CT Department of Mental Health and Addiction Services. Statewide Services RESOURCE GUIDE

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1 CT Department f Mental Health and Addictin Services Statewide Services RESOURCE GUIDE Updated

2 RESOURCE GUIDE TABLE f CONTENTS TOPIC PAGE(S) Overview f the CT Department f Mental Health and Addictin Services (DMHAS) 3 DMHAS Reginal Managers 4 DMHAS Statewide Services Office/Overview f Services 5 DMHAS Older Adult Services Prgrams 6 Senir Outreach Substance Abuse Prgram Gatekeeper Prgram Additinal CT Resurces fr Older Adults with C-ccurring Mental Health and Substance Abuse Prblems 7 Geriatric Assessment Resurces in CT 8-9 WISE: Mental Health Waiver DMHAS Nursing Hme Diversin and Transitin Prgram 13 DMHAS Acquired Brain Injury Services 14 Additinal Infrmatin n ABI Services 15 DMHAS Lcal Mental Health Authrities (LMHAs) DMHAS Crisis Services 17 DMHAS Respite Beds DMHAS Hmeless Services 20 CT Hme and Cmmunity-based Services Waivers 21 Other Resurces Nursing Hme Placements/Preadmissin Screening Resident Review (PASRR) 24 APPENDIX: Map f Cnnecticut/LMHA Lcatins Staff Cntacts fr Nursing Hme Diversin and Transitin Prgram (as f ) 2

3 Overview f the CT Department f Mental Health and Addictin Services (Substance Abuse & Mental Health Authrity fr State f CT) Cmmissiner s Office 410 Capitl Avenue (4 th flr) P.O. Bx Hartfrd, CT Main Telephne: Cmmunity Call Line: Mandate: 1. T serve adults age 18 and lder with psychiatric r substance abuse disrders, r bth, wh lack the financial means t btain such services n their wn. 2. T prvide Preventin Services t ALL Cnnecticut citizens. Department includes: 1. In-patient facilities a. Cnnecticut Valley Hspital (CVH) in Middletwn b. Blue Hills Hspital (treats substance abuse) in Hartfrd c. Greater Bridgeprt Cmmunity Mental Health Center in Bridgeprt d. CT Mental Health Center in New Haven e. Capitl Regin Mental Health Center in Hartfrd Lcal Mental Health Authrities (LMHAs) respnsible fr cmmunity care at lcal level (see pages and Appendix fr Map f CT) Examples f Special Prgrams: (see DMHAS website fr details) 1. Acquired Brain Injury Prgram (ABI) 2. Prblem Gambling Services 3. HIV/AIDS 4. Special Educatin 5. Military Supprt Prgram 6. Yung Adult Services 7. Older Adult Services (Mental Health Waiver; Nursing Hme Diversin & Transitin Prgram; PASRR) T apply fr services: 1. Mental Health cntact LMHA (see pages r visit DMHAS website) 2. Substance Abuse cntact specific prgram (see DMHAS website) 3

4 DMHAS Reginal Managers The state is divided int 5 regins. Listed belw are the managers fr each regin wh can assist with finding mental health, substance abuse & prblem gambling services. Regin 1: Manager: Wayne Starkey, , wayne Bridgeprt, Darien, Eastn, Fairfield, Greenwich, Mnre, New Canaan, Nrwalk, Stamfrd, Stratfrd, Trumbull, Westn, Westprt, Wiltn. Regin 2: Manager: Wayne Starkey, Ansnia, Bethany, Branfrd, Chester, Clintn, Crmwell, Deep River, Durham, East Haddam, East Haven, Essex, Guilfrd, Haddam, Hamden, Killingwrth, Lyme, Madisn, Meriden, Middlefield, Middletwn, Milfrd, New Haven, Nrth Branfrd, Nrth Haven, Old Lyme, Old Saybrk, Orange, Oxfrd, Prtland, Seymur, Sheltn, Wallingfrd, Westbrk, West Haven, Wdbridge. Regin 3: Manager: Rhnda Kincaid, , Ashfrd, Bzrah, Brklyn, Canterbury, Chaplin, Clchester, Clumbia, East Lyme, Eastfrd, Franklin, Griswld, Grtn, Hamptn, Killingly, Lebann, Ledyard, Lisbn, Mansfield, Mntville, New Lndn, Nrth Stningtn, Nrth Plainfield, Pmfret, Putnam, Salem, Sctland, Sprague, Sterling, Stningtn, Thmpsn, Unin, Vluntwn, Waterfrd, Willingtn, Windham, Wdstck. Regin 4: Manager: Michael Michaud, , Andver, Avn, Berlin, Blmfield, Bltn, Bristl, Burlingtn, Cantn, East Granby, East Hartfrd, East Windsr, Ellingtn, Enfield, Farmingtn, Glastnbury, Granby, Hartfrd, Hebrn, Kensingtn, Manchester, Marlbrugh, New Britain, Newingtn, Plainville, Plymuth, Rcky Hill, Simsbury, Smers, Suth Windsr, Suthingtn, Staffrd, Suffield, Tlland, Vernn, West Hartfrd, Windsr, Windsr Lcks Regin 5: Manager: Rhnda Kincaid, , Barkhamsted, Beacn Falls, Bethel, Bethlehem, Bridgewater, Brkfield, Canaan, Cheshire, Clebrk, Crnwall, Danbury, Gshen, Hartland, Kent, Litchfield, Middlebury, Mrris, Naugatuck, New Fairfield, New Hartfrd, New Milfrd, Newtwn, Nrflk, Nrth Canaan, Oxfrd, Prspect, Redding, Ridgefield, Rxbury, Salisbury, Sharn, Sherman, Suthbury, Thmastn, Trringtn, Warren, Washingtn, Waterbury, Watertwn, Winchester, Winsted, Wlctt, Wdbury. Further Questins? Call the DMHAS Cmmunity Call Line: Patrick Tuckey,

5 Department f Mental Health and Addictin Services Statewide Services Office CVH, Beers Hall, 3 rd Flr P.O. Bx 351 Middletwn CT Fr further infrmatin, cntact: Mary Ives, Administrative Assistant Overview f Services Older Adult Services: Older adults have nt been the fcus f the public health system until recently. T bring mre attentin t this ppulatin, we educate cnsumers, prviders, and ther interested individuals abut the needs f lder adults with respect t mental health and substance abuse. We cnduct classes under the DMHAS Educatin and Training Divisin and ffer wrkshps t cmmunity services prviders. Tw specific prgrams are ffered statewide fr adults age 55 and ver: 1.) The Gatekeeper Prgram, which identifies at-risk lder adults in the cmmunity; and 2.) The Senir Outreach Substance Abuse Prgram. Hme and Cmmunity-based Services Waiver fr Integratin, Supprt and Empwerment (WISE): Fr individuals with serius mental illnesses, this prgram is authrized under 1915(c) f the Scial Security Act, and is perated by DMHAS with versight by DSS. The waiver permits the State t furnish an array f hme and cmmunity-based services that assist Medicaid beneficiaries t live in the cmmunity, aviding institutinal care. Service package infrmatin is included in this guide. In additin t the WISE Prgram described abve, the Nursing Hme Diversin and Transitin Prgram ensures that nursing hme placements fr DMHAS clients are necessary, apprpriate, and safe. PASRR (Preadmissin Screening Resident Review) is an integral part f the prgram. Lcated at agencies arund the state, DMHAS funds Nurse Clinicians and Case Managers wh wrk with clients in nursing hmes, hspitals, and the cmmunity. Further infrmatin is included in this guide. Acquired Brain Injury (ABI) Services: Prviding integrated cmmunity services, ABI Cmmunity Services facilitates persncentered recvery and encurages persnal empwerment fr persns living with acquired brain injury and mental illness. Lcated at LMHAs statewide, Cmmunity Integratin Specialists assess eligible individuals and link them with apprpriate services. Further infrmatin is included in this guide. 5

6 DMHAS Older Adult Services Prgrams Senir Outreach Substance Abuse Services Thrugh cntract agencies, the Department f Mental Health and Addictin Services prvides cnsultatins and educatin, utreach, hme visits, nursing hme visits, and age-specific weekly substance abuse grup therapy t Older Adults thrughut the state. William Gnzalez, Med, LADC Liberatin Prgram Stamfrd, Bridgeprt area Mary Garfal, DARC, MSW Wheeler Clinic Plainville, Manchester area Glen Ryan, CADC McCall Fundatin Trringtn, CT Debrah, Gregg, BS Alchl and Drug Recvery Center (ADRC) Hartfrd, New Britain area Craig Simmns Cmmunity Health Services Hartfrd, CT Edwina Ranganathan, MSW, LADC Rushfrd Center Middletwn, CT Jim Crean MCCA Danbury, CT Cindy Everett-Simpsn, ICAC, SCCP (x225) SCADD New Lndn, Nrwich area Gatekeeper Prgram This prgram educates the cmmunity (pstal wrkers; beauticians; hme delivery wrkers; etc.) hw t identify and refer lder adults (age 55+) wh may need assistance t remain safe in their hmes. A Gatekeeper Prgram can be called fr fllw-up. Prgrams are lcated in the fllwing regins (see page 9 fr specific twns in the regins) and agencies: Regins 1 & 5 Regin 2 Gatekeeper 8 (Mental Health Assciatin) St. Luke s Eldercare Services Tll Free: ASK-GATE ( ) Regin 3 Regin 4 United Services Gatekeeper Prgram CRT Senir Services Gatekeeper Prgram

7 Additinal CT Resurces fr Older Adults with C-ccurring Mental Health and Substance Abuse Prblems New Prspects: 392 Prspect Street, Bridgeprt Tel: Serves adult men and wmen with high severity f substance use and lw t mderate severity f mental health symptms in need f shrt-term treat f apprximately 30 days. Accepts referrals statewide. Equal access t treatment fr all persns in need, regardless f race, ethnicity, gender, age, disability, surce f payment, and sexual rientatin. DMHASfunded. MCCA McDnugh Huse: 38 Ridgebury Rad, Danbury Tel: Serves persns with c-ccurring mental and substance abuse disrders, including senirs/lder adults. Shrt and lng-term residential treatment. Frms f payment: self-pay (sliding scale based n incme & ther factrs); private insurance; Medicaid. MCCA Trinity Glen: 149 West Crnwall Rad, Sharn Tel: Residential lng-term treatment (mre than 30 days) fr men and wmen, including senirs/lder adults, wh need substance abuse services. Frms f payment: self-pay r private insurance. SCADD Lebann Pines: 37 Camp Mween Rad, Lebann Tel: Lng term treatment fr men with substance abuse prblems. Minimum length f stay is 90 days. Liberatin Prgrams, Inc.: 780 Summer Street, Stamfrd Cntact Bill Gnzalez abut his utpatient grup f lder adults: Wheeler Clinic Senir Substance Abuse Services: Plainville Tel: Serves lder adults age 60 plus wh have substance abuse issues. Merritt Hall at CT Valley Hspital: Middletwn Tel: Usually treats ages 25-40ish, but lder persn wh has a primary substance abuse diagnsis n Axis I, is withut a majr psychtic disrder, and can attend 6-7 grups per day may be apprpriate; LOS averages days; T-19 accepted, but clients usually indigent/uninsured. Greenwich Hspital: Addictin Recvery/ Older Adult Detx Prgram Tel:

8 Geriatric Assessment Resurces in CT Day Kimball Healthcare Geriatric Care Management Prgram: Pmfret Street, Putnam, CT Adults age 60 and ver are eligible. Referral frm wn physician is suggested. Offers cmprehensive evaluatin, planning and care crdinatin fr senirs, their families and health care prviders. The gal is t assist the elderly and their caregivers t manage chrnic illness and high risk cnditins in rder t imprve health, safety and functin. The Department f Veterans Administratin (VA) VA CT Healthcare System (1) West Haven VA (in- and ut-patient prgrams) 950 Campbell Avenue, West Haven (Nursing Hme Prgram ext. 3940) (2) Newingtn VA (ut-patient prgrams) 555 Willard Avenue, Newingtn All Veterans enrlled in the VA health care system are eligible fr hme and cmmunity based lng term care services. Hspital f Saint Raphael, New Haven Healthy Aging Htline fr Senir Services: (variety f services) Hspital f Central CT, New Britain and Suthingtn New Britain campus: (in & utpatient services fr mental illness & substance abuse & Older Adult Prgrams) Suthingtn campus: (Center fr Health Aging) The Institute f Aging, Fairfield Jeffersn Street, Fairfield, CT Specializes in examining, diagnsing and treating cgnitive r memry functin. Assessments available in the client s hme, at the IOA clinic, r ther lcatin cnvenient t the client. Clients seen within 2 weeks f initial cntact. Accepts Medicare, lng-term care insurance, r private pay. Institute f Living/Hartfrd Hspital, Hartfrd Geriatric Prgram (in & utpatient) The Institute f Living Assessment Center r tll-free Seymur Street, Hartfrd, CT Wrk in cnsultatin with wn physician. 8

9 Geriatric Assessment Resurces in CT cntinued Masnicare Primary Care Physicians, Wallingfrd 67 Masnic Avenue, Wallingrd, CT General Healthcare and Well-being Services r tll-free A geriatric assessment is an utpatient appintment, which usually takes apprximately 1-1/2 t 2 hurs. It includes a fllw-up reprt t the patient s wn physician. Saint Francis Hspital, Hartfrd Wdland Street, Hartfrd Prvide cmprehensive geriatric evaluatins. UCnn Health Center, Center n Aging, Farmingtn Main: Appintments: (UCnn Geriatric Assciates) Office hurs Mnday-Friday, Farmingtn Avenue, Farmingtn, CT Prvides primary care fr lder adults n the Farmingtn campus and ther lcatins; cnsultative and specialty services als available. Yale New Haven Hspital, New Haven Drthy Adler Geriatric Assessment Center: Hward Avenue, New Haven, CT Persn receives a cmprehensive medical exam and diagnstic testing is dne as an utpatient at YNHH r at the patient s preferred site. Team wrks clsely with patient s wn physician. 9

10 WISE: Mental Health Waiver Wrking fr Integratin Supprt and Empwerment (Revised as f April 1, 2012) The waiver prgram fr individuals with serius mental illness encmpasses the recvery rientatin adpted by the Department f Mental Health and Addictin Services (DMHAS), but als signals new directins in the cmmunity treatment f peple with serius psychiatric disabilities because f its emphasis n: Intensive psychiatric rehabilitatin prvided in the participant s hme, and in ther cmmunity setting; Attentin t bth psychiatric and medical needs; Emphasis n wellness and recvery; Persn-Centered Planning leading t develpment f an individualized Recvery Plan; and Use f peer supprts prvided by peple trained and certified in rehabilitative care, wh knw frm first-hand experience abut recvery frm mental illness. The waiver prgram, authrized in 1915(c) f the Scial Security Act, permits the State t furnish an array f hme and cmmunity-based services that assist Medicaid beneficiaries t live in the cmmunity and avid institutinal care. Waiver services cmplement and/r supplement services available t participants thrugh the Medicaid State plan and ther federal, state and lcal public prgrams, as well as natural supprts that families and cmmunities prvide. The Waiver is perated by the DMHAS with versight by the Department f Scial Services (DSS). The waiver prgram serves eligible individuals transitining ut f nursing facilities r wh are at risk fr this level f care. Each persn enrlled in the waiver participates in a Persn-Centered Planning prcess leading t the develpment f an individualized Recvery Plan. The plan, develped cllabratively with the participant and a DMHAS Cmmunity Supprt Clinician includes ne r mre f the fllwing services: Rehabilitative Services and Supprt Services: Cmmunity Supprt Prgram (CSP) A flexible, team-based apprach t cmmunity rehabilitatin. Peer Supprt An alternative r step-dwn and fllw-up t CSP prvided by a trained and certified peer specialist. Recvery Assistant hmemaker, cmpanin, persnal care, and in-hme respite services deigned t help a participant maintain his/her wn hme. Supprted Emplyment an effective array f mental health supprts designed t help participants find and sustain cmpetitive emplyment. Transitinal Case Management services prvided during the weeks prir t, and immediately fllwing discharge frm a nursing hme, t help lcate and set up a suitable apartment r ther living arrangement. 10

11 Brief Episde Stabilizatin services designed t stabilize a participant in an emerging crisis situatin r fllwing discharge frm a institutinal level f care. Residential Based Services: Assisted Living Agency Persnal care and services prvided in a licensed cmmunity care facility, prvided t residents f the facility. This service includes 24-hur n-site respnse staff. Cmmunity Living Supprt Services Supprt Services, including vernight supervisin, necessary t enable a participant t live in a shared apartment, r independent residential setting in the cmmunity. Other Ancillary Services: Specialized Medical Equipment Hme Accessibility Adaptatins Nn-medical transprtatin Client Eligibility fr Mental Health Waiver Participants must meet all f the requirements f Sectin 1, and ne f the requirements f Sectin 2: Sectin 1 (all f the fllwing five requirements) 1. An adult, 22 years f age r lder; 2. Wh is Medicaid eligible; 3. Meets the Medicaid State Plan criteria fr nursing hme level f care; 4. Vluntarily chses t participate in the waiver; and 5. Has a diagnsis f serius mental illness as defined by State f Cnnecticut PASRR plicy. Sectin 2 (ne f the fllwing three requirements) 1. Is currently a resident f a nursing facility; 2. Is a participant in mney Fllws the Persn (MFP); r 3. Has a psychiatric histry, impairment and service needs as evidenced by the fllwing: Is currently experiencing tw r mre f the fllwing circumstances due t serius mental illness: Has been recmmended t take, r currently uses prescribed medicatin t cntrl psychiatric symptms; Is unable t wrk in a full-time cmpetitive emplyment situatin; Requires n-ging supervisin and supprt t maintain a cmmunity living arrangement; Is hmeless, r at-risk fr hmelessness; 11

12 Has had, r will predictably have, repeated episdes f decmpensatin such as increased symptms f psychsis; self-injury; suicidal/hmicidal ideatin; r psychiatric hspitalizatin. Additinally Has a level f risk t self r thers that a licensed mental health prfessinal has determined can be managed safely in the cmmunity. Have the fllwing cre services needs, if living in the cmmunity: 1. One-n-ne rehabilitative activities in the hme r in ther cmmunity settings t assist in managing psychiatric, substance use, r medical prblems, and in meeting requirements f everyday independent living; and 2. Supprt Crdinatin t assist in develping and implementing a Recvery Plan that ensures psychiatric and/r medical needs are met. MH Waiver Applicatin Referral Prcess 1. Applicatin/ Request fr Service submitted t MH Waiver Prgram 2. Medicaid eligibility verified by DSS 3. Assessment cnducted by a Waiver Cmmunity Supprt Clinician (CSC) t cnfirm eligibility 4. Recvery Plan develped including: services needed, assurance f cst neutrality and cmmunity safety 5. Plan and crrespnding services submitted by Waiver staff t DSS fr apprval 6. Recvery Plan implemented with Waiver Service Prviders selected by participant 7. Payment fr Services as utlined in Recvery Plan are authrized by Waiver Staffreviewed quarterly Cntact Megan Gdfield (860) r tll free r 12

13 Department f Mental Health and Addictin Services Nursing Hme Diversin and Transitin Prgram (NHDT) Gal: T ensure that DMHAS clients are nt placed in, r remain in, nursing hmes unless necessary, apprpriate, and safe. Preadmissin Screening Resident Review (PASRR) is an integral part f the prgram. Objectives: 1) Divert DMHAS clients frm nursing hme placement unless abslutely necessary (i.e.; persn culd nt be served in the cmmunity due t a need fr cntinuus skilled nursing services related t a chrnic cnditin, r requires shrt-term rehabilitatin fr a medical cnditin). 2) Transitin back t the cmmunity DMHAS clients wh reside in nursing hmes and n lnger require the level f care. NHDT Prgram Structure: Supervised by the DMHAS Prgram Directr, Nurse Clinicians and Case Managers are lcated at DMHAS-funded agencies and wrk with clients in designated gegraphical areas. (See Attachment fr names f the clinicians, cverage areas, and cntact infrmatin). Staff Functins: Nurse Clinicians: Act as liaisns fr clients eligible fr DMHAS services thrugh Lcal Mental Health Authrities and the Mental Health Waiver, as well as ther initiatives (e.g., Mney Fllws the Persn) r agencies prviding services t clients. Wrk directly with cmmunity prviders, nursing hmes, and discharge planners (bth inpatient and in emergency rms) t determine the apprpriate level f care fr DMHAS clients. Link with PASRR Prgram by assisting DMHAS and ther prviders in determining whether client applying t a nursing hme meets level f care criteria, and fr clients wh enter a nursing hme with a shrt-term apprval, mnitr and track length f stay fr pssible transitin t the cmmunity. Case Managers: Supprt the wrk f the Nurse Clinicians as abve. QUESTIONS? Megan Gdfield, Prgram Directr 13

14 CVH - Beers Hall 3 rd flr P.O. Bx 351 Middletwn, CT Office: DMHAS Acquired Brain Injury Services Administrative Assistant Terry Hlley at r Reginal Cmmunity Integratin Specialists (CIS) serve clients wh are 18 years f age r lder, are receiving services thrugh DMHAS, and have a qualifying ABI as prvided thrugh apprpriate dcumentatin. Definitin f an Acquired Brain Injury An injury t the brain that has ccurred after birth, which results in any cmbinatin f fcal and diffuse central nervus system dysfunctin, bth immediate and/r delayed at the brain stem level and abve. This dysfunctin is acquired thrugh the interactin f any external frce and the bdy, including blws t the head and vilent mvements f the bdy (Traumatic Brain Injury), as well as thrugh xygen deprivatin; infectin; txicity; surgery; and vascular disrders nt assciated with aging. This dysfunctin is nt cngenital, develpmental r degenerative. Services are prvided thrugh the DMHAS LMHA netwrk and the Reginal CIS handles l referrals within their designated service area. Prgram services include the fllwing: Cnsultatin Services ABI Substance Abuse Services ABI Vcatinal Services Cmmunity Residence and Transitinal Husing and Living Subsidy Training and Educatin Advcacy Supprts Reginal CIS Staff fr DMHAS ABI Services Gegraphic Area Lwer Fairfield Cunty Greater New Haven/ Middletwn/Meriden Sutheastern CT Nrtheastern CT Greater Hartfrd Area Cntact Infrmatin Latra Hall, MSW, CBIS r Elizabeth Van Leer, LCSW, CBIS r William McEwen, MSW, CBIS r Brke Crbett, MSW r Agnes Black, LCSW, CBIS r Kimberly Carta, MSW 14

15 Greater Trringtn Area r T be determined Additinal Infrmatin n ABI Services CT Department f Scial Services Medicaid ABI Waiver The CT Department f Scial Services (DSS) versees the Medicaid ABI Waiver which prvides a range f nn-medical, hme and cmmunity-based services t supprt adults with ABI (again, nt a develpmental r degenerative disrder) in the cmmunity. Eligibility Criteria: Adults age 18-64; Must be able t participate in the develpment f a service plan in partnership with a DSS Scial Wrker, r have a Cnservatr t d s; and Must meet all technical, prcedural and financial requirements f the Medicaid prgram, r the Medicaid fr Emplyed Disabled prgram. T learn mre abut the ABI Waiver r t btain an ABI waiver request frm, call the DSS ffice nearest t yur hme: 3580 Main Hartfrd East Middle Turnpike, Manchester Christian Lane, New Britain Bassett Street, New Haven Main Street Ext., Middletwn Husatnic Ave, Bridgeprt Bedfrd Street, Stamfrd W. Thames Street, Unit 102, Nrwich Main Street, Willimantic Thmastn Ave, Waterbury Main Street, Danbury Cmmercial Blvd, Trringtn This infrmatin is available in alternate frmats. Phne r TDD/TTY Brain Injury Alliance f Cnnecticut (BIAC) 200 Day Hill Rad, Suite 250 Windsr, CT At BIAC, a Brain Injury Specialist is available t prvide individualized supprt, advcacy and guidance t a brain injury survivr, family member, caregiver, r prfessinal t ensure that the ften cmplex and verwhelming challenges experienced fllwing a 15

16 brain injury are handled mre easily and effectively. The BIAC als spnsrs apprximately 30 Supprt Grups thrughut Cnnecticut t prvide infrmatin, supprt and encuragement t survivrs and their lved nes. Phne: Department f Mental Health and Addictin Services Lcal Mental Health Authrities (LMHAs) LMHAs have the authrity and respnsibility fr planning, delivering, and managing a variety f DMHAS-funded mental health services at the lcal level. Each LMHA cvers a specific gegraphic area f the state. Please check the DMHAS website at t check the LMHA that cvers yur twn. LMHA & Lcatin Main Telephne Diversin Nurse Suthwest CT Mental Health System: SWCCA: Sue Westerberg will cver at F.S. DuBis Center in Stamfrd Greater Bridgeprt MHC in Bridgeprt BHcare BHcare Valley Offices in Ansnia (frmerly Birmingham Grup Health Services; aka Valley Mental Health) Karen Warycha will cver the Ansnia area at BHcare Shreline Offices in Branfrd (frmerly Harbr Health Services) Bridges Cmmunity Supprt System in Milfrd CT Mental Health Center in New Haven Rushfrd Center in Meriden Heidi Spaman will cver the Branfrd area at Heidi Spaman r Karen Warycha will cver Cntinuum f Care: Karen Warycha r Heidi Spaman Lretta Ricker at r Lretta Ricker will cver. River Valley Services in Middletwn Cmmunity Health Resurces in Windsr Genesis Center in Manchester Nrth Central Cunseling Services in Enfield Inter-Cmmunity Lynda Dunlp at Drthy Fransen at Genesis Center at ext 223 r

17 Mental Health in East Hartfrd Capitl Regin Mental Health Center in Hartfrd Cmmunity Mental Health Affiliates in New Britain United Services in Dayville Sutheastern MH Authrity in Nrwich Western CT Mental Health Netwrk Greater Waterbury MHA Greater Danbury MHA Nrthwest MHA in Trringtn Chrysalis Center: Elaine Amat at Linda Stawski at Call Megan Gdfield Call Megan Gdfield Linda Stawski at LMHA F.S. Dubis Center Greater Bridgeprt MHC DMHAS Crisis Services Telephne AM-8PM (24 hurs) Birmingham Grup Health Services Harbr Health Services Bridges CT Mental Health Center (CMHC) r /7714 (9AM- 7PM) (7PM-9AM) River Valley Services (RVS) r Rushfrd Center r Sutheastern MHA (SMHA) United Services (Dayville) (Willimantic) (Clumbia) Capitl Regin Mental Health Center Cmmunity Health Resurces (CHR) r (Genesis & Nrth Central Cunseling) Intercmmunity Mental Health Grup (ext 1) M-F Wheeler Clinic Cmmunity Respnse Team Western CT Mental Health Netwrk After 4.30, calls rll-ver t the IOL (Trringtn) (Danbury Hspital Crisis Line) (Waterbury) 17

18 DMHAS Respite Beds Respite beds are vluntary and may be available as a shrt-term interventin fr a client requiring a 24-hur supprtive envirnment. Respite assists with psychiatric stabilizatin r as transitinal husing t a cmmunity setting, but des nt prvide medical services such as thse fund in a hspital r nursing hme setting. Each respite prgram listed as its wn criteria, including varying length-f-stay. Nrwalk Transitinal Residential Prgram (TRP) Rushfrd (Meriden) & River Valley Services (Middletwn) Cmmunity Mental Health Affiliates (New Britain) Respite Prgram Descriptin Cntact Infrmatin Greater Bridgeprt MH Center: Transitinal Residential Prgram (TRP) 24/7; vluntary; 20 beds; LOS apprx. 70 days; pen/unlcked unit; persn must be hmeless r at risk fr hmelessness; can participate in wn recvery plan; & have assigned ut- Crretta Williams at patient treatment team. Temprary residential placement lcated at 33 Stevens St., Nrwalk & perated by F.S. DuBis Center; gal is t prvide transitinal husing (30-45 days) fr DMHAS clients transitining back t the cmmunity primarily frm inpatient hspitalizatin; client expected t functin independently. Cllabrative prgram between Rushfrd (10 beds) & RVS (8 beds). Crisis respite beds prvide high intensity service as alternative t hspitalizatin with 24/7 staff. Respite beds prvide less intense service with 24/7 staff. 4 beds (2 female; 2 male); cannt be hmeless; LOS varies; clients utilizing beds Tm Kinder at Access beds thrugh RVS Mbile Crisis; Mid-State Hspital ED; Rushfrd Acute Care; & RVS Acute Care. RVS cntact: Mbile Crisis Team Rushfrd cntact: Teresa Kriebeck at Tel: Fax:

19 Greater New Haven Area: New Haven; Milfrd; Branfrd; Ansnia/Derby; etc. Managed by Cntinuum f Care & Cmmunicare depending n lcatin. Cmmunity Mental Health Resurces (Manchester-Enfield) Waterbury MHA & Waterbury Hspital Jint Prgram: Transitinal Respite Services Trringtn MHA & MHA f CT Jint Prgram: Transitinal Services Sutheast Mental Health Authrity (SMHA) (Nrwich) are in crisis in cmmunity; stepping dwn frm inpatient hspitalizatin; r under Jail Diversin. New Haven: 9 high intensity crisis/respite beds with 14-day LOS. 2 beds each lcated in Milfrd; Branfrd; & Ansnia. Clients must be physically manageable; age 18+; & enrlled in CHR services; prvides brief crisis stabilizatin & alternative t hspitalizatin; active prgramming fr individuals wh d nt meet hspital LOC; nt handicap accessible; clients must be able t ambulate withut assistance & climb stairs t shwer. Shrt-term husing fr individuals withut husing due t mental health prblems; 15 beds f which 7 are frensic; LOS varies based n need; perates 24/7. Shrt-term (90-day) care fr peple in recvery having prblems at hme; persn referred must have case manager t facilitate husing needs. 1 bed Brief Care Unit; persn must be vluntary & meet DMHAS criteria fr services; admissin must take place prir t 9 PM; Cntact Gretchen Elder (Cntinuum f Care) at Cntact Sue Brwn (Cmmunicare) at All beds can be accessed thrugh CMHC; YNHH; & Cmmunicare. 607 Enfield St. Enfield, CT Can be referred 24/7 Lcated n grunds f Waterbury Hspital Cntact Lisa Murray: Litchfield St, Trringtn Cntact Marc Trivella at Cntact SMHA Mbile Outreach:

20 Sund Cmmunity Services, Inc.: Michael Kerr Respite Prgram (Nrwich) Lcated n grunds f SMHA Mercy Shelter & Husing Crpratin (Operates CRMHC s Respite Prgram cvering Hartfrd; West Hartfrd; Farmingtn; Avn; Simsbury; East Hartfrd; Glastnbury; & Wethersfield) persn screened by SMHA Mbile Outreach Clinician t determine apprpriateness; LOS 3-5 days. 5 bed shrt-term residential living center fr persns with MI &/r c-ccurring disrders; persn must be vluntary & meet guidelines fr DMHAS services; screening & assessment thrugh SMHA Mbile Outreach; LOS up t 30 days. Fr adults with psychiatric r c-ccurring disrders in mental health crisis presenting t r being referred t general hspital ED; referrals made directly t CRMHC Mbile Crisis in Hartfrd r InterCmmunity Mbile Crisis in East Hartfrd & must include a discharge plan. Cntact SMHA Mbile Outreach: beds at 118 Main St., Hartfrd. Cntact CRMHC Mbile Crisis at Cntact InterCmmunity Mbile Crisis at An additinal 4 beds accessed thrugh CRMHC s Managed Service System Divisin. DMHAS Hmeless Services DMHAS prvides services t persns with a serius mental illness, r a c-ccurring mental illness and substance abuse disrder, wh are hmeless. Services include assertive utreach and engagement with clients, and referrals t case management services. Cntact Alice Minervin at r Fr a list f emergency hmeless shelters, g t.. 20

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