CASE MANAGEMENT/CARE COORDINATION
ADULTS
Adults who need additional support to successfully navigate services,
particularly those who require different types of services to address
mental health, physical health and chemical dependency concerns can be
assigned to a case manager/care coordinator. The case manager/care
coordinator works to assure the success of the treatment plan by linking
the individual to appropriate services and coordinating those services in a
way that organizes everyone’s efforts around the client’s goals. Adult
care coordination services (intensive and supportive case management)
are accessed through the Monroe County Single Point of Access
(SPOA). The application for these services can be found on-line at
www.carecoordination.org (in the Tools section) or by calling 753-2879.
ROCHESTER GENERAL HEALTH SYSTEM 922-27430
Intensive and Supportive Case Management
Serves adults ages 18+
STRONG BEHAVIORAL HEALTH 279-4900
Intensive and Supportive Case Management
Serves adults ages 18+
UNITY HEALTH SYSTEM 368-3901
Intensive and Supportive Case management
Serves adults ages 18+
CHILDREN
Children’s care coordination services and Single Point of Access (SPOA) services (intensive and supportive case management, HCBS Waiver) are accessed through the Family Access & Connection Team (FACT) at 753-2639.
HILLSIDE FAMILY OF AGENCIES 256-7500
Home and Community Based Services – Waiver Program
Care Coordination
Serves children and young people ages 5-21
ST. JOSEPH’S VILLA 325-3580
Home and Community Based Services – Waiver Program
Intensive and Supportive Case Management
Care Coordination
Serves children and young people ages 5-21
COMPREHENSIVE CARE INITIATIVES
These programs serve individuals with serious mental illness who are
experiencing extreme difficulty in accessing or maintaining mental
health services. These individuals may be homeless, have a history of
multiple psychiatric hospitalizations or incarcerations/arrests or are
experiencing mental illness along with chemical abuse issues Many
times, these programs “go to the individual” to deliver a variety of
needed services.
ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAM 279-4900
An Office of Mental Health licensed mobile treatment team that
serves adults with serious mental illness with priority given to those
requiring assisted outpatient treatment, referred by the mobile crisis
team or currently not enrolled in case management or mental health
services. Provides case advocacy, psychiatric assessment and
outpatient treatment. Offers access to representative payee services
and MICA treatment.
ROCHESTER GENERAL HEALTH SYSTEM MICANET 922-2743
Provides linkage with and coordination of treatment services for
persons who are 18+ years, are severely and persistently mentally ill
and who also have a substance use disorder.
STRONG TIES PROJECT LINK 279-4900
The Project serves adults diagnosed with mental illness who are
involved with or at-risk of becoming involved with the criminal
justice system. Project Link works intensively with individuals to
provide diagnostic assessment, crisis intervention, advocacy, and
linkage to appropriate mental health, medical and community
resources and assistance in negotiating the criminal justice system.
RECOVERY SUPPORTS
Non-clinical, community based programs and services that assist
individuals in maintaining their recovery.
COMPEER 546-8280
An organization dedicated to helping individuals receiving mental
health services find social supports in their community through
friendship. Community volunteers are recruited and matched in
mentor relationships. Program coordinators train volunteers and
monitor matches in order to guide successful relationships. Clients
in transition to matches are encouraged to participate in Compeer
and community events, with the goal of linking people to resources
to sustain health. Programs include: One-to-One Friendships,
Compeer Calling and E-Buddies and Supportive Partners. Referrals
are made by community mental health providers
MENTAL HEALTH ASSOCIATION 325-3145
The Mental Health Association teaches skills and provides support to
individuals allowing them to make informed decisions on the path to
mental wellness. Programs focus on providing impartial,
confidential information and services to people with a wide range of
mental health related issues. Programs include:
Education and Advocacy Services
Consumer Guides are available to help individuals with mental
illnesses understand and access the options and resources available to
them, address treatment or care issues or answer questions related to
individual rights. Accepts Tickets to Work.
Peer Coaches are paired with individuals having mental health
concerns to assist them in developing and working towards personal
living goals in areas such as housing, transportation, developing
social/recreational options, employment issues, maintaining wellness
with chronic illnesses, and personal relationship building.
In addition, these services educate the public by providing practical
information for the community on a variety of mental health topics.
Family Support Services
The program provides support, education, information, and respite
services for families raising children with emotional or behavioral
challenges. Support group meetings are offered at various times and
locations. Respite for and transportation to meetings is available.
Family Support Services also offers telephone support, information and referral, school
advocacy and Family Development classes.
Creative Wellness Coalition
A peer-run self-help program whose mission is to share in creating an evolving environment where individuals respect and encourage each other on a journey of wellness. The Coalition inspires growth by sharing their collective wisdom and experiences within a variety of self-help groups in a non-clinical
environment. The Coalition respects and encourages diverse perspectives while for striving for personal balance using strength based strategies both individually and as a group. Peer services include an active visual arts studio, gallery and exhibits. Workshops for other expressions, such as music, writing and dance, are just a few examples of additional programming. Opportunities for complementary therapies often included in the schedule include, Reiki, Yoga and meditation.
Recovery Center 224-2005
A peer-run recovery center that assists individuals to take an active
role in their mental health and recovery.
Drop-In Center 454-3530
The Center, located at 539 South Avenue (on the #5 bus route), is
open seven days a week from 5 – 9:00 p.m. It provides peer to peer
mental wellness support and community resource information on a
walk-in, no referral required, no appointment needed basis. No fees
are charged to guests for service. Persons who themselves are
successfully resolving mental health issues staff and volunteer with
the program.
Warm Line Service
Those unable to attend in person can call the Center daily from 5 –
9:30 p.m. A support team is available to talk with individuals.
NAMI ROCHESTER, NY (THE LOCAL AFFILIATE OF
THE NATIONAL ALLIANCE ON MENTAL ILLNESS)
423-1593
Self-help, not for profit grassroots organization providing support,
education and advocacy to individuals and families of all cultural
backgrounds who are living with mental illness. Services support groups, educational meetings and lectures, peer led classes, referrals to community resources, warm line, newsletter from local, state and national organizations. Speakers available on request. Most programs are free; annual membership is $35 per family. Meeting locations in Monroe, Genesee and Wayne counties.