MENTAL HEALTH CASE MANAGEMENT AND CARE COORDINATION
WHAT IS CARE MANAGEMENT AND CARE COORDINATION? Care management and care coordination is a direct resource for adults 18 years of age and up. An individual care manager or care coordinator provides services in the home and the community. Case management has varying levels of intensity depending on the program. The goals of care management and care coordination are to strengthen and empower adults so that they can live safe and productive lives. Care management and care coordination services include ongoing assessment of the adult’s strengths and challenges; development of an adult/person-centered; goal oriented service plan; linking the adult to appropriate services; monitoring effectiveness of services as they relate to the service plan; and advocacy.
WHAT IS THE ELIGIBILITY CRITERIA? The consumer must possess a DSM-5 diagnosis that meets criteria for Serious Mental Illness (SMI), or a DSM-5 diagnosis with extended impairment of functioning due to mental illness.
WHAT IS ACT? Assertive Community Treatment, or ACT, is an evidenced-based practice that offers treatment, rehabilitation and support services, using a person-centered, recovery-based approach, to individuals that have been diagnosed with a severe and persistent mental illness. ACT services are provided to individuals by a mobile, multi-disciplinary team in community settings.
HOW TO APPLY: Complete a SPOA Application, more information about SPOA and links to applications can be found here.
The Mental Health Association in Ulster County, INc. (MHA)
MHA offers Health Homes, which is a care coordination service available to individuals who are on Medicaid and have two qualifying medical health diagnoses or a mental health diagnosis. Health Home care coordination services aim to address the person as a whole. Service areas include medical health, mental health, housing, finances, vocational services, social and recreational support services, substance abuse, legal services, and any other area of need. Care Managers link and refer clients to relevant support services, communicate and coordinate with other service providers, advocate for client services, and provide education and support to clients.
MHA in Ulster County
300 Aaron Court
Kingston, NY 12401
(845) 339-9090
Website
Family of Woodstock
Family of Woodstock offers services for children and families, youth and adolescents, adults, and domestic violence survivors. Services include case management, child care, parenting education, preventing homelessness, shelter, employment assistance, DV shelter, and anger management services. For a full list of services and more information, visit their website.
General Questions?
Please fill out their CONTACT FORM.
HELPING 24 HOURS A DAY: Hotlines, Walk-In Centers, Emergency Food, Counseling, Case Management, Free Clothing and Household Items
Call or text their hotline: (845) 679-2485
Important: For immediate service, please contact our hotlines by phone. Email and other means of correspondence do not allow us to serve you right away.
Family of Woodstock has multiple locations in Woodstock, Kingston, Ellenville, and New Paltz. For detailed locations, visit this page.
Gateway Hudson Valley
Gateway Community Industries, Inc. assists people in choosing, acquiring, using, and maintaining the skills and supports necessary to achieve success and satisfaction in their lives. Gateway offers integrated vocational, therapeutic, residential, and business services. Services include day habilitation, care coordination, residential services, employment assistance, food services, and cleaning services. For more information and a full list of services, visit their website.
P.R.O.S. Program
PROS is a comprehensive, psychiatric rehabilitation service that supports people in their journey towards wellness and recovery. These services offer individualized treatment and support in our Center for Rehabilitation, Education, Advocacy, Treatment and Employment.
The Center offers an array of person-centered, goal-oriented services designed to assist individuals in:
Managing symptoms
Developing the skills and accessing the supports needed to be successful and satisfied in chosen life roles
Honoring the process of recovery
PROS individual sessions and small groups are offered Monday through Friday from 9:00 a.m. to 3:00 p.m. Services are provided by a team of licensed psychiatrists, nurses, clinical social workers, rehabilitation counselors, group facilitators, and alcohol & substance abuse counselors.
Main Office - Joe Cornelske Center
1 Amy Kay Parkway
Kingston, NY 12401
(845) 331-1261
At this location:
Corporate offices
Residential Administration
Kingston Work Center
Job Shop
Vocational Transition Services
Kingston C.R.E.A.T.E
Broadway Kingston
635 Broadway
Kingston, NY 12401
(845) 802-5850
Dutchess County Vocational Services
7-A Mansion St.
Poughkeepsie, NY 12601
(845) 473-7127
Dutchess County Residential Services
7-8 Mansion St
Poughkeepsie, NY 12601
Supported Housing & IRA Program: (845) 473-5642
People USA
People USA is a nonprofit organization that provides people living with mental health or substance use issues with the highest quality, effective peer services and behavioral health care. People USA is peer-run, meaning we’re an agency made up of people with their own personal lived experiences with mental health or substance use challenges, recovery, and moving towards wellness. People USA (formerly PEOPLe Inc.) has grown from a grassroots peer advocacy and support organization to become one of the most recognized and respected behavioral health organizations in the United States. For more information, visit their website.
People USA – Ulster
592 Ulster Ave, Suite A
Kingston, NY 12401
Orange & Ulster Rose House
108 Ulster Avenue
Walden, NY 12586
Care Coordination
Supportive Housing
NYS Office of Mental Health (OMH)
The mission of the New York State Office of Mental Health is to promote the mental health of all New Yorkers, with a particular focus on providing hope and recovery for adults with serious mental illness and children with serious emotional disturbances. OMH is an agency that provides care coordination services.
Contact OMH and County Mental Health Agencies:
Rehabilitation Support Services (RSS)
RSS provides care coordination services for children and youth ages 5-18 and adults ages 18 and up, and residential supportive housing for individuals with mental health and/or substance use issues. For more information, visit their website.
RSS
11 Twin Maples Plaza, Suite 5
Saugerties, NY 12477
(845) 247-9110
Adult Behavioral Health Home and Community Based Services (BH HCBS)
Adult BH HCBS can help you achieve your life goals and be more involved in your community. These services can help increase your independence, support your education and employment goals, provide peer support, and help manage crises. BH HCBS are available for people 21 and over who are enrolled in a Medicaid Managed Care Health and Recovery Plan (HARP) and found eligible after completing the NYS Eligibility Assessment. For questions related to BH HCBS, please email the BH HCBS Program Management Team.
For more information or questions regarding HCBS, please call the Director of HCBS & Support Services at (845) 331-1261 or visit the NYS OMH website.
The following agencies in Ulster County provide HCBS Services to those who are eligible:
Mental Health Association in Ulster County, Inc.
300 Aaron Court
Kingston, NY 12402
(845) 339-9090, ext. 2201
Visit their website
Gateway Community Industries
1 Amy Kay Parkway
Kingston, NY 12401
(845) 331-1261
Visit their website