Stopping the Hate (206) 350-4283 • https://www.glbthotline.org/chat.html

  34. Other Assistance Programs • St. Lawrence County Department of Social Services Disabled Client Assistance Program (DCAP), (315) 379-2146 • Assists person receiving assistance to apply for Supplemented Security Income and Social Security Disability. Also assists in filing appeals of denials. • One Stop Career Center Employment Assistance, 80 State Highway 310, Canton, (315) 386-3276, www.slconestop.com • St. Lawrence County Department of Social Services Assistance with Burials, (315) 379-2164

  35. Resource Directories • North Country Prenatal Perinatal Council, Inc. • http://directory.ncppc.org/ • https://211cny.com/ • https://www.nyconnects.ny.gov/ • Seaway Valley Prevention Council • http://svpc.net/agency-directory-2/wpbdp_category/st-lawrence/

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