Children and Youth Single Point of Access (SPOA)

Health Home Care Management: A Health Home is a care management service model whereby all of an individual's caregivers communicate with one another so that all of a patient's needs are addressed in a comprehensive manner.  This is done primarily through a "care manager" who oversees and provides access to all of the services an individual needs to assure that they can receive everything necessary to stay healthy, out of the emergency room and out of the hospital.  Health records are shared among providers so that services are not duplicated or neglected.  Health Home services are provided through a network of organizations - providers, health plans and community-based organizations.  When all the services are considered collectively they become a virtual "Health Home".

HH Care Management Referral Form

Non-Medicaid Care Coordination: Villa of Hope’s Care Coordination program uses the CFT process to develop a team of natural and formal supports around the family. In order to create a proactive plan to meet a family’s needs, you can expect a minimum of 2 to 4 visits per month depending on level of need. Typical areas of focus include developing healthy coping mechanisms, positive family interactions, appropriate social and communication skills and tools for academic success. In most cases, the program lasts 9-12 months. The goal is that youth and families leave the program with new skills, a sense of empowerment and hope for the future.

Non-Medicaid Care Coordination Referral Form

Home and Community Based Services (HCBS) Waiver: An intensive program that provides a variety of services and supports for youth who are at significant risk for long-term hospitalization or residential placement and their families.  These supports are designed to meet the youth’s individualized needs in order for him/her to remain at home.  An Individual Care Coordinator meets with the youth and family a minimum of six times a month and uses the CFT process to identify needs and to develop goals.  Services that may be accessed to support the youth’s plan are: skill-building, respite, intensive in-home, family support and crisis response.  Current Providers: Hillside Family of Agencies, Villa of Hope

HCBS Waiver Referral Form

Skill Building: Skill Builders work with youth, families, therapists, and other providers to identify short-term goals for specific skill development related to a child’s mental health challenges.  Skill Building is provided in a youth’s home, community, and/or school, depending on the youth’s individual needs, and Skill Builders work flexible hours (including early morning, evenings, and weekends), meeting with youth and families at times that work best for them.  In general, Skill Building is provided for 4-6 months; the number of hours varies depending on each individual’s needs and goals.  Current providers:  Hillside Family of Agencies, Villa of Hope

Skill Building Referral Form

Residential Treatment Facility (RTF): Residential treatment facilities (RTF) provide fully integrated mental health treatment services to seriously emotionally distubed (SED) youth between the ages of 5 and 18.  The RTF admission is voluntary on the part of the youth and family and cannot be court ordered.  The facility is within the continuum of services provided and regulated by the Office of Mental Health.  Residential treatment facilities are less restrictive, unlocked and less intensely staffed than psychaitric centers and are operated by non-profit agencies.    Please note the required information for an RTF referral which is included at the beginning of the RTF referral form.   

RTF Referral Form

Community Residence (CR): Community Residences provide a supervised, therapeutic environment for six to eight children or adolescents, betweeen the ages of 5 and 18 years, that includes structured daily living activities, problem solving skills development, a behavior management system and caring consistent adult interactions.  Most often, needed clinical supports for the child and family are provided by community-based services. 

Community Residence Referral Form

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Please send completed referrals to

Email: childspoa@monroecounty.gov

or Fax: (585) 324-4322

For general inquiries regarding SPOA

(this would include RTF or CR admission criteria or denials, system barriers around accessing appropriate levels of care, concerns/complaints about current OMH service providers)

please contact: (585) 753-2881

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For inquiries/updates regarding pending SPOA referrals

please contact: (585) 753-6104 or (585) 753-2680

 
 

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