When an individual who is already receiving other mental health services requires emergency mental health services, the individual’s service provider should be contacted for assistance. If this provider is unavailable to assist the individual in crisis, then other community emergency services (as listed below) are available for care. When an individual is not currently receiving mental health services, entry to psychiatric services can be done on an emergency basis. The agencies listed below provide screening and/or emergency services. Screening is the initial face-to-face process of determining the appropriateness of a person for a particular service. Emergency services include the clinical treatment provided in an emergency unit or by emergency unit staff to stabilize a person who is at risk due to a psychiatric crisis.
Emergency and Crisis
Crisis Services, including detoxification and withdrawal services, are for individuals who are actively using drugs and/or alcohol and who (i) are at risk of experiencing withdrawal symptoms if they stop using those drugs or alcohol, (ii) are experiencing a situational crisis related to their use of drugs or alcohol, (iii) are unable to stop using drugs or alcohol outside of a structured setting. Crisis Services are currently available on an inpatient and an outpatient basis based on individual needs.
In an outpatient setting, partial hospitalization provides most of what is provided in inpatient care. The focus is on acute, short-term crisis intervention, and there is a heavy reliance on individual and group therapy. Clients generally participate for half or full days. It is designed to prevent hospitalization or shorten the length of stay in inpatient care.
An inpatient setting may be appropriate if a person’s symptoms are severe. This includes a 24-hour program of medical, psychiatric, social, and nursing services for persons with mental health disabilities. Upon discharge from an inpatient unit, an individual plan will be developed for the individual, which will include referrals for all appropriate post-hospitalization services. These may include medical, mental health, vocational, housing, and psychosocial services.
Outpatient treatment is designed for individuals with a dependence or abuse condition but who can participate in treatment and comply with treatment outside a 24-hour treatment setting. Programs use an individualized approach to providing services, including assessment, crisis intervention, group, individual, and family therapy, and medication management. Family, friends, and other supportive individuals are encouraged to be involved in outpatient treatment.
Clinic treatment programs may serve adults and/or children and youth, providing an array of outpatient services designed to minimize symptoms and the adverse effects of mental illness, maximize wellness and promote recovery and resilience. Programs use a person-centered, recovery-oriented, and individualized approach to providing services, including assessment, crisis intervention, medication management, psychotherapy, and the coordination of all health-related services. Family, friends, and other supportive individuals are encouraged to be involved in care. All clinical providers utilize a variety of evidence-based approaches, and each clinic provides integrated treatment for individuals with mental health and substance use concerns.
Non-clinical, community-based programs and services that assist individuals in maintaining their recovery.
Personal Recovery-Oriented Services (PROS)
Personalized Recovery-Oriented Services (PROS) is an intensive mental health treatment program that integrates treatment, support, and rehabilitation services in one program site, under a single NYS OMH license and offers individuals a customized array of recovery-oriented services. PROS is for people who are 18 years of age or older, have a designated mental illness diagnosis, and have a functional disability due to the severity and duration of mental illness.
PROS services have different intensity levels and are designed to meet each person’s needs individually. PROS can help people develop the awareness, knowledge, and skills to manage the symptoms of their mental illness through skill-based classes, individual therapy, and skill development and practice so they can become contributing members of the community. This may include getting and keeping a job, getting their own place to live, returning to school, or improving or re-establishing meaningful relationships in their lives.
Adults who need additional support to successfully navigate services, particularly those who would benefit from linkages to services to address chemical dependency, mental health, and physical health needs, can be referred to a case manager/care coordinator. The case manager/care coordinator works to ensure 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.
NonResidential Care Management- Adults
Adults who need additional support to successfully navigate services can be assigned to a Care Manager. These care management services are available to adults with a mental illness who have care management needs OR those who receive Medicaid, have two or more chronic conditions, and have care management needs.
Care Managers work to support recovery by linking individuals to appropriate services, coordinating care, health promotion, transitional care (including appropriate follow-up from inpatient to other settings), individual and family support, and referrals to community and social supports tailored to the individual needs. Care Managers work with individuals to establish and attain recovery goals and to minimize the utilization of emergency and inpatient services. These services are provided by a number of different agencies within our community.
Nonresidential Care Management- Children
Children’s care coordination services can be obtained through the Single Point of Access (SPOA) process, including Case/Care Management: Intensive and Supportive, Care Coordination, and Home & Community Based Services (HCBS) Waiver.
The objective of the supportive housing program is to assist consumers in locating and securing mainstream housing of their choice and in accessing the support necessary to live successfully in the community. Services may include assistance with choosing housing, roommates, and furniture; help with initial and ongoing financing; and linkage with a comprehensive community support system of case management, mental health, rehabilitation, respite, social, employment, and health supports.
Licensed Community Residence Programs
Programs are in congregate (group home) and apartment living settings and provide room, board, and supervision. The overall goals of a community residence program are to help an individual learn the necessary skills to live independently in the community and to attain emotional stability. These programs are rehabilitative and transitional. Community residences have a maximum of 24 individuals in any one location. Supported apartments provide the least restrictive living environments with needed daily support at program sites. Services are generally paid for with funding from SSI, SSD, Monroe County Public Assistance, and Medicaid.
All residential chemical dependence services provide the following services: counseling, peer group counseling, supportive services, educational services, structured activity and recreation, and orientation to community services. Residential services seek to provide the necessary coping skills and self-sufficiency for an individual to initiate and maintain an abstinent lifestyle. Services are generally paid for with funding from SSI, SDD, Monroe County Public Assistance, and Medicaid or personal income.
These services provide a minimum level of professional support, including a weekly visit to the site and weekly contact with the resident by a clinical staff member. Supportive living options provide community-based supervised living within shared or single apartment units.
Family Support Services
The program provides support and advocacy for families who have 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 short-term telephone support, information and referral, school advocacy, and Family Development classes.
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 a mental health crisis in combination with chemical substance abuse. These programs “go to the individual” to deliver a variety of needed services.
Forensic services are provided for persons with mental illnesses who come in contact with the criminal justice system. Adult and juvenile services are available in our community. They may include counseling and other specialized programs.
If a person’s symptoms are severe or if they have not been able to stop using drugs and alcohol while engaged in outpatient treatment, an inpatient setting may be appropriate. This includes a 24-hour day program that offers medical supervision, education, and support in a comfortable environment that’s completely focused on recovery. Upon discharge from an inpatient unit, an individual plan will be developed, which will include referrals for all appropriate post-hospitalization services. These may include chemical dependency, medical, mental health, vocational, housing, and psychosocial services. Serves adults ages 18+. Serves Deaf and Hard of Hearing.